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1精神科
| 壓力 | 我是建教生，現快回去工作感到不安，之前工作時因怕動作慢被罵，所以後來早到時都會先掀布（本來就習慣早到但還沒到上班時間），想說這樣待會上班就不用做這動作，這樣動作就能快一點，就不會被罵被講，因我是那種一聽到別人叫我快一點就會感到緊張有壓力，有好幾次東西都用不完。那時突然冒出一個念頭，我要不要再更早到先做事，這樣待會上班就不會做不完，時間內做不完會覺得為什做不完？然後常事情發生前就擔心做不完做不好或失敗，所以總是很趕很急，然後事情發生前就會感到緊張擔心，大腦有時會停不下來會一直想待會要做的事整個流程，嚴重時會感覺有點喘不過去。 | 您好.文中描述的症狀應是壓力下的不良反應.是否本身個性就比較容易焦慮緊張.建議您搜尋有關壓力調適的資訊.從中學習些方法如找友人聊天.下班後有些休閒活動等.也可就近至身心科院所諮商.必要時可短期使用醫療藥物抗焦慮劑等幫忙.應有助您擺脫這些困擾您的症狀. | [
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0婦產科
| 多囊性卵巢 | 醫生你好我最後一次月經是1010來，最後一次行房是123，但在127有出血，一點點而已，只來三天。1214下午有去看醫生，做了陰道超音波跟驗尿，結果是說沒懷孕。再等看看，等到110沒來再來催經。我想說為什麼要等110再催經？我會頻尿、肚子悶悶的、嗜睡、有時腹部右邊抽痛一下。（ps.我經期不穩，最晚有到58天來，其他大多36天來。）所以是多囊性卵巢？ | 您好 有可能醫師認定127是最後一次月經，因此等110再催經，是否多囊性卵巢要由臨床症狀、超音波和抽血檢查綜合判定。祝健康 | [
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| 會懷孕嗎？ | 醫生您好我第一次吃悅姿，在吃完最後一顆粉色錠發生性行為，隔兩天吃第二顆白色錠當天月經有來，請問這樣會懷孕嗎 | 您好 機會不大。祝健康 | [
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| 自慰 | 醫生你好 我今天自慰完 有出現 昏昏沈沈的情況 有點心悸 請問醫生這是正常的嗎？ 之前也出現過 但隔了一陣子了 今天又出現了 而這段期間也有自慰。 | 多補充一點水分。 這也有可能是自律神經的問題，因為射精時的高潮是由交感神經支配，交感神經也同時會使心跳變快及血壓上升。如果持續觀察到這樣的症狀，建議檢查自律神經。 | [
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| 不孕症 | 本人今年49歲，妻41歲，於某醫療機構接受人工生殖療程，於月經來之第三天起連續六日注射果納芬Gonal-F75，於第九天接受超音波檢查，發現卵泡夠大、夠成熟，於第九天注射破卵針，36小時後實施精子植入，過程皆很順利，惟最後仍未能懷孕，請問精子卵子皆成熟的情況下，仍有可能無法懷孕嗎？懷孕成功的機率有多大呢？在此情況下想要懷孕，是否只能多試幾次？或有其他方法可以幫助懷孕成功？ | 你好： 1.有 2.台灣約兩成五的成功率 3.年紀大成功的機會自然降低 4.也不能連續太多次造成卵巢過度刺激 | [
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5泌尿科
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16腫瘤科
| 淋巴 | 請問我在10月份時左邊腋下長了顆綠豆大小的小硬塊後來已經開刀拿掉了，但是在今年11號開始感受到明顯疼痛 還越來越大顆 醫生說是痘痘毛囊炎吃點抗生素但到今日都是越來越大顆已經有兩個五十元硬幣大了還開始出現刺痛 請問該看什麼科比較好 | 建議去看一般外科或整形外科 可能是毛囊炎合併蜂窩性組織炎或膿瘍 | [
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1精神科
| 憂鬱症 | 我帶我女兒回去青少年精神科複診 告知醫師藥物的副作用 包括半夜會醒12次 早上起不來 醫生調整以下用藥 1 維持早晚飯後各一顆 50MG 樂復得 2 睡前 思樂康由50MG減為 25MG 想請問為何醫生減的是思樂康而非樂復得 另外我女兒她過去一個多月以來很多夢 會重複一直夢到兩年前 她國中同學車禍過世 她到殯儀館祭拜她的細節 這有甚麼特別的意義嗎 有什麼方法或治療方式讓這些夢境不影響她的睡眠呢 . | 1 早上爬不起來的情形和思樂康有關的機會比較高。 2 在憂鬱時期，對負面事件和影響會特別敏感，有時夢可以當作恢復程度的監測指標。兩年前的經驗，可能因憂鬱而被喚起。當孩子訴說時，建議平靜的聽她訴說，不用過度恐懼或作過多的聯想，讓孩子也能以相同平靜的態度面對。並幫助她將注意力投注到日常生活中較正向輕鬆的事件 配合她的興趣 ，陪伴她度過憂鬱的病程。 祝福 早日康復 | [
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5泌尿科
| 菜花 | 514和男友發生關係 518看婦產科才發現長菜花 519接受電燒加雷射治療 想請問醫生 1.男生如果現在是潛伏期的話，可以透過什麼方法檢驗是否被傳染嗎？ 2.如果男生現在是潛伏期，我們可以透過接種疫苗預防菜花長出來嗎？ 3.我們有辦法透過什麼方式知道菜花病毒是否完全被根治了嗎？ 4.請問我們應該要過多久才能再從事性行為？ 麻煩您了，謝謝！辛苦了！ | 您好 1.男生如果現在是潛伏期的話，可以透過什麼方法檢驗是否被傳染嗎？-- 潛伏期很久很難未長出前就肯定有沒有確診 2.如果男生現在是潛伏期，我們可以透過接種疫苗預防菜花長出來嗎？---有幫助也可減少以後感染的機會但不是百分之百 3.我們有辦法透過什麼方式知道菜花病毒是否完全被根治了嗎？--- 沒有辦法檢測方式都是協助 可能要一段時間 4.請問我們應該要過多久才能再從事性行為？--建議保險套使用 如果依其平均潛伏期約3個月 都確認未長才比較安全 菜花傳染與否依其接觸到的病毒量及個體免疫力所以不是接觸了一定會被傳染. 祝健康 | [
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10兒科
| 生長發育 | 寶寶現在一歲了，指甲邊緣都會脫皮，只有小指頭的指甲沒那麼嚴重，其他指頭的指甲都會脫皮的現象，因為寶寶會吃大姆指，之前以為是口水造成的脫皮，但上網查詢過，有的人說是『缺鐵質』而造成的？ 寶寶喝配方奶粉強調是添加鐵質的，怎麼會缺鐵呢。 請問： 1、是否寶寶並無法吸收其奶粉鐵質呢？ 2、是否該換其他廠牌奶粉呢？ 3、喝配方奶同廠牌-1號奶粉2號奶粉可以嗎？ 4、何種情形才能判別該換廠牌奶粉呢？ 謝謝回覆 | 1.寶寶喝添加鐵質奶粉照正常吃大概不會缺鐵除非寶寶無胃口不吃其飲食量不夠 2.請寶寶盡量不讓他吃手指手指內含細菌對身體不佳且手指容易變形 3.一歲小孩要開始斷奶，可以飯菜為主，牛奶一天吃二∼三次即可 4.若有問題可至兒科門診診斷 | [
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5泌尿科
| 濾過性病毒 | 醫師你好 因為之前有雷射切片發現有軟疣 最近陰囊長出一小顆 醫師說應該也是軟疣 所以開給我一條克疣寧khoiou cream 擦完以後感覺沒多久 在工作或睡覺時就被內褲蹭掉 請問可以塗完藥貼人工皮嗎 謝謝 | TOT 你好 貼人工皮，會造成藥物作用時間增長，效果當然增加，腐蝕的效果也增強。但是，會造成過度腐蝕，甚至造成整個陰囊組織全層壞死。因此，一般不建議這樣使用。 這類藥物的安全使用方法是： 每日使用1次，使用3天。然後停藥4天。 若還有殘存的疣，再重複療程。最多一個月。 超過4周沒有好，必須就醫重新評估。 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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| 輻射問題 | 醫生您好： 1.我在短短一個月內做了x光和斷層，累積劑量已達近40毫西弗，是不是短時間內接受太多輻射量了罹患癌症機率是否更高？ 2.因這個月有做腹部斷層和核磁了，是否能完全檢查到腎臟和輸尿管呢？另請問逆行性腎盂攝影約會有多少的輻射劑量？我想回去跟醫師討論是否能不做這個檢查呢？謝謝 | 您好 1.X光輻射檢查考慮的是檢查的必要性，不會限制輻射的劑量或檢查次數。診斷型X光屬於低劑量放射線檢查，依文獻報告應是安全的。 2.影像檢查掃描的範圍和醫師開立的檢查部位有關，一般腹部斷層會包括肝臟、腎臟，但是否輸尿管都包含在內則不一定，建議與您的臨床診療醫師確認。逆行性腎盂攝影的輻射劑量一般不會超過靜脈注射腎盂檢查IVP的輻射劑量，大約3毫西弗。 不同的影像工具各有其優缺點，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，祝平安健康。 | [
