laomobai/llama3-1 huggingface dataset:
system: How can you wash crusty lashes to treat dry eyes?
output: Cleaning your eyelids, as well as the surrounding skin and hair, can help get any lid inflammation under control. Drop a bit of baby shampoo or mild soap on your fingertips and gently massage your closed eye, near the base of your eyelashes.
system: What are the dos and don'ts for drops for treating dry eyes?
output: There are also steps you can take yourself to ease the scratchy, irritating symptoms of dry eyes. Wet the cloth often, so it stays warm. Cleaning your eyelids, as well as the surrounding skin and hair, can help get any lid inflammation under control. Your doctor can let you know if these would help or if you need something else. What doesn't work for dry eyes: drops that take away redness, which, over time, can irritate your eyes more.
system: How can you get dry eyes?
output: But sometimes certain diseases, medications, or even just getting older causes your eyes to make fewer tears. Try these simple home remedies to find relief: Tears are made of oil, water, and mucus. Your eyes need all three parts to stay moist and healthy. Inflamed and flaky eyelids may clog the oil-making glands along the edge of your lid and lead to dry eye.
system: What are things that my doctor may discuss before getting loop electrosurgical excision procedure (LEEP)?
output: Before you agree to get one, make sure your doctor explains: Why they want you to have one What the results could mean What the risks, benefits, and complications could be Who will do it If there are other options A LEEP usually takes about 10 to 20 minutes.
system: What do I need to know about loop electrosurgical excision procedure (LEEP)?
output: It has a wire loop on the end. An electric current heats the wire loop so your doctor can remove (excise) some cells and tissue on your cervix or in your vagina. Next, your doctor will put the LEEP tool through the speculum into your vagina and take out abnormal tissue.
system: What if over-the-counter sleeping pills don't work for chronic fatigue syndrome sleeping problems?
output: If over-the-counter sleeping pills don't do the trick, your doctor might try you on a prescription sleeping pill. The goal with these drugs is to get your sleep on track at the lowest possible dose in the shortest amount of time. You aren't supposed to take them long term.
system: What might your doctor suggest as a sleep aid for chronic fatigue syndrome?
output: If this doesn't improve your sleep, she might suggest an over-the-counter sleep aid, such as an over-the-counter antihistamine. While these can help you sleep soundly through the night, the downside is that the effects can last more than 8 hours. This means you could feel drowsy throughout the day, which is exactly what you're trying to avoid. But not all sleep aids affect everyone in the same way. Talk to your doctor about which type would be best for you and how to take it.
system: How will your doctor check to see if you have good sleep habits if you have chronic fatigue syndrome?
output: Many people with ME/ CFS have some kind of sleep disorder. Getting a good (or at least better) night's sleep could help you feel less tired during the day. First, your doctor will probably make sure you have good sleep habits. These include sticking to a regular bedtime and wake time and keeping your bedroom quiet, dark, and cool.
system: What are side effects of prescription sleep medications that your doctor may prescribe for chronic fatigue syndrome sleeping problems?
output: For example: Trazodone ( Desyrel) Antidepressants Benzodiazepines Muscle relaxants All prescription sleep medications cause side effects. But some of them -- daytime sleepiness, dizziness, unsteadiness, and memory lapse -- are also symptoms of chronic fatigue syndrome. You and your doctor should weigh the pros and cons. The beneficial effects of many of these medicines wear off in a few weeks, so they are not useful for long-term treatment.
system: What do you do if chronic fatigue syndrome causes muscle and joint pain?
output: If ME/ CFS gives you muscle and joint pain, your doctor might suggest over-the-counter pain relievers, such as ibuprofen, aspirin, or acetaminophen. If these don't help, your doctor might prescribe stronger pain medications or refer you to a pain specialist.
system: Are there medicines that can ease dizziness from chronic fatigue syndrome?
output: Some people with chronic fatigue syndrome feel dizzy or light-headed whenever they stand or sit upright. If that sounds like you, prescription drugs that might help.
system: What should you do if you have chronic fatigue syndrome and get depressed?
