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15復健科
| 脖子僵硬 | 陳主任您好！ 前週四中暑， 頸部左耳旁抽痛， 刮出一塊深紫色的痧， 請問這種情況發生時 在復健治療項目中還可以拉脖子嗎？ 謝謝您！ | 您好 在這邊感謝您的提問先回覆您的問題並提供建議 1.暫時先以電療即可若要頸牽引可能要降低拉力1-2公斤急性期過後 2.肌肉發炎在急性期宜冰敷若痛降低或超過24小時改以熱敷. 3.宜多休息少搬運. | [
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5泌尿科
| 尿道下裂 | 醫師你好 我星期二因尿尿有灼熱感會痛然後又發燒不退.去看醫生醫生經抽血驗尿檢查說是尿道感染 想請問我之前長有自慰習慣而且喜歡自慰一半想射精前停住然後刺激龜頭敏感處等退了敏感就繼續自慰到又想射精前又停住又刺激龜頭敏感處就一直從複這樣很久才射精或是從複很久然後沒射精 這種行為會不會導致攝護腺出問題然後出現尿道感染呢 還有我也常常感覺有尿意但感覺不強烈所以就一直憋住不尿等尿意感覺很明顯時才去尿尿這樣會有影響嗎 請醫師幫忙回答謝謝 | 857： 你好 1.不會 2.可能會有影響。 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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6骨科
| 橈骨問題 | 醫生不好意思我不太清楚你的解釋的意思 | 您好： 僅就上次問題回覆！ 1、皮膚會凹陷是因為打過鋼釘或骨折處有點沾黏造成，這沒關係。 2、橈骨有沒有長好得回診追蹤X光片才可以知道。 3、現在寶特瓶運動可以繼續做，加油！ 署立基隆醫院 骨科主任 李文琳 | [
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| 懷孕嗎？ | 醫師您好，我的狀況是，在危險期（不確定，但追蹤app有顯示是在排卵日德後兩天）和男友有無套性行為，但沒有內射，只有插進去又拔出來總共三次，事後因為擔心所以有在24小時內吃事後避孕藥，很擔心這樣會不會懷孕，麻煩了，謝謝您！ | 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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1精神科
| 其他 | 王醫生您好 最近我的腦海常浮現可怕的想法，像是出意外、傷害人或自殺那種可怕的想法，常常想要仇人跟欺負我的人消失或覺得人生無意義很想死無業中，有時候也會出現如果我做了某件事不好的事他會不會怎樣之類的，類似這樣的想法反覆出現，當然從來都沒有做過，只是一直會去想到，自己也覺得自己可怕又可悲，想法揮之不去，該怎麼辦才好謝謝 | 您好： 聽起來您對於腦中各種揮之不去的想法非常困擾，而這些想法多帶有許多的情緒，包含負面的、可怕的，甚至會有傷人、或害怕傷人的內容。這個狀況必須要確認是否有合併其他情緒的問題出現，而這些情緒問題是否已達到疾病的程度，如此才能給予正確的判斷與後續的建議。因您已經非常困擾，建議求診精神科身心科，由醫師進行診斷再給您合適的建議！謝謝！ | [
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13肝膽腸胃科
| 排便問題 | 醫生您好，近期排便總是一粒一粒的，也很硬，有時候會覺得有點肛裂，今天排便時依舊是一粒一粒偏硬，但沒感覺有疼痛感，但擦拭第一下時黃黃的（非黏液也無黏液）且有鮮紅血跡，第二下就沒有血了，糞便呈現咖啡偏黃色並沒有很深，想請問這是痔瘡出血嗎？應該不會是大腸癌吧QAQ 因為之前痔瘡發作都是馬桶很多血那種，只有肛裂才會是擦拭有血跡，而且會痛灼熱，就算只是上小號順便擦一下還是會有微微血跡那種 可是這幾次都是感覺不會痛，擦第一次有血之後擦紙都很乾淨所以有點分辨不出來，再麻煩醫生幫忙解惑，謝謝 | 小姐您好： 您主訴：近期排便總是一粒一粒偏硬，有時會有肛門裂開感並伴有鮮血。這可能是痔瘡症狀，但詳細狀況建議前往大腸直腸外科就診，以利後續分期治療。 感謝您的詢問！ | [
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18放射線科
| 電腦斷層輻射 | 主任你好 請問腹部電腦斷層的準備階段在還沒打顯影劑正式拍攝之前叫我呼氣閉氣然後電腦掃描的準備階段這個時候會有輻射嗎 因為我那天不知道為什麼在掃描後要注射顯影劑時前的沖生理食鹽水血管一直破掉又出去請護理師重插針.血管破了三次所以做了3次的準備階段呼氣閉氣然後掃描 有點擔心這三次掃描也有些輻射釋放在我身上 | 您好 X光儀器在掃描的時候，才會有輻射。如果是檢查前訓練受檢者配合呼氣吐氣不會有輻射。執行電腦斷層的檢查流程中有許多的細節，須要專業人員協助檢查的順利完成。如檢查完成離開醫院後，身體發生異常症狀，建議回急診或原診治醫師之門診進行後續評估。 以上請參考，祝您平安健康。 | [
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| 泌尿道感染 | 請問林醫師.前一陣子去看診結果他跟我說可能是尿道發炎.結果他開藥給我在這段期間.因為抑制不了自慰了幾次請問會造成甚麼影響嗎 | 老貓你好： 既然檢查出有尿道發炎，藥物治療後還是要追蹤檢查到治療完全，否則尿道炎最怕發生的併發症為尿道狹窄，自慰本身倒不會造成什麼特別影響。 | [
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| 頸肩疼痛 | 約8年前MRI檢查頸部報告C3-4-5-6椎間盤突出壓迫 左肩頸手臂痠痛 手指麻 經過復健 症狀有改善 直至今年七月症狀又比較明顯 但時好時壞 連同有時右側也有類似症狀但較輕微些 昨天還有前臂痠痛時 有肌肉抽動的症狀 今年八月有拍X光報告Less lordotic curvature of the cervical spine.Disc space narrowing at level of C3-4 C4-5 and C5-6. 想問最近的不舒服症狀變成偶爾右邊也有類似症狀 也是因為頸椎壓迫的關係嗎還是其他因素 肌肉有抽動幾下的症狀也是因為頸椎壓迫造成的嗎 | 椎間盤突出可能造成兩側症狀，但不一定同時出現 所描述症狀都可能與頸部病灶有關 請前往神經內外科、骨科或復健科就診以正確診斷並安排適當治療 | [
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5泌尿科
| 尿道下裂 | 請問一下 以前尿道都小小的，現在看突然間尿道口變大 這是正常的嗎？會越裂越開嗎？ 假如裂開還會有救嗎？ | 川： 你好 很難評估，因為臨床上我還沒有看到這樣的病例。 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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| 龜頭問題 | 醫生 是我 我是有發過問題的ㄧ拳 我的龜頭上那兩顆水泡好像又破裂 留一點點水 我會用優碘消毒再使用診所開的藥膏抹 想請問醫生這樣使用可以嗎 診所醫生並沒有跟我很詳細說我的問題 事實上我有去看過醫生！ 我包皮上 跟睪丸上的已經有消了 想再請問 膚潤康這個藥膏 是不建議長期使用的藥膏嗎 | 一拳： 你好 可以這樣消毒。非常徹底。 病灶好了就不需要使用藥物。 任何藥物都有副作用。 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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| 老人癡呆症 | 我父親今年86歲 今年兩度跌倒 急診後發現胃潰瘍 因膀胱功能不佳目前插尿管 每個月固定回診泌尿科與腸胃科 從醫院回來後 大部分時間都在睡覺 飲食正常也會使用助行器走動 但這一週以來他睡覺中每一到兩個小時就要起來去上大號 但大部分是沒上出來就回到床上 問他有沒有不舒服 他說沒有 之前有一兩次因吃了腸胃科醫生開的軟便藥而大便在身上後 來該喝 樂多糖漿 就開始頻繁的上廁所 我要他穿紙尿褲 但拒絕 今年一月是曾出現瞻妄的異常行為而第一次送急診 所以我懷疑這也是類似的異常行為 但這次我可以正常的與他溝通 只是他控制不了每兩個小時要去上大號 請問我要帶他去掛急診嗎 還是該掛哪一科 麻煩醫生為我解惑 | 兩個小時就想解便，可以諮詢腸胃科醫師這解便習性的改變原因，尤其大腸方面相關疾病是否已排除。 若腸胃道沒問題，個案也有認知功能退化現象，強迫性重覆解便，建議可就老年精神科門診評估及診療。 | [