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| 懷孕機率 | 上個月經來是26，在月經期間有性行為，下個月315有來大概一個禮拜的咖啡色分泌物，但沒有紅色的月經（不知道算不算月經），在311也有性行為，都有戴套，請問這有可能懷孕嗎，最近也有頭暈的現象特別是在躺著翻身或轉頭的時候 | 您好 懷孕機率應該是不大，如果不放心，可以驗孕看看。祝你健康 | [
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| 避孕 | 醫師您好 因為還沒有要懷孕的打算 所以我與女友發生關係時皆會採用雙重避孕（事前全程戴套），這個月已經是服用事前藥（悅姿）的第二個月了 只是中間有不小心跳過最後一顆無效錠就開始服用下一包有效錠， 而且女友還是會有咖啡色（有時是微量出血）的分泌物出現，再來最近有發生事後發現保險套破掉的情形 雖然已經有吃事前藥了但還是擔心避孕效果會不會因為中間跳過一顆無效錠及微量出血而大打折扣呢？ | 提問者您好 複合型口服避孕藥COC必須要每天同一時段服用，正確服用可以達到99的避孕效果。但若不規則出血發生超過三個月，或大量出血，則需諮詢醫師建議。漏吃一顆無效錠影響不大，謝謝 祝 平安 健康 張 醫師 回 | [
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| 懷孕出血 | 上一次月經是17月經週期月26.27天我在24驗孕有出現淡淡陽性之後連續三天都持續驗孕第二條線有深一點點但還是很弱在27早上8點驗完過一小時後開始像月經的流血下午看醫生照操音波沒看看胚胎但子宮內有出血現象及子宮肌瘤當天有抽血B-HCG13.P40.38醫師有說可能胚胎會自然淘汰但有開口服及塞劑的黃體素安胎但依然出血繼續服用還會有幫助嗎 如果真的流產了出血會是多久呢 流產後的下一次經期如何計算 | 您好 有可能會流產，出血一般像月經來一樣，有可能1個半月月經會來。祝你健康 | [
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| 藥物諮詢 | 醫師您好 想請問我在排卵期期間與先生同房一次同房後第10天因為連續兩周失眠關係服用了優寧錠半顆Bropan半顆劑量約為1.5mg 在此之前沒有長期服用的習慣都是失眠幾天之後可能服用半顆到一顆. 經查詢之後發現此藥屬於C-D級有些地方分類是C有些是D 想請問 若是真的受孕成功那我在同房後第10天使用此類藥物是否會造成胎兒畸形或是任何其他影響 | 在排卵期期間與先生同房一次同房後第10天因為連續兩周失眠關係服用了優寧錠半顆Bropan半顆劑量約為1.5mg 在此之前沒有長期服用的習慣都是失眠幾天之後可能服用半顆到一顆. 經查詢之後發現此藥屬於C-D級有些地方分類是C有些是D 想請問 若是真的受孕成功那我在同房後第10天使用此類藥物是否會造成胎兒畸形或是任何其他影響 Ans 若是真的受孕成功不會有任何其他影響 | [
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5泌尿科
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| 避孕藥 | 吃事前第二個月每天都是晚上10點快11點才吃 昨天跟男友發生關係內射 晚上忘了吃藥，今天早上640想起來馬上吃藥 請問會懷孕嗎？ 今天晚上照樣10點快11點再吃一次嗎？ 請問吃了事前藥還會有排軟期嗎？ 今天早上起來有點腹痛請問是懷孕徵兆嗎？ 上禮拜也有發生關係，內射腹痛跟這個有關嗎？ | 吃事前第二個月每天都是晚上10點快11點才吃 昨天跟男友發生關係內射 晚上忘了吃藥，今天早上640想起來馬上吃藥 請問會懷孕嗎？ Ans 不會懷孕 今天晚上照樣10點快11點再吃一次嗎？ Ans 是 請問吃了事前藥還會有排軟期嗎？ Ans 不會有排卵期 今天早上起來有點腹痛請問是懷孕徵兆嗎？ Ans 不是懷孕徵兆 上禮拜也有發生關係，內射腹痛跟這個有關嗎？ Ans 可能有 | [
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1精神科
| 憂鬱 | 我小五小六的時候常常因為無法發洩情緒所以就把自己鎖在廁所裡一邊哭一邊自殘 不然就是扯自己的頭髮有一次 我沒辦法控制自己的情緒而在媽媽面前哭了 她罵了我一聲神經病 我知道我媽不是有意的 但從那之後自殘就成了我的習慣了 我開始越來越討厭自己 覺得自己沒有任何活著的理由 畢業前還曾試圖淹死自己 不過後來沒有成功 到畢業後的那個暑假 好不容易開始有了自己的興趣 但國中開學又讓我回到以前的狀態 甚至更嚴重了 一些小事情不順利的話我就會崩潰大哭 有時還會頭痛和胃痛 最近也開始冒出一堆白頭髮 我不知道該怎麼辦 我該去看醫生嗎 因為我不敢告訴爸媽這件事 也不見得有錢去看心理醫生 | Jamie 妳好 妳提到過去有無法發洩的情緒，可以試著去察覺是什麼情緒，以及為何無法發洩。 試著建立有效的情緒宣洩管導，例如找信任的人聊一聊，寫日記，到戶外走一走讓自己冷靜下來，或者是尋求專業的諮商輔導的協助。而自傷，不是一種好方法，只是一種暫時的轉移，並沒有解決問題。 頭痛、腸胃不適，確實也都有可能和壓力有關。而人在憂鬱或壓力大時，會對負面的事件很敏感，但那只是暫時的，憂鬱經過適當的治療，多數是可以改善的。 建議對自己好一些，好好疼惜自己，將心力放在自我成長、自我照顧或其他有幫助、有意義的人事物上。 若仍然很困擾，建議就醫尋求協助。 祝福您 | [
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| 攝護腺 | 醫師您好 我今年22歲，我得攝護腺炎，我己吃藥3個多月，可以還沒有好，而且我在前一個月前自衛，而導到失眠，跑去看精神科，而且我現在身體有時候會抖一下，我之前就己經有泌尿的問題去找過醫師拿藥，只是沒過多久又有問題，結果現在就得得攝護腺炎了。我發現泌尿衍生出的問題很多，如失眠、身體會抖一下、容易手腳麻木，我該怎麼辨。 | 大南： 你好 攝護腺炎，一般分為急性與慢性。急性期，通常是因為細菌感染造成，治療以抗生素為主，必須治療4-12週。而慢性發炎，通常就是症狀治療，有時後即是經過治療，也不一定能夠完全恢復正常。 自慰DIY，一般與攝護腺炎、失眠等沒有關係，有時後，因為現在媒體的渲染，造成人心惶惶，以為DIY是傷身體的，是骯髒的，是不對的行為等等。而，以西醫的觀點，反而認為無傷大雅，因為是一個不會傷害其他人（相對於強暴）的宣洩方式，對於身體，也沒有證據證明會有傷害。因此，DIY在西醫是完全正常的，甚至，許多已婚的夫妻，有時後也會有自慰的行為。 其他的症狀，像是抖動、麻木等，我想，應該找”神經內科”作徹底的檢查，會比較放心。 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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| B肝抗体 | 您好. 之前B型肝炎發作 GOT和GPT指數都1千多 病毒量1百多萬、之後吃貝樂克14個月後 e抗原轉陰同時出現e抗體、衛教師說e抗原轉陰後健保補助再吃一年、就可停藥看看 至今貝樂克1412健保補助1年共吃26個月、快到可停藥時間 現所有指數持續都正常、剩 HbsAg 指數近2千 和 HBsAb 陰性、病毒數量還剩20隻 請教醫師我現這情形是否已達可停藥標準呢？或者還是要自費繼續吃抗病毒藥滿三年呢？謝謝！ | 1eAg陽性病患.建議eAg轉陰後鞏固療法至少一年 2最好確定沒有B肝病毒再停藥 3健保給付可達三年 | [
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7耳鼻喉科
| 鼻黏膜出血 | 醫生您好，今年年初因為鼻涕有血絲跟鼻屎有血反覆看了幾次醫生後，醫生說看起來是有傷口然後有抹藥這樣，之後持續了幾個禮拜才好起來，但近期又出現鼻涕有血的症狀，但盡情因疫情不好去看醫生，想請問醫生大概是什麼情況 | Hi： 您好， 常見為鼻中膈黏膜破皮出血，若持續未改善或持續出血，建議就醫檢查確認。 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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0婦產科
