randomani/MedicalQnA-llama2 huggingface dataset:
This is a medical question of type : exams and tests 
 How to diagnose Vesicoureteral Reflux ? 
 Following diagnosis, children with VUR should have a general medical evaluation that includes blood pressure measurement, as high blood pressure is an indicator of kidney damage. If both kidneys are affected, a childs blood should be tested for creatininea waste product of normal muscle breakdown. Healthy kidneys remove creatinine from the blood; when the kidneys are damaged, creatinine builds up in the blood. The urine may be tested for the presence of protein and bacteria. Protein in the urine is another indication of damaged kidneys.
                
- having to urinate often or suddenly  - long periods of time between bathroom visits  - daytime wetting  - pain in the penis or perineumthe area between the anus and genitals  - posturing to prevent wetting  - constipationa condition in which a child has fewer than two bowel movements in a week; the bowel movements may be painful  - fecal incontinenceinability to hold stool in the colon and rectum, which are parts of the large intestine
This is a medical question of type : treatment 
 What are the treatments for Vesicoureteral Reflux ? 
 The standard treatment for primary VUR has included prompt treatment of UTIs and long-term use of antibiotics to prevent UTIs, also called antimicrobial prophylaxis, until VUR goes away on its own. Antibiotics are bacteria-fighting medications. Surgery has also been used in certain cases.
                
Several studies have raised questions about long-term use of antibiotics for prevention of UTIs. The studies found little or no effect on prevention of kidney damage. Long-term use may also make the child resistant to the antibiotic, meaning the medication does not work as well, and the child may be sicker longer and may need to take medications that are even stronger.
                
- children younger than 1 year of age continuous antibiotics should be used if a child has a history of febrile UTI or VUR grade III through V that was identified through screening  - children older than 1 year of age with BBDcontinuous antibiotics should be used while BBD is being treated  - children older than 1 year of age without BBDcontinuous antibiotics can be used at the discretion of the health care provider but is not automatically recommended; however, UTIs should be promptly treated
                
Deflux, a gellike liquid containing complex sugars, is an alternative to surgery for treatment of VUR. A small amount of Deflux is injected into the bladder wall near the opening of the ureter. This injection creates a bulge in the tissue that makes it harder for urine to flow back up the ureter. The health care provider uses a special tube to see inside the bladder during the procedure. Deflux injection is an outpatient procedure done under general anesthesia, so the child can go home the same day.
This is a medical question of type : treatment 
 What are the treatments for Vesicoureteral Reflux ? 
 Secondary VUR is treated by removing the blockage causing the reflux. Treatment may involve
                
- surgery  - antibiotics  - intermittent catheterizationdraining the bladder by inserting a thin tube, called a catheter, through the urethra to the bladder
This is a medical question of type : considerations 
 What to do for Vesicoureteral Reflux ? 
 Eating, diet, and nutrition have not been shown to play a role in causing or preventing VUR.
This is a medical question of type : considerations 
 What to do for Vesicoureteral Reflux ? 
 - Vesicoureteral reflux (VUR) is the abnormal flow of urine from the bladder to the upper urinary tract.  - VUR is more common in infants and young children, but older children and even adults can be affected. About 10 percent of children have VUR.  - In many cases, a child with VUR has no symptoms. When symptoms are present, the most common is a urinary tract infection (UTI).  - When a child with VUR gets a UTI, bacteria can move into the kidney and lead to scarring. Scarring of the kidney can be associated with high blood pressure and kidney failure.  - Voiding cystourethrogram (VCUG), radionuclide cystogram (RNC), and abdominal ultrasound are used to diagnose VUR.  - Children with VUR should also be assessed for bladder/bowel dysfunction (BBD). Children who have VUR along with any BBD symptoms are at greater risk of kidney damage due to infection.  - The standard treatment for primary VUR has included prompt treatment of UTIs and long-term use of antibiotics to prevent UTIs, also called antimicrobial prophylaxis, until VUR goes away on its own. Surgery has also been used in certain cases.  - Secondary VUR is treated by removing the blockage causing the reflux.
This is a medical question of type : information 
 What is (are) Ulcerative Colitis ? 
 Ulcerative colitis is a chronic, or long lasting, disease that causes inflammationirritation or swellingand sores called ulcers on the inner lining of the large intestine.
                
