laomobai/llama3-1 huggingface dataset:
system: How long will I need to take tumor necrosis factor (TNF) inhibitors to treat rheumatoid arthritis?
output: You may have to take these medications for a long time. If you go off them because you feel better, your inflammation can come back. Some people can cut down their dose instead of stopping the drugs altogether. Always take your medication as your doctor prescribes.
system: When should you avoid taking tumor necrosis factor inhibitors?
output: You probably shouldn't take your TNF drug while pregnant because doctors don't yet know how they might affect your unborn baby. You may be able to take other treatments for your inflammation while you are pregnant.
system: What should you do if one tumor necrosis factor inhibitor doesn't work well for you?
output: If one TNF inhibitor doesn't work well for you, your doctor may switch you to another to see if it works better.
system: What tumor necrosis factor inhibitors are available for use?
output: Your doctor wil help find one that is available and that's best for you: Adalimumab ( Humira) Adalimumab-adbm ( Cyltezo), a biosimilar to Humira Adalimumab-adaz ( Hyrimoz), a biosimilar to Humira Adalimumab-atto ( Amjevita), a biosimilar to Humira Certolizumab pegol ( Cimzia) Etanercept ( Enbrel) Etanercept-szzs ( Ereizi), a biosimilar to Enbrel Golimumab ( Simponi, Simponi Aria) Infliximab ( Remicade) Infliximab-abda ( Renflexis) a biosimilar to Remicade Infliximab-dyyb ( Inflectra), a biosimilar to Remicade TNF inhibitors are antibodies made in a lab from human or animal tissue.
system: What is a tumor necrosis factor inhibitor?
output: TNF inhibitors are drugs that help stop inflammation. They're used to treat diseases like rheumatoid arthritis ( RA), juvenile arthritis, psoriatic arthritis, plaque psoriasis, ankylosing spondylitis, ulcerative colitis ( UC), and Crohn's disease. They're also called TNF blockers, biologic therapies, or anti- TNF drugs.
system: What infections can be worsened by tumor necrosis factor inhibitors?
output: Your doctor probably will test you for TB and hepatitis B before you start taking a TNF inhibitor to make sure you don't have either of those without knowing it. The drugs can make the effects of those infections worse. If you need antibiotics for an infection, you may have to stop taking your TNF inhibitor until the infection is cleared up. It's rare, but you also could be at higher risk of getting cancer if you take TNF inhibitors, including lymphoma or skin cancer. Some people may get serious brain reactions. Those with heart failure or multiple sclerosis shouldn't take these drugs.
system: What are the tumor necrosis factor (TNF) inhibitors available for prescription usage?
output: Your doctor wil help find one that is available and that's best for you: Adalimumab ( Humira) Adalimumab-adbm ( Cyltezo), a biosimilar to Humira Adalimumab-adaz ( Hyrimoz), a biosimilar to Humira Adalimumab-atto ( Amjevita), a biosimilar to Humira Certolizumab pegol ( Cimzia) Etanercept ( Enbrel) Etanercept-szzs ( Ereizi), a biosimilar to Enbrel Golimumab ( Simponi, Simponi Aria) Infliximab ( Remicade) Infliximab-abda ( Renflexis) a biosimilar to Remicade Infliximab-dyyb ( Inflectra), a biosimilar to Remicade TNF inhibitors are antibodies made in a lab from human or animal tissue.
system: Can I switch tumor necrosis factor (TNF) inhibitors that I use to treat rheumatoid arthritis?
output: If you need antibiotics for an infection, you may have to stop taking your TNF inhibitor until the infection is cleared up.
system: Will I get tested for tuberculosis and hepatitis B before I start taking tumor necrosis factor (TNF) inhibitors to treat rheumatoid arthritis?
output: Your doctor probably will test you for TB and hepatitis B before you start taking a TNF inhibitor to make sure you don't have either of those without knowing it. The drugs can make the effects of those infections worse.
system: Should I be up to date on all vaccines if I'm going to take tumor necrosis factor (TNF) inhibitors to treat rheumatoid arthritis?
output: You should make sure you're up to date on all vaccines before taking TNF medications because after you start taking them, your immune system could be diminished. And you shouldn't get live viruses while taking these drugs because of possible adverse reactions and they can interfere with how well the vaccines work.
