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0婦產科
| HPV感染 | 醫師您好 去年八月底因為感染HPV病毒引起的菜花開始治療（冷凍治療及塗抹局部增強免疫力的藥），經過兩個月後肉眼已經觀察不到病灶經醫師判斷後停止治療（時間約10月中） 但是今年一月使用局部的HPV DNA檢測出有16型的陽性（） 請問： 1. 我該繼續冷凍治療及塗抹增加局部免疫力的藥嗎 2.我知道感染後施打九價疫苗沒有治療效果，但是可以降低復發的可能性嗎 3. 16型還是有機會讓自體免疫力排除病毒嗎？這個時間點驗出陽性是否代表持續感染 4. 有感染過病毒是不是代表未來沒有機會跟伴侶發生性行為並且生孩子？ 5. 去年治療完畢後如果親密對象有進行無套口交（時間不長）並且再與我接吻，事後有消毒液漱口，這樣口腔感染的機會大嗎？ 6. 萬一口腔感染後要過幾天可以使用DNA檢測出病毒？ 抱歉問題有點多，真的很擔心影響未來生活，再麻煩醫生回覆了，謝謝 | 提問者您好 1、冷凍治療及塗抹對此無明顯作用。 2、若已經感染了某些類型的人類乳突病毒，之後再接種HPV疫苗，是無法預防及治療因這些已感染之HPV類型所引起的疾病，只能預防其他類型。如果原來的病毒類型已消失後，就可以預防。 3、病毒需一段時間才有可能消失。若配合治療與健康行為，也有機會讓病毒消失，須由醫師檢查評估。 4、若有感染建議行房以保險套預防傳染，若病情穩定或性伴侶有抵抗力的話，仍可懷孕。 5、HPV通常是經由與帶原者親密接觸且黏膜有破皮才會傳染。 6。有的HPV感染之後有6週到8個月之間的潛伏期，甚至也有人報告潛伏期超過一年的。 謝謝 祝 平安 健康 張 醫師 回 | [
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15復健科
| 腰部問題 | 不是我的問題患者為四十六歲男性 1. 一開始是腰痛 後來大腿也開始痛 痛的是後腰部右側的一個點以及右腿後側一整片的肌肉非表面 感覺是較深處 按壓腰部該點腿就會痛 也就是痛的時候就兩個一起痛 看了幾個醫生大都說是肌腱炎 有吃藥和做物理治療 但兩個多月來時好時壞 好只有好一點點 肌腱炎有可能痛這麼久嗎 醫生原本都說是小問題. 另外 站著的時候反而比較舒服 坐著會壓迫到腿部肌肉所以會很不舒服 躺下來狀況最好 所以完全不會影響睡眠. 2. 半個月前在腰部該點打了一針 打針的醫生說那種藥會讓腿劇痛兩天 但按壓腰部該點腿就不會那麼痛 另外一個醫生說那種藥會讓人痛七到十天 但已經痛了十四天了 到底是原本的病痛還是藥物造成的疼痛呢 由於以前是哪種痛已經不復記憶 所以分不清楚. 又以前是某一種姿勢時會痛 但現在是持續性的疼痛. 到底是什麼原因呢 最重要的是要如何治療呢 有沒有可能是脊椎側彎造成的呢 謝謝！ | 1.根據第一點的描述，症狀像是肌膜疼痛症候群myofascial pain syndrome即俗稱的肌膜炎。一般在腰大肌Iliopsoas muscle的肌膜炎是會以下背與大腿的疼痛點來表現。 2.根據第二點的描述，我不瞭解是打什麼針？？，一般肌膜炎的空針注射激痛點（trigger point應會讓疼痛減緩的。 3.建議找復健專科醫師再次評估，確認原因。 4.脊椎側彎是可能較易背痛的，但現在重點是為何打針後腰部反而持續疼痛。 5.若是"肌膜疼痛症候群"治療方式以避免不良姿勢，物理治療如按摩與藥物等。 謝謝提問 | [
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5泌尿科
| 尿尿問題 | 醫生你好 我今年高一.腰酸痛大約今年7月多開始.有去看中醫.有好一點了.但打了球後.後又微微痛了起來.後來看了西醫.有打針吃藥.有好很多.但打球後.又痛了起來.後來一直吃藥到10月初.都不打球.不會痛了.原本以為好了.但幾次打球後.大約兩個禮後又痛起來了.一直痠痛到今天.今天早上發現有點血尿.但我不確定是不是血尿.是因為昨天有吃整顆的紅色的火龍果嗎因為大便也都是火龍果的仔.就顏色有點深.我腰痛並不是痛到非常痛的痛.是那種會讓你感覺不舒服的痛.像拉到筋的痛.打背也不會痛.是扭腰才會痠痛 我非常害怕是什麼重大疾病.請醫生幫我解答.謝謝 | 同學的症狀與運動相關扭拉傷是可能的診斷 尿液顏色偏紅 紅龍果確實會造成紅色尿液 因此僅憑顏色無法確定 因此建議到醫院或診所作尿液檢驗 便能確定 足夠休息與水份攝取可能有幫忙 建議最好能讓醫師視診與檢查 | [
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13肝膽腸胃科
| 大便相關問題 | 請問大便顏色正常，但是水色很黑，這樣的情況是正常的嗎？另外，去醫院做糞便潛血檢查前，是否應該停止服用益生菌，以免影響檢查結果？ | 可不必停用，但需排除食物因素如火龍果，先手機照相供參，再取糞便管送檢。 | [
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| 懷孕嗎？ | 有過性行為後，若有月經來，就一定不會懷孕嗎？可是若經期不正常， 可能結束了，但過了一、兩個禮拜又來了，這是什麼原因？ | ： （1） 在排卵期性行為才有可能懷孕，非懷孕時間不會懷孕 （2） 不正常出血是否算是月經，有時不易確定。最好的方法是妊娠試驗，才能確診。 （3） 月經結束了，又來點狀出血是內分泌失調，可到醫院做內分泌檢查。 | [
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| 懷孕機率 | 醫師您好 我的狀況是，我之前吃了半年的事前避孕藥，因1224有旅行安排，所以有去看婦產科催經，本來在「有吃事前的狀況下」我的月經會在1221來，上一次是1123-1129，並且我的週期都是一次7天。醫生開給我13天份的催經藥121-1213，但我查資料和問藥局幾乎都是吃5-10天催經藥即可。而我在1211有發生無套性行為，有插入幾分鐘但無射精。 我想問的問題 1.請問我可以今天1211停藥，這樣月經會早一點來嗎？然後十天的催經藥是否有效？ 2.假設月經是1221來，排卵期預估是122-128，請問催經藥是否影響排卵期的日子？如果是的話，會怎麼影響？ 3.之前長期吃事前，這樣我的排卵期是準確的嗎？還有上述性行為方式是否導致懷孕，我有需要服用事後藥或是繼續服用催經藥嗎？ 謝謝醫師 | 您好 1211號停藥，月經一星期內會來，正常排卵是月經來的第十四天左右，如果考慮避孕的問題，建議月經來的第五天就可以開始吃避孕藥 祝你健康 | [
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| 巧克力囊腫 | 請問巧克力囊腫需要什麼條件才需要開刀？ 要怎麼分辨它是中度還輕度？ | 您好 婦科的病患，不論是子宮或是卵巢腫瘤，開刀的原則以5公分為界限，超過5公分可考慮手術，有症狀的可以考慮手術，沒症狀的可以考慮觀察，並不是單一因素決定，因此你需要跟你的主治醫師充分討論，至於中度還是輕度，一般超音波有初步的判定，但最後的結果還是以開刀的結果為準。祝健康 | [
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5泌尿科
| 勃起問題 | 醫生您好不好意思想詢問： 約一個禮拜前與老婆房事皆正常，結果後面卻無法射出。 因為實在無法繼續，但還是想說要射一射的感覺所以到廁所私下解決 解決後發現這一個禮拜以來看到刺激的圖片與影片皆無法持續勃起 可以正常DIY但跟以前的充血度差很多 與老婆的房事也是前戲時可勃起但要靠手撫摸但深入後就軟掉 有點意識到似乎有點問題所以提問 1.不知道是不是那次沒射出自己解決後，總有點罪惡感造成心理因素 2.我身高181體重124，每天約凌晨12點睡、有抽菸、不常運動、上班須久坐，若改善生活習慣及戒菸是否可以改善 3.我需要先行就醫看看嗎 4.這幾天一直在想這些問題，導致心情有點糟糕，很突然的產生這樣的事情讓我很不知所措，也不知道是不是心因性的問題. | 您好： 1.不知道是不是那次沒射出自己解決後，總有點罪惡感造成心理因素--》是有可能 2.我身高181體重124，每天約凌晨12點睡、有抽菸、不常運動、上班須久坐，若改善生活習慣及戒菸是否可以改善--》如持續應先就醫，醫師應也會提醒注意生活 3.我需要先行就醫看看嗎--》個人建議大醫院診查 4.這幾天一直在想這些問題，導致心情有點糟糕，很突然的產生這樣的事情讓我很不知所措，也不知道是不是心因性的問題.--》心因及生理都有可能彼此影響。祝健康 | [
