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5泌尿科
| 睪丸問題 | 醫師你好 兩天前右邊睪丸突然疼痛 用手輕摸也會痛 隔天情況有好一點 但是右邊睪丸也還是會疼痛 輕摸不會 想請問這是什麼情況 謝謝你 | 睪丸疼痛常見的原因包括感染、扭轉、精索靜脈屈張、乃至輸尿管結石都有可能。建議您就診。 | [
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13肝膽腸胃科
| 排便問題 | 醫生您好，我是一個在房地產公司工作的小職員 平時一天排便次數約1-3次，但一個月前開始有排便不正常的現象，起初有兩三天的水便隨後不時有大便開始變細的現象而且放屁次數也增加到1天10-15次了，網路上爬了文覺得有點像大腸癌，但是最近大便又有變粗現象，弄得自己非常緊張也睡不好；因為擔心是否是大腸癌後詢問家人後發現外公有切過大腸息肉但是沒到變成大腸癌其他人並沒有罹患過大腸癌，之後一直到月末的時候半夜突然有火燒心的現象然後隔天就解出黑便，因為非常害怕所以就去醫院看了診，當天照了胃鏡也抽了血還順帶做了肛門的指診與糞便潛血還有腹部超音波的檢查，也都很正常沒問題，但是這一陣子開始變得非常在意自己上廁所的狀況也覺得腸胃狀況變得很敏感常常想上廁所也常常把自己搞得很恐慌；另外最近兩周排便也不太正常，只有早上第一次上廁所大便狀況看起來比較正常，之後就會變得稀稀爛爛的量也不多的大便，請問醫生這狀況會不會是大腸癌，或需要照大腸鏡之類的。 非常感謝醫生看完 | 您好 大腸癌的症狀大多是一些非特異性症狀不必為了某些症狀而過度擔心養成正確的生活習慣及飲食習慣才是必要的。若仍無法改善，可以就診胃腸科，由臨床醫師判斷是否須要做大腸鏡。 彰化醫院關心您的健康 蔡安順醫師 | [
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2牙科
| 智齒術後問題 | 因為醫生說一定要拔掉上顎的智齒才能補牙，但又說拔完要過一個月才能補牙⋯⋯可是我現在智齒是拔掉了，但他旁邊的蛀的牙齒（在上顎）好像撐不到一個月了，因為我拿手電筒看也是蛀蠻大的，也開始在痛了⋯⋯我現在處在一個進退兩難的困境，我拔的智齒有兩顆一顆是上顎的智齒以及下顎的水平智齒（要縫線的那種）所以想問問看醫生到底可不可以補呢？因為爬文說如果補了會感染⋯⋯所以很怕很怕，但現在又會痛，所以很混亂，不知道到底可不可以補⋯⋯請醫生看看我的問題謝謝你！感恩！ | 您好 建議可請醫師先做緊急處理，包含可局部移除齲齒，並進行覆髓或其他相關保護根管的療程。待拆線傷口癒合到一定程度後，再進行積極治療 | [
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| 懷孕嗎？ | 不好意思 我想請問 我的月經是在129號結束 1213有性行為無戴套 可是有拔出來再打手槍之後才射 這樣會懷孕嗎？很擔心 因為我的月經每個月都不准確 所以我想知道會不會懷孕 | 您好 懷孕機會不大，建議還是要戴套較安全。祝健康 | [
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| 解便問題 | 我平均2-3天解1-2次，均為條形偶爾第一次沒解乾淨隔幾小時會再解一次就會是前面條狀後面軟糊狀，顏色正常咖啡色，最近發現排變粗細不大一様，細的解出來也是一條目測約中指粗細 我想問大便粗時像香蕉，細時像手指般，有沒有問題？排便前不會腹痛。 | 可多吃蔬果再觀察，及或檢查糞便潛血 | [
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1精神科
| 憂鬱症 | 我家族沒有憂鬱症病史，但我常常因為想太多（關於自我存在無實質價值、無法對未來抱有繼續體驗的動力、無法真正的與他人建立緊密關係）無法專注完成學業等目標壓力很大。可是我在想我有讀過憂鬱症相關的報導，然後每次心情低落到自責和狂躁的時候也都不敢自殘，那麼我的憂鬱和難過還有記憶力衰退會不會是我看過憂鬱症症狀的報導所以妄想出來的？會不會其實我一點病都沒有只是想要逃避，並且極度懦弱才妄想我很難過，在假裝自己是病人，所以低落情緒加劇？ | 首先，為您勇敢地分享你的感受和擔憂而感到肯定，你所經歷的情緒波動和心理狀態是值得關注的，並且尋求專業幫助是非常重要的一步。 從你描述的症狀來看，包括價值觀自我低落、缺乏對未來的動力、建立人際關係的困難、注意力下降、以及情緒波動等，這些都可能與憂鬱症有關。但是，憂鬱症的診斷需要專業的精神醫師根據詳細的病史、臨床症狀的確認和必要的醫學檢查來確定。相對地，雖然家族中沒有憂鬱症病史，但並不代表你就不會受到憂鬱症的影響。 關於你提到的是否在你所讀過憂鬱症相關報導而開始表現出類似的症狀，這並不意味著你的感受不真實或不重要。實際上，你所經歷的心理壓力和情緒問題是真實的，並且值得專業的關注和處理。想要逃避或感到恐懼不是什麼罪過或錯誤，許多人在壓力和困難時都會有類似的想法和感受。重要的是尋求幫助並與適當的人討論你的感受。保持與家人或信任的聯繫朋友的溝通是重要的支持來源。 最後，如果你一直感到困擾，我建議你可以就近前往精神科身心科醫院門診或診所，進行更全面的情況評估，可以提供適合你個人情況的建議和治療方案。 | [
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2牙科
| 抽神經 | 您好： 今天到附近的牙科診所看牙 並請教醫師們，關於我的牙齒有兩顆嚴重黑黃，嚴重影響外觀 醫師說是因為抽掉神經的關係 建議我選擇牙套，並說牙齒美白並不能達到效果 但是我想請問的是. 冷光或是雷射美白的話，真的不能達到美白的效果嗎抽掉神經的牙 因為我這邊比較鄉下，並沒有雷射或是冷光的儀器 剛才大致看了一下別人的發問，好像醫師蠻建議戴牙套 因為可以讓沒有神經的牙比較堅固，又可以美觀 可是磨掉牙齒，不是會對牙齒造成傷害. 一顆好一點的牙套動則要上萬，顏色就固定了 那我是不是要美白後，不滿意效果再來做牙套呢 這樣才可以挑比較白的顏色呢 牙套可以維持的時間是多久呢可以大約說明嗎 感謝您的回答 | 您好： 根管治療後變黑的牙齒，通常無法用美白的方式變白，確實是需以牙套保護，可達美觀的效果，亦可防止牙齒斷裂，牙套的使用與保養都必須注意，使用年限才會增加。 行政院衛生署新竹醫院牙科主任吳金俊 | [
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2牙科
| 車禍撞斷牙齒 | 我前幾天出車禍，撞斷兩顆門牙，一顆斷一半，一顆幾乎全碎了，也緊急抽了神經，牙齦縫了兩針，那之後是要做植牙還是做假牙，費用大約多少？ | 如果撞斷的牙齒牙根受損不嚴重，而且抽了神經，則壓根的牙周韌帶的有機會恢復正常，則將來可以作根管釘及牙套恢復後咀嚼功能，但如果牙根持續動搖，則可能需拔除牙根再考慮作植牙，建議找牙醫師作進一步評估。 | [
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6骨科
| 骨折 | 感謝王醫師抽空回答 弟弟去年六月騎車不慎摔車 股骨閉鎖性骨折 因為股骨直徑不夠 無法進行骨隨內釘 所以改用鈦合金骨板固定和人工骨填補 術後三個月 還稍微有空隙 但今天二月騎車時再度不慎 讓原受傷處上方股骨閉鎖性骨折 這次使用健保鋼板固定 但回診拆線時 領取術後Ｘ光片後 注意到 沒有如第一次接得很漂亮 呈現 ＿︱￣ 這樣的形狀 httpsdrive.google.comfiled1AriPhv9rouLL8wrpQtIJt9oW8jMAh7vviewuspsharing 主治是說不影響運動能力跟不會導致長短腳 骨痂會包起來 所以不用過度擔心 但從X光上看起來覺得不是很樂觀 覺得不正常 所以才想說 詢問一下 想請問王醫師 這種情形 １.需要二次手術嗎 ２.可能會是什麼原因造成這樣的結果 ３.真的如同主治說的會不影響運動及導致長短腳嗎 ４.如不用二次手術 方便詢問後續復健方向或目標嗎 | 您好 依x光來看，下端的骨折有癒合，上方骨折可能受限於下方鋼板，而有落差。其癒合與否，將視手術對骨膜軟組織的剝離程度而定。 但因其落差程度較大，是否會產生大腿變型，單憑一張x光無法評佑。 第二次手術看x光片，其穩定度會較差，不可負重，若可能的話重新固定，放置較長鋼板，若下方骨折已穩定可拔除，下端原先鋼板以避免對第二次骨折固定產生干擾。 彰化醫院 關心您的健康 王守吉 | [
