laomobai/llama3-1 huggingface dataset:
system: How can I avoid pet allergens to prevent migraines?
output: Avoid pet allergens: Wash your hands after you touch any animal. If it lives in your home, keep it off your bed and out of your bedroom. Keep as few carpets and rugs in your home as you can. Wood floors, tile, and linoleum collect far less dander, the flakes of dead skin that cause most pet allergies. Vacuum any carpet you do have often.
system: How can I control indoor allergens to prevent migraines?
output: Control indoor allergens: Keep your home free of dust. Clean with a wet mop instead of a broom. Use special covers on your box springs, mattress, and pillows to keep out dust mites. Wash your bedding each week in hot water, then dry on high heat.
system: What else can I do to prevent migraines related to allergies?
output: No matter what kind of allergies you have, you can also: Drink plenty of fluids to keep your mucus thin. Water should be your first choice. Sip a cup of green tea each morning. It contains natural antihistamines, so it may give you some relief. Rinse out your nasal passages. Some people find relief by using a saline spray in their nose a few times a day, but a sinus rinse or neti pot may help more. They can remove allergens from your nose while cleaning your nasal lining. Try this once a day, or twice if your allergy symptoms are severe.
system: How do allergies cause migraine headaches?
output: The link is complex. Doctors are still trying to figure it out. So far, they know that your nervous system, endocrine (hormonal) system, and immune system all play a role. If you get migraines, you have a sensitive nervous system. Your body tends to react very quickly, or overreact, to changes in your environment that it views as threats. On top of that, exposure to allergens (things you're allergic to) triggers your immune system to release certain chemicals. They can fuel inflammation throughout your body, all of which can set you up for a migraine. If you're prone to migraine headaches, your symptoms may be more severe during allergy season. Some people can also have ânonallergicâ triggers like perfume, the smell of gasoline, cigarette smoke, and weather changes.
system: How do decongestants treat allergies?
output: These can help open stuffy nasal passages and ease sinus pressure.
system: What is the difference between a migraine and a sinus headache?
output: But if you have migraine headaches, you have an actual condition called migraine which results in migraine headaches. True sinus headaches are quite rare. In fact, most people who think they're having one are really having a migraine.
system: Which allergy treatment should I avoid to prevent migraines?
output: They may be a good choice if you can't avoid what you're allergic to or medicines haven't helped. One allergy treatment you may need to avoid is steroid nasal sprays. They might bring on a migraine or make it worse.
system: How does immunotherapy treat allergies?
output: Allergy shots can help cut back on migraine headaches. Plus, once you start taking them, any headaches you do have may be less severe. They expose your body to tiny amounts of the things you're allergic to. They may be a good choice if you can't avoid what you're allergic to or medicines haven't helped.
system: When might your doctor want you to have an (AFP) tumor marker test?
output: Your doctor may want you to have an AFP tumor marker blood test to: Narrow down the cause of a lump in your liver, testicles, or ovaries Help decide the best treatment for cancer See how well a cancer treatment is working Make sure cancer hasn't come back after treatment AFP tests can also check for birth defects in an unborn baby. Doctors may test spinal fluid for AFP, too, depending on what they're looking for.
system: When should you call your doctor about irregular periods?
output: You get your period more often than every 21 days.
system: What can cause irregular periods?
output: You may have irregular periods if: The time between each period starts to change You lose more or less blood during a period than usual The number of days that your period lasts varies a lot Many things can cause irregular periods. Changes in your body's level of the hormones estrogen and progesterone can disrupt the normal pattern of your period. That's why young girls going through puberty and women approaching menopause commonly have irregular periods. Other common causes of irregular periods include: Having an intrauterine device ( IUD) Changing birth control pills or using certain medications Too much exercise Polycystic ovary syndrome ( PCOS) Pregnancy or breastfeeding Stress Overactive thyroid (hyperthyroidism) or underactive thyroid (hypothyroidism) Thickening of or polyps on the uterine lining Uterine fibroids A less common cause is severe scarring (adhesions) of the lining of the uterus, a condition that doctors call Asherman syndrome.