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13肝膽腸胃科
| 大便出血 | 醫生您好，打擾您了 因為大便完擦完屁股衛生紙上有血而去看了醫生，醫生說是痔瘡，給了我兩顆塞劑跟叫我吃藥 但因為那家診所看診速度很快所以來不及向醫生提問，所以想請問您我這種情況是內痣嗎是否需要回診呢還是塞完兩顆塞劑再觀察看看有無改善只要沒有再流血就好嗎，第一次遇到這種情況，連自己的痔瘡嚴不嚴重都不知道，有點擔心痣瘡惡化但渾然不知。 然後還有發現大便很細，而且上面有不少的黏液，是否腸胃還有其他問題的可能性 謝謝醫生的幫助。 | 小姐您好 只要保持糞便不要過硬，以免磨擦肛門口，造成肛門口血管即內痔血管破裂出血即可。 若能經常血便，可檢查內視鏡以排除其他原因。 彰化醫院關心您的健康 陳詩典 | [
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0婦產科
| 懷孕 | 醫生您好 昨天和男友發生過一次性行為 他有戴套 之後也是拔出來射 但事後發現原來保險套是破掉的 然後我月經週期是有點不正常的 照理說應該是這個月15號會來也就是五天後 請問這樣會有懷孕的可能嗎 需不需要吃避孕藥呢 | 您好 懷孕機會應該不大，任何時候最好要做事前的避孕措施，不能相信安全期，如果月經該來沒來再超過1星期仍沒來，建議看婦產科。祝健康 | [
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11營養教室
| 營養諮詢 | 蔡醫師好， 當身體需要維生素a時，肝臟能夠拿其他身體器官儲存的beta胡蘿蔔素來用嗎？ 還有，家裡的那瓶維生素B群，藥丸的表面，有一些小黃點，裡面則沒有。請問那些小黃點是不是代表有些氧化了，吃下肚子會對身體不好嗎？ | 您好 維生素A會儲存在肝臟的，雖然維生素A對於很重要，但若攝取過量，則會引致中毒可能會導致胃痛、肚瀉、嘔吐、頭痛、肝臟肥大和視力模糊等症狀。 而beta胡蘿蔔素，攝取過多雖然沒有毒性，但β-胡蘿蔔素吃太多 會造成成胡蘿蔔素沉著症（carotenodermia）會表現為皮膚的黃色沉著。 β-胡蘿蔔素可存在肝臟與體脂肪中，需要時可在肝臟中轉變成一種維生素A。 一般維生素及礦物質，容易開封後就潮解，許多綜合維生素罐內都會有除潮劑。故建議要開封後盡快服用，儲放在乾燥陰涼處。 取用維生素應該手要保持乾燥，不要接觸手後再倒回罐子中。如果已放置一段時間後，出現不明斑點，建議就不要使用了！以確保安全。 已經潮解的維生素不但可能沒有了原有的功用，更可能產生危害，建議避免。 以上由衛生福利部南投醫院蔡秀雯營養師回覆。 祝您平安健康。 | [
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| 身高 | 醫生你好 我是第一次留言 我想請問一下我現在要升高三了 我身高153CM我想長到160CM有用嗎 我想再長高還有機會嗎 常多喝牛奶有效嗎 有什麼方法可以在讓我長高因為太矮.有時會讓我在生活上有點阻礙 | 敬覆 一般17歲年齡女性仍有機會長高但幅度不大。應多注意攝最鈣質牛奶為優良食品鈣之來源、維他命D、陽光.以及運動等如游泳。 高度不代表什麼態度與深度才是重要的。 骨科主任王子康代答 | [
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| 腸胃 | 過年至今一直被胃酸逆流情況困擾，先是看了西醫，但是改善效果不彰， 早上起床會想吐，吃完東西感覺胸口灼熱感，打嗝，輕微胃脹，但是沒有胃痛，喉嚨痛等情形，後來轉看中醫， 醫師開了安中散、四逆傘、半夏瀉心湯、木香、神麴、厚朴、代赭石、香附。 想請問醫師，哪些東西是不能吃的呢 還有請問中藥的服用，飯後多久服用比較適當 謝謝 | Dear Nick021網友您好： 1. 您過年至今一直，吃完東西感覺胸口灼熱感，打嗝，輕微胃脹，但是沒有胃痛，喉嚨痛，早上起床會想吐等情形，中醫的診斷：可能胃酸逆流。 2. 您所看的中醫醫師所開的方藥是腸胃科常見方，但最好依據中醫四診把脈等作確切診斷給藥等，比較可以對症下藥來改善您的病情。 3. 腸胃科胃酸逆流中藥的服用，可以飯前服用。如改飯後服用，時間要求，可以在兩餐之間記得服用改善胃酸逆流，比較適當。 最後祝 安好 豐原醫院 中醫科主任醫師 林慶鐘 助理教授上 | [
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| 菸害教育 | 男朋友一天都要抽３∼５支菸，雖然不是很多，但還是很希望他戒掉。 請問該用哪種輔助產品比較好？需要帶他去看戒菸門診嗎？ | 您好 戒菸與否，還是要看妳男朋友是否有戒菸的意願，如果妳男朋友認為有需要別人協助他戒菸，那門診戒菸可以提升妳男朋友戒菸的勝算，歡迎妳和他一起來國健局提供的戒菸門診和醫師討論合適的戒菸方法。 謝 謝 | [
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5泌尿科
| 精索靜脈曲張 | 第一次醫院去照超音波 醫生說我左側有精索靜脈屈張 但只是輕微的 之後再去別家醫院照超音波 醫生卻說我兩側都有 但也都只是輕微的 但是我從網路上看到 精索靜脈區張會導致睪丸萎縮 是要到嚴重的程度才會導致嗎 還是輕微的就有可能會導致睪丸萎縮了呢 超級擔心的 麻煩醫生幫我解答 謝謝 | R 你好 睪丸萎縮，要看情形，每個病人的情形都不同。 有的人非常嚴重的精索靜脈曲張，卻沒有睪丸的問題；有的人只有輕微，卻造成嚴重的睪丸萎縮。 當然，嚴重的精索靜脈曲張比較容易造成睪丸病變。 可以每個月自我檢查一下睪丸的硬度、大小等。若有變化，再用超音波良大小。 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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13肝膽腸胃科
| B型肝炎 | 我有b型肝炎及E抗原，在以前檢驗的時候，都只會告知你是陽性帶原者，但是這次因為要保險，而去一家診所體檢的報告確有顯示出B肝帶原指數及E抗原的指數，分別都寫小於1才是正常值，我的指數顯示是200多300多，這是代表什麼意思呢？？ | B型肝炎抗原代表目前有B肝帶原者，B型肝炎E抗原代表是有B肝帶原並具有傳染力，故應避免與人有唾液、血液的接觸。 | [
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0婦產科
| 子宮頸疫苗 | 陳醫生您好首先感謝您撥空回覆此疑問.我的問題是我老婆約在五個半月前施打四價子宮頸癌疫苗第一劑請問現在是否可以提早一星期施打第二劑 感謝您的回覆 20110302 | 四價疫苗施打三劑應是隔一個月，而非隔6個月打。建議儘早施打醫院諮詢何時打第三劑。若是四價疫苗第三劑一般在6個月時施打此劑提前一星期施打應該可以。 | [
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4心臟血管專科
| 心臟問題 | 你好 之前我做了軍校的體檢，檢查出來給我一個看不懂的學名：沃夫巴金森懷特症後群，結果過沒多久， 因為兵役的問題…去台北醫院做了兵役體檢，檢查出來是…ECG：WPW Syndrome 前幾個禮拜，去新泰綜合醫院做了心電圖的檢查，檢查出來的結果是… w-p-w Syndrome 沃帕懷三氏症候群 還建議我去心臟內科做檢查！ 請問一下，三次檢查出來，為什麼學名會不一樣？ 還有…我上網看過大概的說法，是說這是一種類似電線短路的狀況，我有點看不懂，我該怎麼去必免心臟病發作呢？ 謝謝！ | 奕緯 w-p-w Syndrome 沃帕懷三氏症候群 沃夫巴金森懷特症後群 這都是同樣的病 只是翻譯不同而已 簡單的說 就是心臟的傳導系統多一條線路 心跳不經調節點便直接往下傳 造成偶發性心律過速之心律不整 好比高速公路收費站車流都會慢下來 但若旁邊的便道打開 車子不需減速便直接過去 當然 避免刺激性的東西可避免發作 若會發作 建議到醫學中心行電器燒灼術 將多的線路點掉即可 危險性很低 彰化醫院關心您 | [
