laomobai/llama3-1 huggingface dataset:
system: What is an H. pylori infection?
output: H. pylori is a very common infection: More than half of all people get it at some point, usually in childhood. Doctors aren't sure why it affects some people differently than others. If it's not treated, it can sometimes cause ulcers, which are painful, open sores in your stomach lining that bleed. Smoking, a diet low in fruits and veggies, and a history of stomach surgeries can raise your risk.
system: What are the most common causes of erectile dysfunction (ED)?
output: The most common cause of ED is reduced blood flow to the penis due to chronic conditions such as high blood pressure, high cholesterol, and hardening of the arteries. Psychological problems such as depression, anxiety, and relationship issues are also possible causes of ED. So are multiple sclerosis, spinal cord injuries, chronic back pain, and other neurological conditions.
system: What natural ingredients are being studied as alternative mosquito repellents?
output: Many other natural ingredients are currently being studied as mosquito repellent. These include: fennel thyme clove oil celery extract neem oil However, more studies are needed to verify their safety and efficacy.
system: What are the serious side effects of steroids for Crohn's disease?
output: The longer you take a steroid, the more likely you'll get one or more of these: High blood pressure High blood sugar Osteoporosis, or weak bones that break easily Cataracts Glaucoma Steroids slow your immune system.
system: What types of steroids treat Crohn's disease?
output: The ones most often used for Crohn's include: Prednisone ( Prednicot, Rayos, Sterapred) Methylprednisolone ( Medrol, Depo- Medrol) Hydrocortisone Budesonide ( Entocort EC, Uceris ) Budesonide is a newer kind of steroid that can have fewer side effects. But it's not right for everyone. It's used only for people with mild to moderate Crohn's in certain parts of your bowel.
system: What are common side effects of steroids for Crohn's disease?
output: The longer you take a steroid, the more likely you'll get one or more of these: High blood pressure High blood sugar Osteoporosis, or weak bones that break easily Cataracts Glaucoma Steroids slow your immune system. That can make it harder for your body to fight off infections. While you take them, you're more likely to have: Genital yeast infection Mouth yeast infection, or thrush Urinary tract infection ( UTI) Most people with Crohn's take steroids for only a few weeks or months at a time.
system: What do I do if I have side effects from taking steroids for my Crohn's disease?
output: While you take them, you're more likely to have: Genital yeast infection Mouth yeast infection, or thrush Urinary tract infection ( UTI) Most people with Crohn's take steroids for only a few weeks or months at a time. You'll cut back on your dosage, and as you lower the amount, most side effects should ease up and go away on their own. It's important that you don't just stop your medicine. If you have trouble with side effects, call your doctor. He can lower your dosage or have you take your steroids every other day.
system: How do you take steroids for Crohn's disease?
output: You'll probably start with the pill form of the drug. It goes into your bloodstream and spreads throughout your body. But you may need the steroids to help only in a small area. This can help with side effects because the medication goes only where you have inflammation. These options include: Suppositories that go into your rectum and dissolve Enemas Rectal foams Ask your doctor if one of these could work for you.
system: How can your doctor help with the side effects of steroids for Crohn's disease?
output: If you have Crohn's disease, your doctor may prescribe steroids at some point to help get flares under control. Bisphosphonate drugs, like alendronate ( Fosamax) or risedronate ( Actonel), may help prevent osteoporosis, too. Exercise can help you keep your bones and muscles strong. Eat a healthy diet and stay active to manage your weight. It's not a good idea to take short-term steroids often, because the side effects only get worse. Talk to your doctor about another medicine to control your flares.
system: Can kegel exercises help treat bladder spasms?
output: Kegels and other forms of physical therapy help strengthen and relax the bladder and other muscles that help the body hold in urine. Kegels, combined with biofeedback, are often a good way to help reduce bladder spasms in children. To tighten your pelvic muscles, squeeze your muscles in the same way as if you were trying to stop the flow of urine or prevent yourself from passing gas. Kegel exercises take practice, and tightening the wrong muscles can put more pressure on your bladder. Ask your doctor for specific instructions.
system: Are there complementary and alternative therapies for bladder spasms?