Ulcerative colitis is a chronic inflammatory disease of the gastrointestinal (GI) tract, called inflammatory bowel disease (IBD). Crohn's disease and microscopic colitis are the other common IBDs. More information is provided in the NIDDK health topics, Crohn's Disease and Microscopic Colitis: Collagenous Colitis and Lymphocytic Colitis.
                
Ulcerative colitis most often begins gradually and can become worse over time. Symptoms can be mild to severe. Most people have periods of remissiontimes when symptoms disappearthat can last for weeks or years. The goal of care is to keep people in remission long term.
                
Most people with ulcerative colitis receive care from a gastroenterologist, a doctor who specializes in digestive diseases.
This is a medical question of type : information 
 What is (are) Ulcerative Colitis ? 
 The large intestine is part of the GI tract, a series of hollow organs joined in a long, twisting tube from the mouth to the anusan opening through which stool leaves the body. The last part of the GI tract, called the lower GI tract, consists of the large intestinewhich includes the appendix, cecum, colon, and rectumand anus. The intestines are sometimes called the bowel.
                
The large intestine is about 5 feet long in adults and absorbs water and any remaining nutrients from partially digested food passed from the small intestine. The large intestine changes waste from liquid to a solid matter called stool. Stool passes from the colon to the rectum. The rectum is located between the lower, or sigmoid, colon and the anus. The rectum stores stool prior to a bowel movement, when stool moves from the rectum to the anus and out of a person's body.
This is a medical question of type : causes 
 What causes Ulcerative Colitis ? 
 The exact cause of ulcerative colitis is unknown. Researchers believe the following factors may play a role in causing ulcerative colitis:
                
- overactive intestinal immune system  - genes  - environment
                
Overactive intestinal immune system. Scientists believe one cause of ulcerative colitis may be an abnormal immune reaction in the intestine. Normally, the immune system protects the body from infection by identifying and destroying bacteria, viruses, and other potentially harmful foreign substances. Researchers believe bacteria or viruses can mistakenly trigger the immune system to attack the inner lining of the large intestine. This immune system response causes the inflammation, leading to symptoms.
                
Genes. Ulcerative colitis sometimes runs in families. Research studies have shown that certain abnormal genes may appear in people with ulcerative colitis. However, researchers have not been able to show a clear link between the abnormal genes and ulcerative colitis.
                
Environment. Some studies suggest that certain things in the environment may increase the chance of a person getting ulcerative colitis, although the overall chance is low. Nonsteroidal anti-inflammatory drugs,1 antibiotics,1 and oral contraceptives2 may slightly increase the chance of developing ulcerative colitis. A high-fat diet may also slightly increase the chance of getting ulcerative colitis.3
                
Some people believe eating certain foods, stress, or emotional distress can cause ulcerative colitis. Emotional distress does not seem to cause ulcerative colitis. A few studies suggest that stress may increase a person's chance of having a flare-up of ulcerative colitis. Also, some people may find that certain foods can trigger or worsen symptoms.
This is a medical question of type : symptoms 
 What are the symptoms of Ulcerative Colitis ? 
 The most common signs and symptoms of ulcerative colitis are diarrhea with blood or pus and abdominal discomfort. Other signs and symptoms include
                
- an urgent need to have a bowel movement  - feeling tired  - nausea or loss of appetite  - weight loss  - fever  - anemiaa condition in which the body has fewer red blood cells than normal
                
Less common symptoms include
                
- joint pain or soreness  - eye irritation  - certain rashes
                
The symptoms a person experiences can vary depending on the severity of the inflammation and where it occurs in the intestine. When symptoms first appear,
                
