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5泌尿科
| 尿尿問題 | 尿尿射精會刺痛，射精會刺痛大概上個禮拜現在不會，龜頭前端尿道口附近有紅紅的沒發現有流出黃色無味類似膿的東西但內褲上有一些分泌物，請問這是啥情形呢最近一次跟陌生女子發生性行為在1個月前沒有用保險套. | 必需說明其實無法由您的簡單描述就判斷病情 若有病變仍建議找專業醫師求診及檢查才不至延誤病情 醫師常需病史詢問視診觸診及檢查才能確定診斷與治療方式 建議有疾病仍應就近尋求皮膚科或泌尿科醫師檢查及治療 再者也建議宜固定性伴侶並全程使用保險套 以減少性病傳染的機會 性伴侶愈多 性病傳染的機會愈多 減少與複雜性伴侶性行為才能減少罹病的途徑 全程使用保險套可減少體液接觸減少罹病機率 並且預防勝於治療 有危險性行為就會有機會得性病 | [
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2牙科
| 下顎骨外露 | 請問醫師 我的左下最後一顆臼齒去做根管治療抽神經 做完後兩個小時卻發現左下犬齒以及旁邊臼齒下方約0.5公分處 出現一大一小兩個白色突起硬塊大的那個硬的跟骨頭一樣無痛感 請問這是甚麼樣的情況 | 上述情形，可能是抽神經過程，牙根尖有細菌感染尚未完全消毒乾淨，可能要經過幾次根管清創及藥物消毒後，才會慢慢痊癒，建議拔牙醫師繼續作根管治療。 | [
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| 泌尿道感染 | 我約6月的時後發現泌尿道感染，尿道口流出銀白色分泌物，小便疼痛，因此馬上去做檢查，發現尿液，還有抽血報告都顯示無菌，沒有問題，單純尿道發炎，一開始當淋病治療，打了一針，加doxycycline症狀改善很多，後來就把抗生素用完後醫生建議可以停藥，不料過了一段時間又復發，就換了其他抗生素，但症狀一直沒有改善，一直到最近我的分泌物才培養出細菌，可是開了相對應的抗生素卻毫無效果，目前使用的抗生素是zyvox，感染科醫師黃馨慧說這是最後一個若是無效可能要轉外科，還有什麼問題或致病菌會造成，尿道發炎，尿道口流膿的症狀，我現在改轉去榮總做檢查，但結果至少要一個禮拜，我已經3個禮拜症狀都沒有改善了自從給黃醫師治療後，我甚至有點想對忠孝醫院提告，本來的小問題開的藥都無效，搞到最後要去外科，這樣可以申請醫療過失嗎 | 您好 服藥未改善就換一個醫師看原因很難說 需要醫師診查用健保卡就可以看到原醫院的檢查資料. 現在醫院很多可以參考台大榮總長庚 祝健康. 目前注意生活多喝水飲料少用辛辣刺激食物要避免 最重要的是安全性行為 祝健康. | [
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| 腹部問題 | 我由於身體有脂肪肝跟多發膽囊息肉最大0.52公分跟左腎泡囊1.50公分還有腎結石0.52公分，所以早上我就開始選擇吃麥片當早餐改善身體，但早上開始左上腹部就感覺有東西卡住一樣，用手去按他會打嗝，然後在我去買午餐的時候，又後腰又有種刺刺麻麻的感覺但持續沒很久，然後到了下午的我上腹卡住的感覺消失了，也拉了一次廁所大便比較散，然後變成左後腰怪怪的，後來有點不確定中腰還是下腰不舒服，但我打這篇文章的時候，左中腰那邊涼涼的怪怪的，還不到無法忍受，但今天禮拜六兩天都沒醫生可以看所以我想請問這是什麼問題需要急診嗎麻煩醫生了。 | 您好： 如果以左上腹的器官分佈來看，有可能是胃部不適的情況機率比較高，另外大腸的橫結腸和降結腸的交界處，及左腎，另外就是胰臟。如果疼痛加劇就盡速就醫。 彰化醫院關心您的健康 蔡安順醫師 | [
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| 術後問題 | 醫師好 去年5月因為車禍鎖骨粉碎性骨折，自費用約五萬多鈦合金鋼板固定，目前預計下周住院取出，因主治醫生有提到螺絲釘取出會有孔洞產生，有骨粉可以選擇是否要填入，大約1cc兩萬多台幣，想請教醫師填孔的好處是什麼？骨粉會不會因為是非自體產生而有抗斥性？您的建議是需要注入還是不需要讓人體自行生長，錢的部分是可以負擔的，但是就是怕說弄巧成拙不如不要，謝謝醫師。 | 骨折如果已經癒合良好才可以取出骨釘 通常拔釘之後是不需填骨粉的 因為它們孔洞都很小 只要保護好不要讓骨頭再次受到撞擊 三個月到半年之後孔洞會自己長滿的 | [
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13肝膽腸胃科
| 腸胃問題 | 前幾天熬夜凌晨三點睡，起床後噁心沒食慾，沒有嘔吐及拉肚子，不是一直持續，但到了吃飯、飯前、飯後就會噁心沒食慾，有時一陣一陣又突然好，在食慾還可以的時候吃了鹹酥雞、冰淇淋也沒事，但之後又會不舒服，中午不吃飯但以前沒有這個情形 需要去看醫生嗎？ 謝謝！ | 您好 可能壓力過大又睡眠不足也盡量不要吃油炸類食物這樣可能會加重不適感建議清淡飲食也不要喝含咖啡因的飲料如果還不改善建議就診胃腸科。 彰化醫院關心您的健康 蔡安順醫師 | [
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2牙科
| 門牙 | 請問一下我的右邊門牙跟在過去的那顆牙齒歪掉了倒置有點報牙但是其他牙齒是整齊的如果要矯正那兩顆牙的話需要多久呢今年20歲 如果我下面那排牙齒也很整齊但是我因為是大餅臉所以腮那邊的骨頭也很寬會建議矯正牙齒讓骨頭縮一些嗎那這樣會跟一班的矯正方法不同嗎 | 一般而言，矯正時會整體評估，雖然只有兩顆牙較凸出，並不見得能只處理局部，需作全面考量。臉頰較寬是否能做矯正改善？同樣需要在檢查後找出問題，才能計畫治療方式。建議至矯正科檢查訂出適合的治療計畫。 | [
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4心臟血管專科
| 肺高壓 | 請問最近我偶爾會喘到沒辦法走路∼不管走路，或爬樓梯，都會覺得喘不過氣來，而且最近實在是太嚴重了∼ 但有時候有突然好一點∼ 可是我只有比較好一點才能出門去看醫生∼喘的時候根本沒力氣出門 所以我去診所測心臟超音波 ∼醫生說只有２２汞柱∼ 請問如果說我有肺高壓 ∼ 要等我發作的時候去測超音波會比較準確∼∼∼ | 您好 心臟超音波可以大略估計肺動脈壓，如超音波偵測到疑似肺高壓，要住院做心導管才能準確確認。喘的原因很多，肺高壓是相對少見的原因，建議您與您的醫師諮詢，是否需進一步檢查與治療。 | [
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| 牙齦問題 | 請問新生兒的牙齦及上顎有白色的點，但確定不是鵝口瘡，有的點是突起來的，那是什麼？ | 小嬰兒牙齦上及上顎的白點通常是一種牙皮層囊腫Dental Lamina Cyst為一種外覆角質化上皮囊腫外觀呈顆粒狀的白色小結節大小約1-3mm通常出現在上顎及上下顎齒槽牙齦黏膜並不會有任何不舒服的症狀並不需要做任何處置一般在小孩慢慢長大後會逐漸消失建議可帶去給牙醫師做進一部的診查 | [
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16腫瘤科
| 頸部問題 | Dear陳醫師： 不好意思又是我、想請問下列問題… 1.我頸部那一粒疑似淋巴結被我發現至今已過三個月了，大小都差不多、沒有明顯變大、那是不是代表沒事、我可以放心了呢？ 2.所謂變大、是指多久呢？之前看過網路文章，說是如果2、3個月長的跟雞蛋一樣大那才是癌症、這是正確的嗎？ 再次由衷的感謝您… | 小可／34／0： 1. 可以放心了， 2. 所謂變大、是指多久呢？ 有些變大是因為感染，1-2周內如果消了，或回復原來大小，就可以 但是我不會說2-3個月再看醫生 3. 之前看過網路文章，說是如果2、3個月長的跟雞蛋一樣大那才是癌症、這是正確的嗎？ 我認為不正確 恭喜你穩定安好 陳斯榮 | [
