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5泌尿科
| 勃起問題 | 我最近一早勃起6到7次數天之後勃起完會疼痛這是甚麼原因又如何改善呢謝謝杜醫師回答 | 您好： 勃起完會痛，如果每次都會，請就醫，祝健康 | [
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0婦產科
| 懷孕時 | 黃醫師您好 我現在懷孕約5周前幾天有買一盒緩效鐵葉酸Slow-Fo Folic’®Tablets補充養分，為什麼這幾天的便便都成墨綠色．請問醫師這樣正常ㄇ，還是我吃下去的鐵葉酸都沒吸收到全部都排出來了． 我想請教您在懷孕初期或懷孕期間連續每天講半小時的手機電話，手機電磁波是否會影響到胎兒的發展狀況如畸形． 請問黃醫師 懷孕初期或期間是否適合作臉部果酸換膚或持續使用濃度15的葆療美果酸凝露 本人先前是一直有服用避孕藥約一年半 停藥後的第一個月即受孕 聽說服用任何藥停藥後幾個月內藥性都還會殘留在體內 不知避孕藥是否也亦是如此 停藥後馬上懷孕原殘留在體內的藥物避孕藥是否會影響到胎兒 未確定懷孕時 連續兩個星期有至醫院拿各3天份的崔經藥吃 請問醫師這會影響到胎兒以後的發展ㄇ | 使用鐵劑大便是可能變墨綠色的 為增加鐵劑在腸胃道的吸收可配合vitamin-B群especially B-12 手機的磁波對人體的危害仍在爭議 安全起見孕婦儘量避而遠 之 用藥安全性請咨詢開藥醫師 | [
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16腫瘤科
| 多發性骨髓瘤 | 家父去年年中被診斷患多發性骨髓瘤當時IGG指數三千多經萬科治療結束後三月初療程完畢IGG指數為一千五百多四月底回診醫師告知將於五月中開始使用瑞復美治療請問1.倘若這麼早就使用瑞復美萬一日後復發是否面臨無藥可用的困境2.萬科治療後IGG指數降至一千五百多算不算是治療成功3.醫師續用他種藥繼續治療是因先前萬科治療失敗嗎 陳醫師您好百忙刁擾甚感萬分感激謝謝您的回答 | 陳女士／47歲／女 你好 因為我是放射腫瘤專科醫師，所以必須去請教血液腫瘤專科醫師後才敢回覆你的問題 1.倘若這麼早就使用瑞復美萬一日後復發是否面臨無藥可用的困境 A 還有化療與骨髓移植等方法 2.萬科治療後IGG指數降至一千五百多算不算是治療成功 A 算成效好啊！但是健保只給付2個療程，如果病情需要再繼續用這個藥，必須自費 至於為何令尊需要繼續治療，必須問你們的主治醫師 3.醫師續用他種藥繼續治療是因先前萬科治療失敗嗎 A 其實你提供的病情資料，被諮詢的醫師是無法全面地評估為何病患需要繼續治療的 這個問題要問你們的主治醫師 我也相信醫師可能有說明過 或許你們不完全了解他的意思 必須針對你們有問題的地方再提出詢問 網路諮詢時 你們無法提供全面的資料給被諮詢的醫師 被諮詢的醫師又必須謹慎回答以免影響你們之間好不容易建立好的醫病關係 來信平安 桃園醫院 陳斯榮 | [
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6骨科
| 關節 | 醫生您好，我的右手大拇指指間關節大概在一個多禮拜前開始痛，想請教您一些問題 目前的症狀是從手背的方向看過去，因為指間關節的右邊部分，按壓時特別痛；以及大拇指彎曲時碰不到大魚際肌左手大拇指碰的到，右手的現在彎不下去 前兩天有去看過骨科醫生，醫生認為說看起來沒有種，就說會慢慢好。我當時沒有發現右手大拇指彎不下去 1.想請問您一下，我這種狀況是韌帶發炎還是骨頭有問題呢因為只有按壓指間關節的右邊部分時才會特別痛 2.我現在是只能擦藥，等他慢慢好嗎 3.需要每天彎手指拉筋，還是盡量不要用到大拇指呢 4.假如多久後沒有好或是這種傷大概多久會好，需要再去看醫生呢 感謝您的幫助看網路上好像很多人種種傷都沒好. | 1.可能是韌帶發炎 如果是骨頭有問題那也要照了X光片才能確定 2.可以休息吃一點抗發炎的藥物 3.儘量不要用到大拇指 4.如果兩星期沒改善再去看醫師 | [
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5泌尿科
| 菜花 | 醫生你好！我肛門處長了菜花，目前有接收雷射氣化的治療去除病灶，但治療過了約2星期又有病灶出現（打算安排要做第二次的雷射氣化治療），但因本身是“乾癬”患者，所以目前不敢使用口服免疫藥物配合治療，想請問醫生有沒有其他的治療方法可以提供參考，不然病灶一直復發讓我覺得很困擾。。 | 您好： 也可考慮電燒治療。祝健康 | [
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6骨科
| 背痛 | 醫師您好，我右上背大力呼吸、躺著、大力伸展的時候會痛，是定點刺痛的感覺，約快一年。有照過肺部X光沒有問題，平常有打籃球、排球、重訓的習慣，疾病的話有僵直性脊髓炎。不知是否為肌肉拉傷還是神經問題？想請醫師解答，謝謝。 | 您好， 依您的症狀筋膜炎的可能性較大， 筋膜炎大部份會有局部壓痛， 如有疑問還是就診確認。 彰化醫院 關心您的健康 王守吉 | [
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13肝膽腸胃科
| 下腹痛 | 醫師好，我的工作需要長期久坐 從去年開始右下腹會不明的抽痛，有時1-2天，有時會連續好幾天，通常只會抽痛5-10分鐘後改善，平時都不會有任何感覺 而前陣子有一整個月都沒有抽痛的現象，我以為自己好了，但直到近期又再發生，疼痛的感覺好像更強烈，時間也增加 痛的感覺有點像神經抽痛的感覺，一陣一陣的，位置都在同一個點上（右下腹偏中間一點的位置），抽痛時按壓不會增加疼痛，只有腹部用力時會 有去看過婦產科，做過檢查都沒有問題，醫師認為可能跟腸道有關 去年也有做糞便潛血及超音波，報告都正常，有照腹部X光，沒有阻塞，但有宿便 目前食量正常，體重無下降，排便習慣正常（每天一次），顏色正常，但排便量有減少，有點便秘跡象，排氣變多 想請問醫師建議，謝謝 謝謝您的耐心回覆 | 右下腹部抽痛可能的原因，包括神經痛、肌肉酸痛、婦科問題、泌尿道問題、或腸胃道問題。婦科檢查沒有問題。糞便潛血沒有問題。排便量減少、有便秘現象、排氣變多，擔心跟腸道有關。建議少吃產氣的食物如甜食炸物。勿吃太快太飽，適量的水分跟運動，多攝取䊹維如蔬菜水果。增加糞便量，養成排便好習慣。若仍腹痛醫師認為可能跟腸道有關，也可以安排腸胃道檢查有無問題。祝健康！ | [
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| 經期問題 | 我想請問一下. 我現在的經期已經亂一陣子了，我亂經很久了，有時來整整一個月，有時是不間斷的連續到下一期經期，這樣子持續下去會導致我未來不孕嗎？ 然後我昨日與男友發生性關係，可是我沒讓他的生殖器進入我的陰道，也沒讓他射精，但他用手指幫我自慰，但是我害怕他在幫我之前，手摸過他的生殖器，沾到精子，然後進入我的陰道，導致我懷孕，我想請問，這樣我會懷孕嗎 | 您好 懷孕機會不大，性行為要做好『事前』的避孕措施，不能相信安全期，尤其月經不準的人，更要避孕措施。如果持續亂經，建議看婦產科。祝健康 | [
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| 口交 | 我因為不小心得到淋病 推估應該是周五 在不知情ㄉ狀況下 週六又跟女友發生信行為 有口交 那這種情形該如何處理 我已經看過醫生確定是淋病 那女友是否也該帶ㄑ看醫生 口交是否會有傳染嘴巴疾病 請解答謝謝 | 小哈： 你好 淋病細菌會經由性交、口交而傳染。一般尿道感染後，會有局部疼痛，分泌物等症狀，而口內感染的機會不太大，假如有疼痛等症狀，可以看ㄧ下相關醫師。 淋病的治療，可能需要2-3週的抗生素治療，這其間，有可能仍然會傳染，需要做防護措施。 泌尿科 主任 許維愷 答覆 行政院衛生署台東醫院 關心您 | [
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0婦產科
