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5泌尿科
| 自慰 | 晨勃正常，幾乎每次睡覺後都會硬，硬度感覺也很足夠，可是在上廁所後自慰或坐著自慰到一半突然站起來自慰後陰莖都會突然軟掉後面就很難再硬起來，龜頭與表皮都呈現蒼白色，但休息5分鐘左右龜頭與表皮顏色又跟平常一樣這時再自慰還是會變成蒼白色，請問醫師這狀況是什麼問題會跟本身有二尖瓣膜脫垂有關嗎或是其他問題正常情況自慰硬度都還可以且能5分鐘以上 | 您好 1. 晨勃正常應循環血管還 OK 2. 上廁所後自慰或坐著自慰到一半突然站起來自慰後陰莖都會突然軟掉後面就很難再硬起來，龜頭與表皮都呈現蒼白色--很難說一般多為血管加心理 一般要找原因要到大醫院診查 3. 會跟本身有二尖瓣膜脫垂有關嗎或是其他問題--應無關. 祝健康. | [
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| 口服避孕藥 | 醫生你好，我本身已服用溫不妊21天型（黃色藥丸）的事前藥好幾個月了，都有按時吃，都是不管間隔幾天，固定在月經第五天吃，偶爾會多吃幾天或是直接吃下一包來做延經，所以月經也沒算固定每個月讓固定時間來。 想詢問若這次吃藥，因為原本看診的診所未開，所以這次月經第五天來的時候先去藥局買溫不妊28天型的，而45只吃了一顆之後隔天診所開門就有去看診拿了原本21天型的避孕藥然後恢復21天的吃法照吃到，在49開始到現在都有性行為，無套有內射且因為紀錄月經的App顯示416為排卵期，想請問有可能懷孕嗎？ 懷孕機率高還是低？ 還有，我想詢問說，事前藥的作用是抑制排卵，查資料很多都說吃藥需滿7天才能完全達到抑制排卵的藥物劑量，才有完全的避孕效果，可是我已經吃好幾個月了，想問說是每個月每一包都要吃七天才有足夠的避孕效果，還是這服滿七天的說法指的只是第一次使用事前藥的第一包？ | 服用溫不妊21天型（黃色藥丸）的事前藥好幾個月了，都有按時吃，都是不管間隔幾天，固定在月經第五天吃，偶爾會多吃幾天或是直接吃下一包來做延經，所以月經也沒算固定每個月讓固定時間來。 想詢問若這次吃藥，因為原本看診的診所未開，所以這次月經第五天來的時候先去藥局買溫不妊28天型的，而45只吃了一顆之後隔天診所開門就有去看診拿了原本21天型的避孕藥然後恢復21天的吃法照吃到，在49開始到現在都有性行為，無套有內射且因為紀錄月經的App顯示416為排卵期，想請問 1.有可能懷孕嗎？ 懷孕機率高還是低？ Ans 不大可能懷孕 2.事前藥的作用是抑制排卵，查資料很多都說吃藥需滿7天才能完全達到抑制排卵的藥物劑量，才有完全的避孕效果，可是我已經吃好幾個月了，想問說是每個月每一包都要吃七天才有足夠的避孕效果，還是這服滿七天的說法指的只是第一次使用事前藥的第一包？ Ans 服滿七天的說法指的是第一次使用事前藥的第一包 | [
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| 避孕 | 您好，我的女朋友因對於保險套的材質有些不適，因此已經持續、不間斷的服用事前避孕藥，約一年半的時間。 她服用的是21錠的避孕藥，經期開始於623日，630日我們有發生性行為，並在事後吃下一盒的第一顆避孕藥。 但這次服藥的時間卻比預計時間晚了兩天也就是過了九天才開始服用下一盒避孕藥。 因此想請問 1. 請問這樣是否有懷孕的可能性？機會高嗎？ 2. 在接續下一盒避孕藥時，從第幾錠開始才有完整的避孕效果？ | 女朋友因對於保險套的材質有些不適，因此已經持續、不間斷的服用事前避孕藥，約一年半的時間。 她服用的是21錠的避孕藥，經期開始於623日，630日我們有發生性行為，並在事後吃下一盒的第一顆避孕藥。 但這次服藥的時間卻比預計時間晚了兩天也就是過了九天才開始服用下一盒避孕藥。 因此想請問 1. 請問這樣是否有懷孕的可能性？機會高嗎？ Ans 經期過了九天才開始服用下一盒避孕藥是有懷孕的可能性 但機會不高 2. 在接續下一盒避孕藥時，從第幾錠開始才有完整的避孕效果？ Ans 正常接續下一盒避孕藥時，從第一錠開始便有完整的避孕效果 | [
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| 藥物諮詢 | 林醫師您好 請問狹心症用葯鈣離子阻断劑会不会加重胃食道逆流狀況，懇請解惑，不勝感激 | Hi： 您好， 引起食道逆流原因很多，包括生活習慣，飲食，藥物等。 狹心症藥物Nitrates 及鈣離子通道阻斷劑會影響下食道括約肌壓力，引起或加重胃食道逆流，跟劑量有關。 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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| 骨折 | 李醫師您好，因為我的主治醫師跟我說不用復建，只需在家自已將腳板上下活動即可，如果復建能減輕疼痛嗎？不好意思，佔用您寶貴時間！ | 您好： 雖然您的主治醫師說不用復健，我個人建議您仍可以請復健科醫師評估一下，做幾次復健試試看，有的時候的確可以減輕疼痛，但不是百分之一百有效。 如果您仍有疑慮，也可以尋求另一位骨科醫師的意見，聽專家的意見，總比道聽塗說建設性。 祝早日康復 | [
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5泌尿科
| 攝護腺 | 請問一下醫生，如果攝護線癌骨頭轉移了（只有一邊腳，有骨頭侵蝕而已），請問一下如果用鐳-223會有效治療嗎，目前已經做完電療治療了，可以搭配實用嗎，會有明顯效果嗎，能生命能維持多久 | 您好 此種情形要完整評估 當然骨頭轉移代表癌細胞活躍 為免繼續擴散 電療一定會有效果只是能維持多久生命 應與醫師討論. 不過大多只能說個機會百分比. 祝健康 | [
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0婦產科
| 抹片檢查 | 醫生你好，今日有陪同家人去婦產科看診，請問想做抹片檢查有沒有什麼限制？ 最好是在什麼時候做檢查比較好？ 有什麼需要注意的事項嗎？ 目前已有性行為，22歲 沒有性病史 | 有過性經驗就可以採檢。但 30 歲之後健保給付一年一次；30 歲前需自費採檢。 | [
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13肝膽腸胃科
| 排便問題 | 最近排便不順暢. 但不是便秘.我的食量算大但是最近排便量卻變少天天排便 總是覺得排不乾淨. 而且要花很大的力氣才排的出來.糞便形狀細細小小的 沒有流血. 而且有時會覺得肛門內部有不適感. 體重增加. 常常會想放屁.都忍住 ps最近尿液變的很黃 | 您好 若沒有大腸癌家族史体重減輕出血這些症狀可能還是腸蠕動異常引起的建議您多喝水多吃木瓜香蕉蔬菜多運動若還是沒改善可看直腸外科。 內科袁宏道醫師敬覆 | [
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| 胃潰瘍 | 林醫師你好 我母親最近檢查出胃潰瘍 我知胃潰瘍的患者在飲食方面需要吃一些易消化的食品 像糯米這種東西就不要吃 我想請問因為我母親之前都在吃糙米 那糙米是不是也屬於不易消化的食品如果是我就要請我母親暫時不要吃 先謝謝醫生的回答與幫忙 Lohas King | Lohas King您好： 建議吃清淡易消化食物，糙米較白米富含纖維、蛋白質、維他命，但可能較白米硬，需要咬嚼，才能消化吸收，咬絕能力好者，應該沒有影響 祝健康 衛生署桃園醫院 林明慧醫師敬啟 | [
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12胸腔內科
| 肺炎 | 親愛的曲醫師您好 我是一個很無助的病人家屬.我的外婆今年的九月二十三日因不明腹痛而被送進了苗栗市一間綜合醫院最先醫師研判是腹膜炎所以在當天就緊急開刀開刀後住進加護病房一直至今己十九天本來我外婆是因為”腹膜炎引起的漲氣而肺部發炎”醫生說的肺炎而導致呼吸喘人本來是清醒的就在上星期四之後醫生開始給我外婆二十四小時施打鎮定劑讓病人呈現睡眠狀態因為”病人清醒時會很喘而不舒服”醫生說的為了”不讓病人喘的這樣痛苦”所以給病人長時間施打鎮定劑至今己經施打了七天了做為家屬的我不禁懷疑. 問題1.施打鎮定劑難道不會有副作用嗎但那位主治醫師說沒有副作用. 問題2.病人長時間打鎮定來舒緩痛苦但治療了痛苦嗎是否治標而未治本 問題3.長時間以鎮定劑難道不會加重肺炎的惡化 問題4.在鎮定劑的施打下難道病人體質會自己復原肺炎還是在嗎 曲醫師.求你幫幫忙回答問題時間緊迫感謝您的大恩大德 | 辣果醬老師、您好：： 您的問題均牽扯到疾病本身治療方向是否得當，藥物使用時積極方式是否適宜。在不知藥物名稱及各項檢查結果又沒有實際看過病人的狀況下，實不宜回覆，尚請見諒感謝您的使用「台灣e院」提問題，「台灣e院」關心您的健康。 曲長科 | [