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| 殘齒 | 醫生您好，之前做過根管治療的牙齒幾年後又很痛，因為蛀牙嚴重，牙醫表示要拔牙，因為拖很久，到最近去拔牙的時候只剩下殘根！且殘根斷裂，醫生說只能慢慢挖，慢慢拔，拔了近半小時牙齒，到最後還有部分拔不出來，他說只能儘量幫我拔出牙根，因此還有一些牙根拔不出來、只能後續觀察。我想問這種情況怎麼辦？會有什麼影響？ | 您好 建議先觀察，若能自行被身體吸收掉是最好的狀況，無局部發炎或其他病兆，就不建議再硬去手術移除。若有其他必要性，才建議請口腔外科醫師看看是否需要全身麻醉去將之移除。 | [
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| 子宮問題 | 請問子宮頸癌的症狀為何？ 我與男友發生性行為後下體會流出一點血好像是一兩滴吧連續機天後就停了以前也有作過但沒流血是否因為這次較激烈的關係？ ，最近在和男友作時又流了一點請問是處女膜破裂的關係嗎？以前在溜冰時曾摔倒，後來發現下體流了些血我想那時是否以經了破了，頸癌的症狀是否有下體會流血這項？上個月月經有來 請盡速回答.擔心的人 謝謝！！ | 1.有些子宮頸癌病人在初期根本沒有症狀，必須靠子宮頸抹片檢查來篩檢。 2.事實上子宮頸癌的症狀大致包括：同房後出血，不正常出血如出血不止，分泌物增加等。 3.性行為後出血，最常見的是子宮頸炎、子宮頸息肉、較激烈或使用情趣用品則有可能是陰道裂傷或處女膜裂傷，子宮頸癌在台灣的發生率約為十萬分之三十左右，每年約有3000名新病患，對您而言，不可以說絕對不可能，但機會不大，建議至婦產科門診求治。 | [
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3藥物
| 藥物諮詢 | 藥師您好請問哪裡可以買到賽德這種藥品因為家父為肝癌患者必需服用這種藥品但醫院申請的還沒下文所以醫生開處方箋請我們自己到藥房去買.但我人在台中醫生推薦的藥房在斗六所以想請問在台中什麼地方可以買到THADO這種藥品謝謝 | 您好THADO這種藥品用藥前，必須給予病患閱讀及簽署服用THADOthalidomide之「女性病患服用THADO同意書男性病患服用THADO同意書」，僅有病患願意完全遵照同意書的指示下，才可處方THADOthalidomide給患者，所以這個藥使用時要非常小心，一般藥局可能較少使用，在台中只要有健保藥局的藥局您打電話問問看，這邊有幾家藥局電話您問問看，或是您住的地方是那一區，可打電話到藥師公會問台中的藥局電話，祝福您家父早日康復 TEL04-2222216022016309 2360543522614237 2263899622066757 2297555623169852 | [
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6骨科
| 膝蓋問題 | 醫生您好 我在三個禮拜前發生車禍 左膝蓋褲子磨破直接撞擊地板 當時有被送往急診 照了x光醫生說骨頭沒有大礙 於是幫我外表傷口擦藥、開消炎止痛藥 以及打破傷風針 要我回家盡量不要走動、冰敷 回家後有開始冰敷 但消炎止痛藥只吃幾次 當時覺得不太會痛 不過約隔一個禮拜後 膝蓋還是腫脹 彎曲時感覺膝蓋下半部有塊東西卡著 怪怪的感覺會痛 又去看了醫生 醫生一樣開消炎止痛藥給我 然後叫我會痛的地方冰敷不痛的地方熱敷 又過了一個禮拜 感覺沒有很明顯的好轉 於是又去看了醫生因時間關係是不同位醫生 醫生叫我盡量不要彎曲 然後也是開消炎藥給我吃 車禍至今三個禮拜了 不知道為什麼膝蓋還是腫腫的 而且彎曲或是晃動到時 就覺得膝蓋下方有塊東西會卡卡的、痛痛的 讓我走路還是一跛一跛的不敢彎曲 想了解應該要怎麼辦呢 是會痛的地方再冰敷、不會痛的腫脹的地方熱敷嗎 消炎止痛藥需要吃完嗎 之後也是繼續看骨科嗎 已經三個禮拜了這樣正常嗎 不好意思 因為很擔心 謝謝醫生 | 膝關節手傷之後的腫脹通常要六星期左右才會消掉 有的會更久一些 腫脹與疼痛就會使得關節無法彎的很彎 這時候可以吃止痛消炎的藥物還改善 另外可以熱敷與冰敷交替 如果很重就冰敷 肌肉的部分很繃緊就可以熱敷 還有需要練習關節的彎曲 腳踝也要做上下的運動 拉動小腿的肌肉那樣子才會恢復的比較快些 如果三個月之後還沒能好轉就需要再去找醫師看診檢查 | [
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] |
4心臟血管專科
| 血壓 | 李醫師早上飯後吃的藥 請問我長期吃高血壓的藥，百肯10毫克膜衣錠，安壓得穩錠5毫克，服樂心膜衣錠160毫克，三年前加上凡指妥膜衣錠10毫克，十全愛彼脈持續性效膜衣錠60毫克，十全力狹錠5毫克， "優生"拿保膠囊０．５公絲（甲鈷胺明）， "生達"癒利舒盼錠 0.25毫克，，晚餐後要在吃一科力狹錠 睡覺前吃 ，利平靜錠0.5毫克，跟碳酸鈣錠500公絲 ，，，高血壓吃十年，心臟用藥吃5個月，失眠藥吃四年，胃多會痛，跟胃食道逆流，最近血壓有不穩定，我有買台歐姆龍血壓計，最近拿出來量，舒張壓直有65收縮壓111，本來以為壞掉了送回原廠修理，原廠說沒壞，送回來我在量一樣舒張壓也太低，去診所量用醫生用的血壓計量變太高，請問醫生我現在要改什麼做，我也有個朋友有高血壓請他用我的血壓計量，也太高，我量我的太底 | 蔡先生您好， 根據您的描述，您有高血壓，血脂異常及"心臟病"--從用藥推測或許是冠心病，因為藥物裡抗狹心症藥占比不少，或許還有"焦慮及失眠問題".但整體來說，適當的藥物治療就是把血壓控制在14090mmHg 以內，再加上血糖及血脂控制，您的問題，個人認為應該回診與您的主治醫師討論，而非經由網路諮詢而擅自改藥.若需第二意見，亦建議親自就診評估. 平安 衛福部彰化醫院 關心您 | [
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6骨科
| 第五蹠骨 | 您好， 我於19日因意外經醫師診斷出左腳第五蹠骨骨折， 醫師說明因該部位移位機率不高，所以並未開刀，而僅使用副木固定， 原醫師說大約四星期後即不需使用副木， 然今日22日回診照X光，醫師說裂縫有點變大所以要繼續使用副木固定四個星期， 我有疑問的是， 在這段期間有盡量少走動，且腳有較為消腫，可以慢慢行走疼痛感不大， 為何X光顯示裂縫未癒合反而還變大呢 若以一般來說這種復原速度是否太慢，四個星期後真的會癒合嗎 又擔心會不會之後裂縫持續變大需要開刀， 因為生活上還是需要一些走動等等。 感謝醫師回覆 | 通常蹠骨折都會自行癒合的 除非它是斷在基部的地方base of the metatarsus fracture又有移位才須要手術 癒合的時間大概兩三個月 所以再固定一段時間再照x光片看看 不須刻意的去走動 | [
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0婦產科
| 懷孕 | 醫生您好 我和我女友在她月事結束後的一天後，發生關係好像有內射，但我也馬上拔出來，在隔天的早上有吃事後避孕藥。現在月經遲了好幾天了都沒來我們都非常慌張，請問這樣懷孕機率大嗎？ | 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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0婦產科
| 懷孕 | 曹醫生您好： 我週期為28天，經期為6天（從212到217） 我男友229早上10點有手淫，下午14點跟我同房，沒帶套放進來沒內射，前題是222.23.24.25.26.28都有打手槍，且男友有抽煙，晚睡的習慣，這樣懷孕機率大嗎？可7天後驗孕然後避孕嗎？推薦什麼避孕藥？ | 您好 避孕機會不大，避孕藥要從月經來的第五天吃才有效，避孕藥建議咨詢婦產科。祝健康 | [
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5泌尿科
| 睪丸酮 | 醫師你好.我想請問一下.我的小孩今年16歲.他的生殖器約只有女生瘦小型小指的大小長度可能還沒那麼長在他5歲時因為還看不太到生殖器.所以有帶他去榮總看過.那時醫生說他是胖看不太到.可是現在16歲了.身高164體重91.生殖器卻只有小指大小.正常嗎還是要等他在在大ㄧ些.在去看醫生.因為我怕他現在吃藥治療會長不高.謝謝. | 請問貴子弟勃起時的實際長度多長 有時因為恥骨附近脂肪層過厚的關係 性器看起來會比較短小. 當然實際情況可以帶去給泌尿科醫師檢查 必要時可以做些賀爾蒙的評估. | [
