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3藥物
| 藥物諮詢 | 侯藥師您好 小女未滿月前即帶去a診所看診，醫師診斷為感冒發燒，開出藥單Nicainamide及aspirin。此為一日四次用藥，另有一紅包成份未明。本人搜尋過貴站過往咨詢提到aspirin不建議做為小兒退燒藥，甚為擔心。 想請問藥師，新生兒這樣頻繁使用此藥妥當嗎真有其必要每一包藥都用到此藥用藥後糞便會出現黃色透明黏液是否表示已傷害到腸胃此藥物已使用8天，家人還是覺得她摸起來熱熱的，再度求診，也再次使用一樣的藥物 a醫師認為小兒37度也算發燒，皆在哭鬧時量出腋溫38度不知是否有加過0.5度，此發燒標準與本人生產醫院標準不同37.5也算正常，我該如何選擇懇請解答 謝謝 | 您好： 1發燒的定義 肛溫耳溫超過38℃或腋膃超過37℃ 腋溫最低 肛溫最高. 腋溫比肛溫耳溫低1℃ 腋溫比口溫腋溫低0.5℃ 千萬不要只用手去感覺小孩有否發燒 2. 發燒的原因及注射事項 發燒是身體有潛在感染或發炎而引起的一種臨床症狀 其原因可輕可重 有些亦會危及生命 須針對原因去治療發燒才可能完全褪去 故發燒時一定要注意相關症狀如流鼻水、拉肚子、吐.以便找出病因治療 注意事項 是否精神活動力減低發燒時間過長超過2-3天 高燒不退 40℃或一 天多次發燒有新症狀出現或其他無法處理的問題有上述情形 應儘速回醫院急診或 門診處理 .3 退燒的處理原則 1非葯物的處理方式 保持室內空氣流通 調節室溫。 多補充水份 好好休息 勿過度活動。 超過38℃肛溫耳溫 睡水枕小於三個月或冰枕. 超過39.5℃肛溫耳溫可洗溫水澡 2給予藥物治療一般都是用Acetaminophen來退燒• aspirin對於小孩子使用要較小心•俗稱的「阿斯匹靈」，有止痛和解熱的作用。另外也能抑制破壞組織之溶菌脢的釋出，減低微血管的通透性， 故也具消炎作用。 治療項目： 1.因感冒引起的頭痛發燒、肌肉痛、關節痛以及各種疼痛等。 2.可預防心臟病及腦中風之發生。 用法用量： 儘量不要空腹服用，吃些食物或喝杯牛乳再服用。 一般病情每次1粒，每日3次。較嚴重病情每隔4小時1粒 副作用： 常見的為胃腸不舒服、輕微的噁心和嘔吐。 如果您很擔心您可以請問醫師為什麼您要用aspirin來退燒，我想他應該不是用來退燒用•因為這個藥品有很多種用途的•如此解釋您可以嗎？感謝您的問題祝您平安快樂• | [
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0婦產科
| 避孕藥問題 | 若在經期期間做愛，隔兩到三天經期停，但最後一天只有微量出血（一整天只有兩三滴的那種），過了三天還有需要吃第二代事後避孕藥的需要嗎？ | 提問者您好 因為陰道出血不一定是月經，有些人把早期懷孕出血誤認為是月經，而有無懷孕並無法由主觀的症狀來判斷。事後避孕藥的避孕效果在三天內服用的效果約在97左右，超過三天以上的效果隨著時間愈久愈低，在加拿大的研究3-5天時有90左右，更久之後的效果目前沒有數據，也無法用人體作實驗，謝謝 祝 平安 健康 張 醫師 回 | [
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5泌尿科
| 泌尿道感染 | 您好： 泌尿道感染從4月初到現在已快一個月了，在上週有再回婦產科看診，婦產科醫生先開第一線抗生素，吃了兩天，有點微燒，再換地區醫院腎臟科，抽血腎，肝功能正常，白血球正常，但是紅血球（2-5）醫生說正常，所以開第二線抗生素給我吃，尿液細菌培養為無細菌！ 但現在還是會有想尿的感覺，這樣要怎麼辦？ | 您好 建議您抗生素吃夠天數，另外再安排一下泌尿系統的超音波檢查以免漏掉一些重要的訊息，祝福您早日康復身體健康。 | [
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16腫瘤科
| 淋巴腺腫瘤 | 陳醫師您好： 我伯父在脖子側邊長了一顆腫瘤，而且會變大，他整個人都變瘦了，食慾變得很差很差，平常可吃四碗飯的人，現只能吃一湯匙的稀飯，皮膚不知為什麼變黑了，會咳嗽且肺和胃會痛，而且體力也很差很差，連下床都有點困難，我們大家都很擔心他，但他堅持不肯去看醫生，所以，想請問您就這些症狀，您覺得他的情況愛嚴重了嗎可能是良性還是惡性腄瘤，會不會轉癌症呢 目前我們大家都非常非常擔心，正全力說服他去做檢查及治療！拜託！拜託！請您盡量速回應！真得很害怕！很擔心！ | 您好 由您的敘述您伯父脖子的腫瘤有可能是惡性的但還是要經過醫院的檢查才能真正的確定若他的進食狀況仍差建議可至本科注射營養針及做更進一步的確認疾病。 行政院衛生署桃園醫院 腫瘤科陳斯榮醫師敬覆 | [
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| 憂鬱症 | 醫師你好，去年6月到身心科就醫後，診斷是輕鬱症焦慮症適應性失眠，目前還在藥物治療，狀況持續改善。 前面有好幾年發覺自己的勃起功能.狀態不好，甚至連晨勃都沒有，不然就是硬度不足，性幻想或對性刺激（看A片之類的）也不會充血，我以為只是年紀增長所以很正常，加上單身沒性生活，所以不以為意。 在接受藥物治療後，發現功能有回復，晨勃基本上每天都有，對性刺激也會有反應，雖然勃起狀態不像以前年輕時那樣堅挺。 想請問醫師： 閱讀一些文章，憂鬱症是生理疾病，會引起勃起功能障礙.早洩等等，我的情況是否是因為大腦或神經系統的關係，導致性功能出現問題？ 因為網路上資訊不見得完全正確，或不齊全，所以想請問專業醫療人員 謝謝 | 網友好 憂鬱期時常因失去興趣和喜樂造成性慾不足進而導至性功能障礙，但憂鬱改善後仍有此問是則要注意是不是某些人對抗鬱劑的副作用。 吳恩亮醫師 | [
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5泌尿科
| 睪丸問題 | 我右邊上面睪丸長了一顆硬硬的 捏了會痛 請問是啥症狀 | 匿名： 你好 可能是局部感染，或者是副睪丸發炎。當然，也可能是睪丸的腫瘤。 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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12胸腔內科
| 喉嚨 | 醫生您好，謝謝您的解答。 因為最近感冒咳了一個半月才不咳嗽，有收斂，但還是很擔心肺部問題，因為本身有抽菸快二十年，一天大概半包，所以有去看過胸部X光跟照過LDCT都正常，也戒菸一個月了，但是每天一直喉嚨卡痰，清出來都是棕色，已經清一個月了，尤其早上量最多，而且有兩次感覺好像痰中有一點點偏紅色疑似血絲，這是戒菸正常行為嗎？還是有什麼問題呢？ | Dear 陳先生 從您的問題看來 CXR LDCT 都已經做過 沒問題 症狀上會比較偏向鼻涕倒流 請至耳鼻侯科複診 彰化醫院關心您 | [
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5泌尿科
| 睪丸問題 | 醫師你好，不好意思上次有發問過，這次是後續問題 三個星期前有找過性工作者，當時被無套口交有套性交，然後過了一個多星期，覺得睪丸偶發性有點疼痛像冬天很冷時睪丸痛的感覺，尿道偶發性 小刺痛，所以去看了泌尿科 醫生問診後說有感染但沒說是什麼也沒驗尿，他先開了三顆可樂必妥叫我分三天吃，然後回診時，因為覺得還是會痛問診完 醫生開了日舒250mg叫我第一次吃4顆，第5天再吃兩顆，這五天的藥又有開某種抗生素是一天吃三次 回診時我覺得情況都差不多，跟醫生講到我以前腰有受傷一個多月前開始又會酸痛，近期髖骨附近也會酸痛，最近覺得睪丸疼痛好像都伴隨腰的酸痛一起出現，醫生說那就是被影響的，說尿道有可能是剛好有小感染，睪丸痛則是被影響的，就說沒事情了，叫我先去看骨科或者復健科 請問醫生腰傷會影響到生殖器附近的疼痛嗎？ 如果真的剛好有淋病，依照這個治療方式會一起治療好嗎？ 如果我要去做檢查，依照現在的檢驗技術大概離最後一次性行為多久檢查比較好呢？ | 您好：１） 如果睪丸是痛要醫院就醫，只是不適就可觀察， ２）腰傷造成的影響很廣，是有可能。 ３）如果睪丸症狀是性病造成，治療好了，症狀應無。 ４）至於何時檢驗，淋病檢驗不易，可能治療後要檢不易檢出，至於其他性病３個月合適， 如果要驗泌尿道感染，現在就可以去檢查。 祝健康 | [
