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5泌尿科
| 陰莖問題 | 請問醫生 人工陰莖手術如果失敗 是否小弟弟便從此報銷 還有人工陰莖的效果如何可以感受到快感嗎 | 王先生： 你好 手術失敗最多的原因是因為感染，必須將植入物取出。至於小弟弟，應該不會太好過吧。 人工陰莖，因為可以完全由人工控制，因此勃起時間長短會改善，甚至會令女方感到疼痛不堪。手術順利的話，感覺是可以保留的。 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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| 睪丸問題 | 三天前打壁球 不慎被彈過來的球打到左側睪丸， 當下有些疼痛，但沒有到非常痛 過了一會還是能繼續正常打球。 原本認為並無大礙， 但後來的幾天 左側睪丸都會時不時的輕微悶痛，很輕微那種，不怎麼影響生活，有時換個姿勢就好了，但就覺得有點怪怪的。 P.S 外觀及觸碰也看不出有什麼異常 想請問 這屬於正常現象嗎？ 或是這有可能導致精索靜脈曲張嗎？ 還是單純是因為撞擊導致受傷 所以需要時間復原？ | 您好 如果超過3天疼未減弱 即使無其他問題仍建議就醫. 此情形應不會導致精索靜脈曲張 祝健康 | [
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6骨科
| 關節 | 施醫生您好，我是之前發文詢問的 ，前陣子看了您的建議，家母打算先休息吃藥，但上週左膝突然痛到完全無法行走，因此馬上掛了另一間骨科，醫生按壓膝蓋附近痛點，判斷是內側的筋發炎，即刻注射了類固醇，有問醫生玻尿酸的事，醫生說因為是膝蓋內側筋在痛，不是前面痛，且判斷我媽媽的退化性關節炎在2期左右，可以施打，所以就左右腳都各加了一針玻尿酸。 本來以為左膝打了類固醇應該會好轉，但她說後膝窩的痠痛過了一週還是一樣，沒有好轉（她覺得像膕窩處在痛），依然無法彎曲或蹲下，只有走路稍微可以走了，只是連帶髖關節也會痛，想說是否是類固醇注射的位置不對？ 請問在已經施打過類固醇且有注射玻尿酸，無法再吃消炎止痛藥的情況下，還有什麼方法可以改善？ 玻尿酸目前各注射過一次，之後還有兩次療程，這樣還可以繼續注射嗎？ 想知道現在的狀況接下來怎麼跟診所醫生溝通比較好，先謝謝施醫生耐心回答∼ | 如果是膝關節附近的韌帶或筋發炎打類固醇會改善的 如果是關節退化則可以打波尿酸的 關節疼痛是可以吃抗發炎的藥物來緩解的 | [
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| 子宮頸癌疫苗 | 主任您好∼ 我於712施打嘉喜9價疫苗第一劑，原912要再施打第二劑，但因陸續接種了兩劑莫德納疫苗，需間隔28天才能再施打子宮頸疫苗，所以拖到1126才接種第二劑9價疫苗，想請問： 1. 嘉喜9價疫苗第一、二劑間隔了四個多月才打，會影響保護效果嗎？ 2.請問我之後施打第三劑9價疫苗的時間，要從第一劑的日期開始算6個月？還是要從第二劑的日期開始算4個月呢？ 謝謝主任耐心閱讀與回覆！ | 您好 一般是建議2個月打，你已遲了兩個月，效果可能影響一些，第三劑再隔2個月，也就是6個月把3劑打完。祝健康 | [
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0婦產科
| 經期問題 | 呂醫生您好 我本身有子宮內膜異位症有動過卵巢切除手術只剩右邊31左邊完全摘除.後來在貴院做試管嬰兒順利剖腹產下三胞胎但是已經快10年了經痛還跟隨著我並與日劇增.醫生也看了不少藥也吃了很多吃到胃潰瘍到現在已從開始來痛到結束經期約20天整個月清爽沒幾天.嚴重影響工作和日常生活故想請問醫生有沒有一勞永逸的方式如將子宮摘除.但不知有沒有相關規定才能做此手術還有無副作用等手術後須休息多久. 謝謝 | 您好 1.如果藥物治療無效建議採用手術治療. 2.建議採取子宮摘除手術卵巢如果也有影到則考慮一併摘除如果沒有可以保留. 3.健保有給付. 4.副作用少數人會發生腸沾黏嚴重治黏的人會有不定時悶痛的不適. 5.術後恢復如果是採用剖腹手術術後須住院五天如果是採腹腔鏡手術只須住院3天. 行政院衛生署桃園醫院敬祝安康 婦產科呂理政醫師敬啟 | [
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16腫瘤科
| 淋巴腺腫大 | 大概已經3個月了 不會痛也沒有什麼異狀 但是就像一個喉結 大概在下巴下約兩指的位置 三個月來沒有變大沒有變小 自始至終都是大大的硬硬的 我去耳鼻喉科看 醫生說可能是林巴結也可能是皮囊腫瘤 但他問我要怎麼辦 我.不知道要怎麼辦 醫師也不確定到底是什麼 所以我想要詢問一下 看看我應該要怎麼做才是 | 建議找血液腫瘤科醫生用針抽細胞學檢查看看再說 謝謝 | [
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1精神科
| 壓力 | 結婚快一年，小姑的問題一直很困擾我。小姑早我一年結婚，目前有兩個小孩，分別一歲半及6個月，因先生工作關係所以一直住在娘家，對於婆家的人也曾透露出敵意，所以很少回婆家。她在婚前曾有憂鬱病史，但沒有持續治療也沒有病識感，家人對她的固執與情緒不穩也只能勸說。這一年來，我慢慢覺得自己情緒很容易受她影響，每天下班只要想到要面對她我的壓力就很大，不曉得她會突然對我說什麼（曾經明示或暗示我做人媳婦應該要怎樣、要求我不要直呼她先生名字等等）家人對她的態度好像就是盡量協助她，對於她的狀況也是勸導。請先生跟公婆反應協助她尋求協助，卻礙於小姑不願意而只能過一天算一天，身為住在一起的外人，我無法介入什麼，也擔心自己對她的反應處理不好導致大家更難收拾⋯⋯我覺得自己快生病了⋯⋯ | vupannie 你好 聽起來是你和先生住在婆家，而小姑雖然出嫁但和你們住在一起，住在一起的過程你會感到壓力，心情也會受到她的影響。建議你一方面可以和先生溝通討論可行的做法，另一方面可以尋求身心科醫師協助，評估是否需要透過藥物或是諮商的方式改善心情。祝福你！ | [
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6骨科
| 身高 | 最近看到第四台有打2001 灌籃高手的廣告，這項產品從以前就有了，到現在好像已經第五代了，但我不卻定它是不是真的有效，不知道醫師你知不知道 | 葉敏南醫師回覆 骨骼內生長板的增長才可造成骨頭的增長，一般男性至17歲左右 生長板關閉，就停止增長. 常有坊間的增高器或藥物，並無科學證據，廣告看的不一定是真 的，骨科有時需治療長短腳時，延長一公分，須壹至貳個月的 延長器固定，病患是非常辛苦的. | [
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5泌尿科
| 梅毒 | 醫生您好： 一開始在私處出現傷口而投醫發現罹患梅毒（同時檢測但沒有hiv） 醫生開了doxycycline跟外用藥膏，每兩週追蹤檢查 每天擦藥服藥後，在第二周結束後私處的潰傷消失 但是開始出現一點一點的紅斑（有點癢），大概兩三天後消失 原先醫生說吃完一個月的藥可以不用來了，等半年後檢查 但第四周尾的時候，紅斑又出現，回診後，醫生說再吃兩周看看 現在是第六周，藥剩四天，我以為快好了的時候，紅斑又出現了 想請問醫生這種情況該怎麼辦，謝謝 | 您好：也有可能只是龜頭包皮發炎，保持清潔乾燥，不要悶熱，要安全性行為，才有可能好不易再發，另外特別要注意安全性行為。如果不放心，醫院泌尿科或感染科再診查了。hiv 在3個月後要再驗一次才保險。梅毒要長期追蹤，不要忘記，祝健康。 | [
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11營養教室
