laomobai/llama3-1 huggingface dataset:
system: How is a persistent cough a symptom of heart failure?
output: This causes fluid to leak into your lungs. Fluid can build up in your tissues just like it does in your lungs.
system: What does it mean if you have trouble breathing or shortness of breath if you have heart failure?
output: This causes fluid to leak into your lungs. Your doctor may call it pulmonary edema. This can make it hard to breathe during activities, rest, or even sleep. A sudden lack of breath might wake you up. You may need to prop yourself up with extra pillows to breathe easier. This constant search for air can leave you tired and anxious. Fluid can build up in your tissues just like it does in your lungs.
system: How can an increased heart rate be a symptom of heart failure?
output: When your heart doesn't pump right, the body starts to move blood from less vital parts like your arms and legs to the centers for survival -- the heart and brain. This can lead to palpitations, which could cause your heart to race or feel like it's fluttering or throbbing.
system: What is the best diet to treat hiatal hernia?
output: Oil and butter The following foods are low-acid-producing foods and are less likely to aggravate your hiatal hernia symptoms: Bananas and apples Green beans, peas, carrots, and broccoli Grains, like cereals (bran and oatmeal), bread, rice, pasta, and crackers Low-fat or skim milk and low-fat yogurt Fat-free cheeses, cream cheese, and fat-free sour cream Lean meat, chicken, and fish Water Pretzels, graham crackers, rice cakes, and baked potato chips Low-fat sweets (no chocolate or mint) You may find that some of the foods listed under "foods to avoid" may not bother you, while others on the "foods to enjoy" list may cause discomfort. Everyone tolerates food differently. To determine the best diet for you, keep a food diary for a few weeks.
system: What foods are less likely to aggravate symptoms of hiatal hernia?
output: Oil and butter The following foods are low-acid-producing foods and are less likely to aggravate your hiatal hernia symptoms: Bananas and apples Green beans, peas, carrots, and broccoli Grains, like cereals (bran and oatmeal), bread, rice, pasta, and crackers Low-fat or skim milk and low-fat yogurt Fat-free cheeses, cream cheese, and fat-free sour cream Lean meat, chicken, and fish Water Pretzels, graham crackers, rice cakes, and baked potato chips Low-fat sweets (no chocolate or mint) You may find that some of the foods listed under "foods to avoid" may not bother you, while others on the "foods to enjoy" list may cause discomfort.
system: When should I talk to a doctor about managing hiatal hernia?
output: If these diet and lifestyle tips don't help, or you need additional relief, over-the-counter antacids and acid-reducing or blocking drugs may help control your heartburn symptoms. Talk to your doctor to learn more about over-the-counter or prescription medications to treat your symptoms. Surgery may be needed in rare cases. Hiatal hernia symptoms can be bothersome.
system: What foods may cause symptoms of hiatal hernia?
output: !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(); }); } When you have a hiatal hernia, it is easier for stomach acids to come up into the esophagus, the tube that carries food from your throat to your stomach. Citrus foods, such as oranges, grapefruits, and lemons, and orange juice, grapefruit juice, cranberry juice, and lemonade Chocolate Fatty and fried foods, such as fried chicken and fatty cuts of meat Garlic and onions Spicy food Peppermint and spearmint Tomato-based foods such as spaghetti sauce, pizza, chili, salsa, and tomato juice Coffee, tea (including decaffeinated versions), and alcohol Carbonated beverages Dairy products, such as whole milk, ice cream, and creamed food. Try soy milk; it may be a good milk substitute. Also, mild cheeses, like feta or goat, may be enjoyed in moderation. Oil and butter The following foods are low-acid-producing foods and are less likely to aggravate your hiatal hernia symptoms: Bananas and apples Green beans, peas, carrots, and broccoli Grains, like cereals (bran and oatmeal), bread, rice, pasta, and crackers Low-fat or skim milk and low-fat yogurt Fat-free cheeses, cream cheese, and fat-free sour cream Lean meat, chicken, and fish Water Pretzels, graham crackers, rice cakes, and baked potato chips Low-fat sweets (no chocolate or mint) You may find that some of the foods listed under "foods to avoid" may not bother you, while others on the "foods to enjoy" list may cause discomfort. Eating fast can make heartburn symptoms worse.
