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6骨科
| 鎖骨骨折 | 陳醫師您好： 小弟一年前因車禍導致鎖骨骨折， 當時有手術置入骨板，術後至今已滿一年，骨頭也已經癒合，但是鎖骨往下延伸10公分的範圍都還是持續性痲痹的狀態，請問這個情形是正常的嗎？大概何時能恢復不麻的狀態呢？ 另外想請教，如果有想再次手術將鎖骨的骨板取出，這樣是否會讓目前的麻痺感更加的嚴重呢？ 謝謝陳醫師 | 您好 鎖骨骨折在手術後 疤痕的下方會麻 這是手術無法避免的 還好這影響不大 骨折處能癒合最為重要 | [
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0婦產科
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2牙科
| 臼齒 | 我的女兒18歲，齒列不整齊，有點戽斗﹝外觀不嚴重﹞，目前發音，吃東西都還可以，外觀我們也可以接受， 因為之前做過痛苦的2年上顎撐開的矯正，後來因為嘴巴歪掉，所以全部拆掉，讓它復原，醫師說如果還要再做，只能選擇開正顎手術，這個手術比較大，我們都不想做， 想請教醫師，目前女兒只靠後面兩顆大臼齒吃東西﹝智齒已經拔掉﹞，後面的那兩顆大臼齒，會因為使用頻率太高而越磨越矮嗎？牙齒是活的﹝排除蛀牙﹞，它會維持它的高度嗎？ 因為如果大臼齒隨著時間會越磨越矮，以後女兒就會沒有牙齒可用，這是我們擔心的問題。 拜託醫師解答，無限感激！ | dear竟妙小姐您好依所述貴千金戽斗且開咬嚴重以致只有大臼齒咬到長久以後大臼齒的後端勢必磨損變矮且可能會酸或要抽神經雖有點戽斗﹝外觀不嚴重﹞但是長久會影響消化系 統建議還是開刀較合適 多保重祝一切平安順利 牙科 黃廷芳主任敬上 | [
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| 保險套 | 不好意思醫生我想請問，我女朋友上禮拜五生理期剛走，今天行房到一半的時候，我發現保險套滑到大概陰莖13的地方，就拔出來沒有繼續做了，雖然沒有射精，但想說前列腺液導致懷孕的機率大嗎，需不需要吃事後避孕藥 | 您好 應該是不用吃，如果你不放心，就考慮吃吧。祝你健康 | [
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| 陰道問題 | 醫生您好，我目前還是一個學生，沒有性行為 但是陰道口附近好像長了一塊肉狀物？ 中間貌似是個皺摺？我很擔心是子宮脫垂 其實已經很久了，但是不適感幾乎是沒有 我稍微的畫了一張圖，如果能幫助判斷就太好了，感謝！ httpimgur.comaYhZbk | 匿名小姐妳好： 你才17歲，也沒有生產過芬不必擔心會子宮脫垂。你畫的圖要變作圖形檔複製在文本上才可，我無法自己到網網站上查詢，不過因為你從來沒有過性行為，如果肉狀物再觀察一段時間後都沒有什麼變化就所以不必擔心。 | [
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6骨科
| 關節 | 楊醫師您好：上星期經過您的解說後，我也決定去做膝關節前十字韌帶的重建手術，429完成手術經過5天住院觀察，目前手術傷口癒合情形還不錯，也裝置了十字韌帶支架進行復健，不過手術至今仍感覺腳沒有力量舉起，一般而言，這樣的手術需如何做復健的動作？而這樣的恢復期需持續多久？而當完成所有復健動作且拆除十字韌帶支架後是否能像以前一樣可以正常進行運動打籃球呢？最後一個問題：若未來幾年中不慎又傷及同一地方時膝關節前十字韌帶，是否已經無法作重健手術，也就是沒有機會復原？ | 親愛的Jacky 恭喜您完成了手術 前十字韌帶的手術和一般手術不一樣的地方 就在於手術後復建非常重要 幫您手術的醫師一定已經安排好了 請不必擔心 當彎成復建之後 當然可以正常進行運動 但是運動可以造成第一次傷害 當然也可以造成第二次傷害 請確定術後肌肉可以承受的力量已經達到您要從事的運動所要求的標準 才不會造成再次傷害 祝您好運 | [
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6骨科
| 橈骨問題 | 三年前因車禍左手橈骨骨折。現在提重物手腕有不舒服的現象。像是壓到筋會痛。是否建議拿掉手中的鋼板。上個月到醫院。醫生說現在可能會有拿不出來的可能。但現在已經影響到生活跟睡眠了。非得要拿出來的話手術中會有什麼風險？術後會有什麼後遺症？如果不拿出來有什麼方法可以改善狀況。 | 如果骨釘已經被骨頭包住覆蓋就可能拔不出來 非得要拔出來的話 就要敲掉骨頭 有可能造成手術中骨折 如果順利可以拔出就沒多大問題 如果不拔出來 有不舒服現象可以用藥物治療 | [
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| 懷孕機率 | 醫生您好，我617生完（死產：臍帶繞頸），到今天818都沒來月經。 83回醫院複診後，醫生說子宮恢復正常，可以重新開始了，所以我跟老公當天晚上就行房了，89在一次，最近總覺得噁心（有時候吃完東西沒多久就吐了一些出來），所以今天買了驗孕盤回來驗，但是結果顯示未懷孕。 想請問醫師，我的症狀跟剛懷第一胎時一樣，但為何驗卻沒有呢？是我想孩子想瘋而真的沒懷孕嗎？ | 剛生產後，因泌乳激素的因素，月經週期會稍微改變，有可能是內分泌的問題，或還不到能驗出的時候，請到婦科門診就醫。 | [
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5泌尿科
| 小便無力 | 醫生你好 我是台北一位15歲的高中生我在暑假裡發現小便有時需要一至兩分鐘才可以解出來尤其是尿急的時候要等比較久才尿得出來不知道為什麼會這樣呢以前從來沒有這種情形發生這個問題來得突然讓我覺得很困擾因為這樣子在外面上廁所要呆站在小便池前一至兩分鐘才尿好奇怪.” 我爸跟我說這是心理上的問題對陰莖的大小跟長短有焦慮就有可能會這樣我之前也認為是但是我發現其實我的陰莖也不會說很短或很小10公分左右只是偏左邊彎我看許多網路上的自拍圖片很多男生也這樣所以我想應該不是. 那我現在的問題就是說在外面上廁所尿尿要等一段時間才尿出來在家裡偶爾會不是常常那這樣的問題真的很奇怪況且快要開學了我希望醫生能幫我解答一下我真的很煩惱在家比較沒有這種狀況發生在外面比較常” 最重要的是一般人尿急通常都是一到廁所尿就衝出尿道對吧但是我卻很奇怪的相反尿很急到廁所以後變成尿不出來很像陰莖尿道被堵住似的尿徘徊在膀胱裡面根本出不來但是卻很急唷要花一分鐘左右時間在尿出來這一分鐘都是在想怎麼還尿不出來我真的很困擾.希望你盡快給我回覆因為快開學了我可不希望成為”異類”如果是心裡問題那也請你給我心裡建設一下不然我真的苦惱到想去自殺. | 阿酷您好 首先很抱歉個人在這兩星期有一些事情所以現在才給您回答.從您的描述是心理因素的可能最大因為如果是生理的問題不會在家裡就沒有這狀況發生.請您不要煩惱不過還是建議您到泌尿科門診讓專科醫師從一般檢查及您的問題給您更多的說明. 再一次向您抱歉二週才給您回答. 醫師黃熾楷2003.9.17.1100am | [
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5泌尿科
