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5泌尿科
| 包皮問題 | 醫師你好 洗澡的時候 不小心讓包皮垢掉進尿道裡 請問這樣會不會造成尿道炎或其他問題 污垢是否會隨著尿液排出體外 | KK 你好 理論上不會，不放心的話，最好檢查一下尿液、尿道是否有感染。 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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| 是否懷孕 | 醫師您好 我想請問我在月經來的第三第四天跟經期後的兩三天，都有跟男友發生性行為沒有戴套 然後經期後兩三天的那次事後我有發現流血的跡象跟腹部有點痛 想請問為什麼會流血跟腹部陣痛 還有有可能會懷孕嗎 | 回覆如下 腹部陣痛及出血可能原因很多包括發炎亂經懷孕流產腫瘤等等請就醫檢查治療. 懷孕機率不高但仍然有可能. 桃園醫院 呂理政敬上 | [
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0婦產科
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5泌尿科
| 精液 | 1.醫生說精液分析禁慾2天也可以做 會跟禁慾3天差異很大嗎 2.咖啡跟綠茶會對精子或生育會有影響嗎 | 您好 其實主要是如果結果異常 要禁 慾3天再驗. 就很麻煩 如果有沒有禁慾都驗起來正常 就無所謂了. 其實都沒有很確切的證據. 但吸煙 垃圾食物 都有人說有影響. 祝健康 | [
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| 性交疼痛 | 你好 我12月 25號來月經 於28 29天完結 我在21有性交 沒有帶套 內射 其後數次的性交都有帶套 於1月7號 吃了緊急避孕藥 但到目前為止都沒有 撤出性出血 12號和7號晚都用clearblue驗了一次孕 反應是陰性 請問那天驗準不準 以及我懷孕的機率大嗎？謝謝 | 建議距離最後一次性行為約2-3週驗孕 太早驗會驗不出來 | [
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| 陰部問題 | 請問 . 陰囊上長一些白色一粒一粒的東西 很像痘痘 有些可以擠 擠出來是白色好像粉刺的東西 之前去看過皮膚科 說是毛囊炎別擔心 說只是不美觀 需要去除的話要開刀切除 可是近來陰部有幾顆變的好大粒 也不能擠尚無性經驗 請問那也是毛囊炎嗎 那如果想去除的話真的要開刀嗎 它會自然消嗎 是去醫院掛皮膚科開刀切除嗎 | 擔心先生你好 你的陰囊皮膚毛病是皮脂腺囊腫若有感染才稱為毛囊炎甚至癤或癱這樣就會痛甚至分泌物。 它需要手術切除，可看皮膚科，泌尿科或一般外科。 | [
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| 調經 | 醫生您好，月經週期調經前是1015∼1019月經滿準時的但因1218要出遊，所以1030去看婦產科調經，醫生建議吃藥將月經提前，所以從1030開始吃了大概10天的調經藥後，月經於1112來。 月經來後回診，醫生開了winstop 11天的藥説於月經來第五天開始吃，於藥吃完前兩天回診，惟因之後時間無法與該醫生門診時間配合無法回診。 1.想請問吃完藥11天的藥後，月經是會在停藥後3∼5天來嗎？ 2.承上題若月經於停藥後3∼5天來約121左右）若之後都沒有吃調經藥，會影響我之後的月經週期嗎？以後月經都在月初來的意思嗎） 3.若是想要去藥局買調經藥繼續吃的話，請問是挑選與Winstop同成份的藥嗎 藥要吃多久呢 以上，謝謝醫生。 | 此調經方式，需配合超音波檢查來調整藥物，建議您抽空回門診。 | [
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2牙科
| 根管治療 | 醫師您好， 我因為牙齒遇冷熱會痛就醫，x光片上門牙及旁邊的牙（已抽神經）根部有陰影，冷測驗皆無反應。醫師覺得是以前受過撞擊，現在遇到身體較勞累導致開始發炎，建議門牙根管治療，門牙旁根管治療重做。問題是母親極力反對，說做根管治療後牙齒脆弱易裂，希望我請醫師另外想辦法（只填藥不抽神經）或另找醫師診治。 請問我這樣的情況可以有其他辦法治療嗎？ 如果牙神經已死，是否就已經是脆弱狀態，還是真的如母親講的是要抽掉了才會脆弱？ 因為這個問題已經放置一陣子，有時痛有時不痛，看身體疲勞度會復發或好轉，有點想要不管他，但又擔心耽誤治療會得不償失，還請醫師解惑好跟母親或醫師溝通。謝謝！ | 如果是牙神經已經壞死或已抽過神經的牙齒根部有陰影，冷熱刺激暫無反應，建議應重新接受根管治療，否則根尖的病灶並不全自動消失，甚至還可能引起尖根膿腫，繼續破壞牙根周圍的軟硬組織，如果擔心做完根管治療後牙齒脆弱易裂，可能考慮做牙套。 | [
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15復健科
| 頸部酸痛 | 醫師您好 這兩個星期來 覺得頭往左轉脖子很緊繃且有無法轉到底的感覺 往右轉則後頸有一點筋在摩擦聲音 手側舉跟前舉肩膀都會有骨頭摩擦的感覺 請問這會是甚麼問題 應該要看哪個科別呢 謝謝您 | 復健科 | [