| 營養諮詢 | 1.大家都知道酪梨是一種高營養油脂類不飽和脂肪無膽固醇水果 那我請問100公克的可食部分酪梨熱量是多少ㄋ去皮去子 2.睡前吃東西但沒超過一天所需熱量那會胖嗎 3.冬天到了每次一吹到冷風就會猛流鼻涕，有辦法避免嗎 4.還有我想問一個很荒妙的問題.熱量因該如何檢測呢平常人在家可以DIY嗎 | 您好 1.大家都知道酪梨是一種高營養油脂類不飽和脂肪無膽固醇水果 那我請問100公克的可食部分酪梨熱量是多少ㄋ去皮去子 ans 100公克的酪梨約45卡的熱量 2.睡前吃東西但沒超過一天所需熱量那會胖嗎 ans基本上要視身體的代謝率，如攝食量沒有超過一日的熱量需求，應不會導致肥胖 3.冬天到了每次一吹到冷風就會猛流鼻涕，有辦法避免嗎 ANS流鼻涕的問題請請教醫師，恕我無法回答 4.還有我想問一個很荒妙的問題.熱量因該如何檢測呢平常人在家可以DIY嗎 ans目前的人體熱量代謝可經由兩種方式測定，一是直接熱量測定，這需要一大型的密閉空間的呼吸熱量計，二是間接熱量測定，是經由口鼻的呼吸計，以計算產生的二氧化碳及消耗的氧氣以得知總熱量消耗。目前並無法在家中自測。 | [
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2牙科
| 牙橋 | 醫生您好 可能因為年齡關係，以前裝的牙橋內的支撐牙齒詢問診所醫生說是牙齦萎縮，下方就露出牙根了且爛掉了所以很搖晃。醫生判斷將來就是裡面牙齒都要拔除。但卻說要我等牙橋自然掉落再回去找他。另一位醫生是說就連支撐牙前後兩顆跟牙橋一起拔除。 兩位醫生均說牙橋黏死後是沒辦法拆下的。 我想若裡面牙齒都無可救回那就只能整組拔。但是問題是 請問 因為另兩組牙橋 ， 裡面前後2顆支撐牙都只前或後只壞一顆，且已經有點搖晃，若照醫生所言， 黏死的牙橋不能拆，所以都要將支撐二顆都連牙橋拆除不是就每組牙橋各要犧牲一個還可以用的牙齒了嗎 黏死的牙橋，爬了很多文，有的說不難拆，有的說不好拆要打麻醉，甚至可能會連別的牙都被損壞，有的說要鋸或鑽孔還有破冠器等等。。 究竟已經黏死固定的牙橋，經過幾年之後已經搖晃的情況下，是有沒有辦法不傷裡面的牙齒而拆下牙橋的呢 拜託請醫師您解惑，萬分感謝 | 可能考慮將牙橋兩顆支撐牙中，比較無法保留的支持牙從牙橋中間切開來然後連同無法保留的支撐牙及切開來的牙橋一起拔除，保留還可以留下來的支撐牙。 南投醫院牙科 曾光暉主任 | [
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5泌尿科
| 分泌物 | 529進行不安全性行為對方表示上禮拜有跟另一個陌生人進行不安全性行為，陌生人有尿道炎且分泌物，而我性行為對象在與陌生人性行為後，我性行為對象說有去婦產科並且吃藥完，且從吃藥前到吃藥結束後，沒有任何症狀，才529與我發生關係。 而我531陰莖稍微不適，且癢癢，一點點白色分泌物 61就醫問診醫生，驗尿表示WBS 6-9HPF，開藥cefadroxil 500mg cap，每12小時共7天 請問目前64號，已吃抗生素6錠吃了三天，但仍白色分泌物變多，尿尿時還有點卡卡，請問是否要提早回去就診。 您好我之前有泌尿道感染過，後來有檢查吃藥好了，可是最近去擠有時候都會有一些白色分泌物平常上廁所也不會痛，DIY完陰莖下面靠近根部會有一點點痛感之後就不會，去縣立醫院驗尿過可是醫師是說沒有檢查到細菌感染，那比較有可能是什麼原因要怎麼處理比較好 | 您好： 如果服藥3天，症狀未好，如您反有變厲害的情形，應醫院泌尿科就醫，生活要注意多喝水，辛辣刺激食物避免。祝健康 您好 如果驗尿正常 就非一般感染 有可能是攝護腺液 如果是白色而非透明 仍建議要醫院泌尿科專科診查. 祝健康 | [
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| 聽覺敏感 | 本人自三年前對低頻就有些不舒服，在去年上班的地方冷氣機的低頻影響下導致耳朵無法接受麻達類聲音冷氣 電風扇以及對聲音的耐受度也逐漸下降，最近演變成焦慮症，注意力不集中也睡不好，去給耳鼻喉科看時他建議我去身心科，但在網路上看到聽覺過敏有其他治療法卻苦於找不到醫生做治療，想請問醫生有無合適的醫生來看此病還有聽覺過敏和恐音症是能被治好的嗎 平常靠自己要如何去調適呢或去做治療 | 你好 一般聽覺過敏建議考慮行為認知療法，例如減少接觸會引發不舒服的聲音，可以聽自己喜歡的音樂或是透過正念冥想等方式，來降低聲音對生活的影響。若無法自我調適或訓練，建議可以找身心科醫師透過藥物或諮詢來改善。 | [
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| PSA | 主任您好 近期收到健康檢查報告，看到癌症篩檢中的游離攝護腺特異抗原比值 FPSATPSA 落在0.18報告建議是要大於0.25 翻查了細項PSA約在0.6 ，FPSA 為0.11； 這樣的數值，是否要再去掛泌尿科做進一步檢查呢？ 因為看資料建議是PSA 4以上要特別注意，那4以下需要做任何措施嘛？ 建議需要間隔多久再去做檢查？ 感謝 | 您好 只要看 PSA PSA 正常 則此比例可以不用太在意 一般45歲以上 個人建議每年抽一次 PSA . 祝健康 | [
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| 念珠菌感染 | 上週六做了子宮抹片檢查，醫生診斷出我有感染念珠菌 目前服藥塞劑 兩天後半夜子宮下腹的位置感覺悶悶的，後來突然非常痛，偏向悶痛、痛到我手腳發冷，隔了兩天發現塞劑流出來的痕跡上有一點紅點貌似出血，診斷時醫生有問我是不是月經快到了，但我月經時間在月中，最近性行為較為頻繁，請問有可能是什麼原因導致這些？謝謝你 | 親愛的欣您好： 有可能是感染引起，擔心陰道發炎導致的骨盆腔發炎，出血亦有可能跟性行為有關，建議至婦產科進一步檢查治療。 南投醫院婦產科 黃子菲醫師 | [
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6骨科
| 第五蹠骨 | 7年前左腳下樓踩空.以致第五蹠骨裂傷.但未好好治療前三個月右腳右翻以致扭傷前三個月至中醫推拿雙腳結果現在左腳竟比右腳還痛不敢再去推拿.前一週去台大看骨科照了超音波醫生說左右腳已癒合只說以後要穿寬大的鞋子然後不用去復健問題是我的腳依舊無法久站超過5分更無法行久超過半小時就很痛.現在我到底該如何是好 | 您好 蹠骨骨折癒合約需6-8週足踝扭傷亦復如此若是慢性疼痛存在一般建議改善鞋子穿著減少活動量及減重加上物理治療一般治療成效都不錯。 骨科楊南屏醫師敬覆 | [
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13肝膽腸胃科
| 腹部問題 | 我老公從幾個月之前就有腹部悶脹不舒服的問題，看了多次家醫科都不見改善，不知是和他飲食不正常有關還是怎樣？我老公他很瘦，但肚子卻像非洲小孩一樣鼓鼓的．．就像我懷孕初期的肚子．．．他最近又常在喊肚子很不舒服，會脹脹的好像有東西壓在上面．．我不知那是什麼問題，可以幫我解答嗎？謝謝 | 您好 腹部鼓脹可能是腹水腫瘤.肥胖.腸子漲氣.大便堆積.等建議您先生還是要看肝膽胃腸科x光及腹部超音波就可大概判斷是什麼問題. 內科袁宏道醫師敬覆 | [
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| 經期問題 | 月經期間325-331（33天週期上一次20號）、419-426（週期25天）、518-524（週期29天）正常來月經都是7天∼ 但每一次的週期數都不一樣，請問這是否需要去調經？ 另一個問題是，527有和另一半發生性關係，但是都有全程戴套，也無內射，請問這樣會不會造成懷孕？ 還有一個問題是，這次月經來之前有漲奶，之前也會，但這次不太疼痛，可是下面有分泌一些乳白色的液體，這樣算月經前正常的事情嗎？ | 1. 正常月經週期為 21 42 天，前後誤差 3 5 天。 2. 月經週期懷孕問題，請於最近一次性行為的四週後，自行驗孕或至婦產科專科醫師門診檢查與評估。 3. 「陰道感染」會造成異常分泌物、會陰部搔癢、異味、排尿灼熱感尿、頻尿、出血.等，更嚴重會腹痛或發燒。 「治療方式」依症狀而有所不同，還需要配合正確的衛教，建議至門診由婦産科專科醫師檢查與評估。 | [