| 檢查 | 醫師您好 因尿道每天早上有透明少量透明分泌物 在醫院尿液培養到革蘭氏陽性球菌 醫師加驗ctng test PCR均無檢出 醫師開立施黴素膠囊２５0毫克 第二天早上出現較多白色分泌物 第三天起症狀有稍稍減緩早上就沒分泌物 之前有此症狀時 醫師有用治療淋菌及披依菌的方式用藥 症狀即消失 這可能是感染淋病嗎 但淋病PCR檢測5次 均沒檢出 怕傳染給另一半乒乓球式感染 煩請醫師解惑 | 您好： 如果有和非另一半有 不安全性行為 ，比較有可能，各種檢查也只能參考用，而且多半治療後也有可能影響檢測結果。 如果都沒有可能造成感染的性行為（單一性伴侶）--》會出現感染性傳染病的機會低。祝健康 | [
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6骨科
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2牙科
| 牙周病 | 醫師您好 在診所醫師建議下 目前在做牙周治療移除牙結石及進行牙根面整平術 除了健保的項目外 醫師建議使用自費的抗生素凝膠百靈口利軟膏 我的疑惑是 這個自費用藥是一次性還是可以分次使用 因目前在治療中 醫師並不是一次刮除牙結石 而是分次分區間隔一周 同一條抗生素凝膠是分次使用 以保存藥品的角度看來 覺得有點不合理. 另外也想請問這個抗生素凝膠在全口的用量 整個療程結束後 只使用一條凝膠 甚至在未使用完的狀況下 醫師回覆可以在三個月後的回診使用. 以上的疑問 再麻煩您幫忙回覆 謝謝 | Amy小姐： 牙周治療最重要的是牙菌斑及牙結石清除及牙根整平術的實施，目的在使用牙周組織周邊的細菌數量減少，改善牙周組織健康，但如果感染症狀嚴重，則可以考慮使用牙周凝膠作補助改善，而一般牙根整平術都是分次治療，再配合使用牙周凝膠，而凝膠的用量則要看牙周組織缺損的範圍多大而定。 南投醫院牙科 曾光暉主任 | [
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13肝膽腸胃科
| 腹瀉 | 醫生你好，小弟排便時間都是早上的時候，有時候正常，有時候都是一點點的水便，顏色都是正常的褐色，也無腹痛的感覺，偶爾吃完飯會有胃脹的感覺，最近這三天常常拉水便，想詢問這個是否為腸躁症。 感謝醫生百忙抽空回覆 | 小弟先生您好： 您詢問：排便時，有時候正常，有時候都是一點點的水便，顏色都是正常的褐色，也無腹痛的感覺，偶爾吃完飯會有胃脹的感覺，最近這三天常常拉水便，想詢問這個是否為腸躁症？腸躁症為功能性腸道疾患，沒有專一性高的檢查可以診斷，通常考量性別、年紀、風險因子，並排除腸道結構病灶後可以診斷，您的症狀當然有可能是腸躁症，但是仍需專業的胃腸肝膽科主治醫師診療！ 感謝您的詢問！ | [
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| 尖性濕疣 | 醫生您好，想請問兩個問題，1.我之前感染過菜花，那會傳染給打過hpv疫苗的女性嗎？（有性行為） 2.我大概半年沒有復發了，如果有性行為的話那還會傳染給別人嗎？ | 您好 菜花傳染視hpv 病毒量及對方的抵抗力.另外 hpv 疫苗只能對付幾類的 hpv 不是所有的都可以預防 就是沒有百分之百的意思 如果不放心 目前仍採用安全性行為為好. | [
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| 頸部問題 | 醫生你好 我在6月時發現頸部下方 鎖骨上有一顆腫塊 原本照電腦斷層是一顆0.3一顆0.6 之後9月到醫院照超音波變成 一顆3公分 2顆兩公分 都是硬得不痛 做超音波穿刺醫生說沒細胞 叫我不用理會 可是現在3公分的那一顆 旁邊又長出一顆比較軟的都是在鎖骨上方 頸部下方 之前做腹部電腦斷層 跟超音波都是正常的 請問這樣真的沒關係嗎 還是要進一步切片呢 因為我們家有家族癌症病史 爸媽那邊都有很多人癌症去世所以很擔心 | hi 您好， 若大小有變化，可以與臨床醫師討論是否需進行切片手術以確定診斷，或持續追蹤即可。 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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5泌尿科
| 排尿問題 | 醫師您好。我從兩三年前開始，在小便斗前上廁所【特別是旁邊有人或遮蔽不佳時】就會尿不出來，想請問醫師是甚麼狀況需要掛門診嗎 我不知道是否跟我的手淫頻率有關【兩天一次】 謝謝醫師 | ming mi 您好 就您所說，兩三年前才開始這症狀，是否從國中開始這期間是否有遇過一些突發狀況比方說同學打鬧或是惡作劇，如果沒有那就是心理因素和你手淫是沒關係的，那就只能請你在上廁所時使用單一隔間式的，希望這答案能幫到您。 | [
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5泌尿科
| 陰莖問題 | 許醫師您好 最近發現陰莖上有個類似軟骨突起的硬塊，按壓不痛也不癢，這個東西是最近生成的，之前沒有，陰莖外觀也無任何改變，陰莖本身偏右，該物也是長在右邊，請問會是什麼原因造成是否應就醫？ | frank 建議儘速就醫，以免貽誤病情。 至於陰莖彎曲，一般與病灶的生長應該沒有太大關係。純粹就是機率問題。 | [
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| 分泌物 | 一直出現分泌物為黃綠色 內陰道會一直搔癢 尤其是因為上班習慣 所以有時常常會憋尿 但憋尿完後 會更加搔癢. 平常有墊護墊的習慣 想詢問一下 是什麼原因 | 提問者您好 依您症狀的描述較可能是細菌性陰道炎，症狀包括症狀：1.陰道分泌物顏色異常 。（如黃綠色、灰白色）2.陰道分泌物異味。（如魚腥味）3.可能合併灼熱感或搔癢。 治療：一般用口服抗生素治療3-7天，治療期間避免過度飲酒。外陰部不適症狀可由藥膏改善。 預防之道： 1. 生活作息規律、飲食正常、適當運動增強免疫力。 2. 使用保險套可降低復發機會。 3. 預防性藥物或陰部沖洗液亦可減少感染。建議注意會陰部的乾淨清爽、勿著緊身衣褲、睡眠 充足、飲清淡，避免壓力與久坐、洗澡時可泡盆以舒緩症狀，若症狀持續再請醫師診斷治療。 謝謝 祝 平安 健康 張 醫師 回 | [
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| 口服避孕藥 | 請問一下醫生吃帶二盒的愛斯麗安前七天還是要帶保險套嗎？ 如果吃第二盒的第一天和第二天有做愛第三天忘記吃超過12小時第4天吃兩顆會懷孕嗎？ | 您好 一般事後避孕藥要48小時內服用，任何時候最好要做事前的避孕措施，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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| 避孕 | 醫生您好有幾各專業問題想要請教你，因為女朋友要吃避孕藥 目前市面上避孕藥有很多種國內核准這種成分的藥品許可證有三張，包括「悅姿錠」、「悅己膜 衣錠等等. 目前國外有百起以上服用悅姿錠避孕藥引起血栓報告，致命更有50起。所以幾個用藥問題專業知識想要詢問你。。。。。。 1引起血栓的避孕藥的成分是哪幾種，雌激素還是黃體素呢 2事後避孕藥是不是，就沒有引起血栓風險呢所以副作用致命機率幾乎0 3事前避孕藥悅姿錠是否吃了第8天就有高達百分之95以上避孕效果呢還是要吃完28天整個療程呢 4事前避孕藥，服用第幾天才有比較好避孕效果高達百分之95以上 5如吃事前避孕藥引起血栓，他有徵兆提早出現可以提前就醫嗎 6事後避孕藥真的對健康比較不好嗎 | 提問者您好 您的問題回覆如下 避孕引起血栓風險的成份主要是雌激素，事前事後避孕藥均有可能只是機率不相同。而各廠牌避孕藥的成份與劑量均不相同，效果與副作用依各藥廠的相關試驗標示於仿單中，以其實驗結果為主要參考依據，各家並無共通結論。 深層靜脈血栓會損壞栓塞處之靜脈並長期伴隨許多栓塞前症狀 如疼痛、水腫、色變和腫脹處之腿痛等症狀。身體檢查可發現擠壓小腿時疼痛、單側水腫、發熱、皮膚變色以及淺層靜脈擴張。而事後避孕藥因為劑量較高，因此副作用可能較大，一般建議必要時才用，謝謝 祝 平安 健康 張 醫師 回 | [