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| 精液 | 其實我要問的問題就跟主題是一樣的. 我射精時顏色並不是一般說的乳白色而是有點像血的顏色 但又沒有血那麼鮮紅.有點暗紅.有時候上小號時也會成類似的顏色 除了顏色不一樣之外還有一點殘留物.從不知那是什麼東西 看起來有一點像是血塊吧這跟著我已經有一段時間囉.大概有2年了吧 長期在國外所以一直沒有時間回台灣看醫生. 請問這會不會是很嚴重的病呀 需不需要做些緊急的措施 有沒有一些食品可以治療這種病呢 謝謝 | mou您好 看您的問題是需要檢查比較好如果是血的話您的泌尿系統可能有某些問題如發炎或其他問題建議您趕快到泌尿科找專科醫師檢查. 祝您快樂 醫師黃熾楷上2003.2.8.330pm. | [
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| 月經 | 醫生你好 我月經遲了1個星期多了.7月中跟男朋友行房 但2星期後用驗孕棒驗了都沒有bb 上個月的月經是6月25 為什麼還沒有來 已經喝了涼茶.肚脹脹的 很多胃氣 謝謝你. | 提問者您好：如果您以往的月經規則，則月經若過期壹週以上，也就是8-1還未來的話，最好做相關的檢查. 因為授精後須有一定的時間後才能驗出有無懷孕，所以最再過幾天後如果仍未來月經的話，還是請專科醫師做相關評估較好，謝謝！ 祝 平安 順利 張 醫師 回 | [
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| 避孕 | 醫生您好，47保險套意外滑落，有明顯感覺到射在體內且有流出體外，事後一小時內有馬上服用可後安錠，但事後查詢資料時，很多內容都指出若過了排卵期服用事後避孕藥將會於事無補、避孕藥無效之說，依照經期計算的程式顯示我的排卵期在322，預計的月經會在46∼416到來。 請問醫生這樣服用事後避孕藥是有避孕效果的嗎？服用後如何知道有成果避孕？若是月經有如期到來的話是不是就等於避孕成功？ 還請醫生抽空解答，謝謝。 | 提問者您好 事後避孕藥的避孕效果並不是百分之百，失敗率有3左右。事後避孕藥主要是透過延後排卵或抑制排卵，以防止精卵相遇，也可能藉著改變子宮頸黏液來降低精卵結合的機率。精子在女性體內最多可以存活5天，但受孕力最強的是前2天，排卵後，卵子最多存活24小時，如果服用藥物時還沒排卵，那麼藥物可以延後卵子的出場時間，精子到那時估計已陣亡得差不多了，因此可以達到避孕的目的。 如果吃藥的時候已經排卵，也超過24小時，那麼卵子應該也死了，理論上有沒有吃事後避孕藥就沒差，但是吃了還是會呈現「有效」的結果。 如果，剛好服用事後避孕藥前，身體發出了排卵的信號（LH surge），那麼藥物可能就沒效了，如此天時、地利、人合的情況下，這個小生命可能就是註定要出生在世界上。 臨床實務上，因為排卵時機難以確認，所以只要在目前不想懷孕的前提下，發生了體內射精的事實，保險起見還是建議使用事後避孕藥。 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
| 抹片檢查 | 醫師您好： 我想請問一下，假如目前工作處於忙季所以身體方面可能比較疲憊，在此情形下做子宮頸抹片檢查會影響到檢查的準確度嗎？另外，請問在做子宮頸抹片檢查完後會有可能有陰道感染或是其他副作用嗎？謝謝！！ | 工作忙，身體疲憊，不會影響到子宮頸細胞抹片檢查的結果準確度；子宮頸細胞抹片檢查後，不會使陰道感染，也無副作用！ | [
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1精神科
| 藥物諮詢 | 醫師妳好為何我服用fluanxol6mg第二天有產生舌頭翻出不停的捲動及全身疆硬現象妳不是說正常劑量和以前服用binin-u10mg有坐立難安全身發抖等現象.fluamxol.binin-u是治療精神分裂症嗎他們是新或舊藥當時很痛苦恐怖.以後遇到此現象應如何處理若改用zotepine100mg會有這些副作用嗎zotepine100mg是低或高劑量何時服用較適宜他副作用如何 治療精神分裂症的用藥除了seroquelgeodonsolianzyprexarisperdal可治律脫蒙治zotepine外還有那些用藥你可否開比較少副作用的精神分裂症用藥給我讓我早上爬的起.劑量及服用時間為何精神分裂症是不是腦內多巴銨分泌過多 | 親愛的病友您好： 您的問題分別回覆如下： 1.使用Fluanxol Binin-u所產生的就是所謂的錐體外徑路症候群EPS，一般來說，有經驗的醫師都會思患預防，如果不幸產生了，可立刻到醫院接受緊急處理。 2.上述兩種藥都是抗精神病製劑，都可治療精神分裂症，是屬於第一代的傳統抗精神病製劑。 3.Zotepine是屬於代二代非傳統製劑，EPS較少發生除非特異體質或高劑量使用；100mg只算起始劑量；主要副作用您以前的問題談過了。 4.您差不多把新一代EPS較少的用藥都列出來了，至於何種藥物何種劑量適合您，必須本著start low go slow的原則實際操作才知道，無法憑空說明。 5.精神分裂症的病因以前很多前輩談得蠻詳盡的，您可以查查舊資料。 | [
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4心臟血管專科