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6骨科
| 鎖骨 | 請問左鎖骨骨折有植鋼釘，需專人照顧2個月嗎？ | 您好，若左鎖骨粉碎性骨折，植入鋼釘兩個月內是不宜左手出力，所以有些日常生活動作是有可能需要專人照顧2個月的。但休養日期仍應遵照您主治醫師的建議，祝您早日康復。 | [
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5泌尿科
| 射精 | 我和先生結婚2年性行為一直很正常.但約一年半前卻發現做很久都無法射精.不知為何原因.但我一樣懷孕也生下一ㄍ寶寶.直到現在.有時行房有射精但量很少.有時根本不會射.但我都會懷疑是不是有少許ㄉ精子流出.否則為何會懷孕.這算病嗎.是否需就醫 | grace 你好 勃起與射精是由不同的神經管轄，互相拮抗，就是說，一組神經太興奮時，會讓另一組神經受到壓抑。換句話說，假如勃起時間非常長，有時會造成不容易射精。 在射精前，會有一些精液流出來，因此，即使沒有射精的動作，也有機會懷孕。 若是因為勃起時間太長，造成無法射精，只要雙方在性行為時協調一下，應該就可以改善。若真的勃起時間並不長，但是仍然無法射精，那可能是神經或者神經的傳導有問題，需要就醫。 以上由 台東醫院 泌尿科主任 許維愷 答覆 | [
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| 避孕藥 | 您好 我服用事前避孕藥美適儂錠超過一年了，但因有鼻子過敏的問題，時常會有打噴嚏、鼻塞流鼻水的狀況，需服用感冒藥，最近也因鼻涕倒流導致咳嗽，看醫生有開一些鎮咳藥物及鼻噴劑給我藥物名稱如下： Medicon Zyrtec Codepine Fluimucil 發泡錠 Trisonin AQ Nasal Spray。 因為網路上眾說紛紜，且詢問醫生，醫生有的說感冒藥會跟避孕藥交互作用，有的說不會，每次要吃藥都要特別交代醫生避免開抗生素，心中也非常苦惱，擔心這擔心那，很怕有懷孕風險，因此想請問專業藥師幾個問題： 1. 一般感冒藥、鎮咳藥物，是否會與事前避孕藥有交互作用呢？ 2. 保健食品如B群、多醣體、葉黃素等，需要與事前避孕藥隔開時間吃嗎 3. 長期飲用茶類、咖啡會影響事前避孕藥效果嗎？ 非常感謝您 | 林小姐 妳目前用藥並不會影響避孕藥的效果 至於一般感冒藥、鎮咳藥物、抗生素或保健品的影響，應以當時用藥之成份來看，建議看診領藥時請教藥師。 | [
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6骨科
| 第五蹠骨折 | 醫生您好 我於528摔車導致左腳第五蹠骨骨折 經醫生評估無位移不需要手術 528-614打石膏固定 614之後改用充氣式足踝護具 76回診醫師說X光看起來沒有位移 X光：httpsimgur.comalKJYP6M 持續使用護具但可改用單邊拐杖就好 並可以稍微施力踩下去 我現在是單側及雙側杖輪流使用 不曉得是不是這幾天走比較多加上又有施力 今天覺得骨折處有疼痛感 擔心會位移 請問我是否該減少走路跟不要施力比較好 謝謝 | 您好 該處骨折容易產生骨折癒合不良，初期開始出力應該在不痛的範圍逐漸增加力道、循序漸進。 剛開始走多少會有疼痛感，若休息後就改善，按照醫師指示定期回診檢查即可。 | [
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13肝膽腸胃科
| 食道逆流 | 醫生你好 我做過胃鏡有發現胃食道逆流第二期 目前有吃醫生開的藥物治療 請問我可以而外再買益生菌來吃嗎 醫生有建議的益生菌嗎 謝謝 | 先生您好： 目前健保規定，長效特效抑酸藥在胃鏡後，可使用4個月，效果很好。應不必再用益生菌。益生菌多是用於脹氣腹瀉，屬食品，吃了也無特殊害處。 彰化醫院關心您的健康 陳詩典 | [
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| 陰部問題 | 請問： 近二次發現男友陰囊的皮膚上，左邊及右邊皆似起雞皮狀一粒粒，中間部份的皮膚則無，而雞皮狀的膚色與中間無症狀之膚色皆為正常膚色，而陰莖皮膚則正常無異狀，請問會是性病嗎？ 男友說以前就有，但夏天較為明顯，並說是”毛細孔”，是嗎？？但我以前並無發現。 | PIG 你好 我無法做正確的診斷，不過看起來，有可能是毛囊。 行政院衛生署台東醫院 關心您 泌尿科 主任 許維愷 答覆 | [
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| 排卵期 | 醫生您好： 問題一：早期流產後來的第一次月經是否為有卵性月經？ 問題二：自從生了第一胎後，每次排卵下腹會有劇烈漲痛，痛到走路都很難受 過了一天就會逐漸恢復，於第二胎剖腹生產時醫生告訴我，我的子宮 卵巢與輸卵管全黏在一起，子宮內膜有些異位，事後醫生沒有建議我 作其它處理，請問這樣的疼痛可以治療嗎？ | 1.如果是正常的月經來的話應該是。2.排卵時有些人會腹痛，如果很痛的話就吃些止痛藥，要不然可口服避孕藥即可避免又可防止排卵痛。3.輕微子宮內膜異位不需積極治療。如還有疑問，請至婦產科門診。 | [
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10兒科
| 舌頭問題 | 醫師您好：我女兒目前剛滿八個月，初生時我就發現她舌頭有些外露，滿四個月時更明顯，每張照片都會看到舌頭，不禁令人懷疑是否為「大舌」〈本人與先生家族無人如此〉？而目前情況較好，沒那麼明顯，但還是有。如果真是「大舌」該怎麼辦？或是有其他原因至使其舌頭如此？我們又該怎麼做？ | 唐氏症候群、舌繫帶異常等皆可能會有此種現象。也有的寶寶先天舌頭就較肥大，惟並無大礙•最好帶來門診檢查一下。 | [
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| 個性內向孤僻 | 我算是滿孤癖性格的人，也沒有朋友的概念，其實也常打電話給張老師，或到醫院看診或做心理諮商等，不過，我想最適合的社交距離恐怕要從日常生活當中去實踐，體會才能知到。因為我離開學校到現在也15年了上述的孤癖性格該如何在社會上立足，也換了三，四個張老師等，談論多次，因為這也變成了我的生活經驗，所以我目前的狀況沒有跟人說話的習慣，老是一個人自言自語，因該是目前的問題所在，不知是有何看法能解決我寫的內容呢？ | 嗨您好： 感覺得出來您對自己沒有朋友的情況感到很苦惱，這個情況可能不是單純孤僻可以解釋的，因為通常孤僻的人不會很熱衷於與人互動。建議您，還是至精神科與醫師詳談，才能了解造成您情況的真正原因，並找出解決的辦法喔！祝平安健康。 | [
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| 會懷孕嗎？ | 女友12月29日月經來1月3日結束1月6日做愛未戴保險套用體外射精不知是否還是安全期懷孕機會大嗎 | 您好 根據您所提供的日期計算.懷孕的機會應不大 還在安全期內 建議衝動男與女 更應該注意安全性行為 以免事後.後悔 | [
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| 子宮肌腺症 | 曹醫師您好，我有子宮肌腺症，月經量大，目前在台中榮總就醫，我有試過很多治療方法，月經來時有吃過斷血炎效果不錯，可是一年後又開始無效，月經來又大量出血，後來改裝蜜蕊娜，初期效果不錯，每次月經來都只有一點點，但是裝了一年半後，月經來又開始大量出血，現在改吃溫不妊避孕藥，我吃了半年多，都還可以控制，但是我年紀40多歲了，如果這樣長期吃避孕藥我怕會得乳癌，曹醫師我想請問您，到底該怎麼治療，我覺得自己再撐幾年就快接近更年期，所以不想切除子宮，但是子宮肌腺症會越來越嚴重嗎？如果用海扶刀治療，是不是治療完後沒幾年又會開始腺肌症，現在醫學還有那些方法可以治療腺肌症，而且我覺得很納悶的是我裝了蜜蕊娜後，白天月經量大，晚上就沒有白天那麼嚴重大量出血，到底除了開刀外還有什麼治療方式，謝謝曹醫師回答。 | 您好 可以吃一種荷爾蒙藥gestrin抑制月經，大多數的病患反應不錯，如果還是沒效，建議開刀最後的選擇。祝健康 | [
