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2牙科
| 上顎齒樔 | 您好 前陣子發現口腔上顎中間部份長了一小顆凸凸的顆粒，外觀用肉眼看不太明顯， 顏色比附近黏膜稍微紅一點。不會痛也不會癢，不知道這是什麼原因造成的？ 是否需要去看醫生呢？謝謝 | 小姐您好 感謝您的提問在這邊先回復您的問題並提供建議如下 口腔上顎中間長一顆凸凸顆粒可能是口腔上顎黏膜有發炎或感染也 有可能牙根尖有害變造成上顎黏膜感染建議找牙醫師做進一步診治. 最後 祝您 平安快樂 | [
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13肝膽腸胃科
| 上腹痛 | 醫生你好，我身高170。62公斤沒有抽菸 喝酒 想請問我一直都有胃潰瘍十二指腸潰瘍。沒有胃幽門螺旋桿菌 可是我治療很久胃潰瘍反覆發作因為對潰瘍過去我瘦了6.7公斤但是有些醫生跟我說潰瘍不會消瘦。那時候我很害怕胰臟問題在1081228照了ct醫生也說沒事。但是整個肚子都是氣 很多人跟我說靠poi沒辦法根治於事我中藥西藥都有服用後來我吃了兩個月p p I 因為疫情嚴重我不敢回診所以自己聽藥那是1105月多結果胃酸反噬 那時候整個胃很熱。每天都在舌破，胃熱 喉嚨痛。之後中醫調理慢慢穩定下來，但是偶爾還會覺得痛痛的不舒服 吃了六個月的中藥突然覺得沒用了， 又開始胃窩痛 胃脹 消化不良。狂打飽嗝112號又去做胃鏡。醫生說我胃沒事，照了腹部超音波也說很漂亮 抽血也沒事。 開了百億潰也沒用 卻每天都在痛 越痛越厲害。 這跟胰臟有關係。會不會是癌症 我的工作是坐著所以沒什麼運動。也常常腰酸背痛 我也不知道是不是腰痛 半夜都會痛醒沒辦睡。也瘦了2.3公斤請問這會不會跟胰臟有關係。查好多胰臟資料越害怕 | 宏先生您好： 不知道您體重減輕是多久時間瘦下來？建議在與您的醫師討論您的情形，看醫師怎麼說及要如何處理。 南投醫院肝膽腸胃科 蔡金記主任 | [
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5泌尿科
| 性病 | 醫師你好， 日前找了性工作者，過程中全程使用保險套，行為有接吻，親吻乳頭，手指觸摸陰道口 在進行插入約20分鐘時未射精，休息將陰莖拔出時發現保險套一直到肚臍都有經血，當下並沒有馬上把保險套拿掉，約過30秒後至浴室沖水，沖洗過程中套子沒有拿掉先沖洗約3-5秒，後來有故意尿一點在保險套內檢查有無破損，確認無破損，之後繼續沖洗在身上的經血，想請問在這過程中是不是會有感染愛滋或其他性病的風險存在，也很害怕套子拿掉後沖洗血液的同時造成感染，懇求麻煩解答，或者是否後續該做檢查 醫師麻煩再請問你，包皮上原本有一個黑色小痣，最近看有新生長的痣由兩個變成六個並沒有突起，也不會養完全沒有感覺，請問這樣是否要去就醫 麻煩你了醫師， | 您好 因為有接觸血液如果對方有性病 還是有風險的如果接觸面沒有小傷口風險會小很多只怕有很小的破損. 建議要做檢查 如果痣變多仍有需要就醫檢查. 無危險的－自慰 •低危險的－相互手淫，淺吻，相互摩擦，戴保險套的性行為 •中危險的－深吻，口交，體外射精 •高危險的－沒有任何保護措施的性行為，造成傷口或出血 祝健康 | [
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| 藥物諮詢 | 您好 請問一下 要讓月經晚一點來 要去旅行 請問應該吃什麼藥呢 吃黃體素是讓月經早點來 還是晚點來 謝謝您 | 您好！在月經中期排卵過後，卵巢會形成黃體，分泌黃體素。黃體素有穩定子宮內膜，以利受精卵著床的功能。若未受孕，在排卵後十四天左右，黃體則自行萎縮停止分泌血液中黃體素濃度突然下降，子宮內膜因而崩解出血，就是月經。催經則是利用含黃體素藥物提高體內黃體素濃度，一旦藥物停止，則血中黃體素濃度降低，造成人為的行經效果，而使月經提前來潮。延經則是持續用黃體素，以藥物接替萎縮的黃體，穩定子宮內膜而延後月經。故人體的月經來潮就是黃體素不足，所以若在黃體素快不足時，繼續給予黃體素以提高其濃度，即可達到延經的效果。延後月經來潮可在下次月經將來的前35天開始服調經藥，一般而言，週期不穩者更要提前。一直到希望來潮那天為止，通常停藥是不會馬上就來，還需等上37天左右。 | [
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| 包皮問題 | 主任好我現在是前端原本有一團皺在一起白白的看過泌尿科 有開藥膏擦了快2個禮拜有比較好轉了但是發現我前端現在好像有點纖維化 就是有點像死皮這樣.無法自由滑動 不正確打手槍方式導致包皮鬆垮這個還有救嗎 因為我現在走動 前端的皮變成沒有辦法自由滑動 會導致我很不舒服然後翻開皮的時候發現都有紅點 PS我沒有包莖 請教求救方式. | 您好 您的情形要請醫師先.診查如果會痛或是不舒服可能要用藥一段時間如果不行可能要包皮手術. 祝健康. | [
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4心臟血管專科
| 藥物副作用 | 您好，爸爸是洗腎病人，最近被檢查出小腿動脈有嚴重狹窄現象，醫生開了Pletaal 普達錠 100mg 早晚各一顆和Lipitor立普妥一天一次半顆，服用兩天後爸爸的心跳明顯有變快到80-100之間，平常他心跳都在50-60而已，所以想請問醫生，心跳變快和這兩顆藥有關係嗎？他原本是有心律不整，但已經很久沒有這麼快的心跳了，不知該怎麼辦，麻煩您解答，謝謝！ | 您好 Pletaal是抗血小板藥物促進血液循環用，Lipitor是降膽固醇藥，藥理上兩種藥物都不會直接造成心跳加速。很多其他的狀況會造成心跳加速 如過敏、抗血小板藥物引起腸胃出血間接造成心跳加速、感染或其他的疾病，建議父親回診讓醫師看看才能確定。 | [
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0婦產科
| 月經 | 生理期來的2天量都蠻多而且會肚子痛 第三天就沒流出來了 可是愛愛就流出來了 第四天也都沒有可是腹部悶悶的 請問這樣是怎麼了？ | 圓圓小姐你好： 不知道你以前的月經都來幾天？妳的情形我建議可以再看看，如果過幾天肚子還是不舒服再給婦產科意思看看就可以了。 有時月經剛乾淨，馬上就有愛愛，很容易因為子宮收縮又有一點出血那是很常見的，不必緊張。 | [
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13肝膽腸胃科
| 放屁問題 | 之前有過便秘問題，不過最近2個月排便有變得比較正常。但在前一週左右開始，排便一樣還算正常，但放屁比平時頻繁一些，有時候還會帶出一些褐色黏稠液體。 想請問醫師這樣是正常的嗎？是否該去就診檢查？ | 衹是腸道黏液，可再觀察。 | [
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0婦產科
| 會懷孕嗎？ | 如果沒戴套沒內射之後有吃事後藥但隔2天又一次這樣但沒吃藥這樣懷孕機率大嗎 | 您好 仍有機會，要考慮事後避孕藥，不能相信安全期，性行為要做好『事前』的避孕措施比較好，如果月經超過1星期仍沒來，建議看婦產科。祝健康 | [
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1精神科