| 心肌梗塞 | 這一兩個月每天胸肌都很繃緊的感覺 做胸肌拉伸雙手舉高時就沒繃緊的感覺 有時左胸口接近心臟的位置會有一兩下痛的感覺 加上最近左邊下巴和左後背左手臂肩膀手肘左脖子都有點痛楚 大約半年前也試過 但大概一個禮拜就不痛 我這一年長期在家對著電腦工作 久坐 有一點圓肩 做完運動後心臟不會痛 但上網看這些都是心肌梗塞的症狀 沒有家族史 這個年紀也有心肌梗塞的風險嗎 謝謝 | 建議您至心臟內科門診就診，看是否需要做相關檢查，謝謝祝健康 | [
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13肝膽腸胃科
| 澱粉酶 | 蔡醫師您好 我從10年前健檢的報告澱粉酶經常偏高今年澱粉酶是215多了酯脢異常偏低20.6腹部超音波無異常 因為我得到的答案一直很籠統不知澱粉酶偏高是什麼原因導致這樣才能知道方法去做改善 自已懷疑是否澱粉攝取的比例較少 | 您好 澱粉酶可由唾液腺和胰臟。另外，如肺、汗腺、乳腺、胃腸道及泌尿生殖系統都可能會分泌。某些狀況並不容易找出真正原因。 彰化醫院關心您的健康 蔡安順醫師 | [
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| 新冠疫苗 | 醫師您好 我的小孩目前兩歲七個月人在大陸，會建議在當地施打疫苗再回國還是回台灣施打莫德那或都不打，因兩歲半及一歲時都曾因為呼吸道感染導致肺炎住院，雖痊癒但會不會因此導致肺部較脆弱使重症機率提高，請問醫生對大陸疫苗的看法及幼兒施打莫德納的利弊 麻煩您了十分感謝 | 大陸的新冠疫苗在台灣並沒有合法取得緊急許可，大陸對他們疫苗效力的評估也不甚清楚，所以我們對大陸製的新冠疫苗並不十分了解，但是台灣目前使用的新冠疫苗已經在國際上和台灣使用很長一段時間，效果和副作用已經比較清楚了，所以如果要施打還是建議使用台灣目前用的新冠疫苗。得過肺炎並不會得新冠肺炎重症的機會較高。兒童要不要施打莫德納新冠疫苗，我想利弊相等，可能還是需要家長自己評估決定。 | [
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| 會懷孕嗎？ | 月經1220來，周期大概29天，每個月都很準時。 1231、11都有做功課，想懷孕沒戴套都有射， 12胸部有脹感，子宮也覺得悶悶的， 請問這樣懷孕的機率高嗎。 | 醫師非親自診察，不得施行治療、開給方劑或交付診斷書 提問者您好 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。建議您如果月經過期一星期尚未來的話再請醫師檢查，謝謝 祝 平安 健康 張 醫師 回 | [
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13肝膽腸胃科
| 消化問題 | 醫師您好 謝謝醫師前幾天的回复。想再詢問些。本人27歲。右上腹（肋骨下放）站着时摸起來會比較凸，按下去硬（不會痛），躺下摸又沒凸出感覺。做仰臥起坐時可以摸到右邊腹肌面積比左邊大，擔心是其他問題。我也有兩年消化不良症狀。 問題： 1. 腹部超声波检查了没问题，是不是能排除肝膽腎脾导致的消化不良。还需要做电脑断层片来确定吗？主要担心右上腹凸出是不是大问题。 2. 排便正常是不是能判斷大小腸沒問題。還需要檢查什麼嗎？主要症狀是消化慢，上腹緊繃，但没腹痛。最近吃了些消化酶有比較好。 谢谢您 陳 | 您好 超音波檢測肝膽已經有很高的準確度如果超音波沒有看到什麼問題應該不必太過擔心如果真的懷疑有什麼問題建議找醫師做理學檢查有問題再安排電腦斷層。或是高級健檢，自費檢查。 糞便檢查結果，只能參考／輔助診斷，不能確定診斷。例如：有大腸癌的人也不一定會潛血，有潛血也不一定就是大腸癌。如果要更精確了解腸胃，內視鏡的準確度會比糞便潛血高。 彰化醫院關心您的健康 蔡安順醫師 | [
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1精神科
| 情緒困擾 | 不好意思我最近再工作上很常動不動就爆怒 常常看某個人不順眼 脾氣一上來就很難消氣又容易頭暈頭痛 很久才會平息 已經連續四五天這樣易暴怒又頭暈 加上因為我是夜貓族白天才睡覺 常常躺在床上很久才睡著 一直作夢 中間醒來很多次 讓我覺得睡不好 有時候一直覺得壓力很大 只要事情沒做好心情就不好容易看人不順眼 做事不從心 | 敬啟者 依據您描述的過程， 可以清楚感受目前您不適的情緒， 您提到壓力很大 睡眠中斷 爆怒 及 頭痛 通常這是壓力反應下 使您的身體 情緒及睡眠連帶地受到影響 因為已經造成您身體上、情緒上的困擾，會建議您要試著去解決它 可以考慮的方式包括 ，找自己信賴的家人或朋友討論您目前的生活 壓力和情緒反應 重新建立規律的生活 包括工作時間 及休息睡眠時間 最好還可以有規律的運動習慣 如果還是依然困擾您 讓您感到非常不舒服， 就會建議您就近找精神科醫師評估及討論治療計劃。 以上回覆 敬祝 身心愉快 一般精神科 張芳榮醫師 上 | [
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0婦產科
| 分泌物 | 醫師你好 我一直有分泌物的現象，因分泌物稍黃且有時有味道故有使用護墊的習慣 聽說不使用護墊比較好是真的嗎 而最近發現接近陰道口的陰唇表面處有一部份稍黑是正常現象嗎 如何做好徹底的衛生保健ㄋ | 若分泌物多到要用護墊則妳必須就醫. 若分泌物量沒那麼多則最好穿棉質內褲 儘量不要用護墊以免細菌滋生.一般月經快來時陰唇稍黑這是正常現象. | [