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0婦產科
| 避孕藥 | 你好 平常有長期服用避孕藥不過這個月在第三週多吃了一顆，第19天忘記吃隔天補吃2顆（有效藥全數服用完畢），照這樣吃避孕效果會有影響嗎？接下來是不間斷吃第二包還是隔7天再吃呢？ | 提問者您好 每一種複合型口服避孕藥的顆數劑型不一樣，按照指示方向服用避孕藥。 當忘記服藥時，想起時應盡快補吃，下一顆避孕藥仍按原時間服用。 若漏吃有效錠的時間超過12個小時以上，除了補吃外最好加上額外阻隔避孕七天。如果漏掉天數超過24小時以上，停止目前服用的避孕藥，停藥七天包括你漏吃藥片的天數，然後繼續服用下一週期。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。當發生漏吃藥，於接續服用藥片不需服藥的中段期間如果沒有預期的消退性出血，就需懷疑有懷孕的可能，謝謝 祝 平安 健康 張 醫師 回 | [
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| 月經 | 你好，我之前有吃避孕藥長達五年的時間，一直到四月左右才開始停藥，停藥之後月經就沒有很正常，上個月月經遲了一個星期，這個月如果以30天算，814就該來了，但今天晚上819突然有粉色的分泌物，想問有可能是懷孕嗎？還是生病了？另外想順便提問，避孕藥吃這麼多年會現在想懷孕會不容易受孕嗎？ | 你好 再觀察幾天看看，如果仍然沒月經，建議至婦產科就醫。避孕藥吃這麼多年不會影響懷孕。祝健康 | [
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| 月經 | 我的月經已經半年沒來了而且額頭的痘痘一直狂長 最近我有去婦產科看醫生照超音波醫生也說沒問題也有開藥給我吃 看婦產科之前我也有吃中藥調身體調了大概兩個月多 那為什麼怎麼還不來 是不是有什麼更嚴重的問題沒有發現😭 | 小 你好： 你如果月間長期失調，臉上又狂長痘痘，可到醫院檢查荷爾蒙看看，看有無多發卵巢囊腫或荷爾蒙失調，如果還是找不到什麼原因，也不必擔心。一般不會有你想像的更嚴重的問題。大部分都是個人體質的關係，可以考慮服用三到六個月的黃體素看看。 | [
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17眼科
| 黃斑 | 看直線變扭曲、橫線變波浪 看左邊歪歪的 不會模糊 沒有中心暗影及視物變小 檢查過眼底 「眼電腦斷層掃描」OCT都正常 還需要做螢光眼底攝影嗎 可是怕會猝死 | 您好： 這種情形很可能是黃斑部病變， 有時還是要用螢光眼底攝影才知道病變知所在。 如果怕顯影劑過敏反應，要與醫師討論過，以避免這種情形。 不過這種機率很低，不用過於擔心。 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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6骨科
| 脫臼 | 葉醫師你好我已38歲.運動傷害造成左肩習慣性脫就已8年.只要左手一不小心肩膀就脫臼.且不用就醫既可自行接回.但也非常痛苦.想請問1若要開刀需作哪些評估.2若開刀需多久時間.3開完刀約需住院多久且須多久方能回復正常生活.4開刀有哪些風險及注意事項.謝謝 | 肩部習慣性脫臼，可用復健加強肌肉強度，及開刀治療，開完刀後亦需復健治療，否則會有運動限制，開刀後有些方向運動會力量減少，當然開刀後亦有可能還會復發。 | [
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6骨科
| 腳背疼痛 | 你好，請問我左腳如做下壓的動作，整條筋連著到第二根腳趾的腳背會痛，按壓腳背時，也是會覺得連帶第二根腳趾背會痛，走路等行為是沒問題，請問是為什麼呢？ | 您好， 蹠骨痛是足部前之蹠前部疼痛的統稱， 是種過度使用形成的傷害， 常見的原因有高弓足前掌脂肪墊缺失， 繭、神經瘤或高強度活動如跑步、跳、球類運動等， 大多都後續形成，建議穿著舒適的鞋， 鞋跟勿過高、泡熱水等。 彰化醫院 關心您的健康 王守吉 | [
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6骨科
| 十字韌帶 | 不好意思我想請問您一下 我的右膝蓋因車禍導致十字韌帶受損去醫院檢查醫生說我的前十字韌帶部分斷裂後十字韌帶完全斷裂以經做惹關節鏡手術大概半年惹我想請問為甚麼我右腳用力的時候膝蓋還是會感到疼痛順便問一下醫師這樣的情況下還要服義務役嗎 | 1.經治療一年以上膝關節不穩定超過1公分或經X光檢查有關節病變。 2.兩側膝關節十字韌帶均重建。 有上述兩者之一才可免役。 | [
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5泌尿科
| 性行為 | 醫生如果我要檢察勃起障愛我該怎麼說. 我進去每次都很詳細說明原因但醫生認為沒必要檢查 只要多放鬆做運動 就能恢復 不行就吃威爾剛這樣 上次去醫生就說通常來都中年人說此問題他們才會覺得真的有可能是陽痿 我太年輕除非 像博醫生您說的外傷 骨盆開刀之類的 我記得這樣 我該要說什麼 要怎樣檢查 | 如果真的想做檢查，你可以向醫生提出你想做NPT或是cavernosography。 | [
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| 藥物副作用 | 長期服用10多年安立復 5mg天已持續23年 是否會有最近2個月共濟失調 手無力 手腕操控不好 摸不到後腦杓 洗熱水澡後手無力 寫字困難 頭暈 走路不穩 坐著撿左右地上的東西時 左右晃動搖擺 有在看神經內科 | 您好.不知您就診神經內科的病因症狀為何.較難判斷是藥物的副作用或是本身的疾病症狀.不過既然就診神經內科.可於回診時與醫師詢問討論看看. | [
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| 腸胃肝膽科 | 林醫師您好 想請問您，我平常在吃飽飯後和平常上學期間，會不自覺的乾嘔都是突發性的，有時一嚴重到感覺就像要把所有東西吐出來一樣，可以確定的是非懷孕未曾有過性行為，有看過醫生，醫生說沒什麼問題，但症狀已經持續一年多了想了解可能怎麼了 | 您好 可能消化不良腸胃蠕動功能不好胃發炎等狀況都可能發生建議飲食習慣先控制勿爆飲爆食 注意飲食如症狀仍反覆或有體重減輕請門診追蹤檢查 衛生福利部桃園醫院 肝膽腸胃科主治醫生 林明慧 | [
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1精神科
| 藥物諮詢 | 醫師，我是個被身心症所苦的人，我知道要吃藥，不過有時只是穩定一段時間而已，如果若忘了吃藥就會感到不舒服；我想請教是我的藥中其中Rivotril的副作用─若長期服用會有Barbiturate─Type之依賴性，那是什麼？ 再者我以前身體很強壯，當時我不知患身心症，而以為是感冒，就一直瘦下去；如此瘦下去、痛苦下去會不會死？ 謝謝回覆！ | 你好 Rivotril 中文名 利福全 副作用：嗜睡、頭重、噁心、眩暈、步屨不穩（共濟失調）、反應遲鈍、各種反射功能減弱、疲勞感、皮膚疹等，但不是所有人都會出現副作用 另Barbiturate巴比土酸鹽是一類有機化合物，臨床上用作鎮靜、催眠或麻醉藥的輔助藥。通過抑制中樞神經系統發揮作用。大部分巴比土酸鹽於小劑量使用時具有鎮靜作用，大劑量則有催眠作用。 長期使用巴比土酸鹽類藥物特別是速可眠和戊巴比妥可引起耐藥性，使藥物需要量增加。習慣性用藥者停用巴比土酸鹽時，可出現一系列全身反應，統稱為戒斷綜合症，可以致命。 Rivotril 與 barbiturate雖非同類藥，但長期服用，甚至濫用也有成癮性之可能。 身心症之主要問題為壓力調適不好與身心反應不足，除吃藥外，生活習慣與壓力適應能力也是關鍵，原則上不會直接致命，但會容易引起其他疾病的發生，也有長期壓力引發癌症之說法，不可不慎。 | [