| 診斷 | 醫師您好∼我持續看身心科有一年多了 跟醫生還算契合 不過這段時間醫師沒有跟我解釋過我到底生什麼病了 只有一張處方簽上會寫著診斷 以前是憂鬱焦慮情緒適應障礙症 這陣子回診後改成持續性憂鬱症 請問∼我應該要去問醫師我是什麼病嗎 醫師只了解情況跟開藥 卻沒有跟我解釋病情是正常的嗎 我想知道自己生病的情況 但怕破壞醫病關係 感謝您花時間為我解惑 | 月，妳好： 病人有了解自己病情的權利，醫師也有義務讓病人知道自己的病情。建議妳還是可以詢問醫師。如果妳擔心會耽誤太多時間，也可以先把要問的問題寫下來，這樣子也比較不會漏掉要問的東西。祝平安健康！ | [
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13肝膽腸胃科
| 排便問題 | 如題 近兩個月因為工作有時候是早班都很早起床 只要是早班 吃過早飯後大約半小時到一小時 一定會想上大號 大部分時候是軟便或拉肚子 偶爾前面是正常大便 後面又是軟便 只要不是上早班就不會很想上大號 都是想放屁但不會很想上 想問是因為只有早班才會吃早餐 且我有焦慮症 這有影響嗎？ 是腸躁症的一種嗎？ 因為一直亂想所以上來問問 有什麼解決辦法嗎？ 麻煩了謝謝您 | 食物會刺激正常蠕動反射，加上緊張壓力就更易排便過快軟便。 | [
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| 菜花傳染問題 | 不好意思，我想請問一下，患部是肛門長菜花，是不是精液跟體液都會有傳染的風險了呢？還是只有患部接觸才會？ | 您好 菜花仍以接觸部位傳染 但是很難說目前看來好好的皮膚沒有菜花病毒存在 所以與一個肛門有菜花的患者有親密接觸 即使沒有接觸肛門及周圍 仍是有可能傳染的. 祝健康 | [
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| 思覺失調症 | 我被診斷有妄想型思覺失調症已經九年了 想請問適合結婚嗎？還是只能找外籍配偶呢？因條件較差家中幫忙 沒有在外面工作的經驗 | 網友 您好： 患有思覺失調症，在生活上是很辛苦，因為幾乎所有的工作都會耗用腦力，你能在家中幫忙，也對家裡有幫助。 結婚選擇找外籍配偶也許比較不必自己尋找女朋友、交往，也會比較快。 結婚是在人生道路上有個伴侶，不管是不是外籍配偶，人生也可能會更圓滿，因此在適當時候也是可以結婚。不過這就要看你的緣分。因為結婚是兩人承諾要互相照顧。如果您在照顧自己或者照顧別人的能力上有疑慮，可能就需要暫緩。生小孩尤其如此。因此能不能結婚是看照顧自己跟照顧別人的能力，不見得患有思覺失調症就不能結婚喔！如果有相關生活安排上的問題，您也可以在門診與您的醫師或社工師進行討論。 祝您能培養照顧別人的好能力，也能在將來找到好姻緣。 廖定烈醫師 | [
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| 甲狀腺腫大 | 本人於上月底發現頸部有一硬塊.經檢查為3cm以上的良性腫瘤. 醫生說為了避免復發或切除不乾淨.所以切除時需將該側的甲狀腺一起切除.請問真的一定要如此嗎 聽說切除一單邊可能沒事.難道不能只將腫瘤切除就好了嗎 畢竟.甲狀腺對人還是有很大的作用.若沒搞好.可能要終身吃藥.那不是更累了嗎 | Dear Mr. Jason 甲狀腺3cm以上的良性腫瘤為了避免復發或切除不乾淨.所以切除時需將該側的甲狀腺一起切除是合理的處置方法 甲狀腺切除一邊對人體之影響不大 術後視情況才補充甲狀腺素 不一定是永久服藥 祝 健康 吳醫師 | [
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5泌尿科
| 尿道分泌物 | 請問如果有輕微的尿道炎的症狀 一定要就醫服藥嗎 還是可以用時間讓它自己慢慢好轉 3Q | 3Q 你好 尿道炎，要看是哪一種病菌，若為比較強的細菌造成的，一般需要抗生素治療。若為一般的病毒或者其他化學性刺激，則可以因免疫力的抵抗自然痊癒。 有時，經過一陣子沒有適當治療，可能會變成慢性發炎，會變得很難治療。 因此，若不確定是否痊癒的時候，最好還是就醫檢查比較好。 以上，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 泌尿科 主任 許維愷 答覆 | [
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2牙科
| 智齒 | 上禮拜去醫院手術拔除我右下方的水平智齒以及右上方的智齒右上方不是水平智齒 但已經過了7天了傷口還是很痛，右上方的還好，但右下方的特別痛 尤其是每天早上起床的時候特別痛 但拆線那天詢問醫生，醫生說看起來正常並無異樣，只是有卡些食物，而且醫生說已經下了很重的止痛藥了 但我當天晚上睡覺時痛到醒來，之後趕快再吞止痛藥才能入睡 我到現在還是只能吃稀飯那些軟的東西，其他的東西都吃不了 請問我這麼痛是正常的嗎 要怎麼做才不會這麼痛 | 親愛的網友您好 依照網友的描述，網友上週接受右下水平智齒及右上智齒的拔牙手術。阻生牙的拔牙手術，在拔牙後數日至一週可能會有腫痛的情形發生，然後逐漸改善。 手術拔牙，因為個人的牙齒及身體狀況不同，有時會有疼痛較為明顯的情形。建議網友可以觀察拔牙後不舒服紅腫熱痛的情況是否有逐漸改善，是否有發燒、化膿的情形發生。如果還是不舒服，可以再請牙醫師檢查及給藥。謝謝您的提問。 | [
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| 懷孕機率 | 醫生您好，我上次月經是在617∼622，app預估的排卵期是在78。在71時有發生過性行為，過程中都有戴套 在事後有檢查沒有破掉，77幫男友打手槍他用衛生紙擦拭精液後有放入陰道內（大概20分鐘後）這兩天有分泌白帶且下腹會痛，請問這樣懷孕機率高嗎？辛苦醫生了謝謝！ | 提問者您好 因為全程正確使用保險套的失敗率仍有5左右只要有活動的精蟲在陰道內且在排卵期，不管是任何管道，仍會有懷孕的可能，一般避孕不建議單純使用保險套的方式。只要有活動的精蟲在陰道內且在排卵期，不管是任何管道，仍會有懷孕的可能，而懷孕初期不見得有特定的症狀，也無法用主觀的症狀來判斷。建議您做好適當的避孕措施，建議您如果月經過期一星期未來，還是需要檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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| 巴氏腺囊腫 | 大約兩三天前發現自己陰道口附近長了腫塊且處碰會疼痛，但是沒有很大。上網查發現可能是巴氏腺囊腫，不同點在於網上說的在陰道口旁或斜下，我的則在陰道口斜上。今天早上起床發現那塊腫腫的流血了，不是血水而是比較純的血，也不如網上說的有分泌物。血擠完裡面也消的差不多了剩下一點突起。請問這是毛囊炎還是巴氏腺囊腫呢？近期需要注意什麼？有需要去看醫生嗎？謝謝 | 提問者您好 依您的描述，建議注意會陰部的乾淨清爽、勿著緊身衣褲、少用護墊、睡眠充足、飲清淡，避免壓力與久坐，如果症狀持續或加劇需請婦產科醫師檢查，才能確定診斷與治療，謝謝 祝 平安 健康 張 醫師 回 | [