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13肝膽腸胃科
| 上腹部問題 | 您好， 本人從今年2月1日開始， 上腹整天都感覺很悶脹，晚上睡覺感覺好一點，有時候也不舒服，影響睡眠。 有時左上腹會痛，看幾次醫生都吃制胃酸藥，都沒有效。 之後去大醫院，照腸正常，照腹部ct scan正常 ，照胃有輕微胃竇炎，胃壁有點輕微出血。 醫生開了14天vonoprazan。 不過感覺很奇怪，一次照腸之後，胃好了三天，過後又開始悶脹。ct scan照胃前，我壓力也很大，在我知道結果只有輕微胃竇炎，整個胃感覺好一些，吃了三天藥，就感覺完全好了。但是第10天，早上起床上腹會痛，那之後，我的胃又出現跟之前一樣問題，就是悶脹。 之後一直換藥。也是沒有好。 我很擔心體重一直跌，2月56kg到現在 4月51kg，輕了5kg 這二天開始，有時候，會想吐，吃飯時間到，肚子會叫，但沒胃口也不感覺餓，但是我可以吃完，不會反胃。 現在吃著ganaton 50mg mucosta 100mg。 請問我到底怎麼了？醫生說我的胃竇炎是輕微發炎，但是為何一直不會好？就是感覺很悶脹，有時屁股背酸痛，严重影響我的生活工作。 請求您能給我寶貴意見！ 感謝您醫師！ 小雄 | 您好 vonoprazan是新型的抑制胃酸的藥物屬於更長效型的，補足現行氫離子阻斷劑藥效不到24小時之缺點。使用後仍有症狀顯然胃酸不是主因。要注意是否有蠕動過快，或是，其它內分泌的問題（如：甲狀腺機能亢進），或根本就是生活飲食習慣不正常，或是情緒過度焦慮，或是否有服用止痛藥。因為電腦斷層可以排除胰臟病灶。可以再回診和醫師討論，適合您的治療。 彰化醫院關心您的健康 蔡安順醫師 | [
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| 牙周病 | 您好：自已有很嚴重的牙周病 而我目前有的部份已嚴重到一、二顆牙齒掉落，醫生評估得全口重建，一次要我拔掉二十幾顆牙，雖然已經是不健康的牙了，但這樣一次性拔安全嗎，真的很害怕 | dear paggy小姐您好依所述牙周病應已造成很大的困擾基本上心臟若無問題拔一二十顆牙齒應不是問題一定要保持清潔才能保健康 多保重祝一切平安順利 牙科 黃廷芳主任敬上 | [
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6骨科
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0婦產科
| 事前避孕藥 | 因痘痘增加，近期有吃皮膚科所開立之藥物，可能有抗生素， 請問是否可同時吃事前避孕藥呢 會影響避孕效果嗎 | 提問您好 與口服避孕藥會產生交互作用的藥品有： 1.抗生素盤尼西林Penicillin、Cephalosporines、紅黴素Erythromycin、磺胺類Sulfonamides、Bactrim、Chloramphenicol，Doxycycline 會降低口服避孕藥的藥效，當服用doxycycline 時必須採取其它的避孕 -可能會減少胃腸道內幫助吸收的菌叢，因而降低避孕藥的效果 2.安眠藥Barbiturate -增加避孕藥的代謝，降低避孕效果 3.治療癲癇的藥品Primidone、Phenytoin、Carbamazepine -增加避孕藥的代謝，降低避孕效果 4.治療結核病的藥物Rifampicin、Isoniazid 5.降血糖藥物Rosiglitazone 6.Acetaminophen普拿疼、Ascorbic acid維生素C -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。 7.口服避孕藥，會影響抗凝血劑的作用 8.抽菸 -增加避孕藥的代謝，降低避孕效果 所以如果服用避孕藥期間必須要服用上述相關藥物，最好做好七天額外避孕措施，謝謝 祝 平安 健康 張 醫師 回 | [
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4心臟血管專科
| 三尖瓣脫垂 | 醫師您好！我是高瘦型的男性，三個多月前心臟超音波發現“二尖瓣脫垂合併輕度逆流”，我本身是打拳擊的，每天都會激烈運動，最近一個月開始出現胸悶、吸不上氣、運動時頭暈的感覺，而且越來越加劇，仰躺睡覺也會覺得胸口壓了一塊大石，上次就醫醫生給我Inderal說能緩解症狀，還要我避免繼續激烈運動、重訓和胸口被打擊到，但是這項運動對我來說幾乎是我的生命意義，而且我只有23歲，我想請問： 1.我爬文過一些英文網站，說只有二尖瓣逆流重度或者出現心臟收縮功能失調的狀況才符合二尖瓣修補手術的適應症，請問有可能提早在二尖瓣惡化以前就先手術嗎？比如考量症狀或個人因素而在輕度逆流就修補？ 2.有可能修補以後，恢復到一般人的心臟水準嗎？還是從此運動能力都會下降？越早開越早壞？像換瓣膜一樣？ 3.如果最後不開，有甚麼彌補的方法而不放棄重訓跟拳擊嗎？ 拜託醫生了，謝謝您的回答！ | 您好 不見得是二尖瓣脫垂引起之症狀 二尖瓣脫垂合併輕度逆流應該已經很久了 為什麼這一個月才有症狀 可能最近想太多焦慮自律神經失調引起之機率高 輕度逆流就修補沒聽說過 沒人這麼做 效果如何無從得知 先把心情放開 從頭開始 慢慢增加運動強度試試 平安 彰化醫院關心您 | [
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5泌尿科
| 尿尿問題 | 醫師你好： 我想問是否馬桶上有螞蟻，就是代表患有糖尿病 還有一般尿液檢驗是否能檢查出有糖尿病，因為我最近有去泌尿科看診，且醫師有幫我做尿液檢驗，都沒問題。只是我最近我看到我的馬桶上有螞蟻，讓我心裡有點擔心。 | 先生您好 尿液檢驗出糖分只能當作參考用.最好加驗血液的血糖以確認是否有糖尿病 行政院衛生署新竹醫院泌尿科主治醫師賴榮豪敬覆 | [
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1精神科
| 適應障礙 | 我女兒今年19歲，高中畢業後沒繼續升學，於是她去工作，做媽媽的我很高興她能利用這個機會 適應社會的環境和工作的環境，雖然剛開始她很不習慣，遇到困難都會想放棄，我一直在她身邊 鼓勵她，一年後她習慣了工作的環境，她的行為和態度變得很偏差，例如 1，做人就是要自私不 然就會被欺負 2，容易沒耐心和不順她的意就發脾氣 3，上司叫她做事情一句那不是我的事情我 不要做 4，出現幼稚的行為-午休睡不著跟著大她一歲的同事在廁所拿十元硬幣把鎖住的把手打開 5，很多很多負面的情緒-活著好累.等，幾個月前她因為胸痛和心悸去心臟內科檢查，心臟是 沒問題的，醫師說是自律神經失調，這幾個月變嚴重了，有心律不整的情況，乙型交感阻斷劑加重 劑量，也有服用抗焦慮藥物，心臟科醫師告訴我這要靠她自己，做媽媽的我不知道改怎麼幫她，女 兒告訴我，她無法控制她的脾氣，無法控制她的擔心，她的壓力來自於工作，她的幼稚行為只是想 轉移那緊張不安的情緒 | 您好 如果壓力是來自於工作，建議繼一步探討來自於工作中的哪些部份，是工作量大時間趕不熟悉還是人際互動的問題然後再討可行的因應方式。 如果她的行為是為了轉移不安的情緒，那就是要找出其他有效可轉移不安情緒的行為。 她有一些想法可能與她過去的經驗有關，也許她曾經覺得被欺負很委屈，當發脾氣時別人不再欺負她或是不再靠近她。 建議除了負面事件外，也和她多討論正向的事件，如她的興趣和夢想，以及如何接近或實現夢想。 但是若是情形一直沒有改善，建議可就醫尋求協助。 祝福您 | [
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5泌尿科