system: Who's more likely to have HPV?
output: In women, an increased risk of a persistent HPV infection is associated with: Early initiation of sexual activity Having multiple sex partners Having a partner who has had multiple sex partners Having sex with an uncircumcised man Because a pelvic exam is usually normal in women with cervical dysplasia, a Pap test is necessary to diagnose the condition.
system: With cervical dysplasia, how are abnormal cells removed?
output: During LEEP, the doctor cuts out abnormal tissue with a thin, low-voltage electrified wire loop.
system: What are the treatments for cervical dysplasia?
output: Mild cervical dysplasia sometimes resolves without treatment, and may only require careful observation with Pap tests every three or six months. But moderate-to-severe cervical dysplasia -- and mild cervical dysplasia that persists for two years -- usually requires treatment to remove the abnormal cells and reduce the risk of cervical cancer.
system: How is smoking linked to cervical dysplasia?
output: Among women with a chronic HPV infection, smokers are twice as likely as nonsmokers to develop severe cervical dysplasia, because smoking suppresses the immune system.
system: What vaccines can help prevent cervical dysplasia?
output: Three vaccines -- Gardasil, Gardasil-9, and Cervarix -- have been approved by the FDA to help prevent infection with some types of HPV, including the types that cause most cases of cervical cancer. According to guidelines endorsed by the CDC and the American College of Obstetricians and Gynecologists, boys and girls both should be vaccinated between ages 11 and 12 before they become sexually active; those between ages 13 and 26 who have not yet received the vaccine should also be vaccinated.
system: How can women lower the risk of getting cervical dysplasia?
output: Women can lower their risk of cervical dysplasia by avoiding the high-risk sexual behaviors associated with HPV infection, such as early sexual initiation and having multiple sexual partners. Sexually active women whose male partners correctly use condoms during every sexual encounter may have up to a 70% reduced risk of HPV infection.
system: What is a cervical dysplasia?
output: !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(); }); } Cervical dysplasia is a precancerous condition in which abnormal cell growth occurs on the surface lining of the cervix or endocervical canal, the opening between the uterus and the vagina. Strongly associated with sexually transmitted human papillomavirus ( HPV) infection, cervical dysplasia is most common in women under age 30 but can develop at any age. But women who go undiagnosed or who don't receive appropriate care are at higher risk of developing cervical cancer.
system: What is the cause of cervical dysplasia?
output: In many women with cervical dysplasia, HPV is found in cervical cells. Of the more than 100 different strains of HPV, more than one-third of them can be sexually transmitted, and two particular types -- HPV 16 and HPV 18 -- are strongly associated with cervical cancer.
system: How can non-verbal communication help if you have trouble speaking with Parkinson's disease?
output: Use expressions and gestures to communicate. Non-verbal communication can help people with speech difficulties actually speak better by: Reducing the frustration and stress of being unable to communicate. Alleviating the pressure to speak. Allowing the person to be more relaxed and come across in a more understandable manner.
system: Are multiple sclerosis and amyotrophic lateral sclerosis different?
output: That's not so with multiple sclerosis.
system: Is multiple sclerosis diagnosed earlier in life than amoytrophic lateral sclerosis?
output: It's usually discovered between the ages of 20 and 40. ALS is often diagnosed between 40 and 70.
system: How does amoytrophic lateral sclerosis attack the nerve cells?
output: ALS breaks down the actual nerve cells in your brain and spinal cord. These cells, called motor neurons, are in charge of the voluntary muscles in your arms, legs, and face. You lose control of your motor functions, and as the motor neurons break down, the myelin sheaths harden.
system: What is the prevalence of multiple sclerosis and amoytrophic lateral sclerosis among races?
output: MS is most common in Caucasians. ALS affects all ethnic groups equally.
system: Are multiple sclerosis and amyotrophic lateral sclerosis inherited diseases?
output: ALS can be inherited, but MS can't. Up to 10% of ALS cases are passed down directly through genes. That's not so with multiple sclerosis.