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] |
7耳鼻喉科
| 鼻塞 | 醫生您好： 兩個禮拜前我出現了右邊鼻子呼吸略感阻塞，而且鼻涕中有時會有血絲，頭頸的筋會時不時的疼痛等症狀。但是去醫院耳鼻喉科掛號後，進行內視鏡檢查後醫生卻說鼻腔裡面沒有長任何不好的東西，因此單純的認為是鼻塞過敏給我過敏藥物跟噴劑而已。 但是到了今日兩個禮拜了鼻子依然單邊略感阻塞感覺鼻子裡面有東西擋住，而且時不時鼻涕也會有血，頭頸的筋也還是會間歇性疼痛甚至有時臉會有麻麻的感覺。請問醫生我這樣子會是鼻咽癌嗎，看了鼻咽癌6大特徵之後我有些擔心。還是我可以跟醫生要求再次檢查或者進行更進一步的檢查呢？如果不是鼻咽癌，那請問又可能是甚麼情況導致我這樣子的狀況呢？ | Hi： 您好， 若已經內視鏡檢查鼻咽無明顯腫瘤，應該可初步排除鼻咽癌，但若症狀持續，可再回診就醫檢查鼻腔內是否有其他出血點或鼻中膈彎曲等問題。 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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13肝膽腸胃科
| 腸胃肝膽科 | 1.症狀部位、描述：醫師告知胃裡有瘜肉尚不需切除，請問胃裡有瘜肉是否需切除另請教為何會長瘜肉另請教急性胃潰瘍、急性胃炎如何降低復發率 2.症狀持續時間：一至兩週 3.補充說明不限字數：已有求診於肝膽腸胃科：醫師診斷，急性胃潰瘍，未提及出血、穿孔或急性胃炎，食道回流，急性支氣管炎。 | 曾太太您好： 1.小型胃瘜肉多是良性不會惡性轉化，有時太多顆，不易全部切除，故追 即可。 2.醫師下診斷只是初步診斷，電腦自動帶出，僅供參考，不必緊張，可與醫師問清楚確定診斷。 彰化醫院關心您的健康 陳詩典 | [
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| 拔智齒 | 請問大約在1018號下午3點拔智齒，過程醫生拔了一個多小時才拔出來，19號早上有出現輕微發燒及喉嚨很癢的症狀，但已經有吃醫生開的消炎藥跟止痛藥，請問拔智齒後會發燒及喉嚨癢是正常現象嗎 | 您好 建議依照醫囑服藥，勿任意停藥或減量。若超過48小時仍有發燒及腫痛包括喉嚨或脖子與鼻子，建議盡快就醫。 | [
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5泌尿科
| 菜花 | 醫生你好，我在兩個多月前有門診手術切片一小顆粒確定是菜花過，後來到現在目前都還沒有復發正在持續觀察，但是我平常都自己清洗內褲，今天洗完後沒像平常用肥皂洗很乾淨手就去擠臉上的痘痘，後來才想到有小傷口會有可能會傳染到嗎，因為當時也沒性行為就突然長出一小顆.醫生說也是有機會在泡湯時傳染的，雖然今天也有洗手才擠但是沒像平常洗得那麼仔細，想問問醫生一般這種傳染的可能性大嗎，另外因為也怕傳染給家人，一般多久沒復發大概就可以丟回洗衣機洗了，之前的手術醫生只有說10個月都沒事就可以完全放心.但是後來手術後回診另一個醫生說大概三個月。 以上兩個問題一併詢問謝謝。 | 病毒 潛伏時間 可能 十個月，還是要小心，自己手洗 衣物 | [
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] |
4心臟血管專科
| 早期收縮(早搏) | 何醫師 您好 先祝您農曆新年愉快 是這樣的，近期我偶發過幾次心臟期外收縮早搏，就是胸口會突然「宕一下」伴隨些許心慌感，都是一過性的，未連續發生；而自己從這幾次心臟期外收縮早搏的經驗中慢慢抓到其發生的時機點，即大多是在自己「疲勞或焦慮恐慌」時。以下請教何醫師 Q1.我的胸口會突然「宕一下」伴隨些許心慌感。請教何醫師，這是否確實為心臟期外收縮早搏的情況呢 Q2.請教何醫師，當我「疲勞或焦慮恐慌」時會偶發心臟期外收縮早搏的原因或機制是什麼呢 Q3.當我「疲勞」時會偶發早搏，這很好理解；但我並不覺得自己有「焦慮恐慌」時卻會偶發早搏，這是我在心臟期外收縮早搏後回想當時情境，才發現有可能是因「焦慮恐慌」誘發心臟期外收縮早搏。請教何醫師，我並沒有特別感到「焦慮恐慌」卻仍誘發心臟期外收縮早搏，這是否為我「潛意識的焦慮恐慌」誘發早搏的呢又，這種「潛意識的焦慮恐慌」是我無法控制的，有什麼方法可以緩解以免其誘發早搏呢 Q4.我近期偶發的心臟期外收縮早搏都是一過性的，未連續發生。 請教何醫師，這種一過性的心臟期外收縮早搏，真的可以觀察就好嗎而不需就醫檢查呢 以上，感謝何醫師。 | 您好 Q1難說 可能要心電圖確認 Q2疲勞或焦慮恐慌較容易有自律神經失調情形進而誘發心臟期外收縮 Q3沒錯 潛意識的焦慮恐慌會誘發早搏 Q4沒錯觀察就好 別擔心 平安 彰化醫院關心您 | [
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10兒科
| 排便問題 | 醫師您好 我的小孩目前六個多月，是母奶寶寶，於五個月左右（41）開始服用樂亦康LP33，目前每天兩顆（因為我跟我先生都是過敏體質），原本排便情況是23次天，服用半個月之後變成12次2天，現在從最近一次至今已經第六天未解便了，這期間我也塗了薄荷按摩腹部很多次，有輕微腹脹，有排氣，肚子摸起來沒有硬硬的，食慾沒有特別改變（三個月半開始有輕微厭奶，奶量一直維持在110150CC，睡前可喝到160240CC），也沒有不舒服的情形，我知道母奶寶寶到了78天才解便可能也還是屬於正常，但因為她的排便情形是因為服用樂亦康之後才改變 另外，目前吃過的副食品是米糊（自己用大骨湯加白米熬的）、高麗菜、菠菜、蘋果、香蕉、葡萄 想請教醫師 1. 目前這樣的排便是正常嗎？ 2. 會不會有可能是大骨湯的關係造成排便問題？因為最近用大骨湯熬米糊，但也吃了兩個禮拜了 3. 小朋友目前還是喝五餐，加一次菠菜米糊約14碗，如果我想調成母奶喝四次，但副食品可能還維持在14碗（因為小朋友目前可能還沒辦法吃更多），這樣會吃得太少嗎？ 以上是我的問題，謝謝您撥空回答 | Dear Tina 您好， 1.正常的大便次數是1天3次到3天1次都可以接受，但是哺餵母乳的小孩常見一週才大一次，若是軟便，也屬於正常。 2.蛋白質攝取量增加 纖維質攝取量減少 則容易便秘。 3.一天的食量以100150 公克公斤體重天 為準 您可以稍微秤一下食物的重量 看寶寶是否足夠 當然 這時的體重最好每天增加20公克 相當一個月多600公克。 祝 健康快樂 衛生署桃園醫院 小兒科主任 裴仁生 敬上 | [
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0婦產科
| 月經 | 醫生請問上次月經是122來至今還沒來是正常的嗎？造成月經遲到的原因有什麼？我還要等多久呢？一直不來很躁鬱 | 您好 你這個年齡有時候月經不準，算正常，如果驗孕沒有懷孕，可以觀察看看。祝你健康 | [
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| 腫瘤問題 | 你好 我最近洗澡的時候有發現右邊睪丸上面靠近陰莖附近有一顆圓型的東西 輕輕按壓也沒有感到疼痛睡覺的時候偶爾會不見但是之後還是會跑出來 請問您那可能是什麼有沒有需要就診 | 阿發： 你好 需要就醫 可能是皮膚腫瘤。通常是良性病灶。 若有疑慮，可以就近到醫療院所做相關檢測或進一步治療。 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。 衛生福利部 台東醫院 關心您 | [