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| 嘴破 | 醫師您好：我想請教一下嘴破問題，我嘴破大概有一年多了，時常反反覆覆，之前曾去長庚醫院掛過口腔外科、耳鼻喉科、風濕免疫科，但依然沒解決問題，曾經醫生開過秋水仙藥物剛開始吃一陣子有效，但後面就變沒效，覺得並沒有治根，問我目前已經不知道要掛哪科去尋找答案才能找到嘴破的問題？ | 你好 因為你已經看過許多科別，有完整的病史及檢驗，所以我建議你還是先回長庚的口腔外科，做長期的觀察、追蹤與治療。謝謝 | [
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0婦產科
| 懷孕機率 | 醫師您好∼我上個月月經是227∼34，目前還沒來，但上禮拜有驗孕結果顯示一條線，我在315、322跟330都有愛愛，只是都沒有內射（拔出來射），請問這樣懷孕機率多少？325那週胸部開始脹痛，但我忘記幾號開始胸部脹痛的，到今天41還是會痛，這樣是懷孕了嗎？紀錄顯示今天41會來月經，但目前胸部還是脹痛月經也還沒來∼ | 上個月月經是227∼34，目前還沒來，但上禮拜有驗孕結果顯示一條線，我在315、322跟330都有愛愛，只是都沒有內射（拔出來射），請問這樣懷孕機率多少？ Ans 沒有內射（拔出來射），這樣懷孕機率低 325那週胸部開始脹痛，但我忘記幾號開始胸部脹痛的，到今天41還是會痛，這樣是懷孕了嗎？ Ans 這樣不能說是懷孕了 PS 紀錄顯示今天41會來月經，但目前胸部還是脹痛月經也還沒來∼ | [
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13肝膽腸胃科
| 肝功能 | 文淮醫師您好：因為阿姨突然高燒不退，不然就是退了又燒，持續到目前約一星期，大約在星期三住進醫院，沒多久就轉進加護病房，目前身上有肝臟的引流管，主要是要引流膿。不過某醫院似乎一直找不出原因而高燒也持續不減，所以有打算轉診別的醫院就醫，我在猜會不會是肝膿瘍？如果是的話，在最短的時間內我們應該怎麼做對病人比較有利？有想轉診至貴院《台南醫院》，但由於對醫生都陌生不知您是否可以給我們一些建議或看哪個醫生？希望您可以在最快的時間內給我您的寶貴資訊，因為真的很緊急。 謝謝您！ | 對不起未能及時回答你的問題由病情得知應是肝膿瘍此病可分細菌性及阿米巴性.細菌性大多由上行性感染或病人本身較虛弱例如糖尿病病患現在最重要是先由細菌培養以判定用何種抗生素再者若尚不能控制感染或者膿瘍較大時則必須引流膿瘍你阿姨應該是屬於細菌性肝膿瘍由於時間以過很久請來信告知目前病情再做建議謝 謝 | [
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| 脊椎 | 請問一下潘醫師 假若注射脊椎局部注射會不會出現下列症狀 ”原先腳痛只有短暫性的，而注射後一小時左右發現疼痛更為明顯，時間至今已有24小時了” 不知道是否會有這樣的現象產生. 我的家人從事醫護工作 他們堅持不可能會產生上述之問題 但我的腳的疼痛的確比注射前還要不舒服 止痛藥及肌肉鬆弛劑也吃了.效果不佳 不知道這是不是有其他問題呢？ | 我先釐清幾個問題： 1.之前痛，醫師怎麼說？哪裡的問題？肌肉、神經、關節，有無受傷史？痛多久？ 2.打什麼針—局部麻藥、類固醇還是其他，打哪裡？ 如果不討論上述問題，局部注射後更痛有幾個可能這是可能的喔！ 1.這問題本身還在惡化中，尤其病程發生不久，年輕人椎間盤突出，或是打完針後有用力，或是不良姿勢維持過久，如搭乘交通工具… 2.在我們做局部注射時，有些患者，回去會更痛（據統計約20％），但頂多2-3天就會好轉，其可能原因有二：（1）.體質問題，有些在好轉之前會更痛，我們稱rebounding約20％，（2）.當我們打藥進去或局部產生輕微出血，雖然可能只有2-3cc的體積，但卻可產生足夠的壓力，壓迫鄰近的組織，尤其在神經附近（相對地大肌肉就不會有這現象），然而這也會在兩、三天內恢復（我覺得您是屬這種情形）。 如果是打針打壞了，應該是一打完就馬上覺得不對勁，不會1小時後才不舒服的，所以先稍安勿躁，過兩天再看看，如果還不舒服再就近找醫師看看。如果您人在台東可過來我看看。 因不清楚您的問題，所以無法給您明確的答案。 | [
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1精神科
| 睡眠 | 謝謝醫生的回覆 我不知道自己在當時是做了什麼樣的夢 女友說這樣的情形還蠻常的 我女友還蠻清楚我上一段感情的. 所以應該不至於在套我過去的感情 謝謝醫生的回覆 | hi 對不起我多慮了，只是沒作夢單純說夢話的情形我也沒碰過，而且只叫某人的名字？我目前無法解釋，sorry。是否請你詢問其他醫師看看 | [
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5泌尿科
| 龜頭外露 | 醫生，上上週有詢問關於龜頭紅點問題 之前有拍照紀錄 但是之後增加清潔與尿尿時翻出龜頭來尿 覺得紅點變淡和變小了 過幾天要去看醫生 想請問看醫生時，那照片給醫生看之前紅點問題，會很奇怪或是不好嗎？還是口頭敘術就好 照片給醫生看，對問診時會造成醫生困擾還是可以更加了解病因呢？ | 液滸： 你好 若覺得照片很尷尬，那就口述，並將照片放在手機裡，若醫師想看時可以參考。 其實，臨床醫師只要看到現在的病灶，加上先前的病情變化的描述就可正確診斷。 照片，當然是更明確的證據 | [
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8乳房甲狀腺科
| 胸部問題 | 原本左右兩邊胸部壓起來都一樣不是很軟比較有彈性的感覺，這兩三天右邊明顯感覺變軟也變大了，不過不會痛好像也沒腫塊。請問有沒有可能是月經大概這幾天快來，或最近晚睡或喝太多水所以水腫？需不需要看醫生？ | Dear 雨 1.應月經結束後，再自行檢查一下，有無變化，若有變化，建議門診檢查。 2.長期失眠、熬夜會引影響內分泌的平衡，也會引起乳房之腫痛。 | [
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| 事前避孕藥 | 醫生您好∼因為現在疫情的關係 所以想說直接在線上諮詢！謝謝您∼ 我從去年1230開始吃美適濃避孕藥 經期時間如下： 1228-12 123-129 220-225 320-326 417-422 515-520 612-617 吃到這個月68，四天後612月經來（在這之前每次月經都非常準時） 正常來說我應該要在616開始吃新的一盒 但是我的藥放在學校.因為疫情匆匆忙忙就回家了。所以變得我沒有辦法在新的一個月吃新的一盒∼ 想詢問醫生如果說我下禮拜一621回學校可以開始吃新的一盒嗎？ 還是我一定要等到下個月714月經來第三天才能開始吃新的一盒（也就是整整停藥一個月） 因為會與另一半有性行為 想要做到雙重避孕。所以想詢問醫生兩個問題： 1.我可以在什麼時候開始吃避孕藥呢 2.那如果621可以吃的話那是不是要吃滿七天才有避孕效果呢？ 不過如果我沒有按照原先的時間來算是不是月經就會大亂. 不好意思！再麻煩醫生為我解答了∼ 謝謝您！ | 您好 避孕藥從月經來的第五天開始吃，621吃只有調經作用，避孕效果差，建議要加保險套避孕。祝健康 | [