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3藥物
| 婦科用藥 | 請問這是花蓮某一家婦科開給我吃想問問這些要是有什麼作用 chuselin cap250mg "sun wecom11 tab400mg "yus magnesiumoxide250mg" hetel capsule50mg 請問一下子宮出血會對女生有什麼問題 | 1.CHUSELIN CAPSULES 250MG TRANEXAMIC ACID "Y.S."，止血寧膠囊２５０公絲（妥內散敏）：全身及局部出血或出血性疾病。 2.WECON-II CHEWABLE TABLETS "YU SHENG"，胃康－貳咀嚼錠：緩解胃部不適或灼熱感、胃酸過多、消化不良。 3.MAGNESIUM OXIDE，氧化鎂：緩解胃部不適或灼熱感、或經診斷為胃及十二指腸潰瘍、胃炎、食道炎所伴隨之胃酸過多。 4.HETEL CAPSULES CLOMIPHENE"M.T."，賀得樂膠囊（可洛米分）：促進排卵、調整月經、治療婦女不孕症。 異常的子宮出血 一般成熟的婦女，均有規則的子宮出血—月經。若是在非月經期出血或停經後有子宮出血，這都是不正常的子宮出血不正常的子宮出血是一種警訊，不可忽視。但也不必過分恐懼，因為它可能是單純性的子宮頸口表皮的出血，也可能是嚴重的子宮頸癌。 ●兩種不正常的子宮出血 大致來說，不正常的子宮出血可分二大類，一為器官性，一為機能性。器官性是指由女性生殖器官的某一部位的病變所引起的。它主要的症狀是「出血」，出血的時間往往不規則，不定時，不可能預先知道。因為這種器官性出血通常不影響到卵巢排卵的功能，所以病人仍有原來規則的月經，只是在定期的月經之外另有不正常的出血。而機能性是指卵巢不排卵或分泌功能不健全、失調所引起的，因此它的症狀是有不規則的月經週期或月經的延長。這種機能性的子宮出血和發炎、腫瘤、妊娠沒有直接的關係 ●導致「器官性子宮出血」的原因： 引起器官性子宮出血的原因很多，比較常遇到的有下列幾種： 1 子宮頸癌 子宮出血中，最為重要而且對生命最具威脅的是子宮頸癌。子宮頸癌的初期出血往往是兩次月經之間或房事之後，並且只是微量出血。在這時候，就必須請醫師診治，因為這種出血的形式和子宮頸糜爛或瘜肉非常相似，必須先請醫師用膣鏡觀察，同時做細胞抹片，若是發現有可疑的地方，必須更進一步做病理切片檢查，以期早期發現。若是確定為癌症，必須用放射療法或根治性子宮切除術來治療。在此時期，妳除了一點點出血以外，身體覺得沒有什麼地方不舒服，照常生活得很好，但不去理它就會失掉早期根治的機會。 2 子宮頸瘜肉 子宮頸瘜肉的出血往往很微量，而且發生於二次月經之間，尤其在大便或房事之後最易發生。有些瘜肉不出血，在例行檢查時才被發現。因為子宮頸瘜肉的症狀和早期子宮頸癌相同，因此必須早期診治，以免延誤，若確定是瘜肉出血，只須將瘜肉切除即可。 3 子宮頸糜爛或外翻 一般婦女常有子宮頸糜爛或外翻的現象。糜爛或外翻的部份，粘膜往往發紅、充血或成顆粒狀，導致容易出血。若是充血很厲害，一碰就出血，必須考慮是否有子宮頸癌的存在，這時須做細胞抹片和病理切片以免誤診。若是沒有癌症存在，再以電燒或冷凍來治療。 4 子宮體癌 子宮體癌最常引起不正常子宮出血，尤其在停經後婦女最多發生。在生殖期的婦女也會發生子宮體癌，大約佔子宮體癌的四分之一。這時的出血就發生在二次月經期之間。子宮體癌的出血最初往往只是一點血水，慢慢地變為大量的出血。若是有子宮體癌的嫌疑，必須做子宮內膜搔扒術，再送病理診斷，一旦診斷確定，必須立即做子宮切除術治療。 5 子宮肌瘤 子宮肌瘤也是非常容易出血。子宮肌瘤可分粘膜下子宮肌瘤、肌層內子宮肌瘤和漿膜下子宮肌瘤。最易引起出血的為粘膜下子宮肌瘤，再次為肌層內子宮肌瘤，漿膜下子宮肌瘤往往是不引起子宮出血。假如一個婦女有不正常的子宮出血和子宮肌瘤，不可以一下子將出血歸咎於子宮肌瘤，必須再找找是否有其它出血原因。例如，子宮體有肌瘤的婦女往往會發覺月經愈來愈提前，而出血量愈來愈多，含有血塊，出血日期也延長，並不一定有月經期中間的小出血。子宮肌瘤若是發生在年輕婦女身上時可先觀察，或是對症治療一段時間，如無效，再做肌瘤挖出術，保留子宮以免影響生育力。在將停或已停經的婦女發現有肌瘤而出血時，還是做子宮切除手術較妥當。 6 卵巢腫瘤 雖然，任何一種卵巢腫瘤，都有引起子宮出血的可能，最多的還是產生女性荷爾蒙的腫瘤，例如顆粒細胞癌。大致來說，不產生女性荷爾蒙的卵巢腫瘤，無論良性或惡性都不常引起子宮出血。發現卵巢腫瘤，必須將腫瘤割除。 ●導致「機能性子宮出血」的原因： 所謂機能性子宮出血是指沒有子宮、輸卵管或卵巢等器官的病變，而是一時或暫時性的內分泌系統功能失去平衡與調和，引起體內荷爾蒙分泌不正常，亂了步驟，失去控制而引起的子宮內膜出血。所以大部份是不排卵性的（少部份機能性出血病人仍有排卵現象）。 機能性出血往往比較多而時間拖長，不容易自然停止，常常是月經期拖長或停了幾天又開始。青春期的少女或靠近更年期的中年婦女較容易犯此病，但在生殖年齡期的婦女也不少。十多歲的少女剛開始月經來臨不久，因分泌機能尚未建立起來，卵巢機能還沒有成熟不會排卵，所以月經不順，有時二、三個月不來，有時一來就不停。如果長期出血，會引起貧血頭暈，身體軟弱，有時候也會引起大量出血，必須治療出血，此時一定要同時做血液學的檢查，因往往有血液病（例如，白血病、血小板缺少症），到了引起子宮大量出血才發現。 結過婚或生過小孩的婦女發生機能性子宮出血時做子宮內膜搔扒術（所謂刮子宮）是很有意義的治療法。刮了子宮後，出血就停止。此時一定要將刮出的內膜送去病理組織檢查，千萬不要以為刮一刮止血就好了。子宮內膜的檢查可找出被忽略的病變，也可知內分泌情況，對以後的預防治療是很有幫助的。 藥物療法是靠口服荷爾蒙製劑來調整，投藥妥當時其療效很好。但此種治療必須有系統的連續服用才可以。常常碰到服用後止血就停藥，過了二、三天又再出血，再服藥又止血，停藥後又再出血，反反覆覆弄得心理不安、身體虛弱、貧血等結果，醫學上稱它為「醫療不當引起的出血」，是由於沒有系統計劃安排的荷爾蒙亂用的結果。因此如果要用荷爾蒙治療時，醫師要有計劃讓病人瞭解，病人要和醫生合作才可以，要不然比不治療更糟！ 服用口服避孕藥丸的婦女，有時因不按時服用或暫時，而引起的出血是類似這種機能性出血。 | [
