laomobai/llama3-1 huggingface dataset:
system: What can you do at home to treat benign paroxysmal positional vertigo?
output: Even after successful treatment for your BPPV, it can come back. However, you can come up with a plan at home to help keep future bouts at bay. You should: Be aware of your chances of falling. Sit down at once if you feel dizzy. Use good lighting if you get up at night.
system: How is benign paroxysmal positional vertigo diagnosed?
output: Your doctor will ask questions about your general health and your symptoms. She will also look for the telltale eye movement of nystagmus. She may ask you to lie on your back on a table with your head tilted back off it. This is to show whether you can control your eye movements. Your doctor also will look to see if symptoms of dizziness happen when your eyes or head move in a certain direction, and if doing so makes you dizzy for less than a minute. The doctor might also conduct a test using infrared goggles.
system: When should you immediately call your doctor about benign paroxysmal positional vertigo?
output: Call your doctor at once if you're dizzy or: A new or severe headache sets in.
system: How is benign paroxysmal positional vertigo treated?
output: Your doctor may be able to stop your BPPV with a treatment in the office that moves the loose crystals in your ear into a spot that will cause less trouble. To do this, she most likely will use the Epley maneuver. A less common action -- at least in the U. S. -- is the Semont maneuver. Each one takes about 15 minutes.
system: When should you call your doctor about benign paroxysmal positional vertigo?
output: Other causes include: Having your head in the same position for a long time -- at the dentist's office or the hairdresser, for instance High-intensity aerobics Riding a bike over rough trails An inner-ear disorder such as Meniere's disease Being in the hospital or on bed rest at home for a long time A certain type of migraine If you have dizziness off and on for more than a week, you should make an appointment with your doctor.
system: What should you expect to have when you get benign paroxysmal positional vertigo?
output: Usually, you can expect to have rhythmic eye movements when you get BPPV. Your doctor might call this ânystagmus,â and it's what she'll likely look for if she thinks you have vertigo.
system: What are specific instructions after treatment for benign paroxysmal positional vertigo?
output: You will need someone to drive you. These may include: Sleeping with your head at a 45-degree angle -- either in a recliner or propped up on a sofa -- for 2 nights. Keeping your head vertical for 2 days. You may have to avoid certain exercises and modify your movements during shaving and washing your hair. For a week, you will need to avoid head movements that might bring on BPPV. You may need to sleep with two pillows and avoid sleeping on the affected side.
system: Can mitral valve regurgitation cause fatigue and shortness of breath?
output: That's mitral valve regurgitation. These can vary from person to person, but you may find yourself feeling some of the following: Fatigue and shortness of breath: The blood coming through the left side of your heart fuels your body, bringing oxygen from your lungs to your cells. If some of that blood is flowing back into the heart instead, you might end up feeling tired or lightheaded, particularly if you've been active. In severe cases, you can find yourself feeling tired or short of breath even when you're at rest.
system: What are the symptoms of mitral valve regurgitation?
output: Some people with this condition may not feel any symptoms while others may have chest pain, shortness of breath, an irregular heartbeat, or dizziness, among other things. Some cases are mild and just need to be watched. Others are more severe and may require medications or surgery. You need to make sure your doctor knows your symptoms so he can decide what to do.
system: What is the goal of glioblastoma treatment?
output: The goal of glioblastoma treatment is to slow and control tumor growth and help you live as comfortably and as well as possible.
system: How is surgery used to treat glioblastoma?
output: There are four treatments, and many people get more than one type: Surgery is the first treatment. The surgeon tries to remove as much of the tumor as possible. In high-risk areas of the brain, it may not be possible to remove all of it.
system: How is electric field therapy used to treat glioblastoma?
output: Electric field therapy uses electrical fields to target cells in the tumor while not hurting normal cells. To do this, doctors put electrodes directly on the scalp. The device is called Optune. You get it with chemotherapy after surgery and radiation. The FDA has approved it for both newly diagnosed people and people whose glioblastoma has come back.
system: How is radiation used to treat glioblastoma?
output: Radiation is used to kill as many leftover tumor cells as possible after surgery. It can also slow the growth of tumors that can't be removed by surgery.