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8乳房甲狀腺科
| 甲狀腺亢進 | 謹請問吳醫師： 我的甲狀腺出現問題兩個多月了，檢查結果： T3 0.02 L 0.40-4.5 mIUL T4 Free 1.9 H 0.8-1.8 ngdL Thyroglobulin Antibodies 72 H 20 IUmL Hemoglobin 13.0 L 13.2-17.1 gdL Absolute Monocytes 960 H 200-950 cellsuL 我想到署立苗栗醫院，進一步做 24Hrs. Thyroid Scan Uptake FNA 檢查並接受治療。 請吳醫師建議，我該看甚麼科，哪位醫生？ 除了署立苗栗醫院外，苗栗、台中、桃園地區有哪家醫院、醫師較好？ 也請賜告！ 無盡感激並祝福一切如意！ 周朝禮 敬上 | Dear 周先生 您的狀況應至內分泌科或稱新陳代謝科做進一步之確認 如果頸部有結節或硬塊，新陳代謝科醫師應會安排超音波檢查並視情況做FNA 疾病之治療應以居家附近為優先考量。若有異狀且該醫療院所限於人員或設備之不足，應會建議轉診 祝 平安健康 衛生署桃園醫院 外科主治醫師 吳敬堂敬覆 | [
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4心臟血管專科
| 心悸 | 您好，剛出生的時候有被檢查出先天心臟病（心室中隔缺損），後來經過手術預後也算良好。但這幾年因為課業壓力和精神問題導致自己的作息不正常，有時候凌晨才睡甚至是通宵，今年胸痛、悶痛的狀況開始出現，四月份中旬有因為心悸和悶痛的原因掛一次急診，急診醫師說檢查狀況沒什麼問題但心電圖的部分可能有RBBB的狀況，後來有嘗試調整作息狀況有改善一點，但因為國考將近所以又恢復到之前的作息，有時會突然悶痛、心悸，呼吸會變得沒有那麼順暢（還是可以呼吸就是明顯的變緩慢），睡眠的時間也會因為失眠、壓力甚至是擔心自己胸悶狀況而變短。 所以想詢問一下這樣可能是什麼問題該不該掛心臟科檢查看看，或者只是因為作息緣故心臟無法負荷需要強制自己改善作息？ | 您好 作息 壓力造成的 考完回復正常生活就好了 不放心考完再回去追蹤即可 平安 彰化醫院關心您 | [
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| 痔瘡 | 請問懷疑肛門有痔瘡時要看那一科 如果是女姓會不會尷尬 | 您好 痔瘡請掛直腸外科有症狀就需治療無需尷尬。 祝安康 | [
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| 月經 | 我上個月1012號來mc的，而且過後有性行為 都有戴保險套。這個月已經12號了，還沒有來，請問這是什麼狀況呀？ | 回覆如下 可能是亂經但是還是就醫檢查會比較確定. 桃園醫院 呂理政敬上 | [
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7耳鼻喉科
| 顳頷關節 | 請問有內耳炎嗎 當我張嘴--阿--時 靠近左邊的耳旁臉頰會痛. 用右邊的牙齒咬東西時 也會影響左邊 打哈欠也會痛 我已經看了爾兩位醫師 但還沒好 這是怎樣的問題 | 您好，根據您的描述，比較不像是內耳炎的症狀。您可能得到一種名叫做顳頷關節症候群的毛病，它的症狀，主要是當您咀嚼、說話、張嘴或打哈欠的時候，會有耳前疼痛的情形。不過，還是得先檢視您的牙齒、口腔、耳、鼻及鼻竇方面是否正常，若為正常，則可能你得的是此症，治療方面，如果是在48小時內急性期發作，冷敷很有效；若超過48小時以上，則要物理治療，例如在三餐前張大口，閉口十次，每次持續10秒鐘或是採用熱敷的方式，一天三次，每次30分鐘。同時服用抗發炎藥物，應可減輕您的症狀。不過，最好還是到我們耳鼻喉科門診，讓我們為您詳細檢查，比較適當。 | [
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0婦產科
| 事後避孕丸 | 黃醫師 您好： 我於5月27日（星期日）時有性行為，全程有戴套（保險套沒有破），但男友在最後要射精前發現保險套有破，當下立即抽出，射在外頭，之後我們就沒有再性行為了。 但我上一次生理期是5月5日開始，怕有萬一，在性行為後25小時（5月28日）吃了一顆性的事後藥，到今天已經6月2號了，完全沒有出血的反應，而且也沒有想吐或是頭暈等症狀，請問這樣是表示事後藥失效了嗎？還是會在6月5日左右和經血一同排出？還是這樣表示我有可能懷孕需要驗孕？ 還請黃醫師幫忙解惑，謝謝您。 | 5月27日（星期日）時有性行為，全程有戴套（保險套沒有破），但男友在最後要射精前發現保險套有破，當下立即抽出，射在外頭，之後我們就沒有再性行為了。 但我上一次生理期是5月5日開始，怕有萬一，在性行為後25小時（5月28日）吃了一顆性的事後藥，到今天已經6月2號了，完全沒有出血的反應，而且也沒有想吐或是頭暈等症狀，請問 1.這樣是表示事後藥失效了嗎？ Ans 不是事後藥失效 2.還是會在6月5日左右和經血一同排出？ Ans 可能會在6月5日左右和經血一同排出 3.還是這樣表示我有可能懷孕需要驗孕？ Ans 上一次生理期是5月5日，5月27日性行為保險套破，5月28日吃了一顆性的事後藥，如果6月5號後完全沒有出血，驗孕看看 | [
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0婦產科
| 懷孕嗎？ | 您好，上一次月經來是426-53，430量少時有戴套磨蹭過，56時戴套隔著內褲磨蹭，最後結束前套子有掉落在我大腿上，當下有馬上擦，並且套子掉落也是沒有濕濕的狀態，我內褲也沒有濕，且還有加墊護墊，男友也沒有射精。請問： 1.這樣會懷孕嗎？ 2.請問戴保險套隔著內褲磨蹭會容易導致保險套破裂嗎？ 謝謝！ | 提問者您好 依您描述的情況，懷孕的機率難預評估。不過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，仍建議您做好適當的避孕措施，必要時也可請醫師評估，謝謝 祝 平安 健康 張 醫師 回 | [
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| 輻射問題 | 醫生 你好 1上月我去了大阪和京都幾天.如果現在想懷孕會否影響受孕或之後胎兒的發育嗎 2 如果要做身體檢測確定有否受輻射影響我應該檢驗什麼如血液裡 謝謝 | 你好 如果你去的地點非旅遊警示區，且也通過機場等輻射檢測，應不必過度緊張。如果有到過輻射污染區或有接觸輻射污染物等高危險情況，則可請教原能會等有相關檢測條件的機構或醫療機構。 謝謝 | [
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| 懷孕日期 | 醫生您好 想請教一下 我月經週期約31-32 上次月經是1227 預計在113-14會排卵 因此在112-14都有跟A男無套性行為113有排卵痛好幾天 但是在118跟B男酒後有全程戴套性行為 23有驗孕兩條線. 26陰道超音波看不到胚囊驗HCG才900多. 210有去婦產科 照說胚囊只有0.5cm 只有四週多大小. 想請問醫生 1. 是A男還是B男的孩子 2. 只有四週大小 往回推應該是 127左右 當時完全沒有性行為 應該不可能受孕 這是甚麼情況 3. 這個孩子 保得住嗎 | 您好 依照超音波大小，有可能是B男，但是你又有避孕，因此很難說，至於是否正常，要追蹤。祝健康 | [
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| 事前避孕藥 | 醫師您好，本人固定使用愛己事前避孕藥調經避孕，此次使用15顆藥物後因搬家緣故，不慎遺失剩下的6顆藥物，無使用藥物期間並沒有性行為。 請問這樣應該直接等到下次月經來後第五天繼續服用下一盒嗎若多停藥這六天會不會影響下個月的避孕效果呢 因第一次遇到這種情況，且爬文後發現沒有人像我一樣遺失這麼多顆.稍微有些擔心，麻煩醫師撥冗回復，感激不盡。 | 您好 把剩下的藥吃完後等月經來的第五天開始吃下一包的避孕藥。祝你健康 | [