| 月經異常 | 醫師你好， 我上次的月經是42853號，上次性行為在519521號（無套進入幾下後有戴套），本次預計經期是525，但是已經遲到7天了，528、529皆有自行驗孕，結果為陰性，529也至診所驗尿、照超音波及進行抽血檢驗，血液Hcg值為2.3，超音波顯示子宮內膜有增厚，有施打催經針，今天是施打催經針的第3天，上完廁所擦拭時，衛生紙上有淡粉紅的分泌物但不多，本身的月經週期算是穩定約2628天，請問醫師這樣是否有懷孕機率呢 另外想詢問醫生，若想於61再次驗孕及抽血檢驗，結果是否可靠呢 謝謝醫生撥冗回復 | 您好 應該是月經快來了，觀察即可，應該是沒有懷孕。祝你健康 | [
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0婦產科
| 分泌物 | 我想請問一下， 昨天開始分泌物就有一點咖啡色的，但都是很少量的。 之前有過非經期滴血後去看醫生，醫生說我黃體素有些不足，後開了催經藥，但是後來的調經藥沒有吃。想知道是否因為藥物的關係或是其他因素？ 謝謝您。 | 您好 可能你有些亂經，也有可能是排卵性出血，如果還是不順子，建議看婦產科。祝健康 | [
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| 會懷孕嗎？ | 醫生您好： 530二我幫男友口交，並用手幫他自慰，並無發生性關係，自己也尚未與他人發生關係，也還無性經驗，事後幫男友拿衛生紙清理時，有碰到少許的精液，事隔兩三分鐘左右，我把沾有精液的衛生紙丟掉，便馬上用清水洗手搓洗，事後隔一兩分鐘，便開始用蓮蓬頭的清水搓洗下體，水溫也偏溫熱，之後也有用沐浴乳搓洗下體，請問這樣會懷孕嗎？男友也有用沐浴乳搓洗下體，但泡沫有沾到我的胸部，這樣在沖洗的過程中，會不會流到陰部，導致懷孕， 因61是我的排卵期第一天左右，所以想知道這樣是否會懷孕？ 麻煩醫師了，謝謝您 | 您好 懷孕機會不大，任何時候最好要做事前的避孕措施。祝健康 | [
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15復健科
| 肩部 | 醫師您好 本人近2年來因肩膀至膏肓酸痛困擾不已，曾找過中醫師針灸，但效果有限 有時有效，但隔23天又再復發，有時確一點用也沒有。 目前對治的方法是穿寬鬆的衣服，不能穿胸罩和合身的衣服，尤其是睡覺時 連長袖的衣服也不能穿，這麼冷的天氣，卻只能穿無袖的衣服睡覺，請問醫師 我該怎麼辦才好？ | 由你描述的症狀看來，比較像是肌肉的問題。有可能是長期姿勢不良、或肌肉使用過度（長時間打電腦、看書、工作等）所引起的肌膜疼痛症。這種情形下，必須從根本去改善這些誘發因子，才有可能防止復發。建議你每半小時至一小時起來活動一下，對疼痛部分熱敷並做伸展操，防止肌肉在疲乏的情況下受寒，天冷時睡覺尤其要注意反而應穿有袖、高領的衣服。應該可以改善。 如有疑問，歡迎再來信詢問。 | [
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10兒科
| 嬰兒頭圍 | 您好 我寶寶男生 1045個月多2天 頭圍長的蠻快的 體重7.3公斤。身高65.1公分。頭圍44.2公分。 快超過97了，再過幾天就超過了97。 寶寶出生時照腦部超音波，除了有兩個小水泡外，其他都正常。 104照腦部超音波小水泡已經消失，也沒有腦水腫，腦壓也正常。 請問醫生 1.超音波是否可以檢查到腫瘤或軟骨發育不全 2. 如果需要知道寶寶有沒有腦腫瘤或軟骨發育不全要如何檢查 3.目前超音波正常，是否可以請醫生安排做核磁共振呢以確保孩子健康或者只需觀察 | 您好， 從您的描述，可以想見您是一位細心且用心的媽媽，令公子的檢查看來也都正常。 根據新版WHO兒童生長曲線圖 身高：介於 25 50 百分位之間。 體重：介於 25 50 百分位之間。 頭圍：介於 85 95 百分位之間。 您也可以比較他出生時、一個月、兩個月和四個月的身高體重頭圍的變化趨勢，如果維持在上下兩條曲線內，應該是正常的。 至於您提的三個問題，謹回答如下 1. 「軟骨發育不全症」是因骨骼異常而導致生長矮小的疾病，主要的診斷依據是臨床表現和基因確診。 2. 腦部超音波可以檢查到一定大小以上的腫瘤。 3. 幼兒腦部核磁共振檢查需麻醉一段時間，除非確實有必要，不建議進行。 建議您若仍有疑問，可以帶令公子到醫學中心掛小兒神經科門診諮詢。 臺南醫院 何宗憲敬上 | [
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7耳鼻喉科
| 口水 | 醫生請問 口水分泌的量會造成臉部水腫嗎 口水分泌過多會對身體有不好的影響嗎 因為我快要會考了可是現在卻一直分泌口水 有時候頭低下來看字的時候有很多口水 吞下去就會很飽 不吞又會分心想要一直把口水吞下去 是不是我過度注意他了 | 你好 口水分泌量與臉部水腫無關，感覺口水分泌過多可能與過度焦慮與過分注意有關，建議可先觀察，若擔心可至耳鼻喉科就醫檢查。 | [
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10兒科
| 生長發育 | 王醫師您好 我女兒現在是十歲九個月月經這個月來目前身高148cm骨齡已經十三歲了我的身高162先生172醫師預測我女兒身高只有150初頭醫師說可每個月施打柳普林一次每天打生長激素.可改善身高. 想請教王醫師的意見我女兒目前的情況治療還有效嗎我想讓我女兒治療但我很擔心副作用的問題您認為會有副作用嗎 感謝您 | 煩惱的媽媽您好： 「望子成龍」是每個父母的心情寫照，對於家中有較矮小的孩子的父母而言，不免擔心自己的孩子是否有問題。 身高的高矮是很主觀的心理因素，因此，如果沒有一個標準，實在很難論定。通常，我們採用同年齡、同性別的平均身高作標準，當身高比平均值低兩個標準差以上時，就可說是矮小了。而生長速度、每年是否有五公分以上的增加、家中成員的身高與發育狀況等，也是參考的依據。而除了營養、運動、衛生環境外，遺傳也與身高有極重要的關聯。 父母會把決定身高的基因傳給孩子，所以高的父母，會有高的孩子是因為孩子遺傳到的基因是屬於「長得高」的基因。但在一些因素的影響下，就不全然如此了，患有慢性病如心臟病、尿毒症、糖尿病或嚴重貧血等、內分泌失調 如生長激素缺乏症或甲狀腺功能不足等、骨骼發育障礙、代謝性疾病 如黏多醣症等、染色體異常 如唐氏症或透納氏症等，都會影響到孩子的身高，雖然原因很多，但絕大多數的矮小兒童是體質性的，要處理身材矮小的問題，醫師可能會針對上述原因做簡單篩檢，以找出真正的病因，再給予適當的治療。 有一些矮小疾病是可以治療的，如生長激素缺乏症、甲狀腺功能不足與透納氏症，分述如下： 生長激素缺乏症 人體的腦下垂體會分泌多種荷爾蒙，以調節身體中的各項代謝，生長激素就是其中之一，生長激素可以提高人體中的血糖濃度，引發組織生長，增加蛋白質合成，並使脂肪游離。一旦體內的生長激素缺乏，就無法正常發育，身高、體重也增加得很緩慢，患有此病的嬰兒，剛出生時，身長可能略低於正常狀況，成長速度也不及正常嬰兒的一半。經過一段時間後，父母很快就可發現孩子比正常人矮小。這樣的孩子，看起來有張長不大的娃娃臉，身上的脂肪分佈也類似嬰兒時期，用放射線照射，可發現骨齡比實際年齡小很多。在四千個人口當中，大約有一個不幸的孩子得到這樣的疾病，定量生長激素的濃度可以得到確切的診斷。 甲狀腺功能不足 對於嬰兒正在發育的腦細胞而言，甲狀腺素是不可或缺的，如果缺乏甲狀腺素，就會造成永久的腦部傷害。發生甲狀腺功能低下的原因很多，包括甲狀腺發育異常、腦下垂體功能異常或甲狀腺體異位等因素。患童會有表情痴呆、扁鼻樑、皮膚及毛髮乾燥、哭聲沙啞、臍疝氣、黃疸以及生長遲滯等問題。目前此病的發生機率約為三千分之一，愈早治療，效果愈好，在出生三個月內治療，百分之八十的孩子會有正常的智能表現。 透納氏症 正常的女生其性染色體應該由兩個X染色體構成男生則是X與Y，有一些女孩因為在減數分裂分配X染色體時出了問題導致身上只剩一個X染色體，這群少了一個X染色體的女生，就是透納氏症的患者。 透納氏症有什麼問題呢？在嬰兒期，透納氏症有一些特點，比如短而寬的脖子，甚至有所謂蹼狀頸像鴨子的蹼一般的外觀，胸部寬闊且乳頭的距離較常人寬，出現在手及腳部的淋巴性水腫，主動脈的結構異常等。這些外觀上的異常會隨著年齡的成長而逐漸消失，但有一個異常不僅不會消失甚至在長大後更容易被同學們凸顯出來，那就是她們的身材。透納氏症在大女孩身上最重要的指標就是身材矮小以及無法順利進入青春期無法”轉大人”。透納氏症的發生率約為五千分之一，除了臨床的懷疑外，染色體檢查提供最正確的診斷。 生長激素可以提供上述疾病很好的治療，但由於生長激素是昂貴的藥物，健保的規定也十分嚴格，並不是每個想長高的孩子就以生長激素來治療。其實影響孩子身高最重要的因素是父母自已的高度，況且身高只要在一個合理的區間，就算正常而非一定得要出人頭地才行。家長若因身高問題帶孩子來看醫生，最好攜帶孩子的身高記錄，或是跟學校申請每學期的身高記錄，可提供醫師診斷上很好的參考。 您的女兒是否需要生長激素，要由醫學中心內小兒內分泌次專科醫師經過審慎評估後才能決定。並由他來告知您所有可能的副作用。 請參考 httpwww.nhi.gov.twinformationbbsdetail.aspmenu1menuidBulletinID327 花蓮醫院小兒科關心您 | [