system: What is palliative care like for glioblastoma?
output: It includes taking care of your pain and the emotions you may be dealing with, as well as other symptoms from your cancer. The goal is to improve the quality of your life. You may also want to ask your doctor if there's a clinical trial that would be a good fit for you.
system: How common is glioblastoma?
output: And when they do happen, about 4 out of 5 aren't glioblastomas. Men are more likely to get them than women. And chances go up with age. Doctors diagnose about 14,000 glioblastoma cases in the U. S. each year.
system: How is a glioblastoma diagnosed?
output: Depending on where the tumor is, it can cause: Constant headaches Seizures Vomiting Trouble thinking Changes in mood or personality Double or blurred vision Trouble speaking A neurologist (a doctor who specializes in diagnosing and treating brain disorders) will give you a complete exam. You may get an MRI or CT scan and other tests, depending on your symptoms.
system: What are the symptoms of glioblastoma?
output: And it is usually very aggressive, which means it can grow fast and spread quickly. Depending on where the tumor is, it can cause: Constant headaches Seizures Vomiting Trouble thinking Changes in mood or personality Double or blurred vision Trouble speaking A neurologist (a doctor who specializes in diagnosing and treating brain disorders) will give you a complete exam.
system: Where does glioblastoma form in the brain?
output: Glioblastoma is a type of brain cancer. It's the most common type of malignant brain tumor among adults. And it is usually very aggressive, which means it can grow fast and spread quickly. In high-risk areas of the brain, it may not be possible to remove all of it.
system: How are glioblastoma regrowths often treated?
output: You get it with chemotherapy after surgery and radiation. Doctors often can't predict what someone's life expectancy will be if they have a glioblastoma.
system: Should I tell my doctor if I am taking tribulus?
output: Be sure to tell your doctor about any you're taking, even if they're natural. That way, your doctor can check on any potential side effects or interactions with medications, foods, or other herbs and supplements. He or she can let you know if the supplement may be risky for you. The U. S. Food and Drug Administration ( FDA) does regulate dietary supplements; however, it treats them like foods rather than medications. Unlike drug manufacturers, the makers of supplements don't have to show their products are safe or effective before selling them on the market.
system: What medicines should you not take with tribulus?
output: But tribulus has been known to interact with certain medications. Do not take if you are taking heart and blood pressure medicines. such as: Beta-blockers Digoxin Calcium channel blockers Diuretics ACE inhibitors Nitrates If you are taking diabetes medications, tribulus might decrease your blood sugars to dangerously low levels. It may also increase the effect that steroids have on your body.
system: What is tribulus terrestris?
output: It is also called puncture vine. The spine-covered fruit should be eaten with caution.
system: How effective is garcinia cambogia for weight loss?
output: A review published in the Journal of Obesityfound that people who took garcinia cambogia in studies lost about 2 pounds more than people who didn't take it. The reviewers couldn't say for sure that the weight loss was because of the supplement. It could have been from the lower-calorie diet and exercise programs the people in the studies typically followed. Better studies are needed to find out if HCA really helps people lose a lot of weight and keep it off.
system: What has bad interactions with the use of garcinia cambogia?
output: Garcinia cambogia may interact badly with: Asthma and allergy medicines such as Accolate and Singulair Diabetes medicines, including pills and insulin Iron, for anemia Pain medicines Prescriptions for psychiatric conditions Statins, drugs that lower cholesterol Warfarin, a blood thinner You definitely don't want to use it when you're pregnant or nursing, or if you have kidney or liver problems.
system: Who should avoid garcinia cambogia?
output: Garcinia cambogia may interact badly with: Asthma and allergy medicines such as Accolate and Singulair Diabetes medicines, including pills and insulin Iron, for anemia Pain medicines Prescriptions for psychiatric conditions Statins, drugs that lower cholesterol Warfarin, a blood thinner You definitely don't want to use it when you're pregnant or nursing, or if you have kidney or liver problems. It is possible that manic symptoms may emerge as a side effect.
system: How can garcinia cambogia help people with high cholesterol?
