laomobai/llama3-1 huggingface dataset:
system: What are the symptoms of stage IV chronic obstructive pulmonary disease (COPD)?
output: Many of the symptoms you had in earlier stages, like coughing, mucus, shortness of breath, and tiredness, are likely to get worse. Just breathing takes a lot of effort. You may also get a condition called chronic respiratory failure. This is when not enough oxygen moves from your lungs into your blood, or when your lungs don't take enough carbon dioxide out of your blood. Sometimes, both happen. Other symptoms of end-stage COPD include: Crackling sound as you start to breathe in Barrel chest Constant wheezing Being out of breath for a very long time Delirium Irregular heartbeat Fast resting heartbeat Weight loss High blood pressure in the artery that goes from the heart to the lungs (pulmonary hypertension) As with stage 3, it gets harder to keep up with eating well and exercising, which boost your strength and energy levels.
system: Who is more likely to get toxic liver disease?
output: OTC pain relievers: Acetaminophen Nonsteroidal anti-inflammatory drugs ( NSAIDs) Aspirin, ibuprofen, and naproxen sodium can cause toxic liver disease if you take too much of the drug or take it with alcohol. You drink alcohol while you take certain medications or supplements. You work in a job that uses industrial chemicals that could be toxic. You're older. You're female. You have a gene mutation that affects how well your liver works.
system: When should you call a doctor about your child's diarrhea?
output: Your baby has diarrhea and is less than 3 months old You are worried that your child may be dehydrated or your child has had diarrhea for more than a few days. The diarrhea contains blood, mucous, or pus.
system: What should I feed my child with diarrhea?
output: Feed toddlers mild foods in their regular diet. Avoid spicy or fried foods. Once the diarrhea stops, gradually return to a normal diet. Start with the BRAT diet -- Bananas, rice, applesauce, toast Call your pediatrician if your child's symptoms don't seem to be getting better or your child has signs of dehydration, such as crying without tears, fewer wet diapers than usual, urine that is darker than usual, or a sunken soft spot on the top of the head.
system: What fluids should I give my child with diarrhea?
output: Your doctor may want you to give your baby small amounts of oral electrolyte solution. Check the amount with your doctor. Give toddlers oral electrolyte solution, ice chips, or clear broth. If your child is vomiting, encourage him to take small, frequent sips instead of drinking too much at once. Offer your toddler popsicles made with oral electrolyte solution. Start with the BRAT diet -- Bananas, rice, applesauce, toast Call your pediatrician if your child's symptoms don't seem to be getting better or your child has signs of dehydration, such as crying without tears, fewer wet diapers than usual, urine that is darker than usual, or a sunken soft spot on the top of the head.
system: What do triglyceride numbers mean for your cholesterol?
output: Triglycerides are the form in which most fat exists in food and the body. A high triglyceride level has been linked to higher risk of coronary artery disease.
system: What does your total blood cholesterol mean?
output: Triglycerides Triglyceride Category Less than 150 Normal 150 - 199 Mildly High 200 - 499 High 500 or higher Very high Your total blood cholesterol is a measure of LDL cholesterol, HDL cholesterol, and other lipid components. Your doctor will use your total cholesterol number when determining your risk for heart disease and how best to manage it.
system: What do you need to know about cholesterol level numbers?
output: The first thing you need to know is that the numbers by themselves are not enough to predict your risk of heart problems or to determine what you need to do to lower that risk. They are, instead, one part of a larger equation that includes your age, your blood pressure, your smoking status, and your use of blood pressure medicines. Your doctor will use this information to calculate your 10-year risk for serious heart problems. Then the two of you will develop a strategy for reducing that risk.
system: What do HDL cholesterol levels mean?
output: The lower your LDL cholesterol number, the lower your risk. This is because HDL cholesterol protects against heart disease by taking the "bad" cholesterol out of your blood and keeping it from building up in your arteries. A statin can slightly increase your HDL, as can exercise.
system: Do you keep your benefits when you take FMLA time for caregiving?
output: You can keep your health benefits. If your employer is covered, they must maintain your group health insurance coverage while you're on FMLA time off. But you may have to arrange to pay your share of health insurance premiums.