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8乳房甲狀腺科
| 乳房問題 | 醫師您好 我右邊的乳房從發育開始就有硬塊， 一直到現在25歲了仍然存在， 平時除非去按壓，否則都不會痛， 不知道怎麼了 如果是纖維性囊腫的話，需要去醫院做些什麼嗎 | Dear Susan 若沒有變大、沒有症狀、觀察即可，建議30歲以上即要到門診檢查。 | [
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] |
12胸腔內科
| 氣切 | 媽媽在今年一月因跌倒後腦部出血當下由醫生判斷昏迷無法自主呼吸經過2個月的治療加上5個多月的照護已可以自己進食但由於仍會咳嗽及有痰但我看到的痰不多有點是卡在喉嚨上的痰所以一直不敢進行氣切脫離媽媽已81歲聽說老人家要脫離氣切管不容易照護中心的訓練氣切脫離常是以蓋住氣切管後即算進行訓練因剛開始不清楚照護中心的做法媽媽的訓練失敗了想問看看大概是要在什麼狀況下才可進行訓練是要都沒有痰或沒有在咳嗽下才可進行嗎醫院有這種住院訓練嗎 | 親愛的民眾您好 氣切訓練若在生命徵象穩定及有醫護人員在旁下大多即可以進行訓練，易咳嗽及有痰確實會稍微影響成功率，但基本上不會因為此些因素就決定不訓練，因一般而言若能考慮脫離呼吸器則建議盡早脫離呼吸器，因長期使用呼吸器容易有其他併發症出現。脫離氣切的訓練，一般醫院及呼吸照護中⼼RCC及呼吸照護病房RCW皆可以進行。 | [
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0婦產科
| 延經 | 醫生您好∼ 我86預計月經會來，但因為89-811有水上活動，經醫生資訊以後在84開始吃延經藥，早晚都各一顆一直吃到811，最後月經在814號報到，但這個月9月原本月經預計17號應該要來，但是到現在目前已經遲了8天還沒來，請問吃延經藥下個月會亂成這樣是正常的嗎😭好焦慮… | 提問者您好 影響月經週期的因素有很多，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，謝謝 祝 平安 健康 張 醫師 回 | [
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16腫瘤科
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| 智齒 | 黃醫師您好： 我上個月拔完下方兩顆水平智齒，拆線後醫師有給我一隻沖洗針頭來清理掉進洞裡的食物殘渣。 一開始因為洞比較大，掉進去的東西很容易就沖出來，但現在洞越來越小，感覺越來越難沖洗。 我擔心若是有食物殘渣掉進去卡在裡面又沒沖出來，最後洞口密合把殘渣包在裡面的話會不會造 成發炎或是其他不良反應？謝謝。 | dear 麥可先生您好洞越來越小，感覺越來越難沖洗其實是傷口已漸癒合不要擔心請多和醫師溝通 謝謝祝平安 牙科 黃廷芳主任敬上 | [
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| 懷孕機率 | 醫師您好 我想詢問今日和女朋友同房期間發現保險套破裂 發現當下立刻拔除 沒有射精 女友128月經來 今天是月經週期第七天 請問這樣會懷孕嗎？ | 您好 懷孕機率應該是不大，如果不放心，可以考慮吃事後避孕藥。祝你健康 | [
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0婦產科
| 腫瘤問題 | 請教林醫師我的媽媽她有卵巢瘤已手術切除手術完要如何調理及飲食方面需注意什麼 | 你母親應該是停經後的年紀了吧，卵巢腫瘤最怕就是惡性腫瘤，如果是的話便要定期追蹤，同時出院後要在家休息2個星期，避免刺激性的食物，菸酒也是禁忌，至於是否使用賀爾蒙，則視卵巢腫瘤組織型態而定。 如果只是良性腫瘤接受腹腔鏡手術，出院後只要休息一週即可。 | [
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0婦產科
| 產後問題 | 請教醫生， 如果有家族史，糖化5.05.1 而懷孕前的飯後血糖就偏高（沒吃澱粉在110以下，吃太多澱粉就160左右），但一直有在運動跟飲食控制， 而懷孕時也確定有妊娠糖尿， 1.若懷孕時跟生產後，都持續飲食控制跟運動，可以延緩或避免日後確診為糖尿病嗎？ 2.像我這樣孕前就飯後血糖高的人，會不會產後的血糖根本不下降，直接衝高到糖尿病確診？ 還是說產後可以恢復到孕前的偏高狀態而不到確診狀態呢？ （在我持續運動跟飲食控制的前提下） 謝謝醫生！！ | 您好 一般妊娠糖尿或糖尿都是先動跟飲食控制，如果沒改善才考慮藥物治療，你可能要看新陳代謝的醫師處理你的可能問題。祝健康 | [
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13肝膽腸胃科
| 腸胃問題 | 醫師 我已經肚子脹了一個月了 以前常長有便秘的記錄 最近只要一天不大便 整個肚子就鼓起來 三個禮拜前照x光 醫生說腸道脹氣 可能是腸炎 可是吃藥都沒有效果 本來最近這兩天有比較好 可是又再復發 請問這會是IBS嗎 那我要怎麼治療呢 最近的大便都成深黑色 而且前幾個禮拜也排出黏黏的東西 有時後又軟便 這道底是什麼情形呢 | 您好： 大腸激躁症通常是解軟稀便且一日多次為主，偶而也會多日不解大便。你常常有便秘的習慣，大便積得愈久則愈乾燥且硬，顏色也會變得較深，愈不容易解出來，腸子自然會脹起來，解決之道首重飲食調理，多吃富含纖維質食物及多喝水，少吃油炸或酸辣食物，飲食須定時定量，常保運動習慣，其次是情緒或壓力也有影響，有時某些藥物也會造成這些副作用，不可不慎！ 行政院衛生署桃園醫院敬祝安康 腸胃內科楊培鎮醫師 | [
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| 體適能 | Dear 張醫師 我身高1.71m 體重94kg，我知道這對健康影響很大，我計劃執行體適能運動與飲食控制幫助自己將健康掌握住，請問您是否建議我看減肥門診或是給我其他建議。 | 本院門診設有減肥門診及體適能門診建議你看這二科門診給你更多資訊及建議。 | [
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| 包皮問題 | 醫生你好 我的包皮和龜頭接合處前天發現洗澡的時候洗的時候會痛. 後來發現接合處有小小的破洞類似裂掉.但是很小很小. 是不是因為我黴菌感染的問題乾燥所造成的小小裂掉 在請教醫生一個問題就是我有時候上完小號之後 明明感覺就已經尿完了但是還是會有一點點尿液跑出來 這是病症嗎 謝謝解答 | 匿名： 你好 你的問題： 1.包皮與龜頭的撕裂傷： 大多數是因為霉菌感染引起，一般只要局部減少刺激，不用熱水，不用清潔劑，需要的話，塗抹一些嬰兒油，大約3-7天就可以痊癒。當然了，假如可以看醫師，局部用藥的話，那好的更快。 2.上完廁所後，會再滴幾滴： 有時後，是因為褲檔太高，讓尿液不容易完全排乾淨，建議，下次小便時，將褲子拉下來，而不是只有拉下拉鍊，應該會改善。 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 | 醫生你好，我在上個月第一次服用事前避孕藥（艾斯麗安），月經於11／15到11／22，於11／19吃第二包藥，在11／20有發生性行為，第一次有戴套第二次沒有，但是沒有內射，11／21.22兩天皆有插入但無真正完事，請問醫生，這樣會有懷孕疑慮嗎？ 而且我服用事前避孕藥第10天起胸部就一直脹痛，分泌物也一直都有，是吃藥的副作用嗎？謝謝醫生解答 | 親愛的匿名您好： 如果您有依照單服用避孕藥，懷孕機率是很小的，但胸部脹痛及分泌物的問題還是建議至婦產科就診檢查，或是您擔心藥物作用也可以考慮換另一種事前避孕藥服用。 南投醫院婦產科 黃子菲醫師 | [
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5泌尿科