| 陰部問題 | 因囊受到小劃傷 有一些流血 用75的酒精消毒 但是因為貼在陰囊上面 過了幾秒覺得傷口附近熱熱的 我猜是酒精經由血液滲入 不知道這樣子會不會造成不良影響 煩請解惑 謝謝 | 小呆您好 您這樣的處理是可以酒精消毒後只要傷口不發炎不會造成不良影響請放心.如果仍有問題可以到門診來檢查. 祝健康 醫師黃熾楷2003.8.19.100pm. | [
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9整型外科
| 臉部問題 | 周醫生您好，有幾個問題想請問您。 1.最近有點常打哈欠，然後今天打哈欠的時候覺得左邊肌肉有比較往上，想請問經常打哈欠會改變臉的長相嗎？ 2.有什麼壞習慣會變醜？ 3.平常保持怎麼樣的習慣可以變帥？ 謝謝醫生 | 1. 經常打哈欠，大部分是不會改變臉的長相 2. 過度揉擦臉部，抹塗不適合的妝品或藥膏，大量的日曬，均會讓皮膚受損 3. 多多保持身體健康，營養及睡眠充足，自然就會帥 | [
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5泌尿科
| 割包皮 | 醫師您好∼ 前陣子去做雷射割包皮手術，今天是術後20天，還是會有一圈水腫的問題（但只是小腫），下方水腫處已經癒合結痂、且慢慢脫皮，但上方水腫處有看似傷口未癒合的問題（前兩天醫師診斷的結果∼），但並未有出血或滲組織液的現象，醫師就問我有沒有需要吃消炎藥，可吃可不吃（感覺起來是問題不大），並叮嚀我少走路、定時擦優點。 但實在有點疑惑為何上方和下方復原狀況差這麼多，我從手術後除了回診完全沒出門，中間也只有在第三週開始的時候淋浴一次，在傷口摩擦上應該是幾乎沒有，在猜想會不會是有時候陰毛會渣到傷口影響癒合（我在未勃起狀態下陰莖較短小，所以陰毛會有時接觸到傷口）（手術時剛剃，現在慢慢長出來） 想請問醫師有沒有相關解決辦法或是建議，能夠幫助傷口癒合？ | 您好 不同的部位因循環不同 生長也會有些差異 傷口癒合就是要保持清潔乾燥 洗後要擦乾 目前可正常活動 一般如果包皮傷口沒有發紅如果長的慢只要照顧都會長好.傷口平整要一段時間. 祝健康. | [
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| 懷孕機率 | 月經週期算規律，排卵期約在6號左右，上個月919來，一次通常來7天 109早晨進行性行為，全程戴套，後來要射時有拔掉套子進入3-5公分，淺淺兩下沒有射，在12小時內吃了愉婷錠，請問這樣懷孕大嗎 有去婦產科照卵巢超音波，醫生說卵巢沒有東西，請問這樣是已經排卵了嗎？這樣吃藥還有效嗎（醫生說當作催經 | 提問者您好 全程使用保險套的避孕失敗率在5以上，較其他方法更不可靠。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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5泌尿科
| 陰莖問題 | 上週某次自慰完後發現陰莖根部周圍會偶爾刺痛，之後幾天降低自慰頻率後狀況緩解了，這兩三天每天自慰一次後，昨晚開始陰莖根部周圍又再次不適，請問醫生這是什麼問題？ Ps.是陰莖根部周圍處不適 並不是陰莖本身 | 您好 可能是組織有受傷如果排尿無問題 暫時不要 DIY 如果排尿有問題要就醫. 祝健康 | [
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5泌尿科
| 陰莖問題 | 我今年15歲 有長腋毛 喉結長一點 聲音變一點 身體體型還沒有大人的感覺 肩膀也沒明顯變寛 我的陰莖沒勃起時 差不多4.5 勃起時差不多快11公分 我的BMI是17 請問我這樣的陰莖長度是正常的嗎 補充一下 我沒勃起時陰莖會呈現有種平行的狀態而不是垂直 不知道是不是因為我只有4.5公分的關係 感謝醫生花時間回覆我 謝謝 | 您好： 應正常範圍，正在發育，可以注意要運動，睡覺時間要夠，營養，還可再發育。另外我沒勃起時陰莖會呈現有種平行的狀態而不是垂直 不知道是不是因為我只有4.5公分的關係--》應不是，祝健康。 | [
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16腫瘤科
| 直腸癌 | 醫師您好家母為第四期直腸癌最近在肝上面又發現三點約13公分的腫瘤CEA為45時因為之前一些藥物都用過了所以決定用Cetuximab一禮拜為5FUCPT11一禮拜為Cetuximb至今兩個月請問 1.因為醫生說藥效無預期的好CEA為12腫瘤方面只剩一顆沒有改變故停止用Cetuximb改為兩個禮拜一次的5FUCPT11作三個月再看情形 2.家母似乎一些藥都使用過了去年10月份就復發使用射頻燒掉今年三月又復發使用自費藥家母是否無藥可醫 醫生是這麼說的.沒有藥了只能靠保養這種情況樂觀嗎Oxaliplatin這種藥治療家母有效嗎 | 您好 1.贊成這位醫師之作法。 2.我覺得不樂觀Oxaliplatin是否有效我建議您與主治醫師溝通。 腫瘤科陳斯榮醫師敬覆 | [
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| 懷孕嗎？ | 月經是1130來的 在1225的時候跟男友發生行為 無戴套也沒內射 但是之後發現陰道口有白色水水的液體 請問那個會是精液嗎？會懷孕嗎？ | 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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6骨科
| 腳趾 | 醫生您好， 大約八月中發現左腳第二隻腳趾的右下方側有長一顆圓圓的東西，按壓都不會痛，平時也沒感覺不會影響生活 原本以為會消下去，但到現在11月都還在 請問是否有建議的處理方式呢？會需要就醫切除嗎？ 謝謝您撥空回覆。 | 如果會疼痛才需要處理 或者越長越大影響到穿鞋 才需切除 | [
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11營養教室
| 營養諮詢 | 請問外面賣ㄉ那些榖類早餐真的好嗎 例如家樂氏等等的.很多人說早餐把榖類沖牛奶吃會降低鈣質吸收 還有說鐵鈣零 就是說吃下去等於吃廢物 那我早餐不就等於都在吃廢物. 還有請問那些榖類早餐後面都寫著含有很多維生素礦物質 那是不是吃那個等於吃了蔬菜等等的呢 | 您好 若縠類早餐標榜含鐵質量高而鈣與鐵在吸收上具拮抗作用因此會影響彼此的吸收率但吸收量應此非高鐵或高鈣者多所以不至於吃下去變廢物而維生素.礦物質的攝取若由各類蔬果或其他天然食物而來當然是最理想的。 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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| 耳咽管 | 醫生您好， 我大約於上個月初開始發生右耳悶且講話及聽聲音有回音、左耳則是單純悶塞但無回音，兩耳幾乎同時發生，隨後會發生暈眩，我的鼻子並沒有過敏或鼻塞流鼻水之症狀，前往醫院做聽力檢查及鼓室圖檢查結果並無太大問題，也有照鼻部內視鏡沒有異常、也無腫瘤，醫生開立鼻子過敏類固醇鼻噴劑止暈藥等相關藥物，但情況時而好轉、時而發作持續一個多月，想詢問此情況是否有其他原因如神經問題或是氣溫變化方面等？謝謝 | 您好 您所提的問題有可能是 1耳咽管功能不佳 最常見，不只坐飛機、登山、潛水會發生，用力擤鼻涕、彎腰也有可能產生。 2突發性耳中風 3中耳炎 a急性中耳炎多和上呼吸道感染感冒鼻竇炎等一起發生，嚴重時耳朵會流湯流膿 b慢性中耳炎急性發作多是之前耳膜就有破洞，因為不潔的水、或是不當挖耳朵，導致發炎 --上述疾病均可以經由就醫給予藥物治療而得到適當改善。 如果您已經至醫院做過純音聽力檢查需帶耳機，在隔音聽力室中，發出聲響請您按鈴，而非只用音叉測試，若您經過此項檢查，確定非突發性耳中風 耳聾，則有可能只服藥即可，但若您沒有做過純音聽力檢查，建議至醫院檢查，用以排除是否為突發性耳聾，突發性耳聾黃金治療期為兩週，盡早治療效果較好。 若症狀持續，建議就診為佳 祝平安健康 | [