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| 避孕藥 | 醫生您好，我本來應該在月經第五天才吃祈麗安，但是我不小心記錯，因此在第四天就吃了，這是第一次開始吃避孕藥，想請問這樣會對避孕有影響嗎？以及吃下一盒的時候需要注意時間點的問題嗎？謝謝！ | 您好 第四天也可以不影響。祝你健康 | [
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5泌尿科
| 菜花(尖性濕疣) | 你好，我先前有淋病，已治療，醫生也說我痊癒了，這中間，醫生有建議我的女朋友去做一下檢查是否有被感染，但我女友撿查出來，沒有淋病，反而檢查出來是有菜花的，我痊癒後有跟她性行為數次，但我的陰莖上沒有任何的異樣，我女友已經做了電燒兩次了，今天她告訴我早上起來刷牙的時候，發現舌頭深處似乎有長出小小突起物，是不會疼痛的，想請問那是菜花嗎因為她有幫我口交 還有我身上沒有任何病徵，但是否有病原呢 我有再次去過秘尿科檢查，但那醫生只仔細看我的陰莖與周圍是否有長東西，沒長東西他就叫我不要胡思亂想，但也沒告訴我是否有病源在身上 如果我沒有，那我女友嘴中那是菜花嗎 如果有 舌頭深處該看哪一科就醫呢 我該看哪一科 該怎麼檢查 才能知道我是否有病源呢 因為我有上網查 聽說男生有在運動 抵抗力不錯 是不會有病徵的 但不代表不會有病源 麻煩醫生解答了。 | 菜花很容易復發.而你與女朋友也會交叉感染 原則上 要當作你與女朋友都可能帶有病毒 有的人要好幾年才會好. 每個人不一定 你要每天洗澡時檢查 尤其是女方要定期看婦產科檢查 女友嘴中是甚麼 可以去看耳鼻喉科 | [
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| 尖性濕疣 | 許醫師 好 1.如男方舌頭舔女方乳頭，會使男方感染口腔hpv菜花嗎 2.有因男方舌頭舔女方乳頭，而使男方感染口腔hpv菜花的案例發生過嗎 3.口腔菜花的表現形態是什麼樣子呢如好發部位、菜花的形狀 4.一般正常健康的人非口腔菜花感染者，其口腔中如有突起顆粒，是正常現象嗎 以上，感謝許醫師。 | 匿名： 你好 1.一般乳頭上很少HPV 2.口腔菜花就像一般菜花感染。 3.口腔內有突出物，建議找口腔外科或耳鼻喉科醫師看是否可能是口腔癌。 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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5泌尿科
| 靜脈曲張 | 醫生你好，本人在學生時期就有左側睪丸痛困擾，經檢查後是精索靜脈曲張，一直忍著到畢業後才去做開刀治療，開刀為左側，在修養期間因大多坐著或躺著，這時竟發現右側睪丸也出現蚯蚓狀血管，不知是否為個人血液循環較差，導致睪丸血液與腎臟回流之類的功能也較差，另外還有以下幾個問題 術後兩年： 精索靜脈曲張無改善，蚯蚓狀血管一樣在，睪丸少時也會痛，但不比以前常 開刀傷口外部有時會癢，傷口內部，做粗重工作有時會稍痛 手術後就不喜穿內褲，發現穿內褲束縛及悶熱，更易導致睪丸痛，不穿內褲會對陰莖睪丸有何影響嗎 麻煩醫生了，感謝解答。 | 您好：不建議不穿內褲，否則您外褲需天天更換（您可以考慮寛鬆，通風的內褲）另外建議您不要久站不要久座、血液會較暢通謝謝您的詢問 | [
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5泌尿科
| 睪丸問題 | 林醫師你好 我想詢問是說我左邊睪丸下方.不管是躺或是站立用手去摸.外表會摸到裡面有小腫塊.是軟的 呈現形狀橢圓形大約12公分.不會痛.唯一小小痛點是在皺皮中間腺點.偶爾左睪丸會有小小悶痛不舒服 感.在活動並沒有所謂的下體不適或沉重等等.感覺一般正常.但是洗澡完或自我檢查.都會摸到小腫塊.腫 塊位置不知如何形容在左睪丸下方與皺皮線條相鄰位置.我是想知道這是屬於怎樣的病兆.也很怕所謂的癌 症. | 您好： 建議至醫療院所檢查較妥當 敬祝 健康 | [
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14罕見疾病
| 罕見疾病 | 嗜鉻性細胞瘤是不是很罕見比例是多少我ㄉ朋友因長年血壓不穩及胸悶疑似心臟病最近好不容易診斷出是嗜鉻性細胞瘤但我們都沒有聽過也不知道會不會有什麼危險及後遺症癒後好嗎以有沒有什麼要注意ㄉ | 嗜鉻性細胞瘤是一種從腎上腺或腎上腺外交感神經系統的副神經節鉻細胞生長出來的罕見代謝疾病。腎上腺外嗜鉻細胞瘤佔成人嗜鉻細胞瘤的百分之十五；佔小孩的百分之三十。嗜鉻性細胞瘤的病人會出現心悸，胸悶 及續發性高血壓。二十四小時尿中vanillylmandelic acid 會升高。電腦斷層或磁振攝影常可發現腎上腺或後腹腔有一軟組織腫塊。α－腎素性阻斷劑控制血壓及腎上腺切除手術是必要的，以免有嚴重高血壓併發症。 | [
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5泌尿科
| 包皮問題 | 您好上個月和老婆愛愛完後慣例會去沖洗私處也慣例包皮上會有一些撕裂傷但是這次確傷口癒合時原傷口處長出幾顆摸起來像是小疣的東西不會痛也不會癢肉色的其中一顆長的較大我就用史帝富去疣液輕點點塗處立刻轉白色平均兩天點一次約六天後自然脫落原本以為好了但是這幾天又長出來了看上去像是傷口結疤般是菜花嗎我老婆並未和我一樣有長東西. | 您好： 可能是細菌感染，建議您可至泌尿科門診做進一步的檢查，確定病情，謝謝！ | [
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5泌尿科
| 龜頭外露 | 我學網路上用自製飛機杯自慰，我的龜頭已經可以全露出來，但碰到會痛，但我自慰時沒感覺，我事完後，龜頭的右下方出現類似嘴巴破洞，今天是第三天，我也看過別人的，用冷水沖，洗乾淨後抹藥，但我沖下去之後在也不敢碰，有類似刺麻那種疼痛感，請問有方法解決嗎 | 請至泌尿科門診讓醫師診視與治療。 | [
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13肝膽腸胃科
| 腸胃問題 | 想請問醫生我腸胃從一兩個月前就開始不舒服，起初醫生是診斷病毒型腸胃炎，之後則是吃糯米醫生說消化不良都有開藥消脹，狀況有好一點但感覺就脹脹的，有安排照胃鏡跟腹部超音波醫生說是沒怎麼樣只是胃炎胃酸過多，但前兩個禮拜又開始噁心想吐但沒有吐，不知道是不是心理因素胃感覺脹脹的但是腹部看起來沒有說很脹想問一下怎麼樣算胃脹氣，然後左右腹部會偶爾的鈍痛，大便顏色正常也每天都有大，很少打嗝很少有酸味及排氣。 | 先生您好 腸胃蠕動不良，宜正常作息飲食並必要時藥物調理即可。 彰化醫院關心您的健康 陳詩典 | [
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0婦產科
| 避孕器 | 醫師您好 我在1024號晚上九點初次放置了避孕環，正常來說我應該在1114號取出避孕環，但在1111晚上發現有一點咖啡色分泌物，1112早上就開始少量出血，應該是月經來了嗎？想請問這樣是不是正常的？我依照正常時間取出避孕環，一週後再放置下一個避孕環即可嗎？謝謝醫師 | 您好 有可能是月經要來了，可以取出，等月經來的第五天再放下個避孕環。祝你健康 | [
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5泌尿科
| 包皮問題 | 醫師您好 包皮過緊的藥 有醫師開給我美康乳膏 但沒說明擦藥的方式等 可以麻煩醫師跟我說一下用藥的量 擦的時間次數 及擦的部位等相關方式嗎 謝謝。 | 阿阿： 你好 擦藥次數，需要看疾病的嚴重程度，可以每天一次，也可以每天數次。 一般就是抹在包皮的狹窄部位，儘量不要碰到龜頭。 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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7耳鼻喉科
| 舌頭問題 | 近日舌頭下方長了貌似肉芽 剛開始是紅色的狀態尖端有點白白的 碰到都會痛 使用醋沾點一下 後面變一般肉色 看醫生是說會紅是因為破皮有炎症 可能是平常喝東西比較燙 但自己平常也沒覺得到燙傷的地步 怕是得特殊疾病不放心 | 建議舌部潰瘍兩周若未癒合 至耳鼻喉科門診就診 祝平安 | [