| 懷孕時 | 黃院長，您好 我前天發現懷孕進入第七周 由於有少量出血多天，故至醫院求診 2間醫院都診斷 雖然受精卵著床位置並無異常 但兩邊各有4.5cm左右的肌瘤，會讓胎兒可生長的空間變小 至於出血原因，不清楚是因為懷孕初期正常現象流產率本來就高達15 還是因為子宮頸息肉或是因為肌瘤 建議我只能持續追蹤觀察 不知道院長有甚麼高見呢 其實我擔心，若是順利懷孕下去 子宮空間不夠大是否會影響胎兒生長 若是會的話是否這次先放棄然後治療完肌瘤後再受孕呢 亦或是照前面兩位醫生建議先觀察一陣子再說呢 不好意思，百忙之中，再懇請您提供寶貴意見 感謝您 | 感謝提問，原則上懷孕時有肌瘤，比較容易造成早產或莫名之腹痛，以4.5公分的肌瘤，應不致造成生長空間壓迫的問題，所以建議仍保持平常心，進行規律產檢即可。 | [
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3藥物
| 用藥安全 | 黃藥師您好： 近期家人有食用Ginkgo Biloba Extract，請問是否可跟Atorvastatin降血脂藥或TELMISARTAN降血壓藥併用，有什麼風險？亦或者錯開時間更好呢？ | 阿全您好： 這三種藥互相沒有交互作用，一起吃是沒有問題的，您可以放心。平時只要留意服用Atorvastatin降血脂藥期間不要食用葡萄柚，以免藥效增加造成副作用發生機率提高。 祝平安健康。 | [
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| 負面想法 | 醫師：你好 我已收到你的解答，謝謝你！ 我想請問負面想法，應該如何去轉換成正面的思考。 因為我總覺得，正面的想法是對的沒錯，但是好像在心裡總覺得有點自欺欺人的感覺。而且我的社交焦慮那種感覺真的很難過，我不想再讓那種感覺干擾我。 謝謝！ | 負面想法並不會自己消失或轉換成正面想法，在心理治療裡並沒有”神奇的療效”或”立即見效”這回事. 在認知治療裡，你必須在治療中反覆討論及檢視自己的負面想法，體認負面想法與真實狀況之差距，並以練習的方式去體會這個差距.只有在你經由真實體會中確認負面想法的謬誤性後它才會減少不是消失，是減少. 正面想法同樣無法憑空建立.辯證，練習，由結果來體認其是否有效均是無法省略的步驟.就像你必須質疑負面想法一樣，你也必然會質疑正面想法. 自己面對自己的負面想法時必然會有許多盲點，經由熟練的治療者可以較快協助你切入.建議你找精神科醫師或臨床心理師幫忙. | [
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| 事後避孕藥 | （排卵期為119∼125）127排卵期後兩天性行為，保險套脫落感覺有沾到陰部，這樣需要吃事後藥嗎？ | 提問者您好 依您的描述，最好以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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12胸腔內科
| 肺部問題 | 楊醫師您好： 最近照了胸部X光，結果是「左、右肺尖纖維化」，是第一次看到，過去（約一年前）的結果是正常的。 請問如果拍攝當時有一點感冒（或者說尚未完全好），是否可能造成影響？還是您建議至胸腔科追蹤？ 謝謝。 | 楊先生您好 纖維化通常代表曾經發炎過留下痕跡，從您的描述推測發炎可能發生在近一年之內（因為一年前ｘ光片正常）兩肺尖部位是肺結核好發部位，建議您瞭解家屬或比較親近的友人有無肺結核病史． 追蹤部分建議您最近一年每３－６個月定期回原醫院追蹤比較ｘ光有無變化（進展）或者碰到咳嗽超過三週仍未好轉，趕快到胸腔科門診檢查． 祝 好 | [
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| 會懷孕嗎？ | 醫生您好 想請問在預定的排卵日當天 沒有插入也沒有在陰部外面磨 只是在口交後 男生有用手去摸生殖器官 那時候也還未射精 只有勃起時的液體 假設有沾到那些液體 在沒有等他乾時 又把手深入女生陰道內 也蠻深的 這樣懷孕的可能性大嗎？ | 想請問在預定的排卵日當天 沒有插入也沒有在陰部外面磨 只是在口交後 男生有用手去摸生殖器官 那時候也還未射精 只有勃起時的液體 假設有沾到那些液體 在沒有等他乾時 又把手深入女生陰道內 也蠻深的 這樣懷孕的可能性大嗎？ Ans 懷孕的可能性小 PS 建議參閱國民健康署「性福e學園」或婦產科醫學會「青少女年避孕指引諮詢家」 httpgoo.gldc6PfW | [
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| 藥物諮詢 | 黃藥師，您好。 皮膚濕疹，醫師開列Mometasone Furoate Cream 0.1 寶齡富錦，喜膚能乳膏，每天一次，早上適量使用。 如果每天早上擦藥膏，晚上洗澡後藥膏就洗掉了，由晚上到隔天早上期間，都沒藥膏在皮膚上，是否可改為晚上擦藥？仍然是每天擦一次。 | 您好，抱歉讓您久等。 喜膚能乳膏每天固定時間擦即可，您可於每天洗澡後薄擦一層於濕疹處。 祝您早日康復。 | [
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5泌尿科
| 龜頭問題 | 問了同學他們只有一個洞，請問醫師們，我這樣算是什麼疾病嗎？ 目前為止不影響尿尿與射精 附上圖片 httpsdrive.google.comfiled1gYFiYCv6QEvW5lEME3y0wEsSk7mtadW3viewuspdrivesdk | 小黑您好 正常的尿道應該是只有一個喔，就您所述，建議至泌尿科門診就診，診察有無尿道下裂或者其他情形。當然您也可以先注意排尿的時候是從哪一個洞口出來，以便與泌尿科醫師討論。 | [
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1精神科
| 失眠 | 我媽媽連續六個月有失眠問題一睡著沒多久就清醒前五個月有去看醫師醫師都只有給安眠藥後來有去看一個心身科的醫師他說這是自律神經失調交感神經亢奮引起的睡眠障礙因為媽媽連續幾個月的失眠也造成焦慮症醫師就開給我媽媽理思必妥錠和優寧錠吃了一個月晚上確實有比較好不用吃安眠藥可以睡4或5小時但午睡仍然是一睡沒幾分鐘就醒來請問要看什麼科或心身科和神經內科都看媽媽有一個疑問就是到底會不會好會好的話療程大概要多久需不需要做相關的身體檢查如果要做身體檢查那應該做哪一種 | 不知令堂之年齡個性與健康狀況 還有生活中是否有重大壓力事件 理思必妥是抗精神病劑 該是時候到大醫院家醫科或神經內科好好檢查ㄧ下了 若身體OK 則可就近找一位肯用心聆聽的精神科醫師 失眠需要耐心面對 相信她會好起來的 | [
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5泌尿科
| 陰莖問題 | 醫生您好 我本身包皮過長 平常龜頭前只有直徑一公分左右的開口 其餘被包住 也比較少清洗包皮內部 這幾天翻開發現包皮內部靠近溝槽不是在龜頭上 有一片紅色的 摸起來不會痛 表面有點油油亮亮的 很光滑 httpsimgur.comawZSLX6K 想問一下是因為手淫一天一次的破皮嗎 需要擦碘酒藥膏嗎 還是擦使皮新軟膏 | 您好： 傷口多半以皮膚沒照顧好形成，但是如有不安全性行為，建議醫院泌尿科性病檢查，如果沒有性行為，大概就不用擔心，保持清潔乾燥，用優碘不用肥皂，濕了要擦乾，觀察幾天，沒進步或傷口變大要就醫。祝健康。 | [
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17眼科