system: What are the later stage symptoms of amoytrophic lateral sclerosis (ALS)?
output: As ALS attacks the nerves that deal with movement, your symptoms will get worse. In the later stages of the disease, you can have: Slurred speech Shortness of breath Trouble breathing Trouble swallowing An inability to move (paralysis) Most people with ALS live 5 years or less after their diagnosis, but some live much longer.
system: Does multiple sclerosis affect other parts of the body besides the nerves?
output: Unlike ALS, which affects only nerves involved in movement, MS can also affect your: Senses -- taste, smell, touch, sight Bladder control Mental and emotional health Sensitivity to temperature Because of complications related to the disease, the life expectancy of someone with MS is about 7 years less than someone without it, research suggests.
system: What is the prognosis for people with amoytrophic lateral sclerosis?
output: In the later stages of the disease, you can have: Slurred speech Shortness of breath Trouble breathing Trouble swallowing An inability to move (paralysis) Most people with ALS live 5 years or less after their diagnosis, but some live much longer. Research is underway to find treatments to extend and improve the quality of life.
system: What are the similarities between multiple sclerosis and amyotrophic lateral sclerosis?
output: They both: Affect your muscles and your ability to move your body Attack your brain and spinal cord Have âsclerosisâ in their name Cause scarring or hardening around nerve cells They have some key differences, though.
system: What is the life expectancy of someone with multiple sclerosis?
output: Unlike ALS, which affects only nerves involved in movement, MS can also affect your: Senses -- taste, smell, touch, sight Bladder control Mental and emotional health Sensitivity to temperature Because of complications related to the disease, the life expectancy of someone with MS is about 7 years less than someone without it, research suggests.
system: How does multiple sclerosis affect myelin sheaths?
output: When you have MS, your body attacks the myelin sheaths in your brain and spinal cord. When myelin sheaths are damaged, signals from your brain to other parts of your body get short-circuited.
system: What does amyotrophic lateral sclerosis and multiple sclerosis cause?
output: Sclerosisâ comes the Greek word for âscar.â Both ALS and MS cause scarring of the covering of nerve fibers. But the process of how that happens is different for each. Nerve cells in your body are wrapped in thin coverings called myelin sheaths. They protect these cells, similar to how insulation protects electrical wires.
system: How long do people live after diagnosing amyotrophic lateral sclerosis?
output: In the later stages of the disease, you can have: Slurred speech Shortness of breath Trouble breathing Trouble swallowing An inability to move (paralysis) Most people with ALS live 5 years or less after their diagnosis, but some live much longer. Research is underway to find treatments to extend and improve the quality of life.
system: What are the differences between multiple sclerosis and amoytrophic lateral sclerosis?
output: MS is an autoimmune disease that causes your body to attack itself. ALS, also called Lou Gehrig's disease, is a nervous system disorder that wears away nerve cells in your brain and spinal cord. Both are treated differently. "
system: What can multiple sclerosis affect?
output: Unlike ALS, which affects only nerves involved in movement, MS can also affect your: Senses -- taste, smell, touch, sight Bladder control Mental and emotional health Sensitivity to temperature Because of complications related to the disease, the life expectancy of someone with MS is about 7 years less than someone without it, research suggests.
system: What is the course of multiple sclerosis?
output: With MS, the course of the disease is harder to predict. Your symptoms may come and go, and may even disappear for months or years at a time.
system: What are the symptoms of amyotrophic lateral sclerosis in later stages?
output: As ALS attacks the nerves that deal with movement, your symptoms will get worse. In the later stages of the disease, you can have: Slurred speech Shortness of breath Trouble breathing Trouble swallowing An inability to move (paralysis) Most people with ALS live 5 years or less after their diagnosis, but some live much longer.
system: What are the differences between amyotrophic lateral sclerosis and multiple sclerosis?
output: MS is diagnosed earlier in life than ALS. It's usually discovered between the ages of 20 and 40. ALS is often diagnosed between 40 and 70. They affect genders differently. More women than men get MS. ALS is more common in men. MS is most common in Caucasians. ALS affects all ethnic groups equally. ALS can be inherited, but MS can't. Up to 10% of ALS cases are passed down directly through genes. That's not so with multiple sclerosis. But if your mom, dad, or sibling has MS, you're at a higher risk of getting the disease. More people in the United States have MS than ALS. An estimated 12,000-30,000 people have ALS nationwide. More than 400,000 are living with MS.