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0婦產科
| 會懷孕嗎？ | 跟女友做愛有全程戴套，但射後我沒有馬上拔出來，有在陰道裡停留一下下，大概1520秒，拔出來的時候還很硬，但保險套往上捲，所以我的陰莖只有一半被包住，保險套外面很濕但是透明的，那個是女友的分泌液嗎還有就是外觀看保險套我白色的精液還都停留在龜頭處沒有往下流，但因為保險套拔出來只套住我陰莖的一半所以擔心會不會懷孕 | 您好 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，如果月經該來沒來超過1星期仍沒來，建議看婦產科。祝健康 | [
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0婦產科
| 胸部問題 | 醫師您好，今天晚上我的左胸突然很痛感覺很像是刺痛過了一陣子不痛，但又再痛，痛不久，平常不會。我之前月經快來的時候有痛一次，這次是月經後月經結束不久，因為家族有乳癌病史，我想請問是因分泌物的問題還是事前兆謝謝 | 您好： 左胸疼痛，需先判別是胸腔臟器的疼痛，包括心臟、心包膜、肋膜、食道胃食道逆流等，還是胸壁的疼痛，包括胸部肌肉、肋骨、肋間神經痛等。若是乳房的疼痛，須看是否有紅腫、感染，是否有摸到腫塊。通常月經前乳房會充血脹痛，早期乳癌很少以疼痛來表現。 感謝您的來信！ | [
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6骨科
| 骨折術後 | 醫生您好 我在109年2月26中午車禍 骨頭因撞擊穿刺皮膚導致有一個開放性的傷口，當下做了手術也有輸血， 經過了一年多傷口一直都脫皮擦了乳液也沒辦法改善 ❶是正常的嗎？ 整隻小腿都不太能撫摸 很不舒服也都摸得到鐵 詢問過醫生他說太瘦了沒辦法 他也沒有很希望我把鐵拿出來 （自費鈦合金） ❷很想知道這是為什麼呢？ ❸腳有時候會痠痛走路也會軟腳，坐久了左腳會呈現麻痺狀態 是正常的嗎？ ❹想說經過了一年多能小酌幾杯，一喝酒傷口整個發熱發紅也非常的痛，完全沒辦法踩地板，只有抬高才能緩解疼痛，很想知道是什麼問題，因為疫情也不敢隨意進出醫院 希望醫生能撥空為我解答 辛苦了 謝謝 | 您好， 如果骨折已經癒合拔鋼釘應該不是問題， 若骨折當時有傷口則傷口或骨折處的不適要 先排除感染的問題。 疫情期間建議多熱敷，肌力鍛練多踩踏及曲伸膝 及踝關節，看是否能解決部份問題。 彰化醫院 關心您的健康 王守吉 | [
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| 精索靜脈曲張 | 許醫師你好 1. 飛輪是室內腳踏車 我認為你說的沒錯 我昨晚在騎時會覺得蛋蛋一直往腹股溝頂 所以不適感可能由此來 2. 我今晚去泌尿科診所門診 醫師抓了好久都抓不到 因為那顆小圓球只有在我沖熱水一陣子精索往下 "很垂" 才會有可能摸到醫師說精索會發生的問題都不大我都生2個小孩了該有的問題都不會成為問題用手能抓的只有精液囊腫抓不出來的是結核我說的或許不完全正確我說要自費照超音波醫生一直和我說真的不必照他雖然摸不到但聽我的描述及位置他要我安心您覺得呢 -------------------------------- Q1. 最近我在騎飛輪 一陣子後總覺得左邊腹股溝會有不適感 如果是因為睪丸不斷地摩擦往上頂 會造成這個不適感嗎 我左邊有輕微精索曲張 Q2. 昨晚我洗完澡 因有沖熱水 所以陰囊比較往下垂 我摸到左邊精索裡有一小顆圓圓的東西不會痛約0.8公分左右 雖然我上週去給醫生抓過一輪 因問題1 他說沒問題 但我不確定他有沒有抓到這顆球 雖然他有說抓到一顆軟球叫副睪丸 但我沒沖熱水 請問 我需要再做什麼檢查嗎 謝謝許醫師 | 凱樂： 你好 若好：還是：為沒擔心：為沒有夢，可以做陰囊超音波。 註：不過，連觸摸都很難發現，可能很小或者是特定狀況才會出現，因此陰囊超音波也未必可以發現。 若跟沖洗熱水有關，可能只是血管因受熱擴張而已。 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 本院泌尿科 主任 許維愷 答覆 | [
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| 藥物諮詢 | 想問一下維他命B群就是綜合維他命B嗎？？ 我有找一下維他命B群資料 說可以 加速體內蛋白質及脂肪的代謝 可是它真的可以加速體內蛋白質及脂肪的代謝作用嗎？？ | elma您好！ 維他命B群包括維他命B1B2B6B12.等，而您所指”綜合維他命B”若是市售商品所標榜之名稱，則要看該商品所標示之成份，才知道究竟含有多少種維他命B，或者也含有維他命B群以外的成份。 現在大多數維他命商品屬於”食品”，並不能強調它有什麼功效，僅能視為營養補充品。 | [
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6骨科
| 骨折 | 醫生您好容我直接說明問題。 我因左手尺骨鷹嘴突閉鎖性骨折而手術，裝了自費的固定板，過了一個月之後感到漸漸復原，而疼痛也無特別劇烈，且回診時醫生說復原的很好，已經看不出骨折痕跡。 但有天不慎又拉到，因此又開始疼痛且曲直時有點異物感， 但是都是疼痛感輕微的或者說我可以忍受的範圍。 請問醫生我有可能術後移位嗎？還是只是單純的拉傷呢？ | 建議您要照個X光比較好，謝謝 | [
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5泌尿科
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| 疾病診療 | 請教什麼是退伍軍人症它們是如何感染的 又該如何治療 請回答.謝謝 | 退伍軍人症是一種格蘭氏陰性細菌感染大部分是感染老年人.最早發生在退伍軍人的集會後所以得名退伍軍人症.四歲以下小孩較少發生. 感染多半因為水或空調污染而來所以水和空調檢驗很重要. 治療是使用紅黴素或ciprofloxacin. | [
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| 營養諮詢 | 您好，我的母親因甲狀腺癌已割除甲狀腺達3年之久，每半年都必須因檢查而禁食含碘食物，我有以下問題需急問醫師： 1.請問市面上是否有”無碘醬油”之類的產品，我只知道有無碘鹽。 2.請問”皇帝豆”是否為不含碘的食品，大豆呢 3.可否告知，哪些食物含碘，以便禁食期間可避免食用？ 以上三點請您回答，感激不盡！ | 您好！台鹽有販售無碘食鹽，但不曾聽聞有無碘醬油，建議您可再向台鹽洽詢相關訊息。目前關乎碘食物來源的相關資料相當欠缺。但以下食物是碘含量較高的食物，可供您參考：包括海帶、紫菜、海鮮、鹹水魚、大蒜、黃帝豆、菇類、芝麻、菠菜、桃子等。 行政院衛生署桃園醫院營養室主任 施桂梅營養師敬覆 | [
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6骨科
| 關節 | 施醫師：您好！ 我五六年前曾摔倒，當時感到髖關節痛，曾到數家國術館推拿，也照過X光，但醫師說並無大礙，可能是韌帶拉傷。後來常感到髖關節酸，將手置於髖關節，活動大腿時可感覺到骨頭滑動以及聽到咯咯的聲音，近來每當彎腰姿勢持續太久例如拖地時或天氣變化時，即感到酸痛無比，但經過一夜的休息之後又好了。請問我的情況真的只是韌帶拉傷嗎？需要開刀治療嗎？ 另外，我去年在樓梯摔倒，脊椎末端及屁股瘀青，近來每當坐太硬的椅子或姿勢不良即感到痛楚，久久無法將腰挺直，中醫診所說若不進行復健將來可能長骨刺，請問真的會這樣嗎？不進行復健會自行痊癒嗎？ 謝謝您的答覆！ | 髖關節的受傷後的疼痛，可能歸因於關節炎或韌帶的受傷，應該要去看醫師並做x光的檢查以確定病因。 尾椎骨挫傷，如果沒有發生骨折，通常休息一段時間之後就會慢慢復原的，並不須要做復健。 | [
