laomobai/llama3-1 huggingface dataset:
system: What tests are done to diagnose primary biliary cholangitis?
output: Your doctor may call these âantimitochondrial antibodies.â You could also need imaging tests, such as an ultrasound, MRI, or X-ray of your bile ducts. Your doctor may also want to do a liver biopsy, where she takes a small sample of tissue to test in a lab. You have primary biliary cholangitis if you have at least two of the following: High levels of alkaline phosphatase Antimitochondrial antibodies Signs of the disease on a liver biopsy The main treatment for PBC is a drug called ursodiol. Talk to your doctor about what tests you should get.
system: How can primary biliary cholangitis cause vitamin and metabolic deficiencies?
output: Other complications can start as the liver stops working the way it should and the bile ducts become blocked. This changes the way the body breaks down fats and vitamins A, D, E, and K. As a result, your body can't use or nutrients the way it once did. Osteoporosis can happen when your body has problems using vitamin D and calcium.
system: What causes multiple chemical sensitivity?
output: Some doctors suggest it's an immune response similar to allergies. Others say that the symptoms stem from an extreme sensitivity to certain smells. It's possible that conditions such as depression and anxiety play a role, too. In some cases, people point to a major event, like a chemical spill. Or they may link their symptoms to contact with low levels of chemicals at work, such as if their office has poor ventilation. Some say that levels of exposure generally considered safe for most people can have an effect on a few.
system: What are symptoms of multiple chemical sensitivity?
output: It's also known as âenvironmental illness,â "sick building syndrome,â or â MCS.â Your doctor may call it âidiopathic environmental intolerance.â The symptoms people report are wide-ranging. They include headache, fatigue, dizziness, nausea, congestion, itching, sneezing, sore throat, chest pain, changes in heart rhythm, breathing problems, muscle pain or stiffness, skin rash, diarrhea, bloating, gas, confusion, trouble concentrating, memory problems, and mood changes.
system: What can you do for multiple chemical sensitivity?
output: There are no reliable tests to diagnose multiple chemical sensitivity, and there are no effective or proven treatments. Other people find that medicines for anxiety and sleep help. People often find solutions on their own. But you want to make sure there's evidence that shows a medical benefit. Avoid tests or treatments that are expensive, unproven, or could cause harm. Both of you should be cautious but keep an open mind about all the possible causes of your symptoms and the many treatment options.
system: Can a child with cystic fibrosis (CF) play sports?
output: Exercise helps loosen mucus in the lungs. It strengthens the muscles that help your child breathe. It can also boost her confidence and self-esteem. Don't be alarmed if your child coughs a lot during exercise -- it helps to clear the lungs. Be sure to speak with your child's CF care team before she starts any type of exercise.
system: Does cystic fibrosis make it harder for a child to absorb vitamins?
output: CF affects the body's ability to absorb vitamins. Kids who have it need to take vitamin supplements to make sure they get enough. Work with your child's CF care team to find the right vitamins, supplements, and doses for your child.
system: How can I help my child with cystic fibrosis get enough calories?
output: Children with CF need about 2,000 to 2,800 calories per day --that's more than most kids eat. One way to help your child take in more fat and calories is to offer whole milk at every meal. You can also add whole-milk dairy products to the foods she eats. For example: Use cream on cereal Add butter to most meals Put extra cheese in casseroles and other foods Vitamins.
system: How can I help keep my child with cystic fibrosis (CF) from getting sick?
output: Kids with CF have a higher risk of getting sick than other kids. Here are some important tips for fighting germs: Wash your hands properly Keep your mouth covered when you cough Clean and disinfect medical equipment She can eat the types of foods that other kids can eat, though there are a few things she'll need to add to her diet.
system: How can I prevent lung cancer?
output: 1 thing to do is to not smoke and to avoid other people's secondhand smoke. If you've never smoked cigarettes, your risk of lung cancer is low. If you currently smoke, especially if you are a heavy smoker, your odds of developing lung cancer can be 30 times higher than the risk for a nonsmoker. How long you've smoked also matters.