| 假性近視 | 高醫師好 1. 請問成人假性近視增加會引起眼軸繼續拉長嗎 2. 若成人假性近視矯正成功，是否能幫助眼軸縮短 3. 成人假性近視會影響視網膜的厚薄度嗎 4. 除假性近視外，700度左右高度近視患者如近視不再增加，視網膜還會繼續變薄嗎 謝謝高醫師仁心協助解惑 | 冠旻 您好： 1. 假性近視的成因是睫狀肌收縮造成的。眼軸拉長是真性近視的原因。 兩者不同。 2. 同1 3. 不會 4. 應該不會，可是高度近視視網膜容易退化。 台灣e院 朴子醫院眼科： 星期一至五早上 8：00∼12：00 星期三下午 13：00∼16：30 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 希望有機會能為您服務。 高丕霖 | [
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| 心跳問題 | 因高血壓問題 近幾年均服用 Sevikar 40512.5mg 血壓也在控制中 上個月回診 因飯前血糖AC 稍高105 以及運動心電圖有些微異常 醫師要我改服用 Norvasc 5mg Crestor 10mg Nebilet 5mg Bokey 5mg 等4種藥 可能是 服用Nebilet 這顆藥 這幾天靜止心率掉到45原先約60 睡覺時心率掉到40-50 原先約50-60 想請問 常態性的心率這麼低是否會有問題 | 您好， 根據您的描述，改藥後 Nebilet使靜止心率降到50min 如果沒有任何不適，活動時心跳能適當提速，或許心臟的功能及變時性是適當的，目前看應該無虞，但若無強制性理由，用nebilet讓心跳過緩，可能沒有實證上的益處，也可能帶來風險；不妨在下次回診時與您的醫師討論，是否變更藥物 平安 衛福部彰化醫院 關心您 | [
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| 睪丸問題 | 本人左側睪丸重墜下垂已有兩三年了小時候有動過積水的手術上個月有去一般外科看睪丸也照了超音波醫生說沒甚麼太大問題但我跟他講左側睪丸下垂且左側睪丸落在陰囊的方向和右側不一致站立時睪丸一般為長軸向上的橢圓狀但我站立時左側睪丸為接近平躺的橢圓且比右側低蠻多最近有摸到左側陰囊內有類似團狀的物體像是血管又不太像但基本上睪丸沒有疼痛的感覺是否為精索靜脈曲張所導致呢那開刀能改善睪丸重墜下垂嗎如果上述為正常有甚麼方法能讓睪丸不下垂那麼多因為左側睪丸下垂會碰到大腿內側造成不舒服感已許久了謝謝 | 基本上兩側睪丸一定是不等高 有些人是左宗棠左側高 有些人是于右任右側高 通常睪丸是由提睪肌支稱其重量 故可能隨年紀外傷或手術提睪肌力量減弱而使得睪丸較下墜 通常它並非疾病故並不會進行手術 若真造成困擾可行的手術是將提睪肌提高 但很少這樣手術的例子因此並無可否改善的報告 不過有疑問仍建議找泌尿科醫師求診醫師常需視診觸診及問診才能確定診斷與治療方式 | [
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| 壓力 | 請問若是有人時常在腦中想像殺自己的畫面，那樣算是自殺嗎？ 會因為壓力過大導致負面情緒，但想像把自己殺掉就能冷靜下來繼續工作。 這樣算是自殺嗎 謝謝 | 網友好 只能說這個人壓力真的很大，這個人需要找人幫忙或專業人員談談啊。 吳恩亮醫師 | [
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6骨科
| 韌帶 | 想請問醫師 我八月的時候上下走樓梯膝蓋開始會不舒服 到復健骨科醫生說是膝蓋發炎 九月的時候走樓梯走到一半突然痛到要抱著膝蓋才能走 到復健骨科醫生說是筋膜炎 看國術的說是韌帶拉傷 運動傷害的照超音波說是副韌帶發炎 醫院醫生照x光說是xx膜發炎 同一個症狀但是醫生說的症狀都不一樣 我是右膝內側骨頭會痛且有腫起來 膝蓋上方也有腫起來 已經過很久了都沒有好轉 我要怎麼知道我到底是哪裡受傷 該做什麼治療嗎？ | 上下樓梯膝蓋不舒服，在年輕女性一般情況大多是因為髕股症候群。 因為軟骨磨損及軟化，造成膝蓋疼痛，這段期間應儘量避免上下樓梯或蹲姿，就會漸漸痊癒，同時可以戴上護膝，減輕膝關節的壓力。 | [
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| 藥物副作用 | 醫師您好：我想請問您，由於我爸因為之前腳開過刀，近來因為血管阻塞而住院，打抗凝血劑克制病情，不知打了這個藥劑會不會有副作用？ 謝謝您 | 假如你最近要接受手術包括拔牙，則要告知醫師或牙醫師您正在服用Warfarin 抗凝血劑，服用抗凝血劑，它的副作用是異常出血現象或戳傷、解黑便或血便、血尿、異常疲倦、不明原因發燒、寒顫、喉嚨痛、胃痛、腹瀉、皮疹、頭痛。而您爸爸是之前開刀的，如果傷口還未完全復原，而現在服用抗凝血劑是要小心的，如果傷口已經一個月了，而且也完全復原了，應該沒關係的，但是您可以告知醫師您之前開過刀，讓醫師知道您的病史，對您也是有幫助的•祝您身體健康，平安快樂• | [
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| 懷孕用藥 | 醫生您好 不知道自己懷孕的情況下，皮膚突然搔癢厲害，擦了“強力施美藥膏”大約五六天 只有晚上睡覺擦，大面積在左手臂手臂、右大腿 背部局部都有擦 不曉得對胎兒有沒有什麼影響.大約懷孕兩週內的時候擦的 | 您好 一般應該是沒什麼影響。祝健康 | [
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| 會懷孕嗎？ | 醫師你好。我前半年月經一向正常約25∼28天。上次月經來是624來717男朋友無套內射。月經已延遲5天了是否有懷孕的可能。之前有過兩次都快2個月才來。麻煩醫師了謝謝你！ | 您好 是否懷孕機會不大，任何時候最好要做事前的避孕措施，不能相信安全期，如果月經該來沒來再超過1星期仍沒來，建議看婦產科。祝健康 | [
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13肝膽腸胃科
| 腹部問題 | 醫生你好 我有些許疾病想請問醫師我有慢性腹瀉並無不合適症狀近三個月ㄌ每次蹲在廁所 都需4060分鐘才會拉ㄉ較完全但我已好久沒暢快感而且糞便感覺都消化不良 有時都浮起來顏色還屬正常我從小就有b肝至現在為健康帶原我對自己生活作息 也很講究我也沒有壓力及緊張感也無乳糖不耐症我常去有肺結核ㄉ人家共食怕 結核菌已傳染給我至感染到大腸及泌尿系統因我有看過類似報導我現在也有 頻尿急尿小便無力至四個月ㄌ我也常自慰7年時間ㄌ並問醫師我若服用治療藥物 會否影響我讀書近度或記憶力ㄋ感激不盡 | 你的徵狀需要做大腸鏡檢查但檢查可能是正常，以排除大腸炎、大腸癌的可能，另外B肝的注意事項為每6個月規律追蹤一次血液及超音波檢查。大腸的徵狀治療請看肝膽腸胃專科醫師 | [
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17眼科
| 度數問題 | 胡醫生你好 我之前去固定的眼鏡行檢驗度數，結果是左右眼各增加100度左右，店員說我這個年齡度數應該是趨於穩定的才對，而一年前檢查的度數是左眼800度、右眼900度。因此我想請問醫生除了做定期眼底檢查之外，需要做其他檢查嗎 謝謝 | 小修先生您好 依您提供的近視度數您有高度近視這類的患者的卻有可能在青春期過後 眼軸仍持續增長而導致近視度數增加另外您亦有可能是長時間近距離工作而引起睫狀肌莖鸞您可以定期在眼科醫師處檢查散瞳前後近視度數.眼壓.眼底 祝平安 眼科胡裕昇醫師敬上 | [
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| 會懷孕嗎？ | 我的月經是在上月25日本月的14日與男友在性交前未戴套到射精時才有戴19日也是同樣的情況我的經期約2835天不知這樣是否會懷孕 再者20日即吃下事後避孕藥是否有效 什麼時候驗孕較能盡快知道有否懷孕 請協助.謝謝 | 因為妳月經週期不是很規則2835天如果是28天來一次則9月14日與19日的性交應無懷孕的可能但如果碰到35天來月經則9月1419日的性交可能會碰上排卵期粗略的算出月經週期減去14天如果有戴保險套大概可達到85的避孕率至射精時才戴則應避免怕射精前已有少部份精液湧出至於事避孕丸在性交後4872小時內服用一次12小時後再服用一次一般可達95的避孕率萬一月經沒有以妳之週期來算超過710天3538天即可驗尿如果呈陰性一週後還是沒有來潮應再驗尿直到月經來潮為止。 | [