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| 陰莖問題 | 我從國小五年級就開始手淫 幾乎每兩天一定會一次 到國二的時候發覺時間辯短了 但還是次數沒有減少 到了高中發現硬度軟了些 手淫次數有降低 但還是每個禮拜兩次左右 一直到去年暑假 才發現有時候起床不會硬 硬了也很快就軟了 有時候搓揉幾下就軟了 而且腰很容易酸 請問這種情況我該怎麼辦 麻煩請指點我 真的不知道該如何是好 謝謝 | Help 你好 你的情形，還不一定是性功能障礙，需要進一步做檢查才能夠診斷。 在17歲的年齡，一般是會比較早洩，比較敏感的緣故，通常勃起的發生會非常迅速，但是也會很快消退。 你的症狀，有可能是因為長期都是DIY，自己做，都每有變化，可能變成是例行公事，草草收場。假如真正發生性行為，應該會有比較好的表現。目前的情形，應該不需要太過擔心，徒增不必要的煩惱。 衛生署台東醫院關心您 泌尿科主任許維愷答覆 | [
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8乳房甲狀腺科
| 乳房問題 | 廖醫師您好： 因為每次月經來前乳房都很腫脹且會痛，每年也都定期做乳房檢查，醫師皆說是纖維囊腫，無須緊張，但本身還是會擔心，想請問廖醫師，這種情況會不會因為年紀越大而變成不好的． | 醫學上稱「纖維囊腫」為一種「變化」changes而非「疾病」disease，它指的不是個實質的腫瘤，而是乳腺管變得較為粗大的一種「情形」condition；乳房纖維囊腫是否會導致乳癌目前尚無定論，但許多研究報告指出，患有纖維囊腫的婦女比一般人易患乳癌。因此需要比一般沒有發現纖維囊腫的病人，接受更密切地追蹤。如果一有懷疑，應與您的醫師討論後續治療。與年齡沒有直接關係。 | [
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| 懷孕嗎？ | 和女友性行為，有戴套無射，戴套前沒洗手（不確定前列腺液的微量精子會不會沾到套子上），但是戴套時手是乾的，女友長期月經不穩定，事後月經一個月沒來，但是她平常都熬夜，有可能懷孕嗎 | 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，而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。建議您如果正常經期還沒來的話，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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| 鞏膜扣壓術後 | 請問醫生我大約3個禮拜前，發現視網膜剝離做了鞏膜扣壓手術，當初手術沒有灌入氣體跟矽油，術後也沒有吩咐需趴臥，至今眼睛一部分看出去還是有扭曲跟有黃光發生，今天回診發現眼睛內還是有積水，醫生說還要再觀察，如果還繼續有液體就要再做更深入的手術，想請問醫生一般鞏膜扣壓術，眼內的積水多久會自行吸收，術後除了眼睛多休息還有哪些方式可以幫助眼睛好轉 | 神木先生您好： 我有看過鞏膜扣押術後，視網膜積水半年至一年才消失的案例，所以有的人時間真的需要蠻久的，好像臨床上也沒有特殊的方法可以幫助吸收。 南投醫院眼科 何建賢主任 | [
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5泌尿科
| 龜頭問題 | 醫生我在請教您一下若清洗時水柱比較強是否會增加結痂被我衝落的情形 因為我發現龜頭破皮結痂後不知道是結痂快脫落還是被我沖掉而脫落後膚色粉紅偏紅有點像皮好像沒有整個新生完我想問這是結痂脫落後正常的情形嗎以及這粉紅色的膚色要多久才會跟周圍皮膚組織顏色一樣呢 感謝回覆 | A 有可能增加剝落的機會。 正常會偏紅色。 有時需要3-6個月。 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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13肝膽腸胃科
| 肛門問題 | 沒有便秘，印象中前幾天都有排便，但近期排便都偏「黏軟 」，肛門比較不好夾斷大便的那種感覺，且肛門也不易擦乾淨，每次都要抽好幾張衛生紙擦拭. 另外就是這三天腸子一直蠕動的感覺，咕嚕咕嚕的，然後放屁很臭。 210傍晚，覺得肛門有點痛癢，衛生紙擦拭肛門後，衛生紙上竟是一灘鮮紅血跡. 後來肛門就一直癢癢的微痛。 211傍晚排便完擦拭肛門又是一灘紅血，甚至還有一小滴固體血塊，類似女性經期的血塊，嚇死我 . 想請問醫師 （1）以症狀敘述來說，比較有可能是什麼問題呢？ （2）可以買痔瘡藥膏塗肛門嗎？ （3）平常有吃益生菌，是否該先停止吃益生菌？ （4）飲食上有什麼禁忌？ | 您好 1肛裂或痔瘡都有可能 2可以 3可以繼續使用 4避免燥熱的食物多補充水份及纖維質可以避免糞便過硬 彰化醫院關心您的健康 蔡安順醫師 | [
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5泌尿科
| 性功能 | 我似乎有點依賴a片來製造性刺激，每當我自慰一定要靠a片才能夠勃起，不然只靠想像力和手部刺激幾乎沒辦法。請問這樣是陽痿嗎？該如何改善？ | 您好 有辦法勃起就不會是陽痿喔，人都是視覺動物，當然A片的呈現和刺激一定比您的想像力更吸引人，不然為何市場那麼大至於說改善的部分您去交往一個情投意合的女朋友，相信到您坦誠相見的那一天，絕對比看A片得到更大的滿足。 | [
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5泌尿科
| 排尿問題 | 醫生您好，我前陣子有詢問過會一直想上廁所∼但現在好多了，只是我發現這幾天我尿流變少.慢（尿也變少），且尿完好像會再滴幾滴（睡醒的尿也少），然後我的背偶爾會突然痠痛，想詢問醫生 1.尿流變少、慢會是因為水喝的少或是流汗流光嗎？還是會因為有堵塞等等 2.睡醒的尿流慢跟少會是因為憋尿太久而導致的嗎？ 3.以上這些會不會導致我的腎臟出問題，或是是腎臟出問題而導致的？ 我二月的時候抽血腎絲球過濾率剩91.7，這三年每半年都會抽血檢測從112-102-94這樣慢慢減少，是不是代表我的腎臟開始退化，會不會過幾年就得洗腎？（我發現我的肌酸酐有變高，但都在正常值內）那蛋需要少吃嗎？ 謝謝醫生 | 您好：1.尿流變少、慢會是因為水喝的少或是流汗流光嗎？還是會因為有堵塞等等--》如果沒有受傷，感染等原因，機會不大 2.睡醒的尿流慢跟少會是因為憋尿太久而導致的嗎？--》機會少 3.以上這些會不會導致我的腎臟出問題，或是是腎臟出問題而導致的？--》要多項檢查合併判斷 我二月的時候抽血腎絲球過濾率剩91.7，這三年每半年都會抽血檢測從112-102-94這樣慢慢減少，是不是代表我的腎臟開始退化，會不會過幾年就得洗腎？（我發現我的肌酸酐有變高，但都在正常值內）那蛋需要少吃嗎？--》應該由安排您抽血的醫師向您說明，腎功能如前是要多項檢查做完後才判斷，數字變小是個趨勢，應生活要注意，如水份多喝，飲料要少，飲食要健康，不要太鹹等等 祝健摩 | [
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18放射線科
| 電腦斷層輻射 | 您好 今年5月初健檢有做低劑量胸部電腦斷層檢查因有肺部結節12月底醫師安排再做一次胸部電腦斷層檢查追蹤打顯影劑此次並非低劑量78月有再做一次MRI腹部檢查如此檢查會有幅射量過高風險嗎因網路頗多因CT幅射致癌報導不免擔心依醫師您的專業如此檢查是否日後患癌風險高 謝謝您 | 您好 1.依據美國放射技師學會網站資料，一次低劑量胸部電腦斷層的輻射造成額外癌症的風險為0.010114，標準胸部電腦斷層造成額外癌症的風險為0.035398。這兩項檢查合計輻射劑量約9毫西弗，造成額外癌症的風險為0.045512，另一種說法為兩項檢查合計99.954488不會有額外癌症的風險。至於MRI腹部檢查沒有輻射線的風險。 2.根據國際輻射防護委員會ICRP103號報告指出，100毫西弗以下的劑量（包括一次或多次）不會造成臨床上的功能損害。您目前接受的輻射劑量不算過高，但輻射線對人體造成的效應會累積，建議於接受 X光檢查前與醫師討論檢查的必要性，努力減少不必要的輻射暴露。祝您平安健康。 | [