system: How do asbestos cause lung cancer?
output: It's a risk if you work with it.
system: Is lung cancer hereditary?
output: Lung cancer runs in some families, but since you can't change that, focus on the things that you do control.
system: What can I do to prevent lung cancer?
output: If you smoke, make it your top priority to quit. It's hard to do. You can talk to your doctor about the most effective ways to quit. Studies show that it can make lung cancer more likely in people who smoke. Check your home for radon. Most hardware stores carry an inexpensive and easy-to-use kit that accurately measures radon levels. Exercise and eat a diet rich in fruits and vegetables . These healthy habits will lower your risk of several forms of cancer, as well as heart disease and diabetes.
system: How does familial adenomatous polyposis (FAP) cause adrenal gland adenoma?
output: Doctors don't know what causes adrenal gland adenomas, but you're more likely to get one if you have certain genetic conditions, such as: Familial adenomatous polyposis ( FAP). This is a rare condition characterized by the presence of hundreds or even thousands of noncancerous polyps (growths) in the large intestine and upper respiratory tract.
system: How likely is someone at risk for getting adrenal gland adenoma if they have tumors?
output: Having the tumors doesn't make you any more likely to get adrenal cancer, but it can be hard to tell the difference between an adenoma and a tumor that's cancer. So your doctor will likely have your urine and blood tested to check your hormone levels, and maybe do some imaging to be sure what it is. If you do have symptoms, it's because you have a functioning tumor that could be in either part of the adrenal gland: the outer part (the cortex) or the inner part (the medulla).
system: What is the treatment for adrenal gland adenomas?
output: If you have a nonfunctioning tumor, you probably won't need any treatment. Your doctor will just want to keep an eye on it to make sure it doesn't become functional. For functional tumors, you typically get surgery. You can usually have laparoscopic surgery, where the adrenal gland and tumor are removed through small openings made in your body. But if there's a chance it's cancer, you'll likely need open surgery. Sometimes, instead of surgery, you may be able to get medicine that prevents hormones from working or lowers their levels so you won't have any symptoms.
system: What is the difference between cancer and a tumor?
output: When most people hear the word tumor, their next thought is cancer. But they're not always the same thing. You get a tumor when instead of growing in their usual, orderly way, a group of cells starts to grow out of control. They form a mass that normally wouldn't be there, and that mass may or may not be cancer.
system: What is adrenal gland adenoma?
output: If you have an adrenal gland adenoma, you have a tumor on your adrenal gland, but it's not cancer. Your two adrenal glands, one on each kidney, make hormones. Hormones are like messengers that scoot around your body and tell your organs what to do -- from how to handle stress to controlling blood sugar levels.
system: What problems do adrenal gland adenomas cause?
output: But some of them are functioning tumors -- that means they make the same hormones as your adrenal glands. The extra hormones from the tumor can lead to several conditions, such as Cushing's syndrome. Typically, surgery and medicine can successfully treat the symptoms. Doctors don't know what causes adrenal gland adenomas, but you're more likely to get one if you have certain genetic conditions, such as: Familial adenomatous polyposis ( FAP).
system: What are the symptoms of adrenal gland adenoma?
output: When you have these conditions like these, you have a defect in one or more genes that can have different effects on your body. Often, you wouldn't even know you have one of these tumors. You might not have any symptoms, and you only find out about the condition because you got imaging for some other issue.
system: What are medulla tumors?
output: This type of tumor is called a pheochromocytoma. It's rare and not usually cancer. You may get too much epinephrine or norepinephrine in your blood, which can cause high blood pressure, headaches, and heart problems.
system: How does relaxing help eczema?
output: From deep breathing to yoga and guided imagery, there are many ways to wind down. What works for you may be different than what helps other people relax. So explore your options. You can try progressive relaxation or listening to a relaxation CD. Or take a few minutes each day to write about what you're feeling. You can rip up the paper or delete the file when you're done.
system: How does doing something you enjoy help eczema?