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0婦產科
| 經期問題 | 王醫師：您好！小女七月初將要聯考，不知道是壓力重或其他因素，月經卻沒來報到，又擔心考試當天突然來到，將無法安心考試。又小女每次月經來時，都將痛上兩天，請問醫師該怎麼辦好，懇請告知如何處理。不勝感激！ | 通常可以在預計月經要來之前2天給予黃體素，直到七月初考完試時停藥，不過她已經遲來M.C.，不知是否來得及請速與婦產科醫師聯絡。 | [
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| 龜頭外露 | 許醫師您好 日前因為女友口交不慎，將龜頭的皮弄破了一片將近14，龜頭破皮處若碰到會刺痛，好像會分泌黏液不知是否像血小板，請問要抹什麼藥膏比較好，是不是要保持乾燥或是將包皮包覆傷口比較好，大概要多久才會痊癒，是不是會像身體的其他地方長出新的皮層，煩請協助提供建議，謝謝囉。 | 咕嚕： 你好，想到魔戒，mmm.好可怕的名字 一般使用眼睛使用的抗生素藥膏就可以了。厚厚的塗抹上面，一方面可以避免感染，另一方面可以防止摩擦或與內褲沾黏。 大約1週，初步癒合就完成了。完全痊癒，可能需要6-8週，要看傷口的情形而定。 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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| 懷孕 | 危險期發生性行為，在射精前的前列腺液已經有先在體外流出來，之後才進入體內。 沒有戴套，射精是陰莖離開體外用自慰的方式才射的，請問這樣會懷孕嗎？ | 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 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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| 經期問題 | 這半年經期固定，都在每月的13號左右會來，每次為期7天 在418與男友發生關係，且有戴套，做的時候感覺太大力導致肚子些微不舒服，但不會影響到日常生活 42325發現有少量粉紅色、咖啡色的分泌物 427∼54疑似月經來，顏色是正常的暗紅、也會有鮮紅色出現，但是月經量比之前少，之前第二天每4小時需要換一片，但這次第二天只有晚上量有明顯比較多，白天大概8小時左右一片才會滿 430中午有驗孕為陰性，請問27號來的是月經嗎？還是有可能是所謂的假性月經？ | 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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6骨科
| 身高 | 施醫生您好， 請問您，若不考慮姿勢調整或是間椎盤含水量增加的短暫長高，對於一個生長板早已閉合的成年人來說，要再長高0.1公分是不可能的對嗎 因為全身生長板閉合後骨頭就形成硬骨而喪失生長分裂的功能了 那在請問醫生，人老了身高會縮水又是甚麼原因呢 我對我的身高很滿意，只是好奇而已，非常感謝醫生的耐心。 謝謝您。希望您一切順心！ | 理論上生長板閉合了就不會再長高了 人老了骨頭會疏鬆 高度會降低的 有些人的脊椎骨有壓迫性骨折高度就會下降 如果有好幾節的骨頭都變扁了 那身高一定會縮短的 | [
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13肝膽腸胃科
| 胃炎 | 醫生您好，小弟胃鏡有胃竇炎、胃食道逆流A級，目前有在吃PPI、胃默適， 因為過瘦想增加體重158cm44公斤， 胃口也超小，吃不了很多東西， 我把乳清蛋白粉三多均衡營養配方白飯，混合後變成非常黏稠質地的熱量補品，盡可能減少份量、提高營養成分。 1.想請問這樣的高濃度且黏稠質地會不會對胃部有傷害？ 2.過瘦胃竇炎，想增加體重，應該要少量多餐還是三餐呢？ 謝謝醫生 | 總熱量上升適度運動。另可多諮詢營養師。 | [
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| 膝蓋問題 | 醫師您好： 我之前在案件編號 發問過問題。想再跟醫師詢問膝蓋軟骨損傷，除了飲食控制體重外，還有哪些適合做的運動呢 前陣子會做一些核心運動，但是現在可能會讓膝蓋更加負擔的樣子.有必要去診所或醫院做復健嗎因為有點擔心若是自行復健會不會動作不對導致膝蓋惡化有需要補充葡萄糖胺或是第二型膠原蛋白UC-II嗎 | 股四頭肌力訓練，例如坐姿時平抬腿，游泳，騎自行車等。可以去復健科做復健，也可以順便與治療師討論。葡萄糖胺或是第二型膠原蛋白的效果並不明確，可以不必使用。 | [