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6骨科
| 腳部問題 | 腳踝骨折至今已3個月了今天去照X光醫生說裂縫並沒有明顯復原的跡象有可能是傷到微血管就算骨頭復原也有壞死的可能叫我一個月後再回診觀察.請問醫生 1.有沒有什麼藥物或食療能增快復原的速度 2.聽說我這樣的年紀復原速度應該很快如果沒有復原的跡象是否已兇多吉少 3.是否有更快的正確判斷方式來判斷骨頭有無壞死 4.萬一不幸骨頭壞死要如何處理有何後遺症 | 目前沒有藥物可以促進骨折的癒合。 但骨折之後它自己會長好，它須要一些營養素像是鈣、維生素D等等 踝關節骨折三個月還未癒合，其實還可以等等看，因為通常超過六個月才算是沒有癒合。 骨頭有沒有壞死可以由X光來斷定，另外骨掃瞄或磁振照影或許有幫忙。 萬一不幸發生了還是可以用手術的方式來治療，像是植骨。後遺症就是關節會痛，功能減少。 | [
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0婦產科
| 驗孕問題 | 醫師 您好 我最後一次性行為是56當天有戴套，射完後馬上拔出來） 523有來月經 大約6天 71、76有驗孕 都呈陰性（71使用4小時的尿液 只使用一種驗孕棒，76使用晨尿 有買2種驗孕棒） 426打第三劑疫苗有可能影響月經嗎 目前只有胸部脹脹 不會痛 請問目前懷孕的機率高嗎 謝謝 | 您好 月經來，應該是不會懷孕，勿擔心。祝健康 | [
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12胸腔內科
| 肺部問題 | 一個月前自費做了低劑量的ct 指出兩邊肺葉的有數個3-5.5mm的結節 而且cea也超標，標準是3.2，下，我4.2 最近腋下淋巴有摸到淋巴結 這樣是不是得肺癌的機率很高 是不是該快去切片呢 謝謝 | 請至胸腔科醫師門診，請帶CT片及相關資料就診，以利醫師判斷 | [
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| 睪丸問題 | 醫生您好想詢問關於兩邊睪丸高低差的問題 我從幾年前就發現我的陰囊在收縮時，左邊的睪丸會比較高，然後右邊的睪丸會比較低，但是我剛剛看到其他篇回覆跟一些報導發現說正常好像會是左邊的比較低，右邊的比較高 想請問醫生左低右高是所有人都會這樣嗎？還是其實是大機率的人會這樣？那如果所有的人都是左低右高，那我該怎麼辦？謝謝醫生 | 您好 只要大小無差太大 沒有硬塊 高低都可接受. 祝健康 | [
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| 洗牙 | 您好我是前幾天因為智齒不太舒服有蛀牙但沒有明顯疼痛去做治療想順便做拔除醫生建議先洗牙再約時間做拔除洗完牙後智齒仍隱約不舒服但一樣不會痛吃東西上也都沒有問題.隔一天後左邊太陽穴便開始脹痛有時會抽痛.眼周也會有脹痛感及眼睛眨眼時眼睛會痛但臉部沒有明顯腫脹現象.想請教這有可能是牙神經炎或是可能是三叉神經的問題嗎 | 你好 聽你描述應該是因為智齒發炎所引起的症狀可以先吃藥控制一下 再拔除即可 | [
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13肝膽腸胃科
| 大便出血 | 醫師您好 平常大概都兩三天排一次便 近三次排便完都有出現出血狀況 血便是分離的且是紅色鮮血 用衛生紙擦拭是很像經血的那種 但不是生理期 只有第一次出血時稍微便秘其他兩次都是正常的長條狀大便 也都不會痛就是跟平常一樣排便但有出血狀況而已 還有好像變得較常放屁 除了排便出血外沒有出現其他身體不適的症狀 胃口很好體重也沒掉 想問這可能會是什麼狀況 有沒有可能罹癌…才剛滿18歲非常害怕是身體出什麼大病 | 您好 血便在年紀18歲，癌症的機率不高，注意多吃蔬果，補充足夠的水份，如果仍不尋常的出血，建議就診胃腸科或大腸直腸科，進一步檢查。 彰化醫院關心您的健康 蔡安順醫師 | [
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1精神科
| 思考不集中 | 醫生您好，我現在是為15歲的青少年，我已就讀高中一年級，在我未上高中前，我的思緒總是充滿了滿滿的靈感，不管是寫作、做事，都充滿了活力以及反應快，但最近卻不是這麼一回事，我總覺得自己變笨了寫作不再有任何靈感，腦袋也時常呈現放空狀態，上課完全聽不進去，我曾以為是我睡眠不夠的關係，但即使睡眠在怎麼足夠，我的狀況依然不能改善，想請問醫生該怎麼辦 | 您好 您的問題如果用比較醫學的術語來形容，大概就是注意力不集中、思考困難、能量與興趣降低。有幾種狀況可能跟這個有關：壓力、憂鬱、焦慮、過度操勞等等。 學生的時間非常寶貴，身心效率不佳影響學習，必需積極處理，否則落後課業以後要補起來比較辛苦。我建議您可以看醫師由醫師幫您判斷，如果您覺得不需要或者實際上有困難，也可先找學校的輔導老師先求助，他們有一定的專業訓練可以給您一點建議。 最後這個也要讓爸爸媽媽知道，他們雖然不是專家，或許也不能了解您的問題進而直接提供幫忙；但是有問題找信任的人求助，不要放在心中自己困擾，這點是很重要的。 敬祝 學業順利 丁碩彥 醫師敬上 | [
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2牙科
| 口腔 | 在今年大約2月初時某個中午嘴唇上突然出現了小水泡， 當時不以為意，過了大約2個禮拜後越長越大，壓了不會痛。 到現在快半年的時間，有時會變成紫色的，但平常是白色的。 有次不小心咬破了，從裡面流出血來，用力擠發現裡面有膿血，當時水泡有消下去，但過幾天又變大了。 請問這種情形該怎麼辦呢？ | 你好 應該是發炎，出現血腫塊。可能要看一下醫師，看是否有比較深層的病灶。若不處理，會不斷復發。 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 牙科 主任 莊素惠 答覆 | [
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| 避孕 | 醫生您好 我平常有長期服用事前避孕藥的習慣，且這個月的月經在1月16號來潮，但是我在月經結束後因為最近有點忙所以沒有去買藥因此沒有在月經來潮後的第7天準時服用下一包藥，要等到30號才會開始服用下一包藥。請問醫生，如果說我二月十幾號才會發生性行為的話，屆時是否已經有避孕效果？ | 您好 正常避孕藥從月經來的第五天開始吃，超過時間就沒有避孕效果，只能調經，因此還是要做額外的避孕措施。祝你健康 | [
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12胸腔內科
| 胸痛 | 平常鼻塞呼吸不順時右胸或左胸會痛 範圍小，我曉得用腹部呼吸，不會讓它壞到換氣過度的程度。有時突然鼻塞沒注意時，胸痛會提醒我趕快用嘴呼吸，通常一下子就不痛了，但是這兩天痛點在右乳頭的高度，往左約4cm離肋排結束點約3cm，鼻塞有處理，有時稍微塞住有時暢通，但是右胸不時痛個短暫時間就不見了，好像也沒有缺氧的感覺，注意呼吸好像也會不痛。請問若是氧氣不夠或是體內氧氣和二氧化碳不平衡時肺部會產生暫時性局部疼痛嗎 | 您好 您的狀況好像是鼻塞時會引起胸痛，我在臨床上很少遇到。也有可能鼻塞時若使用鼻子呼吸，會增加呼吸肌的作功，可能呼吸肌肉疲勞，產生肌肉性疼痛，因此而產生缺氧或二氧化碳蓄積，應不至於發生，除非肺部功能極差。使用嘴巴呼吸，會使呼吸道阻力變小，呼吸肌作功減少，可能因此就不痛了。如果是心臟血管的高風險族群，可看一下心臟科，以排除心肌缺氧的可能性。謝謝。 胸腔病院 簡順添敬覆 | [