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| 無排卵性月經 | 5月做人工流產手術調養至今打算在懷孕在排卵期間有量基礎體溫到MC來期間.體溫都沒有超過OV24.這是否表示沒有排卵 本身有子宮內膜異位症瘤.前次懷孕是與醫師配合服用排卵藥但懷孕九週照無心跳才拿掉.若再用同樣的方法懷孕相同的情形發生的機率是否也會有 如果想在懷孕應該怎麼做 謝謝 | 體溫沒有超過OV24，並不一定表示沒有排卵，子宮內膜異位症與懷孕無心跳也沒有直接關係，建議嘗試自然懷孕即可，謝謝！ | [
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11營養教室
| 減重 | 醫師您好，近幾日減肥期間遇到停滯期，增加新陳代謝除了增加肌肉量外飲食方面該如何做比較好？ 另外我看到一款減肥食品的反饋圖片很厲害想嘗試看看但不清楚是否會造成身體的不適。內含成分為苦橙、白腎豆、藤黃果、甲殼素、唐辛子、瓜拿納、藏紅花、洋車子殻、綠咖啡豆萃取、美國獨家專利人參。 前陣子我與朋友相同的身高體重她卻能夠瘦得比我快呢？差別在我有減肥過卡在停滯期而她沒減肥過所以比較快瘦嗎？ 不好意思，問題繁多懇求醫師替我解惑感謝您！ | Hi： 您好， 1. 您的朋友身高體重與你相同瘦得比你快，要考慮問題很多例如是否身體肌肉量比例比你多，攝取飲食內容、運動時間、沒減肥過都有可能會影響減重速度不能一概而論。 2. 至於減肥食品的部份營養師在減重飲食建議以均衡飲食、低熱量飲食原則適當運動為主並不鼓勵食用。一般而言，減重諮詢時，會收集個案的身高、體重、活動量三餐飲食訊息來評估與建議，建議您到醫院營養門診找營養師做個人化的飲食評估與諮詢。 住 祝 您減重成功！ 衛生福利部桃園醫院 營養科主任 范純美營養師敬覆 | [
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4心臟血管專科
| 二尖瓣脫垂 | 醫師您好 我今年二十一歲，最近一個月來發現體力大不如前 例如搬重物上個三，四樓就開始感到喘，得休息一下才能繼續 一開始想說可能是寒假沒運動導致，所以也沒特別去在意它 但這兩個禮拜來開始連爬樓梯都會喘 並且感覺到自己的心跳，且心跳很快 去看了心臟內科，也做了心電圖，超音波檢查 醫師說我有輕微的二尖瓣脫垂，對於耐力變差，醫師則建議我作息正常，多運動。 我嘗試去運動，沒想到慢跑跑沒幾步就開始喘。 真的很害怕到底我是怎麼了，現在爬樓梯還是會喘，而且會覺得小腿肌肉在酸痛。 另外有時候我會感到左胸下側到外圍的地方會有一種像是壓迫感的感覺 並且是呼吸的時候才會有 請問我這樣是怎麼回事呢心臟科也看了，還是肺部的問題呢 | Unix網友 二尖瓣脫垂常見於年輕人常會有你所描述的這些症狀必要時可用藥物幫忙治療請相信你的心臟專科醫師若有需要可再找一位心臟專科醫師診療 內科鍾鈺壎醫師敬覆 | [
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1精神科
| 抗焦慮劑 | 想請問李醫師：去年因10月初因頭昏一、二個月之後有去看醫生，醫生也有開藥給我吃，也吃了2、3禮拜之後也比較好一點。但之後出現睡覺時，會感覺沒有睡在床上及有時站著時，會覺得沒踏到地板上。之後告訴耳鼻喉科醫生，醫生要我去看精神科。我不知道醫生為什麼要我去看。誠實說：我並不想去看精神科。之前我去看過，那是因為我睡不著覺，我因有二尖瓣脫垂及太焦慮的毛病，也跟心理師溝通過這種情形才跑去看，但效果不佳便沒有再去。總共去過7次，前3次都在談話中一直笑，而後4次便一直在哭。我沒辦法掌握自己的情緒，有時會有想死的念頭。出現不真實的情形還沒去看醫生，醫生應該不會怎麼樣吧？謝謝您. | 關於妳”睡覺時，會感覺沒有睡在床上及有時站著時，會覺得沒踏到地板上”的現象， 因為缺乏相關資料及檢查， 所以無法判斷是哪一種原因引起的. 我也是建議妳找神經內科或精神科醫師為你做較詳細的檢查及問診， 可能比較容易釐清問題所在. 從妳的描述妳似乎有接受過心理治療， 是嗎 心理治療的過程並不輕鬆， 妳可能在治療進入某一階段時會很想逃開， 或是覺得無法再負荷下去. 建議妳能和妳的治療師討論這些感覺， 這常是治療的關鍵時刻. 不要擔心妳的談話內容會不會讓治療師不高興， 治療師的訓練會讓他們有能力包容各種狀況的. 關於妳失眠， 焦慮， 沒辦法掌握自己的情緒， 有時會有想死的念頭等問題， 適當的評估與治療還是相當重要的， 仍建議妳找精神科專科醫師或臨床心理師來幫你處理. | [
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5泌尿科
| 睪丸問題 | 醫生您好 從去年開始，右側睪丸就有明顯的抽痛及墜痛偶爾左邊會一起痛，右側睪丸比較常有像是被牽引住的拉扯感，當時去附近診所及醫院泌尿科就診，確認睪丸沒有腫大、尿液檢查也都正常沒有發炎，可是睪丸就是偶爾會有抽痛、甚至是墜痛情況發生，當時醫生有說可能是精索曲張造成，但是有說道通常都發生在左側，右側比較少見，可能也不是，就叫我多休息就好，但是這種症狀打完手槍後也越加明顯，今天去就診檢查也說沒問題、睪丸也沒有扭轉現象，可能提睪肌用力過度，可否請教醫生檢查都沒問題，為何會有這種情形依舊會持續發生 補充此症狀一開始出現有腰痛的感覺可是到後面就是腰痛沒發生，但是抽痛及墜痛及牽引住的拉扯感比較明顯 | 您好： 門診很常見，疼痛但是找不到明確原因，多半是神經痛。祝健康 | [
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5泌尿科
| 龜頭問題 | 醫生你好；最近一個月左右洗澡發現龜頭有一圈一圈類似疙瘩的東西；不會痛也不會癢。 有去看泌尿科和皮膚科，泌尿科有的說要再觀察，有的說是念珠菌感染。 皮膚科則說是皮酯線增生。 泌尿科跟皮膚科的答案不一樣，所以想說來這邊問看看。 麻煩醫生幫我解答一下，謝謝。 | 您好本園地規定要由醫師診查 如果不放心 建議大型醫院泌尿科診查. 祝健康 | [
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0婦產科
| 經期問題 | 醫師.您好.我想請問一下我今年30歲.經期從4月就沒來沒有懷孕.最近去看婦產科.醫生要我量基礎體溫.並開給我半顆女性荷爾蒙.吃了一星期都沒變化.又就加了黃體素跟一顆荷爾蒙.請問這樣是正確的嗎會有什麼副作用嗎 | 您好 1.一般催經會先用黃體素若無效則可再試用女性荷爾蒙加黃體素一起使用. 2.月經不來除懷孕亂經即功能性失調之外少部分可能是泌乳素過高甲狀腺功能低下子宮內粘黏服用精神科藥物.等因素引起歡迎來診. 署立新竹醫院婦產科 | [
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0婦產科
| 避孕藥 | 請問我第一次吃事前避孕藥時並沒有在月經來時吃，這樣吃完一個禮拜會有避孕效果嗎？可以繼續每天吃嗎？ | 親愛的奈奈您好： 沒有在月經來的第15天吃，該週期就沒有避孕效果，建議在下一個月經來臨前還是要戴套，不過還是建議繼續吃事前避孕藥，如果有其他問題再麻煩至婦產科就診。 南投醫院婦產科 黃子菲醫師 | [
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4心臟血管專科