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| 避孕藥問題 | 醫生您好，上個月開始吃避孕藥，已經吃了15天 請問若搭配保險套，應該吃幾天比較有足夠的避孕效果？15天足夠嗎？ 因為不確定是否在半夜前月經來潮，若是這樣算起來是月經第六天，才開始吃的話會影響避孕效果嗎？ 吃一個月的意思是將21錠吃完的意思嗎？ | 提問者您好 第一次服用避孕藥，建議於月經週期第一天開始服用。 若在月經第二天後才開始服用避孕藥，建議開始服藥的七天內要額外做好避孕預防措施，最好每天都在同一時間且連續21天的服用。 吃完21顆避孕藥後休息七天，月經會在停藥七天期間來潮。謝謝 祝 平安 健康 張 醫師 回 | [
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1精神科
| 幻想症 | 孫醫師您好 我奶奶今年92歲由於上星期不小心跌倒經過大約三--四天後突然出現有些異狀 突然有些見忘但看診後醫師開藥情況穩定只有一天現居然連續二天不睡覺且還 常常幻想.例屋子漏水屋子有螞蟻說她現在在洗碗手不乾淨自言自語手比來比去說旁邊有人.等等但問她我是誰她又知道 請教這是及如醫生說急性幻想症嗎該如何處理tks | Angel妳好： 如果奶奶最近幾年有逐漸加重的健忘，則很有可能是失智症，失智症患者中有一半左右會出現異常。但若是突然出現的上述症狀，且時好時壞，亦即一天之內，有時正常清楚，有時又開始異常，此情形稱之為譫妄。可能是跌倒傷到腦，或是有其他身體問題所導致，需要由醫師檢查，找出病因再對症處理。 邱醫師 | [
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| 月經 | 請問 我上個月是813來月經，因為前兩個月都有吃避孕藥，一直到813經期來之後停止服用，已經停一個月了，95有一次性行為（無內射，剛開始有戴套 到後面沒有，第二次只有進去一下下，並無射精，）然後經期在今天12號來了，但剛開始早上來的很正常 一直到晚上有一點量少，因為我之前在吃避孕藥時的經期就比較少，還未吃避孕藥時我的經期大多都是三天後才量少，請問這是什麼原因？需要驗孕 或是看醫生嗎？（跪求解答，很擔心⋯） | 回覆如下 有可能是卵巢又重新恢復排卵，但是，可能剛開始，分泌的荷爾蒙量不夠多或不穩定，所以月經量略少，等到排卵功能更穩定之後，應該經血量會恢復。 桃園醫院 呂理政敬上 | [
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4心臟血管專科
| 心臟問題 | 您好 前陣子媽媽63歲已有18年以上的糖尿病及高血壓病史因為下肢水腫到醫院掛泌尿但末改善水 腫尿液檢查也都正常但非常容易疲倦只是在家中走動就會喘無法走太久躺下休息都會有點累這星期才 改掛心臟內科經醫師問診後診斷心臟衰竭醫師開了利尿劑以及安排血液和尿液檢查一個月後回診看報告 時間有點拉太久還是這是正常流程因為病人本身看起來真的很不舒服食慾很差吃了二天心臟內科的泌 尿劑尿量只是多一點點水腫也還是沒有改善四肢臉都蒼白冰冷。 另外想請教一般正常應該先安排什麼檢查短期有什麼方法可以先改善身體不適的方法謝謝 | 您好： 心臟衰竭的病人如果臨床病情嚴重，還是建議先回診請心臟科醫師評估是否需住院治療。至於應該先安排何種檢查，因人因病情而略有差異，這是屬於心臟科醫師的專業領域，由心臟科醫師做研判。 行政院衛生署桃園醫院 林繼雄醫師敬復 | [
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1精神科
| 戒菸問題 | 唐醫師，你好： 我抽煙大約有七年的時間了，當然之前煙癮不很大，但不知道是不是體質的關係，就是自從開始抽煙之後，臉部的皮膚就變的不是很好，時常都會長痘痘，那時常常一長都是大顆有膿的，直到我去看皮膚科吃點藥就有比較好了，但臉上是不是因為長痘痘的關係還是因為抽煙後引想到體質的關係，因此臉部常常紅紅的，但日子久後就比較不會在意了，可是直到現在也還是都會這樣，所以因為這樣成為我想戒煙的原動力。因為我最近才開始戒煙，距今也有七天了，所以我有兩個問題想請教唐醫師您： 1、 戒煙大約要多久的時間？自己才不會還有想抽煙的衝動，即是自己處在一堆人抽煙的環境下，還是說最終也是要靠自己的毅力呢？即使戒煙再怎麼久的話。 2、 戒煙真的會讓皮膚會有所改善嗎？而且個人體質真的會因為抽煙的關係而有所變化嗎？ 在此先感謝唐醫師抽空回覆我的問題，謝謝您！ | 親愛的朋友： 很抱歉！由於前一陣子出國開會而延遲回覆。 看到你立定決心戒菸，已經超過一週了，非常佩服，也肯定你的努力！ 一般而言，戒菸的戒斷症狀持續約一至二週，少數的人會長達一個月，但這些人通常症狀已經較輕微了。極少數的人可能會有較長時間的情緒低落或引發憂鬱症的可能〈尤其是曾有憂鬱症或躁鬱症病史的人〉。 根據一些資料顯示，戒菸20分鐘後血壓及脈搏下降至正常狀態；24小時後得心臟病的機會就開始減少；48小時後嗅覺及味覺獲得改善；72小時後支 氣管放鬆，呼吸會較輕鬆，肺活量增加；2星期後血液循環改善；1個月後 咳嗽、呼吸急促的現象減少，得癌症的機會降低。 因此戒菸後心肺功能改善，血液循環改善，是有助於皮膚的改善！ 至於再抽菸的衝動，影響的因素很多，如個人體質、個性與特質、情緒狀態、週遭的環境、人際關係、生活壓力事件等，都可能引發再抽菸的慾念。根據統計，每一百位戒菸的人，經過一年之後，只有二十至三十個人能成功的維持戒菸的狀態。的確個人的努力與毅力是很重要的關鍵！ 若你還有這方面的困擾，建議你就近前往戒菸門診，與專業醫師討論。 祝平安喜樂、戒菸成功！ | [
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| 拔智齒 | 上週拔牙的時候因是右下顎智齒拔除，而有縫了3針，前幾天看的時候沒有發現有洞的存在，可是到今天發現旁邊有一個小洞出現不知道是不是縫線脫落的關係，這會影響到傷口嗎？還是有需要從新縫線呢？目前是沒有感覺的疼痛或者是流血，但一直有輕微紅腫的模樣，每餐後也都會使用漱口水進行清潔 | dear 陳先生您好拔智齒後第四天感覺縫線脫落已拔4天應無關係要回牙醫檢查定要把牙齒清潔乾淨 多保重祝一切平安順利 牙科 黃廷芳主任敬上 | [
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2牙科
| 假牙 | 我有多顆的假牙但其中有二顆假牙的牙齦容易出血且牙齦微腫也看過許多的牙醫也照醫生交待使用牙線清潔牙齒飯後也刷牙但由於其為合在一起的假牙中間無法使用牙線所以只能勤刷牙但還是時常有出血狀況且長期伴有口臭讓我非常的困擾有什麼解決方式嗎 | 星芸妳好： 假牙的牙齦出血可能是：1.假牙製作前已有牙周病或是牙齦的疾病。2.製作時假牙邊緣不合或過深傷及牙齦溝（生理清潔區），容易造成二度蛀牙及牙周病惡化。 建議拆除假牙，進行牙周病處理治療或是牙齒支台齒處理（或拔牙可能），重新再做假牙。 牙醫 徐正隆 | [
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| 避孕藥 | 醫師您好：第二次服用事前藥為244劑型的日期為1216 並於1229開始少量出血經婦產科醫師指示每日併服用黃體素但於11沒出血後就沒再吃黃體素但仍持續按時服用事前藥後來於15-111又持續少量出血第二包事前有效藥自18結束請問醫師： 1. 112起更換新藥改吃21劑型請問這樣的吃法是對的嗎？都持續有避孕效果嗎？ 2. 113與115皆有性行為於今日127驗孕陰性請問可以直接排除懷孕可能性嗎？謝謝 3. 在服藥之第14天起妹妹突然有濕潤的感覺且今日第16天有很多白帶請問這是正常的嗎？是不是需要注意什麼呢？吃前兩包事前藥都不會這樣感謝醫師的耐心 謝謝！ | 您好 從月經來的第五天改吃另一種牌子的避孕藥看看，是否有出血，應該是沒有懷孕，如果分泌物很多，就要看醫師，如果不多，觀察即可。祝你健康 | [
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| 避孕藥 | 醫師您好，我在1220號的時候開始服用第一包「愛薇」，但我並沒有在生理期，並且上次的經期來潮是121∼125，手機app預測下次生理期是1231開始。 想問現在這個情況這樣持續吃7天之後還會有避孕效果嗎？ | 提問者您好第一次服用避孕藥，建議於月經週期第一天至第五天內開始服用，您服用的方法，因已排卵，並無足夠避孕效果。謝謝！ 祝 平安 健康 張 醫師 回 | [