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11營養教室
| 健康食品 | 想請教一個問題，感謝您肯撥冗了解並回答。我的問題是：在正常情況下，冷凍過的熟鴨肉經川燙切塊後，肉塊在切口處是否會有螢光般綠色及膚色的反應？如果答案為否的話，那麼究竟是在何種情況下，肉塊會有這樣的反應？ 我為自己買了一份鴨肉冬粉當作晚餐，鴨肉冬粉裡還有老闆自行調配外加的當歸湯配料，聞起來、吃起來味道口感均不錯，不料卻發現此事。有這樣螢光般綠色及膚色反應的肉塊是否不宜食用？它可能會對身體造成何種影響？對於孕婦體內的胎兒，它更可能造成哪種危害嗎？亟待您的解答。謝謝您！祝安好。 回信請寄lwe58kimo.com 謝謝！ | 您好 先請您不用擔心 鴨肉也是屬於鐵質高的食物 其實它就是鐵質而已 或許您可以回想一下那種感覺是不是像金屬的光澤 您或許覺得那像瑩光 有時候煮的久一點會比較明顯 但是那是天然的肉中的鐵質不但不妨礙 反而是補血的呢 如果您煮白煮蛋連殼煮久一點 在蛋白與蛋黃交界的地方也會有一層綠綠的 或是茶葉蛋也可以發現 那也是鐵質 請您不用擔心 安心的享受好吃的鴨肉吧 祝 平安 喜樂 巧雲 | [
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2牙科
| 拔智齒 | 醫生你好： 我拔智齒已經第五天了，我是拔右上右下，一次拔兩顆。 今天早上起來發現右下長了一個小牙包，在縫線附近，牙齒有時候會陣痛。 但臉還是有點腫，但有比較消了，因為剛拔完的第二天，蠻腫的。 醫生開的藥昨天都吃完了。 那長牙包是正常的嗎？好像有時會有點異味 但我吃完東西會用不含酒精的漱口水漱口 那現在我應該怎麼做呢？不知道是不是睡眠不足 還是火氣大. 感謝醫師的回覆 | 您好 您所說的牙包可能需搭配X光與臨床照片才能診斷是否正常，建議您與原拔牙醫師討論並追蹤觀察 祝 平安健康 | [
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4心臟血管專科
| 心臟問題 | 我有二尖瓣脫垂的情形.平常說話或走一小段路就會非常的喘 最近很容易上氣不接下氣.連呼吸都很困難吸不到空氣 這次做了超音波檢查之後.醫生說我的心臟收縮的很奇怪.他說我的心臟無力. 可能是以前心肌有發炎過.所以才會變成這樣 我以前常常感冒.而且要很久才會好 醫生說要我補充維他命 請問是那一種維他命呢 還有心臟無力會不會變嚴重 後果會如何呢 平常需要注意什麼事情 還有如果以後懷孕會有什麼樣子的危險性呢 | 一般心臟收縮功能不良的話判定為心臟衰竭，年輕人的心臟衰竭主因有先天性心臟病等，必須看原因及心臟功能的程度才能決定其予後，請至心臟科門診作詳細檢查後才有結果。 | [
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] |
7耳鼻喉科
| 耳膜 | 您好， 請教醫師，我之前多年慢性中耳炎而耳膜破洞逐漸變大。去年進行耳膜修補，部份耳道硬化的重建，膽脂瘤（輕微）手術，後來耳膜雖有長好，但一直感覺耳悶且回診觀察耳膜逐漸下陷，聽力沒恢復。有做捏鼻吹氣動作，但似乎沒改善。醫師推測是耳咽管阻塞或功能問題。 我擔心修補好的耳膜，為了下陷問題還要打洞維持壓力平衡，打洞後可能洞又逐漸變大，又再復發以前的慢性中耳炎等問題。 請教醫師 1）耳膜持續下陷， 如果處理不好會如何？會影響腦部嗎？ 2）耳膜下陷原因能否透過什麼檢查瞭解根本原因？ 3）瞭解根本原因後，請問有辦法根治耳膜下陷的問題嗎（不破壞耳膜）？ 謝謝！ | 你好 1. 耳膜塌陷一般會影響聽力或引起耳朵悶塞感，不會影響腦部。 2. 下陷大多與耳咽管功能異常有關。 3. 一般可考慮中耳通氣管置入手術，或可諮詢醫學中心是否適合耳咽管氣球擴張手術。 | [
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11營養教室
| 營養諮詢 | 我目前國三快要高中，開始最近長高長很慢，腿又因為嚴重的拉傷目前不太能運動，平時我都走路去上學 大約快走要15分鐘，慢跑10分鐘，請問如何還能繼續往上長ㄋ 而且最近我體重正在不斷上升，我一天大概控制在2500卡左右，以前都不會有明顯增加，現在卻每天0.幾公斤的上升，那麼我該怎麼做ㄋ 我15歲，身高173，體重58 原本才56 | 您好 您目前受傷的情況，是需要休息，至少要到拉傷好之後再打球，但是運動部分，可以以重力訓練來幫助維持肌肉量，以及消耗熱量，例如，啞鈴、單槓、仰臥起坐等，每日30分鐘。 長高這件事情，不用急於一時，先將拉傷治好，重力訓練可以幫助目前熱量囤積的問題，可以試試看，加油。 飲食的部分，若要詳細計算熱量，建議您至營養諮詢門診找營養師討論目前的飲食內容及給予您飲食計畫。 祝您平安健康 以上由衛生福利部南投醫院 蔡秀雯營養師回復 | [
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5泌尿科
| 尖性濕疣 | 你好： 我想請教有關菜花的問題，在網路上看了一些菜花相關的資料，知道菜花病毒的感染力很強，因為之前在上公廁所時，不小心手接觸到馬桶，事後只有用清水沖個十秒鐘左右，不知道菜花病毒是否會沖掉？菜花病毒在皮膚上可以存活多久？共用肥皂是否會感染？會經由尿液感染嗎（因為上廁所不洗手的，好像還大有人在）？ 我很害怕會經由這樣間接感染，希望你能替我解答ｏｒ提供相關更深入的資料，謝謝。 | 想太多了沒那麼嚴重大部分都是性接觸感染的網站上應該講的很清楚不用擔心. | [
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1精神科
| 睡眠 | 醫師您好 我想請問一下失眠的問題， 我的狀況： 在吃藥之前有一陣子2天才睡大概2小時，但精神依舊很好，中間雖然有點頭腦鈍鈍的都撐住沒睡，中午或晚上就算頭腦鈍鈍的，依舊睡不著，甚至晚上精神更好，聽音樂什麼的剛開始有效，後來也沒效了，運動也是，幾天後覺得自己頭腦都變笨了，甚至覺得自己失智了的感覺😭好焦慮😭 用藥： 後來求助於精神內科醫師，醫師的藥方為戀多眠每天一顆吃21天，剛開始11：30可以睡到7點，但我吃第三天因為害怕戒斷症狀改吃半顆，就每小時起床一次了😭後來就再補回1顆，睡眠為12：30-5：30（6：00左右）再來第7天又改34顆，變成12：00-4：00，第八天再度改回1顆，變成12：00-3：00， 問題1： 會不會是安眠藥產生耐藥性了呢還是是睡前沒做好放鬆的動作之後再吃回去依舊可行😭 然後戀安眠這顆藥是不是不能長期吃吃21天是不是有點久，但又聽說心理時鐘調至少也要2禮拜的時間，現在吃與不吃間好難抉擇，繼續吃或不吃都怕有耐藥性怎麼辦😭 麻煩醫生了謝謝醫生 | 林小姐您好： 睡不好真的是件讓人困擾的事情，雖然安眠藥可以讓人快速入睡，但是畢竟只是輔助性質，要找出失眠的真正原因，才是比較治本的方法。舉例來說，憂鬱、焦慮、壓力、飲酒、喝茶或咖啡、夜間運動太接近睡前、作息不規律、睡前看太多3C產品等因素都有可能造成失眠。至於您提到的情況，可能與您的情緒較有關連，因為一般來說耐藥性不會才吃幾天就出現，此外，睡前無法放鬆的話，安眠藥的效果也會受影響。所以，建議您可與醫師討論您失眠的真正原因是什麼，針對原因著手才能根本的改善您的失眠喔！安眠藥最好不要長期服用一個月以上就算長期。祝早日康復！ | [
