laomobai/llama3-1 huggingface dataset:
system: Should I get a Japanese encephalitis vaccine before I travel to India?
output: This is especially important if you will be visiting rural areas or staying in small towns. Japanese encephalitis. It is transmitted by the bite of a mosquito. Travelers to India are advised to get the vaccine before going.
system: Should I get a yellow fever vaccine before I travel to India?
output: It is transmitted by the bite of a mosquito. But it's important to know that when you get to India you may be asked to show proof of yellow fever vaccination if you visited a country with risk of yellow fever before your arrival in India. Without that proof, you may be quarantined for up to six days when you first arrive. Yellow fever is mostly found in tropical and subtropical countries in Central America, South America, and Africa.
system: What are the factors linked to heart disease that people with Crohn's disease have?
output: People with Crohn's disease have abnormally high: Erythrocyte sedimentation rates High-sensitivity C-reactive protein ( CRP) levels Homocysteine All three of those link to heart disease. Some substances your body makes can also raise your odds of blood clots in your veins. Just like when plaque clogs or breaks off in an artery, a clot that breaks off in a vein can cause life-threatening lung problems.
system: How can Crohn's disease cause inflammation in your heart?
output: Doctors aren't sure, but they think the long-term inflammation that Crohn's causes could make you more likely to have clogged arteries. Your doctor may call this atherosclerosis. It fills the inner walls of your arteries with tiny bits of fatty deposits called plaque. If a piece breaks off or grows big enough to block blood flow, you could have a heart attack or stroke.
system: How does your medicine play a role in inflammation related to Crohn's disease?
output: Corticosteroids control inflammation, so they're often the first medication your doctor prescribes. They can also raise your blood pressure and blood sugar. Doctors aren't sure if they play a role in clogged arteries. Mesalamine ( Apriso, Asacol, Delzicol, Lialda, Pentasa) is another drug doctors often try early on. It can inflame your heart muscle, a condition your doctor calls myocarditis. Symptoms go away when you stop taking it.
system: What can you do to lower your chances of having heart problems related to Crohn's disease?
output: To lower your chance of heart problems, keep your disease under control and prevent flare-ups as much as you can. If your doctor finds a problem, he may prescribe heart medicine. Some Studies show that some heart disease meds, like statins and ACE inhibitors, may also help Crohn's disease.
system: Why do doctors prescribe mesalamine for Crohn's disease, and how does it impact your heart?
output: Mesalamine ( Apriso, Asacol, Delzicol, Lialda, Pentasa) is another drug doctors often try early on. It can inflame your heart muscle, a condition your doctor calls myocarditis. Symptoms go away when you stop taking it.
system: How might Crohn's disease raise the risk of heart disease?
output: Doctors aren't sure, but they think the long-term inflammation that Crohn's causes could make you more likely to have clogged arteries. Your doctor may call this atherosclerosis. It fills the inner walls of your arteries with tiny bits of fatty deposits called plaque. If a piece breaks off or grows big enough to block blood flow, you could have a heart attack or stroke. How Crohn's disease raises your risk for this condition isn't clear. But it can happen to people with other autoimmune conditions, like lupus and rheumatoid arthritis. So it may have something to do with the substances your body makes during long-term inflammation.
system: Why do doctors prescribe corticosteroids for Crohn's disease, and how can they impact your heart?
output: Corticosteroids control inflammation, so they're often the first medication your doctor prescribes. They can also raise your blood pressure and blood sugar. Doctors aren't sure if they play a role in clogged arteries.
system: How can you check if you're likely to get inflammation or clogged arteries related to Crohn's disease?
output: It fills the inner walls of your arteries with tiny bits of fatty deposits called plaque. Talk to your doctor about your risk for heart disease. You may get tests to see if you're likely to have clogged arteries. Imaging tests can also check for damage in your blood vessels and heart.
system: What is the link between Crohn's disease and your heart?
output: That means your body's immune system mistakes your own tissues for threats and attacks them, usually in your intestines. That leads to inflammation. Your doctor may call this atherosclerosis.
system: When are chances of having a heart attack the highest if you have Crohn's disease?