output: Whether you like walking, swimming, or playing tennis, exercise can make you feel better overall.
system: How does talking help eczema?
output: If your stress comes from deeper problems with your marriage, family, or job, you may want to meet with a counselor or therapist. Sometimes just talking about your problems with someone can help. In some cases, a mental health professional can also prescribe medication that can help with stress and anxiety.
system: How does finding support help eczema?
output: Your skin condition can add to your daily stress. You might feel like you just can't get comfortable. It helps to talk with other people who have the same problem and know what you're going through. They might even have advice on new things you can try to feel better. Look for support groups for eczema online or find one that meets in your community.
system: How does getting good sleep help eczema?
output: A good night's rest can lower your stress. But it's not always easy to sleep when your skin is itchy. If eczema is keeping you up at night, talk with your doctor about how to get a better handle on your symptoms. You can try taking an antihistamine before bed. This type of medicine can ease itching, and it can make you sleepy.
system: How does exercise help eczema?
output: It's one of the best stress-busters around. Whether you like walking, swimming, or playing tennis, exercise can make you feel better overall. But if sweat is a trigger for your eczema, take a cool or lukewarm shower soon after your workout to wash it off.
system: How does asking for help improve eczema?
output: If eczema is keeping you up at night, talk with your doctor about how to get a better handle on your symptoms. She can talk to you about other treatments or support resources that can help.
system: How does stress affect eczema?
output: If you already have it because of eczema, that boost will make your symptoms worse. The key is to try to manage your stress. It might be one of the best ways to help keep your disease in check. Your skin condition can add to your daily stress.
system: Is slowing down important for managing stress?
output: Modern life is so busy, and sometimes we just need to slow down and chill out. Look at your life and find small ways you can do that. For example: Set your watch 5 to 10 minutes ahead. That way you'll get places a little early and avoid the stress of being late. When you're driving on the highway, switch to the slow lane so you can avoid road rage. Break down big jobs into smaller ones. For example, don't try to answer all 100 emails if you don't have to -- just answer a few of them.
system: Is eating well important for managing stress?
output: Eating a regular, well-balanced diet will help you feel better in general. It may also help control your moods. Your meals should be full of vegetables, fruit, whole grains, and lean protein for energy. And don't skip any. It's not good for you and can put you in a bad mood, which can actually increase your stress.
system: Is talking about your problems important for managing stress?
output: Relaxing hobbies include things like: Reading Knitting Doing an art project Playing golf Watching a movie Doing puzzles Playing cards and board games If things are bothering you, talking about them can help lower your stress. You can talk to family members, friends, a trusted clergyman, your doctor, or a therapist. And you can also talk to yourself. It's called self-talk and we all do it. But in order for self-talk to help reduce stress you need to make sure it's positive and not negative. So listen closely to what you're thinking or saying when you're stressed out. If you're giving yourself a negative message, change it to a positive one. For example, don't tell yourself â I can't do this.â Tell yourself instead: â I can do this,â or â I'm doing the best I can.â Accept that you can't do things perfectly no matter how hard you try.
system: Is it important to go easy on yourself to manage stress?
output: For example, don't tell yourself â I can't do this.â Tell yourself instead: â I can do this,â or â I'm doing the best I can.â Accept that you can't do things perfectly no matter how hard you try. You also can't control everything in your life. So do yourself a favor and stop thinking you can do so much. And don't forget to keep up your sense of humor. Laughter goes a long way towards making you feel relaxed.
system: Is making time for hobbies important for managing stress?
output: Restful things you can do include: Meditation Yoga Tai chi Prayer Listening to your favorite music Spending time in nature You need to set aside time for things you enjoy. Try to do something every day that makes you feel good, and it will help relieve your stress. It doesn't have to be a ton of time -- even 15 to 20 minutes will do. Relaxing hobbies include things like: Reading Knitting Doing an art project Playing golf Watching a movie Doing puzzles Playing cards and board games If things are bothering you, talking about them can help lower your stress.
system: Is exercise important for managing stress?