output: These include: Fludrocortisone ( Florinef) Midodrine ( Pro Amatine) Propranolol XL ( Inderal) About half of people with chronic fatigue syndrome develop depression at some point. If you and your doctor decide that an antidepressant is right for you, your doctor will choose one that's least likely to cause side effects that could worsen your chronic fatigue syndrome. She may also recommend that you go to a counselor for talk therapy.
system: Can stimulant medications ease chronic fatigue syndrome?
output: Some people are prescribed stimulants, like the ones used to treat ADHD. These medicines help ease fatigue and problems with memory and concentration. But they are tricky for chronic fatigue syndrome. They may give you energy and focus, which could cause you to get stuck in a cycle of overdoing it and then âcrashing.â That would make your condition worse. Since people with ME/ CFS are very sensitive to any medicines that affect the brain, some people experience irritation and agitation taking stimulants, in conventional doses. They should be prescribed in low doses, by doctors who frequently prescribe them and know how to handle the side effects. If you and your doctor decide to try a stimulant, there are a lot to choose from. She will help you pick the best one for you.
system: What if your chronic fatigue syndrome is due to a virus?
output: The goal with these drugs is to get your sleep on track at the lowest possible dose in the shortest amount of time. But they are tricky for chronic fatigue syndrome. If that sounds like you, prescription drugs that might help.
system: How does cervical fusion surgery for cervical disc disease work?
output: With cervical fusion surgery, the surgeon removes the damaged disc and places a bone graft (which is taken either from the patient's hip or from a cadaver) in the space between the vertebrae. The bone graft will eventually fuse to the vertebrae above and below it. A metal plate may be screwed into the vertebrae above and below the graft to hold the bone in place while it heals and fuses with the vertebrae.
system: What are the risks of cervical disc surgery?
output: Although cervical disc surgery is generally safe, it does have a few risks, including: Infection Excessive bleeding Reaction to anesthesia Chronic neck pain Damage to the nerves, spinal cord, esophagus, or vocal cords Failure to heal After cervical fusion surgery, some people develop cervical disc problems above and/or below the previously affected disc.
system: What causes cervical disc disease?
output: Cervical disc disease is caused by an abnormality in one or more discs -- the cushions -- that lie between the neck bones (vertebrae). When a disc is damaged -- due to arthritis or an unknown cause -- it can lead to neck pain from inflammation or muscle spasm. In severe cases, pain and numbness can occur in the arms from pressure on the cervical nerve roots.
system: How does surgery for cervical disc disease work?
output: Surgery for cervical disc disease typically involves removing the disc that is pinching the nerve or pressing on the spinal cord. This surgery is called a discectomy. Depending on where the disc is located, the surgeon can remove it through a small incision either in the front (anterior discectomy) or back (posterior discectomy) of the neck while you are under anesthesia. A similar technique, microdiscectomy, removes the disc through a smaller incision using a microscope or other magnifying device.
system: How do you recover from cervical disc surgery?
output: With cervical fusion surgery, the surgeon removes the damaged disc and places a bone graft (which is taken either from the patient's hip or from a cadaver) in the space between the vertebrae. You'll feel some pain in the area operated on, but it should ease over time. The fusion can take anywhere from three months to a year to become solid after surgery, and you could still have some symptoms during that time. Your doctor might recommend that you wear a cervical collar to support your neck for the first four to six weeks.
system: What is open surgery for sacroiliac (SI) joint pain?
output: In this type of operation, the surgeon makes a cut about 7 or 8 inches long and opens up your muscle and tissues to get to the SI joint. He removes tissue called cartilage from between the sacrum and the ilium. The surgeon usually takes a piece of bone from your pelvis, called a bone graft, and puts it into the joint. He will also put a few screws in the joint to hold it together while it heals. Eventually, the bone graft turns into bone and the joint is fused together.
system: How long can open surgery for sacroiliac (SI) joint pain take?
output: It can take up to 6 months to get back to full speed on all of your usual activities.
system: What is minimally invasive fusion surgery for sacroiliac (SI) joint pain?
output: Most SI joint fusion surgeries are this kind. The surgeon makes small cuts in your buttocks and uses X-ray scans to see where to go with the surgical tools. Then he drills holes in the sacrum and ilium and puts in implants to make the joint more stable.