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5泌尿科
| 排尿問題 | 醫師您好，最近在上廁所時，都要等大概5秒才會開始排尿，請問可能是腎虛還是什麼問題呢？需要去看醫生嗎？ 我今年4月底時有一次尿道感染，還有右後腰疼痛的症狀。 | 您好：腎虛還是什麼問題呢--》腎虛非西醫診斷，如果擔心腎功能不正常，一般先會有些水腫？需要去看醫生嗎？--〉可以驗尿抽血 我今年4月底時有一次尿道感染，還有右後腰疼痛的症狀。注意保養，水份要正常攝取，注意尿色，尿頻，尿痛，尿量少要就醫診查。祝健康 | [
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1精神科
| 家庭互動問題 | 如果家裡的人都有精神病怎麼辦，1個有憂鬱症，1個焦慮症，我自己都快被他們煩死了，我本來就容易暴怒的情形變得有點嚴重，好煩，感覺腦袋爆炸了，沒心思工作，該怎麼辦才好怎麼做可以讓自己調整成可以上班的心情 | 您好 家人有精神疾患，在相處上確實壓力較大。第一件事，是先照顧好自己，自己的狀況好，才有辦法幫助家人。當家人讓您覺得心煩時，試著了解他們是因為疾病的關係，無法控制住自己，並非故意要和您作對或一再的煩您，必要時，也可以陪同他們就診，告訴醫師他們在家中的狀況，一起來想解決的辦法。工作上的問題可以先挑自己有把握的工作先做起，有了一定的進度之後，心中比較踏實，更容易進入狀況。希望對您有幫助。 祝福您。 | [
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2牙科
| 抽神經 | 吳醫師你好 我有一顆牙齒在上週剛抽完神經 醫生問我是否要裝牙套 我沒此知識 請教吳醫師裝牙套的好處及壞處為何 是否一定要裝牙套 一般牙套的等級有哪些 裝何等級較為恰當 價錢如何大約 健保是否給付 謝謝 Danny | Danny您好 抽完牙神經後牙齒容易碎裂所以通常會裝牙套將牙齒保護起.來以防牙齒裂開就報銷了.所以裝牙套有絕對的必要性.而牙套依其內襯金屬的才質不同而有不同一般以高貴金屬製作精密度較高較為耐用價格約在一萬元左右要自費.健保不付. | [
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| 鼻子問題 | 醫師你好， 昨日食用晚餐時， 因嗆到造成打噴嚏， 而在打噴嚏的時候將一小塊豆腐吸入然後卡在鼻腔中 現在鼻子感覺像鼻塞. 請問這該如何自行處理或者是置之不理即可 我住國外， 到醫院就醫很不方便.poor me | Whale先生： 如果確定鼻腔內有異物，不論是食物或是其他東西，一定要取出，否則很容易造成感染。 你可以用手指壓住另一邊鼻孔，用力呼氣，或是用羽毛刺激鼻孔來打噴嚏，試試看是否能將異物吹出，如果不行只好到醫院去，其實豆腐是很容易利用器械來吸出的，希望你能盡快去處理。 | [
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| 脛骨 | 醫師您好 我積極想治療自己脛骨內翻的情形已經找資料和去醫院諮詢大約6年，最近三年似乎HTO手術的很多新聞浮上檯面本來只有一點點醫院在做的樣子；我自己認為O型腿的情況不僅造成我運動能力有些受限通常是打籃球、跑步，容易膝關節側邊痠痛之外我的體重本身是稍輕的，BMI約19，腿的外型醜陋也造成我很大心理壓力並影響心情，穿著上大概也只有長袍長裙類的可以隱藏它，幾乎每天都會煩惱這件事情，至於內翻情形在之前的兵役體檢上是得到替代役體位的判定。 因為進行手術與否需要自行前往醫院就診判斷，在此我想詢問的是，在最近幾年HTO的手術情況 1. 手術之後是否會有什麼運動能力限制或後遺症，目前自己聽說不明顯 2. 似乎過重的人可能較易手術結果不如預期，那體重比較輕的人呢 3. 目前似乎都是使用鈦合金鋼板固定嗎費用大約多少呢 4. 如果要排手術可能需要空出多長的時間呢手術恢復生活自理等 5. 醫師有沒有知道幾間有在做HTO手術的醫院最好可以在台南、新竹 可以讓我做進一步的諮詢呢 以上所有問題，謝謝 | 您好， 高位脛骨截骨術目的在於將身線移往外側偏， 可能將膝關節內外均衡受力。 1.只要切骨骨折癒合好，活動多半無多大問題。 2.體重輕只要肌力正常無特別影響。 3.各醫院收費不同約十多萬上下，是用鈦合金鋼板固定。 4.至少三個月。 5.台北榮總有最多案例，台南可至成大醫院詢問。 彰化醫院 關心您的健康 王守吉 | [
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| 手術後飲食 | 體重下降食慾不振血色素只有8.買了益肺佳再補充善存一顆不知還要加強什麼 | 呼吸道疾病的患者會有體重下降的現象，原因如下： 1.進食時呼吸困難，以致熱量攝取減少。2.可能長期使用支氣管擴張劑.等藥物，引起腸胃不適或吸入空氣引起的食慾不佳。3.呼吸疾病的病患因呼吸頻率高，呼吸所消耗的熱量高。如熱量攝取不足，也是會造成體重下降、營養不良。 建議給予充足的熱量。87歲的男性，一天所需的熱量約15002000卡，因呼吸疾病的病患呼吸頻率高，所以採用少量多餐的進食方式。以一天1８00卡為例早餐；飯８分、蔬菜半碗、肉類約半個掌心大）蛋１個 早點；益肺佳半罐 午餐：飯８分－１碗、蔬菜半碗、肉類（半個掌心大塊２塊）午點：益肺佳半罐晚餐：飯８分、蔬菜半碗、肉類約半個掌心大）晚點：益肺佳半罐；水果每日１－２份，油量可適度增加，含糖食品必須限制。若全日使用益肺佳需每日五罐 病患每天必須攝取足夠的熱量，才能維持其理想的體重，如正餐攝取不足，點心量可增加，以維持熱量的足夠。飲食中加入肉類、魚肉作搭配，此類食品都是很好的鐵質的來源，加上充分維生素Ｃ的攝取可幫助鐵質的吸收，進而可改善貧血的問題。若血色素無法改善可請教醫師原因，或補充鐵劑等，若再有疑問建議至醫院找營養師計算每日攝取量是否仍舊不足。 | [
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4心臟血管專科
| 心跳問題 | 醫師你好。 我本身常常會胃脹氣打嗝、最近打嗝時爾偶會在打嗝的瞬間明顯感到心跳漏一拍。 心跳漏拍的頻率大約是2∼3天一次， 但有漏拍的那天會有2∼3次、一次持續約一小時。 去診所看診醫生說是迷走神經引起的，叫我別擔心。 這現象已經持續一個月了，我有考慮去大醫院檢查， 但不知道該看心臟科還是腸胃科，可以麻煩醫生給些建議嗎？ | 建議到心臟內科門診做心電圖檢查 | [
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| 兒童牙科 | 醫師你好 想請問醫師現在的牙齒矯正材質有不是金屬的嗎 因為本人有癌症病史需要定期做MRI追蹤不方便有金屬物 如果有的話價格比一般材質多很多嗎 麻煩醫生了 | 大部分矯正都需要利用金屬線的弧度以及各種金屬彈性裝置將牙齒導正至正常位置，目前有一種非金屬矯正裝置由美國Invisalign公司發展出來，但國內還不普及，可多方詢問矯正專科醫師，以下附上美國該公司的首頁 httpwww.invisalign.comPagesHome.aspx 請自行參考。 | [
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| 髖關節問題 | 施醫生您好 我父親在八年前跌斷大腿骨用鋼釘固定，因為術後復健不好造成彎曲，五年前拿掉鋼釘後變成長短腳，最近髖關節異常疼痛所以在1001226做髖關節手術，更換球窩關節，現在兩腿一樣長，但是躺著無法自己伸直，站立也異常疼痛，醫生說要他躺著自己動一動腳做復健一個月，想詢問醫生這種手術復健有沒有關鍵期，如果一個月後才開始做站立跟行走的復健，會不會太晚而造成什麼樣的副作用，目前我們家屬還可以做些什麼幫助他？ 感謝您的回覆． | 髖關節置換手術之後大約一個半月到三個月之間就可能恢復 目前病患手術尚未滿一個月 因此還會有些疼痛是正常現象 復健還是得做 通常練習行走就可以了 但是須要使用助行器 另外也可以去復健科做一些肌力的訓練 | [
