laomobai/llama3-1 huggingface dataset:
system: Does tamoxifen produce side effects in men?
output: For men, tamoxifen can cause: Headache Nausea and vomiting Skin rash Sexual side effects like erectile dysfunction or a lower sex drive Yes.
system: What are the side effects of goserelin (Zoladex) and leuprorelin (Lupron) for breast cancer?
output: Common side effects include: Pain where you get the shot Nausea and vomiting Loss of appetite Weakness and fatigue Hot flashes Cough Muscle, joint, and bone pain Constipation Shortness of breath
system: Which hormones fuel some types of breast cancer?
output: Hormones that every woman has in her body -- estrogen and progesterone -- can be fuel for some types of breast cancer. They help the cells grow and spread. Hormone therapy, also called endocrine therapy, adds, blocks, or removes those chemicals to treat the disease.
system: What are aromatase inhibitors?
output: Aromatase inhibitors: This type of hormone therapy drug keeps your body from breaking down testosterone into estrogen. They include: Anastrozole ( Arimidex) Exemestane ( Aromasin) Letrozole ( Femara) Aromatase inhibitors keep breast cancer from getting worse for longer than tamoxifen in women who have the advanced disease whose tumors rely on estrogen to grow.
system: What are the side effects of tamoxifen as a treatment for breast cancer?
output: For women, the side effects of tamoxifen are similar to some of the symptoms of menopause. Two of the most common ones are hot flashes and vaginal discharge. Other problems for women may include: Vaginal dryness or itching Irregular periods Headache Nausea and vomiting Skin rash Fatigue Water retention and weight gain The side effects may be similar to menopause, but tamoxifen doesn't trigger menopause.
system: How can tamoxifen cause high risk of blood clots?
output: Women who take tamoxifen may have a slightly higher risk of blood clots in their lungs or large veins. It's an even bigger risk for smokers.
system: Does tamoxifen help if you had ductal carcinoma in situ (DCIS)?
output: Studies have also shown that tamoxifen lessens the risk of breast cancer returning in women who have had the earliest form of the disease, ductal carcinoma in situ ( DCIS).
system: What are two types of hormone therapy for breast cancer?
output: There are two types of hormone therapy for breast cancer: Drugs that stop estrogen and progesterone from helping breast cancer cells grow Drugs or surgery to keep the ovaries from making the hormones Hormone therapy is different from hormone replacement therapy ( HRT), a treatment that adds hormones to the body to counter the effects of menopause.
system: What are symptoms of tamoxifen for men?
output: For men, tamoxifen can cause: Headache Nausea and vomiting Skin rash Sexual side effects like erectile dysfunction or a lower sex drive Yes.
system: What are the two types of hormone therapy for breast cancer?
output: There are two types of hormone therapy for breast cancer: Drugs that stop estrogen and progesterone from helping breast cancer cells grow Drugs or surgery to keep the ovaries from making the hormones Hormone therapy is different from hormone replacement therapy ( HRT), a treatment that adds hormones to the body to counter the effects of menopause.
system: How can aromatase inhibitors help with treating breast cancer?
output: Aromatase inhibitors: This type of hormone therapy drug keeps your body from breaking down testosterone into estrogen. They include: Anastrozole ( Arimidex) Exemestane ( Aromasin) Letrozole ( Femara) Aromatase inhibitors keep breast cancer from getting worse for longer than tamoxifen in women who have the advanced disease whose tumors rely on estrogen to grow.
system: When did doctors first use tamoxifen to treat breast cancer?
output: Doctors first used tamoxifen to treat women whose breast cancer had spread in their bodies because it slowed or stopped the growth of the disease. The drug also lowers the chance that some early stage breast cancers will come back. And it can lower the risk that a woman will get cancer in her other breast later on.
system: What are common hormone therapy drugs for breast cancer?
output: Common hormone therapy drugs for breast cancer treatment include: Anastrozole ( Arimidex) Exemestane ( Aromasin) Fulvestrant ( Faslodex) Goserelin ( Zoladex) Letrozole ( Femara) Leuprorelin, leuprolide acetate ( Lupron) Megestrol ( Megace) Tamoxifen ( Nolvadex, Soltamox) Toremifene ( Fareston) Tamoxifen is a pill that doctors have prescribed for more than 30 years to treat breast cancer.