system: Do you have to use your vacation time before you can take FMLA time off for caregiving?
output: Your company may have policies on caregivers, flexible work options, and family leave that apply to you. It may happen that you have to use the Family Medical Leave Act, or FMLA, to take some time off work to handle your loved one's care. Your employer may require that you use any accrued paid leave you have to cover some or all of any FMLA leave you take. You don't have to take your leave all at once.
system: Why should you talk to your manager about balancing your work and caregiving?
output: You have your job -- the one with a paycheck. It's easier for your boss to be supportive if you're still a productive member of the team. But if you're working a shorter or intermittent schedule, your employer can temporarily place you in an alternative job with equal pay and benefits that better accommodates you.
system: What are flexible work policies for caregivers?
output: Ask about flexible work policies. Or if not, you can discuss whether a flexible schedule might be possible for you. It's a good idea to think about how your boss will feel about the changes you're suggesting -- and come up with a plan that meets as many of your needs -- and the company's -- as possible.
system: Why are gentle sponges recommended for baby's first bath?
output: Gentle sponge baths are perfect for the first few weeks until the umbilical cord falls off, the circumcision heals, and the navel heals completely.
system: How do a prepare for my baby's first tub bath?
output: To prepare: Find a baby bathtub made of thick plastic that is the right size for your baby. An insert for young babies is ideal -- and keeps the baby's head out of the water. A slip-resistant backing on the tub will keep it from moving during bath time. Don't try to use bath seats or bath rings. These are for older babies who can sit up on their own -- not for newborns.
system: How should I prepare for my baby's first bath?
output: The first bath will be a sponge bath. Pick a warm room with a flat surface, like a bathroom or kitchen counter, a changing table, or a bed. Cover the surface with a thick towel. Make sure the room temperature is at least 75 degrees Fahrenheit, because babies chill easily. Assemble all the baby bath products you will need: Baby bath sponge or clean wash cloth (double-rinsed) Clean blanket or bath towel (a hooded one is nice) Clean diaper Clean clothes Vaseline and gauze (if you have a circumcised boy) Warm water (not hot) Important: Never leave your baby alone in a bath -- not even for a moment. If you must get to the phone, the stove, or whatever, take baby with you.
system: What should I do to my baby after his tub bath?
output: Bath time is over, and your fresh little baby is ready for a clean diaper and clothes!
system: When can I begin giving my baby tub baths?
output: Once the umbilical cord falls off, and the circumcision and the navel are completely healed, it's time to try a tub bath. Not all babies like the transition, so if your baby gets fussy, go back to sponge baths for a week or so, then try again.
system: What bath products do I need for my baby's first bath?
output: Assemble all the baby bath products you will need: Baby bath sponge or clean wash cloth (double-rinsed) Clean blanket or bath towel (a hooded one is nice) Clean diaper Clean clothes Vaseline and gauze (if you have a circumcised boy) Warm water (not hot) Important: Never leave your baby alone in a bath -- not even for a moment.
system: How is mucus in your poop diagnosed?
output: If your doctor thinks the mucus is related to a health problem, you may get a stool test. It's also called a stool culture or stool sample, and it can show whether you have an infection.
system: Is it normal to see mucus in your poop?
output: It can be. If you feel fine and there's only a little mucus, you probably don't need to worry. But it may signal a problem when: There's a lot of mucus. You notice it often. You also see blood. You have diarrhea. You have belly pain.
system: What's the treatment for hypertensive emergency and associated organ damage?
output: Certain tests will be performed to monitor blood pressure and assess organ damage, including: Regular monitoring of blood pressure Eye exam to look for swelling and bleeding Blood and urine testing In a hypertensive emergency, the first goal is to bring down the blood pressure as quickly as possible with intravenous ( IV) blood pressure medications to prevent further organ damage. Whatever organ damage has occurred is treated with therapies specific to the organ that is damaged.
system: What is hypertensive emergency?
output: Hypertensive emergency means blood pressure is so high that organ damage can occur. Blood pressure must be reduced immediately to prevent imminent organ damage. This is done in an intensive care unit of a hospital.
system: What are symptoms of hypertensive emergency?