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10兒科
| 小兒中風 | 醫生您好 我們家小朋友今年滿3歲她大概在2歲的時候頭髮出現1-2根的白髮都是先變成金色再變成白色到最近發現好像比較多而且整頭頭髮看起來咖啡色平時給她洗頭完都會用吹風機吹乾而且父母親頭髮都滿黑的不知是否她身體出了問題還是缺少某些營養素.謝謝 擔心的媽媽 | 行政院衛生署台南醫院小兒科主任林慧真醫師敬覆 您好： 一般小兒進食情況正常的話，與營養應無太大關係，有可能為白斑的問題，也有可能為個體差異，如果只有數根，不須處理觀察即可，但若有越來越多，就需要帶到皮膚科檢查。 署立台南醫院小兒科祝您身體健康•萬事如意！！ | [
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| 卵巢 | 請問醫生 卵巢機能不好是什麼意思 打催經的話 是因為我有排卵過了所以才會打得嗎 我月經還沒來 還會在打完催經針這期間排卵嗎 | 卵巢機能不好，指的是卵巢無法正常排卵及分泌女性荷爾蒙，而有退化的現象。正常人於50歲左右，卵巢功能也會退化，這個則稱為更年期。是否有卵巢提早衰竭的現象，必須到醫院檢查女性荷爾蒙的分泌量，才能診斷。 催經針的成分是黃體素。一般我們身體在排卵後，卵巢也會自行分泌黃體素。這時候如果沒有受精，等到黃體期結束後，子宮內膜崩落就是月經。 然而有許多無排卵的婦女，內膜也會增厚。這時候就必須給予黃體素，以人為的方是，提高身體黃體素的含量。讓黃體素在身體代謝後，形成人工的月經來潮。然而在身體存有黃體素的情況下（也就是有排卵的情況下），使用黃體素催經效用則不明顯。 因為每個人的狀況不一，如果妳還有問題，歡迎到門診詢問。 | [
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| 肺氣腫 | 醫師您好 我想請教我弟弟因為早產兒肺部發育未完全有肺氣泡阻塞的問題然後肺氣泡阻塞的藥他又過敏只好使用噴劑現在的狀況是不噴又不能睡覺又肺氣腫會變肺癌嗎 如果會可以活幾年 | 您好 肺氣腫或阻塞性肺疾要看肺功能以及最近急性發作的情況次數去分級，但只要好好用吸入藥物控制，通常可延緩呼吸功能退化的情況，但仍需追蹤影像檢查. 詳細情形請以實際診治醫師為準. 彰化醫院 關心您 | [
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5泌尿科
| 漏尿 | 醫生不好意思想問 我最近有時候喝水量不多但一個小時可能上兩次廁所 有時候喝水量多 剛上完廁所過10分鐘就會想再上廁所 以及有時候上課坐著換個姿勢的時候 好像是漏尿 內褲會濕一小塊 我的運動量一個禮拜大概80分鐘 然後蠻常久坐 請問這個大概是什麼樣的問題呢？ | 您好 喝水量不穩定有時幾小時沒喝多少水 可能會造成有時排尿出現不規律的情形 久坐都不動 也有可能會排尿較無力 如果在尿很清 無排尿痛的情形建議可先均勻的喝水 久坐會起來活動 另外蔬果多吃 有時臨床上便秘也會影響排尿. 祝健康. | [
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5泌尿科
| 陰莖問題 | 潘醫師你好： 看ㄌ其他ㄉ回覆．想請問這項手術在南部較知名ㄉ醫院醫生（我住台南）． 另外動完之後．需要怎麼保護．多久才能再性愛ㄋ？ 謝謝你們∼ | 先門診檢查後，再決定需不需要開刀。事前可先自拍勃起時的陰莖照片，由上往下、由側面照各一張，照片或照片檔案帶至門診，可幫助診斷的參考資料。 | [
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| 性行為 | 醫生您好，交往至今跟男友進行了兩三次性行為中，前兩次都有撕裂傷（外陰，陰道沒事），每次進行性行為都有特別小心，前戲有做足夠濕潤也有加夠多潤滑液。這次也有準備充分，但放進去之後有痛感，然後男友也有觀察到會陰部分有一條紅色的小縫，怕是撕裂傷就停沒有繼續了。（之前撕裂傷的時候有流血也有裂縫，這次沒有流血） 1.想請問醫生剛破處前幾次性行為本來就會有裂縫還是說這是撕裂傷？ 2.怎麼樣能避免再度撕裂傷？還有什麼需要改進的地方嗎？ | 提問者您好 依您的描述，建議繼續您目前的方式，慢慢循序漸進，若症狀持續需請醫師檢查生理構造有無異常，謝謝 祝 平安 健康 張 醫師 回 | [
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| 兒童牙科 | 醫師你好 我牙齒在12年前 開始有流血情況 因為那陣子 生活習慣不正常 也有抽煙習慣 近幾個月來 我開始戒煙 開始注意到我的牙齒了 發現 當我刷玩牙過幾個小時後 口空味道是有種 牛奶酸的感覺 當我每天睡醒 有時候口水都是血 有看過牙醫了 他說是牙周病 但是我都有按時刷牙 也沒在抽煙了 牙齒問題 還是純在 我該這麼辦 | 建議至大醫院做進一步檢查 | [
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0婦產科