system: Does tamoxifen raise the risk of uterine cancer?
output: But this risk is small, and it may be outweighed by the benefits of tamoxifen for breast cancer treatment. Talk to your doctor to know for sure.
system: What are the side effects of exemestane to treat breast cancer?
output: Other problems for women may include: Vaginal dryness or itching Irregular periods Headache Nausea and vomiting Skin rash Fatigue Water retention and weight gain The side effects may be similar to menopause, but tamoxifen doesn't trigger menopause.
system: How does tamoxifen affect medications in breast cancer patients?
output: They can change how the drug works and affect the breast cancer.
system: Can tamoxifen affect the fertility of women using it to treat breast cancer?
output: But it might harm a growing baby, so it's important to use some form of barrier birth control while you're taking it, like condoms or a diaphragm. Don't use birth control pills. They can change how the drug works and affect the breast cancer. Tell your doctor right away if you think you've become pregnant while you're taking tamoxifen.
system: What are the side effects of aromatase inhibitors to treat breast cancer?
output: Side effects of aromatase inhibitors include: Nausea and vomiting Diarrhea and constipation Hot flashes Headache Bone pain Severe fatigue Skin rash Swelling and water retention Flu-like symptoms Increased bone loss Fulvestrant ( Faslodex): This shot keeps estrogen from attaching to cancer cells.
system: Who shouldn't use tamoxifen?
output: Tamoxifen is an option for: Treatment of the earliest form of breast cancer, ductal carcinoma in situ ( DCIS), along with surgery Treatment of abnormal cells in the glands that make milk, called lobular carcinoma in situ ( LCIS), to lessen the chance that they'll become more advanced breast cancer Treatment of breast cancer in men and women whose cancers use estrogen Treatment of breast cancer that has spread to other parts of the body or that comes back after treatment To prevent breast cancer in women at high risk for the disease Some people should not use tamoxifen: Pregnant women Women planning to get pregnant Men or women who've had blood clots or a stroke Talk to your doctor to see if tamoxifen is right for you. Talk to your doctor to know for sure.
system: Who can use tamoxifen for breast cancer?
output: Tamoxifen is an option for: Treatment of the earliest form of breast cancer, ductal carcinoma in situ ( DCIS), along with surgery Treatment of abnormal cells in the glands that make milk, called lobular carcinoma in situ ( LCIS), to lessen the chance that they'll become more advanced breast cancer Treatment of breast cancer in men and women whose cancers use estrogen Treatment of breast cancer that has spread to other parts of the body or that comes back after treatment To prevent breast cancer in women at high risk for the disease Some people should not use tamoxifen: Pregnant women Women planning to get pregnant Men or women who've had blood clots or a stroke Talk to your doctor to see if tamoxifen is right for you. Studies have found that it prevents breast cancer in women who are at high risk, but with fewer side effects.
system: What is palbociclib (Ibrance)?
output: They help the cells grow and spread. There are two types of hormone therapy for breast cancer: Drugs that stop estrogen and progesterone from helping breast cancer cells grow Drugs or surgery to keep the ovaries from making the hormones Hormone therapy is different from hormone replacement therapy ( HRT), a treatment that adds hormones to the body to counter the effects of menopause. Tamoxifen is an option for: Treatment of the earliest form of breast cancer, ductal carcinoma in situ ( DCIS), along with surgery Treatment of abnormal cells in the glands that make milk, called lobular carcinoma in situ ( LCIS), to lessen the chance that they'll become more advanced breast cancer Treatment of breast cancer in men and women whose cancers use estrogen Treatment of breast cancer that has spread to other parts of the body or that comes back after treatment To prevent breast cancer in women at high risk for the disease Some people should not use tamoxifen: Pregnant women Women planning to get pregnant Men or women who've had blood clots or a stroke Talk to your doctor to see if tamoxifen is right for you.
system: Who gets hormone therapy for breast cancer?
output: If they do, it means that they depend on these hormones to grow. In that case, your doctor will probably recommend hormone therapy as part of your treatment plan. Also, if you don't have the disease but have a family history of it, or genes that raise your risk, your doctor may recommend hormone therapy to lower your chances of getting it.