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| 肝的問題 | 我想請問醫師一下 因為我去年作健檢的時候我的SGPT40 他報告寫說要在5-35UL才正常我有點偏高 請問SGPT偏高會怎樣嗎 我SGOT21. 因為我常熬夜現在還常常天亮才睡作息有點不正常 有時候也會喝酒喝比較多 跟這個有關嗎 而且整個人很容易疲累總覺得睡不夠 對我的課業也造成影響 有一股厭倦感 想請教醫師那我要怎治療 謝謝唷 | 回覆：（因林醫師休假，由陳治平醫師代為回覆） 您好 SGPT高於正常範圍表示有輕微肝機能異常，或許有慢性肝炎可能（如B、C型肝炎或飲酒有關），也可能是過度疲勞、生活不正常、熬夜有關，若體重過重也可能造成，建議您調整生活作息、規律生活、戒酒、充分休息，並至醫院檢查是否有慢性肝炎、脂肪肝等。 | [
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| 生理期疼痛 | 您好： 最近發現生理期時除了本來就有的偏頭痛外， 牙齒會很不舒服（尤其是有牙冠的），請問這也算是生理期疼痛的一種嗎？ | 提問者您好生理期間有些女性會牙齦腫痛，可以止痛藥改善，不過建議您需請牙科醫師檢查有無其他牙科原因，謝謝 祝 平安 健康 張 醫師 回 | [
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| 攝護腺 | 您好攝護腺癌四期骨轉移已出現骨痛PSA破百尚等待鐳223治療想詢問因目前使用安可坦壓制PSA上升速度若未來以鐳223治療期間合併持續使用安可坦不知道會不會有問題可否懇請簡醫師解惑臨床的參考依據謝謝您 | 您好： 個人了解，223 要申請使用，和安可坦不可併用。9.68.Radium-223如 Xofigo10831 限用於治療去勢抗性攝護腺癌castration-resistant prostate cancer病患，其 合併有症狀的骨轉移且尚未有臟器轉移者，且病人須符合下列三項條件 1.患者須合併有症狀之骨轉移且骨轉移≧2處 2.每位患者最高使用六個療程 3.須經事前審查核准後使用，申請時需檢附 1 .用藥紀錄證明為有症狀的骨轉移、需常規使用止痛藥物 2 .三個月內影像報告證明骨轉移≧2處 3 .三個月內影像報告證明無臟器轉移 4.不得合併使用 abiraterone、enzalutamide 及其他治療因惡性腫瘤伴隨骨骼事 件之藥品，如 denosumab、bisphosphonates 等。 enzalutamide 就是安可坦 | [
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| 避孕藥問題 | 醫師您好，上一包21天的悅己在上週六吃完，隔天周日沒有戴套有內射。因為前幾天月經剛好來第二天剛打完疫苗，想說先停藥等下次月經來。不知道是不是因為疫苗關係，打完疫苗後就沒有流經血了，有點擔心會不會有懷孕的風險我是否照常這周日繼續吃下一包悅己謝謝您。 | 您好 應該是不會懷孕，等月經來的第五天開始吃避孕藥。祝健康 | [
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| 口腔黏膜 | 醫生您好，我之前有做牙齒矯正治療，現在牙套已經拆了用維持器維持，但是每次拆了維持器過一段時間口腔黏膜就會脫落，請問這是正常的情形嗎？這樣是不是會提高癌症的發生率？ 謝謝醫生解答 | 您好 建議告知醫師此情況，看是否能換其他非固定形式的維持器。 | [
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| 脖子僵硬 | 醫師您好 我脖子有點偏右歪，日常生活不影響，脖子也可自由活動。 但是照像照起來不好看 請問該用什麼方法治療 用頸椎牽引器會有風險嗎 目前用12公斤 感謝醫師抽空解惑 | 呂先生您好 建議先來醫院評估斜頸的狀況與原因 成人較常見的是痙攣性斜頸症Spasmodic torticollis 1.成人痙攣性斜頸症Spasmodic torticollis可考慮注射肉毒桿菌素或使用肌肉鬆弛劑或帕金森病的藥物等 2.頸椎牽引器會有風險嗎 有 骨質疏鬆或頸椎不穩定的病患等不適合牽引，因為可能導致進一步的脊椎損傷 謝謝提問 | [
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1精神科
| 診斷 | 本人目前被診斷的名稱為妄想型思覺失調，但我並沒有什麼想像，反而是個很現實的人，這個病名和配藥讓我很慌張和焦慮，所以會線上搜尋藥品主治和副作用等，目前是鋰鹽兩顆立福全一顆和心律一顆柔靈平一顆，另外由於媽媽有看過精神科名醫推薦思覺患者穩定長期施打持續型針劑，所以還有每月一隻安利復美達。 但不確定是不是由於其他壓力，我靜坐不能的情況有些嚴重，容易走來走去和雙腳抖腳來舒緩情緒，我現在的精神科醫生也很有個性，我不太敢問她診斷過我雙極怎麼後來又變思覺，她會回我我是不是在質疑她的專業XD 另外我青少年時期被診斷過憂鬱症，現在有時候也會心情不好和感覺壓力很大，想請教以上綜合報導後，醫生您會有什麼更好或其他的配藥和針劑的組合呢？（副作用便秘和體重增加也是我想避免的） | 您好： 您其實還是可以詢問醫師為什麼會做出此一診斷，問問看醫師是否認為自己有妄想或幻覺等等症狀。當然妄想就是自己相信的事情但大多數人覺得那是不合邏輯的，但您至少可以聽聽別人的意見，然後瞭解這樣的想法是和社會其他人不同的；而幻覺就是只有您的感官有接收到那些感覺，但其他人都接收不到。這些症狀不管有沒有，都可以跟醫師討論。 藥物的部份，要探討看看靜坐不能是來自什麼原因，然後用什麼藥物可以改善，利福全和心律都有可能有幫助，可以考慮加量，也可以考慮其他的藥物。藥物組合當然就是這幾個精神藥物的療效要發揮，然後儘量減少副作用，像安立復的副作用就是很少的。這些都要討論、嘗試和追蹤觀察。最後是長效針，長效針和口服藥，如果同成份就是一樣的效果。不願意吃藥、常漏掉吃藥等等狀況下，可以考慮施打長效針。 唐嘉宏 | [
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0婦產科
| 月經 | 醫師您好 因抹片檢查為Mild dysplasiaCIN1 with koilocytes於上週四晚上有作小切片檢查 醫師有開了3天止血消炎藥，因週一上午回診傷口未完全癒合又多開了3天藥 週一晚上月經就來了正常週期日），但到了周二晚上月經好像就變少，週三早幾乎沒有 不知道是否因為藥物影響呢？ | 提問者您好 依您的描述，藥物是可能影響，但並沒有不良的反應，繼續吃完藥依時回診即可，謝謝！ 祝 平安 健康 張 醫師 回 | [
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0婦產科
| 分泌物 | 醫師你好 我一直很困惱，我月事以於519結束了，在523開始就出現月經前後出現的少量咖啡色血，不會黏黏的，有異味，不會癢，但會溼溼的，有時是黑黑的，有時腹部會悶痛，緊緊的感覺，很像我月事來之前的悶痛，腹部也一直大起來，不知是肥胖還是.，不知是怎麼了，以前從沒有過，不過有前幾個月，月事一直提前，有次結束後才14天又來，每次來一定經痛，時間約5天，但結束後會有黑色血持續3-4天，直到這次一直有咖啡色血，沒有進行性行為過，以上，不知醫生可以幫我解答嗎？謝謝 | 請就近前往婦科門診檢查為宜 | [
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10兒科
| 血小板 | 醫師您好， 之前小孩子有住院過幾次，107年的血小板都算正常，第一次住院抽血時是191，第二次住院抽血時是163兩者相隔1個月都是嘔吐腹瀉 只是這兩年小孩子血小板每次身體不適抽血的時候數值都偏低， 108年年初因腸胃炎住院抽血時是129 發燒嘔吐 108年年底流感住院抽血時是145 發燒 109年8月因腸胃炎住院抽血時是154，出院前再抽血是149 低燒嘔吐腹瀉 想請問醫師，如果在不舒服期間或是飲食不正常期間因腸胃炎期間吃很少且只能吃清淡，血小板會偏低嗎？ 因小孩子平常也很愛蹦跳，常有碰撞瘀青狀況雙腳，但是其他部位比較少瘀青，瘀青也是一塊那種，並非一點一點 如果那陣子比較少蹦跳碰撞的話瘀青也會明顯變少 因之前出院時醫師都沒提到此問題，但是今年出院的時候醫師有提到他這次血小板偏低不同醫師，請我們多留意，所以有調出這幾次的血液檢查報告， 擔心小孩子是不是血小板低下缺乏症紫斑症 | 一般的生病不舒服並不會造成血小板 低下 除非是比較特殊少見的嚴重疾病。 血小板十萬100以上都屬正常血小板低下缺乏症紫斑症的血小板是要低於兩萬。 平時注意身上有無 很多異常瘀青或紫斑口腔牙齦出血 或黑便血尿等異常出血狀況即可若無則血小板3到6個月追蹤即可。。 | [