system: Is surgery an option for sacroiliac (SI) joint pain?
output: Most SI joint fusion surgeries are this kind.
system: What is sacroiliac (SI) joint fusion surgery?
output: Sacroiliac Joint Fusion The SI joint lies between two bones, the sacrum and the ilium. The sacrum is a big, triangle-shaped bone at the base of your spine. The ilium is the big bone in your hip. The SI joint is where the sacrum meets the inside of the ilium. The idea behind SI joint fusion surgery is to join these bones together.
system: What happens after my dog gets a heartworm treatment?
output: Six months after the heartworm treatment, your vet will do a blood test to check for worms. If they're still there, your dog will need another round of shots. If they're all gone, you continue the preventive medicine for the rest of your dog’s life and test for heartworms each year.
system: How do you deworm a dog?
output: Your vet will give your dog medicine by mouth or in a shot to kill the worms. Many of these drugs are described as “broad-spectrum,” because they're good for treating a wide range of parasites, including worms that live in the gut. They're poisonous to pests, but safe for pets.
system: What are heartworms in dogs?
output: These foot-long worms live in the heart, lungs, and blood vessels. Mosquitoes carry the worms’ offspring from one dog’s blood to another’s. The vet will do a blood test to tell if your dog has heartworms.
system: How does the vet diagnose your dog with worms?
output: Most worms that infect dogs -- including roundworms, tapeworms, hookworms, and whipworms -- live in the intestines, so that’s the first place for your vet to look. If it’s time for your dog’s annual check-up, or if you or your vet thinks your dog has worms, provide a fresh stool sample. Simply scoop up some of your pet’s poop, seal it in a clean plastic bag, and bring it to the appointment. If you can't do that, your vet can take a sample during the office visit. He'll check it under a microscope to see if it has worms or worm eggs, and, if so, what kind.
system: When should I deworm my puppy?
output: The first round kills the worms that are there at the time.
system: Can you catch worms from your dogs?
output: If you’re worried about catching worms from dogs, don't let them lick or kiss you or your kids. And make them sleep on their own bed -- not yours.
system: How do you prevent worms in a dog?
output: Follow these simple steps to ward off worms: Make sure your vet checks your dog for all kinds of worms at least once a year (two to four times for puppies). Keep your dog flea-free. Get a prescription from your vet for the drug to prevent heartworms, and give it to your dog once a month. Ask your vet about an injection that can be given to your dog every six months, called Pro Heart. Clear your yard at least weekly and scoop up after your dog when you go for a walk. Wash your hands often, including after you pet animals and especially after picking up their waste.
system: Can rheumatoid arthritis (RA) pain make me inactive?
output: Inflammation also may make it harder for your body to absorb nutrients it needs to keep your bones strong, like calcium or vitamin D. Pain makes you inactive: RA can make you feel stiff, achy, or so tired that you don't feel like getting off the couch. Physical activity, like walking, helps keep your bones strong. If you don't exercise, your bones can get weaker over time. If RA keeps you from being active, you're at higher risk for osteoporosis.
system: How can I get inflammation under control if I have rheumatoid arthritis?
output: RA drugs like methotrexate and tumor necrosis factor ( TNF) inhibitors, such as adalimumab ( Humira), adalimumab-atto ( Amjevita), a biosimilar to Humira, etanercept ( Enbrel), etanercept-szzs ( Ereizi), a biosimilar to Enbrel, infliximab ( Remicade), or infliximab-dyyb ( Inflectra), a biosimilar to Remicade, can stop inflammation and reduce your risk of a fracture.
system: Should I smoke or drink if I have rheumatoid arthritis?
output: Don't smoke or drink too much. Smoking raises your risk of osteoporosis. It also can cause women to go through menopause and start losing bone mass earlier in life. So if you smoke, quit now. Drinking too much also can make you more likely to lose bone or even to slip and fall.
system: Is osteoporosis common?
output: Osteoporosis is very common, especially as you age. People at higher risk include women, particularly after menopause; people with thin frames; smokers; and people who don't get enough calcium or aren't active.
