laomobai/llama3-1 huggingface dataset:
system: How is CBT (cognitive behvioral therapy) used to treat back pain?
output: CBT: If you consult a psychotherapist for cognitive behavioral therapy ( CBT), your treatment may include stress management, behavioral adaptation, education, and relaxation techniques. CBT can lessen the intensity of back pain, change perceptions about levels of pain and disability, and even lift depression. The NIH considers CBT useful for relieving low back pain, citing studies that show CBT to be superior to routine care and placebo.
system: Is long-term bed rest used to treat back pain?
output: Long-term bed rest is not only no longer considered necessary for most cases of back pain, it is actually potentially harmful, making recovery slower and potentially causing new problems. In most cases, you will be expected to start normal, nonstrenuous activity (such as walking) within 24 to 72 hours. After that ask your doctor about controlled exercise or physical therapy. Physical therapy treatments may employ massage, ultrasound, whirlpool baths, controlled application of heat, and individually tailored exercise programs to help you regain full use of the back. Strengthening both the abdominal and back muscles helps stabilize the spine. You can help prevent further back injury by learning - and doing - gentle stretching exercises and proper lifting techniques, and maintaining good posture.
system: What specialists can help with back pain?
output: Often, a pain specialist or back specialist will also employ rehabilitation and counseling by non-physician personnel such as therapists, counselors, and patient educators.
system: How is biofeedback used to treat back pain?
output: Biofeedback: If lower back pain is related to muscle tension or spasm, biofeedback can be effective for lessening pain intensity, decreasing drug use, and improving quality of life. Biofeedback may help you train your muscles to respond better to stress or movement.
system: What kind of exercises can help with my back pain?
output: Exercise methods: The Alexander Technique, Pilates, and the Feldendkrais Method are all specialized forms of body work that help you learn to move in a more coordinated, flexible, and graceful manner. They may help you become more aware of your movements and may help relieve stress. Some of the postures of yoga may help diminish low back pain, improve flexibility, strength, and sense of balance. Yoga is also good for stress reduction and can help with the psychological aspects of pain. Core exercises strengthen the muscles that support the back and help reduce pain.
system: How is spinal manipulation used to treat back pain?
output: Spinal manipulation: The U. S. Agency for Healthcare Research and Quality recognizes spinal manipulation by chiropractors and osteopaths as effective for acute low-back pain. Its effectiveness for treating chronic back pain is less well established. Some researchers suggest that early manipulative treatment for acute back pain may prevent chronic problems from developing. Other doctors warn against some chiropractic manipulations, particularly those that involve rapid twisting of the neck. Spinal manipulation can be considered a form of conservative care for the treatment of acute and chronic back pain as it is not invasive and does not employ prescription medications.
system: How is acupuncture used to treat back pain?
output: Acupuncture: Both the American Pain Society and the American College of Physicians released guidelines stating that acupuncture may help patients with chronic low-back pain when other treatments have failed. It can be used alone or as part of a comprehensive treatment plan that includes medications and other therapies. However, there is not enough evidence yet to recommend it for acute back pain.
system: How is TENS used to treat back pain?
output: TENS: Some physicians advocate using a transcutaneous electrical nerve stimulator ( TENS). Electrodes taped to the body carry a mild electric current that helps relieve pain. After appropriate training, patients can use a TENS on their own to help reduce pain while they recover from strained or moderately injured backs.
system: What are symptoms of prion diseases?
output: Signs of prion diseases include sudden changes in your mood, memory, and movement, such as: Anxiety or depression Balance problems Behavior or personality changes Dementia Memory loss Muscle control loss, like sudden jerks or twitches Seizures Slurred speech Trouble swallowing Unsteady walk Vision problems Prions are tiny proteins in your brain that don't act the way they should.
system: What are treatments for prion diseases?
output: For now, treatments for prion diseases only ease your symptoms. They include pain drugs, antidepressants, sedatives, or antipsychotic drugs. You also may need a catheter to help drain urine or feeding tubes to help you eat.
system: What prion diseases can affect people?