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| 事後避孕藥 | 問題有點多感謝月經在912-917，在918時女友幫我自慰自慰後有碰到精液在清洗後插入陰道事後因為害怕有精子存活所以48小時內服用了事後避孕藥在925-928總共出血4天請問這出血是月經嗎那下個月月經還會照原定時間來嗎這樣算避孕成功嗎那如果手碰到陰莖沒碰到精液的話插入陰道會懷孕嗎 | 月經在912-917，在918時女友幫我自慰自慰後有碰到精液在清洗後插入陰道事後因為害怕有精子存活所以48小時內服用了事後避孕藥在925-928總共出血4天請問這出血是月經嗎 Ans 這出血不是月經 那下個月月經還會照原定時間來嗎 Ans 不一定 這樣算避孕成功嗎 Ans 成功九成 那如果手碰到陰莖沒碰到精液的話插入陰道會懷孕嗎 Ans 不會懷孕 | [
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| 尿尿問題 | 醫生您好 1小弟上週五下午突然感覺癢癢的很想尿尿卻沒什麼尿但是這幾天又沒有這些症狀請問這是甚麼症狀 2小弟距離最後一次性行為是兩年前 有驗過愛滋與梅毒 分別是半年一次以及一年一次 請問還需要再去驗一次嗎 3如果要驗請問林病跟披衣菌也需要嗎 感謝百忙之中抽空回復 | 你說的症狀有可能是泌尿感染 ，神經痛 或者是排小結石。 聽你的描述你比較擔心的是沒有治癒的尿道炎 ， 當然還是有可能 。不過， 有問題還是要盡早看泌尿科檢查會比較好。 聽你的描述，並不建議再去做檢驗， 除非又有新的問題發生。 要不要驗淋病或者是披衣菌？ 淋病的症狀會很明顯 你的情形不像有 ，披衣菌的話 要驗是有困難不如直接考慮吃藥。 總之，我還是建議你先去泌尿科檢查清楚再與醫師討論。 | [
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| 假牙 | 我最近動了想 做假牙與矯正的念頭 但我母親說 後排假牙不用做到那麼好 我想他是想表達叫我裝”銀”的假牙 而非跟牙齒一樣顏色的假牙 請問醫生 ”銀”的假牙 不是對牙齦不好 還是我的觀念有點錯誤 如果沒有傷到牙齦 價錢上跟 普通假牙有差嗎 之前我的後排牙齒有去給牙醫檢查過了 他說我缺一顆總共要做三顆 如果以 一顆普通假牙價錢6000來算的話 總共要花費18000 費用很大 後排牙齒該用那一種價位的假牙勒 還有如果我假牙跟矯正一起治療 這樣會加長矯正時間嗎 | 您好 假牙與矯正建議矯正先做”銀”的假牙與牙齒一樣顏色”假牙最大的差在於陶瓷燒出仿牙齒的顏色所以美觀是一個主要考慮對於牙齦沒有好不好的問題。 牙科劉添財醫師敬覆 | [
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0婦產科
| 出血 | 月經週期21週不固定，31有發生性行為，37-11月經咖啡色且量少，312-18轉為鮮紅的月經且量正常，但320-23又有出血咖啡色的量少，這樣是否懷孕的可能？ | 提問者您好 由您描述的「出血」狀況，無法由此判斷是否真正是有來月經。建議您請婦產科醫師安排尿液、超音波或抽血檢查，才能判斷是否懷孕，或是荷爾蒙失調造成的不規則出血，謝謝 祝 平安 健康 張 醫師 回 | [
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7耳鼻喉科
| 鼻涕 | 醫生您好： 我目前人在美國，前陣子問過黃舌頭的問題，之後去跟醫生拿抗生素一天兩次500mg七天，黃舌頭跟喉嚨痛的情況有好轉。但是目前吃到現在第五天，喉嚨會有點乾澀的感覺，而且會想要一直吞口水，會感覺到鼻子和喉嚨銜接處有東西，然後如果用力擠下來從鼻後到口腔內的話，並沒有黃色或是透明的痰，只有一點點的黏液，而且會有點想要打嗝，擠空氣出來的感覺，想問一下是吃藥的副作用嗎？或是說有其他發炎現象呢？ | Hi ： 您好， 若無明顯黃鼻涕，可能感染部分已經較改善，可把藥物使用完再觀察。 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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9整型外科
| 鼻子問題 | 長期戴眼鏡或防疫專用護目鏡會造成鼻梁凹陷或骨折嗎 最近換新護目鏡 有ㄧ邊有瘀血痛感 另邊沒怎樣 不過表皮也有微微化膿 也不清楚是不是青春痘 沒鼻血 以前戴護目鏡 也有這情況 後來不理他就自己好 想請問是否有骨折可能 | 1. 鼻骨骨折會有當下的衝撞性的外傷，才可能骨折。而且一定會流鼻血，皮膚會紅腫般的外傷 2. 看起來比較像是濕悶太久造成的皮膚感染，可先去看皮膚科 | [
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| 懷孕嗎？ | 黃醫師你好 我是延續 的問題 女友上次月經是23天來 這次到現在27天了還沒來請問正常嗎？ 還有我不確定她沾到精液的手有沒有伸進陰道裡 不知道有沒有機率會懷孕？ 還是會怕怕的 麻煩醫生了 那如果最近月經有來了是不是就代表沒有懷孕呢？ | 1.女友上次月經是23天來 這次到現在27天了還沒來請問正常嗎？ Ans 驗孕 2.不確定她沾到精液的手有沒有伸進陰道裡 不知道有沒有機率會懷孕？ Ans 驗孕 3.如果最近月經有來了是不是就代表沒有懷孕呢？ Ans 月經有來就代表沒有懷孕 | [
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| 寶寶生長發育 | 兒子現在足9歲11個月，他今天對我說：「最近只要看到電視上有接吻的畫面，就會覺得小鳥陰莖麻麻的，還會變大」，兒子並沒有長出喉結或陰毛，因此想請教醫師，兒子這樣算不算進入青春期？是屬於性早熟嗎？需不需要就醫呢？飲食方面需要注意什麼嗎？ 謝謝您撥冗回答！ | 家長您好， 男生九歲之後，進入青春期，是可以的。一開始的症狀，是睪丸開始變大。根據勃起來判斷青春期，是不太準確的方式。至於長喉結或陰毛，都是青春期中期之後才會發生的現象。 不過，睪丸變大，大多數的家屬不會判斷。還是建議由醫師來判斷較為準確。 | [
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| 感染 | 以下兩個問題提問 1. CIN3是否已經是原位癌 需要做長期治療嗎 2. 已確診HPV16或18型CIN3做過LEEP手術，在接種HPV9架式疫苗是否還有效果，或是可以抑制發炎等功能 | 1. CIN 3 並非癌症，屬子宮頸上皮細胞高度病變。 2. 建議施打子宮頸癌疫苗，但無法保證必定能產生抗體。 | [
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3藥物
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5泌尿科
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| 會懷孕嗎？ | 女友上次月經來是5月2號 我和女友上次做是5月29日 上上次是3月26 歷經37天 29日下午做完無套無內射 保險起見我們當天晚上就吃了事後藥愉婷碇1顆裝那種 到今天月經都還沒來 是因為避孕藥的作用嗎 女友也沒副作用 也沒有吐 請問這樣會懷孕嗎 差不多何時可以驗孕呢 | 女友上次月經來是5月2號 我和女友上次做是5月29日 上上次是3月26 歷經37天 29日下午做完無套無內射 保險起見我們當天晚上就吃了事後藥愉婷碇1顆裝那種 1.到今天月經都還沒來 是因為避孕藥的作用嗎女友也沒副作用 也沒有吐 Ans 應該是 2.請問這樣會懷孕嗎 Ans 不大會懷孕 3.差不多何時可以驗孕呢 Ans 615 可以驗孕看看 PS建議參閱國民健康署「性福e學園」或婦產科醫學會「青少女年避孕指引諮詢家」 httpgoo.gldc6PfW | [