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5泌尿科
| 感染性病 | 想請問一下，昨天有找性工作者 因本身就有嘴破火氣大引起 約莫有3天，無流血狀況 但不小心與性工作者有深吻的行為，請問一下 倘若對方是愛滋帶原者，我被傳染的機率會很大嗎 全程戴套性交 無套口交，只有深吻的行為 謝謝醫生 | 您好： 可參考 如性對象有傳染病，應為中高危險 無危險的－自慰 低危險的－相互手淫，淺吻，相互摩擦，戴保險套的性行為 中危險的－深吻，口交，體外射精 高危險的－沒有任何保護措施，造成傷口或出血 httpswww.cdc.gov.twFileGetZTz2fTlh4YwQhF94gqU3A | [
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1精神科
| 失眠 | 陳醫師你好： ４個星期前的某一天失眠後，陸陸續續都一直睡不好，甚至２∼３天的晚上都沒睡， 白天的時候會覺得昏昏沉沉的，後來家人有帶我去醫院拿些助眠的藥，但又怕吃了會 上癮，所以每天晚上睡前都會很矛盾，不知道該不該吃藥。心裡都會問說，今晚能不 能睡得著，有時不吃藥，就要翻好幾的小時，到最後心裡就會開始焦慮，心跳也會不 自覺的變快，這幾個星期一直都這樣，讓我很痛苦也很煩惱，有時候整晚沒睡就會出 現一些負面的想法，有時候也會哭了一整晚，也不知道自己為什麼突然會變這樣，以 前只要一躺下去就會睡得很好，從不覺得睡覺對我來說有甚麼困難的，但是現在只要 到了要睡覺的時間，就會開始擔心會睡不好，有時候我也會試著讓自己放鬆，但腦筋 卻很清醒，慢慢的就會覺得睡覺是一件痛苦的事，我還很年輕，不想一輩子都靠藥 物，有時候會想會不會是自己心理的問題，但卻又徬徨無助，不知道要怎麼解決這個 問題，所以希望陳醫師幫幫我∼ | 你好： 失眠是很複雜的問題，可能是原發性的，也可能是繼發性（因其他原因造成）的 你的問題裡面提到一點是「４個星期前的某一天」開始失眠 這麼印象深刻的日期，當天是否發生什麼事情呢？ 舉例來說，如果一個人失戀了，之後晚上常常睡不著 這就不是原發性失眠 而是需要去處理情傷這個部分 如果一個人身體有病痛，之後晚上常常睡不著 這要做的也是積極處理身體疾病 以擁有更好的睡眠舒適度 但如果是無緣無故，就開始有睡眠的困難 也許必須安排適當的檢查 或需要更多的會談去探討是否有壓力、焦慮症、憂鬱症等心理病因 從你的敘述裡面，唯一能確定的是睡眠造成妳很大的焦慮 而這個焦慮又惡性循環的讓妳更加難以入睡 在妳這麼年輕的年紀，當然要慎重避免藥物成癮的問題 只是如果已經達到「幾乎天天失眠，嚴重影響生活」的程度 以醫師的立場倒是會建議先服藥幾天 至少讓身體先能得到休息，也讓作息調整到正常 否則為了害怕藥物，強忍睡眠不足影響到健康 反而是得不償失的事情 在這段暫時服藥的時間裡（一般建議不連續超過三周） 必須改善睡眠環境，遵循睡眠衛生，養成適度運動的習慣 並解決身體上的疾病或精神上的困擾 對妳的狀況資訊還不足，我只能大約先回答到這裡 不過建議妳必須要積極的尋求解決睡眠問題 因為妳提到失眠已經開始造成妳的心情低落、還有對睡眠的預期性焦慮 再拖下去對健康是很不好的 陳醫師 | [
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0婦產科
| 懷孕 | 您好我前幾天自行用過驗孕盤結果顯示有懷孕今天去婦產科醫生用陰道超音波照後說我已懷孕7週又6天. 但是我很確定我一月份沒有性行為且自己曾在2月初時驗孕過是沒有懷孕的.我想請問為什麼會這樣呢懷孕的週數是怎麼算的呢我只有3月中跟2月中有性行為再之前就是1224跟11月中後難道精子可以存活半個月以上才受孕嗎.麻煩解答了謝謝 | 您好 您應是二月中受孕320應是接近懷孕七週超音波測胎兒誤差值一週以內是可以接受的您等下次產檢再測一次大小便可更正確的知道胎兒的真正大小了。 署立新竹醫院婦產科 鄭進和醫師 | [
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7耳鼻喉科
| 皮下囊腫 | 醫生你好，我想問皮下囊腫要怎麼看有沒有發炎，前幾天去照超音波，幫我做檢查的醫生說沒有發炎目前不需要做處理，等三個月後回診追蹤，可是我的皮下囊腫摸到或者姿勢不對都會痛，不知道有沒有方法能知道有無發炎。 | 您好 皮下囊腫發炎大多有紅腫熱痛的情形 不見得4個現象均會出現 建議若症狀持續 還是就診耳鼻喉科為佳 祝平安健康 | [
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| 經期問題 | 請教一下 我的上一次的生理期於626來 之後在728與男友親近時他的性器官有碰我的陰道口沒射精也沒進入體內 因為我怕懷孕所以在730時服用了后定諾 但是我的生理期還是沒有來 因為我的週期並不是很準 但是上一次是30天 請問是因為服用了后定諾所以生理期延遲或是有可能是懷孕了 我這樣的情形懷孕的機率高嗎 謝謝醫生 | 建議就近前往婦科門診檢查。 | [
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6骨科
| 第五蹠骨 | 您好！前些天意外令左腳受傷，經X光檢查，左腳第五蹠骨基底橫向骨折，有點移位。醫師說情況在可接受範圍內，所以不用手術，只讓我穿上護具，然後如常走路。 從意外到現在已經六星期多，受傷位置有凸出硬塊，周遭軟軟鼓鼓的。這情況在晚上跟早上醒來猶為明顯，硬塊更凸，周遭更腫。 請問為何這樣？怎樣改善？我想硬塊是蹠骨移位的地方，要矯正嗎？那些軟軟鼓鼓的，是什麼來的？將來會消失嗎？通常多長時間才能消失？ 凸塊跟這些軟軟鼓鼓的對將來做運動如全程馬拉松、長途遠足和騎自行車如多於十小時，會有壞影響如退化，酸痛嗎？ 另外，我的腳偶然有一兩下下像針刺的感覺，不一定是傷處，有時是腳跟，有時是腳掌前端，是正常嗎？會消失嗎？ 不好意思，很多問題。謝謝。 | 您好，左腳第五蹠骨基底橫向骨折，有點移位，至今已經六星期多，骨折周遭軟軟鼓鼓的，是屬於正常現象，一般而言3個月應可消腫。對於將來做運動應無影響，刺痛感覺也會消失。祝您早日康復。 | [
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6骨科
| 脊椎側彎 | 想請問我這樣脊椎側彎嚴重嗎 httpsscontent.xx.fbcdn.netvt1.15752-93317742032061865987443528906124255698412277n.jpgstpdst-jpgs206x206nccat102ccb1-7ncsidaee45ancohcTH-yetu5kQAXXHLaXncadz-mnccid0nchtscontent.xxoh03AdT8SiPvs2PsDnBEM1PGR2mmecIcsd8KW5jONVpykCOmWQoe642149B5 | 影像無法開啟 故無法回答 通常脊椎側彎在胸腰椎不超過二十度都沒有太大的關係的 如果有超過就必須去醫院檢查了 | [
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9整型外科
| 抽脂 | 醫生您好 我今年暑假因睫毛倒插到整形外科做了割雙眼皮的手術手術方法是用割的，而我本來就是雙眼皮， 至今也快五個月了，但上眼皮仍然呈現明顯的厚腫，而且有眼皮無法完全閉合的情況，這令我懷疑手術是否失敗了， 但上次回診醫生卻說只是還沒恢復所以眼皮還太腫、閉不起來，久了就會改善， 我上網查了很多，術後就算還沒恢復也不應該有閉不起來的現象， 請問醫生我這是失敗了嗎有方法復原嗎這讓我現在很害怕別人看到我閉眼. 請問醫生建議我去原醫院在問一次還是到別家醫院呢 另外，眼皮無法閉合是不是會造成甚麼眼睛的問題呢 不好意思文有點長，謝謝醫生的協助。 | 1. 在這種情形下，真的很少有眼皮無法閉合的問題 2. 一般而言，如果經過了幾個月，消腫後 約8-12 個月，仍無法閉合，才需要手術 3. 可以去一家信任的醫院，或是詢問第二種諮詢 4. 眼皮長期無法閉合，會造成角膜磨損，乾澀。最好在這一段時間內，睡前塗抹眼藥膏，以防乾澀致角膜損傷。 | [