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| 懷孕機率 | 醫師您好： 我和女友在月經週期第八天（排卵日前七天）的時候有進行性行為，因為嘗試用了尺寸比較大的保險套，結束發現之後陰莖根部有白色的分泌物，女友擔心會懷孕，但事後檢查保險套沒有破裂，精液也都還在前端（不確定有沒有可能從後面流出），請問這樣懷孕的機會大嗎？擔心的話，大概什麼時候去驗孕比較好呢？謝謝醫師 | 提問者您好全程正確使用保險套的失敗率仍有5左右建議您如果月經過期一星期沒有來的話，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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13肝膽腸胃科
| 胃痛 | 醫師你好 我因胃痛一週診所看診沒有好轉上週三醫院胃鏡檢查是膽汁逆流主治醫生開了一些藥給我有時候有效有時候比較沒有效果一個月後回診 我兩年多前有胃食道逆流那時尚未有膽汁逆流的情況 請問膽汁逆流可以透過生活習慣和飲食和運動習慣大幅度改善嗎 為什麼我會有膽汁逆流是生活習慣造成還是有其他原因 謝謝醫師 | 膽汁逆流到胃部尚無一定傷害性，屬個人體質。平常正常飲食，多運動，配合藥物控制即可。 | [
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| 漏尿 | 醫師您好 我並不是每天都上大號 另外我的大便是屬於比較粗的 以前有時上大號肛門會流血 現在不會 最近 上大號後 會有想尿尿的感覺 這時會再尿幾滴尿 有時候這幾滴尿液會有血色 也曾經會有一個小血塊出現 這狀況不是每次上大號都會 請問為甚麼會這樣 感謝您的回覆 | 匿名： 你好 建議儘速就醫諮詢。尿中或者糞便中出現血，都不正常。 檢查糞便、尿液、超音波等，來確定原因。 建議看泌尿科、直腸外科。 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 以上由 泌尿科 主任 許維愷 答覆 | [
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9整型外科
| 疤痕 | Dear doctor 手術疤痕照顧 半年內除了貼人工皮或美容膠外 可否合併使用mederma gelmanufactory in Frankfurt Germany 疤痕仍處於紅腫癢痛的活性疤痕狀態 如果使用含anticoagulant的凝膠是否合宜 tks. | 手術疤痕的照顧需做到的有 一、防曬 二、美白藥膏使用含對苯二酚或低效之類固醇需小心使用，因有副作用 三、壓力治療，可貼矽膠片、美容膠、紙膠或穿戴頭套、彈性衣襪 四、物理復健治療，應力性預防疤痕攣縮，如支架、副木使用。 市面上有許多抗疤藥膏，大多是複方成分，並非無效，但常誇張期效果。建議需配合物理復健及壓力治療，始可達到最佳效果。anticoagulant可消除瘀腫，但療效不明 | [
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5泌尿科
| 攝護腺 | 1.想請教杜醫師，就是我在11月5日星期日，下午時5點多時，那時我是站著煮晚飯時，突然睪丸疼痛起來，當時也沒有憋尿，都很平常順起自然，當下想說去上廁所解尿，解尿完後完全不會疼痛了，後續上廁所尿尿也都不會痛了 2.隔天時，星期一去診所給醫師看，也訴說我的情況給醫師，醫師當下問我說是是單邊痛還是2邊都會痛，我說2邊都會痛，也在問我說有沒有憋尿跟尿尿會不會痛，我說沒有憋尿跟尿尿都不會痛，我說當下那時候在煮飯時，睪丸突然會痛，我就去解尿了，解完就不會痛了，之後醫師就當下摸我的睪丸檢查情況，就說我有可能是攝護腺發炎，當時也忘記問醫師什麼是攝護腺發炎，醫師就開3天藥給我吃以及要做尿流速脹尿檢查 3.想說請教杜醫師什麼是攝護腺發炎，因上網查資料很多種原因，但不太懂什麼是攝護腺發炎，難道是攝護腺肥大的前兆嗎？ 4.攝護腺發炎一定要做尿流速脹尿檢查嗎？有其他方式檢查嗎？ 例如抽血檢驗 5.因為我是去診所給醫師看診的，也都沒有說要做抽血檢查跟尿液檢查，只開藥跟叫我3天後來做尿流速脹尿檢查而已 6.我的情況是真的如同醫師說攝護腺發炎嗎？ 7.攝護腺發炎跟長時間沒有性愛跟自慰有關係嗎？而導致發炎嗎？ | 您好： 攝護腺炎種類很多，原因也不同，檢查及治療也不太一樣，如果持續有症狀請大醫院就醫，沒有症狀可以注意保養，食物清淡，水多喝，每天溫和運動如散步， 抽血一般 40歲以上，尿流速是評估排尿狀況，驗尿可看是否感染，祝健康 | [
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| 避孕 | 請問一下. 本來預定月經大概29號左右才來.但因為11號性行為後吃ㄌ事後避孕藥.導致月經20號就來ㄌ.然後再25號又有ㄌ一次性行為.請問這樣又吃一次事後避孕會不好ㄇ.那25號那天又算危險期ㄇ.如果他再體內射精.但是後有流出來.這樣懷孕ㄉ機率高ㄇ.謝謝. | 1.如果20號是正常的月經25號行房受孕率不高（以週期28天來計算）。 2.經常反覆使用事後避孕丸，不如定期正常使用口服避孕藥。 3.體內射精就有受孕的可能，而且你說男人射出的精液跑到哪裡去了呢？大部分還不都是流出來了嗎？ | [
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| 月經 | 我5月底跟男友做愛全程都有戴保險套，我們是女上男下的姿勢，事後發現男友的陰毛有白白的分泌物，不知道是男方還是女方的，後來月經遲到了4天，腹部有悶痛的感覺，一陣一陣的，發現第一天來的血是少量粉紅色的，血量跟一元硬幣一樣大，不知道是出了什麼問題，是懷孕了嗎還是子宮有問題 | 提問者您好全程正確使用保險套的失敗率仍有5左右，較其他方法更不可靠，一般避孕不建議單純使用保險套的方式。。有無懷孕並無法由主觀的症狀來判斷，建議您如果月經過期一週以上或不確認出血是否為月經的話，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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5泌尿科
| 攝護腺炎 | 這半年反反覆覆給醫生檢查，尿液檢查都是正常，培養皿也是無菌 請問醫生如果要更準確，是要做指診檢查嗎這項還沒做過 這個症狀一直反反覆覆的，真的沒辦法治療好嗎 因為自己沒抽菸喝酒、也很少吃刺激性食物，但還是會發作 真的很痛苦，有時候希望前列腺切除會不會比較好 請醫生給予建議了 另外想問這症狀會跟著一輩子嗎 | 慢性骨盆底疼痛症候群的診斷主要是靠症狀並排除感染等，藥物治療的效果通常不是很好，常需要從多方面來治療。保守措施包括物理治療、骨盆底肌肉運動、電刺激及生理回饋治療、攝護腺或會陰按摩、溫水坐浴等。藥物治療可包括消炎止痛藥、肌肉鬆弛劑等。慢性骨盆底疼痛症候群通常時好時壞，有的甚至可拖到數年之久，改變飲食和生活方式，少憋尿、不吃刺激食物、不沾菸酒、作息規律，才是最佳預防之道。 | [
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| 扁桃腺 | 醫生您好 先生因為流感就醫 三天的藥吃完後因喉嚨還是很痛回診 醫生說扁桃腺腫大發炎 但離開後才想到小時候兩邊扁桃腺都已經割掉了 想請問扁桃腺割掉後不是應該就不會有所謂的扁桃腺腫大發炎了嗎？ 若不是扁桃腺，可能會是什麼原因呢？謝謝 | 您好，通常情況下，如果一個人在小時候已經切除了扁桃腺，那麼他們基本上就不太可能再出現扁桃腺腫大或發炎的情況。然而，有一些情況需要考慮： 1. 殘留扁桃腺組織：在某些必要情況下，手術可能不適合完全切除所有的扁桃腺組織，留下的小部分組織可能會發炎。 2. 周圍組織感染：即使扁桃腺已經被切除，喉嚨的其他部分（如咽喉）仍然可以發炎或感染，導致類似扁桃腺發炎的症狀。 3. 淋巴組織腫脹：喉嚨周圍還有其他淋巴組織，如咽扁桃腺和舌扁桃腺，這些也可能因感染而腫脹。 如果先生的喉嚨痛持續不緩解，建議回診並告知醫生先前已經切除扁桃腺的情況。醫生可能會進行進一步的檢查，例如喉嚨檢查或喉鏡檢查，以確定痛症的確切原因。可能的原因包括： - 病毒性感染（如流感後的併發症） - 細菌性感染（如鏈球菌咽喉炎） - 黴菌感染（如口腔念珠菌病） - 非感染性因素（如過敏、干燥、刺激物或酸逆） 治療將取決於確切的診斷。如果是細菌感染，可能需要抗生素治療；如果是病毒感染，則主要是對症治療和支持性治療；如果是其他原因，則需要針對性治療。 | [