system: Can I take tumor necrosis factor (TNF) inhibitors if I'm also taking antibiotics for an infection?
output: If you need antibiotics for an infection, you may have to stop taking your TNF inhibitor until the infection is cleared up.
system: What are the side effects of tumor necrosis factor (TNF) inhibitors used to treat rheumatoid arthritis?
output: Like any drug, TNF inhibitors may have side effects. You may have redness, burning, or itching where the needle goes into your skin. This usually goes away in a few days. Other possible side effects include: Coughing Headaches Heartburn Nausea or vomiting Stomach pain Weakness A few people have a serious allergic reaction.
system: How common is diabetic neuropathy?
output: Anywhere from 60%-70% of people with diabetes have some sort of neuropathy. Most get it after having the disease for 10 years or more. There are many types.
system: What is peripheral neuropathy?
output: This is the most common form of diabetic joint pain. It can affect your legs, arms, hands, feet, fingers, and toes. With ongoing diabetes, joints can no longer respond like they should to the strain and stress placed on them. As a result, they sustain small traumas and even tiny breaks called microfractures.
system: What is diabetic nerve pain?
output: It could be: Muscle strains or sprains A broken or dislocated bone Gout Hypothyroidism Leukemia Lupus Osteoarthritis Rickets Lyme disease Rheumatoid arthritis Your doctor might call it diabetic neuropathy. It's pain in your nerves, not in your bones. It happens when high blood sugar harms the nerve fibers. You can get it anywhere in your body, but it most often affects your legs and feet.
system: What are causes of joint pain?
output: If you have it, you'll probably notice changes to your joint like: Stiffness Less range in motion Swelling Redness Tenderness or warmth A tougher time using it A difference in shape The causes of joint pain vary greatly. It could be: Muscle strains or sprains A broken or dislocated bone Gout Hypothyroidism Leukemia Lupus Osteoarthritis Rickets Lyme disease Rheumatoid arthritis Your doctor might call it diabetic neuropathy.
system: What is joint pain and how common is it?
output: It's the leading cause of disability in the U. S. It affects more than 50 million adults. Often referred to as arthritis, it's broadly defined as discomfort where two or more bones meet. Though often mild, sometimes sporadic, and rarely an emergency, the pain can be severe, making it hard to move the joint.
system: What does it feel like to have joint pain?
output: If you have it, you'll probably notice changes to your joint like: Stiffness Less range in motion Swelling Redness Tenderness or warmth A tougher time using it A difference in shape The causes of joint pain vary greatly.
system: What is autonomic neuropathy?
output: This affects the part of your nervous system that controls your heart, lungs, bladder, digestive tract, sex organs, and eyes. It also goes after your blood vessels and can increase blood flow to your limbs.
system: What are the symptoms of autonomic neuropathy?
output: Symptoms include: Bladder problems, including incontinence and urinary tract infections Constipation Diarrhea Nausea and vomiting Trouble swallowing Erectile dysfunction in men Vaginal dryness in women Increased or decreased sweating Lack of awareness of lower blood sugar levels Sharp drops in blood pressure Increased heart rate So if you have joint pain and one or more of the above symptoms, diabetic autonomic neuropathy might be the culprit.
system: When should I call my doctor after treatment for prostate cancer?
output: When you go home from the hospital after prostate cancer treatment, call your doctor if you have: A fever higher than 101 degrees Fahrenheit Increased pain not eased by pain medication Trouble urinating, such as an inability to urinate at all, pain with urination, blood in the urine (when it is not expected), or unusually frequent urination
system: When can I start driving after prostate cancer surgery?
output: Small pieces of tape (called Steri- Strips), if used, may remain over the incision site and may be removed 10 to 14 days after surgery. Ask your doctor for specific advice.
system: Why are women more prone to oral health problems?
output: Women may be more susceptible to oral health problems because of the unique hormonal changes they experience. Hormones affect not only the blood supply to the gum tissue but also the body's response to the toxins (poisons) that result from plaque buildup.
system: When are women more at risk for oral health problems?
output: There are five situations in a women's life during which hormone fluctuations make them more susceptible to oral health problems â during puberty, at certain points in the monthly menstrual cycle, when using birth control pills, during pregnancy, and at menopause.