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| 鷹嘴骨折術後 | 醫生您好 想請教您，因為車禍造成左手尺骨靠近手肘關節處骨折，79已手術植入鋼釘，住院五天後出院，手術後至今10天都用副木固定不敢動，想請問術後已過10天目前能開始復健了嗎？這兩天手掌收縮運動變得很困難無力，手臂腫脹未消 肩膀無法抬起，手肘處疼痛卡住無法張開，因主治醫生沒有提到能不能開始動，所以這一兩週完全用副木固定不敢做其他活動，但擔心會不會因此而太晚復健造成肌肉沾黏或萎縮，再麻煩醫生您回覆了，謝謝您。 | 您好， 一般而言，除非骨折粉碎極不穩定， 手術固定後活動應無大礙， 若不及早活動，關節沾黏的可能性極大， 應詢問自己的主治開刀醫師。 彰化醫院 關心您的健康 王守吉 | [
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2牙科
| 臼齒 | 有次去打球從下巴往上瞬間大力對撞 當下就感覺到左後方臼齒沙沙的有被磨損一些 咬合似乎有點怪好像變低了 嘗試適應一週後 用左邊咀嚼感覺吃力不舒服漸漸覺得吃東西是負擔 跑去看牙檢查 也描述感覺好像兩牙齒對咬一邊較空 睡醒時關節會感到酸 想確認是否有問題 醫生用咬合紙檢查 就修磨了我左後的臼齒 回去後原本左邊不舒服的咬合 感覺更低更奇怪 不知為什麼還要修磨而不是填補 現在更難去適應 請問醫生能再把臼齒原本的高度補回去嗎 已經不舒服的地方又被修更低 現在每天過的好痛苦咬合不平衡無法適應. | dear Louis先生您好依所述可能是撞擊後.顳顎關節受力太大的 症狀.需再檢查確診建議暫時 吃軟性食物 多保重祝一切平安順利 牙科 黃廷芳主任敬上 | [
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0婦產科
| 懷孕嗎？ | 我612（一）月經來第一天，在16號跟男友愛愛完發現保險套破掉，但是是拔出來後才射，當下沒有多想，也有去用水沖，隔天也還有來月經一點點，這樣會懷孕嗎？ | 您好 應該是安全期不會懷孕。祝你健康 | [
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5泌尿科
| 睪丸問題 | 許醫師您好。 請問，手慾過度會造成什麼樣的結果，因為前幾天自慰了2次，過了10分鐘左右時間不確定，提個大概，發現左邊睪丸出現疼痛，碰觸的話也會痛，是不是有什麼病變阿 坐著的話就會有點痛可能是因為有壓到吧不過坐姿真的很難調整，怎樣做都會微痛，好像還不只左邊睪丸，下腹也會有點酸痛是膀胱還是肚子有點搞不清楚，就是陰莖上來一點的位置。 到現在第4天了還是會微痛，一樣坐著也是，躺著變成下腹痛。 | 平雲： 你好 根據你的描述，我想，可能與自慰無關，通常與勃起相關的症狀，不會持續那麼長的時間。睪丸痛，可能剛好同時出現。 手淫，在西醫的觀點：沒啥不好 睪丸疼痛，可能是神經痛、感染、腎結石、痔瘡、睪丸扭轉等，最好趕快就醫檢查一下。 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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1精神科
| 自律神經 | 會突然的胸悶心悸想吐頭暈有去醫院看了心臟科照心電圖超音波x光都沒事還有甲狀腺檢查也沒事但是為什麼會突然這樣子？ | 你好： 你好，身體的儀器檢查必須等到器官組織產生病變才能檢查出異常，檢查結果若都正常，可能代表目前只是處於身體功能失調的狀態。因為全身的組織器官都受到自律神經的調控，如果外界壓力刺激、內在情緒反應過大或過久，自律神經就會開始失調，哪裡失調就產生哪裡的症狀。 如果要解決身體的不適症狀，必須從調整失調的自律神經著手，如果只是針對症狀治療，那就只達到症狀控制的效果而已，停藥後症狀就會再出現。所以會建議至身心科門診就醫，找到造成失調的主要原因，解決後才能讓身體機能恢復。 希望有回答到你的問題 D | [
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0婦產科
| 避孕藥 | 目前在月經來第二天開始第一次服用美適儂錠，第六天月經已結束，請問第六天內射會懷孕嗎？ | 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。如果在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。謝謝 祝 平安 健康 張 醫師 回 | [
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6骨科
| 膝蓋問題 | 請問醫師，最近蹲下來大約幾分鐘後站起來時，左邊膝蓋後面會突然沒力，也會麻麻的，從小腿以下變成使不上力，有時候是坐著並把腳恭起來後一段時間恢復站姿，也會發生，請問這是姿勢不正確產生的還是另有原因？謝謝你的耐心答覆。 | 阿惠 蹲下是日常生活中膝蓋負重最大的姿勢. 久蹲起身覺膝蓋會突然沒力或麻 可能是肌腱韌帶發炎或髕股關節及血液循環因壓迫所造成. 建議到骨科門診進一步診察以及治療. 祝 早日康復 | [
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5泌尿科
| 尖性濕疣 | 您好陳醫師 我是之前詢問被無套口交是否感染菜花 之前在羅醫師心之谷上找到 "所謂口交可以傳染HPV，是指HPV可以透過口交，由A的生殖器傳進B的口腔裡。反過來則是很難的，口腔黏膜並非HPV容易棲身之地，HPV不太可能透過口交，由A的口腔傳到B的生殖器。所以我想你是多慮了。 HPV很少數情形才會在口腔有病灶 也不易從口腔傳染出去 已經性行為發生之後並無預防或篩檢措施 你只能看看之後是否有菜花症狀 不過如同前述的 由口傳染出生殖器菜花 機率很低 沒有必要擔心." 也對於男生打子宮頸癌疫苗能預防九成 但很深深擔憂感染菜花 對方說口腔沒破洞我是插入方 已經第8周 有焦慮情況 之前在貴網說潛伏期68周至三個月 httpi.imgur.com3YcZqYo.jpg httpi.imgur.compLfECXi.jpg 能詢問是否正常 每次看都覺得跟過往不同 | 先生您好 謝謝您的指教 祝您健康 初步從第一張圖看來 我並沒有看到什麼明顯的病兆 第二張圖應該是肛門吧 請轉診直肛科 他們會比較有經驗 新營醫院泌尿科 陳建升 | [
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4心臟血管專科
| 大動脈弓剝離 | 我媽59歲她在馬來西亞檢查心臟那裡的醫生說我媽心臟的大動脈有裂痕急需開刀.馬來西亞的醫生不是很厲害我媽打算來台動手術. 醫生請問 1.我媽可以承受得了5個小時的飛程嗎 2.開刀的成功率多少 3.動手術費用大約多少錢沒有健保 | DEAR SILVANA 您母親這是屬急診刀 坐飛機太危險 死亡率約20 醫療費用約40萬 彰化醫院關心您 | [
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| 兒童牙科 | 請問： 我發現在我的耳朵下方的關節處，當我在張大嘴巴ex打哈欠，牙齒檢查時…，會出現關節移動的聲音，請問，是怎麼回事？ | 有關於張口時有喀嚓聲可能是顳顎關節症。詳情請來院檢查。 | [
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2牙科
| 牙根 | 我前幾天發現假牙不合有縫隙去找了別家牙醫 他把我的假牙拔掉看裡面牙齒狀況也照了X光片 我是門牙四顆連做假牙固定牙套 醫生說我是一顆有抽一顆沒抽這樣狀態 有抽的兩顆有打釘子 但是這釘子上一個牙醫幫我做了有10年 新牙醫說我有一顆打釘子的門牙發炎了還有釘子也都鬆脫了另外兩棵要抽神經所以是全部重做 後來做了臨時牙套 但是他每次把我牙套拔下來時我最邊那顆抽過神經打過釘子的牙會痛 最近他說要拔釘子我很擔心牙根會不會斷裂 但是醫生幫我照顧X光說我牙根還算很健康 也說我臨時牙套拔下那顆牙沒發炎神經也抽乾淨 醫生我到底要不要拔釘子好怕拔釘子後牙根斷裂要拔牙 | 親愛的網友您好 依照網友的描述，牙醫師建議將牙根釘取出，以利重 新治療。可是網友擔心牙根是否會斷裂而拔牙。雖然個別 牙齒情況不同，但是治療都有風險存在。取出牙根釘有時 也會承受牙根斷裂的風險。相信為網友治療的牙醫師也會 評估相關風險。如果網友依舊十分擔心，建議網友也可以 和牙醫師討論是否有其他的處置方式及建議，以及後續預 後的差異。網友可以仔細考慮及評估後再做決定。謝謝您 的提問。 | [