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| 懷孕機率 | 醫生您好： 想請問一下，若家裡的男性將他的精液遺留在馬桶中未沖水，而我又於上廁所時被馬桶水噴濺到陰部，這樣會有懷孕的機率嗎？剛剛上廁所時被馬桶水噴濺到，現在有些焦慮，先謝謝醫生的回覆！ | 您好 應該是不會懷孕。祝你健康 | [
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| 精索問題 | 上個禮拜打球之後覺得腹股溝很痠痛，後來去家醫科檢查不是疝氣，後來就給了我消炎止痛藥跟肌肉鬆弛藥，之後又去了骨科診所，要是給了相同的藥，後來有聽說會不會是睪丸扭轉的問題，但後來也確實不是（因為時間過了有點久也沒有很痛），但是最近腳上應該有好轉，但是走路的時候會覺得蛋蛋卡卡的，腹部用力也有睪丸上舉的感覺，不知道是什麼原因，會是因為心裡因為擔心而心裡因素影響的嗎？ | 您好本園地回答供參考 無法取代醫師診查 檢查檢驗 好好休息有可能是運動後疲勞造成 如果有症狀要服藥 勿久坐 腹部暫時不要太出力. 祝健康 | [
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| 懷孕嗎？ | 醫生你好 我想請問 就是如果內射後8小時內吃了避孕藥 過了12天生理期來了（提早5天）可是第一天的量很少 不過第二天是正常的量 是藥物的副作用嗎？ 還有就是這是生理期嗎？生理期過後一週驗孕還會懷孕嗎？ | 提問者您好 事後避孕藥對月經的影響不一定是提早或延後，它的避孕效果也不是百分之百，失敗率有3左右。建議如果不確定出血是否為正常月經的話，仍然要檢查是否懷孕或請醫師評估，謝謝 ，謝謝 祝 平安 健康 張 醫師 回 | [
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| 懷孕 | 醫生您好 想請問如果分泌物黃黃的、沒異味、陰部也不癢， 會因此較難受孕嗎？ 原有在服用得喜胃通（Dexlansoprazole 在停藥後最少隔多久才能懷孕？ | 1.分泌物黃黃的、沒異味、陰部也不癢，會因此較難受孕嗎？ Ans 不會因此較難受孕 2.在服用得喜胃通（Dexlansoprazole在停藥後最少隔多久才能懷孕？ Ans 停藥後即可懷孕 | [
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| 精索術後 | 精索靜脈曲張手術後 約12天自慰了兩次，會有什麼影響？還有精索靜脈曲張曲張會影響性功能嗎？ | 都不會 | [
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11營養教室
| 青春痘飲食 | 請問為什麼吃麥片一星期左右會長大顆暗瘡如果持續吃就持續長停吃之後就慢慢消失請問有什麼方法可以改善的.謝謝. 我的皮膚是油性的.該吃什麼食物比較不會長痘痘勒 嗯.是吃比較涼的東西.還是不要吃油膩的東西.可以舉例一下嗎謝摟. 還有阿.再請問一下.以前因為看到痘子就把它弄破.現在皮膚被弄得很遭毛細孔變得很大..有的救嗎多謝摟.哈哈. 感恩啦. 你好我想要知道吃什麼才可以清除豆豆 謝謝 我因為睡眠品質不好導致臉上長了不少痘子是以前不曾長過如此的多該如何飲食比較好 我目前157公分體重55-56之間想在過年前減到50-52之間我是上班族早午需外食怎樣的飲食方法可以幫我達到目標. | 您好 一般暗瘡形成原因有很多有一因素為飲食太過油膩而形成 而麥片含大量的纖維質對人體的有很多幫助 但目前為止尚無吃麥片會長暗瘡的情形發生所以應該不是麥片問題 建議你可去看皮膚科跟醫師討論是否有其它的原因 以上 謝謝 祝健康 順利 黃玉如回 201011190912 您好 很抱歉早已寫好卻未輸入電腦回覆您. 您皮膚是油性的當然油炸食物不能常吃油膩食物也要列入拒絕往來的食物之一例如臭豆腐油豆腐炸雞腿油條鹽酥雞漢堡薯條各種點心糕餅.皆是油脂較多的食物若改為較清淡或蒸烤的食物如此體質會慢慢改變減少痘痘的數量.除了飲食以外熬夜和壓力也會影響體內賀爾蒙的分泌至於痘痘當然不可弄破否則手上的細菌會引起發炎會使毛細孔變大的想了解更多資訊可以到醫院看皮膚科醫師相信會有更大幫助. 祝您健康快樂 苗栗醫院營養師祁明華 小靜您好 在漂亮清秀的臉龐上冒出討厭的豆豆的確惱人。在飲食上儘量採清淡食物刺激性食品如辛辣食物.咖啡.等不要碰並建議妳找皮膚科醫師診治不要亂嚐偏方以免”災情更加擴大而無法控制”。 行政院衛生署桃園醫院敬您闔家平安快樂 營養師施桂梅敬啟 1.若睡眠品質差加上沒有勤洗臉長痘子的機率會高故首先要提高睡眠品質不易入睡時可於睡前一小時喝杯溫牛奶或洗溫水浴幫助入眠 2.妳尚屬於理想體重4958kg的範圍內若欲減少至5052kg可每日減少500卡的攝取量例如早餐鮮奶改脫脂奶中餐晚餐減少肉量和烹調用油量 | [
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0婦產科
| 乳房問題 | 最近洗澡時發現我的右乳房有如乳暈大小的硬塊，按下去會微微疼痛，但沒有任何分泌物，請問一下是腫瘤嗎？我是不是要死了？ | 提問者您好 依您症狀的描述也有可能是發炎，建議您可以請乳房外科或婦產科醫師評估檢查，謝謝 祝 平安 健康 張 醫師 回 | [
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| 是否懷孕 | 我想請問一下 我的生理期固定每個月18號來 可是我7月7號有跟 男朋友發生性行為 那一天有內射 可是我不知道為什麼隔天我總覺得我的腹部脹脹的痛痛的 7月14號的時候 有發生性行為 可是有內射 可是我發現我這幾天懶洋洋的可以給我說為什麼嗎 | 提問者您好依您的描述而言，懷孕的機會是不低。但是有無懷孕並無法由主觀的症狀來判斷，精神不佳也有可由諸多其多原因造成，建議您如果月經如果到7月25日還沒來的話，還是需要驗尿檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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1精神科
| 憂鬱症 | 醫師您好， 我有產後憂鬱。 我跟我老公沒住在一起，每當看到我老公我就覺得他在外面有家庭我跟小孩是第三者。 而且我覺得跟他出去他講話就算在怎麼真實，我還是會附和他，但事後一個人的時候又一直告訴自己一切都是假的，每天心裡就是這樣到底是真是假的拉扯。 老公對憂鬱症的認知很少，就算他在怎麼去了解，我覺得在他的心裡憂鬱症只是個藉口。 他曾告訴我，有人跟他說會說想自殺的人是不會去自殺的，現在的精神科藥物吃在多只是洗胃而已。 自從聽完這些東西，我的情緒越來越容易躁動。 最近情緒很容易的控制不住，原本在怎麼無法控制都不會出手打人，現在情緒上來就容易出手，腦子裡就是要他跟小孩死不然就我死的念頭。 我已經換了第三個醫生了，但是我又想換醫生了。換醫生的原因是我會莫名突然開始對醫生無法信任。 已經一個多月沒出現自殘行為了，這幾天有開始有這些行為產生了，我不敢告訴任何人也不想讓人知道，所以都會選在衣服蓋的到地方。 睡前的藥一口氣要吃七顆，看到藥覺得真的好累， 就算吃那麼多藥還是要兩三個小時後才會睡然後還是只能睡5，6個小時。好想一天就把藥吃完，不想要在繼續吃藥。 大家都說其實我並沒有那麼嚴重，是否我可以開始慢慢的停藥了？ | 您好 您的狀況真的令人擔心 情緒很容易的控制不住容易出手出現自殘行為都是您無法承受目前的情緒 所反應的現象 為了您自己與小孩好如果可以的話應該考慮短暫住院治療一些時間 但是就長期而言您最大的議題是無法信任別人 這個問題會讓您在親近的關係中一再的出現困擾 鼓勵您嘗試去信任一位固定的醫師 雖然有時會對此位醫師沒信心但是也不要輕易更換 這樣方能去體會對人信任的議題 可以的話應該考慮作長期的心理治療 | [