| 心臟問題 | 請問林醫師要做什麼檢查才能檢查出心臟有沒有問題 | 您好： 檢查類別有很多種，一言難盡，建議與你的心臟科醫師討論，面對面解釋，較能說明清楚。 行政院衛生署桃園醫院 林繼雄醫師敬覆 | [
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| 小便 | 你好 我的小便似乎沒力沒有控制縮放的感覺 喝水後短時間會想小便 以及 射精也沒有力沒有射的感覺只有流出來 我37歲此症狀已有34個月了 請問這是可能是什麼症狀 thank you | 37歲的青年在小便或射精應該是行雲流水的射出，若是有你所述的情況，是該進一步檢查有無尿道狹窄或其他問題，建議你到泌尿科門診一趟。 衛生署台南醫院祝你健康！ | [
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5泌尿科
| 包皮問題 | 醫生好 割完包皮至今已13天，都尚未碰水，因為原本還有一點傷口會分泌一點點黃色分泌物小拇指指甲大小的微量血跡在紗布上，但今天拿下墊在傷口的紗布，發現已經沒有分泌物跟微量血跡了，請問可以泡水了嗎 因為還是有一圈游泳圈，龜頭也是一堆乾掉的分泌物正要開始脫皮，泡水是不是會比較好呢 | 您好 如果沒有滲血 就可以用水了 但是要擦乾消毒平日保持乾燥為好 祝健康. | [
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7耳鼻喉科
| 淋巴問題 | 醫師 您好 我有給長庚醫師檢查了因為小於一公分且鼻咽等檢查皆無異常所以醫師建議我持續進行追蹤三個月半年另醫師有檢查耳朵可以當場看到影像頸部淋巴結跟耳朵也有關係嗎 最後想請教一下我朋友常流鼻血因為鼻膜較薄這個需要如何改善呢 也謝謝您多次的建議及回覆才能讓我解除我的疑慮感謝 | 敬愛的提問者： 您好，根據您面上的提問，耳朵和頸部淋巴節是一定有關的，所以，理學檢查一定會有耳朵這一項。因為鼻過敏流鼻血的話，那應要先把鼻過敏治療好才行，建議患者可以先到附近耳鼻喉科專科診所就診。 衛生署桃園醫院醫師 天主教輔仁大學講師 陳建志 敬覆 | [
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| 事前避孕藥 | 醫師您好： 我目前有服用事前避孕藥悅己來避孕，想詢問若同時服用chemix tablet會影響避孕效果嗎？或是最好間隔多久以上服用呢？謝謝。 | 服用事前避孕藥悅己來避孕，想詢問若同時服用chemix tablet會影響避孕效果嗎？或是最好間隔多久以上服用呢？ Ans 服用chemix tablet幾乎不會影響避孕效果 | [
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| 臀部 | 陳醫師你好 我是從事勞動方面的工作鐵工廠 常常會有不正當及過度的使力 之前下樓梯時，曾經突然發生右半邊的屁股很嚴重的抽痛∼ 痛到無法再繼續走動（算是深層的抽痛，像是筋扭到的痛） 要很大力的揉抽痛處，症狀才會減輕點∼ 也要慢慢喬到較不痛的位置，才有辨法繼續走動∼ 今晚要下床時，又發生相同的情形∼ 我想請問一下醫師 這種情形是什麼原因造成的？ 要如何改善及預防呢？ 這是否是身體有缺乏營養素？ | 小姐您好 感謝您的提問在這邊先回覆您的問題並提供建議如下 大致上來說可能會有兩種可能 1.一為腰椎間軟骨突出甚至滑脫造成移動時突然壓迫坐骨神經 二為右股轉子的肌肉扭傷梨狀肌或臀小肌會輻射到臀部及大腿. 2.要做理學檢查及斷層攝影方能確定. 3.與缺乏營養素無關. 4.應先診斷方有對策可先戴s袋軍用品店有作腰肌柔軟運動 按摩手指第四及五指掌骨間六道及臀外側環跳穴及小腿陽陵泉 穴多做熱敷動作. 最後 祝您 平安快樂 | [
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5泌尿科
| 性病 | 親愛的杜醫師好： 我今天在海外逛禮品商店，結帳時，一位男店員為了好拿取塑膠袋，竟然用食指沾一下口水，去拿塑膠袋，然後再將我買的糖果禮盒ㄧㄧ放進去塑膠袋內。共有四袋，其間大概是手指沾了二次口水吧。 當初沒有覺得什麼，但現在想想感覺好噁心與害怕。想請問杜醫師：如果那一位店員患有性病⋯⋯ 1，口水唾液會有性病病毒或細菌嗎？像是愛滋、梅毒⋯⋯？ 2，我本身有輕微的異位性皮膚炎（幾處小面積的粗糙結痂狀態），我雙手提塑膠袋走回停車場的遊覽車，倘若我提握塑膠袋的位置剛好有店員的唾液殘留，然後自己的手又摸到身上的皮膚炎位置，我這樣會間接感染梅毒或其他性病嗎？ 3，他摸過的那些糖果禮盒，上面會殘留的性病病毒細菌嗎？還能碰觸或食用嗎？ 好擔心的，在此先謝謝杜醫師的解答！ | 您好：性病就是以性行為傳染，您說的情形1.2.3 即使個人有性病，也極難做到傳染，不用擔心。祝健康。 | [
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22戒菸
| 戒菸問題 | 開始戒煙是否會有頭昏吃東西沒知味 這種現象是否正常.會持續多久 | 剛戒煙的第一個禮拜會有一些症狀如焦慮緊張睡眠障礙容易激動情緒不穩定沒有耐性注意力無法集中坐立不安渴望吸煙飢餓.等較常見您的症狀比較不具特異性建議您看一下醫生量量血壓是否正常有無其他病症剛好在您戒煙初期合併發生說不定不是戒菸所引起 | [
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13肝膽腸胃科
| 大便出血 | 醫師您好，昨晚我的症狀又大轉變了，吃完晚餐稀飯後，去拉肚子，拉了五六次，像是用噴的把血噴出來，馬桶裡都是血。後來終於停住了，有失血過多的暈眩感，我就去睡覺。白天醒來就都沒有不舒服了。迄今約24小時了，期間就是一直放屁及聽到腸子的攪動聲。白天只喝鹽水，也沒有再上廁所，尚未有便意。請問這像是內痔破裂嗎？我有需要做進一步的手術嗎？如果要安排回台灣做手術，得要隔離14天後才能做嗎？再麻煩醫師解惑了，謝謝。 | 您好 因為合併有腹瀉，沒有看到正常的大便，這樣沒有辦法判斷是不是就是痣瘡出血。如果出血量多，還是要盡速就醫。除非緊急狀況，基本上還是要準守防疫規定。 彰化醫院關心您的健康 蔡安順醫師 | [
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| 睪丸問題 | 醫師請問一下 最近發現我的睪丸中間處的陰囊在兩顆睪丸的交界的中間處陰囊下壓會痛 以前不會的有勃起行為時陰囊都會有些痛無勃起有時也會微痛每當射精完時就無法入眠連夢遺時也會自己醒來就無法入眠了勃起的頻率跟時間也有減少的現象 這樣的情形代表怎樣呢最近也沒什麼精神壓力如果作檢查需作哪方面的檢查呢 | 會不會坐立不安陰囊地方會不會也會有壓痛有可能是攝護腺尿道炎請到醫院找泌尿科醫師檢查. | [
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5泌尿科
| 尿道下裂 | 您好，我這一個禮拜，因長時間看色情文物而反覆勃起流前列腺液，但都沒自慰射精，導致睪丸痛還有下腹部恥骨兩側痛，有去就診，醫生給我抽血驗尿檢查，只發現白血球偏高，也有開了泌尿藥物與止痛藥給我吃，疼痛雖有消除，但現在似乎變成尿道與肛門部位好像持續有灼熱感，然後今天回診醫生說再開一個禮拜同樣的藥給我，下禮拜再檢查一次白血球問題。可是我這灼熱感不知道是什麼問題，已影響生活品質，希望李醫師能盡快幫我答覆問題謝謝！ | 性方面太頻繁表示生活失去重心．整體而言當然不好．聽起來有前列腺炎.要好比較慢.好好休息.生活要健康. 繼續看尿科檢查拿藥治療.才能慢慢好轉 | [