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| 膝蓋 | 這兩天出現一個問題： 腳可以正常走路， 但站立幾分鐘後 右邊膝蓋卻沒辦法蹲下， 膝蓋又緊又痛， 請問怎麼辦？謝謝！ | 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 1.實際上來說膝蓋的緊痛可能原因因為髖骨韌帶發炎 膝軟骨退化或側肢韌帶發炎.受傷等在家多做熱敷或 沖溫熱水即可. 2.建議您應到復健科檢查及深部熱療及徒手治療鬆動術 最後祝您 平安快樂 | [
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| 尖性濕疣 | 因為一年前和一位不認識的女性發生戴套性行為，到現在一直沒有病徵。這樣感染菜花的機會高嗎？女友幫我無套口交的話，染病的機會高嗎？另外，請問菜花要如何檢測呢？沒有分泌物的話可以檢測嗎？麻煩您了！ | 目前男性的菜花檢測主要是依照理學檢查 有疑似的皮膚病兆 予以切除送病理切片確認 環境中感染乳突病毒的機率是有的 但是身體有免疫系統阻擋 也不見得會侵入人體定居或發作 | [
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4心臟血管專科
| 心室早期收縮 | 何主任好 以下是代友諮詢，還望何主任撥冗指點，感恩。 病人於102年安裝支架 1.平時偶有漏拍現象，狀況來時或輕或重，可短時亦能陸陸續續拖二三個小時。 2.心肌灌注掃描.超音波正常，24hr心電圖有心室早期收縮現象，開康肯1.25每日一顆，但症狀依然如前所述偶會發生。 3.如發生漏拍狀況，大多是在飯後約八分飽，因此為了釐清病灶，也尋求內視鏡檢查，腸胃科表示"還好" 4.收縮位置都是在胸口正中，也就是劍突以上約一英吋，較強之漏拍時會引起嘔吐情形，但若持續幾次嚴重的嘔吐.乾噁後，極可能漏拍情形就消失 基於第4項疑問，心室早期收縮的"感覺位置"一般是在哪是否會引起乾噁而又會因嚴重乾噁幾次後就變為正常嗎胃食道逆流會不會引起漏拍 腸胃科醫師前一天對我進行過如同刑求的內視鏡後也沒多做解說真是惜字如金 以上問題盼何主任能給予稍加解說 感恩 | 您好 聽來是心室早期收縮的不適 飯後八分飽 或是身體任一地方不適都有可能誘發心室早期收縮 包括胃食道逆流 位置難說每個人不同 多在您提的位置胸口中劍突上的地方 胃食道逆流會引起漏拍喔 平安 彰化醫院關心您 | [
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0婦產科
| 避孕 | 醫生您好，130我吃第一顆避孕藥，我22內射完當天有吃事前的口服避孕藥，名稱為溫不妊，已定期服用約三年，但23因腸胃炎醫生開了cephalexin的抗生素，中間都是晚上睡前服用避孕藥跟吃醫生開的腸胃炎的藥，不知道事前避孕藥會不會受到影響呢？ | 您好 一般是不影響。祝健康 | [
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5泌尿科
| 自慰 | 請問賴主任 在下有時候自慰的時候會幻想一些自己認識的女性 這樣是正常的嗎？ 自慰後看到認識的人並沒有什麼不良的想法 只是有時候自慰時會幻想自己的老師等等的 比較突破傳統社會尺度、禁忌的幻想 但是純粹只是自慰時的幻想 也不知道為什麼 是否是正常的呢？ 坊間販賣的很多A片的主題都是這樣子的. 另外，在下為了準備考試，從本來接近每天自慰的習慣 忽然改成完全不自慰，老實說剛開始有點不習慣 但是現在已經可以調適不自慰了 卻因為偶爾會夢遺而會太早醒來 有時候會五六點醒來.有時候甚至兩三點 導致睡眠中斷 現在考後，我反而會覺得，如果我回去幻想和那些突破傳統尺度的性幻想 會擔心產生罪惡感，所以還沒這麼做 請問主任，如果我恢復自慰的習慣是否可取？ 其實只是一般的性幻想，並非當真的想法 是否是沒關係的呢？ 以前我看那些A片都不會太在意，邊看邊自慰之後就沒事了 但是現在反而會想太多，覺得自己這樣好像不太好 感謝主任看完我的問題 | 您好 自慰本來就不是什麼罪惡。不用太在意！現實與幻想是不同的只要清楚明白此分際不要違法及有違善良風俗行為即可謝謝！ | [
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| 懷孕時 | 請問醫師 我在跟女友親熱時 在下體有少量摩擦 我下體也留出汁液 不知道是不是射精 前一天也有自己DIY 不過我卻用手觸摸到 結果過一陣子 手在略乾的時候 我伸到女友陰道進入1-2公分摩擦她是處女 也沒落紅 請問這樣懷孕機會大小如何 希望可以儘速且詳細回答 麻煩您了 | 行政院衛生署台南醫院婦產科主任吳宗城醫師敬覆 Dear步您好： 依您的描述，應該不會懷孕！除非你自己有射精而不知道，一般而言，一定要有精蟲，才有可能受孕，只有精液而沒有精蟲是不會懷孕的！！ 署立台南醫院祝您身體健康•萬事如意！！ | [
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6骨科
| 術後問題 | 王醫生您好： 今年51車禍，左腳膝蓋髕骨水平骨折，斷上下二塊，採用內固定術，2支鋼丁加上鋼絲。開刀後努力自行復健，直至目前629膝關節已可彎至120度，除了左腳上下樓因股四頭肌力不足，尚不可上下樓，大部份已可行動自如。 之前，615回診時，X光發現鋼絲鬆動，醫生說轉了180度，但如無什麼異物感，保守估計最快半年後取出鋼丁鋼絲。因當下無明顯異物感，便覺得可行。 但從這禮拜發現，直行時髕骨下緣感覺有東西扎進皮膚且刺痛感牽動附近的肌群。這種三不五時的刺痛驚嚇感，讓我很不舒服且相當困擾，影響到我復健的積極度與進度。想請問： 1.鋼絲的鬆脫，是此種手術的風險之一嗎？ 2.目前術後2個月，如果要拆除鋼丁鋼絲，是否可行？ 3.如不拆除，鋼絲一直扎進皮膚會有什麼風險？會發炎嗎？反復發炎會不會讓組織纖維化？ 4.還有其它緩解方法，可以讓我撐到半年在開刀嗎？ | 您好， 髕骨骨折所採鋼針鋼線固定， 因其無螺紋術後產生移位轉位， 臨床上並不少見。 髕骨聯結股四頭肌與小腿， 二個月就拔鋼釘太早， 要密切觀察皮膚狀況， 若穿出皮膚會造成傷口感染， 關節大角度活動，應先避免， 以免持續磨擦皮膚造成損傷。 彰化醫院 關心您的健康 王守吉 | [
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5泌尿科
| 睪丸問題 | 你好 我一星期前左邊睪丸劇痛 只要碰到發痛的地方就會有劇烈的痛楚 之後連續痛了三天左右.三天後情況開始好轉 痛楚巳經消失 我用手觸摸左睪丸後面大約在內側 發現有一粒'豆'生在睪丸內大概在丸的表面上. 睪丸沒有痛楚 只有在用手按睪丸上那粒'豆'時才會有些微微的痛楚。一星期後痛楚完全消失 事情發生後我可以正常勃起、射精 但是現在那粒豆仍然留在睪丸上.好像不會消退. 請問這是睪丸炎嗎？ 請解答我的困擾，謝謝！ | 小黑： 你好 聽你的描述，應該不像睪丸炎。通常睪丸發炎會有劇烈疼痛、高燒等現象。 有可能是一種：睪丸附屬器扭轉，就是在睪丸附近的小組織發生扭轉，造成壞死，臨床上，有時後可以看到藍色的小點。疼痛一般持續1-2週，會自行痊癒。 不放心的話，最好還是就醫檢查一下，用超音波就可以知道有沒有問題。 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
| 口腔 | 醫生請問一下我第二臼齒旁邊的黏膜有一小片白 但如果用手戳會變紅跟白參雜 表面平滑 看似是裡面白並無斑的現象 一開始比較大一片時有去一般診所看過 他看說不像白班 但後面是有比較小了 可是卻一直保持在那個大小 有時候範圍會變小有時候會變大 不會痛 請問是什麼問題呢 已經2個月了 如需檢查要看哪一科呢 | 第二大臼齒旁近黏膜有一小片白色，經過診所醫師檢查，判定不像白斑，而白色時大時小、不會痛，也有可能是其他口腔黏膜上皮的病變，建議可以找口腔外科醫師作進一步診斷。 | [
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17眼科
| 隱形眼鏡 | 我是為正在發育的國中生，想請問正在發育的我適不適何戴隱型眼鏡 | 主旨：近視。 說明：只要你將保養隱型眼鏡做好，你當然可以配帶，亦即做好隱型眼鏡的清潔工作及定期眼科醫師追蹤檢查即可。 | [