system: How does sclerosis damage nerve cells?
output: Sclerosisâ comes the Greek word for âscar.â Both ALS and MS cause scarring of the covering of nerve fibers. They protect these cells, similar to how insulation protects electrical wires. When you have MS, your body attacks the myelin sheaths in your brain and spinal cord.
system: What's the difference between amyotrophic lateral sclerosis and multiple sclerosis?
output: They both: Affect your muscles and your ability to move your body Attack your brain and spinal cord Have âsclerosisâ in their name Cause scarring or hardening around nerve cells They have some key differences, though. MS is an autoimmune disease that causes your body to attack itself. ALS, also called Lou Gehrig's disease, is a nervous system disorder that wears away nerve cells in your brain and spinal cord. Both are treated differently. " That's not so with multiple sclerosis.
system: Are the early stage symptoms of amoytrophic lateral sclerosis similar to those of multiple sclerosis?
output: These include: Stiff, weak muscles Twitching or spasms Fatigue Trouble walking If you're having these symptoms, don't try to guess what's going on. See a doctor and get a diagnosis. ALS can be inherited, but MS can't.
system: Do multiple sclerosis and amoytrophic lateral sclerosis affect genders differently?
output: Both are treated differently. " More women than men get MS. ALS is more common in men.
system: What should I do before checking my blood pressure?
output: Find a quiet place to check your blood pressure. You will need to listen for your heartbeat. Make sure that you are comfortable and relaxed with a recently emptied bladder (a full bladder may affect your reading). Roll up the sleeve on your arm or remove any tight-sleeved clothing. Rest in a chair next to a table for 5 to 10 minutes. Your arm should rest comfortably at heart level. Sit up straight with your back against the chair, legs uncrossed. Rest your forearm on the table with the palm of your hand facing up.
system: What should I know about checking my blood pressure at home?
output: This is especially important if your doctor recommends that you monitor your blood pressure on a regular basis. At least once a year, and especially after you first purchase your blood pressure monitor, bring your monitor with you to your doctor's visit to check the machine's accuracy.
system: How can Gardasil help prevent human papillomavirus (HPV)?
output: Gardasil prevents HPV-16 and HPV-18, which is responsible for 70% of all cervical cancers, as well as HPV- 6 and HPV-11, which are known to cause 90% of all genital warts. Gardasil 9 also protects against these four HPV strains, as well as five others.
system: Are there vaccines for the human papillomavirus (HPV)?
output: Three vaccines are available to protect against the types of HPV that cause most cervical, vaginal, vulvar, penile and anal cancers. They are Gardasil, and Gardasil 9. They also protect against most genital warts. Whichever of these vaccines you and your doctor choose, you should stick with the same vaccine for all three shots.
system: What side effects can the human papillomavirus (HPV) vaccine cause?
output: You could have side effects, but they should be mild. Most people who complain of symptoms after getting the HPV shot have minor issues like pain or swelling at the site of the shot, fever, headache, and nausea. Sometimes people faint after getting the HPV vaccine or any other vaccination. Sitting down after getting the shot can help prevent you from passing out.
system: Does insurance cover the cost of the human papillomavirus (HPV) vaccine?
output: Check with your insurance company just to be sure. If your family doesn't have health insurance or you're on Medicaid, you should be able to get the HPV vaccine for free through the Vaccines for Children ( VFC) program.
system: How does the human papillomavirus (HPV) vaccine protect me for life?
output: However, even women who have received the vaccine should see their gynecologist regularly for a Pap test to check for cervical cancer, because the vaccine doesn't protect against all HPV types that can cause cervical cancer.
system: When should you get vaccinated against the human papillomavirus (HPV)?