| 龜頭外露 | 醫師您好︰ 我從出生到現在 龜頭前就有一個類似水泡的東西 外圍感覺是一層皮膚 內部應該是液體狀的東西 有想著去刺破他 不過刺下去時會痛就不敢繼續了 這顆水泡狀的東西到是沒造成什麼不便之處 只是想了解一下這到底是什麼 圖片不知道能不能看的到 還有不知道能不能貼圖片 不能的話 麻煩您刪除了 httpwww.freeimagehosting.netiazc6 | 你好：以圖片來看確是水泡沒錯，可能與摩擦、發炎等因素有關，並不建議自行刺破，怕沒處理好發生感染的問題。實際情形仍應於泌尿科門診就診，與醫師仔細討論。 | [
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6骨科
| 背痛 | 醫師您好，想請教您，我做完月子後兩週發病，也就是生完小孩的六週，背痛的地方不上不下偏中間背痛，我沒有摔倒也沒有受傷，只有單純的生完小孩做完月子就背痛，背痛情形發生時間沒有固定，但都是在睡前或睡到半夜發生，痛起來時什麼姿勢都無法改善，站蹲躺坐趴都痛，一痛起來都是幾個小時，吃消炎止痛藥有效控制，但我不想一直依賴著藥物生活，所以照了x光跟核磁共振，兩份報告都沒問題，中間看兩次急診室、兩次中醫、三次類似美式整脊的醫生，但是我的背痛情況都沒改善，也找不到原因⋯⋯希望你可以提供我一些資訊，需要看哪一科的醫生或是需要檢查哪一個身體部位⋯⋯謝謝。 | 可以去看復健科 產後背肌以及腹肌可能會比較無力 因此常常會造成下背痛 可以找復健科 做一些復健的治療 並訓練背肌以及腹肌的力量 | [
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10兒科
| 生長發育 | 醫師您好 請教一下 我的寶寶再過4天就滿三個月了 他這2天 忽然變得好愛睡覺 讓我好擔心喔 沒發燒 食慾也正常 就要喝奶時才會起來哭 不然就一直睡 之前都會在傍晚6點過後就一下睡 一下醒 現在怎麼很突然的一直睡 忽然變乖 讓我擔心這算異常嗎 | 您好！ 人類平均睡眠時間： 年齡 全天睡眠時間 新生兒 1618小時含白天睡眠56小時 12個月 1416小時含白天睡眠45小時 35個月 1315小時含白天睡眠23小時 612個月 1113小時含白天睡眠56小時 12歲 1012小時含白天睡眠2小時 35歲 0911小時含白天睡眠1小時 613歲 0810小時 成人 0708小時 三個月大的寶寶會比剛出生時少睡23小時，並且比較會配合大人的作息，白天睡不多，集中在晚上睡，也就是會比較好帶。請您放心。 祝 健康快樂，諸事大吉！ 裴仁生醫師敬上 | [
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8乳房甲狀腺科
| 乳頭問題 | 您好，我想問因為我天生就是乳頭凹陷 遺傳到爸爸的，完全看不到乳頭的那種，也沒辦法擠出來. 這對我會有很大的影響嗎 我也發現胸部大小也有點不一樣. 本人比較中性，在發育期間也沒什麼在意的，但是成年了就突然覺得自己還是想了解一下， 是不是只有我有這個問題？ 我的問題很嚴重嗎？ 再來就是最近 我發現左胸 乳頭的位子有硬塊，十元硬幣差不多的大小， 但是不痛. 可是右胸沒有這個問題. 想請問這麼什麼原因 乳頭凹陷 一定要開刀嗎 | 乳頭凹陷的問題應該不會有爸爸的遺傳而來主要會發生在將來你要餵奶給你的小孩子會有問題至於乳房的硬塊可能請你到乳房外科門診做個超音波 | [
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| 睡眠 | 醫師您好，我是一名大學生今年大二 大概從考上大學後一直斷斷續續有入睡困難的症狀 一週內會發生3-4次 最近則是每天都難以入睡（躺在床上半小時以上都睡不著） 睡不著的時候會想事情，多半是想自己的缺點、檢討自己 或是想到和前男友的回憶，也會想未來的生涯等等 因為自己是重考上大學的，覺得自己沒辦法在對的時間出社會工作有點對不起家人 總之就是常常東想西想睡不著 需要走出房間到客廳滑手機滑到3.4點真的很累了才睡得著 之前若有正常入睡的情況，通常是一整天讀書很累了或者一整天活動量很大，才有辦法倒頭就睡 想請問醫師這樣的狀況是否建議前往醫院精神科看病，還有如何讓家人明白自己失眠的痛苦而支持我去看醫生呢 | 網友 妳好： 這麼久的失眠已經符合失眠症的臨床診斷，當然應該要就醫，以進一步鑑別診斷，對症下藥。就醫的部分不用家人支持也是可以就醫的。如果要和家人說明，可告訴他們妳的痛苦，還有可把失眠比喻為情緒發燒需要找醫師幫忙等。 吳恩亮醫師 | [
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5泌尿科
| 夜尿問題 | 醫師您好 我多年來一直有個症狀，就是在夜間會起來上廁所數次 大多時間是大概兩到三次，偶爾會出現五到八次的狀況，對睡眠影響很大 另外就是醒來的時候一定是勃起的狀態，而且會有微微的尿意 但是勃起的狀況會一直持續，直到我去排尿才會消去 一般來說勃起的時候不是會比較沒有尿意嗎？ 除了以上狀況外，若當天有射精，晚上因為勃起醒來的次數會更頻繁 我的生活習慣正常，大概六七點起床，晚上十點多就寢 一天喝水的量並不多，大概1500 2000CC 晚間（六七點）除了吃晚飯時喝的400CC左右的湯或飲料外就不會再進食及喝水 實在不曉得問題為何，希望您能給我一些建議 謝謝您 | 您好： 您的年紀，夜尿太多不正常，尿量的分布時間如果不均，都在晚上，是要大醫院就醫的，另外夜間膀胱漲，勃起是一般的現象不奇怪，您先就醫看夜尿的問題吧，目前可晚飯後少喝水，不要喝飲料，祝健康。 | [
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2牙科
| 抽神經 | 醫生您好，前幾週去台北長庚做抽神經的治療，但治療的醫生除了把鼻竇挖破外，還把洞挖的太大，後續其他的醫生在做根管治療時有說洞太大可能牙壁會裂開，想請問這樣的情況後續應該如何處理會比較好？tks | 抽神經時洞挖太大，有可能是原本牙冠因蛀牙嚴重，在做抽神經治療時需將蛀牙的齒質移除，導致所剩下的牙壁太薄，建議完成抽神經治療後放置根管釘及做牙套保護該牙。 | [
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16腫瘤科
| 淋巴 | 醫生您好，我大概在一月初的時候發現左右兩邊鼠蹊部的淋巴腫起來，兩邊都有很多科，大多數都在１公分以下∼２公分左右，有長型的也有圓形的（圓型的比較小顆），右邊比左邊嚴重一點。有時候會有小痛（所以我才注意到腫起來了），按壓的時候也有小痛。最近感覺稍微好一些，左邊好比較多，但右邊沒有明顯變小很多（感覺不出來差別）。 體重的部分沒有下降，甚至這兩天還上升了一點。也沒有發燒、盜汗之類的症狀。 倒是最近因為作息比較晚，有點亂，所以感到比較累。 還有就是最近感覺有點過敏，一直流鼻涕。 １）所以想請問您一下，會是因為作息關係，以及比較少運動的原因導致淋巴腫起來嗎？？ ２）想請問您一下我需要去看醫生嗎？？具體是看哪一科呢？還是沒有變大就再觀察看看？ ３）有甚麼方法可以幫助淋巴消除呢？ 感謝您百忙之中的幫助！！ | 匿名／21歲／男 您好， １）所以想請問您一下，會是因為作息關係，以及比較少運動的原因導致淋巴腫起來嗎？？ A：無法確定原因，也無法確定是不是惡性 ２）想請問您一下我需要去看醫生嗎？？具體是看哪一科呢？還是沒有變大就再觀察看看？ A：看醫生比較好，血液腫瘤科、一般外科， ３）有甚麼方法可以幫助淋巴消除呢？ A：應該是沒有一定有效的方法啦。 如果是細菌感染，吃抗生素可能有效， 單一顆也可以開刀拿掉。但是這個開刀兩側多顆可能不適合。 新春愉快 桃園醫院 陳斯榮 | [
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0婦產科
| 腹部問題 | 醫生您好： 我在14-15天前月經來，最近兩天下腹部都有點悶悶的或者是感覺不太舒服怪怪的，但不到痛。而且昨天大約整天可能因為下腹部脹脹悶悶的緣故一直放屁跟大便，今天就沒有這種情況。外加上分泌物增多，一直感覺陰部很濕潤。 我沒有性經驗，偶爾會自慰但沒有放進陰道過，月經也都規律，也很少會經痛。 請問上述的情況會是因為排卵期造成的嗎？會不會有可能是骨盆腔或是其他地方感染？ 之前排卵期左右非常偶爾會有下腹部些微不適的感覺，但通常只會持續一天以內，不會到兩三天… 另外想請問我有時候會有像水一樣的分泌物突然排出（通常也是在排卵期附近出現，但不是每個月都有）；也會偶爾有白色或黃色一小陀一小坨富有延展性和黏性的分泌物，但量不多也沒有什麼特別的味道，通常一個月只會出現個幾天，沒有伴隨搔癢或疼痛的症狀。請問這樣是正常的嗎？會是感染嗎？有需要去就診治療嗎？ 謝謝醫生！ | 你好 有可能是排卵的關係，暫時觀察，如果還是有不適，建議看婦產科。祝你健康 | [