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| 精液 | 醫師您好，我先生有些許勃起障礙的問題，就醫後，醫生開了犀利士給他，但因為我們有要懷孕的計畫，想請問醫師，吃犀利士或者威而鋼後行房會影響精蟲品質或者導致畸胎嗎？ | 您好 一般是不影響。祝健康 | [
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0婦產科
| 避孕 | 我和女友在923有性關係 隔天吃了一顆事後丸 月經就來了 在930號也有一次 也是隔了一天吃事後丸 她106號月經又來 兩跟一般月經的量一樣 ，1010∼12號之間月經走了 到現在1108月經還沒來 會懷孕嗎？ 兩次全程都有帶保險套，拔出來才射得 | 回覆如下 月經有來，也有全程使用保險套，懷孕機率低。 可能是服用事後丸，造成亂經，所以月經失調。 可以自己驗孕確認沒有懷孕。 桃園醫院 呂理政敬上 | [
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5泌尿科
| 龜頭外露 | 不好意思，打擾了 最近只要做愛完，不管是用打手槍還是跟女友，龜頭都會紅腫起疹子，並且會痛。一開始以為是太粗魯，但是女友有幫我抹潤滑劑，並且放輕力道，可是依然會這樣，這是怎麼一回事 感謝您幫我解答 | 有可能是接觸到過敏原，導致過敏反應，也有可能是包皮龜頭炎。 線上諮詢並不能取代醫師親自問診及理學檢查，有疾病時仍建議至醫療院所就醫。 | [
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1精神科
| 藥物諮詢 | 醫師您好： 想請問思樂康Quetiapine這種藥物除了減少多巴胺，也會減少血清素濃度嗎？除了用於治療精神疾病，是否也可用於重度憂鬱症的情況？若思樂康與千憂解Duloxetine合併使用會衝突嗎？ | 你好，謝謝您的提問 抱歉，晚回覆！ 思樂康此藥物，對於血清素的影響，一般為增加神經突觸間的濃度，常用較低劑量在憂鬱症患者的治療上。與千憂解有時會依照患者情況並用。 祝福你！希望以上有解答您的問題！ | [
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0婦產科
| 月經 | 請問，1220 號有做愛 過兩小時有吃事後，1226號有出血 1231結束 127號有驗孕 一條線 ，到21號都還沒來月經是因為吃事後藥亂經嗎？ | 您好 懷孕機會不大，事後避孕要有時會亂經，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，月經如果一直沒來，建議看婦產科。祝健康 | [
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0婦產科
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| 子宮內膜增生 | 醫生您好，我於一年前照超音波時發現有子宮肌腺症的情形約9.6公分含子宮本身） 數個月前有曾經有異常出血（只有那次 於是今天去做了子宮鏡檢查 發現了1.子宮內膜增生 2.子宮息肉 現場醫生是說之後要切片化驗. 想請問醫生 1 子宮肌腺症跟子宮內膜增生差別是什麼 2 子宮內膜增生化驗是子宮內膜癌的機率是多少 我好擔心是癌症.下次有時間安排切片是一個月後了.這一個月都得害怕擔憂的過.所以才來問醫生，能不能請醫生在跟我多說點機率什麼的情況.感激不盡. | 您好 子宮肌腺症是子宮內膜異位的一種，和子宮內膜增生完全不同，子宮內膜增生是子宮內膜癌的前期，一般用藥物就可以控制，如果還有疑問，可以請教你的看診醫師。祝健康 | [
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| 陰莖問題 | 1.請問醫生陰莖未勃起3到4公分勃起8到10公分這樣的長度是正常嗎？ 2.請問多久自慰比較好？ 3.自慰完身體都會蠻累是為什麼？ 4.有時候自慰完要過很久才能勃起是正常嗎？ 5.怎樣才會性功能障礙呀？ 6.有時候自己自慰到一半軟後來又硬是正常嗎？ | 您好： 1 正常 2沒有標準答案，不影響精神，不影響生活為主 3是神經興奮後的影響 4正常 5 多半40歲以上 6 不常發生就是正常，祝健康。 | [
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| 是否懷孕 | 527有性行為，有戴套，61-611有出血，但是我不確定是不是月經，因為量比平常少且我月經一直都很不固定，我從419-66都有吃避孕藥，但是有時候會忘記吃，但我之後都有補吃，630有用驗孕棒驗孕，但是結果顯示為沒懷孕，但是到714為止月經都還沒來，所以想詢問一下這樣有可能懷孕嗎？ | 您好 應該是沒懷孕，再等一星期，如果還是沒來，建議看婦產科。祝健康 | [
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0婦產科
| 愛滋病詢問 | 請問我是女生，有兩位固定性伴侶，都有檢查，確定都沒有愛滋與性病，假如都是無套，不同天有性關係，這樣會感染愛滋嗎？ | 有兩位固定性伴侶，都有檢查，確定都沒有愛滋與性病，假如都是無套，不同天有性關係，這樣會感染愛滋嗎？ Ans 這樣不會感染愛滋 | [
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5泌尿科
| 睪丸問題 | 1 如果左側睪丸因精索靜脈曲張萎縮 還有可能生育嗎 2 如果有睪丸萎縮 那睪丸萎縮會有什麼症狀 3 自己的左睪丸摸起來比右睪丸小 會是萎縮的前兆嗎 | 您好 1 可能 因為右邊睪丸正常 2 變小 3不一定 睪丸大小本來就有差異. 祝健康. | [
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2牙科
| 口腔 | 最近嘴巴破了個大洞，已經快一個月 感覺是已經好了（因為不會痛了），但傷口的地方好像還白白的， 而且有一個小凹痕！ 這樣的狀況已經一個星期以上了 這個凹痕會消失嗎？（已前嘴巴破洞從來沒有發生過這樣的狀況，有點緊張） | 您好： 嘴巴破了個大洞，快一個月，雖感覺快好了，但還有一點白白的小凹痕，痕是口腔潰腐（俗稱嘴破），凹痕會逐漸癒合，注意保持口腔清潔，避免刺激性的飲食，會較快癒合。 敬祝 健康 | [
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| 藥物諮詢 | 醫師你好，我昨天晚上牙痛塗抹齒治水，但一不小心塗抹太多，導致現在舌頭以及其上方，有類似麻麻的異樣感，並有一點疼痛，請問該怎麼解決 | 您好 齒治水內應該都含有一些有機溶劑成分的消炎止痛成分，若造成黏膜灼傷，建議先暫緩塗抹，並先以口內膏覆蓋灼傷處，並盡速就醫檢查是否有異狀。 衛福部台中醫院牙科林佳詠敬覆 | [
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| 感染 | 醫師你好，我去年6月念珠菌感染症狀只有豆渣分泌物，陸續治療醫師都開塞劑給我，我大概都都是藥用完後2週才去複診，但分泌物已經都沒有呈豆渣狀就是一般分泌物除非又塞藥，這樣我還要繼續塞藥嗎？因為醫師只說還有分泌物就繼續開給我藥，但女生不是本來就有分泌物嗎？上禮拜六塞藥然後禮拜一，二有兩次上廁所分泌物有血絲，之後就沒有了這是不正常出血嗎 | 提問者您好 依您症狀的描述，建議注意會陰部的乾淨清爽，勿著緊身衣褲，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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| 前列腺 | 醫生您好，我跟女友擁抱、接吻就會勃起，就會有前列腺液，而且會一直分泌的感覺，請問有辦法改善這個問題嗎，褲子濕濕的好困擾，另外，請問女友隔著褲子摸到我的前列腺液在摸自己的陰部，沒有放到陰道裡這樣會懷孕嗎？ | 聽你的描述是沒有問題. 勃起時尿道腺體的分泌較多. 應是體質的問題. 若有擔心.建議還是要去看泌尿科檢查 並與醫師討論 至於會不會懷孕. 只能說機率非常的低. 但是無法保證的. 因為理論上還是有可能的 | [