output: Acupuncture. Some research has suggested that bladder-specific acupuncture may significantly reduce bladder muscle contractions and the urge to use the bathroom. Biofeedback. Biofeedback is a method that teaches the mind how to control normally automated body functions. Bladder training is a type of biofeedback. Some doctors believe biofeedback and behavioral changes work better than medicines for treating urge incontinence.
system: Can foods or drinks cause bladder spasms?
output: Medications that commonly cause bladder spasms include: Bethanechol (urecholine) A chemotherapy drug called valrubicin ( Valstar) Medicines called diuretics, such as furosemide ( Lasix) or hydrochlorothiazide, which help the body remove excess water What you eat or drink can sometimes bother a fragile bladder and cause it to go into a spasm. This is especially true in patients who have a condition called interstitial cystitis. Spicy, acidic, or citrusy foods and the chemicals in certain preservatives and food additives may irritate the lining of the bladder in some people. Such products may include: Alcohol Artificial sweeteners Caffeinated beverages such as soda, coffee, and tea Chocolate Citrus fruits and drinks, such as oranges and orange juice Pickled foods Tomatoes How your doctor treats your bladder spasms depends on what exactly is causing your painful symptoms.
system: Who gets bladder spasms?
output: Anyone at any age can have bladder spasms. In children, bladder spasms (also called pediatric unstable bladder or uninhibited bladder) are the leading cause of daytime incontinence. However, you are more likely to have bladder spasms with urine leakage if you: Are elderly Are going through menopause Have diabetes Are obese Recently had a baby or are pregnant Have a urinary tract infection Have recently had lower abdominal or pelvic surgery Have bladder muscle damage caused by disease or injury Have a neurologic disease such as stroke or spinal cord injury There are a number of different causes of bladder spasms.
system: When should you see your doctor about bladder spasms?
output: Call your doctor if you have: Pain or cramping in your pelvic or lower abdominal area Pain or burning while urinating Urgent or frequent need to use the bathroom Leakage of urine Blood in your urine If you have or think you are having bladder spasms, it is important that you see a doctor for a proper diagnosis. Your symptoms may be due to an infection that can be treated. In rare cases, bladder spasms may be a sign of a serious underlying condition.
system: Can nervous system disorders and injuries cause bladder spasms?
output: Nervous system disorders and injury that can cause bladder spasms include: Brain tumor Cerebral palsy Herpes zoster infection that affects the nerves in the sacrum Multiple sclerosis Parkinson's disease Multiple system atrophy ( Shy- Drager syndrome) Spinal cord injury Stroke that has caused brain damage Diabetic neuropathy (when the nerves are damaged by longstanding diabetes) Surgery to the lower abdominal area may weaken the bladder or pelvic floor muscles, or cause damage to the nerves that control the bladder.
system: Can pain medicines and sedatives treat bladder spasms?
output: These may be given to patients who have catheter-related bladder spasms after surgery. But they don't always take away all the discomfort. Some research suggests that a prescription anti-inflammatory medicine called ketorolac may help relieve or prevent catheter- or surgery-related bladder spasms in children.
system: Can electrical stimulation implants treat bladder spasms?
output: This is placed under the skin to deliver gentle electrical pulses to the bladder at regularly timed intervals. Your doctor may recommend this therapy if you have severe bladder spasms and urge incontinence that does not get better with other treatments.
system: Can TENS treat bladder spasms?
output: Electrical stimulation through the skin (transcutaneous electrical nerve stimulation, or TENS) sends mild electrical pulses to the bladder through patches applied to the skin. It's believed the electric signals help you feel better by increasing blood flow and releasing hormones that block pain.
system: Can Botox help with bladder spasms?
output: Botox prevents nerves from releasing chemicals that tell muscles to contract. The Botox is injected directly into the bladder muscle wall.
system: Are there medicines for bladder spasms?