- most people with ulcerative colitis have mild to moderate symptoms  - about 10 percent of people can have severe symptoms, such as frequent, bloody bowel movements; fevers; and severe abdominal cramping1
This is a medical question of type : considerations 
 What to do for Ulcerative Colitis ? 
 Researchers have not found that eating, diet, and nutrition play a role in causing ulcerative colitis symptoms. Good nutrition is important in the management of ulcerative colitis, however. Dietary changes can help reduce symptoms. A health care provider may recommend dietary changes such as
                
- avoiding carbonated drinks  - avoiding popcorn, vegetable skins, nuts, and other high-fiber foods while a person has symptoms  - drinking more liquids  - eating smaller meals more often  - keeping a food diary to help identify troublesome foods
                
Health care providers may recommend nutritional supplements and vitamins for people who do not absorb enough nutrients.
                
To help ensure coordinated and safe care, people should discuss their use of complementary and alternative medical practices, including their use of dietary supplements and probiotics, with their health care provider. Read more at www.nccam.nih.gov/health/probiotics.
                
Depending on a person's symptoms or medications, a health care provider may recommend a specific diet, such as a
                
- high-calorie diet  - lactose-free diet  - low-fat diet  - low-fiber diet  - low-salt diet
                
People should speak with a health care provider about specific dietary recommendations and changes.
This is a medical question of type : complications 
 What are the complications of Ulcerative Colitis ? 
 Complications of ulcerative colitis can include
                
- rectal bleedingwhen ulcers in the intestinal lining open and bleed. Rectal bleeding can cause anemia, which health care providers can treat with diet changes and iron supplements. People who have a large amount of bleeding in the intestine over a short period of time may require surgery to stop the bleeding. Severe bleeding is a rare complication of ulcerative colitis.  - dehydration and malabsorbtion, which occur when the large intestine is unable to absorb fluids and nutrients because of diarrhea and inflammation. Some people may need IV fluids to replace lost nutrients and fluids.  - changes in bones. Some corticosteroid medications taken to treat ulcerative colitis symptoms can cause      - osteoporosisthe loss of bone    - osteopenialow bone density
                
Health care providers will monitor people for bone loss and can recommend calcium and vitamin D supplements and medications to help prevent or slow bone loss.
                
- inflammation in other areas of the body. The immune system can trigger inflammation in the      - joints    - eyes    - skin    - liver
                
Health care providers can treat inflammation by adjusting medications or prescribing new medications.
                
- megacolona serious complication that occurs when inflammation spreads to the deep tissue layers of the large intestine. The large intestine swells and stops working. Megacolon can be a life-threatening complication and most often requires surgery. Megacolon is a rare complication of ulcerative colitis.
                

                
Ulcerative Colitis and Colon Cancer   People with ulcerative colitis may be more likely to develop colon cancer when   - ulcerative colitis affects the entire colon   - a person has ulcerative colitis for at least 8 years   - inflammation is ongoing   - people also have primary sclerosing cholangitis, a condition that affects the liver   - a person is male    People who receive ongoing treatment and remain in remission may reduce their chances of developing colon cancer.   People with ulcerative colitis should talk with their health care provider about how often they should get screened for colon cancer. Screening can include colonoscopy with biopsies or a special dye spray called chromoendoscopy.   Health care providers may recommend colonoscopy every 1 to 3 years for people with ulcerative colitis who have   - the disease in one-third or more or of their colon   - had ulcerative colitis for 8 years    Such screening does not reduce a person's chances of developing colon cancer. Instead, screening can help diagnose cancer early and improve chances for recovery.   Surgery to remove the entire colon eliminates the risk of colon cancer.
This is a medical question of type : considerations 
 What to do for Ulcerative Colitis ? 
 - Ulcerative colitis is a chronic, or long lasting, disease that causes inflammationirritation or swellingand sores called ulcers on the inner lining of the large intestine.  - The exact cause of ulcerative colitis is unknown. Researchers believe that factors such as an overactive intestinal immune system, genes, and environment may play a role in causing ulcerative colitis.  - Ulcerative colitis can occur in people of any age. However, it is more likely to develop in people      - between the ages of 15 and 30    - older than 60    - who have a family member with inflammatory bowel disease (IBD)    - of Jewish descent    - The most common signs and symptoms of ulcerative colitis are diarrhea with blood or pus and abdominal discomfort.  - A health care provider diagnoses ulcerative colitis with the following:      - medical and family history    - physical exam    - lab tests    - endoscopies of the large intestine    - Which treatment a person needs depends on the severity of the disease and symptoms.  - Good nutrition is important in the management of ulcerative colitis. A health care provider may recommend that a person make dietary changes.  - People with ulcerative colitis should talk with their health care provider about how often they should get screened for colon cancer.
This is a medical question of type : information 
 What is (are) Short Bowel Syndrome ? 
 Short bowel syndrome is a group of problems related to poor absorption of nutrients. Short bowel syndrome typically occurs in people who have
                