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| 扁桃腺 | 醫生你好，我想詢問，我的扁條線腫起來但是不會痛，也沒有發燒，和其他的症狀，一個禮拜了，像圖片這樣，我有去看醫生了，說只是普通的感冒，我想問我的扁條線這樣正常嗎？還是我這樣是什麼症狀？麻煩你了 httpsshare.icloud.comphotos0ddXicZ8vD9Xeh6z9B5rHVFcA | Hi： 你好， 若無明顯症狀且臨床醫師檢查無明顯異常，可先自我觀察，若擔心可至耳鼻喉科再次檢查確認。 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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| 想懷孕 | 醫生你好，我今年24歲，剛剛結婚想要有個寶寶，我和我老公一個星期都會性愛3天，可是我沒個15天驗孕紙時都出現1條線（都失望），過後我上網才原因時才知道月經不調也會照成不孕。。因為我月經都會半年來一次，有時三個月後才來，不過上星期我和我老公性愛完後我昨天感覺想要吐可是吐不出來，肚子有時候會悶痛，我以為我懷孕了，昨天我去買驗孕紙來驗，可是還是驗出一條線？今天也是想吐又吐不出來。麻煩請醫生指教，我這是什麼情況？ | 您好 有關想懷孕跟您的經期有關 可能也要考慮到安全期等問題 可至婦產科請教 如何計算易懷孕的日期 通常做愛完隔日是不會立即 有懷孕的反應 建議您可配合婦產科醫師的建議 來增加懷孕機率 謝謝 | [
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13肝膽腸胃科
| 大便相關問題 | 大概一個月前，那天上廁所有比較用力，糞便有三段，其中一段是紅色的，周圍沒有血染開，這次之後就沒有類似的症狀了，但是偶爾肛門口會痛，因為看網路上多說痔瘡通常血、便分離，導致現在每天都很擔心，請問醫生，這樣應該去檢查嗎？如果去檢查過程會很久嗎？ | 您好 如果連續不斷出現出血現象，就建議去就診胃腸科或是大腸直腸科。至於檢查時間要多久，要看當天就診狀況，有些當場就可以檢查，有些須要排時間。 彰化醫院關心您的健康 蔡安順醫師 | [
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10兒科
| 生長發育 | 趙醫師你好 請教您一個問題， 我的寶寶89.7，3出生.目前約6個半月左右.為雙胞胎. 2個都是女生.出生時38週.體重皆為2200公克.各方面皆正常. 但是排行小的目前還不怎麼會翻身.而且大人幫助她翻身. 她還會生氣的哭.因此. 我和先生非常擔心.麻煩醫生回答我這個問題.謝謝您. 新竹 月餅 900115. AM1200 | 月餅小姐您好： 可以請小兒神經科蘇育賢主任來評估，所以請您可以掛蘇主任的特別門診，每週星期二、五下午。謝謝！ | [
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| 蠶豆症 | Dear 蕭醫師：您好！ 您曾經在以下這一篇解答過蠶豆症用藥、非常感謝！ httpssp1.hso.mohw.gov.twdoctorAllShowDetail.phpqno58638 我的孩子因為長針眼，於是眼科醫師開了Chloramphenicol 氯絲菌素眼藥水０．２５％. 學名. CHLORAMPHENICOL. 廠牌. 健喬。由於他有蠶豆症，所以我習慣查詢一下他的用藥。結果我在下面這個國外網站看到的卻是特別指出亞洲人不適合用。 httpswww.g6pd.orgenG6PDDeficiencySafeUnsafeDaEvitareISS-it 在第2頁、第3個藥。 可不可以麻煩您幫我解答一下，以後到底可不可以用氯黴素之類的藥？感謝再感謝！ | 亞洲人不適合用氯黴素，是指用口服的，口服氯黴素有時會有骨髓抑制的副作用，在台灣已經禁止使用口服氯黴素。局部眼用氯黴素全身性的吸收劑量很少，所以是可以使用的，蠶豆症也是可以使用。 | [
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| 菜花 | 王醫師您好， 我是男。2018年 8月確診了菜花-HPV DNA 檢查是HPV43 型。 2018 年10月做了 HPV DNA檢查- 43型沒有了，但有 HPV6型。之前的菜花也沒了。 2019年1月再做了HPV DNA檢查 -結果是陰性，也沒有新的菜花。 太太也做了檢查也沒菜花。這段時間我們沒有性行為。 請教醫師，如過我們想生小孩，太太現在可以做什麼去預防菜花感染？我還是有機會傳染給她？ | 2018年 8月確診了菜花-HPV DNA 檢查是HPV43 型。 2018 年10月做了 HPV DNA檢查- 43型沒有了，但有 HPV6型。之前的菜花也沒了。 2019年1月再做了HPV DNA檢查 -結果是陰性，也沒有新的菜花。 太太也做了檢查也沒菜花。這段時間我們沒有性行為。 請教醫師，如過我們想生小孩，太太現在可以做什麼去預防菜花感染？ Ans 施打HPV疫苗 我還是有機會傳染給她？ Ans 你施打HPV疫苗加上保險套就沒有機會傳染給她 | [
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15復健科
| 腰部問題 | 大約有六年多前開始 腰部無力 起身很吃力 目前有定期做按摩電療復健 平常有吃維骨力 本身有輕微糖尿病與高血壓病史請問周醫師 平常還需做其它的治療或保健嗎 | 您好： 依您的年齡及依信中的病史，建議您從臥床到起身，之前先側躺耳緩慢起身，平常可持登山杖行走，一方面可多一個支撐身體的固定點，另一方面可減少跌倒風險，此外平常適量補充鈣質（維骨力無法增加骨質），曬陽光（下午三點之後），運動方面，推薦太極拳可增加心臟能力及維持肌耐力，謝謝您的來信。 敬祝 平安健康 | [
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| 懷孕嗎？ | 呂醫師您好！ 內子經期一向不準，在安全性行為後約一個星期來經，量正常。為保險起見（我們未打算生小孩）在性行為後十二日再驗孕，陰性。但此後個多月，月經期一直沒來（期間沒有性行為）。但她近一兩個星期腸胃有些不妥，經常於餐後腸胃不適需要上洗手間。請問這會是因為懷孕導致的腸胃異常嗎？還是其他身體問題？ 謝謝！ | 回覆如下 1在安全性行為後約一個星期來經，量正常應該就表示沒有懷孕 2 性行為後十二日再驗孕，陰性應該九成以上是準確的但是為了更加確定建議現在再驗一次如果仍然陰性就更放心. 3 如果現在再驗一次如果仍然陰性就確認沒懷孕腸胃不適的問題應該看腸胃科 桃醫 呂理政上 | [
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4心臟血管專科
| 胸部問題 | 請問本身自小即有貧血近日則發生胸悶心跳紊亂呼吸不順有時肩頸僵硬睡眠情形不良難入眠但又容易被吵醒有時又發生短暫記憶中斷曾在嘉義嘉基醫院做過運動心電圖街說無異狀而且最近長容易疲勞打哈欠休息過不久又疲勞我已頭痛許久請問我需掛哪一科看診或需做全身檢查 | 貧血的患者平常是容易有疲勞體力不濟頭暈等一般性的臨床症狀如果貧血的情況加重時更容易產生心悸胸悶心摶快速甚至引發心跳紊亂呼吸不順頭暈昏厥等症狀長期受到這些臨床症狀的干擾患者易在身心兩方面產生不適甚至失調的狀況建議先至家庭醫學科請該專科醫師對於病況做一初 評估如果需要再至心臟內科門診請心臟專科醫師排除是否心律不整之可能 | [
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5泌尿科
| 醫療諮詢 | 醫生好： 想請教我勃起近日有些障礙，我是否可以中西醫的藥同時做治療呢？ 泌尿科開的是睡前吃，中藥三餐飯後，可以同時吃嗎 | 匿名： 你好 中西醫同時治療，可能會造成藥物干擾。 除非醫師中西藥都懂，看過中西醫藥物後，確定不會有交互作用。 建議拿西藥給中醫師看，拿西藥給中醫師看。 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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| 耳鳴 | 在幾個月前左側開始出現耳鳴聲音較尖，先後清洗了耳道污垢以及霉菌，但狀況不見好轉。之後照了頸椎x光、超聲波頸動脈檢查以及24小時心電圖，結果正常。 這個星期耳鳴開始加劇，右側也出現聲音但遠小於左側，一整天響個不停自覺聽力正常，亦伴隨著症狀如面麻、肌肉跳動、頸痛、頭痛以上症狀皆集中於左側。 請問可能成因可能為何我應該做甚麼檢查或掛那一科診。如果去照腦部，應選擇ct還是mri 感謝醫生撥冗答覆。 | Hi 您好， 引起耳鳴的因素很多，建議可先至耳鼻喉科及神經內科檢查，至於該安排什麼檢查由臨床醫師判斷。 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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8乳房甲狀腺科