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| 思覺失調 | 醫師給的診斷其中一項是準思覺失調症，一直覺得這到底是什麼意思，之前一直沒有問醫師想說不是很重要。可是現在很想知道這到底是什麼意思？即將要得到？前驅期？ | 您好 準思覺失調症主要症狀有不適切情感表答、奇特行為或儀表、人際關係差、奇特信念、反芻思考、不尋常之知覺沒思考或偶見短暫精神病發作，且要不符合思覺失調症診斷。臨床上很多狀況都會歸在準恩覺失調症，所以您的情形是不是前驅期，需要跟您的醫師討論才知道，謝謝詢問。 祝 順安 嘉南療養院兒童青少年精神科彭麗芸醫師 上 | [
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0婦產科
| 避孕藥問題 | 醫生你好，我想請問我有裝避孕環，來避孕。因為最近有偏頭痛，有在按時服用藥物，最近醫生開給我扛癲癇的藥物（妥泰膜衣錠），我想請問他跟我的避孕環會有衝突嗎？我的避孕效果會減少嗎？ | 提問者您好此藥與口服避孕藥併用時，含 estrogen 成份的血漿清除率顯著增加，口服避孕藥的藥效可能降低。而避孕環亦含有相同成份，可能也會影響，謝謝 祝 平安 健康 張 醫師 回 | [
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5泌尿科
| 副睪問題 | 醫師您好我有一些疑問想請您，我的睪丸上方有一顆硬結像是跟睪丸連接又像是分開，兩側都有請問這個是副睪丸嗎？，副睪丸觸摸起來會是不規則的結塊嗎？輕輕壓像是一個連結在睪丸上方的硬塊，平常都不會覺得有疼痛的感覺，在此請教醫師這是副睪丸嗎？還是不是蠻困擾的希望醫師幫忙解惑，謝謝醫師感激不盡。 | 您好 多半是副睪副睪位於睪丸上方但是如果有長大 可能就不是了要找醫師診查. 祝健康. | [
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| 氣切 | 想請問醫生我媽媽之前動過腦部的大手術後來因為人陷入暈迷狀態然後喉嚨有痰就有做喉切的手術吸痰後來痊癒後我媽媽常常咳嗽有時後來咳的厲害有去給胸腔科的醫生看過給我的答案是我媽媽做完喉切手術後喉嚨裡有長一粒息肉所以會常常咳嗽醫生是說可以開刀把息肉割掉就不會咳但是老人家經不起常常開刀所以不太可能這樣做不知道有沒有別的方法可以改善這樣的問題每次聽到老人家一直咳很怕哪一天咳出問題來所以想請醫生幫忙謝謝 | 您好： 氣切後的咳嗽原因很多， 必須追𡧛胸部X光及支氣管鏡檢查， 再對症下藥，就會改善！ | [
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| 陰道問題 | 醫時您好 我想請問一下 昨天跟男友發生性行為 今天上廁所有像橡皮筋一樣黏稠的分泌物 是什麼原因 男友友戴保險套，而且是在安全期，請問是否會懷孕呢分泌物是否跟懷孕有關 | 您好： 像橡皮筋一樣的分泌物，會是掉落的保險套或保險套碎片嗎？若是如此，還是會有懷孕的機會。一般在受孕後十天懷孕試驗才會陽性。所以目前還無法得知，若害怕的話，可以吃事後丸以策安全。 感謝您的來信！ | [
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0婦產科
| 懷孕 | 我在3月29到今天跟女友發生了幾次性行為 過程中全程有戴套也都沒有射精 可是在後面幾次發現結束後陰道流出白色液體 之前跟女友性行為都沒有然後突然出現 性愛姿勢有換女友說比較舒服 上次月經是3月16號來 請問這樣懷孕機率大嘛 女友在兩個月前有吃事後避孕藥過 | 您好 抱歉無法由你的所述診斷，白色液體有可能是陰道分泌物，懷孕機會應該不大，如果還有不適，建議看婦產科。祝健康 | [
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5泌尿科
| 排尿問題 | 請問李醫師，有時候小便會分岔不常，有時尿完坐下擠壓到的話會有一丁點尿液跑出來。 但最近做完疝氣手術後，尿液跑出來的現象變明顯了，但是反而沒什麼分岔。 想請問是跟疝氣手術完陰莖及陰囊腫大、瘀血有關嗎 | 必需說明其實無法由您的簡單描述就判斷病情 需配合問診與病史 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 仍建議找專業醫師求診及檢查 通常解尿與疝氣手術沒有直接關係 | [
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| 排卵期 | 想請問醫師： 我常常會有1個月來2次月經的時候通常有一次的量是一般月經的量另一次則量會比較少。後來詢問婦產科醫師說量少的那次大概是排卵期出血的症狀因為我還在青春期所以會比較不規律。我的月經也確實較不規則但從今年7月開始大概38天會來一次月經有比之前規律以這樣的規律去算的話我上一次的月經是1011結束而在10月底到116有過一次量少的出血狀況也差不多是排卵期的時間但是在112的時候出血量卻變得像是月經的量大概是4∼5後結束 1.請問這確實是排卵期出血嗎那為什麼會持續差不多一星期甚至更久呢 2.請問10月底到116的是排卵期出血嗎為什麼會突然量變多 3.排卵期出血如果量逐漸變少直至完全沒有是不是就代表排卵結束了 麻煩醫生了謝謝 | 提問者您好 是否為排卵性出應該以超音波或抽血檢查來判斷，不能用日期或週期天數來判斷，特別是週期不規則的個案。女性在18歲以前因為卵巢功能尚未成熟，通常週期較不規律。而排卵期是指在排卵前後的3天期間，排卵結束和出血的有無乾淨沒有關係。建議您如果週期太不規則或出血異常時還是要請醫師安排超音波或抽血檢查，評估有無其他原因，不一定每次都是相同病因，謝謝 祝 平安 健康 張 醫師 回 | [
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| 事前避孕藥 | 從今年二月開始固定服用事前，到今天突然上廁所發現有粉紅分泌物（第一次出現這種情況）請問這是事前副作用嗎？ （距離上次性行為一個禮拜） | 您好 如果都有吃避孕藥，就暫時觀察幾天，如果沒改善，建議看婦產科，如果是忘記吃，有可能是漏吃的關係。祝健康 | [
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7耳鼻喉科
| 口腔問題 | 謝謝鄭醫生的回覆 我想再請教 醫生能夠以肉眼分辨口腔癌的白斑嗎 還是肉眼無法判斷 一定要靠切片呢 （今天早上爸爸有先去看牙醫 牙醫說是白斑 但還不到口腔癌的程度） 請問有不是口腔癌的白斑嗎 明天會再去彰基看耳鼻喉科 但真的好擔心 麻煩鄭醫生解惑了 謝謝您 | Hi 小P： 您好， 白斑並不是口腔癌，白斑是前期的口腔病變，有經驗的醫師可以透過肉眼判斷是否需切片確診，還是僅需持續追蹤即可，當然如果要百分之百確定診斷，還是以口腔切片為準。 祝平安健康 衛生署桃園醫院 耳鼻喉科主任 鄭爵儀敬復 | [
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5泌尿科
| 濕疹問題 | 醫生您好，今日發現龜頭上有三個左右並排的紅點，不痛不癢，摸起來平滑，懷疑是濕疹復發 請問醫生，我現在洗完澡都是用吹風機冷風吹生殖器吹乾，再加上用浴巾擦，為什麼這樣還會復發濕疹呢？ 我的濕疹不痛不癢，是比較輕微嗎，如果不擦藥會自己好嗎？ 現在濕疹皮膚該如何照顧呢？我感覺我洗完澡都用得很乾…. | 您好： 濕疹本就易復發，生活習慣要注意，症狀明顯要就醫，如果有不安全性行為，要和醫師說，是否做檢查。祝健康 | [
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| 精索靜脈曲張 | 請問醫師關於「精索靜脈曲張」建議以什麼方式的手術復發風險最低？ 好像有分好幾種：腹腔鏡手術、顯微手術.等等。 請問健保有給付的是哪種呢？ 最近精索腫脹的愈來愈厲害，坐著的時候尤其感到很不舒服。 愈來愈不能忍了，我想還是去接受手術治療比較一勞永逸.。 再麻煩醫師解惑了 | 您好： 回覆您的問題。 何種手術對您最適合 必須視您的個人病情而定 歡迎您至泌尿科門診當面與醫師討論 | [