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| 潤滑劑 | 進行性行為時使用凡士林Vaseline輔助潤滑請問若直接以陰莖或陰道接觸凡士林是否有引起病變或不良影響之可能 | judge您好 看您的年齡十分年輕如沒有特別應該不用使用如凡士林類之潤滑劑潤滑劑之使用與次數用量方法都有關係原則上如果由專科醫師建議會減少困擾請您到泌尿科門診來找出您的原因來 祝新年快樂身體健康 黃熾楷醫師上2003.1.2.950.am. | [
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0婦產科
| 藥物諮詢 | 您好 本周因陰部不適，就醫後醫生告知陰道發炎，開了以下藥物。 想請問幾個問題，謝謝 1. 以下藥物是否有哪一種有利尿作用 因這兩天尿意頻率較高，不確定是水喝較多，還是藥物造成的。 2. 其中必迫痙錠網上查詢，有寫到"患有青光眼或嚴重攝護腺肥大之病人應謹慎使用"，想請問此藥對青光眼是什麼影響 眼壓提升或者其他 因本身有高眼壓症，沒有確診青光眼，但有相關問題的部分，都會特別留意，想確認此藥不會影響現在的眼睛裝況。 3. 另有關私密處清潔，市售的專用清潔用品，是否適合每天使用 -非炎腸溶錠待克菲那 -"永信"寧司泰定膠囊 -必迫痙錠匹普蘇蘭 -黴可清陰道錠克催瑪汝 -艾來６０公絲錠劑 | 您好 一般是不會造成利尿，原則上有不適就應該是要看醫師，不要自己亂用清潔液。祝健康 | [
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2牙科
| 舌頭疼痛 | 最近幾天，發現右邊的舌下會痛，自己檢查的結果是右邊的舌下，有一粒腫起，壓會痛，吃到熱的或是冷的都會痛，同時吞口水也會痛，感覺不像是舌頭破皮，不知是什麼問題 我最近因為咳嗽不停去看醫生，醫生說是支氣管擴張，有開藥給我吃，不知倆者有關聯嗎 | 有可能是唾液腺阻塞，有可能是腺體發炎，從你的敘述，實在 很難確定是啥問題，建議您還是到醫院請醫師診斷才是。 | [
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| 保健食品 | 我在swanson的蝦X賣場上看到他的蝦紅素產品上面有寫蠶豆症建議不要使用。 想請問下為何蠶豆症不能食用google蝦紅素、蠶豆症並沒有看到什麼相關不可食用的文章或網頁 | 小姐您好，針對您的問題回覆如下： 蠶豆症又稱G6PD缺乏症，全名為「葡萄糖-六-磷酸鹽脫氫脢缺乏症」， 曾有研究顯示蝦青素astaxanthin可能影響葡萄糖-六-磷酸鹽脫氫脢活性， 可能您所看的產品無法確保對蠶豆症患者的安全性，故賣場建議蠶豆症患者不要使用。 衛生福利部國民健康署建議，蠶豆症患者不隨意服藥，所有藥物均需經由醫師處方。 也提醒您服藥期間除了要仔細閱讀藥品標籤說明外，也要留意身體反應，如身體有任何不適或有其他疑問，可詢問醫師或藥師。 如有其他問題，歡迎您於上班時間致電洽詢，謝謝您。 諮詢電話：03-3698553 上班時間：星期一至星期二：08：30-22：00 星期三至星期五：08：30-18：00 星期六：08：30-14：00 | [
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12胸腔內科
| 電腦斷層掃描 | 醫生您好我去年二月份有照胸部X光，當時醫生判斷有疑似小白點，我就去醫院看胸腔外科醫師，醫生安排8月份照電腦斷層，電腦斷層的結果是肺部有十幾顆小白點，最大約0.6cm，大都是0.2∼0.3cm，當下醫生建議住院做切片檢查，但我想要再持續追蹤，所以就去找胸腔內科醫生，他安排今年的一月又照了第二次電腦斷層，第二次的電腦斷層小白點仍然存在，沒有消失也沒有變大，數量也沒有變多，因此胸腔內科醫生建議半年後再照一次CT追蹤就好，但我再去找胸腔外科復診，胸腔外科說今年6月照X光追蹤就好，請問我這樣是要再照電腦斷層，還是照X光追蹤呢？謝謝您的回覆！ | 您好 須再做胸部電腦斷追蹤，通常胸部X光無法看到這些小點 ，謝謝。 簡順添敬覆 | [
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| 懷孕時 | 請問我現懷孕24週前幾天因長途旅行太累引發早期宮縮.而住院安胎一天左右.返家後開口服安胎藥Ritodrine給我回去吃.醫師說每隔4小時要吃一次.但因藥物副作用心悸.胸悶厲害.故自行改成一天吃1-2次自覺應該沒宮縮情況下.不知會不會有太大影響因為曾有過早期宮縮的情形請問寶寶早產的機率大嗎 第二請問我這個週數常感覺下腹部硬硬的但不會痛是正常嗎 感謝撥空回答. | 胖胖您好： 1.如果沒有宮縮的感覺，安胎藥應可以慢慢減量，重要的是要臥床休息及避免粗重用力的工作。如果仍感覺宮縮或陰道有咖啡色分泌物，則應再回醫院治療。 2.懷孕24週已開始有胎動的感覺，而且胎兒正快速成長，有時胎兒活動厲害、或羊水較少、或腹部胎兒較瘦，就會有下腹部硬硬的感覺，但如果是有一陣硬一陣軟的感覺表示在宮縮，應給婦產科醫師檢查是否有早產的現象。 祝 懷孕順利 梁垠盤 822 | [
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0婦產科
| 事前避孕藥 | 我已經吃21劑的事前藥吃了兩年多，上個月因為旅行沒有停藥直接接續吃下一包。 這個月1509吃最後一顆，月經在停藥的第三天1809來潮，然後我沒在停藥的第八天2309服用新的一包，而是晚了一天在第九天2409才開始服用新的一包，在第十天2509有無套性行為 ，請問這樣會影響避孕效果嗎？是否需要吃事後藥？謝謝 | 您好 應該是不會懷孕，不用吃事後避孕藥。祝健康 | [
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| 氣胸 | 醫生您好，兩個月前因為氣胸而到醫院做微創手術，手術位置在右肺，因為我有在健身所以背闊肌比較大，開完刀到現在，右邊的背闊肌摸起來少了一大塊，和左邊的背闊肌摸起來差很多。 請問右邊的肌肉切掉了還會長回跟以前一樣嗎？ 謝謝醫生。 | 您好：一般來說，氣胸的手術，並不會切除附近的肌肉，或許是因為術後您可能暫停健身所造成，未來應該會慢慢地恢復，謝謝。 | [
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| 拔智齒 | 醫生您好我想請問一下，我在20年前在診所拔過左下智齒有開刀縫合，縫合傷口滿大的線超粗的我知道縫3針，沒認真觀察過開刀地方，5-6年前才看到開刀地方有白色疤痕，問過耳鼻喉科的醫生說是縫合疤痕說傷口好了不會跟正常的一樣，想請問主任智齒開刀也是會留下白色疤痕嗎？謝謝醫生 | 您好 傷口恢復狀況會因人而異，就類似有些人是蟹足腫體質，加上口腔黏膜長期接受食物的冷熱刺激，另外還合併有藥物的副作用、煙酒檳榔陽光紫外線等等，建議拍攝X光片，確認沒有頷骨齒槽炎或未拔除的殘根即可。 衛福部臺中醫院牙科林佳詠敬覆 | [
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6骨科
| 背部問題 | 醫生您好，上禮拜一開始背部中間偏右脊椎右邊一點點的地方會刺痛，本身工作需要搬東西，但沒有記得搬的當下有拉扯到，禮拜四有去看醫生照了右側X光說肋骨沒有問題，開了藥膏一直到今天都還是會刺痛，頻率有比較低了但有時候還是會刺痛個好幾分鐘然後自己又不痛，用手去摸的時候上下滑動也會刺痛，用壓的話刺痛感比較少，想請問醫生這是怎麼回事？ | 黃先生你好 肌肉筋膜拉傷有時候當下不會有感覺，過兩三天後才會開始發作，這個叫"延遲性肌肉疼痛" 除了肌肉筋膜拉傷以外，你也要請人幫你看一下你的背部皮膚，是否有過敏、濕疹的狀況這也會造成刺痛 如果是筋膜肌肉拉傷，多伸展熱敷就會慢慢痊癒 如果是皮膚問題，要保持乾爽or去看皮膚科 | [