system: What are tips to prevent oral health problems?
output: Some tips for preventing oral health problems like gum disease and tooth decay include: Brush your teeth at least twice a day with a fluoride-containing toothpaste. Floss and rinse with an antiseptic mouthwash at least once a day. Visit your dentist twice a year for a professional oral examination and cleaning. Eat a well balanced diet. Avoid sugary or starchy snacks. Ask your dentist if he or she thinks you should use an antimicrobial mouth rinse. If you have dry mouth, ask your dentist about treatments for this condition, such as artificial saliva. Biotene is one such product and is available over the counter.
system: Why are women more at risk for oral health problems during the use of birth control pills?
output: Hormones affect not only the blood supply to the gum tissue but also the body's response to the toxins (poisons) that result from plaque buildup. Use of birth control pills Women who take certain birth control pills that contain progesterone, which increases the level of that hormone in the body, may experience inflamed gum tissues due to the body's exaggerated reaction to the toxins produced from plaque. Tell your dentist if you are taking an oral contraceptive.
system: What results can you expect from pulmonary rehabilitation for COPD?
output: You're usually able to do more things without becoming short of breath. In a large analysis of some programs, nearly all people in pulmonary rehab had seen their symptoms get better. Almost all of them reported feeling: Less short of breath More energetic More in control of their COPD Being in rehab may help prevent you from going to the hospital because of COPD flare-ups, or âexacerbations.â Even people with advanced lung disease can get something out of rehab. For people who keep up their exercise level, the benefits from pulmonary rehab can last for years.
system: How does pulmonary rehabilitation help you manage your COPD?
output: Many pulmonary rehab programs offer group or one-on-one education sessions to help you learn to better manage your COPD. Sessions might focus on things such as: Understanding your medication treatment plan.
system: How does pulmonary rehabilitation help with COPD?
output: Basically, it's a formal program that will build your fitness and help you breathe as well as you possibly can. Pulmonary rehab will help you with: Exercise Breathing techniques Nutrition Relaxation Emotional and group support Learning more about your medications Strategies for living better with COPD To join a program, you'll probably need a referral from your doctor and a test that shows you've had COPD in the past year.
system: How do doctors decide which medication to prescribe for epilepsy?
output: Even the best doctors don't know which drug will work best for any given person. As part of managing the condition, your doctors will try to get a sense of the full picture: your type of seizures, your age and gender, other medical conditions, medicines you're on or may be on later, and epilepsy drugs you've tried in the past. Based on that information, she may narrow down the field to a few drugs to try. But after that, it's an educated leap of faith.
system: Can you switch your epilepsy medication to generic drugs?
output: Switching to a generic can lower the price tag of living with epilepsy. Other people don't choose to switch; their insurance company substitutes generic drugs for them. Though generics save money, there is concern. One generic drug is often switched for another, on as frequently as a monthly basis. Although generic drugs are tightly regulated by the FDA, small differences are allowed. Most epilepsy experts believe frequent switches among generic drugs can increase chances for seizures. Until scientific studies settle the issue, they generally advise sticking with brand-name drugs if you can afford them.
system: How effective are epilepsy medications?
output: Or you might get your seizures under control but find you can't handle the drug's side effects. Over time, most people become seizure-free with minimal side effects while taking epilepsy drugs. Your doctor will work closely with you to decide on the next drug to try.
system: Why is it important to make sure that a donor and recipient are a good match before doing an organ transplant?
output: The transplant team will put you through a series of tests to determine whether your blood and tissue types are compatible with the recipient's. Some medical centers can transplant an organ even if the donor's and recipient's blood and tissue types don't match. In that case, the recipient will receive special treatments to prevent his or her body from rejecting the donor organ.
system: How can you become an organ donor?
output: To donate your organs after death, you can either register with your state's donor registry (visit Organ Donor.gov), or fill out an organ donor card when you get or renew your driver's license. To become a living donor, you can either work directly with your family member or friend's transplant team, or contact a transplant center in your area to find out who's in need of an organ.
system: How is alcohol withdrawal diagnosed?