output: Working out regularly is one of the best ways to relax your body and mind. Plus, exercise will improve your mood. But you have to do it often for it to pay off.
system: Is it important to eliminate your triggers in order to manage stress?
output: It may also help control your moods. So listen closely to what you're thinking or saying when you're stressed out. If you can't identify the main causes of your stress, try keeping a stress journal. Make note of when you become most anxious and see if you can determine a pattern, then find ways to remove or lessen those triggers.
system: How much should you exercise every week to manage stress?
output: Work up to 2 hours and 30 minutes of moderately intense exercise like brisk walks or 75 minutes of a more vigorous exercise like swimming laps, jogging or other sports. Do this for 5 to 10 minutes at a time.
system: Is relaxing your muscles important for managing stress?
output: You can help loosen them up on your own and refresh your body by: Stretching Enjoying a massage Taking a hot bath or shower Getting a good night's sleep Stopping and taking a few deep breaths can take the pressure off you right away. So listen closely to what you're thinking or saying when you're stressed out.
system: Is taking a break important for managing stress?
output: But you need to set time aside to unwind or your mental and physical health can suffer. Do this for 5 to 10 minutes at a time. But stick with it and you'll look forward to these moments. Restful things you can do include: Meditation Yoga Tai chi Prayer Listening to your favorite music Spending time in nature You need to set aside time for things you enjoy.
system: What are the signs of sundowning?
output: When someone is sundowning, they may be: Agitated (upset or anxious) Restless Irritable Confused Disoriented Demanding Suspicious They also may: Yell Pace Hear or see things that aren't there Have mood swings Up to 1 out of 5 people with Alzheimer's get sundown syndrome.
system: What should I do if my loved one has sundowning?
output: Stay calm. Ask your loved one if they need something. Remind them what time it is. Don't argue with them. Reassure them. Tell them everything is OK. If they need to get up and move around or pace, don't try to hold them back. Just stay close by to keep an eye on them. Keep them safe with night-lights and locks on doors or windows. Use a gate to block the stairs, and put away anything dangerous, like kitchen tools. Also, consider getting a baby monitor, motion detectors, or door sensors. They can let you know if your loved one is walking around.
system: What triggers sundowning?
output: It may be more likely if your loved one is: Too tired Hungry or thirsty Depressed In pain Bored Having sleep problems What happens around someone can also set off sundowning symptoms. Some triggers are: Less light and more shadows in the house. This can cause confusion and fear. Trouble separating dreams from reality. This can be disorienting. If you feel tired or frustrated at the end of a day of caregiving, your loved one may notice, even without you saying anything. This can upset them, too. It's normal for you, as a caregiver, to have feelings like that. Try to be aware of how you manage those emotions if you think that might make a difference.
system: How can I get sleep if I'm caring for someone who's sundowning?
output: Sundowning can make it hard for you to get restful sleep. And you need to take care of yourself in order to be there for your loved one. You can: Ask a friend or relative to fill in for you at night. Try to get a daytime nap. Take breaks whenever you can during the day. Hire a home health care service for backup. Other ways to take care of yourself are to exercise, eat healthy, spend time with friends, and try to find time -- even if it's not a lot -- for your own hobbies and interests. Consider joining a caregiver's support group, too.
system: What causes sundowning?
output: Doctors call it sundowning, or sundown syndrome. Some scientists think that changes in the brain of someone with dementia might affect their inner âbody clock.â The area of the brain that signals when you're awake or asleep breaks down in people with Alzheimer's. That could cause sundowning. It may be more likely if your loved one is: Too tired Hungry or thirsty Depressed In pain Bored Having sleep problems What happens around someone can also set off sundowning symptoms.
system: When should I let my doctor know about my symptoms of cancer-related fatigue?
output: Decreased nutrition from the side effects of treatments (such as nausea, vomiting, mouth sores, taste changes, heartburn, or diarrhea) can cause fatigue.
system: How does scheduled rest combat cancer-related fatigue?