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5泌尿科
| 龜頭外露 | 醫師你好 我龜頭冠狀溝有一粒一粒的一整排於兩側 很小白色的 龜頭的上方也有不痛不癢一個多月前發現的龜頭上方 的是最近打手槍再發現的但無變大顆只有一個固定女友 會是菜花嗎 | coac 你好 可能，還是儘速就醫處理。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 行政院衛生署 台東醫院 關心您 以上由 泌尿科 主任 許維愷 答覆 | [
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4心臟血管專科
| 心跳問題 | 醫生想請問你，我有胃嚴重發炎的問題，現在正在治療中，會吃藥，而且我很容易肚子脹，很長打嗝，而我這幾天長長坐在椅子上呼吸心跳有感跳一下，但是都是規律的，只不過沒有很明顯大力跳一下，就是可以感覺到突然正常心跳咚，咚，咚，突然一下有感又好了，但是是正常規律，我有發現我在很冷的冷氣房裡面會這樣，又或者身體緊張緊繃時這樣，或者吃飽時會這樣，我想問醫生，我這是什麼症狀，我害怕自己有問題，因為我很喜歡運動，怕運動不了，但是我運動時也沒有什麼感覺，就平常才有注意心跳時他發生頻率越多越明顯，我該怎麼辦，兩年前有照過心電圖沒怎樣，健康檢查抽血也正常，胃生病會引響這些嗎？ | 由於您年紀輕且無慢性疾病，罹患心臟病的風險低。生活中很多因素會造成此情況 ，例如：情緒、壓力、作息不正常或是攝取太多咖啡因的飲料。建議調整生活作息，並規律運動。但如果症狀持續，仍建議至醫院做進一步檢查。 | [
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5泌尿科
| 攝護腺術後 | 杜醫師您好先前有跟您詢問關於家父於4月初做完達文西手術目前發生尿道狹窄的狀況9月初有用擴張器撐開到目前早上是排尿順暢但到下午仍有積尿導致肚子很漲.滴尿的狀況今日回診主治醫師原本打算持續用擴張器的方式治療但因之前用擴張器撐開有傷到神經導致無法久坐因此家父請主治醫師直接做內視鏡手術想詢問再進行內視鏡手術是否會影響到神經及尿失禁恢復的部分而主治醫師有說內視鏡手術後仍可能發生尿道狹窄請問內視鏡手術後再次使用擴張器治療的機率會很大嗎一直很疑惑內視鏡手術倒底幫助大不大再麻煩杜醫師回覆了謝謝 | 您好 狹窄易復發 內視鏡手術後會改善但是可能幾個月後又再狹窄 不過內視鏡手術因為是目視下完成較安全不易有傷害. 祝健康 | [
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13肝膽腸胃科
| 大便出血 | 你好 想請問醫師 最近有吃酵素益生菌的保養品 目前吃第三天 吃了之後就一直大便但是是稀的 一天大概3-4次 但後面這幾次發現稀的大便中會有類似鼻涕的黏液 請問這樣正常嗎？ 剛剛最後一次蹲廁所比較久 發現有一點點透明的裡面有血絲 請問保養品是不是先暫時停掉 以上狀況正常嗎？ 謝謝🙏 | 妮妮小姐您好 您說的血絲便，比較像是肛門黏膜裂開，不過如果持續幾周，那就不對了，您可以讓肝膽胃腸科醫師診視一下，順便請教適合的益生菌。謝謝您的提問 | [
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5泌尿科
| 膀胱癌 | 請教李醫師： 一．報導膀胱癌發生原因大多為抽煙的人，本人無抽煙歷史且接觸二手煙機率亦不多，是一般辦公室上班族，為何會得到呢？應酬會喝酒（會是主因嗎？） 二．本人於去年一月份有做輸尿管內視鏡檢查四月份有做尿道直腸超音波檢查十月份血液、尿道直腸超音波檢查及膀胱鏡檢查以上是否能發現腫瘤呢若未發現原因為何呢 三. 請問有無痛血尿現象到發現第三期可能第四期的時間會多久呢 四.親屬是否要提前做什麼檢查以免錯失早期治療膀胱癌的機會還是有異常才檢查呢 以上請告知及建議 辛苦了 謝謝您 | 膀胱癌確實與吸菸有關，不過他也與一些毒物的接觸與來路不明的草藥有關，也與基因遺傳有關。並沒有辦法去預測怎麼樣的人就不會有膀胱癌，怎麼樣的人就會得膀胱癌。 你是不是想問我有沒有醫療的疏失，這個真的無法回答。你膀胱鏡都做了，表示醫生也是有所懷疑，即使你很年輕，膀胱癌的機率很低，醫生還是幫你看了。整個過程有沒有問題，除了你與你的醫師，別人實在無法判斷。只是我們也是常常遇到腫瘤突然長很快的情形，令人防不勝防，這就是它可怕的地方。 你可以去醫學中心做一些相關的基因檢測，根據結果再與醫生來討論親屬是否要早點接受相關檢查。 | [
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0婦產科
| 懷孕嗎？ | 我有一個同學，前面先射完後擦乾，然後才放進女生裡面，但沒有做安全措施，女生1171113號月經，1126做的，請問這樣會懷孕嗎如果會，需要吃事後避孕藥嗎如果要，可以推薦甚麼避孕藥 | 您好 是否懷孕要等有機會，任何時候最好要做事前的避孕措施，不能相信安全期，吃事後避孕藥一般要去看婦產科，如果月經該來沒來超過1星期仍沒來，建議看婦產科。祝健康 | [
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| 鋼板問題 | 我兒子二十幾歲的，車禍將近一年，因髖關節骨折植入互鎖式鋼板，一直想取出該鋼板，但醫生說因為鋼板植入較深，會有傷到坐骨神經的風險。 請問，依現在醫療水準，風險高嗎？若傷到坐骨神經，會有何結果？ | 您好 髖骨骨折如果是使用鎖定鋼板，如果鋼板沒有特別狀況，比方說鬆脫或是螺絲穿入關節，一般是不建議取出 拔除手術傷害大、也有傷到坐骨神經及血管的風險。傷到坐骨神經會有長期麻痛無力現象。 | [
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| 睪丸問題 | 我前天打完手槍後，左邊的睪丸有奇怪的感覺，很像酸又很像痛難以形容，只是淡淡的而已，我常常打手槍．是否是發炎了？目前已經有奇怪的感覺第二天 | 有可能發炎，建議至門診就診。 | [
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6骨科
| 骨折 | 如題 我於十月十七日騎機車買晚餐時剛起步遭左邊機車撞上。經醫院照X光後確定右側鎖骨末端閉鎖性骨折，醫生是說開不開刀都可以，因為開刀的話我患處因為是鎖骨末端與手骨連接附近也不好顧定。我想請教我是否能用八字肩帶固定亦或有其餘治療方式。 | 你好，鎖骨末端閉鎖性骨折，若沒有明顯位移，則建議同時使用八字肩帶及三角巾固定4-6週。但若有明顯位移，則仍建議手術治療。 | [
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6骨科
| 第五蹠骨 | 醫生您好： 1070317踩空至門診x光檢查，確認右腳第五蹠骨粉碎性骨折，0321醫院手術裝健保鋼釘，目前使用可穿脫式護具。 請問睡覺時可以脫護具嗎？健保鋼釘較會造成旋轉移位嗎？ 拆線的時間大概多久？目前腳底1針腳背10幾針。 術後一週可以哪些復健，很擔心健康的右腳肌肉會萎縮或左腳施力不當膝蓋受傷，我目前戴護具使用右腳腳跟加拐杖行走，會影響骨折的康復嗎？ 鋼釘需多久可以拆除呢？ 謝謝您耐心看完！ | 您好睡覺時脫掉護具因無負重較無關係，鋼釘若只有一根固定放射部位的顧慮，但機會不大只要注意不要負重。二週後應可拆線，只要持拐杖行走，做抬腿運動應不致於造成肌肉萎縮之後大部分會恢復正常。 | [
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12胸腔內科