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17眼科
| 飛蚊症 | 醫師您好 最近因為鄰近大考每天都需要讀書 用眼過度的關係 導致飛蚊症變明顯 想請問醫生以下幾點問題： 1.多少隻飛蚊算多呢？（本人飛蚊症兩年了型態沒有變化但是有很多隻） 2.所謂的閃光發生和一般的放電差別在哪裡？閃一下算正常嗎 3.有時候會看到小光點（類似視覺暫留的顏色）需不需要到眼科檢查？ 4.年輕時期就有許多飛蚊 視網膜剝離機率會不會因此提升？ 5.飛蚊症有時候多且明顯 有時候不明顯又不多 是否為正常現象？ 感謝醫生的回覆 問題有點小多 祝新年快樂 | 您好： 1. 飛蚊症的程度因人而異，有人可能輕微感受，而有人可能感受較為明顯。多少隻算多並沒有一個具體的標準，但如果您感到飛蚊症明顯增多，建議儘早就醫進行眼科檢查。 2. 眼中閃光通常是由於玻璃體內的微小結構變化或拉扯所致，是一種感知到的光亮。正常情況下，瞬間的閃光可能是正常的，但如果您感到頻繁或劇烈的閃光，尤其是伴隨視力變化，應該立即就醫。 3. 看到小光點，類似視覺暫留的顏色，有時可能是視網膜上的光敏感受器受到刺激，但這不一定表示有問題。如果這種現象頻繁發生或伴隨其他症狀，建議進行眼科檢查以排除潛在的問題。 4. 年輕時期有飛蚊症不一定會增加視網膜剝離的風險，但視網膜剝離是一種嚴重的眼科問題，如果您擔心或有其他眼部症狀，建議至眼科評估。 5. 飛蚊症的出現可能受多種因素影響，包括用眼習慣、視力度數、眼球結構等。有時多且明顯，有時不明顯則可能與眼睛狀態有關。如果您注意到異常的變化，建議儘早就醫進行詳細檢查。 如果您有進一步的疑慮或症狀加劇，建議盡早至眼科就診，以確保眼睛健康。祝您考試順利，保持健康！新年快樂！ -- 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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| 兒童牙科 | 一.請問刷牙常常流血的原因是什麼 二.請問洗牙是怎麼洗會痛嗎 三.請問左下及右下的智齒那牙肉有點腫起該如何處理 謝謝 | 你好 年輕人刷牙常流血去除掉全身性疾病的因素最常見的原因是牙齦發炎所以要到牙科洗牙洗牙是用超音波以震盪的方式去除牙結石若是牙齦很健康則只是覺得酸酸的若是牙齦發炎得很厲害則會覺得痛 智齒牙肉腫起來應該是牙冠周圍炎可能是智齒長得不完全或長不出來引起的還是應該到牙科檢查才會知道該如何處理 | [
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| 排便問題 | 陳大夫您好，請教您下列問題 一、我上周有吃了些辣椒，結果當天和隔天胃腸就有些不適有胃腸悶脹、排便肛門燒辣感，這兩天覺得總有大便大不乾淨的感覺、肛門裡也有熱熱怪怪的感覺，去蹲廁所也只大了些出來，請問這是我上周吃太辣的關係嗎已相隔約一周 二、我一直以來起床時都會先上一次大號，上班後又會大一次間隔約2小時，請問這是正常的嗎 三、看文章說要注意排便變細就要當心是否為大腸癌，想請教您如果排便大小約如大拇指般大小，是否算是排便變細呢 感謝您。。。 | 先生您好： 多少與飲食，腸造蠕動有關，只要檢查大便潛血腸胃門診即可。大便外型較無法客觀評估，平時請注意調整飲食多蔬果與作息。 彰化醫院關心您的健康 陳詩典 | [
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| 排便問題 | 醫師 之前問過 排便因急便 憋 或一直走路 狀況 偶爾排便末端會有血絲 不過本身有之前檢查有 內痔 三年前也有做過腸鏡整段 正常 去年做半段腸鏡 正常 不過這兩天 ㄧ次是擦屁股有血 一次是糞便末端還是有發現些許 血絲 黏在糞便上混著 醫生說。內痔造成出血 的機會最大 不過還是會擔心 我需要再去做ㄧ次腸鏡檢查嗎？ | 您好， 排便帶血絲，若夾在糞便內，則出血位置較高若與大便分開，通常是肛門附近出血，其中痔瘡是最常見的原因。不過，若症狀持續發生，還是要到大腸直腸外科就醫。 衛生福利部桃園醫院 腸胃科主治醫師 陳奇峰敬復 | [
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| 月經 | 請問醫生 我因工作因素前兩個禮拜幾乎每天都只能睡三四個小時 有一天甚至只睡一小時，壓力非常高體力在白天也非常消耗 且工作結束後因有類流感症狀發高燒吃完整個療程的克流感與感冒藥 但在工作之前還有跟男友親密 都是他先幫我愛撫後我幫他愛撫到射精之後我們都擦乾洗手就不再去碰對方私處，只不過他在幫我愛撫時他的內褲有碰到我的內褲（都濕濕的，他尚未射精只有分泌物情況下） 結果這次月經卻提早五天來，雖然第一二天都血量正常，但是第三天卻變少很多（大概是第三天原本應有的量卻變成了第四天的量）之後也都還是有持續流血不過量也不多，來了的第七天結束跟以前的行經期天數一樣 這樣是因為工作而造成我的月經失調還是懷孕啊？ 勞煩醫師解答 謝謝醫師 | 您好 懷孕機會不大，應該是月經失調，不能相信安全期。祝健康 | [
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| 菸害諮詢 | 醫師你好： 小弟原本每日30支菸，幾年前戒了11個月，但又回復抽菸， 之後想要再戒都覺得好難，直到月前看了附近診所的戒菸門診， 每天服用一粒 戒必適1mg 到現在已有一月多，從第一天開始服用戒必適 就沒有抽菸。日前瀏覽網路，看到關於戒必適副作用的文章後， 有幾個問題想請教。 戒必適的療程是不是一定要做滿兩個月？如果中間停止會不會對戒菸效果有影響？ 服用戒必適的同時，偶爾用尼古清吸入劑會不會影響戒菸效果？ 停用戒必適後，是不是還是會出現戒斷症候群？如果有症狀會比較輕嗎？ 感謝你的回答 | Joe 您好 戒必適champix 一般建議治療療程為8-12週，通常不建議中途停藥， 戒必適champix可以合併尼古清吸入劑使用，不會影響戒菸效果， 通常停用戒必適可能會出現易怒、憂鬱、睡眠障礙、對香菸渴求，是否出現戒斷症狀或症狀嚴重性，則是因人而異。 | [
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| 脹氣 | 醫師您好： 這陣子吃完飯後常常會覺得胃脹，感覺上腹胃脹想打隔氣死卻打不出來於是就吃胃藥…以前吃一次胃藥就會幫助腸胃消化但最近需要吃完二次胃藥才會一直打嗝輕緩脹氣感而且常常在睡前會感到胃的脈搏在跳動，讓我感到非常緊張⋯⋯嚴重的影響我的睡眠，跟讓我非常焦慮之後會讓我更緊張無法睡， 請問這樣的症狀我的胃是出了什麼問題嗎可以怎麼治療還是有幽門桿菌嗎！ | CC先生您好： 您主訴這陣子吃完飯後常常會覺得胃脹，感覺上腹胃脹想打嗝，吃胃藥會改善不過藥物劑量要增加。 建議您先與您的主治醫師討論後續檢查胃胃道是否有阻塞，還是胃酸逆流後感覺脹，並由您的主治醫師評估後續治療，感謝您的詢問。 | [
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0婦產科
| 月經 | 請問醫生 426月經來 52走 61月經來 67走 正常7月才會來怎麼會來兩次 625∼28又互相撫摸私密處未射精 617.18 也有互相撫摸 有射精但陰莖是對著我自己 另一半躺在我旁邊 另一半最近常說肩膀酸到變痛 腰會不定時同一下 他前幾天有檢定考請問是否壓力過大導致的還是其他原因？ 很長希望能回答我 拜託 | 您好 月經如果7月有來就沒問題，所述『正常7月才會來怎麼會來兩次』，看不懂，至於另一半最近常說肩膀酸到變痛 腰會不定時同一下，如果還有不適，建議看醫生。祝健康 | [
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13肝膽腸胃科