output: While some research suggests the supplement is safe for your liver, other research says no. Garcinia cambogia may interact badly with: Asthma and allergy medicines such as Accolate and Singulair Diabetes medicines, including pills and insulin Iron, for anemia Pain medicines Prescriptions for psychiatric conditions Statins, drugs that lower cholesterol Warfarin, a blood thinner You definitely don't want to use it when you're pregnant or nursing, or if you have kidney or liver problems.
system: Should you buy garcinia cambogia?
output: Since study results are mixed, you should talk with your doctor to help you decide if taking garcinia cambogia is a good idea. Even if it's safe, it may not help you lose much weight. It's probably wiser to spend your money on healthy food or an exercise DVD.
system: What is garcinia cambogia?
output: People say it blocks your body's ability to make fat and it puts the brakes on your appetite. Loss of excess weight could help could help keep blood sugar and cholesterol levels in check, too. You'll find it in bottles on the shelf at the store as well as mixed with other ingredients in diet products. The reviewers couldn't say for sure that the weight loss was because of the supplement.
system: What might you see if the fracture of a broken finger is severe?
output: If the fracture is severe, you may see bruising. And if the swelling gets too massive, the finger may become numb as nerves in the fingers are compressed.
system: When should I see a doctor about my pelvic inflammatory disease?
output: They include: Pain or tenderness in the lower or upper right abdomen A foul-smelling discharge from your vagina Pain when you pee Pain during sex Fever Throwing up, or feeling like you're going to throw up More bleeding than usual during your period You should see a doctor if you're experiencing these symptoms. But some of these things can also be signs of other serious conditions, so your doctor will most likely run some tests to figure out whether you have PID or something else.
system: Is there a link between diabetes and depression?
output: Depression is a complex disease. Its root causes can be tied to genes, your environment, and emotions. Managing diabetes can be stressful and time-consuming. The lifestyle and diet-related limits can make life seem less fun.
system: How do norepinephrine and dopamine reuptake inhibitors treat depression?
output: Norepinephrine and dopamine reuptake inhibitors ( NDRIs) are another class of reuptake inhibitors, but they're represented by only one drug: Buproprion ( Wellbutrin). Many patients with diabetes and depression benefit from this drug.
system: What are the warning signs of depression?
output: There are several warning signs, including: Sadness Anxiety Irritability Lack of interest in things you once enjoyed Pulling away from your social life Can't concentrate Insomnia (trouble falling and staying asleep) Lots of guilt or feeling worthless Loss of energy, or fatigue Changes in appetite Observable mental and physical sluggishness Thoughts of death or suicide If you (or someone you love) has diabetes and show signs of depression, tell your doctor right away.
system: What are serotonin norepinephrine reuptake inhibitors for depression?
output: Serotonin norepinephrine reuptake inhibitors ( SNRIs) block the reabsorption of both serotonin and norepinephrine. Like SSRIs, they improve the way your brain sends and receives messages. Examples of this type of antidepressant are desvenlafaxine ( Khedezla, Pristiq), duloxetine ( Cymbalta), levomilnacipran ( Fetzima), venlafaxine ( Effexor) Tricyclic antidepressants boost the levels of certain chemicals in your brain that help nerve cells communicate with each other.
system: What are signs of depression in someone with diabetes?
output: There are several warning signs, including: Sadness Anxiety Irritability Lack of interest in things you once enjoyed Pulling away from your social life Can't concentrate Insomnia (trouble falling and staying asleep) Lots of guilt or feeling worthless Loss of energy, or fatigue Changes in appetite Observable mental and physical sluggishness Thoughts of death or suicide If you (or someone you love) has diabetes and show signs of depression, tell your doctor right away.
system: What are tricyclic antidepressants for depression?
output: Examples of this type of antidepressant are desvenlafaxine ( Khedezla, Pristiq), duloxetine ( Cymbalta), levomilnacipran ( Fetzima), venlafaxine ( Effexor) Tricyclic antidepressants boost the levels of certain chemicals in your brain that help nerve cells communicate with each other. If these chemicals are out of balance or don't work like they should, messages might not make it through your brain correctly, and that can lead to depression. Common tricyclics include amitriptyline ( Elavil), desipramine ( Norpramin), doxepin ( Sinequan), imipramine ( Tofranil), and nortriptyline ( Pamelor).
