laomobai/llama3-1 huggingface dataset:
system: What alternative therapies are available for IBS with diarrhea (IBS-D)?
output: Some people with IBS try alternative therapies such as acupuncture, probiotics, and herbs to relieve their symptoms. Keep in mind that most alternative therapies haven't been tested for effectiveness in rigorous clinical trials the way other treatments have.
system: Are probiotics an effective treatment for irritable bowel syndrome (IBS)?
output: There is also some evidence that probiotics, "healthy" bacteria normally found in the gut, help some people with IBS. A study of one type, Bifidobacterium infantis, found that it greatly improved IBS symptoms and day-to-day life after people took it for 4 weeks. Research on another type, lactobacillus, has had more mixed reviews.
system: If I take a diarrhea medicine for irritable bowel syndrome with diarrhea (IBS-D) how much should I take?
output: If you take a diarrhea medicine, use the lowest dose possible and don't take it for a long time.
system: Will my doctor recommend antidepressants to treat my IBS-D?
output: If your doctor recommends one, it doesn't necessarily mean that you are depressed. These drugs can help with belly pain from IBS. Low doses of them can help block pain signals to the brain. For people with IBS- D, doctors may recommend a low dose of a tricyclic antidepressant such as amitriptyline, imipramine ( Tofranil), or nortriptyline ( Aventyl, Pamelor). Common side effects of these meds include dry mouth, blurred vision, and constipation. Your doctor may recommend another type of antidepressant called an SSRI, which includes citalopram ( Celexa), fluoxetine ( Prozac), and paroxetine ( Paxil), if you have depression along with IBS. Side effects of these medicines sometimes include diarrhea, so be sure to let your doctor know if your symptoms of IBS- D get worse while you're taking any of these medicines.
system: What should your diet consist of if you have IBS with diarrhea (IBS-D)?
output: These can often make diarrhea symptoms worse. Be careful with fiber, but you don't have to avoid it altogether. It's good for you in other ways, like preventing colon cancer, diabetes, and heart disease. Plus, it keeps your diarrhea from turning into constipation. But too much of it sometimes leads to gas and bloating. For IBS- D, it's best to eat the soluble kind of fiber. It takes a longer to leave your digestive system. You can get it in oat bran, barley, the flesh of fruit (as opposed to the skin), and navy, pinto, and lima beans. Drink plenty of water every day. Try having a glass an hour before or an hour after meals, instead of while you eat. When you drink water with food, it may make the food move through your system a little faster.
system: Can antacids used to treat irritable bowel syndrome with diarrhea (IBS-D)  can cause diarrhea?
output: Muscle spasms in your digestive tract can cause belly pain.
system: Do over-the-counter drugs used to treat irritable bowel syndrome with diarrhea (IBS-D)  have any side effects
output: Side effects of these treatments include belly cramping and bloating, along with dry mouth, dizziness, and constipation.
system: Which over-the-counter medicines used to treat irritable bowel syndrome with diarrhea (IBS-D) are generally safe?
output: Some OTC medicines for gas relief, such as simethicone ( Gas- X, Mylicon), are generally safe.
system: Which treatments help IBS-D?
output: You can make changes to your diet, take medication, find ways to relieve stress, or try behavioral therapy or alternative therapy. You may need a few of these approaches at the same time to get relief.
system: Should I treat my IBS on my own?
output: Don't try to treat your IBS on your own. First, your doctor must make sure that your symptoms are being caused by IBS. Then work with your doctor to find the best treatment for you.
system: How effective are probiotics at treating IBS with diarrhea (IBS-D)?
output: There is also some evidence that probiotics, "healthy" bacteria normally found in the gut, help some people with IBS. A study of one type, Bifidobacterium infantis, found that it greatly improved IBS symptoms and day-to-day life after people took it for 4 weeks. Research on another type, lactobacillus, has had more mixed reviews.
system: What over-the-counter (OTC) medicines are used to treat IBS with diarrhea (IBS-D)?