| 胃痛 | 醫生你好： 前幾天我去看了胃 胃脹氣 醫生給我開了一個禮拜的藥後來吃了兩天，第一次有拉肚子拉完隔天肚子又開始痛 所以我今天又去看一次 然後我跟他說 我上面的那些症狀 醫生說：那只是保護胃 我：可是吃完還會痛 醫生：不然不要吃 所以我現在肚子還會痛怎麼辦 | 您好 胃部的位置不適光是胃的問題就可能很多種甚至大腸肝膽胰都可能在這一個區塊不舒服如果不是胃腸專科可以找胃腸專科醫師再評估看看到底是什麼問題.不過建議先從飲食情緒檢討看看是不是可以改善 彰化醫院關心您的健康 蔡安順醫師 | [
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| 事前避孕藥 | 醫師您好，我目前吃到悅姿第二盒，在619日吃到第20顆藥的時候發現1-3天前有漏吃一顆與藥盒上日期不符，但我記不得是那三天哪一天漏吃的，於是我在619日吃了兩顆，在此之前都沒有漏吃的情況發生。 想詢問醫師，這樣會影響避孕效果嗎這幾天是否能無套 還有若是會影響，要吃滿幾天才能無套包含白色安慰劑嗎 我的月經差不多624-27白色安慰劑會來。 | 您好 第二十顆以經到月經快來了，應該不會懷孕。祝健康 | [
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8乳房甲狀腺科
| 乳房問題 | 我女兒今年小四，前幾天突然在左乳頭摸到一花生米大小之硬塊，輕碰會痛，而且忽大忽小，約一個月前被同學推擠撞到講台桌角，當時發現有點瘀青，碰了會痛，心想應該是碰撞引起的，過一陣子會好．但是事隔一個多月，硬塊一直沒有消失． 請問小女生如果正直發育階段，乳頭會單邊先發育嗎碰了會痛，是否表示較不可能是腫瘤？是否需要進一步做檢查 | Dear 擔心女兒的媽咪 小四的女生在左乳頭摸到一花生米大小之硬塊，應與發育比較相關 輕碰會痛，單邊先發育 忽大忽小，都是可能之現象.碰了會痛，是否表示較不可能是腫瘤--- 並非絕對 只是 10歲之小女生要長乳房惡性腫瘤之機率是很低的可以先觀察一陣子再說如有增大或持續有所困擾再做進一步檢查. 祝 健康 不擔憂 吳醫師 | [
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5泌尿科
| 前列腺 | 醫生您好 我之前被診斷出慢性前列腺炎 被安排做超音波和膀胱機能檢查 想請問醫生 膀胱機能檢查是怎麼進行？這兩者會有侵入性嗎？ 謝謝 | 超音波若是從腹部便無侵入性，若為經直腸，則屬於侵入性檢查。 膀胱機能一般來說有許多檢查項目。若為尿流速檢查一般非侵入性若是尿路動力學檢查，因為必需放置導管至膀胱灌水及檢測壓力，屬於侵入性檢查。 | [
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| 性病問題 | 你好∼想請問一下醫生： 我在過去一年內有跟幾位不同的網友發生親密關係，其中兩位只有無套口交，另外一位有發生戴套陰道交，且在完事後有發現保險套稍微脫落，僅覆蓋住龜頭。我最後一次與網友發生親密關係是在今年的7月底，到目前為止我沒有出現任何性病症狀，請問我除了愛滋病跟梅毒之外，有可能得到其他任何的性病嗎？ | 急性尿道炎 （淋病）已過了 潛伏期。 菜花 （ 病毒疣） 還是有可能，再觀察皮膚有無病灶 | [
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| 藥物副作用 | 上個月去看了身心科醫生說是焦慮恐謊社交障礙那類的也領了藥，一直不敢吃 最近覺得撐不下去了所以打算開始吃一星期看看， 那時候忘了講自己好像因為長期焦慮憂鬱失眠所以有點高血壓不敢看醫生怕留下病例 醫生開的藥有 早飯後 Fluoxetine Cap 20mg 1顆 Ritalin Tab 10mg 0.5錠 Prewell 復維樂 150mg 0.5顆 Dosin tab 10mg 1錠 睡前 Alprazolam 安邦 0.5mg 0.5錠 Surin Tab 200mg 0.5錠 Bromazin tablets 3mg 0.5顆 最近睡前還會吃DEALLERGY F.C. TABLETS皮膚科開的 請問這些藥有高血壓不能吃的嗎 沒吃早飯的習慣藥可以中午再吃嗎或者早上空腹吃 | 網友 你好： 這些藥沒有高血壓不能吃的，可以中午飯後再吃。 我個人認為確實藥有些多。 吳恩亮醫師 | [
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| 陰莖問題 | 許醫師您好 httpimgur.comr0rrtc3 httpimgur.comsVdxiTy 如圖 陰莖上有個突起 按壓他會有一點點痛 網路上找資料 找不太到類似的照片 想請問這個是菜花嗎 有需要去大醫院檢查嗎 感謝您 | ha 你好 可能是局部感染，不像菜花病毒感染。 建議就醫治療。 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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0婦產科
| 避孕藥 | 醫生您好，我吃愛己避孕藥已經有快一年，中間有停藥一次，停藥後開始用藥到現在已經有四個月了，現在吃的是第五包，但在829六晚上本來要吃，結果忘記吃，在830的時候中午吃了一顆，但已經超過12小時，晚上又吃了一顆，當天服用了兩顆，831照常吃了一顆，91的時候跟男友無套也無內射，這樣會懷孕嗎那內射會懷孕嗎 | 匿名小姐你好： 因為你在中午已經補吃了前一天忘記吃的份量，所以理論上懷孕的機率很低，不必太過擔心。 | [
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4心臟血管專科
| 心臟問題 | 想請問一下左胸心臟附近有時會刺裂痛維持2∼3秒好了之後幾秒又刺裂痛出來請問是心臟問題嗎？（前幾個月有去過醫院檢查心臟是沒什麼大問題） | 您好 刺裂痛維持2∼3秒較可能是神經痛 類似眼皮偶而跳一下情形 多不是心臟問題 檢查心臟沒問題就不用太擔心了 平安 彰化醫院關心您 | [
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| 懷孕 | 預估計因是7或8號月經會來 78號時有要來的感覺 胸會漲 還有時會感到有些痛痛的 腹部有些稍漲 這些種種感覺都是一如以前要來的感覺 但是今天卻沒有了 只不過胸部還是漲漲的 而白帶也增多了 白帶很正常 無異味 異色. 我很擔心自己是否懷孕還是其他因素引起月經沒來 因為81我與男友有親密的接觸 但因為我們都還是第一次 所以想試試放進去 但他準備要放入時 在陰道口我就已經受不了了 所以他就沒有再繼續了且 因怕懷孕 所以我事先拿了衛生紙 把男友的陰莖插乾淨 我是覺得不太可能因此懷孕 但因為這次月經還不來 不免讓我十分擔憂. 煩請醫師為我解答 謝謝 | 親愛的網友您好 科技進步尿液妊娠試驗可以簡單且早期的確定是否懷孕月經遲來擔心可能是懷孕尿液檢驗可以釋疑. | [
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5泌尿科
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13肝膽腸胃科
| 下腹痛 | 您好我的身高體重為16078，上周因蹲下後再站起，右下腹部突然疼痛像是抽痛般，站穩後約20秒內緩解就不痛了，後續亦無大礙，但今日躺床時躺得比較迅速，右下腹部又突然抽痛，慢慢維持姿勢好好躺平後，約15秒內緩解，這個月就發生這兩次，在這之前上個月亦有發生一次，在更之前是三個月前有發生這樣的狀況，通常是蹲下又很快站起來就會這樣，不曉得壓迫到什麼，然後站起時突然右下抽痛也是很快就不痛了，奇怪的是發作的時間不一定，有時蹲下又快速站起也不會這樣，就是偶爾會這樣。 不曉得這個掛肝膽腸胃科是否正確？或需要改看婦科呢？ 另外想詢問這個狀況大概是發生了什麼事情呢？ 有沒有可能跟前兩天肚臍微微發炎有關係呢？ 感謝您的耐心解答，祝您平安順心。 | 若多與姿勢有關，可能是神經肌肉的問題。可局部熱敷，注意姿勢動作，暫不提重物。仍不適可再就醫。 | [