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5泌尿科
| 精索靜脈曲張 | 許醫師好 因為我是在網路看到這篇臨床報導內容如下35歲的焦先生，最近經常感覺睪丸有牽拉疼痛，還伴腹股溝部不適等症狀，在社區醫院診斷為精索靜脈曲張，接診醫生 需要做個小手術。焦先生一聽 要手術，就有些不放心，轉到市醫院請專家再看看。專家檢查後認為，焦先生的精索靜脈曲張屬於輕度，不應出現如此頻繁的疼痛。仔細詢問病史，焦先生 有時還伴有大腿內側疼痛，特別是久坐或長時間走路時疼痛加劇。於是讓他做核磁共振檢查，發現焦先生腰部12椎間盤突出，推斷睪丸疼痛是由此引起。 許醫師說坐骨神經痛與精索靜脈曲張症狀有出入 但報導中提出因為椎間盤突出引起睪丸痛，請問此種睪丸痛是刺痛的那種嗎像是被球打到的墬痛感 腰椎間盤引起的睪丸會陰部疼痛是不是每天都會存在，不像精索靜脈曲張一樣有時痛有時不痛 不知道許醫師有沒有遇過這樣的臨床病例可以分享 也讓小弟就醫或手術有個參考方向，麻煩你解說.感恩。 | 你好 椎間盤突出造成的症狀，要看是哪一節的脊椎，每節的追間盤突出造成的臨床症狀都不相同，詳細的症狀區別，我也不是專家，可能請教神經科、復健科或者骨科醫師。 而坐骨神經痛，就是壓迫到坐骨神經，症狀一定與坐骨神經的走向一致：就是會沿著臀部--大腿後側--膝窩--小腿後側--腳後跟 這樣的壓迫，才能夠說是坐骨神經痛。壓迫到其他神經會有不同的症狀，不能叫做坐骨神經痛 脊椎壓迫造成的神經痛，通常與姿勢有關連。比如說彎腰或後仰或側彎等特別的姿勢會影響到疼痛的程度。一般神經痛，早期為嚴重且突發性抽痛；若已經是慢性壓迫，可能轉變成鈍痛。 睪丸疼痛，原因很多：睪丸發炎、精索靜脈曲張、腎臟結石、椎間盤突出、脊椎發炎、脊椎骨刺等等。 精索靜脈曲張，大多是久站、負重、傍晚時會痛，疼痛程度則不一定。因人因症狀而異。通常躺下來會改善。因此，患者經常說，早上出門還好，下班回家時，才感到越來越痛。 以上，給你參考。 註：脊椎問題，請就上述建議的科別，諮詢相關醫師，會比較專業。 若你執意要作MRI，就跟醫師商量其必要性。 | [
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0婦產科
| 陰部問題 | 你好 1.請問女生小陰唇跟會陰的交接點本來就是有顆粒狀的嗎？ 看了醫生 醫生說不太像菜花不然就是應該不是 有點不確定的答案 2.126-127跟別人發生性行為想請問421晚上測Hpv檢測，報告出來是準確的嗎？ 因為聽說要滿三個月才能做 | 您好 外陰部長東西還是要檢查才知道，是否HPV 感染，421可以驗了。祝健康 | [
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| 白帶 | 請問一下正常分泌物會有像鼻涕類的黏稠物透明或淡黃 是正常的分泌物嗎. 在知識問人有人是正常的.有人說ㄅ正常 | 你好 一般女性在排卵期前後可能會出現像鼻涕類的黏稠的分泌物，如分泌物量過多或有異味等，建議就醫。 謝謝 | [
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| 驗孕 | 想問如果在月經結束的倒數兩天發生性行為 然後有戴套也確定沒有破 但是過了12天驗兩隻驗孕棒 一隻有淡淡的 一隻是陰性 請問這樣是懷孕了嗎😭 | C您好，建議至婦產科門診就醫檢查為宜，謝謝您。 | [
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1精神科
| 失眠 | 醫師您好，最近失眠的狀況大概持續兩個月了，不會很難入睡，但每天睡著後都會隔大概兩個半個小時就醒來，醒來後大概在半小時內就能再入睡，不太確定每天有睡滿八小時但中間醒來兩次的睡眠品質如何。再加上頭痛也持續了兩個月，雖然期間有去看了四次身經內科的醫生，但醫生開的止痛藥或肌肉鬆弛劑也都沒什麼效果，也無法在短短的看診時間內獲得有效的幫助。有嘗試在解封後出外踏青，也在一個禮拜內打了四次籃球左右，但睡眠的問題卻無法改善，仍然有半夜會醒來兩次的問題，也不知是因為失眠造成頭痛，抑或是頭痛造成失眠。全心想治好這個症狀卻沒有辦法的無力感真的令我感到有點失落，希望醫師您能給予晚輩我一些建議，感激不盡 | 網友 你好： 建議到精神科或身心科而非神經內科好好評估一下身心狀況，找出失眠的原因並處理治療。 吳恩亮醫師 | [
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5泌尿科
| 副睪丸炎 | 醫師你好 如果照超音波發現兩顆睪丸有輕微靜脈區張 及左側副睪丸內有0.7cm的水泡的話 該怎麼辦呢以後可能會有什麼不良引響嗎 有不孕的可能嗎需要手術嗎 請醫生回覆 謝謝你 | 皮皮挫： 你好 副睪丸內的水泡，或者叫做囊腫，一般都是良性的，也不會影響到正常的功能 一般建議3-6個月追蹤即可，若有變大的現象，建議手術切除。若沒有變化，可以不予理會。 至於精索靜脈曲張，可以檢查一下精液，確定對於精液有無影響，若沒有明顯的不良影響，可以暫時不開刀。 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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| 包皮問題 | 醫師您好 今天早上小便時發現，包皮外圍有一圈有點紅紅痛痛的，範圍不大。 龜頭等其他部位則都沒異狀。 想請問醫師這會是什麼毛病 跟性病有關係嗎 | 阿名 你好 只能說是局部發炎。至於是什麼原因，還需要作檢查才能知道。 是否性病，還是要看醫師判斷。 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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2牙科
| 根管治療 | 醫生你好！ 最近去診所做完根管治療並以裝上牙套及釘子 回來後吃東西都會感到疼痛，咬合時正常敲擊一樣會疼痛，請問這有可能是根管制療不完全或是其他問題呢？ 如是根管制療不完全，是否要在拆除牙套重新治療？ | 上述情形，可能是根管治療後，牙根尖仍有發炎或是牙根本身有裂縫，也有可能是牙套裝上去後，牙套邊緣壓迫到牙肉，或是牙套咬合高度過高，建議找牙醫師作進一步的檢查治療。 | [
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| 驗孕 | 我是 月經過期七天了 在月經過期的第二天 就有驗孕 是一條線 如果說沒有懷孕 為什麼會導致月經沒來 有可能是尿太少驗不出來有懷孕 所以顯示一條線嗎 但我的觀點是那天應該是安全期 雖然月經每個月都不固定 需要靠吃藥讓月經來 但月經剛走 就算精液有進入 也沒有卵子可以懷孕吧 而且精液也只有碰到陰道口 真的有這麼容易懷孕嗎 | 您好 驗孕陰性，應該是不會懷孕，勿擔心，再等一星期，如果還是沒有來，再看婦產科。祝你健康 | [
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0婦產科
| 懷孕 | 昨天我男朋友高潮後射精在我身上， 後來他拿擦掉過他精液的衛生紙再幫我擦陰道的愛液 這樣會不會有機會懷孕ㄚ機率有多大呢 昨天好像是我的危險期範圍內. 又，吃事後避孕藥有效嗎要吃哪一種藥才有效呢 聽說事後避孕藥要在72小時內吃才有效，所以希望醫生能儘快給我答覆.謝謝 | 雖然機會不大，但也是有可能會懷孕。事後避孕藥沒錯要在72小時內當然愈快愈好。西藥房可能有賣但最好是請醫師開給妳，不要自己亂買藥。如有問題，請至婦產科門診。 | [