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| 驗孕 | 醫師好， 請問藥物流產後要經過多久驗孕反應才會消失？ 如果723吃RU486第二劑，810龜頭在分泌前列腺液的情況下不小心抵到陰道口，但未射精，因不放心想驗孕，請問醫師建議在何時驗孕才不受前一次懷孕影響呢？ （另外因為藥流的關係月經可能會不規律，怕等下一次月經延遲再驗會太晚，而且也不知道到底什麼時候算延遲。） 謝謝醫師的耐心。 | 提問者您好藥物流產成功機率約95，失敗機率約5，在服用流產藥物後一二週內，患者必須回診追蹤，經臨床檢查、β-HCG測定、超音波掃描等來確定胚胎是否完全排出。之後再２週左右驗尿較能消退，謝謝！ 祝 平安 健康 張 醫師 回 | [
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9整型外科
| 嘴唇 | 植髮是算株.那一株是多少呢 植完後大約是多久會開始長 還會不會在掉呢不會的話那可以維持多久 要植得話要注意哪些事情呢 | 植髮手術目前已發展至毛囊單位植髮方式，每一毛囊單位含一至四根毛髮不等。一次植髮可種數百至上千毛囊，要花相當多的時間和人力，需有一團隊才有辦法做的好。本院並未發展植髮技術，無法告訴你要花多少錢。不過普通一單位株要花二、三百元左右。植入的毛囊約三個月左右後才長出毛髮，植上去的頭髮是永久毛，不會提早掉落。至於其他需要注意的事項，就仰賴專業合格的植髮醫師為你說明了。 | [
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| 消化蠕動問題 | 本人是屬矮胖型，最近一年來常常吃東西下去〈乾飯、稀飯、麵等〉，事後沒幾分鐘或幾小時內即會從鼻孔或嘴巴溢吐出來，有前往中部某醫學中心看肝膽胃腸科主任的診，有照胃鏡四次及切片〈未發現有不好東西〉、腹部超音波、電腦斷層，仍找不出原因，目前已瘦十八公斤，但看起來還是胖，醫師有開些藥，服用後情況改善不多，仍吃飯後〈目前採少量多餐〉沒幾分鐘或幾小時內即會從鼻孔或嘴巴溢吐出來；請問病因為何？有無治好希望？或建議到那家醫院看哪位醫師較妥適？ | 網友好 應是消化蠕動問題 建議台中榮總張繼森醫師 祝平安 | [
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13肝膽腸胃科
| 拉肚子 | 醫生您好： 剛吃完晚餐後騎車回家，5分鐘，一下車就噴在內褲上了，無法控制。 肚子不痛，但一直噴液體，黃色。 PM8：00∼AM2：00，噴了5次以上馬桶，喝一杯水也會噴一次，所以不敢喝水也不敢睡覺，怕不知覺噴在床上。 請問我生了什麼病？看醫生的話該看哪科？ | 您好！可至家醫科、肝膽腸胃科就醫，謝謝！ | [
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0婦產科
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| 懷孕 | 我和女友帶套性行為 最近一次在1120號 他上次月經好像是10月底來的 我們十一月初也有做過 今天1124號 他昨天跟我說頭暈 想吐 也可能是感冒 但他說他分泌的很少 那個也差不多該來了 我們沒次都有帶套 這樣還可能懷孕嗎？ | 您好 是否懷孕要等有機會，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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5泌尿科
| 自慰 | 您好 看到您的回覆了 我今年17歲 如果之前自慰都是2∼3分鍾 三個月沒自慰後 龜頭感覺變很敏感 一開始磨擦還會有點痛痛的，而且以前能磨擦比較快速，現在如果同樣速度磨擦不到30秒就想射了，要久一點的話只能慢慢輕輕的磨擦 1請問這是因為太久沒磨擦才會導致那麼快射嗎？ 2請問有什麼方法能恢復原本的樣子呢像是持續自慰降低敏感度 3請問這是早洩嗎？ 4請問腰和背會酸和自慰有關嗎三個月前1天1次，現在1週3、4次 5我之前有做肛門觸診，有擠壓攝護腺，請問這是導致我現在這樣的原因嗎？ | 您好 1 應該不是 2 可能每天適度運動 注意睡眠時間要夠 1-2 星期看看會不會改善 持續自慰降低敏感度--我是不建議 3 因為不是性行為所以不能說是早洩 4 絕對無關 5 不了解您從那裡學來的 不過不建議您再做了. 至於會不會造成敏感真的很難說. 祝健康. | [
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1精神科
| 精神醫療 | 醫師您好 我目前有一交往八年的男朋友初交往時他每每打電話給我是家用電話他總說電話中有其他的人聲我說沒有也不太在意但他總說一直聽到並且說那個人知道他所有的的事情這種情況聽他家人說以前他唸碩士時就發生了. 交往的其中也沒什麼不對勁的地方直到去年94年6月時有一星期六他突然來找我而我有事出去了無法與他約會他回北部後整個人都不對勁了.他突然不撥電話給我並且說我不是結婚了嗎怎可以打電話任憑我如何解釋他就是聽不進去為此我跟他大吵一架他還說電視新聞都報了怎麼還會假又說他親眼看到有人去我家提親雖然這都是無中生有的事但他十分的確定. 過了兩.三個月他我輾轉得知他已無法工作辭去工作雖然又上班但總做不長唉直到94年年底左右他比較好了他主動與我聯絡並且說去看了醫生醫生說他是"焦慮症"只要晚上睡得好就沒問題因此開了鬆弛的藥還有焦慮症的藥但有時他還是會說頭疼看不清楚或說他車上有人其實沒有也會懷疑有人裝竊聽器. 唉請問醫生我該如何最近聽說有一種"逆行性神經療法"聽說對病情有幫助而且只要看2次就可以好請問他的這種情形會再犯嗎是否需吃藥一輩子因為他還是會對自己說話.逆行性神經療法所需費用不匪嗎 麻煩醫師解答謝謝您 | 小憂： 你好！ 你男朋友的情形似乎與一般的焦慮症不太相同，因為他有出現懷疑被竊聽、自言自語、聽到或看到應該不存在的東西等等情況，甚至現在連工作都無法持續了。這種情況在極度焦慮狀態下可能短暫的出現，卻更常出現在腦部受傷、使用毒品之後，或是精神分裂症、妄想症的病患，不過正確的診斷還是要依靠醫師當面的問診才準確。建議你親自陪著他到精神科門診就醫，你可以親自問問醫師的意見，也可以提供更多資訊給醫生參考，至於是否要吃一輩子的藥，每個人的狀況不一，這可能要詢問當面看診的醫師。 至於「逆行性神經療法」，我本身並不是很了解，因此無法回答此問題。不過該方法目前並不是精神科常規的治療處置，實際的療效可能還需要更多研究資料來證實。 謝謝你的提問。 | [
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0婦產科
| 陰部問題 | 近期的這兩三天 覺得下面癢癢的，去洗澡時， 才發現陰部一面的外圍有一粒一粒的癢時我會想抓 後面倒是變成偶爾會癢，跟伴侶做那件事時會痛一下子 是為什麼？ | 找醫師檢查看看. | [
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11營養教室
| 食品成份資料庫 | 根據台灣食品營養成份資料庫裡面的資訊： 為何新鮮的毛豆仁和冷凍毛豆仁的鉀離子含量相差近一倍？ | 您好 依據台灣食品營養成份資料庫裡面的資訊，毛豆仁的內容物描述為生混合均勻打碎，冷凍毛豆仁的內容物描述為冷凍包裝混合均勻打碎，無法判斷是否冷凍毛豆仁經過川燙或水煮，如果是川燙或是水煮，有可能會流失在湯汁中，故有可能影響含鉀量。 祝您平安健康 | [
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| 脾臟 | 最近去醫院體檢做腹部超音波，報告說有疑似脾臟混合音病灶3.4cm，往年做都沒有，也沒有左上腹痛等症狀，網上眾說紛紜，請問可能解讀是什麼？是否需要進一步做何檢查或定期追蹤即可？ | 您好： 建議安排進一步的檢查，例如電腦斷層檢查看有無脾臟腫瘤及何種腫瘤特性。脾臟腫瘤可能原因有良性的血管瘤發炎膿瘍（可能發燒、腹痛）血管栓塞產生病灶（可能有腹痛、發燒現象）轉移性惡性腫瘤血液腫瘤等。建議進一步檢查。 祝 健康！ | [
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5泌尿科
| 泌尿道感染 | 醫生你好： 前陣子泌尿道感染，沒有血尿就去看醫生了，吃了兩週的抗生素後頻尿跟尿痛的症狀都沒有了，現在上廁所的頻率跟尿量也都正常。但是上完廁所之後，某些姿勢或是下體肌肉用力撐開的時候，尿道會有點刺痛，但有時痛有時不痛。想請問這是尿道炎的後遺症嗎？還是沒治好 ？ 謝謝醫生 | 您好： 應回診再驗尿，確認無感染，生活至少注意幾星期，祝健康 | [