system: When might you have irregular periods?
output: You may have irregular periods if: The time between each period starts to change You lose more or less blood during a period than usual The number of days that your period lasts varies a lot Many things can cause irregular periods.
system: How can hormone therapy help with irregular periods?
output: An irregular menstrual cycle is often due to a lack of or imbalance in certain hormones in the body. Doctors often prescribe birth control pills (oral contraceptives) containing the hormones estrogen and progesterone to help control irregular periods. A hormone medication called progestin can also help trigger periods in women who don't get them. If you have irregular periods and are trying to get pregnant, your doctor may prescribe other hormone treatments.
system: How are irregular periods treated?
output: Is your period irregular -- and if so, does it need treatment? Polycystic ovary syndrome ( PCOS) and hypothyroidism are two common causes of irregular periods in women. In general, the goal of treatment is to restore the balance of hormones in the body. If you have PCOS, your doctor may recommend birth control pills or other hormones to trigger a period. If you have hypothyroidism (underactive thyroid), you may need to take thyroid hormones.
system: How does gastric banding work for weight loss?
output: Gastric banding involves placing a band around the top end of the stomach to create a small pouch to hold food. The band limits the amount of food you can eat by making you feel full after eating small amounts of food. There are two approved gastric banding devices and procedures approved in the U. S. -- LAP- BAND and the Realize band.
system: What are the two restrictive weight loss surgery types?
output: Restrictive types of weight loss surgery are gastric banding, intragastric balloon, and vertical sleeve gastrectomy. These procedures make less room in the stomach for food right after it's swallowed.
system: What happens when you eat after gastric bypass surgery?
output: The band limits the amount of food you can eat by making you feel full after eating small amounts of food.
system: How do you decide on what type of weight loss surgery to get?
output: After this surgery, when you eat, food bypasses most of your stomach and the first part of your small intestines. All types of weight loss surgery have pros and cons. Those that involve more cutting, sewing, and rearranging things inside of you may yield slightly better results, but they also may come with more side effects.
system: How does a vertical sleeve gastrectomy work for weight loss?
output: Restrictive types of weight loss surgery are gastric banding, intragastric balloon, and vertical sleeve gastrectomy. What remains of the stomach is a narrow tube or sleeve, which connects to the intestines.
system: What does incentive spirometer look like?
output: It's made of plastic and is about the size of a small notebook. It has a mouthpiece that looks like a vacuum tube. When you inhale with it, the suction will move a disc or a piston up inside a clear cylinder. The deeper you breathe, the higher the piston rises. Most spirometers have numbers on the cylinder to show how much air you take in. They also may have a gauge to tell if you're inhaling at the right pace.
system: Can you get ADHD as an adult?
output: Many people with attention deficit hyperactivity disorder ( ADHD) don't know they have it until they're adults. It was there all along, but they never got tested for it. Others have known they had it since childhood. But the symptoms -- and the stress it adds to life -- can change with age. For example, you might be less hyperactive as an adult. But there's a good chance you still have symptoms that affect your quality of life. Adults can have problems with paying attention, controlling impulses, and staying organized. And that can affect your work, relationships, and self-esteem.
system: Who shouldn't take stimulants to treat ADHD?
output: Common side effects include: Anorexia or loss of appetite Anxiety or panic Dry mouth Headache Jitteriness Moodiness Slight increase in blood pressure and pulse Trouble sleeping Stimulants are effective, but they're not for everyone. For some, the side effects can be too much. And you want to avoid stimulants if you have certain conditions, such as: Bipolar disorder Anxiety Heartbeat that's faster than normal or whose rhythm is off High blood pressure Psychosis Severe anorexia Substance abuse problems Tourette's syndrome Non-stimulants.
system: Does talk therapy help treat adult ADHD?
output: The right medicine, along with a good therapist, is a powerful combo. Talk therapy can help you and your family members learn more about how ADHD works and how to better deal with the problems it can create.