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17眼科
| 白內障 | 醫生你好， 我是高度近視，2眼都有白內障，左眼近視1200度，視力剩0.15。右眼近視1400度，視力0.3。老花各250度，散光各50度。醫生說先開左眼，使用單焦非球面水晶體。 我想請問，如果我希望開車時可以看見儀表板及看遠不需戴眼鏡，看近時則戴老花眼鏡，那左眼應該預留多少度數？眼鏡度數該怎麼配？如果只能選擇看遠那眼睛和眼鏡度數要怎麼調整？ 如果隔半年以上再開右眼，在等待期間，眼鏡要怎麼調整？我不能做雷射也不能戴隱形眼鏡。如果一眼正常，一眼1400度近視，這樣會有什麼問題？可以開車嗎？ 我多年前就有飛蚊症，平常無異常，多年前視網膜有雷射修補過裂孔，至今也無異常，手術後會變嚴重嗎？ 問題很多，感謝您撥冗回答。 | Julie 您好： 看儀表板清楚及看遠不需戴眼鏡，可能單焦沒有辦法兩全其美。如果留近視100度可看儀表板，看遠就會有點模糊。如果只選擇看遠，那就不要留度數。這都需要與手術醫師討論一下為佳。 術後兩眼會有視差，應可以靠左眼的視力即可應付一般的日常生活，可先不配眼鏡試試看。開車可能就需要注意一下。 手術應不會影響飛蚊症及視網膜。但術後可能因為白內障消除，視力變好，原先存在被忽略掉的飛蚊，就變得清楚可見，可能會感覺變多，其實不然。 -- 台灣ｅ院僅提供醫療問題諮詢，不做診斷、不開立處方、不介入病人與原看診醫師關係； 本站提供的醫療諮詢，並不能取代醫師親自問診及理學檢查，有疾病時仍須親自就醫。 高丕霖 | [
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| 會懷孕嗎？ | 那個如果在7月30經期結束 在8月20日無套插入且沒有內射 在24小時內有吃ella 這樣還會懷孕嗎 機率大嗎 | 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，不過仍算是補救的方法。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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| 術後問題 | 你好，我以前是全包莖，3天前剛動完包皮雷射切除手術，目前處於水腫的狀態. 請問 1. 水腫有什麼方法能加速消腫嗎？或是飲食？ 2. 龜頭現在過了3天了還是很敏感刺痛，要刻意讓他摩擦內褲去適應嗎？ 3. 最困擾的問題，不知道是因為水腫壓迫到尿道還是因為龜頭太敏感，很容易就會有尿意而且尿量不多，也尿不乾淨的感覺，甚至有時候某些出力的動作（躺著起身或走路摩擦到龜頭）會造成漏尿或滴尿，真的很困擾⋯這樣正常嗎？ | 您好 1 不要吃辛辣 2 不需要要自已慢慢適應 3 如果之前是完全包莖的會有這種情形 不過也是過陣子就好了 水份不要少喝. 祝健康 | [
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| 黃體素 | 黃醫生你好 目前已有一個4歲大的女兒了我和老公一直想再生一個已經半年暸一直沒辦法受孕 最近我在吃中藥調身子中醫醫生幫我打脈說我的黃體素不夠所以受孕就比較不好受孕我的月經是628來一次723來一次請問我該什麼時候來受孕比較好呢 請醫生幫我這個忙 幫我算看看 | 您的月經週期為26天 可選擇月經週期第13-14日排卵行房 以增加授孕機會 | [
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12胸腔內科
| 其他 | 楊醫師您好，有時候我深呼吸的時候左胸會刺痛延續時間不長，大概就是心臟的位置，因為不常這樣大概1-2個月一次所以我並沒有特別注意也沒有去醫院請醫生檢查，想先諮詢醫師這是什麼狀況？ 我還滿常側睡的……不知道有沒有影響 | 您好 側睡是多年的習慣以前並未發生胸痛胸痛應該與側睡沒有關係發作頻率久久才一次應該心臟與肺臟沒有問題聽起來比較像是神經痛建議不要太緊張或忙碌休息充足不要吃太多冰冷食品應該會獲得改善 祝 好 | [
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0婦產科
| 避孕 | 醫師您好∼ 請問本來有在吃避孕藥，但因這不想再繼續吃了，所以吃到半包後就沒再繼續吃了，今天有出血，這樣是正常的嗎？謝謝！ | 您好 沒有吃就會出血 ，觀察即可。祝你健康 | [
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| 驗孕 | 您好 請問於73發生兩次性行為 皆為無套、體外射精 於昨日中午起床晨尿（722）使用驗孕棒等待5分鐘結果為陰性，晚一點時看多了一條淡淡的第二條線 因為看網友們分享同樣情形（當下結果陰性，超出檢驗有效時間後變成陽性），有部分網友是真的懷孕的；但部分沒有 1.請問這樣的結果是否有無懷孕？ （因為懷孕初期好像是晨尿HCG濃度較高，驗的結果較準確，有點擔心是否有懷孕） 2. 另外，有長期服用預防偏頭痛的藥物（心律錠Topamax），有看到少部分文章說抗癲癇藥物會影響驗孕結果，但是其他文章寫說除了HCG之藥物以外是不會影響的，查了查Topamax是抗癲癇的藥物，請問是否會因為此藥物而影響此次的驗孕結果？ | 您好 有可能懷孕，建議到婦產科檢查。祝健康 | [
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5泌尿科
| 割包皮 | 想請問目前22歲 未勃起前 完全包莖 勃起後雖然可以順利露出整個頭 但會有像包皮繫帶的感覺有點緊繃 請問正常勃起事會有點緊繃感的嗎 如需要用包皮槍割包皮 費用大蓋多少呢 割包皮後會有什麼改變嗎 會不會影響性功能 或長度呢 | 您好： 1 看感覺多緊，理論不會不舒服就不需要包皮術 2 費用各單位不同。包皮槍是醫院買來使用，會有品牌及價格差異，應該先詢問醫院或診所 3 割完包皮如果割完第一個好處是易清潔，第二個是包皮在性行為是如果原先有緊及包皮多一段的感覺會改善，至於影響性功能及長度，理論只是皮的手術，不會有多少差異。祝健康。 | [
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5泌尿科
| 口交 | 杜醫師您好 不好意思打擾您，我今天有與一位網友見面，我是被口交者，他幫我口交主要是要將我用硬，但是我現在想想無套口交好像很危險，雖然我們之後的性行為是有戴套的，但是口交是沒戴套的，他幫我口交差不多2分鐘的時間全部加起來，是前戲，我自己比較擔心，畢竟這一塊是沒有套子的，如果我很擔心想要去做檢測，要去什麼科檢測呢，需要在多久時間內就趕緊去就醫篩檢，不好意思，謝謝您杜醫師。 | 您好：如果沒有症狀，現在去不一定檢的出，如果真的很擔心，醫院泌尿科應該都可以，祝健康。如果現在有檢查，個人建議3個月後要再檢一次。祝健康。 | [
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| 鼻中膈術後 | 您好，前3天去開了鼻中膈手術，有塞自費棉條，現在吞口水時感覺耳膜會被吸住，有時候甚至會感覺吸住力道變大並且造成短暫耳悶，想請問這樣長時間下來會讓耳膜形成膽脂瘤嗎或是會造成其他傷害嗎會的話有什麼方式可以避免。 因為距離下次回門診還有8.9天的時間所以有點擔心，謝謝 | 鼻部棉條若是可溶解式的就不用擔心 溶解後就會改善 若不是溶解式的回門診請醫師幫您調整 祝平安 | [
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12胸腔內科