system: Who should I talk to about diabetes and depression?
output: Counseling, or psychotherapy, especially in combination with medication, can also help manage depression. Meeting with a support group can be good for you, too. Talk to your doctor about where you can turn for more help.
system: What are selective serotonin reuptake inhibitors for depression?
output: If he suggests you try medication, he can prescribe one or more of these antidepressants: Selective serotonin reuptake inhibitors ( SSRIs) affect the way your brain uses a chemical called serotonin. Changing the balance of this chemical may help your brain cells receive messages better and boost your mood. Examples of this type of antidepressant include citalopram ( Celexa), escitalopram ( Lexapro), fluoxetine ( Prozac), paroxetine ( Paxil), and sertraline ( Zoloft).
system: Is it normal to be depressed if I have diabetes?
output: It can take a toll on your emotions. People with the disease are twice as likely to get depressed as people who don't have it. Depression is a problem on its own, and it can also keep you from taking good care of yourself. That can lead to high blood sugar levels and diabetes complications. So if you think you might be depressed, tell your doctor. You can take some steps to feel better.
system: How do selective serotonin reuptake inhibitors treat depression?
output: If he suggests you try medication, he can prescribe one or more of these antidepressants: Selective serotonin reuptake inhibitors ( SSRIs) affect the way your brain uses a chemical called serotonin. Changing the balance of this chemical may help your brain cells receive messages better and boost your mood. Examples of this type of antidepressant include citalopram ( Celexa), escitalopram ( Lexapro), fluoxetine ( Prozac), paroxetine ( Paxil), and sertraline ( Zoloft).
system: What causes the stomach flu?
output: Causes range from bacteria, viruses, and parasites to food reactions and unclean water.
system: What bacteria cause the stomach flu?
output: Bacteria that cause gastroenteritis include: E. coli Campylobacter Shigella Salmonella Viruses cause close to half of all gastroenteritis cases in adults and even more in children.
system: How do stomach viruses spread?
output: Some of them may include: Norovirus or Norwalk-like virus Adenovirus Rotavirus Cytomegalovirus Herpes simplex virus Viral hepatitis Stomach viruses spread fast because people don't wash their hands well after using the bathroom or changing a baby's diaper. Wash long enough to sing " Happy Birthday" twice. Many doctors call stomach flu "a family affair" because it's so highly contagious it can affect every member of a family.
system: What are signs that you need medical attention for the stomach flu?
output: In severe cases, days of throwing up and having diarrhea (or both) can cause your body to lose a lot of moisture. If you lose too much, you may need medical attention. Sometimes it can be life threatening. Signs to watch for include: Sunken eyes Lightheadedness Being more thirsty Dry or sticky mouth Lack of normal elasticity of the skin Peeing less Fewer tears You can avoid it by drinking plenty of liquids.
system: How can you avoid medical complications of the stomach flu?
output: Signs to watch for include: Sunken eyes Lightheadedness Being more thirsty Dry or sticky mouth Lack of normal elasticity of the skin Peeing less Fewer tears You can avoid it by drinking plenty of liquids. When you can keep food down again, try bland things like toast, rice, bananas, and applesauce first. Go back to a normal diet within 24 hours if you can.
system: What are symptoms of the stomach flu?
output: They can include: Cramps in your belly or sides Stomach pain Nausea Vomiting Diarrhea You may also have a fever, headache, and swollen lymph glands, depending on the type of germ that causes it.
system: Can food cause gastroenteritis?
output: Some foods may irritate your stomach and also cause gastroenteritis. The way someone who can't digest dairy (or is lactose intolerant) reacts to dairy products is a good example. Severe reactions to seafood are another example.
system: Can parasites cause gastroenteritis?
output: While they're not as common, parasites like giardia, cryptosporidium, and E. hystolica (the cause of dysentery) can cause severe diarrhea and dehydration. They're often found in parts of the world where the water isn't clean. Travelers should drink bottled water to avoid them.
system: What symptoms of stomach flu should cause you to call your doctor?