system: How can an attention deficit hyperactivity disorder (ADHD) coach help treat adult attention deficit hyperactivity disorder (ADHD)?
output: You can learn practical skills, including how to make plans, set goals, manage time, and stay organized. A coach can share suggestions and tips and keep you focused and motivated to make the changes you want. Studies show that coaching can help you reach goals, manage stress, and achieve more in your life.
system: How can an attention deficit hyperactivity disorder (ADHD) coach help in treating adult attention deficit hyperactivity disorder (ADHD)?
output: As an adult, you also might need different skills to stay organized and manage your time. A coach can share suggestions and tips and keep you focused and motivated to make the changes you want. Studies show that coaching can help you reach goals, manage stress, and achieve more in your life.
system: How long do I need to take ADHD meds as an adult?
output: And you'll be better able to tell if it's working. Your doctor may suggest: Going off the meds once a year to see if you still need them. Taking a drug holiday so your body doesn't get too used to it. Otherwise, you might need a higher dose.
system: What medical conditions should avoid stimulants in the treatment of adult attention deficit hyperactivity disorder (ADHD)?
output: Stimulants. These are often the first choice for ADHD, and they tend to work the best. For some, the side effects can be too much. And you want to avoid stimulants if you have certain conditions, such as: Bipolar disorder Anxiety Heartbeat that's faster than normal or whose rhythm is off High blood pressure Psychosis Severe anorexia Substance abuse problems Tourette's syndrome Non-stimulants.
system: What medications work for adult attention deficit hyperactivity disorder (ADHD)?
output: Many people with attention deficit hyperactivity disorder ( ADHD) don't know they have it until they're adults. Others have known they had it since childhood. Drugs are the main treatment for ADHD. But finding the one that works best for you may take some trial and error, and what works at first may not do so well. Also, while many drugs work for both children and adults with ADHD, clonidine ( Catapres, Jenloga, Kapvay), guanfacine ( Intuniv, Tenex), and modafinil ( Provigil) haven't been well-researched for adults and aren't prescribed much. And it's used to address issues like substance abuse and depression. These types of conditions, and the medicines you take to treat them, can affect ADHD, and vice versa.
system: How can adults get the most out of attention deficit hyperactivity disorder (ADHD) treatments?
output: Many people with attention deficit hyperactivity disorder ( ADHD) don't know they have it until they're adults. Others have known they had it since childhood. The same treatments used for kids with ADHD also treat adults. For most people, it's a combination of medicine and talk therapy. Sometimes the meds you took as a child may work differently because your brain, body, and symptoms may have changed. As an adult, you also might need different skills to stay organized and manage your time. And you may need treatment for other issues like depression or anxiety. To get the most from any treatment, it's good to know specifically how ADHD affects you. Does it make it hard to meet deadlines at work? Are you struggling in relationships with your spouse or child? If you know, you can better seek care that's tailored for you. And you'll be better able to tell if it's working.
system: How can talk therapy help treat adult attention deficit hyperactivity disorder (ADHD)?
output: For most people, it's a combination of medicine and talk therapy. Talk therapy can help you and your family members learn more about how ADHD works and how to better deal with the problems it can create. There are many types of talk therapy. Two common ones for ADHD are: Cognitive behavioral therapy. You learn to change your thoughts and actions in a way that gives you more control over your life. It can help with challenges in school, work, and relationships. And it's used to address issues like substance abuse and depression. Marriage counseling and family therapy. You and your family members learn how to communicate better and spot patterns that may cause issues. The counseling can help loved ones understand that the problems aren't simply about your being messy or forgetful.
system: How do antidepressants help in treating adult attention deficit hyperactivity disorder (ADHD)?
output: These are often the first choice for ADHD, and they tend to work the best. Antidepressants. Your doctor might recommend it if you have a substance abuse problem or mood disorder, as well as ADHD.
system: What are common side effects of stimulants for adult attention deficit hyperactivity disorder (ADHD)?