system: How can palbociclib (Ibrance) and ribociclib (Kisqali) help with treating breast cancer?
output: They help the cells grow and spread. Tamoxifen is an option for: Treatment of the earliest form of breast cancer, ductal carcinoma in situ ( DCIS), along with surgery Treatment of abnormal cells in the glands that make milk, called lobular carcinoma in situ ( LCIS), to lessen the chance that they'll become more advanced breast cancer Treatment of breast cancer in men and women whose cancers use estrogen Treatment of breast cancer that has spread to other parts of the body or that comes back after treatment To prevent breast cancer in women at high risk for the disease Some people should not use tamoxifen: Pregnant women Women planning to get pregnant Men or women who've had blood clots or a stroke Talk to your doctor to see if tamoxifen is right for you.
system: How can fulvestrant (Faslodex) help with treating breast cancer and what are its side effects?
output: It works by keeping estrogen from attaching to the cancer cells. Studies have also shown that tamoxifen lessens the risk of breast cancer returning in women who have had the earliest form of the disease, ductal carcinoma in situ ( DCIS).
system: How can Goserelin (Zoladex) and leuprorelin (Lupron) help with treating breast cancer and what are its side effects?
output: There are two types of hormone therapy for breast cancer: Drugs that stop estrogen and progesterone from helping breast cancer cells grow Drugs or surgery to keep the ovaries from making the hormones Hormone therapy is different from hormone replacement therapy ( HRT), a treatment that adds hormones to the body to counter the effects of menopause. Common side effects include: Pain where you get the shot Nausea and vomiting Loss of appetite Weakness and fatigue Hot flashes Cough Muscle, joint, and bone pain Constipation Shortness of breath
system: Why do some women take tamoxifen to help prevent breast cancer?
output: Tamoxifen is an option for: Treatment of the earliest form of breast cancer, ductal carcinoma in situ ( DCIS), along with surgery Treatment of abnormal cells in the glands that make milk, called lobular carcinoma in situ ( LCIS), to lessen the chance that they'll become more advanced breast cancer Treatment of breast cancer in men and women whose cancers use estrogen Treatment of breast cancer that has spread to other parts of the body or that comes back after treatment To prevent breast cancer in women at high risk for the disease Some people should not use tamoxifen: Pregnant women Women planning to get pregnant Men or women who've had blood clots or a stroke Talk to your doctor to see if tamoxifen is right for you. Studies have found that it prevents breast cancer in women who are at high risk, but with fewer side effects.
system: Can any drug besides tamoxifen prevent breast cancer?
output: For women, the side effects of tamoxifen are similar to some of the symptoms of menopause. Studies have found that it prevents breast cancer in women who are at high risk, but with fewer side effects. The FDA has approved it for breast cancer prevention.
system: How common are blood clots and strokes in breast cancer patients who take tamoxifen?
output: Women who are at high risk for breast cancer can take tamoxifen to try to lower their chances of getting the disease. Women who take tamoxifen may have a slightly higher risk of blood clots in their lungs or large veins. It's an even bigger risk for smokers.
system: What is fulvestrant (Faslodex)?
output: It works by keeping estrogen from attaching to the cancer cells. Studies have also shown that tamoxifen lessens the risk of breast cancer returning in women who have had the earliest form of the disease, ductal carcinoma in situ ( DCIS).
system: Should you call your doctor if you think your arm is broken?
output: Most broken arms have these symptoms: A large amount of pain and increased pain when moving the arm Swelling Maybe an obvious deformity compared to the other arm Possible open wound either from the bone puncturing the skin or from the skin being cut during the injury Decreased sensation or inability to move the limb, which may indicate nerve damage Call your doctor after an accident if these signs are present: Significant pain that is not relieved by ice and home pain medications such as acetaminophen ( Tylenol) or ibuprofen ( Motrin) A large amount of swelling or mild deformity of the arm compared to the opposite arm Significant pain with use or limited use of the affected arm Pain in one specific part of the arm when it is pressed Your doctor may advise you to go directly to a hospital's emergency department. Place ice in a bag and leave it on the arm for 20-30 minutes at a time. Use pillows to prop your arm while in bed or sitting in a chair.