output: But they are still working to understand the link between Crohn's and heart and blood vessel disease. If a piece breaks off or grows big enough to block blood flow, you could have a heart attack or stroke.
system: What can I do to avoid heart problems if I have crohn's disease?
output: Your doctor may call this atherosclerosis. Some research may show a link between flares and people with Crohn's admitted to the hospital for heart failure. Talk to your doctor about your risk for heart disease. You may get tests to see if you're likely to have clogged arteries. Imaging tests can also check for damage in your blood vessels and heart. To lower your chance of heart problems, keep your disease under control and prevent flare-ups as much as you can.
system: Iâm trying to watch my portion sizes. Whatâs the best way to do that at restaurants?
output: At restaurants: Ask for half or smaller portions. Eyeball your appropriate portion, set the rest aside, and ask for a doggie bag right away. If you have dessert, share.
system: Iâm trying to watch my portion sizes. Whatâs the best way to do that at the supermarket?
output: At the supermarket: Beware of mini-sized snacks -- small crackers, cookies, and pretzels. Most people end up eating more than they realize, and the calories add up. Choose foods packaged in individual serving sizes. If you like to eat ice cream out of the carton, pick up ice cream sandwiches or other individual-size servings.
system: Iâm trying to watch my portion sizes. Whatâs the best way to do that at home?
output: At home: Use smaller dishes at meals. Serve food in the right portion amounts, and don't go back for seconds. Put away any leftovers in separate, portion-controlled amounts. Consider freezing the portions you likely won't eat for a while. Never eat out of the bag or carton. Don't keep platters of food on the table; you are more likely to "pick" at it or have a second serving without realizing it.
system: Whatâs the best way to find out what a serving size looks like?
output: The best way to determine the amount of food in a serving is to look at the Nutrition Facts label and measure it. For example, fill a measuring cup with the proper-sized portion of vegetables, rice, etc. and then empty it onto a plate. That will help you learn what these serving sizes look like.
system: Whatâs a good way to measure a serving size?
output: Instead of trying to memorize lists of ounces, cups, and tablespoons, simply compare the serving sizes of foods to familiar things. Meat, fish, or poultry is the size of a deck of cards or the size of your palm (minus the fingers).
system: What are symptoms of vulvar vestibulitis?
output: This condition is also called âvestibulodyniaâ or âlocalized provoked vulvodynia.â They can be different for every woman. They may be mild and annoying, or severe enough to interfere with your life. Symptoms can be constant, or they can come and go. They include: Pain from pressure (sitting, biking, working out, tight clothes, touch) Pain from sex or using a tampon Burning or stinging Feeling raw Peeing a lot, or suddenly feeling like you have to pee Usually, itching isn't a symptom.
system: What is vulvar vestibulitis?
output: Vulvar vestibulitis is a type of vulvodynia, or pain around the vulva â the sex organs outside a woman's body. The pain is in your vestibule, the part of your vulva around the opening of your vagina. It can cause redness and irritation of the skin and pain in the glands inside the skin. This condition is also called âvestibulodyniaâ or âlocalized provoked vulvodynia.â They can be different for every woman.
system: Who can get infected with vulvar vestibulitis?
output: Doctors don't know, but some studies show it may be linked to the following: Human papillomavirus ( HPV) Yeast infections Bacterial infections Changes in the acidity of the vagina Detergents and soaps Spermicides and lubricants Menopause Stress Any woman can get vulvar vestibulitis. It doesn't matter if you've had sex or not or how old you are. Your risk may be higher if you have interstitial cystitis (painful bladder syndrome), endometriosis, or problems with the muscles that support their bladder, uterus, vagina, or rectum. Doctors aren't sure which comes first -- those conditions or vulvar vestibulitius.
system: What will my dentist recommend if my child loses a baby tooth too soon?
output: A space maintainer is a plastic or metal device that holds open the space left by the missing tooth. Your dentist will remove it once the permanent teeth begin to erupt.
system: How can I help my older kid to stop thumb sucking?
output: To help older children break the habit, you should try to determine why your child is doing it: Find out what stresses your child faces and try to correct the situation. Once the problem is gone, your child often finds it is easier to give up sucking. If this doesn't work, there are dental appliances your child can wear in the mouth to prevent sucking. These appliances are cemented to the upper teeth, sit on the roof of the mouth, and make thumb sucking harder and less pleasurable.