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2牙科
| 牙齦痛 | 我是今天跑去看神經外科醫生叫我去看鼻喉科後又叫我看神經內科，牙齦摸壓神經牙痛不知是牙齦腫痛嗎？嘴巴無法吃東西因為動都會神經痛牙齒痛只能用嘴巴旁牙慢慢吃我都熬夜沒啥睡突然這樣子請問這是神經發炎嗎？我昨天還有吐胃酸牙齒神經超痛滴我有自律神經失調不知跟這有關係嗎？看到請回我謝謝醫生。 | 建議找牙醫師作進一步檢查，看是否有牙齦發炎紅腫，或是牙齒有蛀牙或牙神經發炎，如果都沒有上述狀況，仍感覺牙疼甚至吃東西會痛，則有可能是三叉神經或顎面神經的問題，可找神經內科醫師做進一步檢查。 南投醫院牙科 曾光暉主任 | [
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5泌尿科
| 龜頭外露 | 幾個月前龜頭上出現紅點 網路查了後大概認知是龜頭炎 說可能是包皮包覆感染發炎需將包皮保持外翻可改善 後來我就保持著包皮外翻的情況下紅點就慢慢的消失好起來了 但一個月後龜頭又開始泛紅點了這期間依然一直保持著包皮外翻狀態 想說應該會像之前一樣會自己好起來 結果紅點變成一大片紅紅的龜頭還變皺皺粗糙的.有時還會有一點點皮屑脫落 但都不痛不癢.只是龜頭變得沒以前平滑 不知道是什麼原因還是手淫影響症狀加重 附上現在的圖片 httpsdrive.google.comfiled0B6F9cxTouT16bEtwMWR4SGMyVXMview | 小舜： 你好 龜頭的保養，就是使用清水，不要用肥皂或沐浴乳等任何清潔用品。 射精後，儘快將精液用冷清水清除，不要留在表皮上，可以減少感染或局部刺激。 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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0婦產科
| 月經 | 醫生您好 我生理期已經兩個月沒來了 已經很久沒有性行為 但是因為男友很喜歡摸我 也不知道他在摸我前有沒有碰到他的液體 不知道會不會因為這原因懷孕 因為很怕 期間有過兩次買驗孕棒驗孕 都是一條線 這陣子因為搬家壓力太大失眠有吃抗憂鬱藥物 不知道是不是因為這個因素生理期才沒來 最近也因為適應新環境感到壓力很大生理期還是沒來 不知道身體是怎麼了 請問曹醫師 這情形要擔心懷孕的可能性嗎？兩個月沒來很擔心不知道身體怎麼了？ | 您好 應該是沒懷孕，應該是吃抗憂鬱藥物的關係，多注意避孕即可。祝你健康 | [
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| 手部問題 | 請問 我左手背麻拇指與食指間肌肉萎縮拿報紙或拿筷子會很酸甚至掉下來要如何檢查及治療 | 先生您好 感謝您的提問在這邊先回覆您的問題並提供建議如下 1.手背及拇指.食指間的肌肉係橈神經所支配壓迫點可能來自第六頸椎 神經根或耾骨溝通壓迫常是骨折或Saturday Night palsy 2.可用肌電圖檢查確認壓迫位置及程度若牽涉到頸部在做x光.電腦 斷層或磁振造影檢查. 3.若肌肉已萎縮復健效果可能不大應轉往神經外科求診. | [
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| 事後避孕藥 | 上個月女友月經是1127來的，1224時和女友有性行為，射後保險套破掉，有一些精液在女友陰道外側，三小時內服用事後避孕藥。想請問這樣懷孕機率大嗎？女友現在月經遲來三天，是吃事後避孕藥導致的嗎？ | 您好 應該是安全期，不會懷孕，觀察即可。祝你健康 | [
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0婦產科
| 會懷孕嗎？ | 我同男朋友係月事完後 137 一日發生性行為147 無用安全套 會有bb ma 我月事週期約30-35日 但到今日仲未有月事 而家係發生行為兩’’三星期後我發覺下體有少量血不知是否月事及褐色物流出 大約維持7日到 7日後我每一次食完野都好容易肚痛及背脊痛 我是否有bb呀 如果真係有左bb 我有左幾耐呀 除手術有其他方法墮胎ma 這此方法安全嗎 | 親愛的網友您好 月經遲來擔心是否已經懷孕可以尿液驗孕得知.拜科技進步之賜今日已經可以簡單又早期經由尿液妊娠試驗知道自己是否懷孕.如果尿液妊娠試驗陽性反應確定已經懷孕建議您求診於合格婦產科專科醫師檢查確定妊娠週數及情況再討論恰當安全的墮胎方法為宜. | [
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5泌尿科
| 菜花(尖性濕疣) | 醫師您好. 最近我發現我的陰莖龜頭凹陷的後面長了肉色凸起的東西.有時會癢癢的.昨天有去醫院看過.他說是得了菜花.醫院說要用電療法.但我不知道電療法會不會有風險.也不知道是不是一燒完之後就不會再發生了.現在心情好煩.不知道該怎麼辦.請問除了電療外還有其他方法能治療嗎例如吃藥抹藥膏之類的.如果電療法大概經費是多少我真的很怕再拖時間的話會越來越嚴重.希望能麻煩陳醫師解答.謝謝 | 您好 濕疣治療電燒冷凍或擦藥膏都有人使用各有好壞處電燒.冷凍治療健保有給付藥膏藥膏健保不給付。 行政院衛生署桃園醫院 泌尿科主任陳修義醫師敬覆 | [
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| 藥物諮詢 | 請問醫生 我之前有服用胃藥"泰克胃通"Takepron差不多半年時間. 最近發現懷孕.那胃藥還能繼續吃嗎. 我之前是有問過胃腸科醫生.是說可以吃. 但我怕會有問題.因為我才剛發現懷孕.還沒去看婦產科. 所以這段時間能吃這個藥嗎. | Takepron屬懷孕B級用藥，對懷孕沒有不良影響，可以繼續服用。 | [
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13肝膽腸胃科
| 腹瀉 | 醫師您好： 目前經期中，我每月經期都很會拉肚子，但都頂多一天1-2次。 這次可能是吃壞肚子… 連拉了七次 ，都很稀，每次都用噴的… 觀察糞便顏色是深棕色，網路查說這種顏色算是身體在排毒，我就忍住沒吃止瀉藥.。 但是因為拉很多次肚子，已導致肛門口不適（熱辣感、會癢、微痛） 想請問醫師： （1） 我這樣的觀念是對的嗎？還是下次再這樣我該趕快看醫生？（拉肚子超過幾次要看醫生？） （2） 若要舒緩肛門口不適，我可以擦什麼？凡士林？小護士？痔瘡藥膏？？？ 還是只要是乳液都可以？或是什麼都別擦讓它自己好？ 麻煩您回覆了，謝謝。 | 經期中的腹瀉是許多女性常見的問題，這可能與經期荷爾蒙變化引起的腸道蠕動增加有關。然而，這次情況較為嚴重，可能是因為飲食不當或腸胃感染。 關於腹瀉和看醫生的建議： 1. 觀念是否正確： - 如果腹瀉持續時間較短（1-2天）且症狀不嚴重，一般不需立即就醫。保持充足水分，避免脫水，觀察症狀即可。 - 如果腹瀉持續超過2天、每次排便次數過多（如超過5次）、糞便中有血或膿，或伴有其他嚴重症狀（如發燒、劇烈腹痛），建議立即就醫。 2. 肛門不適的舒緩： - 保護皮膚：凡士林可以在排便後塗抹，形成保護層，減少摩擦。 - 止癢和消炎：含有氧化鋅的藥膏可以減輕刺激和炎症。 - 痔瘡藥膏：如果有痔瘡或嚴重不適，可以使用痔瘡藥膏，但需要謹慎使用，不建議長期使用。 - 保持清潔和乾燥：使用濕紙巾或溫水沖洗肛門，避免使用肥皂等刺激物。保持肛門乾燥，避免潮濕環境。 --沒有什麼是排毒，多是江湖行銷說法。 | [