| 會懷孕嗎？ | 請問醫生，女友月經1230來，大概14號走，17號有發生關係，請問這算安全期還是危險期？全部過程中皆有戴套，懷孕機率大嗎。再請問一下怎麼算安全期跟危險期，絕對安全期又是什麼，安全期如果內射懷孕機率大不大，謝謝。 | 您好 懷孕機會不大，任何時候最好要做事前的避孕措施，排卵日是從下次月經往前推14天，但是下次月經是未知數，即使月經都很規律也不能相信安全期，如果月經再該來沒來超過1星期仍沒來，建議看婦產科。祝健康 | [
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5泌尿科
| 外傷 | 請問醫師.我因為打籃球時.為了搶球.腹部右下側被撞到. 雖然被撞到的是腹部右下側.但右邊睪丸卻像被撞到一樣.並疼痛不堪. 我事後並沒有去看醫生.以為自己會好.但時時會隱隱作痛.而且睪丸有時 會有一高一低的情形.我不知道應該看什麼科才對.並請問是否吃藥就可以好. 謝謝. | 阿凱 你好，ㄡ，都是”凱”字輩的。 對於泌尿系統外傷，最常見的症狀是尿中有血、局部疼痛等。你的情形，右下腹碰擊，可能力量不小，造成有一些局部瘀血。 在胚胎期，睪丸是位於腹腔裡，與腎臟很接近，因此一些神經、血管等，都非常接近（雖然他們目前離得很遠，但是管路卻是連在一起的）。因此，腎臟疼痛，會有陰囊附近的疼痛，臨床上叫做”轉移痛”：就是明明陰部沒有受傷，但是卻因為轉移痛的因素，令人感覺怪怪的。 當然，另外一個可能，就是腹股溝有受傷。 支配睪丸的神經血管，部分會由同側的腹股溝進入腹腔。因此，在這裡的撞傷，有可能影響睪丸的神經血管，造成睪丸的疼痛（就好像你將手臂綁起來，可是手卻因此變黑、疼痛的情形是一樣的原理）。 不管怎麼樣，受傷的原則，在初期（2-3天內）使用局部冰敷，並避免劇烈運動。假如症狀沒改善，還是要看ㄧ下泌尿科，做ㄧ下腎臟睪丸等的超音波來確定。 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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13肝膽腸胃科
| 排便問題 | 醫師您好 我今年剛滿18歲 高中生 不抽菸不喝酒不嚼檳榔 有熬夜的習慣 長時間坐在電腦前面 希望這些資訊有助於您的診斷 常常會覺得腹部不舒服 可是那個感覺不是痛 偶爾會痛一下 然後會想樣上大號 可是去上了又沒有東西出來 上完廁所會有排不乾淨的感覺 排泄物的形狀不一定 有時候是一坨的 有實後是細長的 常常會排氣 目測都沒有流血的跡象 食慾也都不錯 晚餐後都會吃水果 最近有開始在運動 醫師請問我這樣子是什麼症狀 有需要到醫院去檢查嗎 我好害怕是癌症之類的東西 我才18歲 最近很擔心這個 心情也受到一定影響 如果要檢查請問要直接作內視鏡還是先作糞便潛血 因為在QA那邊有看見醫師您會建議先作潛血檢查 我有去網路上查看相關文章 有些文章說潛血檢查準確性較低 是否真得是這樣 以上情形有勞醫師解答了 辛苦您了 | 您好 糞便的準確度確實不高但是是一個當做初步篩檢的好工具至於您的症狀須不須要內視鏡檢查還是要臨床醫師來判斷。另外，您應該注意是否有腸躁症或是宿便的情況 彰化醫院關心您的健康 蔡安順醫師 | [
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| 避孕 | 我是每天晚上11點吃愛薇避孕藥 729晚上11點我有吃 但730七點多起床突然以為自己沒吃，所以趕快補吃 結果吞下去後才發現自己前一晚729其實有吃！！ 請問這樣我下一顆要什麼時候吃才對呢？ | 您好 731 早上吃，其他的都改成早上。祝你健康 | [
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13肝膽腸胃科
| 腸胃問題 | 醫師您好： 我這陣子胃偶爾會突然疼痛，笑的時候或用力時，胃部也會感到疼痛，請問需不需要做進一步的檢查。謝謝！ | 回覆： 您好 笑的時侯或用力時上腹部會痛，有可能是腹壁肌肉發炎或神經痛，但也不能排除肚子的器官有問題，至於胃痛需不需要進一步檢查可能要看痛的性質、程度，是否越來越嚴重，是否伴隨貧血、出血、體重減輕這些情形來判斷。如果真的很痛的話，還是請醫師評估較好。 內科袁宏道醫師敬覆 | [
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18放射線科
| 輻射問題 | 謝謝張醫師您的回覆 非常抱歉還有幾個問題想請教您 1.關於 護頸的部份不知普不普遍是不是大醫院的兒牙才有 因為就我們成人來說我記得以前在大醫院拔牙時也並沒有護頸呀 我家人拍全口的也沒有為什麼連大醫院都沒注意到頸部這樣重要的部份 反而只遮蔽相對比較沒那麼嚴重的部份只有 衣必備 2.放射線的原理想請教您一經照射會不會有殘留還是瞬間就消失了呢 如果它不會累積那麼致癌性是不是要瞬間很大的量才要擔心 3.以我們小孩的牙來看如果同顆牙是間隔幾天才再照的話會不會比較好 其實我們都有向醫生提及顧慮但醫生會希望有準確的片子來治療都會舉坐飛機的例子結果還是得照我很信任現在的牙醫但卻不希望再照片子因為為了同一顆牙有醫生照了片子說沒信心處理現在的牙醫卻願意接這樣的個案我也不希望再換醫生因為再換一次又得多照一次想冒 的請教張醫師的想法為了一顆牙照那麼多片子值不值得呢. 再次感謝您的回覆謝謝您 | John您好 因為我並非牙科醫師，所以這一部分可能要請您和您的牙醫討論，不過我想適當的X光片可以幫助牙醫師能夠做出更正確的醫療判斷，如果照射X光片數量不多，目前來講一般應該是沒有需要配戴護頸的問題。另外有關放射線的原理部分，在X光照射的瞬間，在很短的時間後、其生物效應就已經完成，X光並不會殘留在體內，會累積的只是它的生物效應；輻射線的致癌性一般可以稱之為"機率效應"，也就是輻射線暴露量越高，其致癌機率越大，是故，除非必要當然儘量避免過多的輻射線的暴露，但是必要的醫療行為例如X光骨頭掃描放射治療則不在此限，以達"合理抑低"之原則。希望能解答您心中的疑問新竹醫院祝您健康平安！ | [