| 甲狀腺亢進 | 您好， 我有甲狀腺結節良性多年，甲狀腺功能ok，今年做了乳房囊腫門診手術，之後卻檢查出甲亢，是自體免疫型的。醫生說，可能以前發病過，只是身體調節好了，也可能吃中藥，所以沒有發作（曾吃中藥調理身體幾年）。 請教幾個問題， 1.甲亢是否引起結節變大？甲亢控制，結節會變小嗎？ 2.甲亢引起甲狀腺腫，我自覺有比較腫大，甲亢控制，腫大會消失嗎？ 3.甲亢是是否跟開刀誘發或更年期有關？ 4.我有輕微氣喘，抵抗力差，容易感冒，甲亢藥，感冒時，可吃嗎？ 5.因為抵抗力差，吃甲亢藥，會不會容易產生白血球低下副作用？ 6.甲亢治療期間，可打疫苗嗎？例如，流感疫苗。 7.甲亢藥物服用，如有過敏，可否停西藥，改吃中藥治療？ 8.甲亢會不會引起乳房囊腫長更多或長子宮肌瘤？ 9.我早上起來或晚上要睡覺時量心跳，大概70-80之間，但吃完飯85-90，騎完車到診所量看報告時95-100，這樣算不算有心跳問題？但我有氣喘，不能吃心悸的藥。 不好意思，問題較多，感謝您的回答。 | 接受甲狀腺亢進的治療之後就可以知道你的甲狀腺結節到底跟亢進有無關係至於本身有氣喘的問題應該還是可以 治療甲亢只不過是要選擇一些藥物包括控制心悸的問題這個去專業醫師的門診應該都可以獲得解決 | [
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6骨科
| 骨折 | 醫生您好： 我在四周前因車禍導致右手舟狀骨骨折，照X光片沒有位移所以選擇保守治療戴石膏，四周後的今天回醫院拆石膏照X光，醫生說看起來有在長沒位移，之後醫生選擇比較輕便的半截式石膏給我。 我想問的疑問是 1、半截式石膏會不會效果比較不好（之前是戴長管固定大拇指的石膏），因為半截式石膏沒固定大拇指所以讓我很擔心⋯而且這次上石膏的是護士不是醫生很怕位移要開刀 2、因戴了一個月的石膏現在改半截式，露出大拇指說部份發現大拇指完全不能彎了⋯⋯我有需要先復健嗎？但又怕會動到舟狀骨復原 謝謝您撥冗時間回答，謝謝！ | 你好 舟狀骨骨折 最擔心骨折不癒合 如果確定您的骨折是穩定型 且完全沒移位 是可以用包覆姆指的全筒石膏固定四至六週 待骨折處生長 再開始復健 其實 用自費鋼釘治療舟狀骨骨折 傷口很小（3mm）既快速 又免受石膏悶熱瘙癢之苦 且可提早復健 也不必擔心 萬一保守治療失敗 要開刀補骨的辛苦 是比較好的選擇 謝謝 | [
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5泌尿科
| 勃起 | 醫生你好，我目前有陽痿問題想請教您，我於去年九月時有發生耳鳴及重聽問題，至今年二月初都有遲續在接受中醫及西醫治療，在今年二月初前都沒有陽痿問題，直至今年二月近來有去台北某間診所接受滴點靜脈注射治療，藥劑成份有B群及血管擴張劑、葡萄糖，打完會馬上想尿尿（很像利尿劑），ㄧ週打二次，我打至第三次後就發現自己行房時無法硬，我也馬上停止繼續注射了。我早上起床時有時會勃起，也試過早上起床勃起時行房，但做沒多久就軟掉了，Diy時自己要很久才會勃起，且勃起後沒多久就軟掉了，我這樣是有勃起功能障礙問題嗎，且偶而腎臟腰部時會有陣痛，請問醫生我這問題是因打點滴造成的嗎？腎臟功能是否也有問題了？因這問題我也間接造成憂鬱心煩及失眠，很困擾自己，想請醫生您解答 | 從情況判斷的確可能有勃起功能障礙，未必與藥物有關，但憂鬱、焦慮、失眠以及壓力過大都會對勃起功能造成不良之影響。 | [
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16腫瘤科
| 淋巴 | 你好 我這幾天發現我鼠悉部跟胯下之間漲了兩塊硬硬圓圓的東西 就是大腿跟身體連接的地方 平常不會痛 去壓它就會有點痛 請問那ㄍ有可能是什麼東西阿 如果我要就醫要看哪一科呢 很擔心 謝謝 . | 阿白 你好 鼠蹊部的腫塊大部分是淋巴節腫大 良性的淋巴結腫大多是因為腳底香港腳造成傷口感染蜂窩組織炎 或是其他部位感染 惡性的淋巴結腫大是因為身體其他的部位有癌症而轉移到鼠鼷淋巴節來 所以請你到一般外科先檢查一下甚至切片確定 祝你安好 謝謝你的來信 陳斯榮 | [
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10兒科
| 鼻子過敏 | 請問一下：我兒子目前剛滿四個月，第一次感冒，症狀是流鼻水，咳嗽，醫生診斷為鼻竇炎，開抗生素的藥，吃完一次三天的藥，咳嗽好了但鼻子還是有塞住，醫生說抗生素的藥要吃到七到十天於是又開了四天的藥，藥又快吃完了，但鼻子的症狀還是一直沒有改善，而且又拉肚子，整個人都瘦了，我想請問寶寶是鼻竇炎嗎？那一直吃藥對寶寶是不是不好，是不是要換個醫生看？我真的都沒有頭緒了，怎麼那麼小就鼻竇炎，而且藥都吃不好，我該怎麼辦呢？ | 一般鼻竇炎的診斷原則為黃膿鼻涕或黃膿鼻涕倒流有時表現為有痰咳嗽超過一星期以上，若”確診”為鼻竇炎，是需抗生素七到十天的療程，若您擔心的話，可尋求第二意見亦無妨。確實有些抗生素會有腹瀉的副作用如Augmentin，可提供您的醫師參考。 | [
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4心臟血管專科
| 血壓 | 鍾醫師你好 想請問你一下 我母親現在因為血壓高到200以上住院在觀察 在家裡有時很正常 有時血壓常常高到200以上 這2天住院醫師是說他 缺血 說他的血只剩正常人的3分之1 所以才會引發高血壓 我母親她免疫系統部是很好 他之前有 紅斑性狼猖 的病 所以想請問你說 他在吃方面可以吃些什麼 幫助造血機能好一點 醫生說他造血機能不正常 如果出院後還要多注意一些什麼嗎 我母親是吃素的 麻煩鐘醫生了 | 阿明網友，您好： 紅斑性狼瘡會合併有貧血或高血壓，尤其是併發腎病變時；應先確定診斷，方能決定如何治療，包括飲食等，請儘快請教主治醫師。 行政院衛生署桃園醫院心臟內科主任 鍾鈺壎 醫師敬覆 | [
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16腫瘤科
| 頸部問題 | 請問醫生 我媽媽62歲，有一天在下巴兩側連接脖子處摸到各一粒硬塊，壓它不會痛會滑動，也沒任何身體不適已有數月之久，請問這是什麼症狀啊！ | 您好 1.最有可能的是淋巴結腫大. 2.會滑動所以比較可能是良性的. 3.建議必須速往耳鼻喉科門診檢查鼻咽喉嚨.口腔是否有其他腫瘤. 腫瘤科陳斯榮醫師敬覆 | [
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0婦產科
| 性行為 | 黃醫師您好 最近用手幫我女友服務時，只要持續足夠久的時間，就有可能讓我的女朋友尿失禁潮吹 ，份量約50ml左右，雖然我個人完全不會介意，也會從中獲得成就感，但想請問您 1.這樣的行為是否會對健康造成不良影響 2.這樣的情形性交尿失禁是身體不好的訊號嗎是否有必要至診所進行診療 感謝您的回答，謝謝！ | 廖先生你好： 女性在性交時，因為高潮而導致尿失禁，一般來說沒有什麼器官異常的問題不用太過緊張。 | [
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| 勃起 | 醫生您好， 小弟從15歲開始手淫看a片。目前29歲 中間交兩個女朋友，生理這方面的問題從來不是我擔憂的問題。。 以前也有叫過小姐。 那在今年 七月左右.碰到新的女生.結果做到一半 突然不舉了。。 我就被甩了 之後 我就站不太起來了。。 晨勃次數也逐漸下降。。 這件事後為了測試自己的GG再叫同一個的小姐來試也完全沒辦法. 最近交了一個新的女朋友。一樣跟蒟蒻軟趴趴. 跟之前以前的感覺完全不同. 連進都進不去 感覺像是神經斷了興奮感的那條線。 完全沒有性慾 、然後因為這件事情. 目前整個半年 不時的會內心一直恐慌。 小弟目前有在運動健身 吃30cm好棒棒 想要改善. 但好像都沒辦法 不菸不酒。 也不知道要看甚麼科好. 想到要做這件事情就覺得很恐怖。 我的興奮感整個消失不知道怎麼辦才好。 煩請醫生用專業角度協助。 | 應該為心因性勃起功能障礙 | [
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5泌尿科