output: Prion diseases that affect people include: Creutzfeldt- Jakob disease ( CJD) Variant Creutzfeldt- Jakob disease ( VCJD) Gerstmann- Straussler- Scheinker syndrome Fatal familial insomnia Kuru Variably protease-sensitive prionopathy Creutzfeld- Jakob disease is the most common. It usually affects people around age 60. VCJD can affect younger adults.
system: What are prions?
output: You can have them for many years before you notice any symptoms. Even though prion diseases cause dementia, Alzheimer's disease is not in this group. Proteins that don't work the way they should and damage brain cells are to blame for both diseases, but the diseases involve different genes and proteins.
system: What causes prion diseases?
output: But like Alzheimer's, there is no cure for prion diseases. Most people get prion diseases like CJD for no apparent reason. It's possible to get VCJD if you eat beef infected with bovine spongiform encephalopathy, or mad cow disease. When mad cow disease broke out in cattle in Europe in the 1990s, a small number of people developed VCJD and died. Four people also got VCJD from blood transfusions when the donor was infected.
system: How do doctors diagnose prion disease?
output: If you have symptoms like dementia, your doctor might first rule out other possible causes. The following tests may show if your symptoms are caused by a stroke, brain tumor, or inflammation: Spinal tap (also called lumbar puncture): A doctor puts a needle between two of your vertebrae (bones in your back) to take a sample of the fluid around your brain and spinal cord. But this is a dangerous operation, so it's only done if your doctor thinks you might have another disorder that could be treated differently.
system: What's the difference between a sedentary lifestyle, a moderately active lifestyle and an active lifestyle?
output: Gender Age Sedentary* Moderately Active* Active* Females 19-30 31-50 51+ 1800-2000 1800 1600 2000-2200 2000 1800 2400 2200 2000-2200 Males 19-30 31-50 51+ 2400-2600 2200-2400 2000-2200 2600-2800 2400-2600 2200-2400 3000 2800-3000 2400-2800 * Sedentary means a lifestyle that includes light physical activity associated with typical activities of daily living. Moderately active consists of walking 1.5 to 3 miles daily at a pace of 3 to 4 miles per hour (or the equivalent). An active person walks more than 3 miles daily at the same pace, or equivalent exercise.
system: How many calories a day should I have if I want to gain weight?
output: To gain weight, it's best to work on a plan with a dietitian.
system: When should you see a doctor about panic attacks?
output: Usually, a panic attack comes with a few of these: A sense of approaching danger Quick, intense, heartbeat Nausea Chills Cramps in your belly Headache Numbness or tingling Shortness of breath Throat tightness Trembling Hot flashes A feeling that you're apart from reality If you feel like you're having a panic attack, see you doctor right away. While they are not dangerous, they can get worse without treatment. Symptoms of a panic attack are similar to those for more serious conditions. If you're not sure if what you're having is a panic attack, call your doctor, just to be safe.
system: What is panic disorder?
output: If they keep coming back, you have a persistent fear of more attacks, or you change your behavior significantly because of them, you have something called panic disorder. Nearly one in 20 adults have it, and women are twice as likely as men to get it. Many people with panic disorder relate an attack to what they were doing when it happened. They may think the restaurant, elevator, or classroom caused the attack. Then they'll avoid those places. That may lead to something called agoraphobia -- the fear of leaving home or being in public places.
system: What are symptoms of panic attacks?
output: Your heart begins to pound and you hyperventilate, sweat, and tremble. Usually, a panic attack comes with a few of these: A sense of approaching danger Quick, intense, heartbeat Nausea Chills Cramps in your belly Headache Numbness or tingling Shortness of breath Throat tightness Trembling Hot flashes A feeling that you're apart from reality If you feel like you're having a panic attack, see you doctor right away.
system: Why does eye pressure matter?
output: It can make you more likely to get several eye problems, including: Swelling in the cornea, the clear outer dome of your eyes Cataracts Damage to the macula, the light-sensing part of the retina that allows you to see Discomfort Unlike with blood pressure, the danger zones for eye pressure can be tricky to pin down.
system: What is an eye pressure check?