| 支氣管炎 | 醫生您好，因本人七年前病毒感染後住院打類固醇一星期出院後，又肺炎住院之後就每月都感冒，然後去年第三次肺炎，前幾天又肺不舒服醫生幫我做斷層檢查說是支氣管擴張症，說這是無法治癒的病，往後每月都定期回診拿要吃一星期克羅利黴素保養，目前還未咳血，肺功能還正常，請問這病真無法開刀嗎，這病還能活多久？ | Sandy您好 局部性的支氣管擴張症不會影響肺功能及生存期是比較容易在病毒感染後持續咳嗽有痰較長的時日偶爾會有咳血建議少吃辛辣油炸或中藥燉補的食物目前您的情況穩定勿過慮只有大量咳血或頻繁發作造成您很大的困擾時仍可以手術切除病灶部位但會留下內視鏡手術的三個小疤痕先照目前保養方式再觀察後續變化祝 好 | [
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15復健科
| 下背痛 | 你好，近幾個禮拜左下背會有緊繃腫脹感，嚴重時會連左上背也會有此狀況，而且左肩胛骨至脊椎左側位置會又麻又痛，不嚴重時活動一下不適感會減少，坐下或躺下會減緩更多，請問可能是什麼原因，有改善、恢復的方法嗎。 PS 先前喜歡長時間盤腿，然後前傾並左壓的方式坐著。 感謝幫忙解惑。 | 骨骼肌肉或神經系統病變皆有可能導致不適症狀 平時應保持正確姿勢，適度伸展，養成運動習慣 盤腿並不是好的坐姿，若無法避免，應保持挺胸直立，使用適合的坐墊，並減少盤坐時間 線上諮詢無法取代實際看診評估病情 請前往神經內外科、骨科或復健科就診以正確診斷並妥善安排後續治療 | [
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| 懷孕 | 醫生您好 請問我跟女朋友昨天711互相撫摸後沒有性器官插入 感覺快要射了就不給女朋友摸把內褲穿上 結果射在我自己內褲 摸起來一片溼溼的 在幫女朋友把她的內褲穿起來互相擁抱 請問擁抱過程中我因為精液濕掉的內褲碰觸她的內褲或者大腿 會造成懷孕嗎 她月經經期很亂 上次是621才來，她說最近分泌物越來越多 是不是排卵期呢 | 跟女朋友昨天711互相撫摸後沒有性器官插入 感覺快要射了就不給女朋友摸把內褲穿上 結果射在我自己內褲 摸起來一片溼溼的 在幫女朋友把她的內褲穿起來互相擁抱 請問擁抱過程中我因為精液濕掉的內褲碰觸她的內褲或者大腿 1.會造成懷孕嗎 Ans 不會 2.她月經經期很亂 上次是621才來，她說最近分泌物越來越多 是不是排卵期呢 Ans 月經經期很亂 不好判斷排卵期 | [
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| 舌頭的問題 | 醫生好 最近講話有時常常在最後閉上嘴的時候咬到舌尖，不會很痛之後也沒甚麼特別的異狀，請教醫生這樣子對舌頭會有不好的影響嗎謝謝 | 你好 反覆地咬到舌頭，久了對舌頭黏膜還是會有影響。建議還是找出為何會時常咬到的原因，從精神壓力太大、牙齒咬合不正、青春期發育生長，或是單純咬破皮後潰瘍腫脹故又咬到等等。 衛福部臺中醫院牙科林佳詠敬上 | [
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7耳鼻喉科
| 嗅覺問題 | 醫生您好， 我想向您諮詢我與室友的嗅覺是否是正常現象。 我與室友同居已有半年，剛開始他洗衣服時，我會嗅到很濃的化學香精味，而他說只是淡淡的香味他會加超量的洗衣精與香芬球，而如今我沒有覺得香味很重了上次連假回來我在門外就能嗅到香味，進門後一開始也覺得氣味重，但是很快就嗅不出來，我在想自己是不是有嗅覺疲勞。另一件事是汽車內有沾到外面動物的排泄物，室友說很臭，他把腳踏墊簡易沖洗後回來還是說很臭，然後行車路上他噴了許多香水車窗未開啟，然後他說還是嗅得到臭味，問題在於我從頭到尾都沒嗅出他所說的臭味，反正被香水熏到頭暈。 而平常我吃市面上常見的調理包食品，室友會覺得氣味很奇怪，甚至他會覺得是腐敗味或者不知如何形容的臭味，而我只嗅到正常食物的氣味。類似的事還有市面上常見的竹筍罐頭，我只能嗅到很淡的辣油味，對他來說卻是惡臭。 我不清楚我們之間是因為不同個體的感受差異比如少數人會像我或是他一樣，以身體健康的角度來看是正常的，或者真的身體有哪裡出了問題。 謝謝解答🙏。 | Hi： 您好， 接觸味道久了就聞不出來是嗅覺疲勞，是正常生理現象，另外嗅覺本來就存在個體差異，因此接觸到當下情緒感受也有差異，是否嗅覺有異常建議跟自己比較，若原來很靈敏，突然變差或聞不到原有可聞出的味道，建議至耳鼻喉科就醫檢查。 祝平安健康 衛生福利部桃園醫院 耳鼻喉科主任 鄭爵儀敬復 | [
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| 卵巢水瘤 | 你好我的月經週期不穩 有時28天就來大部分都3035天 最長則是42天 9月份月經正常來潮約35天 在912來的 約6天結束 9月底開始右側卵巢常有輕微痛感 在前幾天發現右側卵巢越來越不舒服 昨天1014如廁完 擦拭時發現有出血 本以為是月經來潮 可當下再擦第二遍 卻擦不到血了 今日至婦產科檢查 才發現右側長了約6公分的水瘤 醫生先驗孕發現未懷孕後開了催經藥和止痛藥 並持續追蹤是否開刀移除 想請問 1.有沒有可能是過早驗孕導致沒驗到懷孕 2.有沒有可能是懷孕了 才造成卵巢有水瘤 3.假設真的懷孕 吃了催經和止痛藥是否影響胎兒 | 感謝妳的提問，以上的問題事實上皆需要臨床評估的， 1.是有可能，有時候分隔3-5天再驗一次確認 2.是 3.一般催精藥物是黃體素，不致影響胎兒 | [
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| 經血 | 醫師好： 想請問一下，今年每月經期來臨時，都會先從擦拭到咖啡色分泌物到流咖啡色的經血少量 隔一至兩天後就會轉為正常血紅色，而血紅色流到第二天時都會流出血塊，像果凍那種。 我一直認為流咖啡色經血是因為來臨之前吃太多冰品導致 但爬了文章好像不是這樣。 六月的月經目前也才剛來，也是如同上面情形 今年之前可能有時會這樣，但沒有今年那麼常看到咖啡色經血 所以想問一下醫師我應該注意些什麼呢？是否該去看醫生？ PS.我今年只有在五月經期後有一次性行為，但經期症狀還是跟前面一樣 且性行為全程戴套，應該可以排除懷孕後著床不穩導致的吧 （有爬到一堆文章懷孕自然流產也是我這樣的狀況） | 提問者您好 依您症狀的描述之前有可能是黃體功能不足造成經期前出血，可考慮抽血與超音波檢查。而這次的出血與經期如果您覺得不像平常來月經的時間或症狀，也應該請醫師檢查是否有懷孕或其他病灶，謝謝 祝 平安 健康 張 醫師 回 | [
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5泌尿科
| 陰莖問題 | 醫師您好 有醫學報告說手淫會影響陰莖的大小嗎 同學是這麼說的 | 小因： 你好 我沒聽說過 不過，請問一下你同學： 手淫多的人，陰莖會變大還是變小？ 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 行政院衛生署 台東醫院 關心您 以上由 泌尿科 主任 許維愷 答覆 | [
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1精神科
| 適應障礙 | 您好，唐醫師： 最近我到基隆工作，因不是做生意的材料，以致做兩天便告離職，我做生意接觸許多人後才發現自己的想法與成人相較竟是南轅北轍，在現實生活中，我覺得壓力很大；必須承擔許多的現實因素！以前未得精神官能症自己扔能忍受，但現在不如從前！或許我應該死，我逃避現實。大人的世界很難懂，我會因此而照成因病因現實而想傷害人，我該如何我頭真的好痛 | 親愛的小傑： 人生原本就是「不如意者，十之八九」。你離開宜蘭到基隆工作，或許你還沒有做好準備，或許你所擔任的工作超過你的能力範圍，也或許是那樣的工作對許多人來說原本就不容易〈否則目前失業率高漲的情況下，不是容易找到工作的〉，以致你只做兩天便離職。 在現實生活中，任何人對失敗都會覺得壓力很大；但適度的壓力是我們進步與成長的動力來源！面對困難如果只是將自己關在自己的世界中責備自己，或怪罪別人與環境，非但沒有建設性，更無法解決困境。 你還年輕，現實的世界的確很複雜，不容易理解一些事，或許你可以從比較正向的角度來看這次的經驗，你從接觸人群中發現自己的想法與他人的不同，你從工作過程中發覺自己的能力、興趣與限制。進而你可以再學習與努力，畢竟「真實比完美更重要」！ 祝平安喜樂！ | [