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| 月經異常 | 醫師您好！前幾天因為月經一直沒來有去看婦產科，驗出左邊卵巢有黃體囊腫，聽醫生說等月經來差不多就會自己消了，也有開三天的催經藥給我，但吃完了還是沒有來。請問黃體囊腫會導致月經延遲嗎？我在412有和男友全身脫光摸摸（我用手幫他）有射精，當下也有很注意不讓精液碰到陰道，但還是怕有失誤，請問有可能因為這樣懷孕嗎？還是因為壓力太大造成月經沒來呢？我最近的作息蠻規律的，也都蠻早睡，但是偶爾半夜會突然起來然後就失眠。另外我最近月經本來就有點亂掉，上個月來了三次。請問還有什麼因素可能導致我月經沒來呢？ 感謝醫師答覆 | 您好，壓力、疾病等因素都有可能造成月經失調，建議回診評估，謝謝您。 | [
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6骨科
| 腳背疼痛 | 您好我有一個8歲小孩，腳背一直腫脹都沒消 大約腳趾頭第四指往腳背一點的地方，按下去會痛 照過ｘ光說骨頭沒事，復健也做了幾次都沒消腫也沒改善（已經快三週了） 孩子每天早上下床後是最痛的時間 走路也一跛一跛的，而且因為疼痛（左腳）走路都很外八 他說這樣走才比較不痛 之前沒有扭到過也沒有撞到過∼∼突然就這樣 謝謝！ | 您好： 請您將左腳抬高，局部冰敷或熱敷已經三週，若無皮紅或熱，建議熱敷，若無改善，應再回診。 謝謝！ 彰化醫院 骨科 李文宏 | [
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0婦產科
| 陰道塞劑 | 醫師您好，想請問在使用衛達妳達新陰道栓劑期間，此種塞劑會不會使保險套破裂？ 以及想請教您此塞劑的吸收時間約為多久，非常感謝您 | 您好 不會造成破裂，不過建議治療期間不要有性行為較好。祝你健康 | [
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17眼科
| 眼鏡 | 高醫師 您好 非常感謝您在「 」與「 」的提問中，針對眼鏡鏡片的前傾角回覆我如此詳盡的資訊；蒙高醫師百忙之中撥冗詳細解說，著實讓我受益良多，不勝感激。 對於高醫師的回覆，為求謹慎避免誤解，我自己重新解讀後，整理歸納出以下三點，想請您看看 一、我的新眼鏡左右鏡片的傾斜角度，兩邊有很少的差距差距在1度以內。雖左右鏡片的傾斜角度稍有不同，但我長久配戴這副新眼鏡，對我的眼睛並不會造成什麼不良的影響。 二、眼鏡鏡片的前傾角度通常是必要的，一般在6至15度之間為佳，具體度數需以配戴者的個人情況再做調整。 三、眼鏡鏡片如無前傾角即傾斜角度為0度，則配戴者可能會有增加眩光、模糊視野、眼睛疲勞的問題，故眼鏡鏡片通常需要有一定程度的前傾角度。 以上三點，如我解讀有誤或有需要補充的地方，還請高醫師指導，謝謝您。 | 您好： 是的，這就是我個人的建議，但可能還是會有所謬誤，還請不吝指正。 -- 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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2牙科
| 假牙 | 上面左側三顆門牙起直到左後方的臼齒共９顆的連體固定假牙，請問這麼長的假牙製作上要注意什麼才能用久一點？ 希望能用二十年算不算奢求呢？因為曾被大力拉扯導致臉頰和牙齦之間增生出一條類似韌帶的東西，之後醫生換來換去也不太敢看醫生了” 現在能支撐的基礎牙根不多，所以做好後會有兩處２到３齒的牙橋懸空，裡面如果是空心的，食物進入阻塞的量會很大，請問可以避免掉這種清除不易的問題嗎？因為裡面即使用清潔用的穿引器也一定無法清除乾淨的。 另外我打算治療和鑲牙分開分開做，要注意什麼嗎？期盼醫師您的回覆謝謝。 | 您好： 長的假牙必須注意： 1. 咬合：咬合必須平衡。 2. 假牙密合度：長的假牙必須密合，否則只要有其中一顆有問題，9顆就報銷了。 3. 清潔執行的便利性：必須能夠清潔。 如果能注意到以上3點，加上您有徹底清潔保養的話才有可能用到20年。而標準的牙橋統計，底下必須是懸空的，所以會有食物進入，但是容易進也容易出，努力清潔絕對是必要的。至於治療和鑲牙，務必先治療完全後才能鑲牙，而鑲牙必須由專業牙科醫師執行才能確保品質。 署立新竹醫院牙科主任吳金俊 | [
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| 泌尿道感染 | 謝謝蕭醫師回覆 在詢問您幾個問題 1.泌尿道感染一定會發燒嗎 2.無發燒，尿液常規檢查都正常，是否可排除尿道感染 2.我今天看了一本由書說，尿液細菌培養小嬰兒是要用導尿管或穿刺，不能用尿袋。是這樣嗎？可是醫師怎會讓我們用尿袋收集。 3.是不是因為我們是用尿袋才導致得到Mixed flora of clinical insignificance 不好意思一直麻煩您，因為我是新手爸爸比較擔心 | 1.不一定2.無法100排除但機會真的不大標準尿液培養的無菌收集方式當然是導尿管或恥骨上穿刺收集尿液但那是有風險非常侵入性和讓小朋友非常不舒服的方式一般不會採用此種方式除非特別情況例如3個月以下嬰兒發燒要趕快知道報告和需要準確度高醫院兒科收集尿液檢查多採用不侵入性方便性高的尿袋收集方式並非不能使用尿袋收集3.非由無菌的導尿管或穿刺收集尿液都有可能培養出無意義的污染菌。 | [
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| 漱口水 | 醫師您好，承接上次的提問，我看了一下速可淨跟漱口水的成分，只有氟化納這一項成分是重複的，請問這樣使用完速可淨之後可以續用漱口水嗎？謝謝。 | 您好 含氟漱口水，若是高濃度0.2氟化鈉則低頻率使用（每周一次），若是低濃度0.05氟化鈉則可高頻率使用每天1次）。 高濃度含氟漱口水最好有人監督使用，勿吞入。漱口時間最好在傍晚。漱口完建議23小時不要飲食。 低濃度就可以較隨意使用。 | [
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0婦產科
| 會懷孕嗎？ | 請問月經週期30天，月經1217來，今天12，感覺不小心內射一點點，會懷孕嗎？ | 您好 是否懷孕要等，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
| 龜頭問題 | 你好 本人的龜頭冠狀溝上也有類似菜花的小東西.生得很整齊.有兩行.不痛不癢 應該是所謂俗稱的丘疹. 一年前看過一些檢查身體健康的醫生有跟我檢查過說我不用擔心 本人也沒發生過性行為只是平時有自慰的習慣. 小弟也有加強清潔. 但是已經一年了請問這些肉粒會消失嗎何時才會 張來給女友看到她可能會以為我有性病呢.這樣多不好.口交也感覺壞些. 謝謝醫生的解答祝各位醫師長命百歲身體健康 | 沒問題別擔心有需要的話找泌尿科醫師看看 | [
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0婦產科