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| 淋病 | 杜醫師您好，想請教一些淋病的問題： 1.查詢相關資料發現感染淋病九成的男生會有症狀，剩下的一成有些會自行痊癒。但又有其他資料寫不會自癒，而是成為帶原。想請問醫師，哪個是正確的呢？ 2.若淋病能夠自癒，那透過淋病的檢驗方式（查了一下是驗dna那是否無法得知過往有無得到淋病？另外，淋病有辦法抽血驗抗體嗎？ 3.看了以前的問答發現，醫師似乎多用有無症狀來確認是否得到淋病、菜花、衣原體及皰疹等，那如果長期無症狀（半年以上）是否去檢驗以上性病也非必要呢（可能不準確造成無謂的擔心或沒驗出來）？ 4.淋病、菜花、衣原體和皰疹無症狀者的傳染力會較有症狀者來的低很多嗎？ 問題有點多，麻煩醫師了，謝謝！ | 您好 .查詢相關資料發現感染淋病九成的男生會有症狀，剩下的一成有些會自行痊癒。但又有其他資料寫不會自癒，而是成為帶原。想請問醫師，哪個是正確的呢？-- 自癒是少數 成為帶原者應更少 但檢查培養應可驗出只是無明顯症狀才不治療 2.若淋病能夠自癒，那透過淋病的檢驗方式（查了一下是驗dna那是否無法得知過往有無得到淋病？另外，淋病有辦法抽血驗抗體嗎？ --診斷除依據臨床症狀及徵象外，必須從尿道、子宮頸管、肛門、直腸及咽喉部採取檢體，作革蘭氏染色找出淋病雙球菌，最好能以選擇性之培養基，例如Thayer-Martin 培養基，以二氧化碳培養，再以各種生化或螢光抗體方法，確定診斷，並作細菌菌種之鑑定及藥物敏感性試驗。 DNA 驗尿只供參考目前非正式診斷 3.看了以前的問答發現，醫師似乎多用有無症狀來確認是否得到淋病、菜花、衣原體及皰疹等，那如果長期無症狀（半年以上）是否去檢驗以上性病也非必要呢（可能不準確造成無謂的擔心或沒驗出來）？-- 這些疾病本不易驗出. 所以只能依症狀為多 臨床上有症狀比較有機會檢查出來 4.淋病、菜花、衣原體和皰疹無症狀者的傳染力會較有症狀者來的低很多嗎？--- 傳染多半也有段時間 淋病無症狀可傳染也是幾個月 可參考 httpswww.cdc.gov.twFileGet1qBP9dhsIpuaeQ99YooTg 祝健康 | [
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| 經期問題 | 以前月經週期大約7天每月會慢一二天但最近卻慢了六七天且週期會長達八九天月經量跟以前比起來也還好不知是那兒出問題 | 據妳的描述可能是無排卵性月經若連續三個週期都會不順則妳必須到醫院以排卵藥或荷爾蒙調經 | [
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| 椎間盤突出 | 你好 請問 我因之前工作受傷沒去治療 到我退伍之後那段期間我從事水泥工 這段期間左腳的筋從屁股到左大腿就一直不是很舒服 症狀有2年之久 直到今年4月疼痛而無法起身 因急診到醫院 檢查出來後醫生說我有椎間盤凸出L4-L5-S1 他已經把壓迫到神經的骨刺清除 狀況有比以前好很多了 但現在我出院在家也是會痛 但比以前好多了 複診的時候我有問過他 他是說被骨刺壓迫到的神經受損 他會慢慢的好起來 請問真的是如他所說的這樣嗎 現在有藥物控制 但有時候還是會痛到睡不著 還是我可以去看什麼科 | 椎間盤凸出俗稱軟骨刺因負重使得椎間盤凸出破裂或是發炎，壓迫神經（坐骨神經），手術將破裂的椎間盤移除（全部移除會造成脊椎之不穩定），因此手術後需保養，避免過度使用，要不然仍會復發，可使用消炎藥輔助使其不會發炎刺激神經 | [
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10兒科
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5泌尿科
| 睪丸問題 | 我有一次上完體育課之後回家洗澡之後發現自己睪丸裡面的左邊站起來左邊的上邊 有一些粒粒的東西 好像是有條線之後線裡面依附一粒東西 摸下去總之有點粒粒的東西 我想問是精索靜脈曲張嗎 我已經看了醫生排期去外科看 | 敘述聽起來可能是精索靜脈曲張，不過要確認還是必須到門診就診。 | [
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5泌尿科
| 前列腺 | 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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5泌尿科
| 龜頭繫帶問題 | 醫生您好 我的龜頭旁邊有長型的水泡 不會痛也不會癢 有去檢驗過 第一型皰疹為陽性 已經看了很多不同的醫生 也吃了抗病毒的藥 但我的症狀很容易復發（？） 早上晨勃完水泡會跑出來 中午消失 晚上又跑出來 有時一天都沒水泡 有時反反覆覆的跑出來 第一個醫生沒什麼看 判斷是皰疹 第二個醫生 我有給他看水泡的照片 但看診的當下也沒有看到水泡 但隔天早上又跑出來 中午又不見 想詢問有可能是什麼症狀 | 您好 多半皰疹好要一星期 如果出現消失間隔短 就可能不是 可記錄一下出現消失的時間 大醫院診查. 祝健康 | [
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6骨科
| O型腿 | 醫師您好 從小到大就常常覺得自己無法久站 只要站久一點點 會發覺膝蓋不是很舒服 當然以前總覺得只是肌肉酸痛吧 近來由於跟同學一起運動 於聊天時提起 發覺自己的腿型跟大家好像不大一樣 同學們跟我說 我這個是O型腿 當雙腳跟併攏時 我的小腿到膝蓋一直到大腿約有3到7公分的間距 再怎麼用力 膝蓋也頂多相距3公分 雖然我很瘦 但我想就算我再胖10公斤 也無法讓我的膝蓋靠在一起 我自己平躺在床上觀察 大概誇張一點的圖如下 O O 也就是 順著大腿的切線向下看的話 我的腳跟與此切線相離約6公分 感覺是我的小腿長的彎彎的吧 雙腳自然放直時 腳底板並非水平 而是有點腳心向內 八字形的樣字 想請教醫師一下 這樣算是O型腿嗎 是否會影響膝蓋的正常運作呢？ 有必要矯正嗎？ | 您好： 回覆您的問題。 根據您的敘述，您的確有“O”型腿，但您現在28歲骨骼發育已經成熟， 目前並不需要做任何處置，是否有內八或是否影響膝蓋的正常運作，得就近請教骨科醫師。祝 事事順心。 | [
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0婦產科
| 避孕藥 | 您好，我固定服用YAZ 28錠且服用6個月停藥1個月，發現服藥時有經痛，而未服藥時則沒有經痛，和多數人服藥調經痛的情形相反。 請問這是避孕藥的副作用嗎還是您會建議做超音波檢查以排除其他可能病因呢若會擔心肝細胞腺瘤，是否須至家醫科檢查肝臟有無腫瘤呢謝謝 | 固定服用YAZ 28錠且服用6個月停藥1個月，發現服藥時有經痛，而未服藥時則沒有經痛，和多數人服藥調經痛的情形相反。 請問這是避孕藥的副作用嗎還是您會建議做超音波檢查以排除其他可能病因呢若會擔心肝細胞腺瘤，是否須至家醫科檢查肝臟有無腫瘤呢 Ans 服藥時有經痛，而未服藥時則沒有經痛，的確和多數人服藥調經痛的情形相反。這不是避孕藥的副作用也不會建議做超音波檢查。若擔心肝細胞腺瘤至家醫科檢查肝臟有無腫瘤當然好，只是與服用YAZ 28錠關係不大 | [
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13肝膽腸胃科
| 腸胃問題 | 因為戴牙套關係，吃東西無法嚼太碎，加上吃東西比較快，導致兩個月前胃腸腫脹有去看醫生，現在已經恢復，但現在又遇到腸胃蠕動慢的問題，晚餐吃多一些，就無法正常睡覺，感覺喉嚨卡卡、想吐，呼吸不太順，昨晚想上大號上不出來，也想吐，之後回床上呈趴姿時感覺到左肋骨下緣在動，用手壓可以壓得下去又會彈回來，但過一下子就好了，但早上起來那塊有點痛，請問醫生這是正常的嗎？ | 飯後走走有助消化蠕動。症狀持續則可就醫檢查一下。 | [