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0婦產科
| 會懷孕嗎？ | 女友有在吃事前藥2 3個月了，現在也繼續吃，新的一包也吃1顆了，也是月經走的第一天有性行為有內射，這樣懷孕的機率高嗎？接續著一包吃應該都有完整的避孕效果吧？不是每包都要吃七天才有避孕效果吧？ | 您好 應該是不會懷孕，避孕藥有按時吃，應該是不會懷孕。祝健康 | [
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1精神科
| 藥物問題 | 醫生不好意思請問戀多眠藥產生戒斷反應了怎麼辦😭會不會一輩子要吃安眠藥了😭 謝謝醫生 | 網友妳好： 可考慮用比較不會產生習慣性的藥物取代，並加強睡眠衛生，如增加運動量等，最後還是可以成功的。 吳恩亮醫師 | [
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5泌尿科
| 勃起 | 醫生您好，我從小勃起就約80度左右，並無彎曲，但是向上抬會有阻力，超過90度會不舒服甚至有點痛，硬度跟其他都正常，平常自慰也沒有其他問題，目前還沒有性行為經驗，請問這會影響正常性交嗎？如果需要矯正（手術）會怎麼進行？這種情況通常是什麼原因導致？大部分會建議手術嗎？因為個人常因為抬不起頭自卑。 | 您好： 我從小勃起就約80度左右，並無彎曲，但是向上抬會有阻力，超過90度會不舒服甚至有點痛，硬度跟其他都正常，平常自慰也沒有其他問題，目前還沒有性行為經驗，請問這會影響正常性交嗎？---》應不會 如果需要矯正（手術）會怎麼進行？---》不需手術 這種情況通常是什麼原因導致？---》每人本就不同，大部分會建議手術嗎？---》不會 祝健康 | [
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5泌尿科
| 包皮問題 | 請問醫師，包皮沾黏只能動手術嗎能靠每天拉拉下來嗎 拉下來時 黏接觸有點小血絲，是正常的嗎 尿道有點紅紅的 是發炎嗎但排尿時無任何不順暢 包莖能靠每天拉，拉下來嗎 | 您好 如果您不怕痛 可以自己剝開 皮膚會有擦傷的感覺 一定要保持清潔乾燥 不然受傷的皮會發炎. 有的人做的到. 祝健康. | [
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6骨科
| 腳趾 | 醫師您好：想請教一下，因為我車禍導致右腳姆指閉鎖性骨折，打兩支鋼釘（外露式），當時回診時有詢問醫生腫脹跟麻麻的是否為正常現象，醫師則是很輕描淡寫的說是正常的，但也沒說這種感覺要到何時才會消除，已術後五週，還是會感覺到腫脹以及麻麻的感覺，爬文上面寫說大約3-4週麻麻的感覺就會消失，而我到了第五週還是覺得麻麻、腫脹，抬高腳也不見效果，每到晚上都特別明顯且睡不太著，請問這是正常的嗎？是到時候拆鋼釘這種感覺才會消失呢？ 以及之後拆除鋼釘後我該注意哪些方面的事呢？ 謝謝醫師 | 您好 腫脹麻木在骨折後一至三個月都可能存在， 多半是末稍神經，因受傷腫壓迫造成， 抬高腳趾活動可改善部份症狀。 彰化醫院 關心您的健康 王守吉 | [
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| 藥物交互作用 | 醫師您好，我在2100有服用PARAMOL（ACETAMIN） 普除痛及AMOXICILLIN抗生素，而我每天都0030有按時服用愛薇事前避孕藥。 看網路上有說抗生素會影響避孕效果，但沒有講到AMOXICILLIN，所以應該不會降低避孕效果對嗎？ 另外有看到網路上說「止痛藥可能會抑制雌激素的代謝，而造成體內濃度提高而增加副作用的發生」，這個意思是請問普除痛會降低避孕效果嗎？還是不影響呢？感謝！ | 有關您的疑慮整理回應如下 無論是為了避孕的目的或是治療 多項藥物進入人體同樣在血中流動 就會產生交互作用 但實際的反應還是需視每人體質不同因人而異 您所列的藥物雖會產生交互作用 但產生彼此藥效抵觸的機會不高 應可不須過度憂慮 謝謝您的提問 並祝您健康快樂 | [
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| 眼藥諮詢 | 醫生您好， 前陣子我到醫院檢查，醫生說我眼壓過高 我看要單病症是寫"隅角開放性青光眼" 領了藥之後，領到的是"景明眼藥水" 因為藥水適用病症我覺得是關於抗發炎的適用症 跟降眼壓好像無關 謹慎起見，想請問醫生這是可能的處方嗎？ 還是有可能開錯藥. 謝謝醫生 | 敬覆 有可能是青光眼尚未完全確立.但因做檢查時.須打病名碼.我想此醫師 應該會再做進一步追蹤. 抗發炎的藥.的確不是針對青光眼.但有可能有結膜炎.所以會開此藥水. 新竹醫院眼科主治醫師柯美蘭 | [
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6骨科
| 脛骨 | 李醫師您好，我是831脛骨下13螺旋形粉碎性骨折至今超過12週，上週回診x光片上沒有看到任何骨痂形成，但我的主治醫師跟我說他覺得我可以放一隻拐杖走路，只要不痛的狀況都可以走。我也想這樣可以刺激骨頭看看能不能趕快長，但又擔心沒有骨痂形成支撐力不夠鋼板會不會變形，目前我放一拐走路是沒有什麼很痛的狀況發生，想請問李醫師您的看法？ 另外我出院時沒有打石膏而是買了氣動式足踝護具，回家休養時沒有出門我幾乎都沒穿護具，想請問是不是因為沒有壓迫性所以骨痂形成受到影響呢？我現在不穿護具可以放一隻拐杖不會痛，穿上護具有試過不用拐杖也不會痛，這情況下我應該怎麼做比較好呢？謝謝您撥空回答！ | 你好： 1. 脛骨下13螺旋形粉碎性骨折至今超過12週，x光片上沒有看到任何骨痂形成。目前即使有使用氣動式足踝護具，也不宜完全不用枴杖。但在不痛的狀況下可使用單側拐杖走路。 2. 因骨折至今超過12週，且擔心足踝的關節活動度，目前可以不必使用氣動式足踝護具。 | [
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0婦產科
| 陰道問題 | 醫師您好： 我想請問陰道分泌物問題。因為我已經有三四年都有陰道分泌物，沒有多到要用護墊，但常常會流出來沾到底褲，或者上廁所時蹲很久會流出一些來一次流出的量大約像擤一次鼻涕的量或再少一點，不知這樣算多或少？，都是黃色的。感覺有點像黃色鼻涕那樣的顏色，然後有點黏稠但又感覺不是很黏稠。我聞了一下，沒有很重的味道，頂多是一點點腥味。 我陸續看過二個醫生，醫生都幫我做過超音波說子宮沒有問題因為還沒有性行為，所以醫生說應該是細菌感染，有開藥給我吃口服。不過陸續去拿了幾回藥沒有連續，都隔很長一段時間才再去拿藥，吃了都沒效。想請問醫生，這到底真的是徽菌感染嗎？！不想再去拿藥因為覺得吃了沒什麼效果。可是不去拿每天都有分泌物也有點煩且擔心，如果都不理它會怎樣嗎？可否給點建議，非常感謝。 Lily | 聽起來像是陰道炎不過若是沒有內診恐怕不容易正確診斷. 要預防陰道炎最重要的是保持良好的衛生習慣不要穿著太緊的內褲或牛仔褲上完大號衛生紙由前往後擦避免將肛門的細菌帶到陰道口. | [
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0婦產科
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| 生理期疼痛 | 您好，我的月經週期平均是33天，可是這個月在第26天的時候開始又出白帶，請問這樣正常嗎？ | 提問者您好 依您症狀的描述有可能是發炎，建議注意會陰部的乾淨清爽、勿著緊身衣褲、睡眠充足、飲清淡，避免壓力與久坐、洗澡時可泡盆以舒緩症狀，若症狀持續再請醫師診斷治療，謝謝 祝 平安 健康 張 醫師 回 | [
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11營養教室
| 幼兒期營養 | 營養師您好 我家baby目前一歲半希望能加一些羊奶來補充營養 但經過多次的食用發現baby會有起紅疹子的過敏反應 但如果停止添加羊奶即無此現象 聽老人家說喝羊奶較不易過敏且baby並無任何過敏史 請問是什麼原因讓baby對羊奶產生不適的情形呢 真的很希望加一些羊奶來補充營養 該如何改善呢 真的很關心能否早點獲得消息謝謝 | 小卉，你好！ 既然已經過多次嚐試確認baby對羊奶過敏，就應該謹記羊奶是baby這輩子的禁忌。羊奶屬於奶類，不能喝羊奶，喝牛奶對營養補充是沒有什麼差別的。 新竹醫院唐威莉營養師回答 | [