| 胸部問題 | 醫生您好 我的病症是 右邊胸口 本身不會有痛楚 但是輕壓 會稍微疼痛 右邊背部 詳細位置是右邊胸部 正後方 會刺痛 一陣一陣的 症狀已經持續4.5天了，也不知道 屬於哪一科所以想再網路找尋一些資訊 我本身175公分 98公斤 有抽煙習慣 長時間呆在電腦前 有痛風病例 不過有吃一陣子降尿酸的藥，以好一陣子沒發作了 請醫生幫我解答 謝謝 | 小志 您好 右胸痛且有壓痛、刺痛，會先懷疑神經、肌肉引起疼痛（如：姿勢不良等原因），其他如脊椎神經疾病、食道胃酸逆流、肋膜疾病等原因亦有可能，可先至胸腔科或神經內科就診。 以上回覆 謝謝 肺功能科主任 周梓光醫師 敬覆 | [
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1精神科
| 情緒不穩定 | 因為我和我阿嬤姑姑住，而阿嬤患有輕微失智症，常常和我姑兩個人吵架，最後我都成被出氣的人 1.一聽到有人吃東西、剔牙的聲音，就容易生氣 2.一被念就抓狂，使勁摀住耳朵 3.最近1年情緒起伏變大，喜怒哀樂變得很明顯 4.一回家不像以前都在客廳，把自己鎖在房間 5.一哭就聽不下來，連以前不好的事全部都湧出來，甚至有不想活的念頭 6.看到一個東西沒做好，就一直一直想，越想越怒 7.一回家就不想講話，只有在學校才比較開心點 8.負面情緒變很多，上課常專注不了 9.有時候一想到不好的，就呼吸困難 10.最近越來越會頂嘴，什麼也聽不下去，一不合我意就心煩 | Ping 妳好 先理解阿媽因失智症的關係，容易忘記事情，情緒講話會比較直接，提醒自己不要與阿嬤計較，也不要將衝突放在心上。 看來妳的情緒和心情也處在緊繃的狀態，惟在學校可以比較放鬆和開心一點。建議讓生活中正面的事情和想法越來越多，來稀釋掉負面的情緒和記憶。 吵架後一定會難受一陣子，但若是理解吵架的原因後，通常比較能夠調適過來。 建議為自己設定理想目標，每天做一點靠近理想目標的努力。 如果仍然很困擾，建議可就醫尋求協助。 祝福妳 | [
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| 避孕 | 醫生您好： 想請問 1.623經期於627結束，71在下午3.30左右與男朋友發生關係，在途中有帶保險套卻因套子破掉導致內射，事情發生後馬上沖完身體立刻出門買事後藥（后保寧1.5毫克），大概在一個小時內服用請問這樣是不是還會有95避孕效果，服用後有出現噁心、想吐以及下腹部酸酸的情況。 2. 521有吃ru486之後有出月經但71又發生關係內射懷孕機率會不會增加 | 提問者您好 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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2牙科
| 刷牙 | 醫生您好！ 之前去治療刷牙會流血，可是醫生有拿藥粉讓我回家刷牙時使用，另外還有類似藥用的漱口水，去看過兩次的牙醫，可是仍然會有刷牙就流血。而且吃東西有時也會有流血。有次吃香蕉也發現有血在上面。請問這該如何處理？及什麼樣的症狀呢？ | 回覆醫師：許毓丕 問題主旨：刷牙流血……. 回覆：如你所言，您的症狀應不僅是牙齦炎也已是牙周病了，應找專科醫師作專業治療才能徹底治療之。 | [
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| 子宮肌腺症 | 醫生您好 這個月初因經期拖很長，也是第一次有這樣的情形，我五年前就有子宮內膜異位症的狀況，我必沒有定期追蹤，今年有去醫院三次做檢查，這個月初醫生檢查後因為子宮有肌腺屬於瀰漫型，一定要摘除，我的疑問是 1可以用藥物治療嗎 或是其他方式 2.子宮肌腺會有癌變的可能嗎 3.子宮肌腺要到哪種地步才必須摘除子宮呢 4.必須開刀 請問用腹腔鏡或是開腹 我有生過孩子 醫生建議我要摘除，我想跟醫生討論要如何治療，但是醫師可能沒有那麼多的時間聽我說，這幾天還有很擔憂畢竟摘除子宮是需要勇氣的 謝謝醫生 | 您好！子宮肌腺症的治療方式視病人狀況，如年紀、疾病嚴重程度、是否有生育需求等等，而有不同的考量和選擇，建議還是與您的主治醫師多加討論為宜，謝謝您。 | [
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0婦產科
| 陰道發炎 | 你好： 因分泌黃綠色白帶就診，今日確診為陰道內部發炎，拿到治療念珠菌的藥，但我忘了告訴醫生肛門也有些癢。 請問肛門的癢有需要再去看診用藥嗎？還是可以不用理會？自然會因發炎好轉而好？ | 1. 陰道感染造成異常分泌物、搔癢、發燒及下腹痛.等為女性最常見之症狀，其影響原因甚多，治療方式更需配合完善衛教，建議至門診由婦產科專科醫師評估。 2. 如有開立外陰部止癢藥膏，可連肛門口一起塗抹。 | [
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| 靜脈曲張 | 你好我想問 1.傳統的高位結紮手術和微創的有什麼分別 2.我昨天做了微創高位結紮手術傷口大約是2.5公分是正常的嗎 3.做完之後到今天按壓左側睪丸都沒有跟右邊一樣的痛覺但護士說是麻醉未過想問一下這樣是正常的嗎還有是麻醉要多久才過 4.做完之後除了傷口痛之外整舍左側的腹股溝到左邊睪丸都有疼痛是正常的嗎 問題較多賜覆 | 文： 你好 1.微創，指的是傷口很小。像是腹腔鏡等，就屬於微創手術。 2.差不多大小 3.看使用麻醉藥物。 4.都會痛，因為傷口很小，可是內部處理的範圍還是很大。 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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23麻醉科
| 麻醉 | 預計12月9日 要實施 內固定腰椎骨融合手術 原因 L5S1 椎板骨折併發神經拉扯 麻醉方式 GA-TUBE 想請教一下 我上次執行膝關節關節鏡手術 也是採用全身麻醉 但我在恢復室等等躺了三個多小時，護理師說有心律不整以及心跳變慢的狀況 之前有曾紀錄是 心跳2933下 血壓150170以上在病房的時候 這次麻醉諮詢 醫師說可能是麻醉藥的副作用 但是他也不懂為何會在恢復室整整三個小時 但醫師有從紀錄上看到心跳浮動很大 介於3361下左右 之後有去看心臟內科 確實有心律不整問題 請問一下幾個問題： 1. 如果這次脊椎手術遇到這個問題 有可能送ICU嗎 2. 脊椎手術有需要放置中心靜脈管嗎 3. 基本上從麻醉前置作業開始到手術結束 約略時間是 4. 插管麻醉是那種醒來喉嚨會很不舒服的那種嗎 謝謝麻醉醫師的回覆 辛苦了 | 您好 想先了解您是運動員嗎運動員有可能有”心搏過緩”每分鐘小於60跳的狀態。但是如每分鐘僅有30跳以下，術前仍有必要請心臟內科醫師確認心臟生理的安全性如果是”病態心搏過緩”，甚至有置入節律器的需要。 當初術後恢復室照護為何需要三小時，還是要看當下負責醫師的說明，有可能是您的病況；當然也有可能是一般的行政管理問題…提醒負責的手術及麻醉醫師的確是有必要 僅回覆所提之問題 1. 如果這次脊椎手術遇到這個問題 有可能送ICU嗎 →還是要視確切狀況及手術後在一般病房照護的安全性。也就是說您於手術後或在術中有生命徵象不穩有生命徵象不穩的風險，需要有適度人力、密切照護。所以，仍應由麻醉醫師與手術醫師溝通後才能”視情況”而定。 2. 脊椎手術有需要放置中心靜脈管嗎 →須視麻醉醫師甚至會有手術醫師自己要求對病人麻醉手術生理風險評估及需求性做判斷。必須要了解每一項處置還是都有相對或多或少風險，有必要再置入較合理。 3. 基本上從麻醉前置作業開始到手術結束約略時間是 →這個是有差異性的。會視手術醫師使用的技巧、器械、助手配合度、是否需要手術前侵入性的監測處置如您所提放置中心靜脈管.等等的因素。不過從入手術室後麻醉，到麻醉甦醒都”至少”要兩個小時以上，多則五、六個小時也不一定。詳問貴手術主治醫師會比較恰當不過手術醫師通常只會表示他手術的時間 4. 插管麻醉是那種醒來喉嚨會很不舒服的那種嗎 →是的就常態，您是”趴式”露出背腰處的手術，必須用氣管內管插管的全身麻醉，才能確保呼吸道的安全。 順祝您 手術及麻醉恢復順利 | [