system: Why does a child lose their baby teeth too soon?
output: Premature loss of a child's baby teeth typically occurs from tooth decay, injury, or lack of jaw space.
system: How can thumb sucking cause dental problems?
output: But if thumb sucking continues beyond the age of 5, when the permanent teeth begin to come in, dental problems can occur. Depending on the frequency, intensity, and duration of the sucking, the teeth can be pushed out of alignment, causing them to protrude and create an overbite. Your child may also have difficulty with the correct pronunciation of words. In addition, the upper and lower jaws can become misaligned and the roof of the mouth might become malformed.
system: When should I consult a speech specialist about my child's tounge thrusting?
output: If you notice symptoms of tongue thrusting, consult a speech pathologist. This person can develop a treatment plan that helps your child to increase the strength of the chewing muscles and develop a new swallowing pattern.
system: How can lip sucking be a problem for my child?
output: Just like thumb sucking, tongue thrusting exerts pressure against the front teeth, pushing them out of alignment, which causes them to protrude, creating an overbite, and possibly interfering with proper speech development.
system: What happens if baby bottle tooth decay is left untreated?
output: If left untreated, decayed teeth can cause pain and make it difficult to chew and eat. Also, baby teeth serve as "space savers" for adult teeth. If baby teeth are damaged or destroyed, they can't help guide permanent teeth into their proper position, possibly resulting in crowded or crooked permanent teeth.
system: How do I prevent baby bottle tooth decay?
output: Some tips to prevent baby bottle tooth decay include: During the day, to calm or comfort your baby, don't give a bottle filled with sugary drinks or milk; instead, give plain water or a pacifier. Never dip your baby's pacifier in sugar, honey, or any sugary liquid. Give a small amount of plain water or use a pacifier instead. If your baby is nursing at night, make sure you remove your breast from your baby's mouth when she falls asleep.
system: How can I help my kid stop thumb sucking?
output: Children must make the decision on their own to stop sucking their thumb or fingers before the habit will cease. To help toward this goal, parents and family members can offer encouragement and positive reinforcement. Because thumb sucking is a security mechanism, negative reinforcement (such as scolding, nagging, or punishments) are generally ineffective; they make children defensive and drive them back to the habit. Instead, give praise or rewards for time successfully avoiding the habit. For children who want to stop, cover the finger or thumb with a band-aid as a reminder.
system: Can acetyl-l-carnitine (ALC) help with Peyronie's disease?
output: This condition causes the penis to curve abnormally. In one study, men who took daily ALC for 3 months had less pain and curving of the penis. The problem also progressed less in the men taking ALC.
system: Can acetyl-l-carnitine (ALC) help with Alzheimer's disease?
output: People have tried to treat many health problems using ALC, including: Alzheimer's disease.
system: How can you get carnitine naturally from foods?
output: Animal-based foods are good sources of carnitine, including: Beef, 4 oz cooked - 56-162 mg Chicken, 4 oz cooked - 3-5 mg Milk, 1 cup whole - 8 mg Cheese, 2 oz cheddar - 2 mg Side effects.
system: Can acetyl-l-carnitine (ALC) help with fragile X syndrome?
output: ALC has been used to affect certain behaviors in boys with fragile X, such as their social skills and hyperactivity, but research is mixed as to whether it really helps or not.
system: Can acetyl-l-carnitine (ALC) help with alcoholism?
output: ALC may help reduce cravings in people who are alcoholic.
system: Can acetyl-l-carnitine (ALC) help with nerve problems?
output: Research has linked ALC with less pain or less intense pain in people with pain from sciatica.
system: Can acetyl-l-carnitine (ALC) help with high blood sugar?
output: Research shows that people with prediabetes had some improvement in their blood sugar levels after taking ALC for 2 months.
system: What are the risks of taking acetyl-l-carnitine (ALC)?