output: These are often the first choice for ADHD, and they tend to work the best. Usually, you start at a low dose. You may be able to manage your side effects by changing the dose or time of day you take it. Common side effects include: Anorexia or loss of appetite Anxiety or panic Dry mouth Headache Jitteriness Moodiness Slight increase in blood pressure and pulse Trouble sleeping Stimulants are effective, but they're not for everyone.
system: What are healthy sleep habits?
output: Go to sleep and wake up at about the same times every day. Try to get 7-8 hours of shut-eye per night. Don't eat a big meal close to your bedtime. Take your computer and TV out of your bedroom. Put your smartphone in a drawer, so the screen light doesn't keep you up. Exercise most days this week. Start a sleep diary. Write down how well and how long you rest. Don't drink alcohol at night.
system: How can I prevent allergy when I am traveling?
output: Pack your allergy meds in your carry-on bag. Saline nasal spray can be especially helpful on planes and in hotel rooms where the air is dry. Bring an extra supply of medication in case you need them. Ask for a non- smoking room. Ask for non-allergenic pillows. Or bring your own hypoallergenic pillow cover from home. If possible, keep the vent on the room air conditioner shut. Eat in smoke-free restaurants.
system: How can I prevent allergies when I'm outside?
output: Stay indoors as much as possible on hot, dry, windy days, when pollen counts tend to be highest. Wear a mask (like a low-cost painter's mask) when mowing the lawn if you're allergic to grass pollen or mold. Wear a mask when gardening if pollen bothers you. Avoid raking leaves or working with hay or mulch if you're allergic to mold. After being outdoors, take a shower, wash your hair, and change your clothes to remove pollen. To protect yourself from insect stings , wear shoes, long pants, and sleeves. Don't wear scented deodorants, perfumes, shampoos, or hair products. Don't hang clothes or linens outdoors to dry.
system: How is multiple sclerosis (MS) disability rated?
output: It also involves observation of functions like these: Weakness or trouble moving limbs Tremor or loss of coordination Problems with speech, swallowing, or involuntary eye movements Numbness or loss of sensation Bowel and bladder function Visual function Mental functions With the help of the FSS, the examiner rates your disability on the EDSS scale. It ranges from 0 to 10, with half points for greater specificity. Lower numbers indicate less severe disability. Higher numbers reflect a greater degree of disability, mostly in relation to mobility: 0 = Normal 1-1.5 = No disability, but some abnormal neurological signs 2-2.5 = Minimal disability 3-4.5 = Moderate disability, affecting daily activities, but you can still walk 5-8 = More severe disability, impairing your daily activities and requiring assistance with walking 8.5-9.5 = Very severe disability, restricting you to bed 10 = Death It's important to recognize that a one-point change at the lower end of the scale reflects more subtle changes than at the upper end of the scale. For example, a one-point change between 2 and 3 is not as great a progression of disability as between 8 and 9.
system: How is the multiple sclerosis functional composite (MSFC) used to measure disability?
output: The MSFC is a newer measurement system. It is sensitive to changes other than mobility. Although office staff can administer it, the MSFC takes more time to do, so it is currently used less in clinical practice and more for clinical trials. Computer-based tests are being developed, however, which may make it easier to use in the future. Here's what the MSFC measures: Walking speed, using a timed 25-foot walk Arm and hand dexterity, using a nine-hole peg test Cognitive function, such as how well you can do math calculations, using the Paced Auditory Serial Additions Test ( PASAT) A wide range of other measures is used to assess multiple sclerosis disability.
system: How does multiple sclerosis (MS) progression vary?
output: Multiple sclerosis progression varies from person to person. And, the various MS types of disease progress in different ways, too. Scans and other multiple sclerosis tests don't always tell the whole story about MS disability; signs and symptoms and how well you are functioning each day -- from seeing to moving to thinking -- are also important measures of how well your central nervous system is working.
system: What specific aspects of disability in multiple sclerosis (MS) do other scales measure?