- had at least half of their small intestine removed and sometimes all or part of their large intestine removed  - significant damage of the small intestine  - poor motility, or movement, inside the intestines
                
Short bowel syndrome may be mild, moderate, or severe, depending on how well the small intestine is working.
                
People with short bowel syndrome cannot absorb enough water, vitamins, minerals, protein, fat, calories, and other nutrients from food. What nutrients the small intestine has trouble absorbing depends on which section of the small intestine has been damaged or removed.
This is a medical question of type : information 
 What is (are) Short Bowel Syndrome ? 
 The small intestine is the tube-shaped organ between the stomach and large intestine. Most food digestion and nutrient absorption take place in the small intestine. The small intestine is about 20 feet long and includes the duodenum, jejunum, and ileum:
                
duodenumthe first part of the small intestine, where iron and other minerals are absorbed
                
jejunumthe middle section of the small intestine, where carbohydrates, proteins, fat, and most vitamins are absorbed
                
ileumthe lower end of the small intestine, where bile acids and vitamin B12 are absorbed
This is a medical question of type : information 
 What is (are) Short Bowel Syndrome ? 
 The large intestine is about 5 feet long in adults and absorbs water and any remaining nutrients from partially digested food passed from the small intestine. The large intestine then changes waste from liquid to a solid matter called stool.
This is a medical question of type : causes 
 What causes Short Bowel Syndrome ? 
 The main cause of short bowel syndrome is surgery to remove a portion of the small intestine. This surgery can treat intestinal diseases, injuries, or birth defects.
                
Some children are born with an abnormally short small intestine or with part of their bowel missing, which can cause short bowel syndrome. In infants, short bowel syndrome most commonly occurs following surgery to treat necrotizing enterocolitis, a condition in which part of the tissue in the intestines is destroyed.1
                
Short bowel syndrome may also occur following surgery to treat conditions such as
                
- cancer and damage to the intestines caused by cancer treatment  - Crohn's disease, a disorder that causes inflammation, or swelling, and irritation of any part of the digestive tract  - gastroschisis, which occurs when the intestines stick out of the body through one side of the umbilical cord  - internal hernia, which occurs when the small intestine is displaced into pockets in the abdominal lining  - intestinal atresia, which occurs when a part of the intestines doesn't form completely  - intestinal injury from loss of blood flow due to a blocked blood vessel  - intestinal injury from trauma  - intussusception, in which one section of either the large or small intestine folds into itself, much like a collapsible telescope  - meconium ileus, which occurs when the meconium, a newborn's first stool, is thicker and stickier than normal and blocks the ileum  - midgut volvulus, which occurs when blood supply to the middle of the small intestine is completely cut off  - omphalocele, which occurs when the intestines, liver, or other organs stick out through the navel, or belly button
                