output: Symptoms of a hypertensive emergency include: Headache or blurred vision Increasing confusion Seizure Increasing chest pain Increasing shortness of breath Swelling or edema (fluid buildup in the tissues) To diagnose a hypertensive emergency, your health care providers will ask you several questions to get a better understanding of your medical history.
system: What is hypertensive urgency?
output: Hypertensive urgency occurs when blood pressure spikes -- blood pressure readings are 180/110 or higher -- but there is no damage to the body's organs. Blood pressure can be brought down safely within a few hours with blood pressure medication.
system: How is hypertensive emergency diagnosed?
output: Symptoms of a hypertensive emergency include: Headache or blurred vision Increasing confusion Seizure Increasing chest pain Increasing shortness of breath Swelling or edema (fluid buildup in the tissues) To diagnose a hypertensive emergency, your health care providers will ask you several questions to get a better understanding of your medical history. They will also need to know all medications you are taking, including nonprescription and recreational drugs. Also, be sure to tell them if you are taking any herbal or dietary supplements. Certain tests will be performed to monitor blood pressure and assess organ damage, including: Regular monitoring of blood pressure Eye exam to look for swelling and bleeding Blood and urine testing In a hypertensive emergency, the first goal is to bring down the blood pressure as quickly as possible with intravenous ( IV) blood pressure medications to prevent further organ damage.
system: How common is hypertensive emergency?
output: Hypertensive crisis is an umbrella term for hypertensive urgency and hypertensive emergency. When it does occur, it is often when hypertension goes untreated, if the patient does not take his or her blood pressure medication, or he or she has taken an over-the-counter medication that exacerbates high blood pressure.
system: What is hypertensive crisis?
output: These two conditions occur when blood pressure becomes very high, possibly causing organ damage. Hypertensive emergency means blood pressure is so high that organ damage can occur.
system: What is the biggest reason for  strokes?
output: It's the biggest culprit behind strokes, causing more than half of them.
system: What is the best way to prevent strokes?
output: Experts say 80% of strokes can be prevented. The single best way to do that is to get your blood pressure in the healthy range. That means lower than 120/80.
system: How can high blood pressure cause stroke?
output: Hypertension puts your arteries under constant stress. As with a tire that's been overpumped, too much force inside your blood vessels damages the artery walls and makes them weaker.
system: What is an ischemic stroke?
output: In almost 9 out of 10 cases, you have a stroke because something, usually a clot, blocks the flow of blood to the brain. Doctors call this an ischemic stroke.
system: What is a hemorrhagic stroke?
output: Strokes caused by bleeding in or around the brain. These are âhemorrhagicâ strokes. They tend to be more serious and deadlier than clot-based ones. A weak blood vessel breaks open, usually because of an aneurysm, a spot that has ballooned up from pressure.
system: What can you do to prevent stroke?
output: Hypertension puts your arteries under constant stress. If you get your blood pressure under control, you can cut your chance of having a stroke by almost half. You can also aim to: Eat less salt, sugar, and saturated fats (mainly from meat and poultry). Avoid artificial trans fats (often found in processed foods that have âhydrogenatedâ ingredients). Eat more fiber, fruits, and leafy green vegetables Get to a healthy weight. Stop smoking. Limit alcohol.
system: When is your blood pressure too high?
output: If your blood pressure is consistently 130/80 and above, you have hypertension. The top (systolic) number is the force in the arteries when the heart beats. The bottom (diastolic) one is the pressure between beats, when the heart rests. If either number is higher than normal, it means your heart is pumping harder than it should. Studies show that that over time, that makes you more likely to have a stroke.
system: Can getting too much exercise delay a girl's first period?
output: Pushing your body too hard physically also can make your first period come late. This can happen with ballet dancers, runners, or other athletes. Intense workouts burn lots of calories and can leave very little body fat. Mix that with competitive pressure, and they can postpone your period until you're well into high school.
system: When do girls usually start getting menstrual periods?
output: By age 15, 98% of teens have started their periods. If you're not one of them, make an appointment to talk to your doctor. She can ask you and a parent about your family history, daily activity level, and examine you to figure out the causes for your delay. The reasons may be nothing to worry about. Or they could be a sign that you have a health condition that you need to treat.