output: Your doctor may suggest trying OTC diarrhea medicines such as bismuth subsalicylate ( Kaopectate, Pepto- Bismol) and loperamide ( Imodium) for relief. Researchers have found these drugs can help slow diarrhea, but they won't help with other IBS symptoms like belly pain or swelling.
system: Do people ever use alternative therapy for irritable bowel syndrome (IBS)?
output: Some people with IBS try alternative therapies such as acupuncture, probiotics, and herbs to relieve their symptoms. Keep in mind that most alternative therapies haven't been tested for effectiveness in rigorous clinical trials the way other treatments have.
system: How do you know which foods affect your IBS with diarrhea (IBS-D)?
output: Since different foods can affect people in different ways, keeping an IBS symptom journal can help you and your doctor figure out foods you can eat and which ones to stay away from.
system: How long should I take over-the-counter medicine to treat IBS-D?
output: Don't take any OTC medicine for the long term without asking your doctor about it. IBS symptoms can be caused by other, more serious problems. Make sure you and your doctor have ruled out other causes of your symptoms.
system: What is irritable bowel syndrome (IBS)?
output: Then work with your doctor to find the best treatment for you. IBS- D is a complex condition.
system: How do you know what treatment is right for your IBS with diarrhea (IBS-D)?
output: Then work with your doctor to find the best treatment for you. IBS- D is a complex condition. It takes time and patience to figure out what will help you feel your best. Not every treatment works for every person. Find a doctor who understands IBS and work together on your treatment plan.
system: Do muscle relaxers help treat IBS-D?
output: Drugs that relax muscles, called antispasmodics, such as dicyclomine ( Bentyl) and hyoscyamine ( Levsin). But some studies have found there's no clear evidence that they help everyone with IBS.
system: Should I talk to my doctor before I try acupuncture or herbs for my irritable bowel syndrome (IBS)?
output: If you want to try behavioral therapy for IBS, try to find a therapist who will work with your regular doctor. Some herbs can affect how well other medications work.
system: What drugs that relax muscles are used to treat IBS with diarrhea (IBS-D)?
output: Common side effects of these meds include dry mouth, blurred vision, and constipation. Drugs that relax muscles, called antispasmodics, such as dicyclomine ( Bentyl) and hyoscyamine ( Levsin). Muscle spasms in your digestive tract can cause belly pain. Many doctors prescribe these drugs to calm them.
system: Is acupuncture an effective treatment for irritable bowel syndrome (IBS)?
output: Researchers have found these drugs can help slow diarrhea, but they won't help with other IBS symptoms like belly pain or swelling. For IBS relief, however, the results have been mixed.
system: How is IBS with diarrhea (IBS-D) treated?
output: You may need a few of these approaches at the same time to get relief. If you want to try behavioral therapy for IBS, try to find a therapist who will work with your regular doctor. Find a doctor who understands IBS and work together on your treatment plan.
system: How effective is acupuncture at treating IBS with diarrhea (IBS-D)?
output: Researchers have found these drugs can help slow diarrhea, but they won't help with other IBS symptoms like belly pain or swelling. For IBS relief, however, the results have been mixed.
system: What will the surgeon consider before doing the nose job?
output: The surgeon will evaluate the structures of your nose and other facial features. After this evaluation, he or she can tell you if your expectations are realistic. The surgeon will also consider your overall health and should discuss with you the risks, recovery time, and costs involved.
system: What happens when you have a nose job?
output: A nose job is usually done as an outpatient procedure, meaning there is no overnight stay. You'll get general or local anesthesia. With general anesthesia, you'll sleep through the operation. With local anesthesia, you will be sedated and your nose will be numbed so you are relaxed and unable to feel the pain. During an operation, the surgeon makes cuts within the nostrils. In more difficult cases, the surgeon may also make cuts across the base of the nose. The surgeon then reshapes the inner bone and cartilage to produce a more pleasing appearance.
system: How do surgeon do the nose jobs?
output: The surgeon will evaluate the structures of your nose and other facial features. After this evaluation, he or she can tell you if your expectations are realistic.
system: What happens after nose job surgery?