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5泌尿科
| 陰部問題 | 杜醫師您好∼ 最近因私密處有紅疹問題曾致診所看診，看診時醫生經肉眼觀察病兆說有點像皰疹，從單側的陰蒂處、肛門旁，皆有小水泡、有些已破裂，故開立Acylete.Cephalexin藥物給我吃，並囑咐我下次再次回診是否有對症下藥，雖經治療皆有改善，但因醫生也不是很肯定的答案，讓我其實一直很擔心自己到底是何問題，一方面也擔心 是否在潛伏期時不自覺的影響仍在哺乳中的孩子。 且因我本身生活皆很正常，不常外出，也只有和先生為固定性伴侶，是為發生性行為次日才發現有明顯紅疹，再次日才發現紅疹位置變多，故有發病後的第五天至檢驗所抽血檢查 單純皰疹一二型IGG.IGM皆為陰性 帶狀皰疹仍在等待結果 想請問 -此疾病有沒有可能是急性濕疹，急性濕疹是不是也是可能會有水泡？因我的病程皆十分的快速 -若為發病後第五天檢驗單純皰疹與帶狀疱疹的血清檢驗是否準確？是否有空窗期的問題？ -請問寶寶若在六個月內還有母體承接的抗體，保護力充足嗎？ 醫生不好意思問題實在有點多，十分擔心的媽媽 | 您好： -此疾病有沒有可能是急性濕疹，急性濕疹是不是也是可能會有水泡？因我的病程皆十分的快速--》多半沒有水泡 -若為發病後第五天檢驗單純皰疹與帶狀疱疹的血清檢驗是否準確？是否有空窗期的問題？---》可能有 -請問寶寶若在六個月內還有母體承接的抗體，保護力充足嗎？--》請詢問小兒科 （多半注意清潔即可） 祝健康 | [
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13肝膽腸胃科
| 大腸激躁症 | 醫生您好 去年4月時有照過大腸鏡 是正常的 後來過沒多久夏天時很容易拉肚子 發現會便秘腹瀉交替 疑是大腸激躁症 不太能吃海帶 玉米 金針菇等 比較嚴重時中午吃的東西 吃完晚餐後就會拉出來 常常會看到蔬菜的殘渣 所以醫生有開腸必寧 覺得吃了蠻有用的 但變成不會拉肚子後 會有點便秘 可能45才才上一次 偏向羊便便或比較硬的 偶爾後端大便又偏拉肚子的樣式糊糊的 有時拉完肚子會覺得肛門內部酸酸緊緊的 有點覺得內部腸子縮起來向肛門靠近的感覺 大概30內又會 恢復正常 大便比較硬時 有時會遇到大便表面有血 也有些黏液 血的顏色不太知道鮮豔或暗成 因為只有出現在大便表面 而大便就棕色 不太好分辨血的顏色 而大便顏色都是土棕色 如果腸躁拉肚子就偏向淡黃色消化不良 擦屁股或馬桶上都不太會有血 我不太確定我有沒有肛裂 或痔瘡 因為常見的症狀我好像都沒發生 譬如大量流出鮮血或肛裂的疼痛 想請問醫生 1.為啥會大便表面有血 我的情況可能是怎麼回事 2.拉完肚子後會覺得腸子緊縮 那是正常的麻 3.我還需要做大腸鏡或其他治療檢查麻 | 大腸激燥症以調整生活飲食藥物控制為主。另可檢查糞便潛血即可。 | [
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5泌尿科
| 睪丸問題 | 許醫師您好 請問 我的睪丸痛了快2個禮拜 這期間每天都痛 而且都是痛右邊的睪丸 右邊的睪丸也明顯比左邊大 有時會無故的發痛 再不然就走一段路後也會發痛 痛的過程 經常會痛到陰莖勃起 然後就會分泌前列腺液 前列腺液也分泌不少 這中間也有快射精出來的感覺 而且睪丸的痛會延伸至腎臟那 右邊腰部就會很酸痛 這期間有去泌尿科診所看診 但是醫生觸診後 說可能是睪丸發炎 後來就開著藥給我吃 但是我每當我服用後 睪丸痛點會少一點 陰莖也會再度狂勃起 然後就會又有想射精的感覺 PS本人已經停機1個月多了 也沒有不良的癖好 而且睪丸也沒有撞擊到 請問許醫師 這是什麼症狀呢 謝謝 | Mr. 林： 你好 應該是睪丸、副睪丸發炎，這種疾病，需要連續抗生素治療6-12週之久。急性期，需要一些輔助的治療，像是：局部冰敷、減少刺激飲食、多喝水等 射精或勃起，因為牽涉到神經的興奮，有人會有局部漲痛的情形發生。 建議：可以檢查精液，並做精液的細菌培養，確定菌種後，認真的服用有效的抗生素一段時間，應該可以改善。 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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5泌尿科
| 尿尿問題 | 小便時泡沫很多，還有小便會分叉，有時又好像尿道有一點癢癢的，到底為何會這樣請詳明謝謝 | 看起來小便還是有很多怪怪的令人注意的地方，小便時看到馬桶內水面上有泡泡形成總是很好奇，會不會有什麼〝病〞，其實大部份都是正常的。小便會分叉也是令人關心的話題，其實小便排出的尿徑大小和當時膀胱內尿總量及尿道的組織構造有關。至於有一點〝癢癢的〞那有可能是感染的現象。你所看到的〝怪怪〞的地方，牽涉到很多有趣的問題，建議你到醫院找泌尿科醫師幫你檢查併作說明。 | [
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4心臟血管專科
| 心悸 | 醫師您好，我是之前那位周產期心肌病變的產婦，想詢問您8月去檢查EF58醫師說不用再回診了，後續因長期心理問題，現在幾乎一個月半夜醒來會心悸一兩次，心悸的感覺5-30分鐘不等，就是那種躺下心跳就很快，快從喉嚨跳出來的感覺，我就會吃一顆景安寧0.25的康肯…請問醫師這樣一個月心悸一兩次會不會怎樣⋯因為我有很嚴重焦慮恐慌症，但也不知道為什麼每次都是半夜醒來那個時間點發生 | 您好 EF58不用再回診 首先恭喜您畢業了 一個月心悸一兩次不會怎樣 這是焦慮恐慌引起的 別擔心 這陣子直接睡前固定吃藥吧 先穩下來再說 多吃不會成癮 依賴 習慣性 別擔心 平安 彰化醫院關心您 | [
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3藥物
| 用藥安全 | 先請教關於用藥的問題 醫生開給我的藥一次是1.5顆 可是藥上面沒有剝痕 我該怎麼分藥 另外 焦慮症所用的藥物 會不會影響到將來生育與胎兒的健康 或是不小心在服藥期間懷孕了 會不會影響胎兒 目前使用藥物如下 wellbutrin SR 150mgBupropion一天兩次 早跟晚 每次1.5顆 serenal 10mgOxazolam一天兩次 早跟晚 每次1顆 Dogmatyl 50mgSulpiride 一天一次 睡前 每次1顆 Through Sennosides一天三次 每次1顆 這是目前剛換的新藥物 目前還不知道會有什麼狀況 而原本是以下藥物 wellbutrin SR 150mgBupropion 威伯雋 每日早晚各一粒 以及Frisium Clobazam 管四 10mg 每日三次 每次半粒 還有因為便秘副作用服用 Magnesium Oxide Mg0 景德 250mg 每日三次每次一粒 新開的藥物是不是比原來的藥物還重 會不會對藥物產生依賴 | X妳好： 1.要將藥品剝半可以在市面上購買到切藥器來使用，應注意是使用前才剝半，預剝易造成藥物受潮或變質。 2.若妳有計劃生育之前，可事先與妳的醫師討論，以便適時調整藥物。而根據美國FDA訂定的懷孕用藥安全等級，不同等級藥物對於懷孕婦女與胎兒之影響共區分為五級A B C D X級。 C級是指：動物實驗顯示對胎兒會致畸胎或死胎，但沒有孕婦對照組實驗；或者孕婦實驗和動物實驗都缺乏。目前Serenal與Through屬於此級。 B級是指：動物實驗無法證實胎兒有危險性，但沒有人體對照組實驗；或者動物實驗雖已證實對胎兒有不良作用但在孕婦對照組實驗中卻無法證實對胎兒有危險性。而Wellbutrin SR即屬此級。 Domatyl則尚未確定分級。 3.這些分級可供醫師與病患處方與用藥時做為參考，當發生服藥期間懷孕時，仍應以婦產科醫師與妳共同評估討論發生的情況與時間點之風險為主。 歡迎來信，並祝平安！ | [
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13肝膽腸胃科