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| 人工關節 | 我是打球受傷的，經過醫生判定，說是前十字韌帶完全斷裂及半月板反折， 醫生說因為半月板的問題，建議我要開刀，再順便處理十字韌帶，可是有的 建議用自體韌帶，有的卻說人工韌帶比較好，可是上網，好像說的也不是很 清楚，可否請您告訴我，那個比較好 | 您好 我建議用自體韌帶自體韌帶能使用一般很長的時間而人工韌帶較易斷裂。自體韌帶是目前主要治療的方式而人工韌帶現己較少使用。由於自體韌帶能從不同的部位取出〈包括膝蓋、小腿、大腿等〉而各有不同的可能副作用因此宜與你的主治醫師做進一步的詢問與討論。 | [
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0婦產科
| 懷孕嗎？ | 醫生您好，月經511來518有性行為無套無內射，過幾天有正常排卵（透明液體可拉長）排卵期內都有排，爬文有說懷孕後是不會排卵的，有精子進來也要有卵子在，那像這個情況懷孕的機率大嗎？ | 月經511來518有性行為無套無內射，過幾天有正常排卵（透明液體可拉長）排卵期內都有排，爬文有說懷孕後是不會排卵的，有精子進來也要有卵子在，那像這個情況懷孕的機率大嗎？ Ans 月經511來518有性行為無套無內射，這個情況懷孕的機率大 | [
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4心臟血管專科
| 姿勢性低血壓 | 想詢問醫生如標題，是否有可能造成短暫的心慌心悸感，起身後沒多久即恢復 這是否跟姿勢性心搏過速或低血壓有關係，是否不需要太緊張謝謝醫師 | 您好 您說的對 跟姿勢性低血壓有關係 不需要太緊張 平安 彰化醫院關心您 | [
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4心臟血管專科
| 心電圖 | 本人有三高，但不是太嚴重，可以用藥物控制。最近在主治醫師裏做了一個心電圖，他說我新的心電圖跟去年做的有一些變化，他叫我去心臟科醫師做個檢查，心臟科醫師幫我量了血壓和超音波，他說血壓有點高，但超音波一齊正常，只要控制好血壓，不用複疹。請問我還有甚麽需要跟進嗎？超音波正常是否可以不理會心電圖的變化？因為下次再見主治醫師是三個月後，心裏有些擔心。謝謝醫師的解答。 | 即使心臟超音波正常，心電圖的變化如：缺氧，也未必沒有臨床意義，建議如果有症狀，除了控制三高外，可以到心臟內科門診做進一步檢查。 | [
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5泌尿科
| 菜花 | 醫生您好，想請問兩個問題，1.我之前感染過菜花，那會傳染給打過hpv疫苗的女性嗎？（有性行為） 2.我大概半年沒有復發了，如果有性行為的話那還會傳染給別人嗎？ | 您好： 1有可能，菜花種類近百種， hpv 只有防個位數。 2要請醫師確認沒有再長，如果真的沒有，就相對安全很多。祝健康 | [
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| 排卵期 | 醫生您好，由於我月經沒來所以兩週前看了婦產科並驗孕，當時沒有驗到懷孕，醫生幫我抽血說我黃體素有上升代表有排卵了，說若我今天（5月這禮拜）若再沒來就可能懷孕了，請問排卵後14天月經一定會來嗎？謝謝 | 提問者您好 絕大多數會來月經，但少數例外多因內在或外在荷爾蒙所影響），謝謝 祝 平安 健康 張 醫師 回 | [
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| 排尿問題 | 醫生您好，有以下問題想詢問 我發現我最近尿尿的時候會尿到一半停下來，然後過幾秒再繼續尿流，又停下來幾秒再繼續尿流，不會連續尿完，最後會滴尿，然後又有小尿流，最後滴尿。 我今天因攝護腺炎回診有詢問醫生，醫生說因為我才21歲，應該是不會有攝護腺肥大等，所以請我回來持續觀察。 想詢問您這可能是什麼原因導致的嗎？會是因為平時常自慰（一個月25）或是攝護腺炎導致的嗎？那這樣會對身體有什麼影響嗎？還是其實也還好呢？那得怎麼改善呢？ 謝謝醫生 | 聽起來像是前列腺有發炎， 過度的自慰也會有影響。 改善的方式除了要在門診接受完整的治療 ，減少DIY的頻率 ，多運動保持身體與心理健康才行。 | [
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| 尿液問題 | 最近一兩個月，偶爾會出現尿液混濁，沒有起泡泡，但身體沒有任何的不適或疼痛，想請問為什麼會出現尿液混濁？或者需要進一步檢查嗎？ | 有可能是尿液離開人體後溫度變化而產生，也有可能是尿道感染，可能還是要做尿液檢查才能確認。 | [
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13肝膽腸胃科
| 打嗝 | 陳醫師 您好 感謝您在「 」給予個人的回覆與指導。昨晚睡覺並沒有再發生睡到一半打嗝呃逆非嗝氣被嗝醒的情況，我會再觀察看看，感謝陳醫師的建議。最後請教陳醫師 Q.依您的看法，我前天睡覺時打嗝跟我睡覺時偶會有胃食道逆流症狀彼此有關聯嗎例如說胃酸返流進食道後刺激到橫膈膜膈神經引發打嗝呃逆，即橫膈膜出現陣發性和痙攣性收縮。還請陳醫師指導。 以上，感謝陳醫師。 | 胃酸是在食道胃內，不會直接刺激橫膈膜食道外。 | [
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5泌尿科
| 菜花(尖性濕疣) | 你好 我有些問題想請問一下 1我的了菜花 英文是不是condyloma acuminatum 2我要如何和家人朋友相處我不想傳給人. 3我會有可能除了菜花之外同時有別的性病我最近會覺得身體會養我是不是還有別的病呢 4要如何根治 我會再傳給別的女生嗎 我還可以有性行為嗎 請你幫幫我 謝謝 | 首先要確定那是"菜花"因為大都是性接觸感染來的"菜花"是一種率過性病毒感染基本上它會再發因此一旦發現再長出來經醫師確定後就要治療身體癢跟菜花沒關係只要沒再長出來當然可以有性行為. | [
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0婦產科
| 墮胎 | 請問一下已經懷孕16週了還可以墮胎嗎那如果要做會不會有風險最久能拖到多大 | 妳這個問題，要直接找婦產科門診看診才可以。 | [
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| 前列腺問題 | 請問勃起後興奮也不會分泌前列腺液是正常的嗎？ 如果很想分泌有辦法改善嗎？ | 前列腺液是精液的一部分，分不分泌沒有辦法由個人來控制。聽起來並沒有疾病的問題，如果有擔心，還是要去泌尿科檢查，與醫師討論。 | [
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0婦產科
| 避孕藥 | Q1.目前有在做中醫針灸豐胸療程，想請問這樣的針灸是否會影響事前避孕藥的效果？ Q2.豐胸療程中的豐胸藥，是否會影響事前避孕藥的效果？ （中醫師兩位，一位告訴我建議不要這樣同時進行，另一位說沒有差，不會互相影響） Q3.在還沒吃避孕藥之前，因為經期不順有看中醫，開的藥中包含調經的部分，是否能繼續吃，會影響事前避孕藥嗎？ Q4.如果在21天吃完後的7天中月經沒來，是否該直接吃下一份21天的藥？ Q5.承上，如果直接吃下一包的過程中月經來了，該怎麼處理？ Q6.有在其他文章看到維生素c會影響避孕藥的效果，想請問如果已經吃了，要停吃維生素c多久，才能有正常的避孕效果呢？ 謝謝醫師，麻煩了！ | 您好 豐胸一般不影響避孕藥，如果吃完避孕藥一星期還是沒來，建議還是看婦產科，避孕藥要從月經來的第五天吃，維他命C 不影響。祝健康 | [
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5泌尿科