| 避孕藥 | 醫生您好，從6月開始規律每晚1200服用悅姿，因為上一盒1122吃完最後一顆忘記買下一板，1124的1200才吃新的一盒的第一顆，前七天沒有發生性行為，現在吃到白片了月經還沒有來是正常的嗎？謝謝醫生抽空回答 | 您好 等月經來，如果再等一星期沒來，建議看婦產科，如果來，月經來的第五天開始吃避孕藥。祝你健康 | [
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1精神科
| 情緒不穩定 | 從三月底情緒非常不穩定 好的時候很正常 壞的時候像不同的人格一樣 三月那時候會崩潰大哭 不自主地流淚 四月初有進過輔導室但沒有用 反而想法更糟開始寫遺書 四月中 在那次大崩潰之後好像突然沒有了感覺 就算是和朋友吵架也沒有情緒上的波動 我以為自己好了 最近四月底五月又回到了崩潰期 開始會抓傷自己的手 會抓到自己血痕不退去 血痕退去會覺得很可惜 我自己心裡清楚我好像在自殘 好像受任何一點情緒波動手就會不由自主 我討厭自己 討厭為什麼情緒來的時候控制不了自己 我好像變了一個人 甚至連情緒低落的原因都找不到 | 妳好： 看起來妳的情緒時常處於低落的狀態，且會不由自主地想要傷害自己，甚至有想死的念頭。這很有可能是憂鬱症的症狀，當然，也要考慮躁鬱症的可能。建議妳還是盡快至身心科就醫，尋求專業的協助喔！在心理治療、藥物、家庭治療等的幫助下，妳一定可以重拾好心情的！祝平安健康。 | [
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3藥物
| 其他 | 最近長針眼，醫生開以下用藥，不知母乳是否對嬰兒會有影響？ CEFLEXIN CAPHALEXIN 500mg HOMALIN TABLETS "SHIN FO MEFEN TABLETS "CHINTENG" BROMELAIN ENTERIC SUGAR 眼藥水 景德-氯絲菌素眼藥水0.25 景德-安敏易眼藥水 景德-善得明眼藥水 溫士頓-溫拿可通 眼用軟膏 | 您好： 有關您使用的藥品中對哺乳之嬰兒影響很小甚至無影響的有眼藥水、眼藥膏、CEFLEXIN及BROMELAIN ENTERIC SUGAR，可安心使用。另2種藥品HOMALIN TABLET及MEFEN TABLET雖然無相關文獻報告，但對哺乳之嬰兒危險性並無法排除。HOMALIN TABLET的作用為制酸、鎮痙、鎮痛，MEFEN TABLET的作用為解熱、鎮痛、消炎，這2種藥品可依症狀服用，若症狀緩解可停藥。 | [
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| 罕見疾病 | 你好 請問 衛生署公告罕見疾病名單彙總表 序號68 威爾姆氏腫瘤、無虹膜、性器異常、智能障礙症候群（W A G R症候群） 是符合其中一項就可申請重大傷病卡嗎還是四項威爾姆氏腫瘤、無虹膜、性器異常、智能障礙症候群都有才能申請重大傷病卡 | 需符合W A G R症候群方可申請此項重大傷病卡。部分病患可能不會出現全部的臨床表徵，即威爾姆氏腫瘤、無虹膜、性器異常、智能障礙症候群都有。因此診斷方法需依賴分子檢驗，即染色體顯示有11p13缺失。請再與您的醫師討論診斷的方法及後續補助。謝謝。 | [
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10兒科
| 生長發育 | 蔡醫師您好 我的寶寶剛出生約兩週因奶水不夠寶寶吃所以大多給寶寶吃配方奶但寶寶每次吃完奶都會打連續的小嗝可是在每次餵完奶都有拍打到寶寶打大嗝這會是脹氣所造成的嗎還是其他原因如何判斷寶寶會脹氣 蔡醫師請您幫我解答.謝謝 | 行政院衛生署台南醫院小兒科主任林慧真醫師敬覆 您好，由於人事變動，所以由我代為回覆。 剛出生的小朋友因為迷走神經的反射較弱，所以常會於吃完奶後打嗝，此是正常的不一定與脹氣相關。 寶寶一般如果腹氣太厲害，會跟大人一樣也會不舒服，有時會哭鬧不安、拒食，小朋友多少會有脹氣的現象，若是上述的情形，一般不會特別的處理。 署立台南醫院小兒科祝您身體健康•萬事如意！！ | [
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13肝膽腸胃科
| 腸胃問題 | 醫師你好. 我胃部不舒服已經很久了，ㄧ年半前有照過胃鏡，胃部裡面有點破皮 ，也照過腹部超音波，並無大礙。平常只有偶而不舒服時才會吃藥，但是每 次不舒服時都是同ㄧ個地方右邊偏上，最近不知怎樣，胃部右上覺得有 點腫，ㄧ直想吐，睡覺時需要抬高枕頭才行。對於這種狀況是第一次碰到 ，覺得相當困擾，我現在還是持續在服藥。但是情況好像沒有明顯改善。 我是否需要再照胃鏡ㄋ？還是暫時先吃藥觀察ㄧ陣子？ 謝謝 | 您好 腹痛 噁心 想吐 晚上會疼痛可能為十二指腸胃食道疾病包括食道逆流發炎潰瘍癌病變都有可能若症狀持續建議就醫必要時安排胃鏡檢查以確定診斷. 內科林明慧醫師敬覆 | [
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11營養教室
| 慢性肝炎飲食 | 醫師您好 我媽媽是慢性病硬皮症患者已經10幾年了她身高150公分體重30公斤年齡53歲 因為腸胃功能有退化消化不好容易脹氣且吞嚥有些困難目前是插鼻胃管餵益力康奶粉 一天餵6次前4次60公克後2次50公克一天餵得熱量是1530卡每天也有餵培恩綜合維他命2顆 可是每次餵牛奶都還有反抽胃裡的東西出來所以可能沒滿1530卡 感覺媽媽體力還是很虛弱每天很想睡覺發音好像也很吃力不想講話 請問還有什麼方法能夠補足她的每天熱量且不易脹氣或有其他食品如粥品什麼的可推薦若脹氣不適用是否有其他如綜合維他命的西藥健康藥物能食用 | Dear陳小姐： 您好！ 如果每日益力康的餵食量已達1500大卡，則可不需額外再補充綜合維他命。至於反抽的問題，應視反抽物的顏色、型態與量判定消化情形，若反抽物為乳白色，表示消化狀況不佳，則可將反抽物廢棄，不要再灌回去；若反抽物成半消化狀態的乳糜狀且量小於200CC，表示已部份消化了，可將反抽物灌回去並延後1小時再灌下一餐，若連續2次灌食前反抽均大於200CC時，則下一餐可先暫停；若消化物呈現黃色清澈狀，表示消化狀況良好，可繼續下一餐的餵食。 另外，若能降低每餐的餵食速度為20至30分鐘，可改善病人的消化狀況。病人消化狀況確實不佳時，應同時評估病人的排便是否正常，若排便不正常時，可考慮換成益力康含纖配方。 以上的建議係屬一般性的通則， 管灌病人最好能定期找原醫院的營養師再評估， 請營養師再依病人的個別狀況提供營養建議，這樣才有利於病人的營養改善。 祝 平安健康！ 行政院衛生署桃園醫院 營養科主任 施桂梅營養師敬覆 | [
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| 月經 | 你好医生，我女朋友的月经本来就不规律，4月9到4月15有来月经，4月22和23有安全（用安全套）性行为，5月19到5月25有来月经，量比之前大，app预测6月28来月经，但6月20早上睡醒发现阴道有出血，褐色，少量，4月的性行为，5月的月经有来，5月月经来后就没有性行为了，现在6月还有怀孕的可能？ 褐色血少量为什么会那样？ 能当来月经了？ | 您好 5月後沒性行為，應該不會懷孕，一點點出血，再觀察一星期，如果還是沒有來，建議看婦產科。祝健康 | [
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10兒科