output: People taking carnitine have reported a number of side effects, including: Diarrhea, nausea, stomach pain, and vomiting Headaches Trouble sleeping Higher blood pressure Lower blood sugar and higher triglycerides (in people with diabetes) Psychosis (in people with bipolar disorder) Risks.
system: Can acetyl-l-carnitine (ALC) help with depression?
output: Research found that ALC treatment reduced symptoms of depression in older people. It also improved dysthymia, a milder form of depression, about as well as a common medication.
system: What is acetyl-l-carnitine (ALC)?
output: Carnitine helps your cells produce energy. Acetyl- L-carnitine ( ALC) is a form of carnitine that's available as a supplement.
system: Can acetyl-l-carnitine (ALC) help with male infertility?
output: Men taking ALC in some studies had better sperm movement.
system: How can acetyl-l-carnitine (ALC) interact with other drugs?
output: Check with your doctor first if you're taking blood-thinning drugs. Carnitine may increase the effects of or have other interactions with many drugs. It may also interact with a number of herbs and supplements. Avoid using this supplement with D- or DL-carnitine.
system: Can you get selenium naturally from foods?
output: Good natural food sources of selenium include: Nuts, like Brazil nuts and walnuts Many fresh and saltwater fish, like tuna, cod, red snapper, and herring Beef and poultry Grains Whole foods are the best sources of selenium. The mineral may be destroyed during processing.
system: What are the risks of taking selenium?
output: Group Recommended Dietary Allowance Children 1-3 20 micrograms/day Children 4-8 30 micrograms/day Children 9-13 40 micrograms/day Adults and children 14 and up 55 micrograms/day Pregnant women 60 micrograms/day Breastfeeding women 70 micrograms/day Selenium content of food is largely dependent on location and soil conditions, which vary widely. Side effects. Taken at normal doses, selenium does not usually have side effects. An overdose of selenium may cause bad breath, fever, and nausea, as well as liver, kidney and heart problems and other symptoms. At high enough levels, selenium could cause death. Interactions. Selenium may also interact with other medicines and supplements, such as some antacids, chemotherapy drugs, corticosteroids, niacin, cholesterol-lowering statin drugs, and birth control pills. Skin cancer. Selenium supplements may be associated with a risk of skin cancer (squamous cell carcinoma), so people at high risk of skin cancer should not take these supplements.
system: Are women at higher risk for major depression?
output: Almost twice as many women as men have major or clinical depression; hormonal changes during puberty, menstruation, pregnancy, miscarriage, and menopause, may increase the risk. Other factors that boost the risk of clinical depression in women who are biologically vulnerable to it include increased stress at home or at work, balancing family life with career, and caring for an aging parent. Raising a child alone will also increase the risk.
system: Can major depression run in the family?
output: Major depression can sometimes occur from one generation to the next in families, but often it may affect people with no family history of the illness.
system: What are common triggers of major depression (clinical depression)?
output: Some common triggers or causes of major depression include: Loss of a loved one through death, divorce, or separation Social isolation or feelings of being deprived Major life changes -- moving, graduation, job change, retirement Personal conflicts in relationships, either with a significant other or a superior Physical, sexual, or emotional abuse A health professional -- such as your primary care doctor or a psychiatrist -- will perform a thorough medical evaluation.
system: How common is major depression among adults in the U.S.?
output: Those symptoms might include: Fatigue or loss of energy almost every day Feelings of worthlessness or guilt almost every day Impaired concentration, indecisiveness Insomnia or hypersomnia (excessive sleeping) almost every day Markedly diminished interest or pleasure in almost all activities nearly every day (called anhedonia, this symptom can be indicated by reports from significant others) Restlessness or feeling slowed down Recurring thoughts of death or suicide Significant weight loss or gain (a change of more than 5% of body weight in a month) Major depression affects about 6.7% of the U. S. population over age 18, according to the National Institute of Mental Health. Overall, between 20% and 25% of adults may suffer an episode of major depression at some point during their lifetime.
system: If I've had an episode of major depression, can I prevent another one?
output: Once you have had an episode of major depression, you are at high risk of having another. The best way to prevent another episode of depression is to be aware of the triggers or causes of major depression (see above) and to continue taking the prescribed medication to avoid relapse. It is also important to know what the symptoms of major depression are and to talk with your doctor early if you have any of these symptoms.