system: How can medications cause period delay?
output: Certain types of drugs can keep you from having a period, including those used to treat cancer, high blood pressure, allergies, and depression. If you're taking any of them, your doctor may have explained that this could happen.
system: What conditions might be behind your delayed periods?
output: Your doctor can find out if these problems may be the reason. Conditions that may be behind your delayed periods include: Problems with a part of your brain called the hypothalamus, or a nearby organ called the pituitary gland. They work together to control your hormones Polycystic ovary syndrome, which causes your hormones to get out of balance Genetic conditions like fragile X syndrome, Turner syndrome, or androgen insensitivity syndrome
system: Can too much stress delay a girl's first period?
output: Pushing your body too hard physically also can make your first period come late. This may happen if you're stressed all the time, no matter if it comes from too much homework, family problems, intense sports training, or other issues.
system: What are symptoms of islet cell tumors?
output: Like pancreatic adenocarcinoma, islet cell tumors may cause abdominal pain, weight loss, nausea, and vomiting. Hormones released by an islet cell tumor can also cause symptoms: These include Insulinomas (excess insulin): sweating, anxiety, lightheadedness, and fainting from low blood sugar Glucagonomas (excess glucagon): diarrhea, excessive thirst or urination, weight loss Gastrinomas (excess gastrin): abdominal pain, stomach ulcers that can bleed, reflux, weight loss Somatostatinomas (excess somatostatin): diarrhea, weight loss, abdominal pain, foul-smelling fatty stools VIPomas (excess vasoactive intestinal peptide): watery diarrhea, abdominal cramping, facial flushing In a very small number of people with pancreatic cancer, early symptoms might be present that could lead to an earlier diagnosis.
system: What are islet cell tumors?
output: Islet cell tumors account for less than 5% of all pancreas tumors.
system: What are symptoms of rare pancreatic cancer?
output: Like pancreatic adenocarcinoma, islet cell tumors may cause abdominal pain, weight loss, nausea, and vomiting. Hormones released by an islet cell tumor can also cause symptoms: These include Insulinomas (excess insulin): sweating, anxiety, lightheadedness, and fainting from low blood sugar Glucagonomas (excess glucagon): diarrhea, excessive thirst or urination, weight loss Gastrinomas (excess gastrin): abdominal pain, stomach ulcers that can bleed, reflux, weight loss Somatostatinomas (excess somatostatin): diarrhea, weight loss, abdominal pain, foul-smelling fatty stools VIPomas (excess vasoactive intestinal peptide): watery diarrhea, abdominal cramping, facial flushing In a very small number of people with pancreatic cancer, early symptoms might be present that could lead to an earlier diagnosis.
system: How do people get pancreatic cancer?
output: Initially, pancreatic cancer tends to be silent and painless as it grows. By the time it's large enough to cause symptoms, pancreatic cancer has generally grown outside the pancreas.
system: What are skin-related symptoms of pancreatic cancer?
output: As pancreatic cancer blocks duct that releases bile into the intestine (common bile duct), the ingredients of bile build up in the blood. This turns the skin and the eyes yellow, a condition called jaundice. The same blockage causes dark urine, light colored stools, and itching.
system: What are rare forms of pancreatic cancers?
output: Islet cell tumors account for less than 5% of all pancreas tumors.
system: Which pancreatic cancer locations show symptoms early?
output: In general, symptoms appear earlier from cancers in the head of the pancreas, compared to those in the body and tail.
system: Do early symptoms of pancreatic cancer exist?
output: Hormones released by an islet cell tumor can also cause symptoms: These include Insulinomas (excess insulin): sweating, anxiety, lightheadedness, and fainting from low blood sugar Glucagonomas (excess glucagon): diarrhea, excessive thirst or urination, weight loss Gastrinomas (excess gastrin): abdominal pain, stomach ulcers that can bleed, reflux, weight loss Somatostatinomas (excess somatostatin): diarrhea, weight loss, abdominal pain, foul-smelling fatty stools VIPomas (excess vasoactive intestinal peptide): watery diarrhea, abdominal cramping, facial flushing In a very small number of people with pancreatic cancer, early symptoms might be present that could lead to an earlier diagnosis. Unfortunately, researchers have been unable to identify any predictable pattern.