| 寶寶生長發育 | 我的小孩今年12歲身高141.5cm 體重33kg 請問身高是落在同齡小孩生長曲線的百分比的多少需要做檢查嗎 | 約落在3-15th 左右 另需配合看他之前的身高是落在哪一個區間如果一直是3-15th那可在觀察追蹤即可若本來在50-97th 變成3-15th 且每年長高4cm 是需要檢查的 | [
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5泌尿科
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6骨科
| 骨折 | 醫生你好，我在3月底發生車禍，當下檢查是遠端鎖骨骨折（離喉嚨最遠的地方），經醫生開刀用鈦合金鋼板固定後，術後一個月回診X光看起來正常，但是一個月後開始復健，接近2個月時期間在家有搬物體，大約10公斤，事後肩膀很不舒服，2個月再次回診照X光發現骨折處有往下位移0.5-1公分，醫生說有鋼板固定應該還算安全，叫我要多注意，目前不敢再搬物體和復健，請問這會需要開2次刀嗎？ 因為開完刀後，傷口以下神經偶爾都會刺痛加麻，已經2個月沒改善，有找神經內科要做肌電治療堅持看看，目前除了這樣之外沒有其他不適 未來鋼板移除是否會有問題？ 謝謝 | 您好 骨折後要能自由活動 至少須要三個月 您可能太早負重了 二次手術的機率不膏 除非移位厲害 另手術後在偒口下方會有麻的情況 這是很常見的手術後正常情形 謝謝 | [
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| 口腔 | 醫師您好，我的左側口腔約三天前出現麻.辣感，範圍可以從上顎一直到左邊口腔，舌頭也會有這樣不適的感覺，今天有請老婆看左側舌根，有發現一顆白白類似痘痘的顆粒，吞口水或喝水的時候左側咽喉靠近舌根的地方會卡一下，請問這有可能是什麼樣的病症呢？謝謝 | 您好，您提及出現麻辣的感覺只有三天，故有可能是食物刺激所造成，另外若您有抽菸或喝熱茶、咖啡、熱中藥等習慣，建議先暫停。 舌頭上有顆粒水泡，常見的是因病毒感染，另外也可能是疣狀增生，或有粗糙感，也可能是地圖或扁平舌苔蘚，又您提到部位接近喉嚨，亦可尋求耳鼻喉科醫師協助。 | [
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| 睪丸炎 | 醫生您好，我陸續在這一個月內發生了幾次副睪丸炎。 我查看了問題提問，知道副睪丸炎的成因是尿道感染或血液中的細菌感染。 也因此醫生說我有可能是和女性發生性行為時感染。 我是一名男同志，在性行為上經常扮演「被進入者」，我想請問是否因此有其他感染的可能性（是否我固定伴侶的身體狀況，亦或是提他）？而在生活上又該如何預防？ 謝謝醫生，新年快樂 | 如果是男同志被進入者，在性行為當中遭受感染， 那麼被感染的地方原則上應該是在 肛門直腸 的位置， 並不能解釋你為什麼會副睪發， 這可能要看看 尿液中是否有培養出細菌，是何種細菌？ 才能夠推測是什麼原因而引起感染。 最可能的原因還是可能在泌尿生殖道有性病未被完全治療而引起的，建議要去泌尿科做檢查再與醫師討論。 | [
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0婦產科
| 懷孕機率 | 醫生你好： 我女友上次月經來是210然而227有行房也有帶保險套317時有買驗孕棒測一次318早上醒來也有驗一次皆為一條線！有去婦產科尋求協助，得到的答案也是有在驗一次然後也是一條線開催經藥吃∼但是到目前還是沒有來！這樣有懷孕的機率嗎？ | 女友上次月經來是210然而227有行房也有帶保險套317時有買驗孕棒測一次318早上醒來也有驗一次皆為一條線！有去婦產科尋求協助，得到的答案也是有在驗一次然後也是一條線開催經藥吃∼但是到目前還是沒有來！這樣有懷孕的機率嗎？ Ans 這樣沒有懷孕的機率 | [
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13肝膽腸胃科
| 肚子問題 | 之前有一次搬重物的時候，搬的當下沒有覺得石什麼，可是搬完後突然覺得肚子很痛，是由裡面痛的，呼吸、咳嗽都會痛，過了大概一個禮拜吧就不痛了，但是現在在拉單槓的時候又突然發作，雖然不像之前那麼痛，可是有一種呼吸很吃力，然後有一種肚子很餓很餓的感覺，可是吃完飯也還是有這種感覺，請問一下醫師我的這種狀況是怎麼了，謝謝。 | 若與動作姿勢移位有關較偏向肌肉拉傷，但仍需到門診確認。 | [
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| 心臟檢查問題 | 醫生您好： 我前陣子因為心臟刺痛，還有左肩疼痛，做了心臟超音波、X光、心電圖，醫生說沒有什麼問題，但現在心臟或胸口偶爾還是會悶痛的情況，如果是這樣我需要自費做更高階的檢查嗎？ 另外想詢問，醫生有開給我一個名為易適倍的藥物預防心絞痛，既然心臟沒問題的話那我吃這個藥會不會反而對身體有影響呢？ | 由於您年紀輕且無慢性疾病，罹患心臟病的風險低，且刺痛並非心臟血管疾病的典型症狀。生活中很多因素會造成此情況 ，例如：情緒、壓力、作息不正常或是攝取太多咖啡因的飲料。建議調整生活作息，並規律運動。 易適倍R錠為有機硝酸鹽，具有血管擴張作用，可改善心臟的血氧供應量， 用於心肌缺氧所引起的胸痛，以妳的狀況而言，並不需要常規服用此藥。 | [
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| 懷孕 | 請問醫生 我女友上一次生理期是628來 週期不固定 我在711和718曾有愛撫的舉動 711那次只有手摸到陰蒂附近 718那次我先用手和嘴巴幫他 她再用手和嘴巴幫我 有射出來不過離陰部很遠不在身體上 意識中沾到體液後沒有再去摸彼此下體 全程都沒有進入 請問醫生這樣有可能會懷孕嗎 | 女友上一次生理期是628來 週期不固定 我在711和718曾有愛撫的舉動 711那次只有手摸到陰蒂附近 718那次我先用手和嘴巴幫他 她再用手和嘴巴幫我 有射出來不過離陰部很遠不在身體上 意識中沾到體液後沒有再去摸彼此下體 全程都沒有進入 請問醫生這樣有可能會懷孕嗎 Ans 沒有可能會懷孕 | [
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1精神科
| 藥物交互作用 | 醫師，您好： 姊姊有思覺失調，想請教處方箋中的藥物是否有彼此間的交互作用？另外，姊姊並沒有帕金森氏症，為什麼處方中有帕金森氏症的治療藥物？這些藥會有成癮的狀況嗎？ Zoloft 樂復得膜衣錠50mg Lowen樂穩錠0.5mg Biperin帕金寧錠2mg Zyprexa津普速口溶錠5mg | 你好： 不好意思這幾天有事比較晚回. 1. 目前用藥沒有明確的交互作用，不過有些藥合併使用可能會增加一些罕見的副作用機率，例如zyprexa和zoloft可能會有心律不整，但還是很少見，不用太擔心。 2. 你指的帕金森氏症的藥應該是指Biperin，是用來減少一些精神科藥物造成的副作用，例如手抖或肢體僵硬。 3. 目前藥物無成癮的問題。 希望有回答到你的問題 | [
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2牙科
| 舌頭的問題 | 醫師您好：我的舌尖在兩三週前因為潰瘍有破洞，潰瘍的一週後傷口復原，但是舌尖卻出現了一個表面有一個黑點的突出。有時突出在牙縫有卡到的感覺，時間又經過一兩週，突出的地方有稍微縮小不再卡到牙縫，可是舌尖依舊還是有像增生的突起。 因為目前正在手指的病毒疣（傷口結痂狀態），想請問醫師，我的舌尖突出是否可能是病毒疣傳染？如果是，我應該如何治療和預防傳染繼續擴大？ 或若可能非病毒疣傳染，我的舌尖突出增生該做什麼治療較好？ 先謝謝醫師您撥空回應，謝謝您：） | 您好 舌頭上面若有忽然長出的不明增生組織，建議還是至醫院做切片檢查為佳。 謝謝 | [