output: It shows how firm your eyeball is with the same measurement units used to check blood pressure. The normal range for intraocular pressure is about 10-20 mm HG. The test is done in a couple of ways. Your doctor may touch your eye with the tip of a tool. You may get numbing eye drops first. Rarely, your doctor might give you a quick puff of air onto the eye.
system: What does high pressure in your eyes cause?
output: When the fluid in the front of your eye doesn't drain as well as it should, or your eye is producing too much fluid, pressure can get too high. Your doctor may call this ocular hypertension. It can lead to glaucoma, a group of eye diseases that causes blindness. High eye pressure is one of the top reasons people get it. Glaucoma doesn't cause pain, and you can have it for years without noticing any changes in your vision. So checking for high eye pressure can help you catch it early.
system: What can low pressure in your eyes cause?
output: Low pressure. Others can see just fine with it.
system: What are the risks of taking niacin (vitamin b3)?
output: It can cause liver problems, stomach ulcers, changes to glucose levels, muscle damage, low blood pressure, heart rhythm changes, and other issues. People with any health condition including liver or kidney disease, diabetes, high blood pressure, or cardiovascular problems need to talk to a doctor before using niacin supplements. Do not treat high cholesterol on your own with over-the-counter niacin supplements.
system: How should you take niacin (vitamin b3)?
output: If your doctor prescribes niacin, you might want to take it with food. This can prevent upset stomach. To reduce flushing -- a harmless but uncomfortable side effect of niacin that describes redness and warmth in the face and neck -- your health care provider might recommend taking niacin along with aspirin, an NSAID painkiller, or an antihistamine until tolerance to the niacin develops.
system: Is niacin (vitamin b3) safe to take?
output: At the low DRI doses, niacin is safe for everyone. However, at the higher amounts used to treat medical conditions, it can have risks. For that reason, children and women who are pregnant or breastfeeding should not take niacin supplements in excess of the DRI unless it's recommended by a doctor. People with uncontrolled gout should also not take niacin supplements.
system: Why do people take niacin (vitamin b3)?
output: As a cholesterol treatment, there are good studies showing that niacin can boost levels of good HDL cholesterol and lower triglycerides. Niacin also modestly lowers bad LDL cholesterol. It's often prescribed in combination with statins for cholesterol control, such as Crestor, Lescol, or Lipitor. var s_context; s_context= s_context || {}; s_context['wb.modimp'] = 'vidfloat'; if(webmd.useragent && webmd.useragent.ua.type === 'desktop'){ webmd.ads2.disable Initial Load(); webmd.ads2.disable Ads Init = true; $(function() { webmd.p.pim.increment(); $('.responsive-video-container').insert After('.module-social-share-container'); require(['video2/1/responsive-player/video-loader'], function(video Loader) { video Loader.init({ autoplay: webmd.useragent.ua.type === 'desktop' && ! !s_sensitive, chron ID: $('article embeded_module[type=video][align=top]:eq(0)').attr('chronic_id'), continuous Play: true, cp Options: { flyout: true }, display Ads: true, mode: 'in-article', sticky: true }) }); }); } else { $(function(){ $('.responsive-video-container').remove(); }); } However, niacin is only effective as a cholesterol treatment at fairly high doses. These doses could pose risks, such as liver damage, gastrointestinal problems, or glucose intolerance. So don't treat yourself with over-the-counter niacin supplements. Instead, get advice from your health care provider, who can prescribe FDA-approved doses of niacin instead.
system: Can you get niacin (vitamin b3)niacin (vitamin b3) naturally from foods?
output: Many products are also fortified with niacin during manufacturing.
system: What are the side effects of taking niacin (vitamin b3)?
output: Niacin can cause flushing, especially when you first begin taking it. Your health care provider will probably suggest increasing the dose slowly to reduce this problem. He or she might also offer a time-release prescription formulation to control flushing. Niacin can cause upset stomach and diarrhea. However, all of these side effects tend to fade over time.
system: What are the interactions when taking niacin (vitamin b3)?