output: If you have symptoms of stomach flu and are weak and dizzy, you may be dehydrated. Call your doctor if you have these symptoms. Blood in your vomit or poop Dehydration -- you can't pee, or there's very little when you do go, you're very thirsty, can't make tears, and your mouth is always dry Fever of 100.4 degrees F or higher in an infant or 102.2 degrees F or higher in an older child or adult Swollen tummy or pain in the right lower part of the belly Vomiting that lasts more than 48 hours If you can't keep fluids down and you're losing them from fever, vomiting, and diarrhea, get emergency medical help. Tell friends and family that if you pass out, someone should call 911.
system: What viruses cause the stomach flu?
output: Bacteria that cause gastroenteritis include: E. coli Campylobacter Shigella Salmonella Viruses cause close to half of all gastroenteritis cases in adults and even more in children. Some of them may include: Norovirus or Norwalk-like virus Adenovirus Rotavirus Cytomegalovirus Herpes simplex virus Viral hepatitis Stomach viruses spread fast because people don't wash their hands well after using the bathroom or changing a baby's diaper.
system: Who is most likely to get stomach flus?
output: Those high on the list are pregnant women, infants, people who aren't eating well, people whose immune systems are weakened, and older adults. How severe your case is depends on how well your body can resist the infection.
system: How is the flu different from the stomach flu?
output: Sometimes people mistake symptoms of stomach flu, or gastroenteritis, for the viral infection we commonly call "flu." More severe cases can lead to life-threatening illnesses like pneumonia. Antibiotics are sometimes used to treat bacterial gastroenteritis, but they don't work against flu viruses. The way someone who can't digest dairy (or is lactose intolerant) reacts to dairy products is a good example.
system: Is influenza or the "flu" the same as the stomach flu?
output: But they're not the same. Stomach flu happens when your stomach and intestines (also called the gastrointestinal or GI tract) are inflamed and irritated. Causes range from bacteria, viruses, and parasites to food reactions and unclean water. If you have symptoms of stomach flu and are weak and dizzy, you may be dehydrated.
system: What are additional risk factors for internal bleeding because of trauma?
output: Some people have additional risk factors for internal bleeding due to trauma. These include: Use of "blood thinner" medications, such as clopidogrel ( Plavix), warfarin ( Coumadin), rivaroxaban ( Xarelto), apixaban ( Eliquis), and dabigatran ( Pradaxa) Severe liver disease or cirrhosis Inherited conditions that interfere with blood clotting ability, such as von Willebrand's disease or hemophilia People with internal bleeding due to trauma who have these risk factors may receive additional treatments to help their blood clot properly.
system: How serious is internal bleeding?
output: The most serious sources of internal bleeding due to trauma are: Head trauma with internal bleeding (intracranial hemorrhage) Bleeding around the lungs (hemothorax) Bleeding around the heart (hemopericardium and cardiac tamponade) Tears in the large blood vessels near the center of the body (aorta, superior and inferior vena cava, and their major branches) Damage caused by trauma to the abdomen such as liver or spleen lacerations or perforation of other organs In the large majority of cases of internal bleeding that results from trauma, the injury is obvious and serious. People naturally seek immediate medical help because of pain. Or witnesses call 911.
system: What are the most serious sources of internal bleeding?
output: Almost any organ or blood vessel can be damaged by trauma and cause internal bleeding. The most serious sources of internal bleeding due to trauma are: Head trauma with internal bleeding (intracranial hemorrhage) Bleeding around the lungs (hemothorax) Bleeding around the heart (hemopericardium and cardiac tamponade) Tears in the large blood vessels near the center of the body (aorta, superior and inferior vena cava, and their major branches) Damage caused by trauma to the abdomen such as liver or spleen lacerations or perforation of other organs In the large majority of cases of internal bleeding that results from trauma, the injury is obvious and serious.
system: What causes internal bleeding?
output: Internal bleeding may occur after any significant physical injury. There are two main types of trauma, and either may cause internal bleeding: Blunt trauma. This kind of trauma happens when a body part collides with something else, usually at high speed. Blood vessels inside the body are torn or crushed either by shear forces or a blunt object. Examples are car accidents, physical assaults, and falls. Penetrating trauma. This happens when a foreign object penetrates the body, tearing a hole in one or more blood vessels. Examples are gunshot wounds, stabbings, or falling onto a sharp object.