| 膀胱炎 | 小弟於上周五做完膀胱鏡檢查結果是下部泌尿道發炎 已持續服用抗生素 膀胱鏡束後的刺痛感和頻尿感原已於周一周二消失 但是這兩天忽然又開始頻尿 而且有時會尿液感覺會自己從陰莖和尿道中間的關口露出 排尿時又覺得那關卡有點打不開 小弟在手術時 鏡頭要陰莖經入體內尿道的關卡時我也感覺到被撐開的劇痛 想請問醫師是否是手術過程有傷到器官還是只是一般的術後反應 | 匿名： 你好 根據描述，你的頻尿，應該與膀胱鏡相關性不高。畢竟，經過2週，理論上，應該是再一次的泌尿道感染。可以檢驗尿液，尿液培養等做確認。 至於膀胱鏡的感受，應該是正常的感覺。 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
| 強迫症 | 醫生您好 我本身有焦慮症、恐慌症 常常沒特定的擔心各種事 ㄧ件擔心完換一件 這幾天不知道是否生理期接近的關係 我ㄧ直怕自己傷害我的孩子 傷害別人 而且擔心到很煩躁 心跳ㄧ直很快 很焦慮 明明我千百個不願意 但是會一直想到 令我很困擾 很擔心 我上網查了ㄧ下蠻像強迫思考的 但是我不確定是不是 想來請教一下醫生🥺🥺 | 您好 您所提到的重複想法是否屬於強迫思考可能需要進一步的評估了解 但這些身心症狀聽起來已經明顯造成你的不適 建議您應該盡速就診心身科尋求進一步的協助 祝順心 | [
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12胸腔內科
| 胃食道逆流 | 醫生您好， 我老婆目前懷孕36週，大概是懷孕30週左右，他就開始稍微咳嗽。 都是稍微輕輕咳一下下， 有時候會覺得喉嚨有東西想要咳出來就會咳得比較大力，咳出來的痰液偏向透明色 他也覺得說當他在說話，吃飯後，或是躺下時比較容易咳嗽。 去看過了家庭醫生以及他的婦產科醫生，已經有吃過過敏藥，抗生素，咳嗽藥水，但沒有顯著的改善。 醫生認為可能是懷孕引起的胃食道逆流，進而引發咳嗽，不過吃過了胃食道逆流的藥改善的情況也是有限。 請問醫生您是否有什麼建議呢？我老婆約兩年前照過胸部X光，並沒有發現異狀。另外他的醫生有開支氣管擴張劑PROAIR HFA，但因為費用很高尚未去藥局拿人在美國，請問是否要試一試支氣管擴張劑呢？謝謝醫生 | 你好，依上述您描述的症狀判斷，因懷孕導致容易胃食道逆流合併慢性咽喉炎或支氣管炎的可能性最大。食道逆流的藥物治療也需一段時間方能見效。建議避開一些容易導致胃食道逆流的食物及生活習慣，並配合症狀治療。謝謝 | [
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| 肝腫瘤 | 醫師您好： 想請問一下如果檢查有發現約2公分的腫瘤類別尚不詳請問後續是要看肝膽內科還是外科另外目前醫師是說再觀察三個月看有無變大請問是否有方法可以確認為良性或是惡性謝謝醫師您抽空回答 | 您好 可以就診肝膽胃腸科，若是低風險（沒有BC型肝炎，或家族史，或過去腫瘤史），可以遵從醫師建議三個月追蹤。若有變化可以考慮用電腦斷層區分良惡性。 彰化醫院關心您的健康 蔡安順醫師 | [
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| 扁桃腺 | 醫生您好 我今天去看診時醫生建議我摘除扁桃腺 我也同意了 但是我忘了詢問以下內容 還請醫生解答 我的情形為反覆扁桃腺發炎 還會常常有結石 請問： 1.手術沒有特別說的話是完全切除兩側扁桃腺對吧？ 2.除了可能術後出血之外，會有其他後遺症嗎，像是打呼或是味覺失調？（本身沒有打呼或是味覺等疾病） 3.切除扁桃腺之後以後，結石、發炎等症狀會復發嗎？ 4.切除後要怎麼知道快要感冒了呢？（平常會覺得吞口水痛痛的） 感謝醫生！ | 1切除絕大部分的顎扁桃體 2手術後會滿痛的.1-2星期要吃比較軟的食物 剛開始因為懸壅垂和周邊黏膜的位置嘴巴打開後面那個M型的區域重新分布吃東西會有一點怪 一定時間之後就會好了喔 3還有舌扁桃體喔舌扁桃體可能會發炎但因為至關係舌扁桃體比較不會結石 4還有舌扁桃體喔 | [
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15復健科
| 腳踝扭傷 | 前天打籃球跳躍投籃時扭傷了腳踝， 已經大大影響了我的生活， 請問怎樣照護可以好得快？ 恢復到那種情況才能繼續打籃球？ 感謝您！ | 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 大致上來說有以下幾點建議 1.休息是復原最重要之道 2.必要時用彈性繃帶或是貼紮固定踝至九十度避免進一步傷害. 3.急性期可進行冰敷以後用熱敷或冷敷交替. 4.去復建科做深部熱療及電療恢復更快. 最後 祝您 平安快樂 | [
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| 懷孕嗎？ | 醫生您好，事情是這樣的，我男友射精在我肚子上，當下馬上就擦掉了，我也沒有碰到，大約一兩個小時左右我用濕紙巾擦拭肚子，不是很確定還沒擦之前手指有沒有碰到，之後手有摸到陰部請問醫生1.這樣有懷孕機率嗎？2.如果當時是危險期的話有機率嗎？3.另外，精液射出後裡面的精子能存活多久，我用濕紙巾擦之後還會殘留嗎？不好意思問題很多，請醫生幫我解答，謝謝。 | 男友射精在我肚子上，當下馬上就擦掉了，我也沒有碰到，大約一兩個小時左右我用濕紙巾擦拭肚子，不是很確定還沒擦之前手指有沒有碰到，之後手有摸到陰部請問醫生 1.這樣有懷孕機率嗎？ Ans 懷孕機率接近零 2.如果當時是危險期的話有機率嗎？ Ans 懷孕機率接近零 3.精液射出後裡面的精子能存活多久，我用濕紙巾擦之後還會殘留嗎？ Ans 用濕紙巾擦之後就不會殘留 | [
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1精神科
| 焦慮恐慌症 | 最近一個月因為身體許多症狀頻繁就醫， 包含肚子痛、頭痛、頭暈、脖子跟左手發麻、呼吸困難等， 終於被診斷出得了焦慮症， 得知是焦慮症之後，症狀雖然還是有，但都減輕了許多， 也許是因為知道不是甚麼會致死的嚴重疾病而安心不少吧！ 目前希望能夠不依賴藥物， 靠檢討自己的生活型態來康復， 已經開始固定就寢時間、每天運動、補充鈣質等方法， 但在要睡覺時總是會感覺心臟跳動強烈，干擾睡眠， 嘗試深呼吸但感覺會更專注在心臟的不適， 請問有沒有什摩辦法轉讓我能更容易入睡呢？ | 您好 您有在練習呼吸，我是建議可以在這個基礎上繼續下去。這邊我們可以不要強調深呼吸，因為有人會感覺好像要刻意憋氣，變得更緊張。另外一種方式是腹式呼吸，也就是只要把注意力放在肚子就好，讓呼吸自然發生，不要去控制呼吸的長短與深淺，注意力放在肚子隨著呼吸而上下起伏的動作就好。 這個練習不一定要在睡前練習，而是有空就練習，時間短則幾秒鐘，長則幾分鐘都好，重點是練習的次數越多越好，這樣可以打斷焦慮緊張的惡性循環。原理就像是不停的跑步很多人都沒辦法，但是跑一段路，休息一下，再跑一段路，再休息一下，這樣反而可以跑很久，跑很遠。 另外，肌肉放鬆練習也很推薦，您可以上Youtube看看教學影片，跟著練習，持之以恆，也很有效的。 敬祝 一切順心 丁碩彥 醫師 敬上 | [
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0婦產科
| 避孕 | 女友發現幾天前（超過三天以上）避孕藥漏吃一顆，估算約為週期前12顆避孕藥中有顆漏吃，這兩天也有無套性行為內射。目前本次週期之避孕藥剩6顆，想請問醫生最適合目前情況的處置方式為何？ 還需補吃避孕藥或是吃事後避孕藥？或是等待用藥間隔期後月經是否有來再做確認？ 感謝您！ | 提問您好 若漏吃有效錠的時間超過12個小時以上，除了補吃外最好加上額外阻隔避孕七天。如果漏掉天數超過24小時以上，停止目前服用的避孕藥，停藥七天包括你漏吃藥片的天數，然後繼續服用下一週期。當發生漏吃藥，於接續服用藥片不需服藥的中段期間如果沒有預期的消退性出血，就需懷疑有懷孕的可能。必要時應該請醫師檢查評估，謝謝 祝 平安 健康 張 醫師 回 | [
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10兒科