output: The best time to get the HPV vaccine is before you've started having sexual activity. That's why the CDC recommends that both boys and girls get their vaccination at age 11 or 12, although they can get the vaccine as early as age 9. If you're 13 or older and you haven't already been vaccinated, you can still get the vaccine through age 26. Gardasil 9 can be given to both males and females until age 45. The Gardasil vaccine isn't recommended for people over age 26, because it hasn't been studied well enough in this age group.
system: How safe are human papillomavirus (HPV) vaccines?
output: The HPV vaccines were tested on thousands of people and shown to be safe before they were released to the public. These vaccines have been used for years now, and experts say the chance of them causing a serious reaction is very slim. The HPV vaccine does not contain mercury or the preservative thimerosal.
system: Can the human papillomavirus (HPV) vaccine help if you already have the virus?
output: However, if you have one type of HPV, the vaccine may prevent you from getting another type of the virus.
system: What is the recommended dosage for human papillomavirus (HPV) vaccine?
output: Whichever of these vaccines you and your doctor choose, you should stick with the same vaccine for all three shots. You need to take all three doses to be completely protected. You'll get the second shot about 1 to 2 months after the first, and the third shot 6 months after the first. Once you've started with a vaccine brand ( Gardasil or Gardasil 9), stick with it for all three shots.
system: What is the human papillomavirus (HPV)?
output: When the FDA approved the first human papillomavirus ( HPV) vaccine in 2006, it was big news. It's a virus that can be transmitted through sexual contact. During intercourse or oral sex, HPV can make its way into the genitals, mouth, or throat and cause infection. Sexually transmitted HPV comes in more than 40 different varieties. The type of the virus you get determines what effects it has on your body. Certain types of HPV cause genital warts. Other HPV types can make cells turn cancerous.
system: What are the symptoms of human papillomavirus (HPV)?
output: It's a virus that can be transmitted through sexual contact. Certain types of HPV cause genital warts. There's no sore throat or fever to let you know you've been infected. Most people clear the infection on their own. In fact, you might have absolutely no idea you've been infected until you develop genital warts or have an abnormal Pap test. However, even women who have received the vaccine should see their gynecologist regularly for a Pap test to check for cervical cancer, because the vaccine doesn't protect against all HPV types that can cause cervical cancer.
system: Who can catch the human papillomavirus (HPV)?
output: It's a virus that can be transmitted through sexual contact. Certain types of HPV cause genital warts. Though HPV might not be as well known among sexually transmitted infections ( STIs) as herpes or syphilis, it is actually the most common STI. If you're sexually active, there's a very good chance of being infected with HPV at some point in your life. That's why immunization is so important. However, even women who have received the vaccine should see their gynecologist regularly for a Pap test to check for cervical cancer, because the vaccine doesn't protect against all HPV types that can cause cervical cancer.
system: How is type 1 diabetes treated?
output: Your doctor may start you out with two injections a day of two different types of insulin. You may progress to three or four shots a day. Most insulin comes in a small glass bottle called a vial. You draw it out with a syringe that has a needle on the end, and give yourself the shot. Some now comes in a prefilled pen. One kind is inhaled. You can also get it from a pump -- a device you wear that sends it into your body via a small tube. Your doctor will help you to pick the type and the delivery method that's best for you.
system: How do people manage type 1 diabetes?
output: Many people with type 1 diabetes live long, healthy lives. The key to good health is to keep your blood sugar levels within the range your doctor gives you. You'll need to check them often and adjust insulin, food, and activities to make that happen.
system: What are the signs of an emergency with type 1 diabetes?
output: They include: Heavy thirst Increased hunger (especially after eating) Dry mouth Nausea and vomiting Pain in your belly Frequent urination Unexplained weight loss (even though you're eating and feel hungry) Fatigue (weak, tired feeling) Blurred vision Heavy, labored breathing (your doctor will call this Kussmaul respiration) Frequent infections of the skin, urinary tract, or vagina Signs of an emergency with type 1 diabetes include: Shaking and confusion Rapid breathing Fruity smell to your breath Pain in your belly Loss of consciousness (rare) If your doctor thinks you have type 1 diabetes, he'll check your blood sugar levels.
system: What do people with type 1 diabetes use to control their blood sugar?
output: All people with type 1 diabetes must use insulin injections to control their blood sugar.