system: If you have cockroach allergy, what are you allergic to?
output: Up to 60% of people with asthma who live in cities are allergic to cockroaches.
system: What are the symptoms of cockroach allergy?
output: Chronic stuffy nose Frequent ear and sinus infections Itchy eyes and nose A cough that doesn't go away Shortness of breath Wheezing Chest tightness Cockroach allergy can also cause rashes.
system: Where is cockroach allergy most common?
output: Due to the warmer climate, cockroach allergy is especially common in the South, particularly in low-income families. But cockroaches can invade anyone's home.
system: How are cockroach allergies treated?
output: If you are allergic to cockroaches, over-the-counter antihistamines and nasal corticosteroid sprays, or prescription allergy medication will help symptoms. If you have asthma, your doctor may prescribe other pills and an inhaler. Allergy shots may also help ease your symptoms. You'll get a series of shots over several years.
system: How can I prevent cockroaches from coming in my house?
output: Due to the warmer climate, cockroach allergy is especially common in the South, particularly in low-income families. But cockroaches can invade anyone's home. Keep your kitchen and dining room clean. Keep a lid on your kitchen trash. Don't leave your pet's food out in a bowl. Reduce clutter. They may eat paper, too. Boric acid may help. Make sure to keep baits away from children or pets.
system: Who may be on your treatment team for heart failure?
output: Your group may include: Doctors Nurses Dietitians Exercise experts Physical and occupational therapists Mental health specialists How long your program will last depends on your needs.
system: Do I need emotional support for my heart failure?
output: Support: Depression and anxiety are common for people with heart disease. Emotional and psychological support is an important part of your treatment and recovery. Your team may include a mental health specialist, or your team may refer you to support groups or classes.
system: Can zinc nasal sprays cause loss of sense of smell?
output: Researchers say zinc nasal sprays cause animals to lose their sense of smell. There have been several reports of people having decreased sense of smell or completely losing it. Because of this risk, the FDA issued a warning to stop using several nasal sprays that contain zinc.
system: What is zinc?
output: It has proven to be helpful for reducing the number of upper respiratory infections in children and can reduce the duration of colds in adults: Zinc is an essential mineral that's found in almost every cell, and it helps your body resist infection. It also plays an important part in tissue repair. And it may lower the ability of cold viruses to grow on or bind to the lining of your nose.
system: Where can I find zinc?
output: You can buy zinc as supplement, but it's also found naturally in a number of foods, like: Shellfish Beef and other red meats Nuts and seeds Beans Milk and cheese Tea, coffee, and some medicines interfere with the way zinc is absorbed in your intestines.
system: Can zinc help cure a cold?
output: Recent studies support zinc's role as a cold buster. It has proven to be helpful for reducing the number of upper respiratory infections in children and can reduce the duration of colds in adults: Zinc is an essential mineral that's found in almost every cell, and it helps your body resist infection.
system: Does zinc work as a cold remedy?
output: One analysis reviewed 15 earlier studies and found that taking zinc through the first few days of a cold, either as a syrup or lozenge, may shorten how long you're sick. It also appeared to prevent colds in people who used it over the course of about 5 months. But in other studies, researchers found no differences in symptoms between those who took zinc and those who took a "dummy" pill.
system: How are retinoids used to treat psoriasis?
output: Retinoids, like tazarotene ( Tazorac), can help speed up the growth and shedding of skin cells. These foams, gels, or creams are made with vitamin A and come in different strengths. Typically, you put a small dab on the inflamed area and rub it in before bed.. Doctors usually don't recommend these for women who are pregnant or might get pregnant.
system: How is coal tar used to treat psoriasis?
output: It also comes in many different forms, including shampoo to treat scalp psoriasis. The weaker products are available OTC. But coal tar doesn't smell good, and it can irritate your skin and stain your clothes. And you'll need to follow the directions carefully. Some studies show that chemicals in coal tar can lead to cancer but only at very high doses. It's safe to use these products if you follow your doctor's instructions. Steroids (corticosteroids) help with inflammation and slow the growth of skin cells so they don't build up. They come in different strengths.