output: After a nose job, people usually wear a nasal splint for the first week. You can expect swelling and some bruising around the eyes after surgery that will begin to improve after the third day. It can, though, last up to two weeks. Expect your nose to have a little swelling, which probably only you and your surgeon will notice. This will go away over the next six months. The final shape of your nose will be apparent after it has completely healed. You should avoid strenuous activity for three to six weeks after surgery. You may return to your social activities as soon as within two to three weeks without any recognizable signs that you had a procedure done.
system: What should I do if I'm thinking about getting a nose job?
output: During that meeting, talk about your goals and tell the doctor what bothers you about your nose and how you would like to change it. A plastic surgeon can describe the facial features that make you unique and tell you how changes would enhance your appearance.
system: Will my insurance cover my nose job?
output: It can also be done for cosmetic reasons, which will change the nose's shape and appearance. If you have health insurance, make sure you talk to your insurer in advance so you know what's covered and what you will need to pay for.
system: How is zanamivir used to treat the flu?
output: Oseltamivir is approved for treatment in those over 2 weeks of age and for prevention in people ages 3 months and older.
system: What does antibiotic resistance mean?
output: According to the CDC, antibiotic resistance happens when bacteria changes in some way to reduce or eliminate the effectiveness of the antibiotic. When bacteria are exposed to antibiotics repeatedly, such as when you take the medication needlessly or too frequently, the germs in your body start to evolve. These changes can make the germs stronger than before so they completely resist the antibiotic. Yourillness may linger with no signs of improvement. Or your illness may suddenly take a turn for the worse, requiring you to seek emergency medical care. You may have to be admitted to the hospital and get several different antibiotics intravenously.
system: How can I prevent antibiotic resistance?
output: There is a way to protect yourself and others from resistant bacteria, and that is to respect antibiotics and take them only when necessary for a bacterial infection. Here are some useful tips: When you see a doctor, don't demand antibiotics. Understand that antibiotics are used for bacterial infections, not symptoms of a cold or flu virus. If a doctor prescribes antibiotics, use them as prescribed. Take all of the antibiotics as directed and don't save some for future use. Don't share antibiotics with others.
system: Do antiviral drugs have side effects?
output: Side effects of antiviral drugs may include nervousness, poor concentration, nausea, vomiting, and diarrhea. Zanamivir is not recommended for people with a history of breathing problems, such as asthma, because it may worsen breathing. Discuss side effects with your doctor.
system: How is oseltamivir used to treat the flu?
output: Oseltamivir is approved for treatment in those over 2 weeks of age and for prevention in people ages 3 months and older.
system: Do most people know that antibiotics are not effective for colds or flu?
output: A study by the CDC showed that many adults believe that if they are sick enough to see a doctor for a cold, they should get an antibiotic treatment. The study also showed that patients are not aware of the consequences of taking the drugs if they are not needed. And when antibiotics are misused, bacteria can become resistant.
system: What is bradycardia?
output: If your doctor says you or a loved one has bradycardia, a resting heart beat that's less than 60 beats per minute, it's only part of the diagnosis. Your doctor will also want to figure out which type it is. She may talk to you about these kinds: sinus bradycardia, sick sinus syndrome, and heart block. What kind of treatment you get, if any, will depend on how mild or serious your case is, along with which kind you have.
system: What causes heart block in relation to bradycardia?
output: If your doctor says you or a loved one has bradycardia, a resting heart beat that's less than 60 beats per minute, it's only part of the diagnosis. It can be caused by some of the same conditions you see with sinus bradycardia. They pump and squeeze in a rhythm so your body has a steady supply of oxygen-rich blood. But most of the time, it comes from something you got later in life. The main cause is a heart attack. They include: Heart failure, because the heart is not pumping enough blood for your body Myocarditis, or inflammation of the heart muscle Coronary artery disease, or narrowing of the arteries in the heart Rheumatic fever, which is most common in children who didn't get treated well for strep throat or scarlet fever You may not need any treatment if you have a mild case.
system: What type of bradycardia is sick sinus syndrome?