| B型肝炎 | 醫生你好，我想請問一個問題。b肝疫苗在民國73年才全面開打，那意思是73年前出生的寶寶或著婆婆媽媽和老年人都沒有接種b肝疫苗嗎？那他們的抗體是怎麼來的？看過報導，90成年人都感染過肝炎並產生抗體，那意思是他們都感染過肝炎才有抗體嗎？那若不是接受疫苗所產生的抗體，這樣得到肝癌的機率也是很高嗎？謝謝醫師解惑 。 | 您好 肝癌機率提高是針對感染過B型肝炎且變成帶原者的狀況之下才會提高.感染過且自行產生抗體就會終生免疫不會提高肝癌的機率. 彰化醫院關心您的健康 蔡安順醫師 | [
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| 腹部問題 | 顏醫師，我發現我陰莖在勃起過一段時間後，睪丸跟腹部就會開始疼痛，後來過了一段時間後，疼痛又會慢慢消掉，我怎麼摸都摸不到睪丸有硬塊，是因為勃起太久嗎還是有別的症狀？如果有的話，有沒有任何的解決方法或是改善的方法因為我聽有些人說過類似的症狀像神麼經脈曲張的東西，如過是的話，不開刀除理會不會有問題，因為我蠻擔心未來生育能力會不會出問題謝謝 | 如懷疑精索靜脈曲張須至泌尿科門診做進一步檢查. | [
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13肝膽腸胃科
| 糞便問題 | 醫師您好 我今天上大號時糞便是一整條灰白色的，不過前幾天都是正常的。幾個月前有一次糞便也是白色的，但是第二天就正常了，是因為食物導致的還是其他原因嗎我吃素最近飲食都很正常沒有吃什麼特別油膩的。 謝謝 | 應可再觀察看看 | [
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| 懷孕用藥 | 醫師您好 目前懷孕快16週 由於腋下兩邊出現對磨疹 會癢 想請問下面的皮膚藥物 "人人"倍美舒乳膏 Betamazole Cream 目前懷孕是否可以使用呢？ 謝謝您 | 您好 一般是不影響。祝健康 | [
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| 懷孕機率 | Dear Dr.張，您好 我這個月月經是在75來臨，大約在79-710結束。 716、717有跟男朋友同房，當天前面無套進入陰道5分鐘不到，後面有戴保險套內射。 大概在723-24左右有驗孕，但顯示為陰性。 725、26也如同716、17前面無套，後面有戴保險套內射。 725性行為隔天，分泌物裡面帶有點血，但不明顯，而且後面也沒再看到血。 從716號過後，乾嘔的狀況很明顯、食慾不佳。 預計是85會來下一次月經，平常月經週期為31-35，偶爾短會到27天。 想請問，是否有機會懷孕呢跟男朋友為順其自然，有就會將小孩生下來 受孕時期，也會有症狀嗎 想請問現在若再驗孕有可能會驗到嗎還是建議月經過期後再驗孕比較妥當呢 想請問醫生725、26此時即便無套，也有懷孕機率嗎因APP上面顯示的排卵日是723，想多了解有關這方面的資訊 最後，感謝張醫師！希望您有空的話能替我解答！ | 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。如果週期不規則，則排卵期不固定。懷孕初期不見得有特定的症狀，也無法用主觀的症狀來判斷。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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| 出血 | 醫師你好： 我近5年以來經期比2、30歲時平均縮短7天左右，大概是24∼27天不等，甚至有20天就來的（本來就不會有很準的天數），而且量明顯開始變少。最近一次月經是513，是近5年來最久的36天，約7天後乾淨。結果在525突然流出鮮紅色的血，像傷口流血那般，味道和顏色都和平時的經血有明顯的不同，流血到61乾淨結束，這期間每天都是鮮紅色的血。我平時即將來月經前約一週都會有乳房腫脹略疼痛的癥狀，而這次乳房脹痛的期間從513月經來之前幾天一直延續到異常流血結束才馬上消腫也不痛，幾乎是半個月… 我在流血結束後馬上去找婦產科醫生，他有幫我驗孕，結果是陰性。然後醫生有開黃體素的藥物給我吃一星期，今天613月經來了⋯⋯以上。 我想詢問醫生，像我這種流血的情況是為什麼？是所謂的排卵期出血嗎？因為我現在有在吃降血脂的藥物，如果之後我去看的醫生要幫我開調經的藥適合嗎？需不需要告知他？ 謝謝醫生耐心看完我的問題 | Karin 您好 該情況與用藥判斷，應是更年前期及荷爾蒙紊亂。 另調經藥與高血脂藥物不衝突喔。 | [
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| 壓力 | 因為某件事，而導致恐慌 請問台中有沒有創傷症候群的心理咨商師 也好怕去咨商會更嚴重 目前生活品質不佳 急切需求這方面資訊支援 謝謝醫生 有去看過精神科，但精神科只開藥給我，我需求是心理咨商師協助。 | 網友 你好： 通常精神科醫師都有搭配的臨床心理師給需要心理治療的病患，我也常轉或建議病患去接受心理治療。 您其實可以直接問您的精神科醫師您有心理治療需求。至於台中的心理治療資源，經過我幫您上網查了因為我不住台中之後如下.第一個連結是免費市政府提供的，第二個是自費心理治療所。祝您早日康復 httpswww.health.taichung.gov.tw1508556post httpscmuhc.cmu.edu.twcmuhcsitesdefaultfilesu3E58FB0E4B8ADE5B882E5BF83E79086E8A19BE7949FE79BB8E9979CE8B387E6BA90.pdf 吳恩亮醫師 | [
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| 月經問題 | 女友22生理期來 從22開始直到26皆有發生性行為 26當日血量極少，並且有內射 於當天下午吃了事後藥安立婷 之後幾天經血都非常少 以為經期結束了 但在210發現有少量咖啡色經血 並且211血量增多，像是經期第一天 不同之處在於顏色為深紅色 想請問醫師： 1、這樣是否為同個月第二次月經？ 2、這樣的情況還會懷孕嗎？ 3、身體方面有沒有特別需要留意或注意照顧的地方？ 謝謝醫師。 | 您好 應該是吃事後避孕藥造成的亂經，觀察即可。祝你健康 | [
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| 自律神經 | 本人於上月初出現嚴重暈眩、心臟心律不整 每分鐘心跳達140次以及呼吸困難、胸悶、嘔 心、雙手發麻，血壓升高等症狀身體極度難過 ，坐立不安，住院8天，經醫生初步判定為疑 為心肌梗塞但經血液檢查及心臟和腹部超音波 並沒有發現心肌梗塞或其他問題，但病發後出 現腹脹一直排氣現象及肩膀酸痛和極度恐懼（ 怕再發病）感覺身體怪怪的等後遺症，出院後 我去看中醫，醫生說我是自律神經失調，現在 我偶而發病，發病症狀出現短暫呼吸困難、胸 悶、恐懼、腹脹及一直排氣現象，但症狀較為 緩和，可是我一直擔心是否是我的肚子內臟或 心臟出了問題，請問醫生我是不是自律神經失 調，若不是我該看那一科呢？ 感謝您 | 已經回答過了 祝安 | [
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12胸腔內科
| 喉嚨 | 醫師您好 目前被我喉嚨有異物感還有壓迫會有強烈的口臭會讓我很 心的感覺很困擾我本身喉嚨就會很敏感一有異物感我第一個反應就是想吐一開始都是再下午就發作喉嚨異物感有壓迫出現我就會馬上去廁所準備要吐吐完後不會很輕鬆喉嚨會卡住很難受這四天早上起床就會有這感覺出現一整天都發作讓我很無法專心上班因此發作我就提前下班看過腸胃科開制酸劑整腸胃藥物 吃了一個多月都沒好轉過 症狀一天比一天還嚴重想請我需要看什麼科做怎樣的檢查.4月2號要做無痛胃鏡除了這檢查我還需要做那方面檢查我很痛苦在多的地方我有壓迫感 呼吸我會很困難 請醫師麻煩幫我解答我需要在看什麼科跟檢查 謝謝 | 龍您好： 如果胃鏡檢查後沒有發現太大的異常潰瘍或食道炎，腸胃問題可能性不大，建議再看一下耳鼻喉科。每餐後都要刷牙及漱口，如果西醫這幾科看過均沒有太大毛病，可考慮看中醫調整體質，更重要的是作息要正常，不能太緊張、忙碌、神經太繃緊也是造成喉頭異物感的主要原因。 祝 好！ | [