| 包皮問題 | 請問醫生 我剛做完包皮環切手術術後第5天 但是在勃起時 龜頭上方的 線斷掉了 斷了1處線1條，傷口約1公分，有流血已止住 請問醫生我這樣需要回醫院在縫過嗎，現在很怕勃起時傷口旁邊的線也會斷掉 | 你好：要回診看傷口，有可能要再縫的。 | [
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5泌尿科
| 尿道下裂 | 你好 本人近人常感到尿道痕癢，有時甚至會癢到半夜醒起曾進行尿液及精液檢查，但都沒有發現細菌一切正常醫師開了doxycyclimephenazophyridine服用叫我在需要時使用請問這兩個藥用處如何。請問本人應再作什麼檢查 我想知道會否在沒有染病情況下感到尿道痕癢謝謝。 | HH 你好 Doxycycline是一種抗生素， 殺細菌用的。 phenazophyridine Pyridium泌尿道的止痛藥物。 局部癢，有時後會是因為皮膚過度乾燥造成的，換句話說，不要用熱水清洗，也不要用任何肥皂等清潔用品。必要時，可以局部塗抹一些凡士林，應該會有幫助。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 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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13肝膽腸胃科
| 藥物跟飲食 | 醫生您好 1.我想問一下請問飯前吃藥時間要固定嗎？ 比方說早上飯前30分鐘吃藥，中午飯前1小時前吃可以嗎？ 因為藥師說30鐘或1小時都可以 然後有時候有些事要處理可能要提早吃或是晚點吃所以想問一下這樣吃可以嗎？ 2.請問吃藥前還有吃藥後5分鐘可以喝飲料嗎？（黑松FIN，美粒果白葡萄口味，舒跑這些） | 若是一天一次，可改固定中午飯前吃 | [
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16腫瘤科
| 肝腫瘤 | 我有位朋友，因為肝癌，所以可能需要做肝臟移植好像說阻塞肝臟血管的話只能活三個月，想請問一下如果有幸可以等到的話，過程大概是怎麼樣呢？又可以活多久呢？手術後會需要特別怎麼樣嗎？會需要像骨髓移植那樣先破壞全身的白血球嘛？而且因為它是B肝帶原者，所以換肝後新的肝會被舊的血液污染嘛？還是說他從此以後就沒有B肝了呢？謝謝！ | 李先生： 肝臟移植是把長了肝癌的壞肝臟整個摘除，再換上別人捐贈的肝，手術過程有一定之危險，換完後要長期使用免疫抑制劑阻止排斥現象。過程中不需摧毀骨髓。但並不能保證治好，因為癌細胞仍有可能己經轉移到肝以外的地方去了。手術成功率及生存期最好向主持手術之醫生和醫院請教。原來是B肝帶原者，換肝後仍應為B肝帶原者，因為B型肝炎病毒可以存在血中和其他細胞中。祝您朋友幸運成功！ | [
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| 牙齦流血 | 最近發現下排智齒後面牙齦肉突起一小塊 本以為是咀嚼問題產生的小肉塊，想說時間久了就會消 但是壓它之後，發現裡面是液體，可以壓扁會有壓破水包的感覺 今天是第二次發現了，依然同樣的位置同樣可以壓破 碰觸、擠壓皆不會痛 但卻不知道是什麼 | 您好 下排智齒後面牙齦凸起一小塊，壓它之後裡面有液體，可以壓扁，而且重複擠壓也不太會痛，能是智齒周圍壓銀慢性發炎，造成腫大及牙周囊袋，建議找牙科醫師好好清除牙菌斑及牙結石，去除牙周囊袋，才會慢慢消腫。 敬祝 平安快樂 | [
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| 調經藥 | 醫生您好∼我想請問我有在吃調經藥，已經吃蠻長一段時間了，我吃的調經藥有兩種，一種是在月經來的第三天服用：CLOMIPHENE CAPSULES “YU成分名CLOMIPHENE CITRATE50MG可洛米分之後就是等到排卵期過後接著服用SHITON S.C. TABLETS “YU SHEN成分名NORETHINDONE5MG信通， Q1我想請問我這個月是819開始吃，然後在819這天有發生無套性行為，不過我是習慣睡前吃，這樣還有需要補事後藥嗎？ Q2如果需要吃事後現在吃來的及嗎？因為我已經開始吃第二種調經藥了 Q3想另外在問那這個藥開始吃之後就是安全期了嗎？ | 在吃調經藥，已經吃蠻長一段時間了，我吃的調經藥有兩種，一種是在月經來的第三天服用：CLOMIPHENE CAPSULES “YU成分名CLOMIPHENE CITRATE50MG可洛米分之後就是等到排卵期過後接著服用SHITON S.C. TABLETS “YU SHEN成分名NORETHINDONE5MG信通， Q1我想請問我這個月是819開始吃，然後在819這天有發生無套性行為，不過我是習慣睡前吃，這樣還有需要補事後藥嗎？ Ans 需要補事後藥 Q2如果需要吃事後現在吃來的及嗎？因為我已經開始吃第二種調經藥了 Ans 吃事後現在吃來的及 Q3想另外在問那這個藥開始吃之後就是安全期了嗎？ Ans 這種調經法是有爭議的 沒有安全期 | [
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0婦產科
| 事前避孕藥 | 目前服用悅姿（在吃第二盒） 1.想請問每天都有按時吃的話 在第二盒的第幾顆開始才會有藥效？ 2.這個月已吃到剩6顆 但下腹部一直有陣痛（有點想月經要來前的不舒服） 已持續快10天 請問是正常的嗎？ 感謝醫師 | 您好 避孕藥一般都是月經來的第五天開始吃，把一盒避孕藥吃完後等月經來，正常是一星期內會來，有按規定吃就有避孕效果。祝健康 | [
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7耳鼻喉科
| 暈眩 | 大約2天前我跟朋友一同到海邊戲水，但沒有注意到海邊的礁石濕滑，因此跌倒撞擊到後腦勺，當下劇烈頭痛但過沒有多久就好了，隔天起床後發現根本連走路都走不穩，眼前天旋地轉，還不斷的作嘔，但因為還未吃早餐因此吐不出東西，後來前往基隆長庚醫院掛急診，醫生問了我些簡單的問題，以及叫我注意他手指的方向並嘗試碰觸她移動的手指等等這些測驗，後來醫生幫我打止暈針後暈眩狀況有改善，但沒有幫我檢查頭部或照光之類的，一直到隔天下午時又開始出現輕微的天旋地轉狀態，請問我會不會是因為撞擊到頭部而腦震盪或顱內出血 我以前曾經有過幾次起床後天旋地轉的狀況，但在睡過一覺後就會改善 | Hi： 您好， 頭部外傷後輕微頭暈是常見的，但如果持續劇烈頭痛、噁心嘔吐或意識不清的狀況，仍需再次就醫檢查是否有顱內出血的情形。 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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7耳鼻喉科
| 暈眩 | 醫師您好 我耳朵發炎了很久 最近吃了一周的消炎藥 暈眩的症狀改善 但仍有頭重腳輕 步態不穩 視力如逗雞及後腦脹痛 運動後更加明顯 不知除了耳朵之外 跟腦 神經是否 有關 我右耳亦曾開過刀 近日檢查發現耳膜塌陷利害 原先安裝的通氣管已完全包覆 醫生建議開刀拔除 不知我現所有症狀均導源於此還是有其它原因 謝謝 | 敬覆 建議至耳鼻喉科門診，做更進一步問診，必要時安排檢查。 新竹醫院耳鼻喉科主任葉大偉 | [
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16腫瘤科
| 血小板偏高 | 318婦產科做孕前檢查血小板報告755（417看報告）；331公司體檢數值1008，聽陳醫師您的建議於416至桃園市區域醫院檢查數值為937（Seg. 50.1；淋巴球數42.9；CRP0.02），該醫生表示是發炎指數造成的，所以沒關係，等一個月後再次抽血再評估即可，目前不需要吃藥也無需特別飲食控制⋯⋯ 請問目前我是否該再找更大的醫學中心做檢查，還是等一個月後再次抽血⋯再做評估？ 另外，我自312開始吃中藥調理身體（414自行停藥），是否有可能造成異常的原因？ （以下是之前413曾於網站上詢問的內容 您的問題：3月份公司體檢，發現血小板過高，醫院提供平均值為150-450，而我的數值為1008，請問此狀況有立即的危險性嗎？此階段適合懷孕嗎？若需要進一步檢查該看哪一科！ 回復醫師：腫瘤科陳筠方 醫師建議：您好 你的血小板數字真的太高太高了，怕有隨時中風的危險，請快點去看血液科，會再複抽血檢驗，真的仍是如此高，就會給藥吃來降下來。暫時先別懷孕，這個數字不適合懷孕。 請儘速就醫，謝謝 ） | 您好： 請去掛血液科門診，帶齊你的報告，等一個月有點久，2個星期就可以再去抽血看看了。 以上回答，謝謝 | [