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5泌尿科
| 陰部問題 | 今天（88）起床後摸到龜頭，發現前端摸到會痛，起初以為是之前包莖，動手術後不習慣的敏感，後來想了想已經1年了，應該不是，看了一下發現前端腫了一些，紅紅的，想問，有必要去看醫生還是怎樣治療嗎？ | 您好保持清潔乾燥 應1天就會有改善 如果沒有要就醫. 祝健康. | [
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18放射線科
| 電腦斷層輻射 | 醫師您好 107年9月發現腮腺腫瘤因要開刀所以照了一次頭頸電腦斷層有打顯影劑及一次胸部x光，之後發現甲狀腺附近有顆腫瘤在107年12月底又照了一次頭頸電腦斷層有打顯影劑 ，因口中腔內有一顆東西108年3月7日在照了一次頭頸電腦斷層有打顯影劑。因為斷層做的太密集了，擔心輻射造成癌症問題，請問醫師我這樣是否超標？會不會造成癌症？另外請問輻射效應累積是什麼？電腦斷層與電腦斷層間需要間隔多少甲狀線附近的腫瘤未開刀取出謝謝 | 游離輻射對人體健康的傷害分為機率效應與確定效應。確定效應指接受過量輻射照射，造成有害的組織反應，若接受的劑量增加，造成的傷害就會更嚴重。確定效應的實例有：造血功能降低與血球細胞減少，皮膚紅斑脫皮等損傷，誘發水晶體混濁與視力減退或器官的發炎等。當然劑量若過高，有可能使體內器官嚴重發炎而死亡。根據國際輻射防護委員會ICRP 103號報告指出，100毫西弗以下的劑量（包括一次或多次）不會造成臨床上的功能損害。 另一輻射效應為機率性效應，可能會誘發細胞的突變導致癌症的發生，因為癌症的發生是機率性的，所以這種效應稱為機率效應。癌症發生的機率與劑量有關，機率隨劑量的增加而提高，例如，受到高劑量輻射可能會引起白血症、肺癌、肝癌、卵巢癌與直腸癌等等。 電腦斷層檢查的輻射劑量通常不會超過100毫西弗，所以不會發生確定效應，至於電腦斷層需間隔多久，這需您與您的主治醫師討論依病情需要決定。 | [
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0婦產科
| 避孕 | 醫師你好 請問84早上發生關係又內射，發現是危險期，所以晚上吃事後避孕藥艾伊樂Ella，813-815也發生關係，一開始沒帶之後才帶套，這樣84吃的事後避孕藥有避孕的效果嗎？ | 回覆 仍有部分效果 桃醫 呂理政敬上 | [
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5泌尿科
| 陰莖問題 | 我的生殖器官有彎曲的現象在什麼範圍下算正常 能改善嗎 再問割除包皮的程序手術後至癒合前生活有何影響呢因為我打算挑選時間去割除 | 您好 大部份的人多少有輕微的陰莖彎曲大致上若不會有性交困難或疼痛的話都沒有關係.一般而言若彎曲角度大於40 - 45度.則需要手術矯正關於割除包皮若無傷口感染或血腫則大致上手術後前三天較會有傷口疼痛大約一星期 二星期可癒合. 泌尿科陳志鴻主任 | [
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| 基礎體溫 | 醫師您好： 承上一問「我最近一次MC是217來，然後在227、310都有和老公行房，沒避孕，目前到今天上午為止自行驗孕都是ㄧ條線。」 另補充詢問，這兩天基礎體溫都在36度8多∼37度初之間，請問這是排卵期還是？謝謝 | 您好 是否懷孕 要等，這兩天基礎體溫應該是高溫期，如果月經超過1星期仍沒來，建議看婦產科。祝健康 | [
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| 肚子痛 | 您好 陳醫師 小弟今年16，從上禮拜開始時常肚子痛還有腸鳴，去上廁所幾乎都是水便還有沒消化完的菜有時是黏黏的氣體，上完廁所肚子基本上就不太會痛了，但一到隔天又會重蹈覆轍 已經持續五、六天了 今日上廁所發現糞便很細 請問是得大腸癌了嗎 沒有血便 身高175 體重52 從小腸胃就很不好了 | 應衹是消化蠕動異常，多蔬果，慢食，再觀察。 | [
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8乳房甲狀腺科
| 乳房問題 | 醫師您好 因發現大約在乳暈下方發現一硬塊 摸起來有明顯的邊緣感覺相一顆小鋼珠 硬硬的用力壓約有痛感 去給醫生檢查卻告知說要做切片檢查 因本以為是纖維囊腫所以問醫生說為什麼要切片 說因為抽取液看起來有疑似黏液腫瘤 問醫生說那這是惡性的結果嗎 他回答說黏液腫瘤是惡性的 請問要切片才能再確認嗎 | DEAR MISS 擔心的人 所有醫學上的診斷 應透過組織切片之病理檢查才能作最後確認建議您應接受切片以確定診斷 好做為下一步之依據. 祝 LUCKY 吳醫師 | [
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0婦產科
| 懷孕 | 您好，經期約2834天，36經期開始，316擦一次衛生紙，分泌物還有一點點粉紅， 317的凌晨2點多有性行為， 321上午10點看婦產科，請求吃事後藥，也吃了， 不過，醫生有先說吃的時間太晚，恐無效，本來勸我不用吃，因為有內診，醫生說子宮內膜看起來好像滿厚，但沒看到濾泡，感覺不太是適合懷孕的子宮環境， 請問44若再回診驗孕是否妥當？若無驗到，是否411需要再回診驗一次？非常害怕懷孕。 謝謝醫生 | 經期約2834天，36經期開始，316擦一次衛生紙，分泌物還有一點點粉紅， 317的凌晨2點多有性行為， 321上午10點看婦產科，請求吃事後藥，也吃了， 不過，醫生有先說吃的時間太晚，恐無效，本來勸我不用吃，因為有內診，醫生說子宮內膜看起來好像滿厚，但沒看到濾泡，感覺不太是適合懷孕的子宮環境， 請問44若再回診驗孕是否妥當？若無驗到，是否411需要再回診驗一次？非常害怕懷孕。 Ans 36經期開始，經期約2834天，317的凌晨2點多有性行為，321上午10點吃事後藥，44驗孕是妥當的，若無驗到411再驗一次 | [
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5泌尿科
| 陰莖問題 | 醫生您好，陰莖本來就有不少微血管的話包含底部嗎，我發現我繫帶很前端有兩個左右對稱的像血管的，翻動包皮的時候才看的出是血管的樣子，平常擠在一起看起來以為是小黑點。 一般若是沒有特別會痛或是突起是不是不用特別在意，因為前陣子有去看過泌尿科以為長了怪東西但是結果只是毛囊.還好醫生人很好還幫我直接退了健保卡叫我不用太擔心我沒有性行為的話基本很安全。 想說如果本來那邊就有微血管我就不要再去醫院亂了.先來詢問醫生的見解謝謝。 | 您好： 您的情形不少見，包皮有彈性，醫師診查認為沒有問題，應可放心了。祝健康。 | [
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1精神科