Even if a person does not have surgery, disease or injury can damage the small intestine.
This is a medical question of type : frequency 
 How many people are affected by Short Bowel Syndrome ? 
 Short bowel syndrome is a rare condition. Each year, short bowel syndrome affects about three out of every million people.1
This is a medical question of type : symptoms 
 What are the symptoms of Short Bowel Syndrome ? 
 The main symptom of short bowel syndrome is diarrhealoose, watery stools. Diarrhea can lead to dehydration, malnutrition, and weight loss. Dehydration means the body lacks enough fluid and electrolyteschemicals in salts, including sodium, potassium, and chlorideto work properly. Malnutrition is a condition that develops when the body does not get the right amount of vitamins, minerals, and nutrients it needs to maintain healthy tissues and organ function. Loose stools contain more fluid and electrolytes than solid stools. These problems can be severe and can be life threatening without proper treatment.
                
Other signs and symptoms may include
                
- bloating  - cramping  - fatigue, or feeling tired  - foul-smelling stool  - heartburn  - too much gas  - vomiting  - weakness
                
People with short bowel syndrome are also more likely to develop food allergies and sensitivities, such as lactose intolerance. Lactose intolerance is a condition in which people have digestive symptomssuch as bloating, diarrhea, and gasafter eating or drinking milk or milk products.
                
More information is provided in the NIDDK health topic, Lactose Intolerance.
This is a medical question of type : complications 
 What are the complications of Short Bowel Syndrome ? 
 The complications of short bowel syndrome may include
                
- malnutrition  - peptic ulcerssores on the lining of the stomach or duodenum caused by too much gastric acid  - kidney stonessolid pieces of material that form in the kidneys  - small intestinal bacterial overgrowtha condition in which abnormally large numbers of bacteria grow in the small intestine
                

                
Seek Help for Signs or Symptoms of Severe Dehydration   People who have any signs or symptoms of severe dehydration should call or see a health care provider right away:   - excessive thirst   - dark-colored urine   - infrequent urination   - lethargy, dizziness, or faintness   - dry skin    Infants and children are most likely to become dehydrated. Parents or caretakers should watch for the following signs and symptoms of dehydration:   - dry mouth and tongue   - lack of tears when crying   - infants with no wet diapers for 3 hours or more   - infants with a sunken soft spot   - unusually cranky or drowsy behavior   - sunken eyes or cheeks   - fever    If left untreated, severe dehydration can cause serious health problems:   - organ damage   - shockwhen low blood pressure prevents blood and oxygen from getting to organs   - comaa sleeplike state in which a person is not conscious
This is a medical question of type : symptoms 
 What are the symptoms of Short Bowel Syndrome ? 
 People who have any signs or symptoms of severe dehydration should call or see a health care provider right away:
                
- excessive thirst  - dark-colored urine  - infrequent urination  - lethargy, dizziness, or faintness  - dry skin
                
Infants and children are most likely to become dehydrated. Parents or caretakers should watch for the following signs and symptoms of dehydration:
                
- dry mouth and tongue  - lack of tears when crying  - infants with no wet diapers for 3 hours or more  - infants with a sunken soft spot  - unusually cranky or drowsy behavior  - sunken eyes or cheeks  - fever
                
If left untreated, severe dehydration can cause serious health problems:
                
- organ damage  - shockwhen low blood pressure prevents blood and oxygen from getting to organs  - comaa sleeplike state in which a person is not conscious
This is a medical question of type : prevention 
 How to prevent Short Bowel Syndrome ? 
 People can ask their health care providers about surgical techniques that minimize scar tissue. Scientists have not yet found a way to prevent short bowel syndrome that is present at birth, as its cause is unknown.
This is a medical question of type : information 
 What is (are) Short Bowel Syndrome ? 
 Intestinal adaptation is a process that usually occurs in children after removal of a large portion of their small intestine. The remaining small intestine goes through a period of adaptation and grows to increase its ability to absorb nutrients. Intestinal adaptation can take up to 2 years to occur, and during this time a person may be heavily dependent on parenteral or enteral nutrition.1
This is a medical question of type : considerations 
 What to do for Short Bowel Syndrome ? 
 Researchers have not found that eating, diet, and nutrition play a role in causing or preventing short bowel syndrome.