| 陰莖問題 | 蕭醫生您好 我是新手媽媽.最近生了一個男寶寶可是發現寶寶的生殖器-睪丸顏色比一般的寶寶還要黑很多 因在月子中心看到其它的baby睪丸顏色都是淡淡的.粉嫩的顏色所以請問醫生這是否表示小孩性早熟呢 是否會影響生長呢 還是跟本身的膚色有關嗎 或是本身媽媽在懷孕期間影響肚裡baby內分泌呢呢比麻煩蕭醫生幫忙解答一下因為這實在是困擾著我.而是否我要上醫院請醫生詳細檢查呢 | 其實愈足月男嬰睪丸的顏色就會愈深當然也跟個人黑色素細胞多寡成熟和分佈程度而有個別差異睪丸皮膚的顏色深淺並不重要重要的是兩顆睪丸有無降至陰囊裡若有隱睪或性徵不明才是大問題. | [
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5泌尿科
| 性病問題 | 醫師你好，本人有翻閱過 或其他相關問題共用衛生紙；想詢問小學曾經與同學「馬上」共用撿來的衛生紙撿衛生紙來用，可能有擦拭陰部跟肛門詳情已經忘記，會有機會感染嗎 只發生過一次，並且現在十分後悔不敢再犯，感謝醫生解答。 | 您好： 感染的機率少，因為對方也要有傳染病。小學有此情形不大，祝健康 | [
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0婦產科
| 懷孕 | 醫生您好 請問518晚上以及519號早上有在女友的私密處蹭蹭可是沒有進去也沒有射精目前還是處也沒有吃避孕藥 今天22號他週期不是很穩定之前是111 1210 1月好像沒來212 318 417 這個月已經22號了月經還沒來他19號開始有拉肚子持續三天 他很擔心是不是懷孕了還是月經前兆或者說是太緊張了 麻煩醫生幫我解答感謝🙏 | 你好 懷孕機率應該不大，觀察即可，再等兩個禮拜，如果還是沒有來，建議看婦產科。祝你健康 | [
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18放射線科
| 電腦斷層輻射 | 你好醫生，我想詢問電腦斷層輻射問題 近5年內 我做了3次電腦斷層，分別是：照胃部的電腦斷層（有打顯影劑）、照口腔內的電腦斷層（有打顯影劑）、低劑量胸部電腦斷層， 請問 1.這樣的輻射量共約多少？（一直找不到照口腔電腦斷層的輻射量） 2.有打顯影劑輻射量是不是會比較高？輻射量會危害健康嗎？ 3.是否在我這個年紀（24歲）做的次數算多的？是不是容易致癌 尤其是乳癌？ 再麻煩你回答 謝謝你！ | 您好， 依美國放射技師學會網站，一次牙科電腦斷層的輻射劑量約0.2毫西弗。參考網址 httpswww.xrayrisk.comcalculatorselectstudy.phpid64 您提到的這些檢查的輻射劑量低於100毫西弗。根據國際輻射防護委員會ICRP103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。聽從醫生指示接受輻射相關的檢查，是考量健康上的好處大於輻射的影響。如有疑慮，建議與醫師多做溝通後再接受檢查。千萬不要因為害怕輻射而逃避檢查，從而錯失了疾病的治療時機。 以上請參考，祝您平安健康。 | [
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6骨科
| 術後問題 | httpssp1.hso.mohw.gov.twdoctorAllShowDetail.phpqno166223SortByqnoPageNo4 非常謝謝游醫師認真解除我的疑惑也大概明白很多醫學上的問題還是得當事人與醫生的配合才能做出最好的治療結果. 而後來我也有跟長輩說明狀況但家人考量到年紀已長也不想再去做開刀等較複雜性的治療也無法逼著長輩去做後續的處理.但畢竟生為子女的我對於這類情況還是很緊張跟害怕在苦無其他辦法之下所以只好再來打擾醫生了. 1.那我想詢問的是像這種情況之下如不再做更進一步的處理或者開刀此狀況會有甚麼後遺症或者將來惡化的程度會到甚麼情況呢 2.目前還是有做被動式復健背後拉毛巾的動作並且有些主動式動作還是有加減做以及低周波器的使用目前這些復健的項目是足夠的嗎以及需要特別去避免或增加的項目或角度 3.至於平常的使用家母拿高處物品以及平常練習舞蹈都會用甩手的動作來舉高這樣是可以的嗎然後平常日常生活中使用手臂是能安心的使用及活動嗎例如輕微的物品簡單的家事 4.另外日常照顧的部分我打算讓家人吃些比較有鈣質的食品還有對於此情況還有甚麼可以建議跟注意的部分 | 我良心的一點點建議， 考量到現行新冠肺炎疫情真的很嚴重的情況之下短時間 不太可能去考慮手術，而且病人本人從文章中聽起來也是不傾向手術的情況 ，那往保守性的治療未嘗不是一個方向，保持正面思考， 不要有太多的恐慌，讓病人本人和您的家族重新回到一個比較平穩的生活 總結起來您的家人的肩部狀況已經大致底定， 之後會再惡化大概也是隨著年紀的退化 ， 會有一些些微的變化 但是惡化的速度每個人因人而異 你的家人 在不會造成特別疼痛的情況之下，適當合理的使用是很正常的。若您想幫您的母親從食物中補充鈣，可以 考慮牛奶， 豆類，堅果類，蔬菜類， 小魚乾等等 | [
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13肝膽腸胃科
| 胃食道逆流 | 醫師您好 最近上腹常常會有怪怪的感覺 像是壓迫感 位置差不多在胸骨中間那一根的最尾端 平常跟去壓都不會痛 可是就感覺有東西在那邊 食慾都不錯 吃東西也都沒有問題 打嗝的時候喉嚨會有酸酸的感覺 之前因為長期乾咳跟喉嚨有異物感有去看耳鼻喉科 醫生檢查後說喉嚨沒有長甚麼東西 有可能是胃食道逆流 請問這個會有影響嗎 因為我住的地方離醫院很遠 想上來請問醫師 有必要到大醫院進行檢查嗎 謝謝您 祝您身體健康 | 先生您好 應該只是消化問題極輕度胃酸逆流 ，只要先注意飲食，少量多餐即可。 彰化醫院關心您的健康 陳詩典 | [
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7耳鼻喉科
| 頸部腫塊 | 你好，媽媽左頸部下（鎖骨上凹窩附近浮腫，按壓有大顆粒，耳鼻喉科醫師觸診說甲狀腺，之後再超音波檢查說淋巴瘤（不好的東西）並標記2個腫瘤。針頭抽吸切片檢查怕抽不準，約診一週後手術切片。 請問醫師， 1超音波檢查能分辨良性或惡性瘤嗎？是依據腫瘤形狀嗎？ 2口頭告知手術切片方式，比較容易取樣，只有小傷口且不用禁食。這樣切片好嗎？ 3回家後簽名手術和麻醉同意書時，發現內容是手術切除，跟口頭告知不同。這又是什麼意思呢？ 4手術切片和手術切除，哪種方式較好，其安全性或有無後遺症呢？ 5媽媽想要當天手術切除腫瘤掉。但是只做觸診 超音波檢查， 血液檢查報告還沒出來，也沒照x光跟電腦斷層檢查，這樣可行嗎？ | 你好 超音波檢查可依大小、型態、質地及血流等，來分辨腫塊良性或惡性的機率，若有疑慮會進行針頭抽吸或切片檢查，鎖骨上凹窩淋巴結因惡性風險較高，大多需要淋巴切片或切除來確定診斷，至於其他手術相關細節，若有疑慮建議可提前回診與手術醫師詳細討論。 | [
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13肝膽腸胃科
| 大便黏液 | 醫師您好，最近一兩個月擦屁股時發現大便時有黏液 量也不少，而且每次擦都有黏液之前都沒有這樣過 但我沒有腹痛也沒什麼腹瀉 上網找了點文章有些說不排除是腫瘤或息肉 請問醫師真的是這樣嗎？ 還是說可能是大腸激燥症？？ 但我沒有很常上廁所或拉肚子 每天都會大便 目前有點擔心 還感謝醫師抽空答覆 | 您好 大便有黏液，這是腫瘤或息肉的非特異性症狀，不必過於擔心。有時只是腸胃不適產生的情況，或是，大便過硬所造成，若仍有疑問，仍須要臨床胃腸科醫師判斷才能斷定。 彰化醫院關心您的健康 蔡安順醫師 | [
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| 關節 | 醫師您好，最近半年不知為什麼有時腳指頭痛，有時手指關節腫痛，有時腳膝蓋痛，有時腳跟痛，去檢查尿酸又不高，這些疼痛不知道有沒有關聯，醫師麻煩您為我診斷一下 謝謝 | 關節疼痛的原因有很多種，不外乎關節炎，風濕症候或是肌筋膜炎。要分辨這些疾病是要靠醫師的親自診斷與檢驗，因此必須請您到醫院就醫才可能找出原因。痛風只是關節炎其中的一種而已。 | [
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Subsets and Splits