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0婦產科
| 會懷孕嗎？ | 女友的週期大約是33-35天724日上一次月經來潮的第一天在724日當天有性行為並且體內射精 819也有性行為一開始一下子沒有用保險套 829 有性行為但無體內射精. 女友這一週以來每天都有斷斷續續類似月經的出血量很少已持續6天因為很擔心829用”safeway”牌的驗孕筆於晚上時間測試呈陰性反應 後來還是不放心於91早上一起來以”systron”牌的驗孕筆驗也呈陰性反應請問這樣子還有懷孕的可能嗎 如果有是哪次性行為 另外不正常出血的原因 女友在國中的時候曾經因劇烈經痛求診過醫師診斷後說以後除了月經會不順之外沒有什麼問題. 謝謝醫生 | 1.因為貴女友的月經週期較長所以排卵期會延後，以她的情況如果沒有真 正月經來，就無法排除懷孕的可能，還是要小心至於是那一次要看胎兒 大小才知道，當然是沒有用保險套時較有可能。 2.不正常出血的原因很多，情緒、藥物，子宮頸靡爛、子宮外孕、荷爾蒙 異常都有可能，要檢查才知道。 | [
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5泌尿科
| 性病 | 醫生您好 我想請問一個月前因為陰莖有自慰破皮傷口 之後有時候手會去觸摸到陰莖傷口如果摸到廁所門把或者外在環境後在摸到傷口有可能得到愛滋病或梅毒淋病之類的性病嗎？ 依照我的敘述我有必要去做性病檢查嗎？ | 您好： 除了性行為不太容易傳染性病，有性病症狀生殖器部位如有疹子，水泡，突起，破皮，或尿道流膿，排尿痛，再去性病檢查。祝健康。 | [
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5泌尿科
| 結石 | 主任您好 前幾日因為腰部疼去醫院看病有照x光醫生有指著x光片一顆白白顏色點跟我說有結石後來也做了體外震波回來想想有些不對想請問一下主任光看x光片就能確定是結石嗎有沒有可能與腫瘤搞混又有交代每天要喝3000cc以上的水但我平日每天喝不到500cc一下子要喝那麼多喝1000cc就覺得很難過膀胱脹頻上廁所且有點尿失禁的感覺請教該如何是好謝謝主任解惑 | 您好在泌尿科只有結石才會出現白色 腫瘤X光照不出來 至於體外碎石主要就是要多喝水 如果足夠的尿量 沖不出碎石 就會要考慮內視鏡夾了 雖然您喝不了那麼多水 但是至少要增加水量 不然碎石效果不好 或是沒有效果 還有後續的治療要做. 祝健康. 1000CC太少 | [
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| 避孕藥 | 醫生您好，之前已經吃了6盒美適儂事前避孕藥都沒有問題，但這個月因為藥局買不到所以換了悅己事情避孕藥，在排卵期出現咖啡色血跡的分泌物，請問這樣對避孕效果是否有影響？出現血跡是否代表有排卵？ | 更換避孕藥廠牌，可能有異常出血建議可以使用2 -3 盒後再觀察。 | [
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22戒菸
| 戒菸問題 | 你好我的煙齡有7.8年之久我想戒除這個壞習慣平均一包煙可抽3天左右有時一天只抽2或3根煙但就是無法下定決心都不抽真的好討厭抽煙的日子可是又擺脫不掉尼古丁的誘惑我飲食蠻清淡的在加上有定期的運動應該不會太難戒吧是否要靠藥物的幫助來戒除對尼古丁的依賴呢請告訴我如何才能有效戒除還是參加戒菸門診治療呢相關門診資訊可否告訴我麻煩你了謝謝 | 戒菸不難，但需要有堅強的決心及動機，才能使成功率增加，除了清淡飲食之外，定期的戶外運動〈如打球、慢跑、游泳、跳韻律舞、、、〉，亦可利用戒菸門診，使用尼古丁替代療法，減少對尼古丁之依賴，減低煙癮之發作，若需相關訊息，可至各醫療院所戒菸門診看診，以獲得更多的資料。 | [
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| 巧克力囊腫 | 想請問醫生，大約兩週前進行完巧克力囊腫腹腔鏡手術（有自費防沾黏）後至今，外部傷口已經結痂開始掉落，但現在還是經常感覺下腹以及左右兩側卵巢處悶痛，是有種體內深處的肌肉在拉扯疼痛的感覺。 自從手術後解便的狀況也跟以前不太相同，不太會有完整的條狀，會是顆粒狀的，在解便時解便後同樣覺得下腹及卵巢附近深處肌肉痛。 有點擔心是不是因為我在出院休息3-4天後，便開始需要做家事，有時候會有一點蹲下會用力的動作（有盡量避免），請問這樣的拉扯痛狀況是正常的嗎？是否需要到醫院回診？ 謝謝 | 一般手術後多少仍有傷口牽扯的疼痛，尤其是內膜異位症手術可能伴有粘連的分離，所以在體力可以的情況下，仍是勉勵多活動較好。 | [
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| 手腕問題 | 醫生您好，我在3個月前的早上拿相機拍照時，似乎因為轉鏡頭扭到左手，但當下並沒有察覺，到了下午才開始察覺到痛，剛開始去國術館治療沒有用，後來有去長庚打針，但情況好像沒有改善，大概過了一個月後右手手腕也開始痛了，左右手的手肘也開始有卡卡的聲音，我的脖子也有卡卡的聲音，但是在手腕受傷之前就有了之前去長庚照過X光醫生說手腕骨頭沒問題，現在的情況是左手腕上下翻會痛和卡，右手腕的情況比較好一點，之前去長庚時有抽血，醫生說我有一個什麼X風素的值有點高但還不到異常，請問有可能是因為這個的關係才一直治不好嗎，還是該如何治療 | 最可能是使用手腕的姿勢不對造成的 持續地吃藥或復健可能會改善的 | [
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| 出血 | 上個月跟這個月生理期都提早一周上個月生理期後4天有和男朋友有親密行為沒戴套套但沒射在裡面.這個月生理期過後四天上廁所發現輕微的出血請問有可能懷孕嗎還是只是上次經期來沒有排乾淨呢 | 提問者您好 因為排卵日的算法是從來潮的第一天開始算，而不是從乾淨時開始算，況且每位女性會每個週期乾淨的時間也不一樣。您的描述中並沒提到月經乾淨的時間是在週期第幾天，因此無法計算是否在排卵期或受孕的機率。只能說對月經較多天才乾淨或週期較短的女性而言仍可能在危險期，而且也沒有完備的避孕措施。如果您不確定所提的出血是不是月經的話，最好請醫師安排檢查，判斷是懷孕或是其他原因的出血，謝謝 祝 平安 健康 張 醫師 回 | [
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| 陰道問題 | 請問11歲小朋友陰道口有破3個小洞，那是要看什麼科系的 | 提問者您好 依您描述的狀況，建議先到婦產科門診檢查，謝謝 祝 平安 健康 張 醫師 回 | [
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| 月經 | 請問陰道念珠菌感染並且有使用塞劑，會延遲月經嗎 已經遲到五天之前都很準時，並且有過戴套性行為 | 陰道念珠菌感染並且有使用塞劑，會延遲月經嗎 Ans 陰道念珠菌感染並且有使用塞劑，不會延遲月經 PS 已經遲到五天之前都很準時，並且有過戴套性行為 | [
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