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13肝膽腸胃科
| 腸胃肝膽科 | 醫師您好，我去年三月有過一次急性腸胃炎，因為當時不便就醫，沒吃任何藥物，禁食大半天再喝稀粥幾天，體重一下掉了四、五公斤 但從那之後，進食後都會有腹部悶熱和消化不良的脹氣感，伴隨不消化食量減到不到以前的一半 今年年初開始，有時候右下腹會悶痛，有時則是肚臍周圍，疼痛是偶發性的沒有規律 胃腸總感覺不適，進食後大概12個小時內都會間斷性的打飽嗝 飲食方面有調整，也試過吃整腸藥，一開始有幫助但是漸漸的沒效用，排便上還算正常，體重那次瞬減之後就無太大變化 有人跟我說人年紀越大，消化會漸漸變弱.但20歲到21歲這樣轉變不是這個道理吧 還是是因為那次腸胃炎沒處置好？我再之前的腸胃炎也都是這樣的處置方式，沒吃藥真的會有差嗎？ 請問這樣情況有需要就診嗎？我很猶豫因為也不是急症，就是蠻困擾.謝謝您的回答 | 您好 如果在急性胃腸炎後，一直沒有辦法恢復正常，少數情況可能引起腸躁症，建議就診胃腸科，由醫師評估。 彰化醫院關心您的健康 蔡安順醫師 | [
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| 藥物諮詢 | 黃醫師您好： 我之前吃百憂解會嗜睡 後來換成憂必晴（目前半顆）依然嗜睡Q 想問這種副作用是過一段時間會消失嗎？會的話多久呢？ 以及這種藥會不會導致記憶力下降或專注力不集中的問題呢？ 謝謝您撥空回答！！. ❛ ᴗ ❛. | 你好： 不好意思因為沒接到系統傳送的問題通知信，所以比較晚回。 其實百憂解和憂必晴都是屬於增加大腦血清素效果的抗憂鬱劑， 有些人對於血清素比較敏感，容易會有頭暈嗜睡或是腸胃不適的副作用， 通常一段時間的固定服用後，身體會逐漸習慣，大約兩周到一個月副作用會漸漸消失。 另外這種藥不會導致記憶力下降或專注力不集中，可能是因為嗜睡的副作用導致的，你可以再觀察。 希望有回答到你的問題 | [
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| 事前避孕藥 | 服用28錠型的事前避孕藥，原本都是固定是週一開始服用第一顆，上週四開始是無藥效錠劑，禮拜日月經來，星期一為月經來潮的第二天，但發現吃完第二顆，也就是提前了一天開始吃新的盒事前藥。 請問目前還在月經當中，如果想要按原本的時間吃，能不能明天不吃？禮拜三再吃第三錠呢？ | 提問者您好 依您的描述，建議在下個週期延後一天開始吃，較不會造成不規則出血，謝謝 祝 平安 健康 張 醫師 回 | [
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5泌尿科
| 陰莖問題 | 你好我想請問我陰莖中間上有傷口擠會有膿⋯很怕是梅毒⋯傷口像痘痘不紅但擠有黃膿沒血⋯有去玩但只有口交⋯洗澡時發現有傷口⋯現在第四天了還沒好⋯請問如果是的話有那麼快嗎⋯傷口可能那時用的但也不輕楚 | Peter 你好 建議先照顧傷口 3個月後檢查愛滋、梅毒。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 衛生福利部 台東醫院 關心您 | [
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6骨科
| 術後問題 | 你好 兩年前我打球受傷 腳踝腓骨骨折 做了手術放鋼釘 現在剛剛拆除 請問多久才能恢復運動？多久才能完全康復可以做劇烈運動例如比賽和練習？ 謝謝！ | 骨折癒合拆除鋼釘，最好先保護六週後再做加強度的運動，且要避免再次傷害。 | [
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| 愛滋病 | 醫師請問一下可為我解說一下性病.愛滋病.等有關性病的病情.會有何種出發振狀產生如初期有感冒發燒酸痛還是皮膚潰爛等等慢慢浮現請醫生麻煩為我詳細寫說好嗎 | 這位網友： 你好 每一種性病的臨床症狀都不相同，大部分會有特定的症狀，少數沒有。很難就你的問題逐一回答，只能就比較常見的性病作簡單介紹。 淋病：初期會有尿道炎，黃色膿出現在尿道，解尿疼痛 皰疹：初期會有水泡，很痛 梅毒：初期沒有特別症狀；中期會出現不痛的皮膚潰瘍的病灶，很快就消 失。等到侵犯神經，會有神經症狀。 B型肝炎：就是肝炎的症狀：發燒、黃膽等 腹股溝淋巴肉芽腫：在腹股溝出現淋巴腫脹，疼痛的現象。 菜花：出現手指狀的突起，通常是褐色。會逐漸增多 愛滋病：初期不發病。潛伏期很長。發病時，沒有特定的症狀，有時和感冒一樣，有時會出疹子等，無法由臨床症狀判斷。 其他像是陰蝨、滴蟲感染等，現在也有人當作性病，症狀就是局部癢。 大概就是這樣。 簡單的說，一個有經驗的醫師，可以由一些特定的臨床症狀作初步的診斷，有時無法確定時，需要最進一步的檢查：抽血、驗尿等 患者，即使看過書本，也很難自己做診斷的。 總而言之，還是要儘早就醫做診斷。 行政院衛生署台東醫院 關心您 泌尿科 主任 許維愷 答覆 | [
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5泌尿科
| 皰疹 | 杜醫生你好 請問生殖器皰疹水泡破裂之後的創面是像破皮並滲液的傷口嗎？我目前是這個狀態 並且從水泡破裂到現在五天，有在持續擦藥，但傷口還有變大的跡象，這是什麼情形？ 從水泡破裂出現傷口，到傷口痊癒，大概需要幾天呢？謝謝醫生 | 您好：有傷口，就和傷口照顧和傷口大小也有關係，多半無感染1-2星期會好，如果自己小心照顧未漸漸改善，應就醫，祝健康 | [
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12胸腔內科
| 氣管 | 六個禮拜前 可能因為我用太多漂白水清廁所牆壁除霉的關係 隔天出現咳嗽的症狀及喉嚨異物感持續到現在 除此無其他任何症狀 五天後決定去做covid PCR是陰性 症狀持續三個禮拜後決定去看醫生 醫生聽診我的肺 說沒問題沒有肺炎 做喉部鏈球菌快篩陰性 我告知漂白水的事 醫生也只是說good to know 我這兩年人都在國外 醫生沒特別說什麼 然後建議可以去藥房買相關減緩症狀的藥OTC. 我並沒有買來吃 因為認為這些藥只是減緩症狀並無法加速康復 但我有買維他命C來吃. 這段期間早上起床特別多痰容易咳嗽 然後跑步會邊跑邊咳但不覺得喘（我本身酷愛長跑 這段期間仍然每隔一天跑13K 一直到最近這個禮拜終於不會邊跑邊咳了 早上也不再多痰 和前幾個禮拜相比好很多. 但是喉嚨有時候仍然有痰 感覺喉嚨卡卡的偶爾還是會咳嗽 而且這一個禮拜開始有口水分泌過多的現象出現，但我不確定口水分泌過多是心理作用造成的 還是跟這喉炎或支氣管炎有關也不知道需不需要擔心 想問醫生覺得上述這些症狀會跟我一輩子嗎我有多大的機率完全康復還是會轉成慢性 我對於已經六個禮拜了還沒完全康復又有口水多的奇怪症狀感到挫折. | 您好：依據您的描述，目前沒辦法判斷是否為漂白水造成的化學性肺損傷，不過您已經做過初步的檢查，目前看來還好，建議您先以症狀治療為主，再觀察您的症狀，如果症狀持續的話，建議您到胸腔內科門診就醫，謝謝。 | [