system: Can you prevent a broken arm?
output: There are 2 main ways to help prevent a broken arm. Wear appropriate personal safety equipment as protection. Prevent and treat osteoporosis, the disease that causes bone loss, especially in older women. This is best done early in life by building stronger bones through a good diet and exercise.
system: What are symptoms of a broken arm?
output: Most broken arms have these symptoms: A large amount of pain and increased pain when moving the arm Swelling Maybe an obvious deformity compared to the other arm Possible open wound either from the bone puncturing the skin or from the skin being cut during the injury Decreased sensation or inability to move the limb, which may indicate nerve damage Call your doctor after an accident if these signs are present: Significant pain that is not relieved by ice and home pain medications such as acetaminophen ( Tylenol) or ibuprofen ( Motrin) A large amount of swelling or mild deformity of the arm compared to the opposite arm Significant pain with use or limited use of the affected arm Pain in one specific part of the arm when it is pressed Your doctor may advise you to go directly to a hospital's emergency department. Under the following conditions, go directly to the hospital for emergency care: Visible bone sticking out through the skin Heavy bleeding from an open wound Complete lack of movement or sensation of part of the arm Obvious deformity that looks drastically different from the usual appearance Loss of consciousness Many other injuries The initial evaluation by any physician, in the office or in the emergency department, begins with a thorough history and physical exam. An alternate approach to keep the arm from moving is to position a rolled and taped newspaper along the swollen area and to tape it in place.
system: What should you do when you break your arm?
output: Do this by using a towel as a sling. Place it under the arm and then around the neck. An alternate approach to keep the arm from moving is to position a rolled and taped newspaper along the swollen area and to tape it in place. Apply ice to the injured area. Place ice in a bag and leave it on the arm for 20-30 minutes at a time. It may be helpful to place a towel around the ice bag or in between the bag and the skin to protect the skin from getting too cold. Call your doctor for increased pain, loss of sensation, or if your fingers or hand turn cold or blue.
system: What things can I do every day to prevent heart disease?
output: Three ideas to try: exercise, meditate, and talk to people you trust. Work on your weight . Pass on foods that are salty, high in unhealthy fats, or fried. Pick a couple of activities that sound like fun. Up to 1 glass a day for women, and up to 2 glasses a day for men. You may have levels of blood pressure, cholesterol, or blood sugar and not realize it. Don't smoke. He'll help you focus on healthy habits.
system: Do any foods help keep your teeth white?
output: Dig in to produce and calcium-rich foods: When you munch on fruits and veggies, it can help âscrubâ your teeth. Think about how clean your mouth feels after eating a fresh, crisp apple. High-calcium foods such as cheese can aid in keeping your teeth white.
system: Can getting regular cleaning at your dentist's office help maintain white teeth?
output: Get regular cleanings at your dentist's office: Professional cleanings will remove plaque, which can pick up stains from what you eat and drink. Your dental hygienist can help keep teeth looking and feeling great.
system: Are mouthwashes and rinses good for teeth whitening?
output: Mouthwashes and rinses: These often use a mild hydrogen peroxide solution to brighten your teeth. To give whitening mouthwashes a boost, some people rinse first, and then brush their teeth with a whitening toothpaste.
system: Can avoiding tobacco help maintain white teeth?
output: Avoid tobacco: Cigarettes, cigars, pipes, and chewing tobacco can yellow your teeth. Kick tobacco, and you'll have whiter teeth as well as a healthier heart.
system: What information can help a doctor diagnose depression?
output: This key information can help the doctor make an accurate diagnosis and ensure effective treatment. Before your visit, consider and record the following: Your mental and physical health concerns Symptoms you've noticed Unusual behaviors you've had Past illnesses Your family history of depression Medications you are taking now and in the past, including both prescribed and over-the-counter medications Unusual side effects of medications you are taking or have taken Natural dietary supplements you are taking Your lifestyle habits (exercise, diet, smoking, alcohol consumption, drug use) Your sleep habits Causes of stress in your life (marriage, work, social) Questions you have about depression and depression medications
system: What are the symptoms that lead to the diagnosis of depression?