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5泌尿科
| 前列腺 | 先謝謝醫師的回答 再次提問 我今天有回診治療這麼久來醫生是第一次幫我檢查前列腺液發現白血球還是有比較多但不是滿滿都是持續吃藥治療三個月啦 請問醫師 1 我如果想做前列腺細菌培養或是尿液培養的話雲林中南部都可該去哪裡的醫院 呢大部分的醫院都只有驗尿沒有細菌培養 2 經直腸前列腺超音波也不是很多醫院有的設備也不知道哪醫院有況且當院醫生未必會覺得需要做經直腸前列腺超音波我該如何提出要求呢 謝謝醫師辛苦回答 | YO 你好 1.一般有泌尿科的醫院，幾乎都會有經直腸超音波設備，除非醫院很小器，不願意添購，否則，一般都會有相關設備提供給泌尿科醫師。 註：做前列腺液培養後再做超音波檢查。 2.雲林地區，我不熟。不過，既然可以檢查前列腺液，我通常就用同一套檢體順便做培養。 台大雲林分院，中國醫藥大學北港分院等比較大的醫院，應該都有泌尿科。 | [
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3藥物
| 其他 | 柯醫師您好： 很謝謝您的回答，長期以來父親病情的困擾，很希望可以有耐心傾聽的醫生，可以撥空半小時時間在看診中了解病情，想請問，如到行政院衛生署胸腔病院台南市大同路一段69號，可否建議需找那位醫生詢問及看診呢？電話及網路掛號都可以嗎？ 麻煩您了！謝謝 | 廖先生，您好： 非常抱歉忘了告訴您，我是藥師而非醫師，可能是電腦上設定有錯，對不起！ 但如到行政院衛生署胸腔病院看診，我倒可推薦院長黃瑞明醫師及COPD病友會主持人蔡宗衛醫師。至於掛號，如是初診，可先利用網路預掛，屆時再補填基本資料即可，謝謝！ | [
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6骨科
| 骨釘 | 醫生您好，我前陣子出車禍，臉被打了10幾顆釘子，可是我還是摸的出有釘子的感覺，我想拔掉 請問這是可以的嗎？會不會有什麼後遺症呢？謝謝醫生！ | 這必須問幫你手術的醫師 有些骨釘是不必拆除的 也有些事無法拆除的 | [
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4心臟血管專科
| 心臟問題 | 醫師您好 先謝謝您願意抽空看本人的一些疑問。 本人今年兵檢出右束支傳導阻滯因而免疫之前也在診所中檢查出二尖瓣膜脫垂自行查詢資料顯示通常無臨床病症。但有以下幾個問題使我甚爲困擾： 1.無法做激烈運動像是籃球症狀是心跳飆升四肢無力，但平常的有氧是可以的打球只能打15分鐘而慢跑可以跑1小時且身體無恙 2.性行為或自慰甚至遺精只要有射精就會出現心跳加速手腳麻沒有精神延續2天本人知道在射精後會出現疲憊但此症狀顯然超過疲憊，呈現虛弱且此症狀已延續5年 疑問： 1.依據醫師經驗這些症狀是否與心臟相關 2.若至門診應該如何詢問醫師 3.需要做哪些心臟檢查呢有無相關權威 4.倘若非心臟問題，又該從哪一科著墨 結論： 長時間的病症使我改變了作息早睡、健康飲食與培養了運動習慣身體是一生一世不能得過且過想歸根究底的早出問題。謝謝醫師閱讀至此 | 您好 慢跑可以跑1小時心臟就沒事啦 這些症狀與心臟無關 不放心去家醫科檢查吧 平安 彰化醫院關心您 | [
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| 退化性關節炎 | 李醫生您好 家母48歲，雙腳關節經常疼痛經醫師診斷是退化性關節炎，醫師開止痛藥給家母，她認為止痛藥類固醇所以沒服用，卻長期使用酸痛貼布等消炎止痛噴劑。前天，新聞報導長期使用非類固醇消炎止痛藥外用製藥劑，會導至腸胃道出血丶腎功能不全等副作用，我知道關節炎不能根治，只能改善症狀也告知母親新聞內容，但她聽不進去。 請教李醫生 1 止痛藥真的全是類固醇嗎 2 如果不想依賴酸痛貼布，除了熱敷以外有其他方法嗎 U 謝謝您的答覆 U | 您好： 回覆您的問題. 退化性關節炎的治療包括下面幾種： 1.止痛消炎藥：現代的藥品有很多進步，骨科醫師開的止痛藥不可能是類固醇，一定是非類固醇止痛藥Nonsteroidal Anti-Inflammatory Drug，而且現在還有較新的COX2止痛藥，可以比較不不會造成腸胃道出血。的確長期服用止痛藥會造成一些後遺症，例如胃腸道出血、腎功能不全等副作用，但如果臨床上的確因關節炎而疼痛不堪，在醫師監督下使用藥物，是可以避免掉這些副作用的。另外，貼布、藥膏、噴劑、蒸汽，也是藉由局部皮膚吸收非類固醇止痛藥，也有同樣效果，只是劑量、途徑不同罷了。 2.復健治療：復健也是一種治療，例如熱敷、冷敷、紅外線、短波、超音波治療，也可以減緩關節疼痛。 3.口服葡萄糖胺或局部治療注射波尿酸： 這兩項方式也有很多人採用，葡萄糖胺在某些國家列為保健食品，有些國家列為藥品。因為它真正的藥理作用並不明確，但臨床上效果的確不錯。而局部注射波尿酸，則是更直接把潤滑液及軟骨的先驅物質直接打入膝關節內。這兩種方式都不會有止痛藥的後遺症，但健保有一些規範，只有遵守規範才能獲得健保給付。 4.手術： 現在的骨科技術年年有進步，小的手術例如關節鏡手術、部分膝關節置換手術或微創的人工膝關節置換術，都可以比較徹底的解決膝蓋疼痛的問題。 建議您帶母親就近找骨科醫師診治，根據您母親的病情根據外觀、站立X光檢查及臨床表現，可以做最適當的建議。 祝您與令堂身體健康 李文琳 | [
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12胸腔內科
| 胸部問題 | 醫師請問，我已經有一段時間，胸部下方只要呼吸就會痛；好像那種抽筋一樣只要吸氣就會好難過，而只能定格慢慢小小吸氣緩和，不知這是什麼狀況，看那一科比較好呢？ 醫師我心臟中心有個洞是天生的，嬰兒時本該自動合起但沒有，不知有沒有關係還是體重過重有關係呢 | 您好， 先檢查胸部、心臟看是否有問題，可能是肋間神經痛。 以上回覆 祝 健康 吳盈勳醫師 | [
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1精神科
| 焦慮症 | 醫師您好： 我是一名國二生，從升上國中開始，我發現我跟同學講話時都會感到焦慮，每次都在心裡逼自己想話題，卻弄巧成拙，反而腦筋一片空白，還會感到緊張恐懼，對任何人都是如此。 我曾逼過自己不要刻意的想話題，但是卻始終無法克服，我到現在仍很害怕與別人聊天，在班上人際關係出現問題，還曾經有輕生的念頭，感到很大的壓力，常常覺得我是不是一個奇怪的人，請問醫師我是不是得了社交焦慮症，我該怎麼辦？ 非常感謝您！ | 小惟你好 建議聊天時將注意力放在對方身上，專注的聆聽，專注的理解對方，通常就可降低焦慮。 作一個專注的聆聽者通常比講話的人更受歡迎。當聊天時不到話題時，不妨聆聽、點頭微笑即可。 祝福你 | [
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| 藥物諮詢 | 請問醫師 我有鼻子過敏也有鼻肉肥大問題 但鼻肉肥大在去年有開刀過 但今年卻是一遇到風就狂流鼻水或鼻塞沒開刀前沒這麼嚴重怎麼會這樣 現在我又另找一家耳鼻喉科看流鼻水問題 醫師開了一種叫輔舒良鼻用噴液懸浮劑５０ＭＣＧ／ＭＥＴＥＲＥＤ ＳＰＲＡＹ的藥給我噴但這種藥有噴時才會有效當藥品沒了效用就不見了 而且這種藥有類固醇會不會造成身體有那些副作用呢 我很擔心這種類固醇的藥品現在醫生又開一瓶給我但是我卻不敢用 請問我該使用嗎 還有像我這種鼻子過敏的人有什麼方法可以治療的好嗎 請醫師幫我回答一下謝謝 | 敬愛的提問者： 您好，根據您字面上的提問，輔舒良是標準的鼻過敏治療用噴劑，內所含的類固醇並不會進入人體，大可放心使用。只是，您所說的「治療的好」的定義為何？ 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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5泌尿科