output: The most commonly prescribed drugs to relax the bladder and prevent spasms are called anticholinergics. They include tolterodine tartrate ( Detrol LA), oxybutynin chloride ( Ditropan), darifenacin ( Enablex), mirabegron ( Myrbetriq), oxybutynin ( Oxytrol), trospium chloride ( Sanctura XR), and solifenacin ( Vesicare). Common side effects are constipation and dry mouth. An antidepressant called imipramine hydrochloride ( Tofranil) also helps relax the bladder and reduces bladder spasms. Medicines called alpha-blockers (such as terazosin or doxazosin) may be given to help the bladder relax and allow the bladder to empty completely.
system: Can nervous system disorders lead to bladder spasms?
output: Here's what you need to know about bladder spasms, from the causes to what you can do to ease the pain. However, certain nervous system disorders cause damage to the nerves that send signals between the brain and the bladder. When this happens, the bladder does not work properly. " Neurogenic bladder" is the general term for bladder problems due to nerve damage.
system: What causes bladder spasms?
output: The cramping pain could be due to something as simple as your diet or a medication that you are taking, or it could be associated with changes in blood supply and function of the nerves controlling the bladder. When this happens, the condition is called idiopathic bladder spasms.
system: Can medications cause bladder spasms?
output: In some cases, your doctor may not be able to identify the cause. Medications that commonly cause bladder spasms include: Bethanechol (urecholine) A chemotherapy drug called valrubicin ( Valstar) Medicines called diuretics, such as furosemide ( Lasix) or hydrochlorothiazide, which help the body remove excess water What you eat or drink can sometimes bother a fragile bladder and cause it to go into a spasm.
system: What happens as a child with progeria ages?
output: They develop physical traits including: A bigger head Large eyes A small lower jaw A thin nose with a "beaked" tip Ears that stick out Veins you can see Slow and abnormal tooth growth A high-pitched voice Loss of body fat and muscle Hair loss, including eyelashes and eyebrows As children with progeria get older, they get diseases you'd expect to see in people age 50 and older, including bone loss, hardening of the arteries, and heart disease. Children with progeria usually die of heart attacks or strokes. Progeria doesn't affect a child's intelligence or brain development. A child with the condition isn't any more likely to get infections than other kids, either.
system: What do I need to know about tennis elbow?
output: Tennis elbow means you have damaged tendons in your arm. It's common in people who play sports such as tennis and squash, but more often, you have it because of a job or serious hobby where you have to grip and twist a lot. In fact, painters, carpenters, plumbers, and dentists are all more likely to get it.
system: When should I call my doctor about tennis elbow?
output: The main symptom of tennis elbow is pain on the outside of your elbow, which might go into your forearm and wrist. A lot of times, that'll do the trick. But if you still have symptoms after a week or so, or if they get worse, it's time to call your doctor. Also, call your doctor if you have any of these signs and symptoms: It's hard to move your arm. There's a lump or bulge in it. Pain or difficulty moving your arm keeps you from your everyday activities. The area around your elbow is reddish or swollen.
system: What is the main symptom of tennis elbow?
output: Tennis elbow is one of those tricky conditions that might go away with a little self-care. You may feel pain when doing nothing at all or with anything from holding a pen to opening a jar.
system: What can treatment for sleep apnea caused by multiple sclerosis do?
output: The right treatment can help you breathe easier, sleep better, and feel more alert during the day.
system: If I have multiple sclerosis and sleep apnea, what should I discuss with my doctor?
output: Go over all the medicines you take with your doctor. Ask if any of your MS drugs might affect your breathing at night. If so, see if you can switch to another medicine.
system: If I have multiple sclerosis, how can I treat my sleep apnea by altering my daily routine?
output: A few changes to your daily routine can also help treat sleep apnea: If you're overweight, lose weight with diet and exercise. To keep your airway open, sleep on your side instead of your back. You can buy a special pillow to stop you from rolling over. If you smoke, ask your doctor for tips to help you quit. Smoking can make sleep apnea worse.
system: How will my doctor know if I have sleep apnea?
output: Other signs of sleep apnea are: Dry mouth when you wake up Feeling tired in the daytime Headaches in the morning Mood swings and irritability Trouble remembering, learning, or concentrating During the exam, your doctor will check your mouth, nose, and throat. You might also have a sleep study to find out for sure if you have sleep apnea and, if so, how severe it is. You'll stay overnight in a lab or use a device at home to monitor your breathing while you sleep.