output: If you take any medicines or supplements regularly, talk to your doctor before you start using niacin supplements. They could interact with medicines like diabetes drugs, blood thinners, anticonvulsants, blood pressure medicines, thyroid hormones, and antibiotics as well as supplements like ginkgo biloba and some antioxidants. Alcohol might increase the risk of liver problems. Though niacin is often used along with statins for high cholesterol, this combination may increase the risk for side effects. Get advice from your health care provider.
system: How much niacin (vitamin b3) should you take?
output: For niacin, the DRIs vary with age and other factors: Children: between 2-16 milligrams daily, depending on age Men: 16 milligrams daily Women: 14 milligrams daily Women (pregnant): 18 milligrams daily Women (breastfeeding): 17 milligrams daily Maximum daily intake for adults of all ages: 35 milligrams daily Most people can get the amount of niacin they need by eating a healthy diet.
system: What tests may be done to diagnose Dupuytren's contracture?
output: Your health care provider will examine your hands, wrists, and fingers. Diagnosis of Dupuytren's contracture typically involves feeling the palm areas to check for nodules and recording how many nodules are found. Your doctor will likely ask you to try to place your hands flat on a table. Tests may also be done to: See how well you can grasp items with your hands.
system: Are men or women more likely to get Dupuytren's contracture?
output: Your chances of developing it increase as you get older.
system: What is needle aponeurotomy for Dupuytren's contracture?
output: Instead of an open incision, it uses the sharp end of a needle to cut the thick bands under the skin, which may help you recover faster. However, it is not as effective in treating the more severe cases. As a whole there is less risk of complications, but there is a risk of nerve, blood vessel, or tendon damage. Needle aponeurotomy is even more effective when used in combination with corticosteroid injections.
system: How does Dupuytren's contracture progress?
output: The first symptom for many patients is one or more lumps (nodules) under the skin in the palm of the hand. The lump may feel tender and sore at first, but this discomfort eventually goes away. The nodules cause tough bands of tissue to form under the skin in the palm. These inflexible bands cause the fingers to bend, or "curl," forward toward the wrist. As this curling gets worse, it becomes difficult, if not impossible, to straighten the fingers. The pinkie and ring fingers are most often affected, appearing clenched. Both hands are usually involved, although one may have worse symptoms than the other.
system: What are the symptoms of Dupuytren's contracture?
output: Call your doctor for an appointment if: You have one or more lumps in your palm, whether or not it is painful. You have difficulty straightening your fingers. You have difficulty grasping objects. You cannot place your hand flat on a table or place your hand in your pocket.
system: What problems could happen from surgery for Dupuytren's contracture?
output: Complications of Dupuytren's contracture surgery are rare but may include: Infection Injury to the nerves and blood vessels in the hand Permanent stiffness of the fingers You will have some hand swelling and discomfort after the procedure.
system: What are the symptoms of mitral valve prolapse?
output: Most people with mitral valve prolapse have no symptoms. They also never experience any health problems due to mitral valve prolapse. Chest pain is the most frequent symptom in people who have symptoms with mitral valve prolapse. The chest pain may be very bothersome and frightening, but it does not increase the risk of heart attack, death, or other heart problems. Mitral valve prolapse is the most common cause of mitral regurgitation. That's a condition in which some blood flows backward through the mitral valve with each heartbeat. Over years, moderate or severe mitral regurgitation can cause weakness of the heart muscle, known as congestive heart failure.
system: How does mitral valve prolapse happen?
output: The mitral valve is a valve that lets blood flow from one chamber of the heart, the left atrium, to another called the left ventricle. In mitral valve prolapse, part of the mitral valve slips backward loosely into the chamber called the left atrium. This happens when the main heart muscle, called the left ventricle, squeezes during each heartbeat. Mitral valve prolapse differs from mitral valve stenosis. In mitral valve stenosis, the mitral valve is stiff and constricted. In mitral valve prolapse, the valve slips backward due to the abnormal size of or damage to the mitral valve tissues. For most people with mitral valve prolapse, the cause is unknown. Mitral valve prolapse can run in families. It can also be caused by conditions in which cartilage is abnormal (connective tissue disease). Nearly 8 million people in the U. S. have mitral valve prolapse.