| 情緒問題 | 我從高中開始就喜歡比我年紀大的人，例如：高一班導 他很關心我，我出事了他會保護我，然後我開始喜歡上他，當他離職時我很痛苦花了兩年才忘記他，但我發現我又會尋找下個目標，接下來是老師，出了社會又是課長，現在又是精神科主治醫師，我每一分一秒都在想主治醫師，拼命的看他的臉書都不會膩，我缺乏父愛，所以大家都說這是戀父情結，我想問遇到這個問題該怎麼辦 | 匿名您好： 由於不清楚您過去的成長背景及家庭關係，因此很難斷定這一定是戀父情結。不過您似乎較缺乏安全感，想要找一個依靠？ 若您想要要了解這方面的疑慮，可和您的主治醫師討論，應可以得到更多的幫助。 祝您順心！ 精神科蕭銘鴻醫師敬上 | [
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| 包皮問題 | 請問醫生 我的包皮在勃起時只能退到龜頭後面，再往下拉會有痛痛的感覺，未勃起時小小的感覺包皮沒辦法往後退. 但是聽我媽說出生的時候就有割過了 像這樣子我要再割包皮嗎 另外，我聰懂事以來之後 到現在過了10幾年，我從不覺得我的陰莖有發育變大ㄟ 這樣子是不是有病阿QQ 有需要治療嗎 請醫生幫幫我吧 這問題困擾我很久了 我現在高一. | 聽起來不一定有問題. 建議還是要去看泌尿科檢查才知道. | [
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5泌尿科
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5泌尿科
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15復健科
| 背部問題 | 我母親在賣水果 她每天都必須搬動一箱一箱的水果， 常常說她背部的肌肉很痛， 前天她做了民俗療法， 她還是很痛， 請問肌肉拉傷可以掛復健科吧！ 謝謝！ | 先生您好 感謝您的提問在這邊先回覆您的問題並提供建議如下 1.肌肉拉傷本來就是復健專業範圍內須處理之醫療情形. 2.除肌肉拉傷外還有可能造成椎間軟骨突出或是腰椎滑拖症群. 3.建議正確診斷是重要的以免只是作止痛的治療忽略其它的問題. 4.背痛除了治療外更重要的是防止背痛之衛教包括肌肉使用及肌力 訓練. 最後 祝您 平安快樂 | [
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| 胃食道逆流 | 醫師你好我之前有時候會覺得呼吸困難後來看胸腔科再換到耳鼻喉科. 最後看腸胃科才說是胃食道逆流引起的 我已照過胃鏡了.胃的範圍有發炎的情形 但我一直覺得我只是胸悶胸部的位置會有神經的疼痛並無灼熱感. 每天早上起床會覺得牙齦裡面的怪怪的所以早上習慣起床就吐口水. 發現口水裡面會有血 呼吸困難食道逆流口水有血.希望可以請教一下醫師 謝謝 | 您好 胃食道逆流會有一些非典型的症狀，如胸痛、呼吸困難、失眠等，有一半的患者，胃鏡檢查是正常的。因為這疾病是用症狀去診斷的。有時會引起蛀牙或牙周病，容易牙齦出血。 祝健康 衛生署桃園醫院 游立光醫師代回覆 | [
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0婦產科
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| 龜頭問題 | 請問龜頭和包皮連接處非繫帶有小洞是正常的嗎，謝謝 | 您好： 如果以前就有，應正常，原先沒有現在發生，或有腫，發紅，要就醫。祝健康 | [
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| 肺癌 | 前陣子去醫院檢查，醫生說父親是屬於小細胞癌擴散型的，所以需要做化療 想請問 做化療時，要注意什麼例如：食品那些等等的.，以及後續保養 父親說 感覺食物都沒辦法消化 咳嗽痰咳不出來 導致身體極度不舒服請問有什麼辦法可以讓身體不要那麼不舒服 | 無名氏 您好： 小細胞癌接受化療治療時，主要需要注意的是化療藥物的副作用。常見的副作用有耳毒性、腎毒性、神經毒性、噁心、嘔吐及血球低下等等。視藥物種類而定。輕微的副作用可考慮添加藥物，如止吐劑、化痰劑緩解症狀。但若出現嚴重副作用，則需考慮將化療藥物減量，甚至暫時停藥或改用其他化療藥物。 祝 健康如意 曲長科 | [
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6骨科
| 運動傷害 | 在三年前的一次手臂受傷之後，經醫師診斷為SLAP， 除了手術之外，假使只靠打針的方式來減低疼痛的話 ，會不會對日後造成更大的影響呢？因為我一直覺得 手術之後也有可能不會痊癒，又或者會更糟糕！所以 一直沒有聽醫生的話去做治療，都是要求醫生幫我打 個針，可是好像打完沒幾天又開始痛.真是悲慘！ 假使接受了手術治療，醫生會如何去將它修復呢？ | 您好 slap的運動傷必須看病灶大小如果病灶較大就必須靠手術修補把slap重新釘上如果病灶小可能靠復健增強局部肌肉得到減低疼痛效果一般靠打針只能減低疼痛無法達到治療效果假如採取手術方式可採取關節鏡或傳統手術切開關節以釘補方式將大範圍的slap固定回原處輔以積極的復健一般可以得到不錯效果。 行政院衛生署桃園醫院敬祝安康 骨科羅兆忠醫師敬啟 | [
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5泌尿科
| 前列腺問題 | 醫師你好，我是 的提問者，非常感謝你的回答，但我還有一點疑問，你所說的前列腺及尿道球腺液均有可能藉由龜頭受到刺激而流出是什麼意思 謝謝醫師 | 您好 尿道球腺液比較前面出現 而前列腺液主要是精液的一部份 2個腺體雖不同 2者分泌物在性刺激時都可能出現. 在性剌激最初出現的尿道球腺液中亦可能混有混有少量精液及精子 祝健康. | [
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1精神科
| 恐慌 | 黃醫師 您好 個人近期因種種因素，導致有些焦慮、抑鬱的症狀出現。而今早個人因對某些事情想不開，導致過於焦慮、抑鬱，結果突然感覺左胸口有些悶痛，呼吸則有些氣吸不到需要用力吸氣的感覺，請問黃醫師 1.過於焦慮、抑鬱或事情想不開，會對身體器官造成實質的影響嗎抑或為心理作用呢 2.目前症狀是左胸口悶痛，有無可能因個人過於焦慮、抑鬱對心臟造成"實質上"的損害呢 3.我需要因實質症狀出現左胸口悶痛、呼吸問題立即就醫嗎 4.如果採先觀察、放鬆的方式，實質症狀會因此緩解消失嗎 註我很確定實質症狀是因今日太過焦慮、抑鬱才突然出現的，而非個人心臟、呼吸系統有既有病史。 以上，煩請黃醫師撥冗回覆，感恩。 祝 順心 | 致 發問網友 您好 從身心醫學的角度來說 生理身體與心理會互相影響. 所以焦慮、抑鬱或事情想不開的情緒壓力，的確會對身體器官造成不良影響. 不過這種影響都算是功能性的失調 而非器質性或實質的傷害 除非您自己早有心肺問題相關的病史. 一般建議仍先請內科醫師或家庭醫師安排檢查 排除有無實質病變的情形例如X光 運動心電圖等 之後可自行採運動放鬆或認知調整的方式，並配合生活健康習慣的調整來處理. 當然您也可以就近到精神科掛門診讓精神科醫師幫您做相關的轉介及安排. 以上回答 希望有幫助 謝謝您的發問 | [