system: How common is sleep apnea in multiple sclerosis?
output: In fact, while sleep apnea only affects about 3% of Americans overall, between 4% and 20% of people with MS have it.
system: How can multiple sclerosis cause sleep apnea?
output: Sleep apnea happens more often in people who are overweight. The extra tissue falls over your windpipe while you sleep, so less air gets into your lungs. MS can make you feel too tired to exercise. Both a lack of activity and the steroid drugs you might take to control MS can cause weight gain.
system: What are my risks if I have multiple sclerosis and sleep apnea?
output: Sleep apnea can do more than make you feel tired during the day. If you don't treat it, it can increase your risk for the following: Accidents, such as car accidents Diabetes Heart attack Heart failure High blood pressure Irregular heartbeat Obesity Stroke It can also affect your memory and make it harder for you to think clearly.
system: If I have multiple sclerosis and sleep apnea, will my risk for other diseases increase?
output: It also raises your risk of conditions like heart disease and diabetes.
system: Why is sleep apnea more common in multiple sclerosis?
output: Sleep apnea is very common in people with MS for another reason. MS attacks myelin -- the coating that surrounds and protects nerve cells. It leaves behind scars called lesions in your brain and spinal cord. Damage from MS can make it harder for your brain to control your breathing while you sleep.
system: What are common sleep problems that can occur with multiple sclerosis?
output: Insomnia, restless legs syndrome, sleep apnea, and other sleep problems happen more often in people with MS.
system: Does sleep apnea make you feel tired?
output: Sleep apnea can do more than make you feel tired during the day.
system: How can I find the right machine and mask to treat my sleep apnea caused by multiple sclerosis?
output: Your doctor can help you find the right type of CPAP machine and mask. Some masks are hard to fasten, which could be a problem if you have weakness or numbness in your hands. If you have damage to nerves in your face, choose a mask that doesn't put too much pressure there.
system: What is an alternative treatment for sleep apnea caused by multiple sclerosis?
output: Another sleep apnea treatment is a mouthpiece called an oral appliance. This moves your lower jaw and tongue to keep your airway open. A dentist or orthodontist can fit you for one.
system: What is a common sign of sleep apnea?
output: When you wake up that often during the night, you can't get a good night's sleep. Sleep apnea is very common in people with MS for another reason.
system: What is sleep apnea?
output: This causes you to stop breathing over and over again. That wakes up your brain to restart your breathing. When you wake up that often during the night, you can't get a good night's sleep. You might also have a sleep study to find out for sure if you have sleep apnea and, if so, how severe it is.
system: How is a coronavirus infection treated?
output: A coronavirus is a kind of common virus that causes an infection in your nose, sinuses, or upper throat. You treat a coronavirus infection the same way you treat a cold: Get plenty of rest. Drink fluids. Take over-the-counter medicine for sore throat and fever (but don't give aspirin to children or teens younger than 19; use ibuprofen or acetaminophen instead). A humidifier or steamy shower can also help ease a sore and scratchy throat.
system: What are common symptoms of coronavirus?
output: A coronavirus is a kind of common virus that causes an infection in your nose, sinuses, or upper throat. The symptoms of most coronaviruses are similar to any other upper-respiratory infection, including runny nose, coughing, sore throat, and sometimes a fever. In most cases, you won't know whether you have a coronavirus or a different cold-causing virus, such as rhinovirus. But if a coronavirus infection spreads to the lower respiratory tract (your windpipe and your lungs), it can cause pneumonia, especially in older people, people with heart disease, or people with weakened immune systems.
system: What is a coronavirus?
output: A coronavirus is a kind of common virus that causes an infection in your nose, sinuses, or upper throat. Most coronaviruses are not dangerous. People also died from a severe acute respiratory syndrome ( SARS ) outbreak in 2003. They get their name from their crown-like shape. Almost everyone gets a coronavirus infection at least once in their life, most likely as a young child.
system: How can I prevent coronavirus infection?