output: Those that do may also have: Confusion Racing heart High blood pressure Fever Heavy sweating If the doctor thinks you might have it, he'll ask you questions about your drinking history and how recently you stopped. He'll want to know if you've ever gone through withdrawal before. He'll also discuss your symptoms. During an exam, he'll look for other medical conditions to see if they could be to blame.
system: What are the symptoms of alcohol withdrawal?
output: They can range from mild to serious. What yours are depends on how much you drank and for how long. Mild symptoms usually show up as early as 6 hours after you put down your glass. They can include: Anxiety Shaky hands Headache Nausea Vomiting Insomnia Sweating More serious problems range from hallucinations about 12 to 24 hours after that last drink to seizures within the first 2 days after you stop.
system: What causes alcohol withdrawal?
output: It slows down brain function and changes the way your nerves send messages back and forth. Over time, your central nervous system adjusts to having alcohol around all the time. Your body works hard to keep your brain in a more awake state and to keep your nerves talking to one another. When the alcohol level suddenly drops, your brain stays in this keyed up state. That's what causes withdrawal.
system: What is alcohol withdrawal?
output: This is called alcohol withdrawal. Symptoms can range from mild to serious. What yours are depends on how much you drank and for how long.
system: What is the treatment for alcohol withdrawal?
output: But if you've gone through alcohol withdrawal once, you're more likely to go through it again the next time you call it quits. That includes: A quiet place Soft lighting Limited contact with people A positive, supportive atmosphere Healthy food and lots of fluids If your blood pressure, pulse, or body temperature rises, or if you have more serious symptoms like seizures and hallucinations, your doctor could suggest inpatient care and drug treatment. Common medications include benzodiazepines to help treat symptoms like anxiety, insomnia, and seizures. You might also take anti-seizure meds and antipsychotics, along with other drugs.
system: Can you prevent alcohol withdrawal?
output: This is called alcohol withdrawal. When you talk to your doctor about symptom relief, it's a good idea to discuss treatment for alcohol abuse or dependence. The doctor can give you advice to help you stop drinking.
system: How can I get pelvic pain?
output: !s_sensitive, chron ID: $('article embeded_module[type=video][align=top]:eq(0)').attr('chronic_id'), continuous Play: true, cp Options: { flyout: true }, display Ads: true, mode: 'in-article', sticky: true }) }); }); } else { $(function(){ $('.responsive-video-container').remove(); }); } Although pelvic pain often refers to pain in the region of women's internal reproductive organs, pelvic pain can be present in men, too, and can stem from multiple causes. Pelvic pain may be a symptom of infection or may arise from pain in the pelvic bone or in non-reproductive internal organs, such as the bladder or colon. In women, however, pelvic pain can very well be an indication that there may be a problem with one of the reproductive organs in the pelvic area (uterus, ovaries, fallopian tubes, cervix, or vagina).
system: How is pelvic pain treated?
output: Other tests that may be given include: Blood and urine tests Pregnancy tests in females of reproductive age Vaginal or penile cultures to check for sexually transmitted diseases such as gonorrhea and/or chlamydia Abdominal and pelvic X-rays Bone density screening (special type of X-ray to determine the strength of bone) Diagnostic laparoscopy (procedure allowing a direct look at the structures in the pelvis and abdomen) Hysteroscopy (procedure to examine the uterus) Stool test (checking a stool sample for microscopic blood) Lower endoscopy (insertion of a lighted tube to examine the inside of the rectum and part or all of the colon) Ultrasound (test that uses sound waves to provide images of internal organs) CT scan of the abdomen and pelvis (scan that uses X-rays and computers to produce an image of a cross-section of the body) The treatment of pelvic pain varies depending on the cause, how intense the pain is, and how often the pain occurs. Sometimes, pelvic pain is treated with medications, including antibiotics if necessary. If the pain results from a problem with one of the pelvic organs, the treatment may involve surgery or other procedures. A doctor can provide more information about various treatments for pelvic pain.
system: How is the cause of pelvic pain determined?