output: For example, the Multiple Sclerosis Quality of Life questionnaire asks you questions about your: Physical, cognitive, social, and sexual function Limitations due to physical or emotional problems Perceptions about your health Pain Energy Overall quality of life Emotional health Other scales measure specific aspects of disability such as: Bladder or bowel control Visual impairment Fatigue Mental health Pain Additional tests may help with measuring MS progression in the future. Work closely with your neurologist to determine which tests are recommended.
system: How are disease steps (DS) used to measure multiple sclerosis (MS) disability?
output: This is a simple way to measure MS disability, mainly based on your ability to walk. Doctors use it as a way to know when to begin therapy and to tell how you are responding to therapy. Scores range from 0, which is normal, to 6, which means you are unable to walk at all. To establish the rating, you walk 25 feet. In addition, the doctor takes a medical history and performs both physical and neurological exams. Altogether, the time needed to create the rating is no more than about 30 minutes.
system: What are other measures of multiple sclerosis (MS) disability?
output: Here's what the MSFC measures: Walking speed, using a timed 25-foot walk Arm and hand dexterity, using a nine-hole peg test Cognitive function, such as how well you can do math calculations, using the Paced Auditory Serial Additions Test ( PASAT) A wide range of other measures is used to assess multiple sclerosis disability. In many cases, these are simple questionnaires. For example, the Multiple Sclerosis Quality of Life questionnaire asks you questions about your: Physical, cognitive, social, and sexual function Limitations due to physical or emotional problems Perceptions about your health Pain Energy Overall quality of life Emotional health Other scales measure specific aspects of disability such as: Bladder or bowel control Visual impairment Fatigue Mental health Pain Additional tests may help with measuring MS progression in the future.
system: What is the functional system score for multiple sclerosis?
output: On a scale of 0 to 6, FSS measures how well your major central nervous systems are working and assigns a score to your disability. This incorporates information about your gait and use of assistive devices. It also involves observation of functions like these: Weakness or trouble moving limbs Tremor or loss of coordination Problems with speech, swallowing, or involuntary eye movements Numbness or loss of sensation Bowel and bladder function Visual function Mental functions With the help of the FSS, the examiner rates your disability on the EDSS scale.
system: How is the expanded disability status scale (EDSS) used to measure multiple sclerosis (MS) disability?
output: The EDSS focuses mainly on your ability to walk. It is a less sensitive measure of other types of multiple sclerosis disability. It takes about 30 minutes to create a score. Then a few minutes are needed to establish the ratings in the EDSS scale.
system: How is the functional system score (FSS) used to measure multiple sclerosis (MS) disability?
output: On a scale of 0 to 6, FSS measures how well your major central nervous systems are working and assigns a score to your disability. This incorporates information about your gait and use of assistive devices. It also involves observation of functions like these: Weakness or trouble moving limbs Tremor or loss of coordination Problems with speech, swallowing, or involuntary eye movements Numbness or loss of sensation Bowel and bladder function Visual function Mental functions With the help of the FSS, the examiner rates your disability on the EDSS scale.
system: What is the ranking system for the EDSS scale for multiple sclerosis?
output: It also involves observation of functions like these: Weakness or trouble moving limbs Tremor or loss of coordination Problems with speech, swallowing, or involuntary eye movements Numbness or loss of sensation Bowel and bladder function Visual function Mental functions With the help of the FSS, the examiner rates your disability on the EDSS scale. It ranges from 0 to 10, with half points for greater specificity. Lower numbers indicate less severe disability. Higher numbers reflect a greater degree of disability, mostly in relation to mobility: 0 = Normal 1-1.5 = No disability, but some abnormal neurological signs 2-2.5 = Minimal disability 3-4.5 = Moderate disability, affecting daily activities, but you can still walk 5-8 = More severe disability, impairing your daily activities and requiring assistance with walking 8.5-9.5 = Very severe disability, restricting you to bed 10 = Death It's important to recognize that a one-point change at the lower end of the scale reflects more subtle changes than at the upper end of the scale. For example, a one-point change between 2 and 3 is not as great a progression of disability as between 8 and 9.