output: Schedule rest Balance periods of rest and work. Rest before you become fatigued -- frequent, short rests are beneficial.
system: What is tiredness?
output: Tiredness happens to everyone -- it's a feeling you expect after certain activities or at the end of the day. Usually, you know why you are tired and a good night's sleep solves the problem. Fatigue is a daily lack of energy; it is excessive whole-body tiredness not relieved by sleep.
system: How does someone fight cancer-related fatigue?
output: The best way to combat fatigue is to treat the underlying medical cause. Unfortunately, the exact cause is often unknown, or there may be multiple causes. Causes of fatigue must be managed on an individual basis. For example, there are treatments that may improve fatigue caused by an under-active thyroid or anemia.
system: How does nutrition affect cancer-related fatigue?
output: Cancer-related fatigue is often made worse if you are not eating or drinking enough or if you are not eating the right foods. Maintaining good nutrition can help you feel better and have more energy. Make an appointment with a dietitian. A registered dietitian provides suggestions to work around any eating problems that may be interfering with proper nutrition (such as early feeling of fullness, swallowing difficulty, or taste changes). A dietitian can also suggest ways to maximize calories and include proteins in smaller amounts of food (such as powdered milk, instant breakfast drinks, and other commercial supplements or food additives).
system: How does pacing yourself combat cancer-related fatigue?
output: Pace yourself A moderate pace is better than rushing through activities. Reduce sudden or prolonged strains. Alternate sitting and standing.
system: What is fatigue?
output: Fatigue is a daily lack of energy; it is excessive whole-body tiredness not relieved by sleep. It can last for a short time (a month or less) or stay around for longer (six months or longer). Fatigue can prevent you from functioning normally and gets in the way of things you enjoy or need to do.
system: How does exercise affect cancer-related fatigue?
output: Signs may include whole-body tiredness unrelieved by sleep, decreased energy or a lack of energy, mental and emotional exhaustion, inability to concentrate, weakness, or malaise. Even during cancer therapy, it is often possible to continue exercising. In fact, research has shown that cancer patients who perform a moderate exercise routine have a better quality of life and may have better outcomes. Keep a regular exercise schedule.
system: How does reaching over your head cause cancer-related fatigue?
output: Radiation can cause fatigue that increases over time. Prioritize activities and delegate tasks when needed. Carry several small loads instead of one large one, or use a cart.
system: How do pain and drugs cause cancer-related fatigue?
output: Decreased nutrition from the side effects of treatments (such as nausea, vomiting, mouth sores, taste changes, heartburn, or diarrhea) can cause fatigue. Research shows that pain also plays a role in fatigue.
system: How does organizing your work combat cancer-related fatigue?
output: Here are some suggestions: Plan ahead and organize your work Change storage of items to reduce trips and make them easier to reach. Prioritize activities and delegate tasks when needed. Combine activities and simplify details. Finally, there may be suggestions that are more specific to your situation that would help in combating your fatigue.
system: How does adjusting expectations combat cancer-related fatigue?
output: Research shows that pain also plays a role in fatigue. Adjust your expectations. For example, if you have a list of 10 things you want to accomplish today, pare it down to two and leave the rest for other days. A sense of accomplishment goes a long way to reducing stress.
system: How does stress cause cancer-related fatigue?
output: Stress can result from dealing with the disease and the "unknowns," as well as from worrying about daily accomplishments or trying to meet the expectations of others. One way to sort this out is to try to understand your depressed feelings and how they affect your life. Regular, moderate exercise can decrease these feelings, help you stay active and increase your energy. Managing stress can play an important role in combating cancer-related fatigue.
system: How can friends and family help combat cancer-related fatigue?
output: A physical therapist can be helpful in planning a program for you. Cancer groups can be a source of support, as well. Other people with cancer understand what you are going through.
system: How do hobbies and activities combat cancer-related fatigue?
output: Biologics can also cause fatigue. For example, activities such as knitting, reading, or listening to music require little physical energy but require attention. If your stress seems out of control, talk to a health care professional.