system: How can I stay active if I have rheumatoid arthritis?
output: Exercise helps you develop flexible joints, stronger muscles, and better balance with RA. It also can help you protect your bones from osteoporosis because it builds bone mass. The best activities for this are walking, dancing, climbing, or strength training. Even light exercise, like a short walk, can make your joints feel looser and keep your bones strong.
system: How can I avoid accidents if I have rheumatoid arthritis?
output: If you have RA and are at risk for osteoporosis, take extra care not to slip or fall. Physical and occupational therapists can show you safer ways to do daily tasks and how to safely exercise. Yoga, tai chi, or low-impact aerobics may help you stay fit and improve your balance.
system: Should I get bone tests if I have rheumatoid arthritis?
output: They can swell and break down. A bone-density test can tell you if your bones are starting to weaken (osteopenia). This test uses X-rays to see how much calcium and other bone minerals are in your bones. Your spine, hips, and forearms are the most common areas tested. You'll need to take these for a long time, so talk to your doctor to see if they're right for you.
system: Does rheumatoid arthritis (RA) cause inflammation that leads to osteoporosis?
output: They can swell and break down. That can weaken your bones around the joints affected by RA, like the joints in your hands. Our bodies are always making new bone to replace bone that breaks down. Your bones get weaker, and that leads to osteoporosis. Inflammation also may make it harder for your body to absorb nutrients it needs to keep your bones strong, like calcium or vitamin D. Pain makes you inactive: RA can make you feel stiff, achy, or so tired that you don't feel like getting off the couch.
system: How can I eat and drink properly for stronger bones?
output: But they can make it harder for your body to absorb calcium and vitamin D in your diet. Enjoy low-fat dairy products or dark, leafy green veggies to get calcium from natural sources. Get vitamin D in egg yolks, ocean fish, and liver. You may need calcium or vitamin D supplements.
system: What is the treatment for advanced breast cancer?
output: But once cancer has spread, the most common treatments are ones that travel through your blood to treat your whole body. These include hormones that shrink tumors, chemotherapy and medicines that target certain types of cancer cells. Chemo shrinks tumors faster than hormones, but it has more side effects and may stop working after a while. Some people may choose to have a few different types of chemotherapy over time. Your doctor will recommend treatments she thinks will work, but only you can decide the types you want and how long to have them. Talk openly with your doctor about what you want to get out of your care.
system: How does breast cancer spread?
output: Doctors think this happens because cancer cells spread to other organs through the blood or lymph system.
system: What can I do to help myself manage advanced breast cancer?
output: Most people with advanced breast cancer have common concerns. Here are some tips that may help: Stay ahead of pain. Not everyone will have pain from their disease or treatment. If you do, don't assume that you just have to live with it. There are almost always ways to control it. If you hurt, talk to your doctor. You may need a new drug or a treatment plan that doesn't cause uncomfortable side effects. It may also help to add a pain doctor to your cancer team. Stay connected. Besides friends and family, there are many support services for people with advanced breast cancer. You can share how you're feeling and learn ways to live better every day. Your doctor can tell you how to find the right groups. Stay positive. Treatments for advanced breast cancer are getting better all the time. One that's right for you could be around the corner.
system: Who can get advanced breast cancer and is there anything that can help it?
output: Advanced breast cancer mainly affects women, but men can get it, too. For anyone, it can turn life upside down. There's no cure for the disease, but there are treatments that can control it.
system: Can breast cancer spread to other parts of the body?
output: This is called advanced breast cancer. You may also hear it called metastatic or stage IV disease. Although it's in other areas, it's still breast cancer and doctors treat it with breast cancer drugs. But once cancer has spread, the most common treatments are ones that travel through your blood to treat your whole body.
system: What are the pros and cons of using sucralose as a sugar substitute?
output: It's 600 times sweeter than sugar. The Scoop: The FDA says it reviewed more than 100 safety studies before approving sucralose as a general-purpose sweetener for foods. Because it's heat-stable, you can use it for baking.
system: What are pros and cons of using sugar alcohols as a sugar substitute?