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| 喉嚨問題 | 醫生您好，喉嚨不時有搔癢感有2月左右，原先鼻涕倒流感覺已經消失，打嗝情形有稍微改善，但是近期發現喉嚨周圍有小液泡的出現，且數量有增長情況（目前不影響吞嚥等），因先前詢問醫師說是過敏造成的喉嚨不適，但是液泡數量有增加且服藥二週後搔癢感持續（會想乾咳），請問是否需要建議再次看診？ 因本身有感覺腸胃變得容易有飽腹感且嗝氣，是否也有可能因此造成喉嚨搔癢感，謝謝！ | Hi： 你好， 常見喉嚨搔癢與鼻涕倒流或胃食道逆流有關，若仍有症狀且持續不舒服，建議持續回診追蹤檢查，並加強飲食控制。 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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| 抗焦慮劑 | 丁醫師您好： 我目前有定時服用Xanax贊安諾Alprazolam0.5mgTab，每天早晚各服用一次。 服用原因：我本身有氣喘，加上比較容易緊張，所以醫師另外開給我這項藥物。 問題1. 這類藥物會不會有抗藥性那他的持續性是大約多久 有時候我會忘記吃藥，身體就會產生較焦慮的症狀，例如坐立難安、感覺煩燥， 對不順心的事情很敏感，有想要暴衝的感覺.這是否屬於藥物控制效果不佳的現象 問題2. 這類的藥物屬於安眠藥物，是不是每個人吃了都會有安眠效果 煩請丁醫師撥冗回答，謝謝。 | 您好 依照學理上來說，這類藥物是會有所謂的抗藥性的，比較正規的名詞叫做耐受性。不過，會發展出耐受性，還是要有一些條件的，比如使用的劑量較高，連續使用的時間較長等等。有些人的體質，好像也有關係，他們可以服用低劑量非常久的時間，長達一二十年以上，而沒有耐受性產生。相反的，有些人的心理因素很重，把服用這類藥物當成面對壓力或挫折的避風港，他們日也吃，暝也吃，跟人家衝突也吃，孤單自己一個人無聊自憐也吃。通常這樣，在很短的時間內，耐受性也就產生了。 忘記服藥出現這些症狀，有可能是病情尚未改善，也有可能是戒斷症狀，當然也有可能是什麼都不是，剛好湊巧那天煩人的事情多，超過忍耐的極限。 這類屬於廣義的鎮靜安眠藥，理論上多少都有一點安眠的效果。但是特定某個人吃了會不會安眠，這可不一定的。 敬祝 一切順心 丁碩彥 醫師 敬上 | [
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5泌尿科
| 龜頭外露 | 醫師您好，有些問題想問 1我的龜頭前端有深黑的線，請問正常嗎？ 2我的包皮推到底後，跟龜頭之間有洞洞，而且包皮垢都在裡面。請問正常嗎？ | 您好 您的問題我不大能理解，至於包皮垢建議可以溫水適當沖洗即可，不要過度清潔。若仍有疑問，請至泌尿科門診諮詢。 | [
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5泌尿科
| 糖尿病 | 請問什麼是糖尿病怎麼判斷初期有什麼症狀 | 真傷腦筋，在泌尿科門診常常遇到跟你一樣的病人，只因為我們有“ 尿“字，而被認為是看糖尿病的。其實糖尿病是一種新陳代謝方面的疾病，主要是身體對“ 糖“的處理發生障礙產生全身性各系統的病症，這樣你知道找那一科了吧！“ 新陳代謝科“就對了，如沒此科找內科也可以。 | [
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16腫瘤科
| 淋巴腺腫大 | 醫師 你好 我今年22歲.女性. 兩個月前我發現在我右側鼠膝的地方有個小腫瘤我不知怎麼稱呼那個東西所以暫時稱它為腫瘤.它大約1公分.不是硬的有點彈性.會動.壓起來沒啥感覺.表面看不出來要摸才感覺出來.大約是以上的特徵.麻煩醫師做個解答.謝謝 | Nana 此種情形可能性很多，下肢或生殖泌尿區域附近之感染皆可導致此處之淋巴腺發炎，宜多加留意之。腫瘤有可能，但不大像，如是淋巴瘤，應會在短期內惡化。 | [
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| 口服避孕藥 | 醫生你好 我吃避孕藥吃了兩年多後停藥一陣子後 皮膚開始冒痘去看醫生 醫生說是內分泌失調引起 直到最近再開始吃避孕藥 已經吃了一個多月 但痘痘持續不消 想請問醫生 有聽人家說避孕藥要吃到三個月才會有治痘痘的效果 還是說我現在這樣身體是反應有問題 需要停藥呢 | 您好 抱歉無法由所述的症狀診斷，如仍有不適，建議看皮膚科醫師檢查。祝健康 | [
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| 陰部問題 | 想請問小陰唇內側一粒粒的突起物會影響性行為嗎目前無性經驗之前看醫生診斷是濕疹，不會養分泌物有點黃綠色。 另外想請問為月經或性行為導致突起物變大嗎 謝謝 | 回覆如下 沒有性行為，應該不是一些性行為引起的傳染病（例如疱疹、梅毒、接觸性疣等） 可能只是表皮增生造成突起。應該不會影響性行為，也應該不會因為月經或是性行為而變大。 桃園醫院 呂理政敬上 | [
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| 出血 | 醫生您好👋 我因為2天前（117）左右開始內褲出現些許咖啡色分泌物（量少僅需用護墊），直到今天（119）早上起床後，除了咖啡色分泌物增多以外也伴隨出血問題（量多到需要用衛生棉），也因為一整天腹部都有點悶痛的情形而在晚上去看了婦產科。 照完超音波後，醫生和我說我子宮壁很薄，但沒有長東西，看起來像是非經期出血，因此開了止血藥要我再吃藥觀察看看。 但醫生並沒有回答我為何會腹痛以及這樣是否正常，此外我也有頭暈、發熱、想吐的症狀，但有問過醫生，醫生說這些症狀和出血較無關聯。 因此想請問醫生一般非經期出血有輕微腹痛是正常的嗎？藥師還有開了胃藥給我，不確定是否和這有關連，但我有覺得今天腸胃蠕動的比較快速。 以上，再請醫生抽空回答我的問題了，謝謝🙏 | 提問者您好 引起的因素有很多，不一定與出血有關，建議您如果症狀持續或加劇需再請醫師檢查原因，謝謝 祝 平安 健康 張 醫師 回 | [
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2牙科
| 門牙 | 請問門牙有裂痕該怎麼治療？是否有治癒的可能，若不行要怎麼使其不繼續惡化？謝謝。 | 親愛的網友您好： 依照網友的描述，發現門牙有裂痕。建議網友在飲食 上避免過度堅韌的食物，也可以請牙醫師檢查，檢查 牙齒裂痕的位置及深度，牙齒是否有症狀。再依牙醫 師的建議做觀察或處理。謝謝您的提問。 | [
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1精神科
| 睡眠 | 醫生您好，我最近這兩週有以下狀況： 1.11點睡以後大概睡一下就起來（一開始是到五點才起床，現在變成三點），醒來之後精神很好，但要睡回去還可以。 2.有嘗試延後睡眠時間，但還是沒什麼用，依然是三點起床。 3.中間睡回去大概睡一個小時就會起來一次，並且很多夢。 4.起來的時候偶爾伴隨燥熱、想尿尿，口渴等狀況。 5.有嚴重便秘。 請問我該去看醫生嗎？以及到底是什麼狀況qq先謝謝醫生回答！ | 嗨妳好： 很多原因都會造成夜眠中斷的現象，包括焦慮、憂鬱、荷爾蒙變化生理期、懷孕等、作息改變等，建議妳可以先思考看看這兩週生活有沒有什麼變化？是否有什麼壓力？有沒有喝太多茶或咖啡？睡前有沒有做劇烈的運動？這些都會造成交感神經過度亢奮而影響睡眠。此外，飲食是否有攝取充足的蔬果？攝取蔬果可以改善便秘，也有助於改善自律神經。若睡眠不佳的情況持續，那就建議妳就醫，由醫師做完整的評估，以幫助妳早日改善睡不好的狀況喔！祝平安健康。 | [
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| 懷孕 | 醫師您好，我想請問……女友上次月經來是922928這7天，1012我們有發生性行為，有戴保險套，並且在射之前有拔出來體外射精，之後也有灌水確認保險套沒有破洞，但1011女友那個來，我們1012做完隔天1013女友那個就停了，想請問這樣懷孕機率很高嗎？ | 女友上次月經來是922928這7天，1012我們有發生性行為，有戴保險套，並且在射之前有拔出來體外射精，之後也有灌水確認保險套沒有破洞，但1011女友那個來，我們1012做完隔天1013女友那個就停了，想請問這樣懷孕機率很高嗎？ Ans 這樣懷孕機率不高 | [