output: Your doctor will ask questions about the way you feel, including whether you have any symptoms of depression such as the following: Sadness or depressed mood most of the day or almost every day Loss of enjoyment in things that were once pleasurable Major change in weight (gain or loss of more than 5% of weight within a month) or appetite Insomnia or excessive sleep almost every day Physical restlessness or sense of being rundown that is noticeable by others Fatigue or loss of energy almost every day Feelings of hopelessness or worthlessness or excessive guilt almost every day Problems with concentration or making decisions almost every day Recurring thoughts of death or suicide, suicide plan, or suicide attempt To be diagnosed with major depression, you must have at least five of the symptoms listed above with at least one of the first two nearly daily for at least two weeks.
system: Why is it difficult to diagnose depression?
output: Do you wonder how doctors are able to make an accurate depression diagnosis? Now, however, a doctor will make a distinction regarding the particular disorder or subtype of depression that a patient has. A depression diagnosis is often difficult to make because clinical depression can manifest in so many different ways. For example, some clinically depressed individuals seem to withdraw into a state of apathy. Others may become irritable or even agitated. Eating and sleeping patterns can be exaggerated. Observable or behavioral symptoms of clinical depression also may sometimes be minimal despite a person experiencing profound inner turmoil.
system: What are the physical signs of depression?
output: Signs of depression may include the following: Appearance of preoccupation Lack of eye contact Memory loss, poor concentration, and poor abstract reasoning Pacing, hand wringing, and pulling on hair Psychomotor retardation or agitation, such as slowed speech, sighs, and long pauses Self-deprecatory manner, or belligerence and defiance (especially in adolescents) Slowed body movements, even to the extent of being motionlessness or catatonic Tearfulness or sad countenance After reviewing the information given at your appointment, including the signs and symptoms, patient history, family history, and physician exam, your doctor may ask for some lab tests to rule outa physical condition that may be causing your symptoms. Before your doctor's appointment, write down a list of concerns you may have about depression and specific symptoms of depression you might have.
system: How does a doctor diagnose depression?
output: In fact, talking with the patient may be the most important diagnostic tool the doctor has. To effectively diagnose and treat depression, the doctor must hear about specific symptoms of depression. A doctor may use a series of standard questions to screen for depression. A doctor can rule out other conditions that may cause depression with a physical examination, personal interview, and lab tests.
system: How is pink eye diagnosed?
output: The doctor will also observe that your eye is inflamed or red. Often, the cause can be determined from your symptoms, medical history, and the eye exam findings alone. Most of the time, treatment is started right away. If there are additional lab results, treatment may be modified based on the results of lab tests. You should also be careful about using the same cloths or drops between your two eyes so as not to transfer the infection to your other eye.
system: How does someone prepare for an eye exam?
output: When you call to make an appointment for your exam, mention any vision problem you're having. Before you go, list any questions you want to ask the doctor. Also be ready to update him or her on any medicines you take and your (and your family's) eye health history. Bring your glasses and contact lenses along with the prescription with you. Also bring sunglasses for the trip home. The doctor might use eye drops to open up your pupils. This is called dilation. Your eyes will be sensitive to light afterward.
system: Why should I see an eye doctor?
output: If you've had eye trouble in the past, or if you're at risk for developing it (if someone in your family had it), you should see an eye doctor every year. Why? You need to check to see if you have serious, sometimes "silent" problems that can affect your vision, like: Glaucoma Age-related macular degeneration Cataracts Diabetic retinopathy If your child has no risk factors for eye problems, she should get her vision checked as a newborn and again at every regular health visit.
system: How often should I get my eyes checked?
output: It depends in part on your age and also on your eyes and family. If you're younger than 40 and have no eye problems, your doctor might suggest you get routine tests every 2 years. Or he could tell you that you don't need any tests. Ask what he thinks is best for you. If you're 40 or older, you should get your eyes checked every 1 to 2 years.
system: What is a visual field test when getting an eye exam?
output: Visual field test (perimetry): Your visual field is the area you can see in front of you without moving your eyes. Using one of three tests, the eye doctor maps what you see at the edges (periphery) of your visual field and will use this map to diagnose eye conditions.