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16腫瘤科
| 貧血 | 您好 我的Hb一直維持在9.5左右.到醫院檢查發現缺鐵 但吃了一陣子的鐵劑.Hb仍在9.5左右. 為什麼呢 看中醫說我的腸胃不太好. 腸胃不好.是否會影響鐵劑吸收呢 還是我得了更嚴重的疾病呢 | 不懂君 1. 可能鐵劑劑量不足或失血情形持續存在。腸胃道，泌尿系統出血，及女性之生理期量太多，都需檢查治療。 2. 診斷可再確定，測血中鐵蛋白會比血鐵濃度準確，慢性發炎，肺結核，膿瘍，癌症，自體免疫疾病，都會造成血鐵濃度低但鐵蛋白高之貧血。 3. 先天性貧血，如海洋性貧血的可能性，亦需考慮。 | [
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17眼科
| 散瞳問題 | 您好： 我小孩確定近視後，第一次散瞳檢查是右眼50度，左眼75度。 之後點長效散瞳三個月後，第二次檢查是右眼25度，左眼50度。 再三個月後，也就是這一次的檢查是右眼75度，左眼50度。 醫生說25度內是誤差，所以算是有控制住。 我的問題是，右眼從25度增加至75度算是有控制住嗎？所謂的25度誤差，是以第一次檢查，尚未點長效散瞳的數據為基準嗎？ 謝謝 | 您好： 在眼科評估中，度數的變化通常是以初始檢查時的數據為基準。25度的差異在眼科評估中被視為一種誤差範圍，但這也取決於患者的年齡、眼睛的生長情況以及檢查的一致性。 依您的敘述，醫師應該是以第一次為基準，所以在誤差範圍之內。目前是控制住，不過還是要長期觀察才能確定，如一年後還是這樣，就代表控制得很好。 -- 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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1精神科
| 睡眠問題 | 陳醫師你好我是第一次來信想請教於有關睡眠障礙的問題-- 這問題自從我國中3年級就開始會不自覺的在上課中睡著而因為害怕上課又睡著所以我就下課補眠但問題是乎沒有改善一直到高中大學問題持續著但不怎麼嚴重而到現在發現騎機車也會不自覺睡著偶而騎機車時可以感覺自己快睡著所以有想要控制自己不要睡但沒辦法而在家坐著看電視偶而也會不自覺睡著站著睡著的情況也有但是那種打瞌睡的情況不過次數很少有就醫過幾次是到奇美大醫院可是醫生卻說這不是嗜睡症因為狀況不嚴重不至於是嗜睡症但醫生又說不出來是什麼樣的病因只是開個憂鬱症的藥而已所以想請問我是不是患有嗜睡症呢如果有的話要到哪就醫呢我是台南人謝謝喔 | 恰豬你好： 造成白天嗜睡的病因很多，在此先稍做說明： 嗜睡最常見的「睡眠不足徵候群」（insufficient sleep syndrome），也就是夜間睡眠不足，導致白天容易打瞌睡。如果有這樣的情形，需積極改善夜間的睡眠品質與時數，晚上睡得好，白天才會有精神。 第二常見的原因是「睡眠呼吸中止症」（sleep apnea syndrome），這樣的病患在睡眠中會突然的呼吸停止，每次持續超過10秒鐘，造成缺氧。常見於身材肥胖或喉部有扁桃腺腫大病變的人。症狀有：大聲的打呼、睡到一半會嗆到或用力喘氣。病患自己常常不知道有呼吸中止的情況，只覺得白天很累，反而是室友或枕邊人被打呼聲吵醒才發現。睡眠呼吸中止症需要到睡眠實驗室進行完整的檢查。目前治療的主流為使用正壓呼吸器來減少呼吸中止的情況。 第三常見的原因是「猝睡症」（narcolepsy），患有這種疾病的人會突然間在不適當的場所睡著，例如工作中、或開車的時候。症狀表現為突然頸部無力低下頭或後仰而睡著、站立時突然腿部無力而睡著摔倒，甚至可能伴隨幻覺或睡眠癱瘓（俗稱鬼壓床）等症狀出現。因為症狀特別，常成為電影或新聞報導的材料。猝睡症也一樣需要到睡眠實驗室進行完整的檢查。如果確診是猝睡症的患者，治療的方法為服用中樞神經興奮劑、或三環抗憂鬱劑。 精神科方面，某些「憂鬱症」的病患也可能出現無緣無故睡眠過多、容易倦怠等症狀，同時會伴隨情緒、食慾等影響，這方面需要經過精神科醫師完整會談評估，再採取適當的治療策略。 除了上述原因之外，少見也有因為身體疾病（例如肝功能異常）而造成的疲累感而嗜睡，以你的年齡與描述症狀來說，可能性較低，如果有擔心還是可以接受全身健康檢查。 建議洽豬繼續與原來的醫師合作，與他討論你服用藥物後嗜睡的情形有無改善、或者是否需要到睡眠實驗室進行詳細的檢查（通常需大型醫院才有設置）。謝謝你的提問，祝早日康復。 | [
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2牙科
| 牙齒外傷 | 牙齒上有凸出來一個東西，不大，也不痛，跟牙齒顏色一樣，不知道是什麼，請問有什麼方法解決 以前沒有，這顆牙齒也有補過，正在想是不是補過掉了要重補 如果要開刀，我不敢啊qq | 請門診確認後再治療。 | [
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4心臟血管專科
| 心臟問題 | 〈署長信箱轉寄〉 署長您好 我不知道我的問題是不是問對地方 我媽媽前2個星期因為工作比較忙碌身體比較虛弱不慎感染了病毒去了醫院檢查才知道得了心肌炎已經在醫院住了4天現在已出院了不過身體還是滿虛弱的大家都非常擔心媽媽現在正處過年家人都沒啥心情全部心都放在媽媽身上其實我們對這一個疾病都不太了解或如何痊癒等只是在網路上得之微薄的知訊 可不可以請署長提供我們一些資料或網址 謝謝 等初二時還要回去複診爸爸說如果沒比較好想到大間點的醫院也希望請署長給我們點意見 謝謝 真的希望您能幫我了解此疾病 | 呂先生您好 來函得知令堂於醫院診斷為”病毒性心肌炎”此病於臨床上較少見所以中文資訊較難找心肌炎是指心臟的肌肉發炎臨床上有風濕性心肌炎鏈球菌感染後發生病毒性心肌炎病毒感染後發生常見於感冒後等.臨床表現包括胸悶心悸呼吸急促水腫等必須要積極治療以免發生併發症如心律不整心衰竭擴張型心肌病變等. 心肌炎的診斷較困難需先排除其他常見的心臟病有時要借助各種心臟科檢查同時需由血中的數種”抗體檢查”方能確定診斷所以一般需至區域醫院或醫學中心級醫院處理心肌炎需積極治療長期追蹤且需與心臟專科醫師密切配合謹祝令堂早日康復 署立桃園醫院心臟內科 鍾鈺壎醫師 | [
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| 懷孕嗎？ | 經期都是蠻準時的，週期為31天 上次是在63來的，但在613、621都各有一次無套內射性行為 原本就有經期綜合症腰痠、脹奶 但性行為後有點出血，胸部有腫脹但及其柔軟不像之前，會腰痠 下腹有點痛、分泌物變多 但在71早上有用驗孕棒驗過，僅一條線 這樣是不是就沒機會是懷孕了？ | 親愛的NN您好： 如果您的月經週期大約是28天來一次，71太早驗了，請您78再驗一次會比較準，如果您的月經不規則又遲沒來，請至婦產科進一步檢查諮詢。 南投醫院婦產科 黃子菲醫師 | [
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7耳鼻喉科
| 耳鳴 | 三個禮拜前，突然兩耳都在耳鳴，隔天就好。 兩個星期和一個星期前，又發生了上述的狀況。 直到這個星期又發生了，隔天起床沒有改善，左耳反而有些聽不清楚。 去診所給醫生檢查之後，說是沒什麼問題。 藥吃完了，情況未改善就又去了另一家診所。 醫生看了說是耳咽管塞住，也開了藥給我。 他說要嚼口香糖和捏鼻子鼓氣，我都做了，但完全沒用。 目前吃了幾次藥，也未見改善。 雙耳耳鳴變成了單側耳鳴持續不斷的低頻耳鳴， 大約都是在下午發生到隔天中午，間隔四五個小時後，又再發生。然後我發現只有在我發出聲音的時候，耳鳴狀況才會消失。最近皆沒有感冒。 想請問醫生 我是否要再做進一步的檢查？ 謝謝醫生 | Hi： 您好， 的確可能與耳咽管異常有關，但若耳鳴持續未改善，建議至醫院進行聽力檢查及其他相關檢查以確定耳鳴的因素。 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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| 肝炎 | 請問醫師 我之前抽血檢驗B肝表面抗原、表面抗體、與核心抗體為陰性注射2劑疫苗後再次抽血已有抗體請問第三劑疫苗還須施打嗎 | 小樺小姐您好 目前您的狀況已不需再施打第三劑.依您的年齡.應於小時後已接受過B型肝炎預防針.身體可能早就存在B型肝炎免疫.只是存在免疫記憶細胞.現在2劑疫苗後免疫反應又啟動.故不需再施打.建議5年後再驗一次抗體即可. 彰化醫院關心您的健康 楊智超醫師 | [