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0婦產科
| 懷孕 | 您好 我在131時和男朋友有性行為 過程中有戴套但男友覺得好像漏出來 隔天實在覺得不安心於是去買了事後避孕藥吃 隔了幾天沒什麼不適的感覺沒噁心也沒出血 在23和男友性行為事沒發現保險套破了 男友雖然有出來體外才射但精液似乎有跑進去 所以當天我又吃了一次事後 吃完當天有噁心感 但到目前也沒出血 上次月經是18我週期差不多是28日這幾個月都很固定 這個月本來預計56號要來但現在遲遲沒來請問我這樣是因為吃了兩次事後導致月經延遲嗎. | 提問者您好 依您的描述而言，是有懷孕的機會。事後避孕藥和保險套的避孕效果不是百分之百，而事後避孕藥對月經的影響也不一定是提早或延後，。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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0婦產科
| HPV問題 | 1.醫生您好，我還是處女，但是曾與男友隔著內褲性器官摩擦事後彼此內褲都有分泌物，且男友曾幫我口交，也曾用旅館的毛巾擦手後，用手指插入我的下體但僅一下而已。上述事情發生的次數僅三次以內，且已經是兩年前的事了。 Q1若我並未有真正的性行為，但曾發生過上述事件，醫生會建議我做子宮頸抹片和hpv篩檢嗎我是否已有可能感染hpv 2.網路上有流傳說去游泳和泡湯也有可能感染hpv，雖然我知道如果怕被感染，不要去就好，但是我男友是每天會去游泳和泡湯的人但並非裸泡，都有穿著泳褲 Q2我男友是否會因常去游泳泡湯而染hpv我很怕他這樣以後會間接傳染給我 | 1.還是處女，但是曾與男友隔著內褲性器官摩擦事後彼此內褲都有分泌物，且男友曾幫我口交，也曾用旅館的毛巾擦手後，用手指插入我的下體但僅一下而已。上述事情發生的次數僅三次以內，且已經是兩年前的事了。 Q1若我並未有真正的性行為，但曾發生過上述事件，醫生會建議我做子宮頸抹片和hpv篩檢嗎 Ans 處女不建議做子宮頸抹片和hpv篩檢 我是否已有可能感染hpv Ans 隔著內褲性器官摩擦，用手指插入下體但僅一下而已。沒有可能因此感染hpv 2.網路上有流傳說去游泳和泡湯也有可能感染hpv，雖然我知道如果怕被感染，不要去就好，但是我男友是每天會去游泳和泡湯的人但並非裸泡，都有穿著泳褲 Q2我男友是否會因常去游泳泡湯而染hpv我很怕他這樣以後會間接傳染給我 Ans 因游泳泡湯而感染hpv 少之又少 | [
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| 子宮內投藥系統 | 醫生 子宮內膜過厚跟性行為有關係嗎？ 又該怎麼改善過厚的問題呢？ 謝謝！ | 請珍惜我們的網路醫療資源，詢問相同問題時，請指定一位醫師營養師就好。 提問者您好 子宮內膜增生的原因，大部份的原因是因動情激素Estrogen對於子宮內膜長久地過度刺激及沒有黃體素對於內膜週期性保護，臨床常發生於一些具不排卵性週期的病人。有 些卵巢腫瘤可分泌動情素，亦是另一個形成內膜增生的原因。建議請婦產科醫師作確診後治療，謝謝 祝 平安 健康 張 醫師 回 | [
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| 橈骨問題 | 去年12月20號摔倒手撐地造成骨折，一直在掙扎要不要開刀，這星期看了報告後聽了醫生的意見決定開刀，請問過了這麼久對手術有沒有影響呢 | 來信中並未提及是那一個骨頭骨折 也不清楚骨折的程度 但是 若骨科醫師建議手術治療 應該手術比較好 骨折後的癒合是有時間性的 理論上 早點開 癒合的能力較強 但時間已經過去 再說無益 建議前往骨科門診 尋求進一步的建議 | [
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3藥物
| 藥物諮詢 | 請問台灣買的到OXANDROLONE這種藥嗎這是禁藥嗎 | Dear 小琳 本藥在國外有相關製劑產品上市，醫療使用上有某些規範，屬於列管藥品，治療骨骼疏鬆症、男性性腺機能不足症、手術後、外傷、熱傷、慢性腎臟疾病引起之體質極度消耗、生不良性貧血引起之骨髓消耗狀態 ，屬於蛋白質同化劑。 台灣目前沒有核發相關製劑許可證，所以是買不到的。 祝 健康快樂 | [
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3藥物
| 藥物諮詢 | 懷孕期間還可以服用憂鬱症藥碳酸鋰 LIDIN嗎 每錠內含Lithium Carbonate 300mg 因為習慣長期使用這藥治憂鬱了支前換吃金菩薩會造成身體不適. 最近打算懷孕想維持穩定心情持續服用碳酸鋰 LIDIN生小孩合適嗎 請醫師給我建議和看法感恩 | 您好： 鋰鹽在FDA分類的孕婦用藥安全性等級為D級安全性由高至低為ABCDX。 因為鋰鹽會通過胎盤，已有證據證實它對胎兒具有危險性。如：懷孕初期用鋰鹽，可能會造成胎兒在心血管系統方面缺損之畸胎結果，以及造成胎兒或新生兒的毒性作用。而孕婦使用鋰鹽過量可能會造成早產、胎兒心臟異常與出生時憂鬱。鋰鹽也可能與新生兒出現神經管缺損、髖關節脫位、腦性痲痺…等等有關。 基於安全性考量，建議妳在決定懷孕之計劃前，便先與妳的醫師討論，以決定藥物應何時開始預先調整，以減低對胎兒之不良影響。 歡迎來信，並祝平安！ | [
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| 面對死亡 | 面對陌生人、環境很容易感到焦慮，且在意他人看法。 在家若遇到客人總是害羞得躲回房間。 在大學時期，每次都很討厭新課堂的開始，很害怕要小組活動，在小組內發表意見想法時有時候會害怕想哭，上台報告時，都會把要講的話一句不漏先練習好，但上台後看到同學們，我會緊張到腦筋一片空白，原本想說什麼都會忘記不知所云，因此需要小抄輔助，若是臨時上台發表意見，我只能簡短講我能記得的兩句話。 日常生活中，我無法自己走進店員們看起來都很前衛的髮廊，或是看起來昂貴的店，例如百貨公司的櫃位、裝潢氣派的服飾店，我會覺得店員在打量我，害怕她們覺得我沒錢怎麼敢看；買東西時也很擔心老闆不理我，害怕老闆沒聽到我說要點餐，擔心點餐方式不對，害怕其他客人覺得我很可笑。 除了當下會焦慮，也總是會擔心未來還沒發生的事，預設不好的結果，進而讓我去逃避事實，而不去做該做的事，這讓我感到很困擾，因為即將要出社會了，我感到非常害怕！請問我是一般害羞還是有一些精神疾病呢？ | 敬啟者 您提到的問題，就表面上而言，彷彿是缺乏自信心 然而，人活在這個世界上，多少會有那種 不斷壓迫，要求克服自己的那種自卑感 在心靈深處 迴響的一股聲音 「不夠、不夠，你做的還不夠」 希望這股聲音能引領你 克服身為人的懦弱、身為人的墮落 為了對這股聲音能有更強大的回應 一個人能夠不斷超越，不斷進步 身為人的價值 並不在於能賺多少錢 能多出名 而在於能為這個國家社會 有所貢獻 清潔工不會比總統卑賤 若有幸有機會從事神聖的職業 更應努力 但是為了能兼顧對於生活的其他理想 就有責任成為更優秀的人 信任與猶疑不一定是在相反的極端 反而常常只存著一條分隔線 一個不斷思考自己的定位 不斷懷疑自己的人 若能轉換此能量往正確的方向 就能不斷進步 自卑與超越往往也只存乎一念之間 祝 順心如意 喜樂平安 本院每周一至五的上午及下午均有門診 掛號時間上午至十一點半 下午至四點半 門診諮詢電話為06-2795019 ext 1106 1107 歡迎您的造訪 也祝您 身心愉快 一般精神科 張耿嘉醫師 上 | [
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5泌尿科
| 陰莖問題 | 醫生你好 我想請問醫師，我有上網查資料，算是我的淺背靜脈吧，我也不適很清楚，只知道就是陰莖背部， 症狀就是從陰莖縫到接進陰囊有一條非常明顯的血管，非常黑而且越接近陰囊，血管的範圍就越大， 寬度有超過3cm以上，我想請教這是正常現象嗎還是有病症的發生需要到醫院做檢查嗎 如果到醫院要看什麼科是泌尿科嗎 | 如果是淺背靜脈，當然沒關係。 但通常寬度不會超過三公分，所以不一定是淺背靜脈，建議至門診就診檢查。 | [
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