system: Should you take antibiotics if you have mitral valve prolapse?
output: In the past, doctors recommended that people with mitral valve prolapse take antibiotics before medical or dental procedures to prevent infection of the heart valve, known as endocarditis. The American Heart Association has determined that taking antibiotics before procedures is not helpful for people with mitral valve prolapse and is no longer recommended.
system: What does the treatment for mitral valve prolapse include?
output: If no mitral regurgitation is present on echocardiogram, symptoms of mitral valve prolapse rarely pose any risk. The best treatment for each person may vary, but can include: Exercise Pain relievers Relaxation and stress reduction techniques Avoidance of caffeine and other stimulants Beta-blockers, which are medications to slow the heart rate, may be helpful in people who have episodes of palpitations with a rapid heartbeat, known as tachycardia, with mitral valve prolapse.
system: What are other symptoms associated with mitral valve prolapse?
output: Symptoms of congestive heart failure include: Shortness of breath with exertion Swelling in the legs and feet Mitral valve prolapse has also been associated with other symptoms: Fluttering or rapid heartbeat called palpitations Shortness of breath, especially with exercise Dizziness Passing out or fainting , known as syncope Panic and anxiety Numbness or tingling in the hands and feet When these symptoms occur together, they are sometimes called mitral valve prolapse syndrome. However, experts don't know if mitral valve prolapse itself causes these symptoms. Since these symptoms and mitral valve prolapse are so common, they could often occur together by chance.
system: What is the treatment for mitral valve prolapse?
output: Most people with mitral valve prolapse have no symptoms. People who develop severe mitral regurgitation due to mitral valve prolapse often can benefit from surgery to repair or replace the leaky valve. For people with symptoms of congestive heart failure caused by mitral valve prolapse with mitral regurgitation, surgery is usually the best treatment.
system: What is mitral valve prolapse?
output: Most cases of mitral valve prolapse are not serious and only need to be monitored. Mitral valve prolapse is the most common cause of mitral regurgitation.
system: Can Wenxin Keli help when you have atrial fibrillation (AFib)?
output: Early research shows the extract of a mixture of five different Chinese herbs may help treat occasional, or paroxysmal, AFib. But some people in those studies had problems when they took it, so more testing is needed. Definitely check with your doctor before you try this supplement.
system: How can fiber help when you have atrial fibrillation (AFib)?
output: Controlling your cholesterol can help you avoid other health problems related to AFib. Women should try to get about 25 grams of fiber per day; men should aim for 38 grams. Because these plant compounds are similar to cholesterol, they compete with it so your body doesn't absorb as much from food. Experts recommend getting 2 grams of phytosterols every day to help lower "bad" cholesterol levels in your blood.
system: Can taking supplements help my Afib?
output: Taking supplements and vitamins could be one part of the plan to boost your heart health. There's no substitute for getting the vitamins and minerals your body needs from foods, like vegetables, fruits, and whole grains. But if you're eating healthy and still short on certain nutrients, some supplements may help. Talk to your doctor about which ones could be good for you before you start taking anything new, to make sure you don't cause problems with your medication.
system: How can coenzyme Q10 (CoQ10) help when you have atrial fibrillation (AFib)?
output: But if you take digoxin to help control your heart rate, magnesium supplements may interfere with how it gets absorbed by your body so the medicine won't work as well. Co Q10 levels go down as you get older. It may be low in people with heart problems. If you're on the blood thinner warfarin, you probably already know that supplements (and food) with vitamin K may make the medicine not work as well.
system: How can fish oil help when you have atrial fibrillation (AFib)?
output: It may also help lower high blood pressure. The jury is out on whether the omega-3 fatty acids in fish oil supplements are linked to a lower chance of AFib. The best way to get omega-3s is to eat at least two servings of fatty fish like salmon, mackerel, or tuna every week.
system: How many Americans are living with amputations?
output: About 1.8 million Americans are living with amputations. Amputation of the leg -- either above or below the knee -- is the most common amputation surgery.