output: If your doctor says you or a loved one has bradycardia, a resting heart beat that's less than 60 beats per minute, it's only part of the diagnosis. This type of bradycardia causes an abnormal heart rhythm. You may have irregular heartbeats or ones that flip between slow and fast. This syndrome is not as common. It is often the result of heart disease. If you've had a heart attack or surgery, the sinus node may be scarred or damaged. Sometimes the normal wear and tear on your heart as you age is the reason Your heart has four chambers.
system: What is sinus bradycardia?
output: If your doctor says you or a loved one has bradycardia, a resting heart beat that's less than 60 beats per minute, it's only part of the diagnosis. That's a group of cells that sends out electrical signals that tell you when to pump out more blood. It may be mild enough that you never notice any symptoms. With a more serious case, you might have dizziness, breathing problems, and chest pains, among other problems. This syndrome is not as common.
system: What conditions can cause sinus bradycardia?
output: If your doctor says you or a loved one has bradycardia, a resting heart beat that's less than 60 beats per minute, it's only part of the diagnosis. It's sometimes called âthe heart's natural pacemaker.â It should start the signal about 60 to 100 times a minute. Some of them are: Heart attack Pericarditis, or inflammation of the thin tissues around the outside of the heart A defect at birth Sleep apnea, or when you briefly stop breathing while you sleep A problem with your thyroid, the gland in your neck that helps control many of your body's functions Certain medications, including a class of medicines called beta blockers. You may take them to lower blood pressure or for other heart conditions.
system: What type of bradycardia is heart block?
output: If your doctor says you or a loved one has bradycardia, a resting heart beat that's less than 60 beats per minute, it's only part of the diagnosis. They pump and squeeze in a rhythm so your body has a steady supply of oxygen-rich blood. First degree is the mildest and may not even cause symptoms. Third degree is the most serious and is sometimes called âcomplete heart block.â You may need emergency care for this kind Heart block can be what's called a congenital defect, meaning you were born with it.
system: What should I expect during a breast ultrasound?
output: You'll be asked to change into a hospital gown, so you may consider wearing a two-piece outfit on the day of the test so that you only need to remove your top. You'll lie on a padded examining table during the test. A small amount of water-soluble gel is applied to the skin over the area to be examined. The gel doesn't harm your skin or stain your clothes. A probe that looks like a little paddle is gently applied against the skin. You may be asked to hold your breath briefly several times. The test takes about 10-20 minutes to complete. After the test, the gel will be wiped off your skin.
system: What is a breast ultrasound?
output: Ultrasound is a painless procedure that uses sound waves to make images of the inside of your body. The sound waves bounce off surfaces in your body, and the "echoes" are recorded and transformed into video or photographs. It's often used in addition to mammography to tell whether a lump in a breast is a cyst (a fluid-filled sac) or a solid mass, which might be cancer. Ultrasound can also help pinpoint the position of a tumor. This guides the doctor to the exact place to insert a needle during a biopsy.
system: What are side effects of breast ultrasound?
output: The sound waves bounce off surfaces in your body, and the "echoes" are recorded and transformed into video or photographs. It doesn't use radiation like X-rays do.
system: What causes food allergies?
output: Food allergies occur when a sensitive person eats, inhales, or comes into contact with even tiny amounts of certain foods. These reactions occur with exposure to proteins called allergens and can be very mild or may be life-threatening. Food allergies are becoming more and more common.
system: What are the most common food allergies in adults?
output: In children, the most common food allergies are: Cow's milk Hen's eggs Peanuts Tree nuts Soybeans Wheat In adults, the most common food allergies are: Peanuts Tree nuts Fish Crustaceans (such as shrimp, crabs, and lobster) Mollusks (such as clams, oysters, and mussels) Fruits Vegetables Symptoms tend to occur just after eating, inhaling, or coming into contact with the offending food.
system: Why is testing for food allergies a problem?
output: This means that if you do have a food allergy, the tests are very likely to catch it. But the tests aren't very specific. It's very rare for a person to be allergic to more than one or two foods, Oppenheimer and Portnoy say. So if testing is used to confirm or reject suspect foods, it is more likely to give meaningful results.
system: How do doctors diagnose ear barotrauma?