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| 骨盆腔發炎 | 1.請問和男友一起泡澡會懷孕嗎？他有勃起無射精，但不確定他有沒有分泌前列液 2.請問骨盆腔發炎吃了一個月的抗生素還沒完全好，可以改吃中藥調整嗎？ 3.請問服用Cleocin時還可以服用膠原蛋白錠和維他命c錠嗎？或是說吃完藥之後要隔多久才能服用？會起衝突嗎？ | 1.請問和男友一起泡澡會懷孕嗎？他有勃起無射精，但不確定他有沒有分泌前列液 Ans 安心和男友一起泡澡 不會懷孕 2.請問骨盆腔發炎吃了一個月的抗生素還沒完全好，可以改吃中藥調整嗎？ Ans 可以 3.請問服用Cleocin時還可以服用膠原蛋白錠和維他命c錠嗎？或是說吃完藥之後要隔多久才能服用？會起衝突嗎？ Ans Cleocin和膠原蛋白錠和維他命C錠 不會起衝突 | [
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| 十字韌帶 | 您好 兩週前發生車禍後照X光跟MRI確認為前十字韌帶牽拉式骨折 想詢問一下關於傳統手術跟微創手術的建議 另外術後多久可以正常活動 謝謝 | 您好，前十字韌帶牽拉式骨折，若骨折沒有移位，則以石膏固定，不必手術。若骨折有移位，則建議微創關節鏡手術。一般而言，術後仍需滕支架固定4-6週，之後需復健。一般而言，術後3個月以正常活動。感謝您的提問。 | [
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| 會懷孕嗎？ | 我跟男友都會在危險期過後性行為 可是保險套都沒有破 也沒有射在保險套裡面 是另外DIY出來的 這樣懷孕的機率大嗎 我上個月月經提早一天來 可是這個月拖了35天了還沒來小腹在這3∼5天偶爾震痛 這樣是亂經嗎？還是懷孕前兆 | 提問者您好 有行房雖未射精仍有受孕的機會，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，一般避孕不建議單純使用保險套的方式。但是有無懷孕並無法由主觀的症狀來判斷，因此建議如果月經期一週以上還沒來的話，仍然要檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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| 擔心 | 我現在每天服食quetiapine 800mg 這個劑量是不是好大 因為曾經抽血報告話我貧血 我同醫師說過成日好頭暈想減劑量他只是叫我早點服藥 請問貧血及血壓低能每天服quetiapine 800mg嗎 | yin您好： Quetiapine 800mg為治療劑量的上限。Quetiapine確實有可能短期內，對某些人造成姿勢性低血壓和鎮靜、頭暈等作用。但大多數的人之後此副作用會消失。建議貧血要去看內科醫生查原因並對症治療，並多和您的精神科醫師多討論您的不適。 祝您 早日康復 吳恩亮 敬上 | [
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| 射精 | 醫師您好 請問從插入陰道到射精多久才算正常 延長射精是否可以藉由外在的訓練呢謝謝 | 小廣你好：根據的問題即是早洩 早洩有這樣的定義： 1.從插入陰道到射精少於1分鐘（也是學者定義30秒內） 2.插入陰道後來回抽動少於10次 3.比較恰當的定義，應該是射精的時刻不如自己或另一半的期望下發生即 是早 延長射精是可以藉由外在訓練來達成，需由兩性一起參與運用互動式擠 壓技巧是最有效，自我訓練也可以嘗試，先自行自慰，當快射精時，停止自慰的動作，放鬆心情，讓高潮退去後，再度刺激，如此反覆練習也可以延長射精的時間。 | [
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| 愛滋病 | 許醫師你好 我大約一週半以前有過不安全的性行為 然後幾天前浮潛回來後隔天 手臂肩膀感到酸星期一 接著直到今天 發現手臂 大腿 小腿都有酸痛的現象 關節也有痛的跡象 還有回來後也發現一直很疲倦無力 但是LP 並沒有發現有任何異象 請醫師幫幫我 這有沒有AIDS 的可能 謝 很擔心的我 | 煩惱的人： 你好 我覺得你是多慮了。 即使得到AIDS，也不會有任何症狀的。 AIDS之所以不好治療，傳染力強，就是因為他有非常長的潛伏期。 更可怕的是，他有所謂的檢驗空窗期：就是在這段時間裡，明明有感染，但是，經由檢驗無法測到病毒。 AIDS，不會這麼快就發病的，一般大約要10年左右。 檢驗，建議在8週以後作血清的檢驗，可以得知是否有感染AIDS。在這段期間裡，不要再有不好的接觸，否則，檢驗的時間要往後延8週。 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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15復健科
| 頸部酸痛 | 請問一個問題， 我媽媽說她這幾天後頸部很僵硬， 尤其是抬頭的動作， 非常緊繃， 今天看到她常常躺在床上， 再將整個頭往下垂 她說那樣做頸部比較舒服， 我媽媽沒有上班 沒做甚麼粗重的家務事， 也很少坐著不動， 我想要幫助老媽媽， 請問怎樣可以解決？ 謝謝！ | 先生您好 感謝您的提問在這邊先回覆您的問題並提供建議如下 1.建議您可多做熱敷並輕輕按摩. 2.可多按手背頸穴及落診穴第二及三掌骨之間 3.多做頸四面等長收縮運動及輕微拉張運動若不了解可到復健科 或拿衛教單張來閱讀. 最後 祝您 平安快樂 | [
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1精神科
| 焦慮 | 醫生您好 最近我常常害怕一種不確定性的事情而緊張 例如 1.吃海鮮就會擔心會不會過敏 2.吃藥就會擔心會不會有副作用之類的 可是之前都沒有這種想法 醫生請問這是哪種病況呢？ 還有一個問題想請問 就是最近覺得喉嚨都會緊緊的 想請問醫生是否有關聯呢？ | 網友好 有可能是焦慮症狀，喉嚨緊緊的也是焦慮常見的身體症狀。 吳恩亮醫師 | [
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5泌尿科
| 龜頭問題 | 為什麼我有時候勃起明明陰莖是硬的龜頭卻沒有明顯脹大（充血）？ | 尿道海綿體 龜頭海棉體）雖然在勃起過程中動脈血流以同樣方式增加，但由於白膜少，靜脈閉塞減輕，因此壓力僅為陰莖海綿體的13-12，所以感覺龜頭較軟，即使在完全勃起期，回流的大靜脈受壓而使陰莖頭腫脹充血，龜頭也變硬、變紅、變熱等「勃起」現象，但由於沒有白膜，跟兩側的海綿體硬度相比還是遠遠不足的。 | [
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| 避孕藥問題 | 醫師您好， 平常有用量體溫的方式計算排卵日和生理期，週期蠻準的。 47當天可能是排卵日的機率很高，而當天在防護不足下行房。 因爬文事後避孕藥的相關文章，此藥似乎大多是藉由延遲排卵降低受孕，所以不知道若是排卵日當天或排卵後是否還適合服用事後避孕藥呢？還是建議前往婦產科諮詢？謝謝您 | 平常有用量體溫的方式計算排卵日和生理期，週期蠻準的。 47當天可能是排卵日的機率很高，而當天在防護不足下行房。 因爬文事後避孕藥的相關文章，此藥似乎大多是藉由延遲排卵降低受孕，所以不知道若是排卵日當天或排卵後是否還適合服用事後避孕藥呢？還是建議前往婦產科諮詢？ Ans 排卵日當天或排卵後非常適合服用事後避孕藥 不需前往婦產科諮詢 | [
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