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| 想懷孕 | 彭醫師你好： 我曾在528日時向你諮詢有關泌乳素的問題，很謝謝你的答覆，針對你的回答，我發現我並沒有你信上所提的狀況，因為婚前及婚後我的生理期都維持在28天及30天 ，只有婚前健檢那個月月經才晚來，不曉的是否還要去做泌乳素的抽血檢查呢？ 另外，5月份時因和老公做房事的次數比較多，結果造成5月份的生理期提早為26天，不曉的這和做房事的次數多寡是否有關？還有我老公經常都很晚睡，使的我們常要很晚才能辦事，不曉的這是否會影響受孕的機會呢？以及行房後應該怎麼做才會增加受孕的機會？謝謝 | 泌乳激素偏高，的確會影響月經的規則性，如果生理期都維持得規則，即使泌乳激素，稍偏高，不見得一定要服用藥物控制，定期（３∼６個月）抽血檢驗即可，月經週期在２１天∼３５天內都算正常，所以妳５月份的生理期提早為２６天並無異常，和房事的多寡無關，至妳先生晚睡，只要不影響房事情趣，及第二天之作息，與受孕機率沒有太大關係，但因應酬、喝酒及吸煙是會影響精蟲之活動力，自然會使受孕機率降低，至於行房後臀部用小枕頭稍微墊高，雙腿微屈，使精液留在陰道腹腔時間加長，或許有幫助。 | [
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0婦產科
| 驗孕問題 | 抱歉醫師打擾⋯ 想請問一下我在111720早上發生性行為則性行為前面1分鐘左右有無套插入之後便戴上安全套繼續性行為在性行為結束後因害怕會懷孕所以在性行為結束後30分鐘內到藥局買了事後避孕藥立即服用在724-726這幾天有些出血症狀請問這是事後避孕藥的出血副作用嗎？這樣有成功避孕嗎？ 因為害怕懷孕而我在89日及819日這兩天早上起床使用早晨第一泡尿驗孕這兩天驗孕結果都呈陰性一條線請問會是因為服用事後避孕藥的關係導致生理期延後嗎？ 820、821這幾天有一些像是蛋清分泌物不確定是不是排卵期分泌物824左右後幾天分泌物開始慢慢變乾燥黃色831開始有一點漲奶則在91早上起床後使用早晨第一泡尿驗孕驗孕結果呈陰性一條線想請問91驗孕呈陰性一條線還有可能不幸懷孕嗎？ 想請問醫師漲奶的話會是生理期前的漲奶症狀嗎？到今天95日分泌物增加了一些偏黃色是生理期前的分泌物嗎？ | 您好 724-26應該是吃事後避孕藥的出血，性行為已超過1個月，驗孕都是陰性，不用擔心，觀察即可，如果再等一星期，還是沒有來，建議看婦產科醫生。祝你健康 | [
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6骨科
| 膝蓋問題 | 施醫生你好 本身是一個蠻熱愛運動的人，舉凡游泳、打籃球及各種球類和慢跑，但自從退伍之後，上班一年多運動量減少許多，於兩個月前，膝蓋莫名發生持續且長期的酸，本人在此症狀之前並無運動受傷過，偶爾會有此情形也是自己運動過量所致休息半天就可復原，這種情形本人了解，但開始上班後，運動量減少，整天有大半的時間坐在電腦前面辦公活動，也會定時起身舒展身體，可是在兩個月前卻莫名開始膝蓋酸、很酸從早到晚，並沒有痛的現象，幾乎每天斷斷續續，程度相當明顯可以感受酸，期間內所有運動皆停止，中間有求診於骨科醫生，醫生始終答覆韌帶發炎，希望多休息，打針吃藥，而我也有表達本身的走動量很少，醫師卻都沒有提出確定的原因，第一次看診後症狀沒有改善，第二次醫師用藥方不同，症狀輕微改善，第三次相同藥方，酸的程度依舊和未看診的前的情形一樣明顯不舒服，一直困擾著我，想請問關於這樣的情形所造成的原因如何未有運動過量且沒有運動傷害過，整天酸的膝蓋如何改善謝謝 | 如果沒有運動傷害那麼膝關節痛，通常大多數是因為退化所引起的，不過你的年齡還輕這種可能性比較小。 你是否會合併關節的紅腫、熱痛，或者只有痛在某一點的位置。上下樓痛嗎，或者走平地也會痛，這些都要釐清。 另外照過X光片了嗎，結果如何。 可能還要找另一位醫師再看看，可能的疾病有滑膜炎、軟骨軟化症、膝關節外翻、軟骨退化、肌腱炎等等。 | [
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| 兒童牙科 | 王醫師您好 我的牙齒在乳牙時候還是白色的為什麼換了永久齒後變黃 我有去看牙醫可是醫生跟我說是因為牙釉質較薄可是我們老師說 是牙釉質較厚必較不容易蛀牙而且我的21有做過endo想做牙齒美白 會傷牙齒嗎 | 小不點您好 乳牙的牙齒一般都較恆牙白而若再恆牙發育時當牙釉質形成的過程中滲入較多的色素或牙釉質較薄也都是您牙齒會黃的原因.牙釉質的厚薄與齲齒的發生容易與否並無直接的關係反而是那種死白死白的牙釉質因為事鈣化不全還比較會齲齒. 至於美白是否會傷害牙齒一般而言以化學藥劑漂白的比較容易發生但是也往往是病患不注意而造成的.所以使用任何美白產品最好是在醫師監督下施行回去也要依醫師的交代做才不至於賠了夫人又折兵. 署立新竹醫院口腔外科醫師 王存禎 | [
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| 性病 | 醫生請問一下 我上個月有性行為然後這個月驗尿如果沒感染是不是就沒事 在醫院的廁所被馬桶外面的尿滴到會不會感染性病 請醫生幫我解答一下謝謝 | 阿煩： 絕大部分的性病，無法藉由驗尿來做診斷。 不論經過多久，驗尿都無法做正確診斷。 有的需要抽血、有的需要檢查身體、有的需要看到病灶、有的以臨床症狀來做診斷。 像是AIDS，需要經過8-12週以上，抽血檢查才能夠確認。 又像是梅毒，也差不多需要2-3個月，抽血才可以知道。 換句話說，經過一個月驗尿，根本沒有太大的意義。 你最近，若沒有排尿的症狀，不用檢查，就可以猜測，驗尿結果應該是正常的。 話說回來，尿液檢查正常又如何，並不能確定你沒有的到性病，只能說，你的尿液檢查是正常的。 第二個問題 首先強調，醫院的廁所，並不一定比較髒。某些公共廁所，尤其是位在偏遠的地方，常見到一些吸毒者的針頭等，才更可怕，可能傳染一些可怕的疾病（經由血液接觸感染的疾病）。當然，這些場所的門把等，也可能受到污染。另外，百貨公司、公車上、火車上的把手，若前一個人剛好挖鼻孔或上廁所沒有洗手，那也可能變成傳染的途徑。（看你怎麼想，越想會越害怕，或覺得公共場所裡沒有一個東西是乾淨的。） （例如：有人被網咖的滑鼠傳染菜花） 不論在哪裡的廁所裡，被馬桶外或者其他地方（比如說廁所的門把、水龍頭等）的尿滴到，除非尿液裡有數量足夠的致病菌，否則並不會因此而感染。另外，經由尿液傳染的性病，並不多，大部分都是藉由血液、唾液、精液等傳染。 更何況，醫學沒有絕對的事情，一定有例外的情形，有的人，只被很少數的病菌污染，也因為自身的抵抗力低，也會發病。 就像現在的新流感，每個人感染後的情形都不相同，有的輕，有的重，沒有絕對的情形，也沒有某些媒體人所說的，好像得到H1N1是多可怕的事情一樣，真的是唯恐天下不亂，那些少數的媒體人，真的是新流感動盪的亂源之一。 | [
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0婦產科
| 會懷孕嗎？ | 上個月月經913-919，我與男友發生性行為是924日，無套但無內射，那時候是危險期嗎？於1007用晨尿進行驗孕，為一條線；在104日又發生性行為，事後有吃藥，但今日1010日月經還沒來😭😭😭！ 請問醫師，我第一次的性行為在吃完事後藥後驗孕是可以的嗎？那如果為一條線懷孕機率大嗎？ 還有我吃完愉婷錠無任何的副作用，但至今1010日月經都沒來，那我是有很高的機率懷孕嗎？ | 類似的問題已經太多，可參考本站常見問答 提問者您好 有行房雖未射精仍有受孕的機會，因為射精前的分泌物就可能有精蟲存在。而事後避孕藥的避孕效果並不是百分之百，失敗率有3左右。建議如果月經過期一星期以上的話，仍然要檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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