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| 肛門問題 | 今天早上大便完後，突然感覺到肛門外有一粒東西，就一直卡在屁縫間 | Hi： 您好， 排完便肛門外有東西，痔瘡有可能會跑出來又縮回去或是皮膚長東西。多喝水多吃纖維，維持大便順暢，若異物感沒改善，建議大腸直腸科或腸胃科檢查。 祝 平安健康！ 衛生福利部桃園醫院 腸胃科主治醫師 林明慧敬復 | [
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1精神科
| 慮病 | 醫生您好 我有慮病的問題，比如說會很近的去檢查自己的眼白擔心有血絲，或者是每天量身上的痣之類的，常常都心情很不好。之前有看過醫生醫生說這些是強迫思考，不要理會擔心身體的症狀，更不要進而去照鏡子看眼白拿尺量痣，慢慢就會舒緩。 請問醫生是這樣子嗎這些焦慮的念頭只要不理會它，是可以自然消退的嗎還是我一輩子就得這樣子呢 謝謝 | 麥麥您好： 如您的醫師所說，這是慮病的強迫思考。 一般而言，執著思考這些身體的細節，若能以其他的活動、其他的目標等來取代，這些思考可能可以轉移和緩解。至於這個狀況未來有沒有可能改變，因人而異。建議您可以先試著在正在檢查身體細節狀況時，先特別提醒自己「我看過就好」、「其實這個沒什麼」，然後把注意力轉移到其他事情上。多練習幾次看看是否可以改善。 若改善有限，建議您可以尋求專業的協助，可考慮認知行為治療來改善您的強迫思考。謝謝！ | [
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0婦產科
| 子宮頸癌疫苗問題 | 醫師您好 我本於2023.08.04施打過九價疫苗第一劑，但後因故於2023.12.02才換診所施打九價第二劑，此時被新診所醫師告知，因超時所以施打的第一劑近乎無效，要將2023.12.02施打的作為第一劑重新計算時間。 請問這樣第一劑真的可以當作完全無效重新再施打三劑嗎？ 如果不是無效，那2023.12.02的就能當作已施打第二劑？ 主要疑慮是如果2023.12.02當作第一劑，但其實並不是沒效果相當於已經打第二階，那新診所讓我2024.02.02回去打的第二劑就等於第三劑，這樣時間只有兩個月間隔又過短，不太確定這樣時間安排是否妥當，是否可以在兩個月再回去打新診所說的第二劑，再麻煩醫師說明，謝謝 | 為達到預期之保護力，建議依期程將疫苗接種完畢，若未能按期程接種疫苗，請諮詢您的主治醫師是否繼續完成接種。 | [
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4心臟血管專科
| 心跳問題 | 主任謝謝您撥空時間回答 心跳比較快的問題，心律不整的話我一天之前檢查有大概400-500下的心室早期收縮，醫生說沒關係可以不理他，但我的身體很奇怪一個症狀好一點像是漏拍變少，就有另一個症狀心跳變快，最近左胸奶頭右邊一公分的位子左右都會不時都有刺痛的感覺，這會讓我有點快恐慌症的感覺，怕是不是心血管有一點阻塞，導致會刺痛、悶痛，不是倒是不是害怕的關係有時候還會導致背有酸酸的、心臟酸酸感覺沒力的感覺⋯⋯主任我需要去照張心電圖看看嗎？我站著到心跳大概105，走路大概會到110-120這樣的心跳會不會不正常，但坐著或躺著才會回到75-85讓我一直躺著不太敢起來亂動.另外想要不好意思地請教主任一下，手淫導致心臟加快，導致射精玩會有種涼涼慌慌的感覺，是不是不適合手淫，長期下來到心跳興奮加快是不是對心臟不好也會導致自律神經失調？不好意思問這問題謝謝主任回答，另外我心律不整心跳快我可以補充穀維素GABA、B群，調節我的自律神經嗎？感謝主任，您真的是一位好醫生，為您祈福∼祝平安，謝謝您！ | 您好 左胸刺痛感 悶痛背酸多是肌肉神經的症狀 可以補充穀維素GABA、B群 不放心當然可以照張心電圖 多半沒事 站著心跳105，走路110-120 不會不正常 不亂沒心律不整都無礙 不用都躺著不太敢起來 手淫導致心臟加快正常 不會對心臟不好 多起來活動運動 別躺著亂想 自律神經失調可以改善的 平安 為您禱告 彰化醫院關心您 | [
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12胸腔內科
| 咳嗽 | 6月份去照x光及驗痰，說抹片沒有問題，但是結核菌要等一陣子才有答案，一直到現在症狀是胸口有痰，要一直咳，才能咳出白黃痰！一整天就只有一次感覺胸口有痰想咳出，咳完就喉嚨沒有異物感好很多，但是每日都一樣。早上起來喉嚨都會乾痛。想請問醫生，該怎麼改善？ | MOMO您好 目前仍有呼吸道症狀如果造成您的生活困擾建議繼續使用症狀治療藥物有時候需要長一點時間症狀才會消失等有較明確痰培養結果或後續X光檢查有變化醫師會再向您解釋病情或調整藥物 祝 好 | [
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| 人工受精 | 請問一下我的月經於一月卅日來潮四月十二日醫生確認懷孕九週因怕懷孕期間服用一些藥物引起胎兒異常於四月十六日做人工流產請問我下一次懷孕需間隔多久對身體比較好人工流產會不會有後遺症需注意那些事項請告知 | 署立台南醫院 婦產科吳宗城主人回答 pauline您好 人工流產是比較安全的手術一般而言並不會有後遺症人工流產最常見的問題是發炎因此手術後休息2天服用抗生藥即可預防發炎流產後間隔3個月即可在懷孕 | [
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| 陰莖問題 | 有包莖問題，在勃起時仍可露出一點龜頭，那這樣會影響性行為的射精嗎 | 大伯 你好 不會影響勃起跟射精。 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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| 出血 | 醫生你好 我3月底開巧囊4月開始打長效達菲林2針後 我1112開始吃異位寧 結果1114那天晚上要準備上大號前陰道流了差不多10塊錢大小的血 就這一次 確定是陰道出來的不是大腸3月已照過大腸鏡 最近這幾天就沒有像那天一樣出血 但還是跟之前打達菲林時差不多，就是23天就有發現內褲上有一些點狀出血 1以上23天就有點狀出血這樣正常嗎 通常這種是會在內褲看到偏淺咖啡色，但是擦拭的衛生紙上沒有，1114那天是內褲有偏橘紅色血衛生紙上也有一點血 2３０歲以上無性經驗有罹患子宮頸癌的危險嗎 如果沒有性經驗不想弄破處女模要怎麼檢查子宮頸癌 3聽說異常出血也跟子宮頸癌有關 那我現在在治療中的點狀出血和子宮頸癌不就沒辦法分辨了嗎 該怎麼分辨呢 謝謝 | 1. 這是正常的現象，出血不會太多。 2. 理論上是有的，所以告知醫師後，仍可做抹片而不會破壞處女膜。 3. 這需由臨床醫師檢查後才能判定。 | [
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2牙科
| 口腔 | 十一月初發現右邊門牙開始數第五顆位置左右的口腔粘膜有黑色突起，看起來有連接血管，不痛不癢，只是已經兩個月了，不見消失，好像有那麼一點長大、有時會被藏在皺摺裡，要拉拉嘴巴拉平才可以完全顯示出來，大約0.2mm-0.3mm，不知道這是什麼，洗牙時有問牙醫，但他也不是很確定，只說長大了再去看醫生，再麻煩醫生給個方向，這要看哪一科，謝謝 | 建議找牙醫師做檢查，確認是否是牙齒牙根尖感染或發炎引起的廔管通道口腔黏膜表面。 南投醫院牙科 曾光暉主任 | [