output: A coronavirus is a kind of common virus that causes an infection in your nose, sinuses, or upper throat. There is no vaccine for coronavirus. To help prevent coronavirus infection, do the same things you do to avoid the common cold: Wash your hands thoroughly with soap and warm water or with an alcohol-based hand sanitizer. Keep your hands and fingers away from your eyes, nose, and mouth. Avoid close contact with people who are infected.
system: Who is more likely to get Lyme disease?
output: Unlike RA, Lyme is most common in children, older adults, and people who spend more time outdoors, like park rangers and firefighters. The more time you spend outside, the greater your chance of running into the ticks that carry the disease.
system: How can you rule out rheumatoid arthritis if you might have Lyme disease?
output: To rule out RA, he'll ask you about your symptoms and medical history. You might get a blood test to look for antibodies linked to the disease. Your doctor may send you to a rheumatologist, who'll look over your joints for tenderness, swelling, or limited movement.
system: How common is Lyme disease?
output: It's the most common tick-borne disease in the U. S. The disease was named for the place it was first reported in 1975 -- Old Lyme, CT. About 30,000 cases are reported each year, but the CDC believes the number is 10 times higher than that.
system: What are the treatments for rheumatoid arthritis?
output: Treatment for RA includes long-term: Medication Physical therapy Exercise Education You may also need surgery at some point.
system: What should you do if you think you might have Lyme disease?
output: Early treatment is key with Lyme. If you don't get it, your symptoms may disappear for a while. But they'll return, with more complications. So if you suspect you have Lyme disease -- if you've been exposed to ticks or had a rash -- talk with your doctor right away.
system: What is Lyme disease?
output: Symptoms can include: Morning joint stiffness that lasts more than an hour Less range of motion Swollen joints Some people call Lyme disease âthe great imitator,â because it can be confused with a number of other conditions, including: Chronic fatigue syndrome Food poisoning Fibromyalgia Multiple sclerosis Depression Of course, rheumatoid arthritis Lyme disease comes from a bacterial infection that's spread through the bite of several different kinds of ticks.
system: How do you know if you have Lyme disease?
output: Rheumatoid arthritis ( RA) and Lyme disease are very different conditions that need separate treatments. It's the most common tick-borne disease in the U. S. The disease was named for the place it was first reported in 1975 -- Old Lyme, CT. About 30,000 cases are reported each year, but the CDC believes the number is 10 times higher than that. If left untreated, Lyme disease can cause health issues, including: Numbness or pain Paralysis or weakness in the face muscles Heart problems Chest pain Shortness of breath Arthritis Since the symptoms of RA and Lyme disease are so similar, it's easy to see how they might be confused. You might get a blood test to look for antibodies linked to the disease. If so, antibiotics can get rid of the infection and its symptoms if the diagnosis is quick. If you don't get it, your symptoms may disappear for a while.
system: What are common triggers of rosacea?
output: Common triggers include sun exposure, very hot or very cold weather, alcohol, very hot foods, spicy foods, intense exercise, and stress. In addition, menopause and some drugs may cause flushing.
system: How is rosacea treated?
output: The biggest key to controlling rosacea is to avoid triggers -- factors that cause the skin to flush.
system: What is the treatment for trichotillomania?
output: People who have trichotillomania have an irresistible urge to pull out their hair, usually from their scalp, eyelashes, and eyebrows. A doctor might refer someone who has symptoms of trichotillomania to a psychiatrist or psychologist, who can interview the person and see if they might have an impulse control disorder. The main treatment for trichotillomania is a type of behavior therapy called habit reversal training. Basically, this means replacing a bad habit with something else that's not harmful. With this approach, people with trichotillomania first learn to identify when and where they have the urge to pull hair. They also learn to relax and do something else, that doesn't hurt them, as a way to help ease tension when they feel the urge to pull their hair. Therapy can also address any unhelpful thinking that might be adding to the stress that triggers the behavior. Medication may also be part of the treatment program. A type of antidepressant called a selective serotonin reuptake inhibitor ( SSRI) might be useful in helping to curb very intense urges. Atypical antipsychotics such as olanzapine or aripiprazole also may sometimes be used, either alone or in combination with an SSRI.