| 陰莖問題 | 最近性行為結束發現龜頭上有紅色斑點且龜頭有脫皮現象 有點刺痛感.之前也有過這種情形但經過一ㄍ星期就自動好了 但只要每次沒使用保險套做完之後就有這種現象 請問這只是單純的一般細菌感染還是有別ㄉ徵兆 | 阿King 你好 看起來應該是霉菌感染，像是念珠菌之類的。可以問一下女方，是否有白帶較多，或有黃濃稠的分泌物，最好是雙方一起治療，會比較快。 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
| 菜花 | 醫師您好 因會陰部有顆狀至附近婦產科就醫，打完HPV第一劑後隔不久發現長了菜花，診所醫師視診表示是菜花，當下得知非常難過，後續用了抗疣凝菜花有消失，因得了之後一直很抗拒去大醫院打第二劑，想問醫師得了菜花至大醫院就醫會有紀錄，謝謝醫師回覆。 | 您好 醫院病歷會有記載 祝健康 | [
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0婦產科
| 懷孕嗎？ | 我月經727731 我和我男友812做愛 有內射 但是在一個小時之內就吃事後避孕要 我不確定812是不是安全期 然後我825有來一次月經 顏色是咖啡色 是少量的 擦的時候是紅色 單內褲上是咖啡色 請問這是懷孕初期的假性月經嗎 | 您好 一般月經來就表示沒懷孕，而且時間上差不多也是月經要來，最好要做事前的避孕措施，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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3藥物
| 用藥安全 | 本人患有焦慮失眠症狀，看精神科醫生開了思樂康藥物給我，此藥物我查了一下網路，有一些争議副作用及相關訴訟令我不解如下： 2009年9月29日阿斯利康公司因其对思瑞康营销中的不规範行為被美國政府處以5.2億美元罰金。 部分美軍士兵在服用思瑞康治疗創傷後应激障碍PTSD時死亡。 因思瑞康造成的副作用已引起了多起訴訟，尤其是关于该药可能诱發糖尿病。2010年8月9日阿思利康公司同意为服用思瑞康而导致糖尿病的17500美國病人提供總值值1.98億美元赔偿金。 若網路資訊沒錯，照道理來說思樂康至今已有80幾國在使用，超過1000多萬人在使用，我比較好奇的是為什麼當時美軍士兵服用死亡及發生這一連串事件，應該會讓美國及其他國家停用此藥，而思樂康銷售應該會因此而減短才對，但思樂康銷售卻不減反增？還是後來證明這些都跟思樂康藥物無關呢？因為我也查不到後來的下文？可以請教一下專業的藥劑師嗎？ | 你提到思樂康的相關事件，恕難一一查證後回覆。 但思樂康若是由合格醫師處方並依美國FDA或台灣食藥署核准之相關適應症，開立合適劑量使用，應有相當的療效與安全性。 建議你除了定時服用之外，仍定時回診與醫師討論服藥後的反應，並請放心配合醫師接受治療。 | [
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| 腹痛 | 你好 我今年41歲 男性 .2年前因胃食道逆流照過胃鏡. 我於101.01.18因下腹部腫脹而看家醫科.醫師建議自費做下腹部CT Scan. 結果初步看起來還ok但是最近老覺得不定時有腸絞痛與胃鈍痛． 因耽心想照胃鏡請問我有下腹部CT Scan光碟可取代照胃鏡嗎還是需另做胃鏡 | 您好 1.一般腹部CT Scan 多包括上下腹部。 2.CT Scan 看腸胃有時候是不足夠的，必要時還是須做內視鏡檢查。 3.腸胃不適或疼痛，不一定是構造上有問題，功能性的障礙也有可能如蠕動障礙或脹氣等 祝健康 衛生署桃園醫院 陳奇峰醫師敬上 | [
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| 自慰 | 請問在自慰快射精之前，都會有一小部分的精液會先流出來，這是正常的嗎？還有在自慰後，包皮會變得有點小腫，將整個龜頭包住，不會有任何疼痛，要過好幾個小時才會恢復正常，我的包皮是有點過長，但可以很順利的往後推，露出龜頭，可以麻煩解答嗎？謝謝！ | 阿豪： 你好 我想你提到的三個問題，應該都是在正常的範圍裡。不需要太過擔心。包皮也不需要接受手術。 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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0婦產科
| 黃體素 | 醫生您好 我因連兩個月月經沒來，1017看婦產科後因怕是懷孕，所以有施打黃體素針一針，過了兩三天月經就來了，但我打針的屁股肉上腫了一塊，當時打完後護士有說要一直揉，但我可能揉得不夠，但最近發現腫塊的地方會癢，只要抓了 旁邊會呈現一粒一粒的，請問我這樣是過敏嗎？還是蜂窩性組織炎？腫塊多久會消失呢？需要做什麼處理嗎？ 謝謝 | 連兩個月月經沒來，1017看婦產科後因怕是懷孕，所以有施打黃體素針一針，過了兩三天月經就來了，但我打針的屁股肉上腫了一塊，當時打完後護士有說要一直揉，但我可能揉得不夠，但最近發現腫塊的地方會癢，只要抓了 旁邊會呈現一粒一粒的，請問我這樣是過敏嗎？還是蜂窩性組織炎？腫塊多久會消失呢？需要做什麼處理嗎？ Ans 建議看皮膚科 | [
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| 勃起問題 | 醫師 您好 我想請問的就是 我本身是包皮過長沒有割 也不會影響勃起 但我都把龜頭外露 一年多了 也不會有什麼不適感 但我發覺 最近充血都不夠都不夠硬 那生殖器也都垂垂的 想問的是會有那些狀況是不是我龜頭長起外露才造成的嗎 還是跟年紀有差 或者是不常做愛 | 您好 您的情形應和包皮無關聯 至於年紀有差 或者是不常做愛也無大關係 建議注意身體健康. 要運動 改善循環 有時一陣子就會恢復 如果幾星期都沒有改善 應就醫檢查. 祝健康. | [
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| 子宮內膜異位症 | 醫師您好 因抽血檢查ca-125指數偏高約75經婦科做詳細檢查醫師說我患了子宮內膜異位症其實已影響了我的一些生活例如經血過多、性交疼痛、嚴重貧血）所以醫師建議我手術治療因藥物治療效果已不好但我想保留子宮請問所謂手術治療是要如何治療呢要怎樣手術呢 謝謝您 台中-小黃 | 你好 子宮內膜異位症會因經血過多、性交疼痛、嚴重貧血等影響生活。如經藥物治療症狀未改善，是符合手術治療的適應症，你的主治醫師建議手術治療，應會與你討論手術的方式，你有保留子宮的想法，應讓你的主治醫師知道，這樣你的醫師會依你的情況與你討論保留子宮與不保留子宮對你的影響，你再思考你要選擇的方式。 而你講述因藥物治療效果已不好的涵義是已有藥物治療而療效不好，還是尚未治療而認為效果不好 多與你的主治醫師討論是決定如何治療的最佳方式，也可以再請教第二位醫師，親自就醫後聽聽第二位醫師的建議，也許會對你有幫助。 謝謝 | [
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0婦產科
| 避孕藥問題 | 您好： 想請問目前服用「愛己」事前避孕藥已經快一個月了，每天都有準時服用，但最近明顯感覺到容易胸悶、胸痛的情況，請問這樣算是正常的藥物副作用嗎？是否需要停藥呢？ 這樣的副作用下，還適合施打疫苗嗎？ | 您好 避孕藥也快吃完了，吃完後先停藥看看，是否還是有不適，如果沒有，有可能是避孕藥之故，可以考慮換其他牌子的看看，吃避孕藥和打疫苗無關。祝健康 | [
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8乳房甲狀腺科
| 乳頭和乳暈 | 醫生，我左側的乳頭大概一個月前一直覺得很癢，但是沒有任何的分泌物，最近幾天好像有好一點，碰到才會覺得癢，我該怎麼辦 | 這種應該屬於皮膚的搔癢可以去看皮膚科用一點類固醇藥膏應該會有改善 | [
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