output: Possible causes of pelvic pain in both men and women may include: Appendicitis Bladder disorders Sexually transmitted diseases Kidney infection or kidney stones Intestinal disorders Nerve conditions Hernia Pelvis disorder Broken pelvis Psychogenic pain Possible causes of pelvic pain in women only may include: Ectopic pregnancy Miscarriage Pelvic inflammatory disease Ovulation Menstrual cramps Ovarian cysts or other ovarian disorders Fibroids Endometriosis Uterine cancer Cervical cancer Worsening of menstrual cramps Menstrual pain Vaginal bleeding, spotting or discharge Painful or difficult urination Constipation or diarrhea Bloating or gas Blood seen with a bowel movement Pain during intercourse Fever or chills Pain in the hip area Pain in the groin area To determine what is causing pelvic pain, your doctor will first ask you several questions about your symptoms and past medical problems. He or she will also perform a physical exam and may offer you tests to determine what is causing your pain. Other tests that may be given include: Blood and urine tests Pregnancy tests in females of reproductive age Vaginal or penile cultures to check for sexually transmitted diseases such as gonorrhea and/or chlamydia Abdominal and pelvic X-rays Bone density screening (special type of X-ray to determine the strength of bone) Diagnostic laparoscopy (procedure allowing a direct look at the structures in the pelvis and abdomen) Hysteroscopy (procedure to examine the uterus) Stool test (checking a stool sample for microscopic blood) Lower endoscopy (insertion of a lighted tube to examine the inside of the rectum and part or all of the colon) Ultrasound (test that uses sound waves to provide images of internal organs) CT scan of the abdomen and pelvis (scan that uses X-rays and computers to produce an image of a cross-section of the body) The treatment of pelvic pain varies depending on the cause, how intense the pain is, and how often the pain occurs.
system: What symptoms suggest problematic pelvic pain?
output: Possible causes of pelvic pain in both men and women may include: Appendicitis Bladder disorders Sexually transmitted diseases Kidney infection or kidney stones Intestinal disorders Nerve conditions Hernia Pelvis disorder Broken pelvis Psychogenic pain Possible causes of pelvic pain in women only may include: Ectopic pregnancy Miscarriage Pelvic inflammatory disease Ovulation Menstrual cramps Ovarian cysts or other ovarian disorders Fibroids Endometriosis Uterine cancer Cervical cancer Worsening of menstrual cramps Menstrual pain Vaginal bleeding, spotting or discharge Painful or difficult urination Constipation or diarrhea Bloating or gas Blood seen with a bowel movement Pain during intercourse Fever or chills Pain in the hip area Pain in the groin area To determine what is causing pelvic pain, your doctor will first ask you several questions about your symptoms and past medical problems.
system: What should I ask my doctor if I have chronic constipation?
output: Since you were recently diagnosed with chronic constipation, ask your doctor these questions at your next visit. What is chronic constipation? Can the medications I take be the cause of chronic constipation? Are psyllium powder mixes or other over-the-counter ( OTC) remedies effective for ending constipation? How can exercise help me avoid chronic constipation?
system: When is radiation therapy used to treat a prolactinoma?
output: In rare cases, radiation therapy is used if medicine and surgery don't bring down prolactin levels. This works for about 1 in 3 people.
system: When is surgery needed to treat a prolactinoma?
output: If medication doesn't shrink the tumor, or you can't take it because of side effects (like nausea or dizziness), your doctor may recommend surgery to take the tumor out through your nasal cavity. This returns prolactin levels to normal for about 80% of people with small tumors. But it's successful for only 30% to 40% of people with larger tumors.
system: Which women are more likely to get a prolactinoma?
output: For women, typical symptoms of a small tumor include: Irregular menstrual periods Lack of menstrual periods Low sex drive Painful intercourse (caused by vaginal dryness) Problems with fertility Unusual production of breast milk Because changes in a woman's period are obvious, prolactinomas are more likely to be found early in premenopausal women. Postmenopausal women, who no longer get their periods, may not notice symptoms when the tumor is small. When a prolactinoma becomes large, it may press up against other nearby tissues. Symptoms then can include vision loss, vision changes, and headaches.
system: What are the signs of a prolactinoma in women?
output: The signs of a prolactinoma are different in men and women. For women, typical symptoms of a small tumor include: Irregular menstrual periods Lack of menstrual periods Low sex drive Painful intercourse (caused by vaginal dryness) Problems with fertility Unusual production of breast milk Because changes in a woman's period are obvious, prolactinomas are more likely to be found early in premenopausal women.