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6骨科
| 腳部問題 | 李醫師你好 近來受到左腳踝疼痛所苦，以前有檢查原因是腳踝軟骨已磨損嚴重，廳說可以手術重建，不曉得是否可行。 謝謝！ | 您好： 回覆您的問題。 軟骨因為受傷的確可以重建，最新研究成果可以拿自己的軟骨，抽取其中的軟骨細胞，培養幹細胞（stem cell），萃取會演化成軟骨的軟骨母細胞，大量複製下養出許多軟骨細胞，將這些細胞與某些結構結合，形成移植體，以手術方法將軟骨磨損地方刮掉。 將移植體種到軟骨缺損，待軟骨成長後即可將軟骨缺損或磨損的地方變回正常的軟骨。 目前這種最新研究成果只有在幾個醫學中心動物實驗成功，人體試驗尚未到臨床使用地步，不過應該不出多久就會廣泛使用了。 另一種重建是人工關節置換，但只有極少數的病例需要接受這種手術，建議您就近找骨科醫師求治，得針對您的個別情況來判斷採用何種方式對你您最合適。 | [
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6骨科
| 脛骨骨折 | 您好，上月831脛骨腓骨粉碎性骨折手術後，醫生說我腳踝有一個傷口下面有放鋼版的關係傷口會好得很慢，這一個月以來醫生用燙傷藥膏治療，現在傷口的狀況是大約11上面有一層白白的東西，食鹽水洗不掉。傷口目前算是乾淨，沒有什麼液體流出，想請問那層白白的東西（不是膿）是正常的狀況嗎？我繼續擦燙傷藥膏傷口可以癒合嗎？不知道下面的皮膚是不是已經壞死了，謝謝您撥空回答！ 第一次使用這個網站，不知道哪裡可以上傳照片∼如果需要可以再傳照片請教您！ | 傷口如果沒有感染的話 慢慢的換藥治療通常都會長出肉芽組織及皮膚的 所以還要等一段時間才會癒合的 如果有問題必須回原來的醫師那裡再做處理 | [
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| 呼吸窘迫症 | 請問一下使用呼吸器的人會發生什麼樣ㄉ問題 | 小雅您好： 隨病人病情不同，可能發生不一樣的問題，大部份的問題醫師及呼吸治療師都可以克服，比較複雜的情況醫師也會透過討論會方式集思廣議，設法解決問題並向家屬解說！碰到問題直接向主治醫師請益好了！ 祝！ 安好！ | [
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17眼科
| 隱形眼鏡 | 高醫師您好 請問我配了一付新的隱型眼鏡 這幾天發現單用一眼看時 2眼的清析度是差很多的 想請問這是因人都會慣用某眼睛的關係嗎 那這樣是否建議把較不清楚的一眼也調到清楚的度數比較好 若調的比較清楚這樣會影響眼睛跟生活嗎 謝謝您 | LILI 您好： 兩眼清晰度差很多，差的一眼有可能是度數沒有配對， 但是也有可能是本身視力就有差距， 不知道是否是故意這樣配的，有時讓你一眼看遠，一眼看近。 你可以試試看，看遠不清楚的是不是看近比較清楚。 如果兩眼看遠都配到足，可能看近的東西就會比較吃力。 台灣e院 朴子醫院眼科： 星期一至五早上 8：00∼12：00 星期三下午 13：00∼16：30 希望有機會能為您服務。 高丕霖 | [
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7耳鼻喉科
| 耳咽管 | 醫生您好，我因為左耳感覺堵堵的去看耳鼻喉科，醫生說有可能使耳咽管的問題，開了其中一個藥是：SECORIN CAPSULES。 想請問為什麼耳咽管問題需要吃到抗焦慮的藥？謝謝醫生 | 你好 引起耳咽管功能異常的原因很多，焦慮、失眠等亦可能引發，若對藥物使用有所疑慮或症狀未改善，建議可提前回診請教臨床醫師。 | [
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6骨科
| 關節 | 您好.我的關節常常會無故疼痛.通常疼痛時痛的地方會紅起來而會發熱大部分是膝關節.或手腕.手肘的關節有時候手指關節也會.而且也會出現手指頭或腳指頭腫起來的現象 曾經有去抽血檢查過.並非類風濕性關節炎 請問應該看哪一科或要再做哪些檢查呢.謝謝 | 雨 您好： 很抱歉！因業務繁忙稍晚回覆，不便之處敬請見諒。 您所描述的關節痛，存在紅腫熱痛，這是典型發炎反應至於是一般過度勞動，退化性關節炎益或是較複雜與免疫反應有關的關節炎，則需進一步查證，健議前往骨科或免疫風濕科進行診治。 祝 健康快樂 王守吉 彰化醫院關心您的健康 | [
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| 避孕藥問題 | 醫師您好，55有服用事後避孕藥（Levonorgestrel）想請問可以用有含青黴素的感冒藥嗎（AMOXICILLIN）？ | 提問者您好 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，當服用這些藥時必須採取其它的避孕方式 -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 9. 長期飲用茶飲或食用某些草藥是有可能與口服避孕藥互相產生相加減的效果的。除此之外，服用任何一種藥品需配服開水，都不能與茶、咖啡等飲料配服，否則會影響藥品的效果。 大所提藥物有上述相關藥物，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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| 其他 | 近一個月發現吞口水時喉嚨左上方有類似軟骨摩擦的聲音吃飯及喝水時則沒有這感覺使我精神壓力很大請問這是什麼原因 | 敬覆 無大礙.請多休息即可. 新竹醫院耳鼻喉科主任葉大偉 | [
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| 胸部問題 | 醫師您好， 想請問性行為中的搓、揉、捏，有可能導致胸部未經手術或整形變形嗎？ 因為沒有這方面的經驗，有點擔憂。 | 不會造成變形。 | [
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5泌尿科
| 結紮 | 醫師您好： 請問貴院是否有在施行結紮手術？請問是否有健保給付？費用大概多少？手術完是否需住院？ | 您好： 本院泌尿科有在施行結紮手術，它並無健保給付，需自費，大約四千三左右，此手術不需住院。 敬祝 平安健康 | [
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1精神科
| 焦慮症 | 從小我就不擅長拒絕別人只要是力所能及的要求都會答應 自國三遭受霸凌升上高中後我就開始害怕聽到別人的說話聲 我在學校時開始聽不清楚同學再說甚麼和老師同學說話時會感到緊張只想改快結束談話 在家時也是把自己關在房間裡但只要聽到房門外說話聲依然會覺得喘不過氣來無論聽的清不清楚 開始會覺得憂鬱想哭到後來我會用力擰自己、摔東西或回想前不好的回憶 到現在我幾乎無法用正常的心情去跟他人溝通 無論是語音還是文字我都會竭盡腦汁的思考是否有背後的涵義 同學寫的生日卡等我至今不敢看內容 請問我這樣的症狀該怎麼辦 | 黃小姐妳好 人在焦慮恐懼時，有時會出現類似大腦當機的現象，沒有辦法接收訊息、思考判斷。 看來妳的焦慮程度很高，也出現一些憂鬱的症狀，也會過度聯想到負面的情境。 建議可以從家裡開始，試著在對話情境中多停留幾分鐘，慢慢習慣對話的感覺，也可注意家人彼此間的對談，他們都聊些什麼，如何應答，將注意力放在對方身上加以學習，而不是自己身上。習慣之後可以再進一步自己與自己的好友以相同的方式練習及適應。 如果實在還是很困擾，建議可以就醫尋求協助。 祝福妳 | [
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6骨科
| 關節 | 您好請問我現在2邊臗關節都有壞死的現象.左邊應該3.4期了.右邊是剛開始.請問這種是不是真的可以不用開刀.用體外震波就會好嗎 | 陳小姐 股骨頭缺血性壞死大部份原因不明. 危險因子包括有飲酒'藥物如類固醇或特殊工作及疾病和創傷後遺症等. 若骨頭已壞死合併變形而且疼痛除手術外大概只能靠藥物止痛 但這非長久之計. 只用體外震波治愈股骨頭缺血性壞死恐怕不這麼樂觀. 重要還是須要針對危險因子或疾病去解決. 祝 早日康復 | [
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4心臟血管專科