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| 性功能 | 想請教醫生幾個問題，我從國中開始自慰，頻率大概是兩天一次或一天一次，我覺得最近我發現有些問題 1.在看A片的時候，感覺看到某些特定的畫面時就會很快射出來，大約1分鐘以內 這樣正常嗎 2.覺得有時候在放鬆的時候會有些許漏尿的狀況，是不是有甚麼問題 3.覺得最近喝水不敢喝太多，因為很快就會想尿尿，這有可能是甚麼原因，如喝350cc半瓶水約莫3045分鐘就會想尿尿 這樣正常嗎 | 小陳： 你好 1.每個人射精的時間都不一樣。無法比較。 2.可能是自律神經失調 3.可能是自律神經失調，造成的神經興奮。不過，每個人喝水後排尿的情形本來就不相同。 註：洗腎患者，喝了350西西的水後，24小時也不會排出來，因為他的腎臟已經壞了。因此，製造尿液的速度比較快速，表示腎臟功能越好。 我的建議： 1.每天規律運動，可以解決自律神經的失調的現象。 2.每天維持排尿量：1500西西，喝水可能要超過2500西西。 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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12胸腔內科
| 胸口鬱悶 | 請問楊醫師我今天和女友出去她跟我說他胸口麻麻的接著買東西時剛好走了一層樓梯而已我發現她很像有點喘但她也說她很少這樣好像久久才有一次.不知道是不是有什麼問題有點擔心 | 蔡先生您好： 您女朋友的症狀無法反應出某一種特定疾病，好幾種疾病或休息不夠都可能出現類似症狀，建議看家庭醫學科或一般內科門診。 祝好！ | [
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0婦產科
| 非經期出血 | 女友624月經走後我在630跟他發生關係並沒有直接插入而是用手（怕沾到精子），當天晚上女生下面就流出粉色的分泌物，到今天就變成褐色的血只有一點點，。昨天有頭暈想吐，最近也沒吃很多就胖一公斤，這樣是排卵期出血還是懷孕？ | 手指發生性關係本來就容易有出血可能陰道太乾燥撕裂、用力過度皆可能發生，若月經持續延遲，建議至婦產科門診。 | [
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11營養教室
| 營養諮詢 | 謝醫師 可以也請您寄一份簡易熱量查詢表給我 謝謝 | 可否給地址以方便寄資料 謝謝 謝惠敏 | [
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| 妊娠毒血症 | 醫生你好，請問妊娠糖尿一定要控制在飯後一小時140以下，飯後兩小時120以下嗎？ 如果一小時的會超過140（但是在170以下），但是兩小時的可以在120以下，這樣還是要打胰島素嗎？ 謝謝醫生 | 提問者您好 妊娠糖尿病建議控制標準 空腹血糖值：80-105 mgdl，飯後兩小時血糖值：100-120mgdl。因此建議與產檢醫師及營養師討論如配合治療，謝謝 祝 平安 健康 張 醫師 回 | [
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| 孕婦用藥 | 請問因孕吐嚴重，醫生開立B6，自己有買孕婦綜合營養品裡面也有B6一起吃可以嗎？缺鐵性貧血和地中海貧血對胎兒有何影響？因為學生時期健檢血液數值不OK醫生有開鐵劑說在觀察，後續說數值正常就沒吃了，可是懷孕抽血值又偏低了，怕影響胎兒，預產期在6月底，12月22日要自費抽血做ㄧ些基因檢查，那大人的部份會知道有無異常嗎？謝謝。 | 您好 可以一起吃，地中海貧血症是會遺傳的，如果先生沒有就沒問題，缺鐵貧血補鐵劑就可以了，基因檢測是看胎兒是否有問題。祝你健康 | [
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6骨科
| 十字韌帶 | 我在民國九十年出車禍，撞傷右膝蓋 後來才發現十字韌帶斷裂，當時的醫師判定為前十字韌帶斷裂， 並復存MRI核磁共振顯影檔案。 今年我將畢業，有兵役體檢的檢查，同樣檢查出十字韌帶斷裂，但是卻判定為 後十字韌帶斷裂。 請問這兩者在核磁共振顯影上觀察的出來嗎？ 是屬於顯而易見的，還是跟癌症擴散的判定屬於不容易區別的？ 還是，需要做進一步關節鏡觀察 才能知道結果？這樣算醫療疏失嗎？ | 十字韌帶的斷裂從理學檢查就可以判斷，如果是完全斷裂那麼有經驗的醫師不必靠影像檢查就能知道是前或後十字韌帶斷了。 剛受傷的時候因為疼痛膝關節無法配合檢查，有可能無法正確判斷的。必須等到腫脹消退之後關節活動比較靈活，可配合檢查時才能診斷。 MRI的判讀也不容易，必須是影像專家才可以為之。 目前如果不接受進一步的治療，就沒必要做關節鏡。 | [
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| 是否懷孕 | 醫生你好 我的經期是126∼1210號 1211號，有體外射 1220號排卵期，有內射 請問這樣容易懷孕嗎？因為想要生小孩 最近有一直吐，後面變乾嘔 腹部有時悶悶痛痛的，腰跟屁股會酸痛 請問正常嗎？ | 您好 是否懷孕要等有機會，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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5泌尿科
| 性功能 | 去年因取尿路結石曾被安裝雙J導管，請問內視鏡手術與移除導管，有可能會損害性功能，例如射精不順，精液變少 | 不會，但如果 前列腺治療 用藥，可能造成這樣狀況。 | [
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1精神科
| 躁鬱症 | 我本人有16444，在去年暑假瘦到39，每天睡十幾個小時，不想都吃東西。 最近的醫生說那時是鬱期。 12月在一家診所確診輕度憂鬱症和焦慮症，一天三顆萬憂停、一顆安邦錠、一顆安立復、一顆艾斯樂。 因為藥越吃越多，三個月後換了醫生，變成非典型憂鬱＋焦慮。 6月底在大醫院確診躁鬱症，而醫生把我所有的抗憂鬱劑和安眠藥的藥物都拿掉了，並且不準我再吃其他科開的藥。 請問這樣是正常的嗎？ 我有多囊性卵巢症候群所以得看婦產科，有二尖瓣膜脫垂所以有看心臟內科，有自律神經失調所以有看神經內科。 所以我現在只能吃帝拔癲和安邦錠。 醫生有提到一天吃三顆抗憂鬱劑很嚇人，這是為什麼？ 請問什麼樣的情況要搭配心理諮商？ 焦慮症讓我妄想有人會害我，會害怕公共場所，需要家人陪同才能就醫，會害怕人群，不敢社交。 我的妄想連我的家人都覺得不對勁。 我常常感覺有人在背後盯著我。 請問這些都是躁鬱症的表現嗎？ | 您好.如果診斷是躁鬱症.停掉抗憂鬱劑是擔心抗鬱劑反而有誘發躁症的症狀.您描述的症狀是否為躁鬱症的表現應與主治醫師討論.包括何時搭配心理諮商也可討論.若您想心理諮商也可利用衛福部1925安心專線.她們也能提供心理諮商等服務幫助您改善情況. | [
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| 出血 | 我今年51歲去年9月及今年5月各有一次月經結束後9天又來一次月經狀況第二次來的天數約8-9天，顏色鮮紅量與正常月經一樣內膜約0.6CM 2015-2018年開始我就有類似狀況婦科診所都開黃體素調經後大約會正常半年但後面又會亂了這次這樣我去大醫院檢查醫生抽血驗賀爾蒙醫生認為已近更年期不需在月經來才抽血請問這樣驗出的結果可參考嗎 我的結果為FSH 19.4 E2 38 醫生認為值不算接近更年期是這樣嗎 PS每年都有做抹片也定期照超音波 | 提問者您好 你此次的抽血結果是還沒有到停經，影響月經週期或經期外出血的因素有很多，例如年齡、環境、生活作息、壓力、情緒不穩、體重變化、藥物、事後避孕藥、飲食、多囊性卵巢症候群、子宮或子宮頸病灶、感染、排卵、懷孕、哺餵母乳…等。建議您如果症狀持續或加劇需請婦產科醫師檢查是荷爾蒙失調或是其他原因與治療，謝謝 祝 平安 健康 張 醫師 回 | [
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5泌尿科
| 陰部問題 | 醫生您好 最今發現陰毛顏色有變黃的現象. 想請問這是什麼病的徵造嗎還是正常 或者是我該做哪先改進以預防此狀況持續 謝謝醫師 | 小P： 你好 毛髮變顏色，有可能是因為營養狀況有變化所造成，或者體質發生變化。不一定是有病變。就像有的人，小時候是直髮，到了高中，突然頭髮變成捲髮。 真的不放心的話，建議你請教一下皮膚科醫師。（台灣E院皮膚科醫師也可以接受詢問） 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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