system: What symptoms of pancreatic cancer should cause concern?
output: That said, symptoms like unintentional weight loss, persistent loss of appetite, yellowing of the eyes or skin, dark urine, or light-colored stools should always prompt concern. Consistent or worsening discomfort, nausea, vomiting, or diarrhea are also disconcerting. If you feel something's not right, see your doctor.
system: How is jaundice a symptom of pancreatic cancer?
output: As pancreatic cancer blocks duct that releases bile into the intestine (common bile duct), the ingredients of bile build up in the blood. This turns the skin and the eyes yellow, a condition called jaundice. The same blockage causes dark urine, light colored stools, and itching.
system: What are gastrointestinal symptoms of pancreatic cancer?
output: Because of the location of the pancreas in the body, symptoms include: Jaundice. As pancreatic cancer blocks duct that releases bile into the intestine (common bile duct), the ingredients of bile build up in the blood. Abdominal pain. Pancreatic cancer can cause a dull ache in the upper abdomen radiating to the back. The pain may come and go. Bloating. Some people with pancreatic cancer have a sense of early fullness with meals (satiety) or an uncomfortable swelling in the abdomen. Nausea. Some people with pancreatic cancer develop diabetes as the cancer impairs the pancreas' ability to produce insulin.
system: Does pancreatic cancer cause itching?
output: As pancreatic cancer blocks duct that releases bile into the intestine (common bile duct), the ingredients of bile build up in the blood. Some people with pancreatic cancer have a sense of early fullness with meals (satiety) or an uncomfortable swelling in the abdomen.
system: What are side effects of guarana?
output: The side effects of guarana are generally the same as the side effects of caffeine. They include sleep problems, anxiety, restlessness, upset stomach, and quickened heartbeat. Long-term use of caffeine may result in tolerance and psychological dependence.
system: What does the research say about guarana?
output: It may contain up to 3.6% to 5.8% caffeine by weight. So far, studies have not found that guarana is helpful for improving cognitive ability or mood. Some people use guarana to boost athletic or sexual performance. But there's no evidence to back this up. There's some evidence that guarana â when used along with other supplements â may promote weight loss. Studies have not established this.
system: What are risk of taking guarana?
output: Caffeine can improve mental performance and alertness in sleep-deprived people, and guarana would logically have the same effect. Talk to your doctor before using guarana if you have high blood pressure, anxiety disorders, glaucoma, osteoporosis, heart problems, bleeding disorders, diabetes, kidney problems, or liver disease. At least one death has been reported in a young woman with mitral valve prolapse who consumed a guarana containing drink. People with MVP should speak to their doctor before using guarana.
system: Why do people take guarana?
output: Guarana has among the highest concentrations of caffeine in any plant. It may contain up to 3.6% to 5.8% caffeine by weight. Coffee only has up to 2%. It's uncertain if the guarana specifically was responsible.
system: What is guarana?
output: Because it's high in caffeine, guarana has become a popular energy supplement. The safety of using guarana for weight loss is unknown.
system: What are the different types of life support?
output: If these systems stop working for any reason, you need life support: Lungs: In cases of near-drowning, pneumonia, drug overdose, a blood clot, and severe lung injury or disease, such as COPD and cystic fibrosis, and muscle or nerve diseases such as ALS and muscular dystrophy Heart: Sudden cardiac arrest or heart attack Brain: Stroke or a severe blow to the head When most people talk about a person being on life support, they're usually talking about a ventilator, which is a machine that helps someone breathe. A ventilator (or respirator) keeps oxygen flowing throughout the body by pushing air into the lungs. It's used temporarily for conditions like pneumonia, but it may be needed longer for someone with lung failure. One end of a tube goes into the windpipe through the nose or mouth. The other end attaches to the electric pump. Some people get medicine to make them more comfortable and sleepy while on a breathing machine. When a person's heart stops, doctors will try to restart it. These life support methods include CPR, which keeps blood and oxygen flowing throughout the body, electric shocks (called defibrillation) to get the heart beating again, and medication to help the heart work.