| 心臟問題 | 醫生您好，我本身有第一期高血壓，目前有在服用降壓藥約一個月了 幾日前突然覺得自己心跳很大力，靜坐或平躺睡覺時有種全身都在隨著心跳顫抖的感覺 跟人講話時會講到有點喘不過氣來，頭有點暈，整個人會精神不濟，靜止時會不自主想要深呼吸 自己試著量脈搏一分鐘約70上下，運動時又覺得很正常沒什麼感覺 吃降壓藥量血壓12781 脈搏83，一個月前有驗尿抽血醫生都說滿正常的 想問這種情況是會突然發生嗎因為持續好幾天都是這樣還越來越長有點慌張 掛心臟科還要排個兩三天想先問問醫生的意見 | 您好 有時有些人吃高血壓藥會有這樣的反應 可以考慮血壓藥減半試試 或甚至停藥看看症狀是不適有變化 再去和醫師討論用藥 平安 彰化醫院關心您 | [
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| 唾液腺囊腫 | 醫生你好 最近在國外做了唾液腺囊腫切除手術，切除位置是舌頭下方舌頭背面。 現在術後八天 1. 舌尖感覺有些麻木，舌下開刀部分有凸起硬塊，這是正常的嗎？ 2. 重要的事，目前疤痕上（邊緣）起了兩個水泡。一個已破裂形成很小的潰傷，這是一個正常的嗎？ 煩請醫生答覆 | 傷口有些腫脹發炎或小水泡是正常但太過明顯的不舒服要盡速回診 祝平安 | [
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0婦產科
| 子宮內膜異位症 | 醫師您好 我不知道自己處女膜是否破裂了？那我去看診時，醫師可以馬上幫我檢查嗎？是否也可以馬上做子宮頸抹片呢？需要自費嗎？因為我不懂！ | 1.可以。 2.如果有過性行為就可以做抹片。 3.不需自費、健保就可以了。 | [
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5泌尿科
| 自慰 | 醫師您好我一直有自慰的習慣因三個禮拜前自慰後肩膀長出兩個不會痛的紅疹一開始不以為意 好了之後之後只要自慰一次身體就會開始出現不會痛的紅疹去抓它會像蚊子咬的形狀 長在肩膀兩側及胸口前肚子附近只有右側背部都沒有 有到皮膚科給醫生看診有將我的情況告知醫師但醫師跟我說這些紅疹跟自慰沒有相關 可能是禽蹣蟲所咬傷但這些紅疹只有在自慰後的才會出現如果不自慰就不會長 因本人都沒有跟任何人發生性關係也沒有跟得到性病的人接觸過現在有再想辦法戒除自慰的行為 但自慰是一般男性都會做的吧.請問醫生自慰過後身上長出紅疹到底是什麼症狀請醫師給我解惑 謝謝 | 先生您好 沒有聽說過自慰過後身上長出紅疹 請配合皮膚科醫師的治療 新營醫院泌尿科 陳建升 | [
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| 濾過性病毒 | 您好！許醫師 請教許醫師因為近期與朋友好奇去找過性工作者服務但事後非常後悔.雖然那天做有帶套.可是我 疑是否有破掉.！然後我隔天馬上去找中醫開藥看提前預防.中醫師 先開排毒藥給我吃.吃了一個禮拜了身體上沒有什麼變化.但不知道是不是過度擔心有時覺得身體會養.還有就是我去的中醫師那邊開的藥好貴.但我真不知道該怎麼辦才好.因為性病有潛伏期所以我真不知道該怎麼辦！ 請求許醫師給我一下建議！謝謝許醫師 | 阿德： 你好 無法判斷是否得到性病。 至於中醫是否可以做事後性病預防，我不清楚。 建議到感染科作相關性病檢查：愛滋病、梅毒、肝炎、淋病、菜花等。 | [
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13肝膽腸胃科
| 胃食道逆流 | 我有胃食道逆流症狀，照過胃鏡檢查是分級A，可是報告上我有食道裂孔疝氣，說我的胃跑了一點點上來，我現在經常左側喉嚨痛，目前吃耐適恩已經開始壓不太住，請問我必須開刀嗎？目前進入第三個月的服藥耐適恩，之前都吃消炎藥胃逆舒吃了約2-3個月。 1.開到是開食道裂孔修補還是抗逆流手術呢？ 2.如果單純只想解決胃食道逆流造成的喉嚨痛，是否開刀將扁條線拆除即可？ 3.開刀的話食道裂孔疝氣和胃食道逆流痊癒的機率大嗎？ 4.胃幽門桿菌吃藥一個禮拜即可嗎？ 喉嚨後一直很困擾我，我有辦法擺脫喉嚨痛嗎？ 最後謝謝醫師耐心看完即回應，辛苦了！ | 您好 目前治療胃食道逆流的主流是藥物及生活型態的調整。藥物治療失敗且會造成嚴重生活困擾才會須要手術，一般不太建議。手術方式可以用腹腔鏡微創手術，利用胃的底部部分來包繞遠端的食道，並修補隔疝氣的缺陷。手術過後有些患者仍須要長期藥物控制。 胃幽門桿菌台灣的健保治療建議是AmxocillinklaricidPanto pump inhibitor三合一藥物治療1週，通常絕大部份患者都可以根除幽門桿菌。國際上其它幽門桿菌尚有1三合一治療2週2系列性治療3不含鉍劑的四合一治療。 胃食道逆流是一個無法完全根治的疾病，須嚴格控制飲食習及生活型態，甚至的控制體重，過重或過瘦都容易胃食道逆流復發。 彰化醫院關心您的健康 蔡安順醫師 | [
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11營養教室
| 其他 | 您好水腫問題困擾了我大約有五六年了我身高162體重約85每天早上起床都會全身水腫有時要到下午才會消腫曾抽血檢查多次可是都說沒問題後來也看了中醫有說是子宮不好MC的量太少阻塞引起的也有說是因為長期睡眠不足引起的上班時間924早上大約730起床晚上大約12點睡半夜都會醒來一次或二次我應該怎麼做才能擺脫水腫問題呢飲食上如何吃可以改善呢吃藥已經吃到怕了而且每次停藥都會水腫的更嚴重謝謝您的耐心回答. | Dear 漾瓶子 您的問題比較複雜，有幫您請教新代科醫師，醫師認為您要找出病因，不知您之前在何處就醫，建議可看心臟科、腎臟科、或新代科，詢問中醫師認為與水腫或睡眠不足較無關。飲食部分可用以改善的幫忙不大，還是要對症治療才可。 謝惠敏 | [
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11營養教室
| 營養諮詢 | 一餐用餐時間大約多久比較符合健康原則？ 對國中生來說 20分鐘吃一頓午餐妥適嗎 ？ | Dear 小咪： 您好！ 用餐時，只要保持心情輕鬆、細嚼慢嚥即可，至於國中生20分鐘吃午餐，只要不邊吃邊聊天，應是足夠的！ 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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| 龜頭外露 | 請問醫生.勃起時正常但是龜頭部分很軟. 要進入時候.必須用手用住龜頭才能進入. 請問.這是什麼問題呢.thx | 男性正常勃起時主要是陰莖海綿體充血變硬正常如小黃瓜堅挺. 龜頭部分屬尿道海綿體勃起時並不會變硬仍有彈性. 如果勃起時陰莖硬度只有像帶皮香蕉剝皮香蕉或蒟蒻時 則有勃起功能障礙建議尋找專業醫師診斷及治療. | [
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| 副睪丸炎 | 醫生您好 在一次莫名的睪丸痛之下 我去了三軍總醫院檢查 醫生宣判我得了副睪炎 一時緊張的我 又跑去書田診所看 另一個醫生宣判我得了攝護腺炎 並且照超音波的同時發現我得了精索靜脈曲張testicular Microlithiasis 精液檢查 精子數 1700萬 活動力 13 醫生建議 先開刀解決精索靜脈曲張且testicular Microlithiasis的情況就會改善 醫生一直叫我開刀.聽起來感覺我病的頗嚴重 老媽不放心 於是我又跑去台大找張宏江醫生 精液檢查 精子數 700萬 活動力 11 張醫生說 精索靜脈曲張不是主要造成活動力降低的原因且看起來很輕微 testicular Microlithiasis才是 我的問題如下 1目前吃書田診所的藥已經四週了但是睪丸or上面一點點筋的部分還是感到痛.這樣正常嗎 2testicular Microlithiasis形成的原因為何外力有可能嗎 3testicular Microlithiasis會讓我的情況繼續惡化下去嗎有辦法維持或改善嗎 張醫生已經說我不可能自然使配偶受孕 煩請醫生撥空回答我這冗長的問題謝謝 | Ray 你好 張宏江醫師是一位專門從事男性不孕的台大醫師，對於這方面有很深入的研究，以他的診斷，應該沒有問題，可能是因為睪丸的病變造成精蟲數量急速下降。 我建議可以在他的門診繼續追蹤治療（雖然台大很耗時間） 至於負睪丸發炎，只要持續治療，應該會改善，臨床上，有時甚至需要治療4-12週左右。要有耐心。 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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Subsets and Splits