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5泌尿科
| 菜花感染問題 | 最近在包皮上看到這樣 想問是否為菜花 及推薦處理方式 httpsppt.ccfWLFTx httpsppt.ccfwVZfx | 您好： 本園地依規定未診查不能診斷，供參考，依圖難說是，可依以下原則 1如果有不安全性行為，才有可能 2 有不安全性行為 ，也有可能是腺體，一般可自行觀察，有變多顆，單顆有變大的情形，要醫院就醫找醫師診查，小的病灶可冷凍，可電燒，可擦藥，因為太小可能無法病理診斷 。祝健康。 | [
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| 膀胱炎 | 現在我沒有喝水 就會覺得膀胱有尿 但去尿卻只有一點點 而且尿完 還會有尿不乾淨的感覺 一開始9月初的時候 有被同學打了生殖器很大力1下 不知道是不是造成我尿尿的原因 沒喝水1個小時就想尿尿 後來到9月中的時候 變出現夜尿 還有殘尿感 求醫生解答 | 您好：您的問題很多人都有，也不像與同學有關。建議您白開水不要喝太少（一天至少2500CC，盡量不可用飲料，辣，刺激食物避免，酒類暫時不可用，晚上睡眠不可少，有些患者就正常了，如果三天未癒或未進步，請就醫，這類症狀並不難治療，謝謝您的詢問 | [
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12胸腔內科
| 胸口刺痛 | 醫師您好 我的左胸口偶爾會有瞬間刺痛的感覺 不曉得該說刺痛還抽痛或悶痛 感覺像捏一下放開 以往都是偶爾一兩次，過了也就莫名好了 但最近頻率變常，而且疼痛感非常明顯，還持續了一整天 因為偏左胸口，擔心是否為心臟問題 只是奇怪的昰，我靜止的時候疼痛感比跑步的時候明顯身 本有低血壓收縮壓90100 舒張壓5060 和高血脂200 也很常頭暈，有輕微貧血 謝謝您的回答 | 您好 請到心臟科門診就診，如果心臟科沒有問題如二尖瓣脫垂等，再到胸腔科門診就診。 | [
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0婦產科
| 人工受精 | 因為目前未婚，且尚未有生小孩的計畫，有做避孕措施卻失敗了，請問目前懷孕約2-3週，可以做真空吸引術嗎 | 人工流產可用手術方式或藥物方式進行 請到婦產科門診諮詢 | [
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7耳鼻喉科
| 耳內異聲 | 醫生您好，我發現我嘴巴閉著用力吹氣的時候，左耳深處會有一個黏黏的聲音，甚至有時候會有類似空氣擠壓"噗嘰"的聲音，即使耳朵清乾淨還是有，然後用手指稍微按壓耳垂後面那個位置也會有一樣的聲音，我的耳朵怎麼了呢？ | 您好 您所提的問題有可能是 1耳咽管功能不佳 最常見，不只坐飛機、登山、潛水會發生，用力擤鼻涕、彎腰也有可能產生。 2突發性耳中風 3中耳炎 a急性中耳炎多和上呼吸道感染感冒鼻竇炎等一起發生，嚴重時耳朵會流湯流膿 b慢性中耳炎急性發作多是之前耳膜就有破洞，因為不潔的水、或是不當挖耳朵，導致發炎 --上述疾病均可以經由就醫給予藥物治療而得到適當改善。 如果您已經至醫院做過純音聽力檢查需帶耳機，在隔音聽力室中，發出聲響請您按鈴，而非只用音叉測試，若您經過此項檢查，確定非突發性耳中風 耳聾，則有可能只服藥即可，但若您沒有做過純音聽力檢查，建議至醫院檢查，用以排除是否為突發性耳聾，突發性耳聾黃金治療期為兩週，盡早治療效果較好。 祝平安健康 衛生福利部台中醫院 耳鼻喉科主任 季照芸敬復 | [
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2牙科
| 根管治療 | 在6年前因為牙齒蛀的嚴重，也會疼痛，就做了根管，醫生說要做兩次，我只有去做一次，第一次有填充，但是因為沒有回去做第二次，咬到硬物填充物就自己掉落了，這6年來，偶爾會痛，最近疑似是上火，根管治療的牙齒開始疼痛，牙齦也發炎，更是引起發燒頭痛，咬合時候，甚至會感覺牙齒變軟，用正常的一邊吃飯也是沒辦法咀嚼，想問醫生：我這個根管治療的牙齒，還是一直不斷在蛀，現在殘留的牙齒也不多了，去很多診所看，醫生也都建議要拔除，我要重新做一次根管嗎還是就只能拔除了？因為才24歲，不希望這麼早就拔牙，所以上來詢問。感謝醫師回答 | 女小姐您好： 根管治療過程中，第一次的填充物大部分是臨時的，並無法維持多久，一旦脫落之後，細菌或牙菌斑在侵入根管中，造成感染及疼痛，建議應重新做根管治療，但如果剩餘的齒質不夠，也可以考慮拔除該牙。 南投醫院牙科 曾光暉主任 | [
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| 牙齦流血 | 牙齦腫但不會痛 然後牙齦有點黑黑的 下唇搬開看牙齦有23顆黃黃一顆 上排的牙齒最後一顆在後面是肉 壓會痛硬硬的感覺有牙被肉包著 上排然後牙牙齦腫的 臉頰上方的骨頭那邊感覺肌肉緊緊的 不太舒服 | 上述情形可能是牙齦邊緣有牙結石堆積造成的慢性牙齦發炎，建議找牙醫師做進一步診治，評估是否需要洗牙。 | [
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0婦產科
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| 射精 | 醫生你好 我最近自衛 射完精之後都感覺痛痛的 但是不會痛很久 可是上廁所沒有明顯的灼燒感 也不會痛 不知道是不是水喝太少導致射完精都會痛痛的 | 您好：如有性行為請就醫，如無性經驗請暫停 diy 注意運動，休息約一星期。祝健康 | [
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16腫瘤科
| 淋巴 | 醫生你好又來打攪了. 我今天去淡水的馬偕看我脖子上是否有淋巴腺的問題我是掛外科. 醫生有幫我觸診.他說我的位子應該是良性的纖維瘤啥的.有點忘了 叫我觀察一個月看有沒有變大.還要注義看下巴腋下有沒有長. 那我還需要去擔心他嗎. | 小權： 如果這東西己經存在很久了，比較可以放心是良性的病灶。倘若是最近一兩個禮拜才跑出來的話，還是小心一點的好。祝福您了！ | [
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| 蛀牙 | 各位醫師您好！ 我想請問一下 我有一顆牙齒之前已補過牙 最近又發現有蛀牙 位置在上排犬齒臼齒間的齒縫 面積不大 今天去治療 跟之前不同醫師 我是這兩三天才開始痛的 以前也有補過的牙再補一次的經驗不同部位 但是之前是一次就清理乾淨接著補牙 今天開完牙齒後 護士小姐說可能還要過去診所好幾次 我想請問 這樣的療程需要多久？ | 同學好，依照您的敘述牙齒須做根管治療，至於療程的次數與牙齒感染情況有關，須請教主治的醫師。根管治療即俗稱的抽神經 | [
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| 產後問題 | 醫生你好 我已產後7個月了，但行房時仍然疼痛不已，且會稍微有點出血是粉紅色的血但很少很少） 還有一直反覆感染，但好的時候也沒有完全好，是快好了又感染，分泌物有異味有點綠色，月經來時的味道也並非血腥味，而是不太好聞的味道 陰道口以及陰道裡面也是時癢時不癢 之前有去看婦產科，塞劑塞了一個禮拜但症狀並未好轉 並且月經來潮時，大號用力下腹會覺得疼痛難耐（平時也會但比較少） 在未生產之前也有過陰道炎，月經結束時就好了，但生產後月經結束陰道炎仍然持續著 感謝您的撥空回答 | 提問者您好 依您的描述有可能是骨盆腔或陰道發炎，建議您還是請婦產科醫師問診後，視病況決定是否安排相關檢查（如超音波、分泌物細菌培養、顯微鏡檢、尿液檢查、x光片、抽血…等）才能解決您的病痛，謝謝 祝 平安 健康 張 醫師 回 | [
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Subsets and Splits