output: What They Are: They don't contain the kind of alcohol you drink. These sweeteners, found in some fruit spreads, chocolate, baked goods, and even mouthwash, have names like xylitol and sorbitol. They're made from plant products. They have fewer calories than sugar. The Scoop: If you have diabetes, be aware that sugar alcohols are carbohydrates and can still raise your blood sugar. They can also act like laxatives or have other digestive symptoms in some people.
system: What are the pros and cons of using saccharin as a sugar substitute?
output: What It Is: Saccharin has been around since the late 1800s, when a researcher spilled the chemical compound on his hand and realized it tasted sweet. It's between 300 and 500 times sweeter than table sugar and best known as Sweet' N Low. The Scoop: In the 1970s, saccharin got a warning label after lab tests in rats suggested a possible link to bladder cancer. " Since then, more than 30 studies demonstrated that the results found in rats were not relevant to humans, and that saccharin is safe for human consumption," the FDA's web site states.
system: What are the pros and cons of using aspartame as a sugar substitute?
output: The Scoop: The FDA says that more than 90 studies support its safety. It's a combo of two amino acids that provide sweetness with almost no calories. Some people have reported that aspartame gives them headaches or dizziness or affects their moods, but studies haven't linked those symptoms to aspartame. If you have phenylketonuria ( PKU), a rare metabolic disorder, avoid aspartame, because it contains phenylalanine.
system: What are the pros and cons of using acesulfame potassium (Acesulfame-K or Ace-K) as a sugar substitute?
output: What It Is: Two hundred times sweeter than sugar, acesulfame potassium is a man-made, no-calorie sweetener. You can find it in tabletop packets as Sunett or Sweet One, or in sugar-free gum, light juices, and light ice cream. The Scoop: The FDA says that more than 90 studies support its safety. What It Is: Sucralose, also known by its brand name Splenda, has a tag line that it's âmade from sugarâ (which it is).
system: What are the pros and cons of using stevia as a sugar substitute?
output: What It Is: This natural, no-calorie sweetener, made from a South American plant, has been around for centuries. It's now in sodas and sports drinks, as well as tabletop packets (usually green), liquid drops, dissolvable tablets, and spoonable products, as well as baking blends. The Scoop: Highly purified stevia extracts, which are what you find on the market, are generally recognized as safe. Some people find that stevia can have a metallic aftertaste. Whole-leaf stevia or crude stevia extracts aren't FDA-approved.
system: What tests are used to diagnose skin cancer?
output: Ifmelanomais diagnosed, other tests may be ordered to assess the degree of cancer spread (metastasis). They include: Imaging. Your doctor will order one or more tests to look for metastasis. They include CT scan, MRI, PET scan, bone scan, and chest X-ray. Other biopsies. Using a variety of techniques, your doctor may want to get tissue samples from lymph nodes. Skin growths that are most likely basal cell carcinoma, squamous cell carcinoma, or other forms of non-melanoma can be biopsied in various ways. Part or all of the growth can be taken with a scalpel for examination under a microscope.
system: Can you get skin cancer again?
output: Anyone who has been treated for skin cancer of any kind should have a checkup at least twice a year. About 20% of skin cancer patients experience recurrence or a second separate tumor, often within the first two years after diagnosis.
system: What procedures do doctors use to treat skin cancer?
output: In rare cases where basal cell or squamous cell carcinoma has begun to spread beyond the local skin site, the primary tumors are first removed surgically. Then patients may be treated with radiation, immunotherapy in the form of interferon, and rarely, chemotherapy. However, responses to this therapy are infrequent and short-lived. Rare patients with advanced squamous cell carcinoma respond well to a combination of retinoic acid (a derivative of vitamin A) and interferon (a type of disease-fighting protein produced in labs for cancer immunotherapy). Retinoic acid may inhibit cancer recurrence in patients who have had tumors removed, but there is a lack of evidence to support either of these treatments. Vismodegib ( Erivedge) may be used to treat the rare cases of locally advanced, or metastatic, basal cell carcinoma and has been shown to shrink these tumors. Sonidegib ( Odomzo) can be used to treat patients with locally advanced basal cell carcinoma who are not candidates for surgery or radiation. It may also be used if the skin cancer returns after surgery or radiation.