output: In this case, more serious symptoms can happen: Extreme ear pain Dizziness called vertigo A busted eardrum -- fluid or blood leaking from your ear is a sign Hearing loss Your doctor will look inside your ears with a tool called an otoscope. He'll check to see if there's fluid behind your eardrum or if it's damaged. If it is, it may take weeks to heal and you might not hear very well. Usually, the only treatment is time. If it isn't better in 2 months, you may need an operation to prevent lasting hearing loss. Go to a doctor right away if you feel like you're spinning or falling (vertigo) and your symptoms happened right after flying or diving. It's rare, but you may need emergency ear surgery.
system: How can someone prevent ear barotrauma?
output: With a mild case, your symptoms should go away shortly after you get back on land. If they don't or if your symptoms are serious, see your doctor. You can prevent ear barotrauma by keeping your Eustachian tubes open. These things may help: Medicine. If you have a cold or allergies, take a decongestant about an hour before your flight and take it as directed until you land. A nasal spray or an antihistamine could help open up the tubes, too. Earplugs. Special plugs designed for air travel can slow pressure changes and give your ears time to adjust. These won't work for scuba divers, though.
system: What are some more serious symptoms of ear barotrauma?
output: Common symptoms include: Stuffed feeling in your ears Muffled hearing because your ear drum can't vibrate and make sound the way it should Ear pain If you hear a "pop" in your ears, that's a sign your Eustachian tubes are open. If they stay blocked, your middle ear can fill with clear liquid to try to balance the pressure. If your Eustachian tubes are closed, it can't drain. In this case, more serious symptoms can happen: Extreme ear pain Dizziness called vertigo A busted eardrum -- fluid or blood leaking from your ear is a sign Hearing loss Your doctor will look inside your ears with a tool called an otoscope.
system: What is ear barotrauma?
output: It's the biggest health problem for people who fly. And it can be especially painful for babies and young kids because their ears aren't fully developed. Ear barotrauma also can happen when you ride in an elevator or drive in the mountains. And it can happen in the water, too. Your ears are especially sensitive to changes in air and water pressure. You can prevent ear barotrauma by keeping your Eustachian tubes open.
system: How is a sphygmomanometer used to measure blood pressure?
output: This instrument consists of a gauge and a rubber cuff that's placed around your arm or leg and inflated. The person taking your blood pressure wraps the cuff around your upper arm. That's how the systolic and diastolic blood pressures are determined. A high blood pressure reading would be 130/80 or higher.
system: Who is most likely to get primary biliary cholangitis?
output: Only about 4 to 15 out of 1 million people get this condition. Most often, it affects women between ages 30 and 65. Sometimes it runs in families. You could be more likely to get it if you have a mom, dad, brother, or sister -- especially an identical twin -- with the disorder.
system: What are the treatments for primary biliary cholangitis?
output: You have primary biliary cholangitis if you have at least two of the following: High levels of alkaline phosphatase Antimitochondrial antibodies Signs of the disease on a liver biopsy The main treatment for PBC is a drug called ursodiol. It's a natural form of bile that can help your liver work better and help you live longer. You take it as a pill, unless you get a new liver in a transplant. There are few reported side effects from the drug. If you can't take ursodiol, or it doesn't work well enough for you, your doctor may prescribe obeticholic acid ( Ocaliva) along with, or instead of, ursodiol.
system: Where can I get information about primary biliary cholangitis?
output: You can find more information on primary biliary cholangitis from: American Liver Foundation The National Institute of Diabetes and Digestive and Kidney Diseases National Organization for Rare Disorders
system: Can you drink alcohol if you have primary biliary cholangitis?
output: If you have this condition, you should avoid drinking alcohol and never use illegal drugs. These things can further damage your liver. Tell your doctor before you use any type of over-the-counter medications, including and especially herbs and supplements. Many substances can affect how your liver works and may interfere with your treatment and outcome.
system: What is hepatic encephalopathy?
output: Toxins that the liver usually removes start to build up in the organ and eventually the brain. This can cause confusion, personality changes, and even coma.