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| 出血 | 醫生您好， 我這個月的經期在1224結束，當天晚上有進行無套性行為，隔天馬上就去買安立婷服用。但在1230又突然有出血，而且量不少，想請問這算是服用事後避孕藥的亂經嗎？ | 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。而事後避孕藥對月經的影響也不一定是提早或延後，它的避孕效果也不是百分之百。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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| 精索靜脈曲張 | 許醫生您好 很抱歉又來打擾您 在做精索靜脈曲張手術前 左側睪丸就有明顯的下垂 但左側睪丸卻比較小 術後陰囊收縮時可看出左側睪丸較小 但是鬆弛時左邊依然下垂的很嚴重 也有不舒服的感覺 經過回診後 醫生說左側靜脈他摸過之後感覺都萎縮了 但我摸還是有腫脹的感覺 況且左側睪丸下垂的很明顯、而且騎車震動到都會疼痛 手術完一個禮拜是摸到左側睪丸就會痛（持續24小時） 現在是摸不出來哪裡痛，但是震動到會痛 嚴重影響到我。 許醫生您有說過大約經過六個月才會漫漫改善 但我的醫生卻說血管已經萎縮了，不知道何者是正確的？ 我開刀到現在經過兩個多月。 造成我非常大的困擾 謝謝醫生的回覆。 | dd 你好 不知道你有沒有欣賞藝術的習慣？可以看一些男性雕塑或男性裸體畫，睪丸都是左側比較低。這在大多數人都長這樣子的。 手術後，並無法將左側下垂的現象立刻矯正過來，需要時間，一般至少需要6個月以上的時間。有的人，甚至下垂的改善非常有限。 至於血管的萎縮，一般在6個月內可以很明顯看到改善：快的話，1-2個月；最慢大約6-8個月。 至於睪丸比較小，可能手術後的改善有限。手術只能夠避免惡化，讓睪丸恢復功能，但是大小變大的機會不高。 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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| 避孕 | 吃了感冒藥之後，大概半小時後與男友發生關係，不小心套子破了內射了一點；在二十分鐘內食用了事後避孕藥 請問感冒藥會影響事後避孕藥的效果嗎？ 感冒藥大概是止咳跟鼻水、胃痛、頭痛昏效用的 | 您好 一般不影響。祝健康 | [
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1精神科
| 藥物問題 | 我服用的藥是氟西汀，我目前吃了五天，雖然我知道藥需要服用兩個禮拜以上才能作用， 可是我憂鬱的時候還是會想我都已經吃藥了，這麼想自殺是怎樣，煩死了。然後我就會很生氣，到底為甚麼一定要吃兩周以上才能發揮藥效呢 而且吃了藥後的第一天就有感覺到沒有像以前一樣一直想睡覺，而且上課也能比較冷靜聽老師說話，但是我吃了以後，白天都睡不著，都不能用睡覺來逃避， 反而覺得焦慮了時候只能自殘，不是說要兩周才會作用嗎那我覺得有作用是心理作用還是啊是甚麼情況阿 而且醫生說我還小所以一天吃一顆，可是我好想吃很多很多，如果吃太多會怎麼樣 | 妳好 憂鬱的治療，必須要很有耐心，衝動煩燥時，建議轉移注意力到其他的事物上如運動、聽音樂、散步、創作、閱讀等。 憂鬱的治療除了藥物治療以外，心理調適和環境的改變也很重要，建議學習更好的紓壓方法。 如果對藥物治療有疑問，最好的方式是提前回診與醫師當面討論。 祝福妳 早日康復 | [
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5泌尿科
| 龜頭問題 | 你好，我是前面龜頭出現一塊瘀青色然後皺皺的24歲男 結果我昨天去看別的醫生，他又說這只是物理性的摩擦傷非前一位醫師說的濕疹 說之前看得出來有發炎的跡象，但現在已經沒了 然後追問他這有沒有什麼細菌感染之類的，他也說沒有 然後開了一條Elomet cream乳膏給我擦 但我問他這大概什麼時候會好，他也說不知道. 總之他似乎認為這不是什麼問題。 請問一下物理性的摩擦傷會兩個月還沒好嗎？ 還沒好的期間是否不適宜進行自慰口交或性行為呢？ 有什麼方法可以讓他快點好嗎？ 如過多久還沒好的話可能是異常狀況呢？ 謝謝。 | 24歲男： 你好 可能局部瘀青（物理性擦傷）造成。 若沒有感染，無須治療。也可以有性行為。若擔心，可以使用保險套。 可以局部熱敷，增加循環，可以有幫助。 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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0婦產科
| 避孕 | 女朋友上個月經期因為已經忘記 而我記得女朋友上個月來的時候的映像大概是在73左右 728，29都有發生性行為 729晚上大概8，9點左右 女朋友有買事後避孕藥 可是在730早上9點左右 又發生性行為 想請問一下這樣避孕藥是否有用 因為如果照我印象中的時間 已經過了5，6天了 而女朋友說她經期有時候不一定 想請問這樣懷孕的機率高不高 謝謝 | 提問者您好依您的描述而言，是有懷孕的機會，目前因為已過多天，建議如果月經過期一週未來，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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| 驗孕問題 | 醫生您好： 我的月經在這半年的分別是 6月 11-16 7月 19-25 8月 23-28 9月、10月 25-30 這個月是6、7、13有進行性行為，男友全程帶保險套（13不確定是否有在洞口先抽插幾下再戴套），結束會灌水檢查沒問題。 APP預計我原本1127就會來，目前推遲四天，有上網查了正負七天月經都在正常範圍內，不論是從6、7、13算都已經過了兩週，我該繼續等還是先買驗孕棒自己驗看看？ Ps：最近忙碌熬夜很兇，不確定是不是只是內分泌失調造成 謝謝醫生回覆 | 您好 懷孕機率應該是不大，可以驗孕看看。祝你健康 | [
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13肝膽腸胃科
| 大腸直腸癌 | 醫師你好 我今天26歲，在今年8月多時候，大便時，馬桶大量出血，發現大便時擦屁股發生有出血有紅色黏液，後來一、兩個禮拜還是沒有好，9月中後跑去馬偕做了第一次大腸鏡檢查免費只要付掛號費.之類，檢查切片後發現有息肉已切除還有潰瘍、發炎，但是好幾個禮拜後還是持續性出血有紅色黏液血塊沒有好，11月中跑去轉診到北部最大的台x醫院，做了第二次大腸鏡檢查自費，大腸鏡檢查中護士告知我家人說有息肉已切除，但回診看報告問醫師說我在大腸鏡檢查時是否有切除息肉，但醫師竟然回我沒有息肉阿，只是切片而已無言，不知是真是假，醫師回答報告只有腸發炎，還有潰瘍，回家後過兩三個禮拜，還是持續性出血有紅色黏液血塊也是沒有好大便顏色深咖啡色。 想請問醫師，都已經做了兩次大腸鏡檢查，過這麼久幾個月了還是沒有改善，每天也是上1.2次廁所也有多喝水，那我該怎麼辦再等幾個禮拜看是否改善嗎還是說做內視鏡X光更進一步檢查現在毫無頭緒可以請醫師給我個建議嗎感謝醫師 | 先生您好 建議您可彙整兩家醫院的檢查報告及病理報告，選擇其中一家，配合檢查用藥並長期追蹤即可。 彰化醫院關心您的健康 陳詩典 | [
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10兒科
| 寶寶生長發育 | 余醫師 您好我兒子即將滿6歲很不容易入睡不論早上床或晚上床他都翻來覆去老半天才能睡著我試過很多方法都沒什麼效果看他明明很累了卻依然沒睡著.他從小就這樣不知道不易入眠是不是遺傳因為我也是這樣.他身高116體重20也少生病一切還算正t常只有睡眠問題讓我大傷腦筋請問有沒有什麼營養藥劑吃了也有安眠功效而沒有任何副作用的謝謝 | 睡眠障礙的原因很多：1.器質性，如絞痛、藥物或刺激品可樂、咖啡、茶、疾病。2.類睡眠，如夢遊、睡眠恐懼、遺尿。3.睡眠覺醒程序失調，如白天睡、晚間醒或延遲睡眠時間。4.環境和社會心裡因素，如夜晚覺醒需介入或給予飲料、父母的焦慮、分離焦慮、家庭壓力等。您的小孩身高116公分，體重20公斤，生長情形良好，若排除掉1.2.項原因，可就精神科作家庭諮商、行為治療。 | [
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Subsets and Splits