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| 懷孕 | 我月經424來 在429我跟男友左性行為 結果內射 但在430 24小時之內我有去買事後避孕丸來吃 但如果沒吃就會懷孕嗎 但我還是有吃 但吃了比較不會懷孕嗎 我月經週期約28 29天 不知道會不會. | 提問者您好 事後避孕物的避孕效果也不是百分之百，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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| 根管治療 | 請問根管完後不適感正常多久會消失，以前做根管的牙齒根尖發炎長膿包，做了顯微根管幾次後好轉並下次回診要填充了，不過已經3個禮拜了，按壓牙齦部分還是會有酸痛不適感，這樣是不是根管還沒清乾淨這樣就填充起來會不會有影響有點擔心是不是牙裂 | 您好 若已經封填，建議就是觀察半年，利用X光片做追蹤，確認根尖發炎處是否有癒合即可，無須過度擔心 | [
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0婦產科
| 月經問題 | 11有跟我女友發生性行為，事後發現有內射，當天兩個小時後就服用的事後避孕藥。 113-119有月經來。 210月經有來，不過量很少，而且呈現深褐色。 211月經有變鮮紅色，量還是很少。 請問是事後藥造成的亂經嗎？ 還是有可能懷孕了？ 謝謝醫生 | 11有跟我女友發生性行為，事後發現有內射，當天兩個小時後就服用的事後避孕藥。 113-119有月經來。 210月經有來，不過量很少，而且呈現深褐色。 211月經有變鮮紅色，量還是很少。 請問是事後藥造成的亂經嗎？ 還是有可能懷孕了？ Ans 應是事後藥造成的亂經 | [
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6骨科
| 脊椎 | 請問醫師，若有輕微的脊椎側彎及骨盆歪斜，是否可以練習搏擊？ | 你好， 可以練喔，醫師我自己就練十年以上，拳館也有很多有輕微側彎的 注意不要受傷就好 祝你健康 | [
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| 墮胎 | 711號吃了ru486，13號吃收縮劑流了血，20號回診醫生開了收縮技跟止血劑，25號回診醫生說流乾淨了沒問題，這期間都沒在流了，可是27號又突然流血而且蠻多的，回去看醫生說超音波看流很乾淨，子宮沒有在流血了，可能是排卵流血，但是排卵流血有那麼多嗎很擔心。 | 誠小姐您好： 你的狀況在吃RU486的患者裡也不少見，有些人明明已經乾淨好幾天了，但莫名其妙的又來個幾天。 有些人可能是吃了中藥，如參化湯、人參；有些人可能吃了太多冰冰的東西或止痛藥，而造成再出血。如果超音波顯示有排乾淨，就比較沒關係，有時再過幾天，待子宮內膜修復再生後，就會自然止血，否則也可抽血檢查妊娠荷爾蒙B-HCG的指數，看有無快速下降。總之，不要太過緊張或擔心，可再等幾天看看。 至於是否是排卵出血？當然也不能排除，只是排卵性出血ㄧˉ般量不會太多。 | [
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11營養教室
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5泌尿科
| 龜頭外露 | 許醫師您好， 小弟曾在4月初中時問了一些關於龜頭上小紅點以及包皮龜頭炎的問題，目前過了差不多快兩個月了，現在包皮的紅腫已經消了，基本上也不會癢了不過有時候會有一點不適感，不知是不是小弟的心理作用作祟，還是因為龜頭表皮磨損還沒完全好的關係。 但是，小紅點這個症狀還是存在。這期間看了三個醫生，也擦了三種不同的藥四環素，Canesten，皮大夫的明德軟膏，不過因為這些紅點在勃起時也才大概跟原子筆的筆尖差不多大小，所以在看診時醫生也觀察不太到，而三位醫生都說應該沒有大問題。其中一位說或許是包皮引起的，不用理它。另一位說可能是之前用沐浴乳清潔造成像是臉部被日光曝曬而長雀斑那樣，過個23個月就會好，最後一位則是說沒有變大或變多就沒有關係也確實是沒有變大變多，只是也沒有消去。 說實話小弟不是很想再繼續抹藥膏了，但是已經快兩個月還是沒有好讓小弟心裡開始有壓力。所以我想請教的是，在目前這個情形，許醫師您的建議會是再去看不同的醫生呢，還是繼續用冷水清洗12個月再觀察看看就好 不好意思再次打擾您了。 | sam 你好 沒看到病灶，真的很難診斷。不過，三位醫師都認為不是太大的問題，應該就還好。 另外，可以考慮是否因為清潔工作引起的。比如說，習慣使用清潔用品來清潔龜頭，或者常用熱水清潔龜頭，都可能造成表皮的受傷。 建議：平常使用冷清水清潔即可。有需要時，清潔後使用嬰兒油、乳液來保養龜頭等。 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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2牙科
| 補牙 | 黃醫師您好，我想請問約於一年前補過的一顆牙左上最後的臼齒，因為這顆牙齒的邊邊有點碎掉，加上與旁邊的臼齒左上倒數第二在喝完冷飲或酸性飲料後會酸，因此前去就診。醫生跟我說蛀牙的是最後一顆，因蛀牙的位置已非常靠近神經，所以暫時幫我補起來，如果會痛再去做根管治療。 近日發現這顆牙齒以及它旁邊那顆同樣在喝冷飲、還沒刷牙前會酸，但不會痛，刷完牙後也不會感到酸和上次就診前的狀況相似。但我還是再去看診另一家診所，告知醫生這顆牙齒的狀況後，後來的結論是以防之後痛起來，所以決定做根管治療。因此他先幫我把上次補的拿掉，塗上麻藥和上填充物，讓我下次回診再開始做根管治療。 很擔心這麼處理很可惜，因為只感到酸的話，是否改為補牙就好？又或者其實蛀牙的問題發生在齒縫或者內部，應儘早做根管治療？ 麻煩醫師了。 | dear Chen Shi小姐您好其實酸是很困擾人生活品質下降不快樂若能補起就補起補後會酸痛表示神經已有發炎根管治療已可考慮請多和醫師溝通 謝謝祝平安 牙科 黃廷芳主任敬上 | [
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| 分泌物 | 醫生您好，我已經固定吃事前約有10月了，最近會突然有血絲的問題，有去看婦產科醫生，醫生內診有說我因為分泌物感染導致子宮頸有糜爛的現象，開了塞劑給我，後來陸續有回診幾次，醫生有說子宮頸有比較好了，之前也有照過超音波，醫生也說沒什麼問題。後來塞劑塞完後還是有時候會突然有一點點血 但又沒了 例如今天早上突然肚子有點痛後來上廁所擦到分泌物裡面帶有血絲，但用棉花棒進去陰道內轉了一圈又沒有血絲 請問 1.這樣我是不是應該再去婦產科 還是說觀察個幾天如果還有血絲再去看醫生呢？ 2.子宮頸糜爛會是一個很大的問題嗎？ 3.會是因為我吃事前激素不夠的問題嗎？但我已經吃一段時間了，一開始吃沒有這個問題。 謝謝醫生。 | 您好 暫時先觀察，如果還是有出血，再看婦產科，如果真的是子宮頸糜爛，如果嚴重，就是要冷凍治療，可以考慮吃另一種避孕藥看看，是否還有同樣出血的問題。祝健康 | [
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