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5泌尿科
| 性病 | 您好 今天有一位女性幫我用手處理， 過程中突然用外陰磨蹭我的陰莖 龜頭外的部分接觸時間大約十秒鐘 龜頭部分只有瞬間摩擦到一下，沒有長時間的接觸。 我並不詳細了解這名女性過去的性經驗 只知道相當豐富。 意識到問題後隨即拒絕女性繼續磨蹭。 事後查了不少資料，但現在仍非常擔心，以上述的情況下 感染HIV，菜花，梅毒以及其他疾病的可能性， 以及是否有需要去進行篩檢呢？ 再麻煩協助回覆，真的非常擔心 如果有需要我就會立刻進行篩檢 非常感謝. | 您好： 現在檢查是看過去有沒有傳染過，因為性病出現症狀有長有短，建議也要觀察有沒有排尿的問題，生殖器皮膚變化，或尿道分泌物要就醫，3個月後要檢驗是性病潛伏期已過，檢驗可驗出。祝健康 | [
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0婦產科
| 經期問題 | 你好 我擔心經期問題 最近都作息不正常又很晚睡 但12月和近日與男朋友性行為 安全措施有做好。但我12月的經期沒來肚子雖然感覺帳漲的但並沒有噁心想吐之類的 是因為作息不正常所以我12月的經期沒來嗎？ | 您好 作息不正常有時會影響經期，如果超過2星期仍然沒來，建議至婦產科就診。祝健康 | [
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4心臟血管專科
| 心電圖 | 想請問一下醫生，有關心電圖報告中比往年多寫道 Sinus Rhythm.normal P axis V-rate 50-99 RSR' in V1 or V2 Right VCD or RVH. QRS area positive R' V1V2 -Otherwise Normal ECG- 是否是正常的 前年突發性胸口壓迫感就醫時，醫生有說心跳有點過速的狀態，但除了會有些微的心悸並無特別生活上的不適。 但於今年開始，在靜態的狀態下，心跳有偶發低於60以下，感到不適及頭痛 或 運動時會非常喘的狀態，請問是否需要特別檢查還是會因為本身慢性氣管炎而有所影響 謝謝您 | 1. 心電圖的異常，必須還是由醫師看原始的圖像才能做判斷 2. 胸痛可分為心因性及非心因性，心因性胸痛俗稱心絞痛常有以下特徵1.持續數分鐘2-10分鐘，壓痛，喘不過氣大象踩在胸口2.可能轉移到下巴、左上臂等3.通常在活動後、激動情緒後誘發；休息後改善4.好發於有冠狀動脈心臟病危險因子的 病人，如：年齡男性45歲或女性55歲或停經、高血壓、高血脂、糖尿病、吸菸、早發性冠狀動脈疾病的家族史、久坐不動及活動量少。依照您的症狀描述，並不符合典型的心絞痛，您可以放心。但如果症狀持續，仍建議您至心臟內科門診作詳細檢查。 | [
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| 糞便問題 | 醫師您好，我平日大便的習慣大概是一天兩次，並且已維持多年。大約自今年初開始，每日兩次大便的型態變得有些不同，第一次的大便通常是正常的10元大小粗細，並且是完整一長條，但第二次大便常常分成好幾段，並且粗細會變得只剩約大拇指粗，想請問醫生這樣的現象是正常的嗎 | 衹要沒帶血尚可再觀察並建議多吃蔬果纖維。擔心的話可檢測糞便潛血。 | [
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| 醫療諮詢 | 醫師你好 先前有發問關於勃起的問題 醫師開的 1.CIALIS 5MG 剝半顆 2.PAPAVERINE HCL TABLEST 30MG 3.Trental 4.Mesyrel 0.5 目前服用一星期勃起狀況都正常今日回診看睪丸酮報告參考值1.66-8.77結果是6.27 醫師說已經是雙倍數字賀爾蒙是正常的就繼續吃循環藥物即可於是就開給我跟先前的藥物 一樣服用三個月請問大致看來這樣治療就可以了嗎 | 蔡小弟： 你好 臨床症狀有改善，客觀數據也改善，表示治療是有效果的。 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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| 陰道炎 | 醫生你好，想請問你一下， 我前幾天陰道突然有分秘，是白色的，星期日開始下體有點癢星期一先去買了寧司泰定陰道塞劑用藥，今天去看了婦產科，醫生說要幫我做細菌培養，然後剛才尿尿擦下體發現有一點黃色分泌物，我大概六七年前有一次是黃色分泌物醫師只說發炎開了塞劑跟藥而已，之前很常下體癢，大概一年都有一次，最近三至四年都沒有過下體癢過，想問醫師幾個問題，1下體黃色分泌物很嚴重嗎，阿不然為何醫師要培養細菌，很是擔心呢 2還有我的月經經期大概這幾天就要來了，是否繼續使用塞劑呢 3我是繼續使用我買的塞劑寧司泰定，還是改醫師開的洛黴欣陰道塞劑呢 | 您好 請照醫師的指示用藥，月經來就停止塞藥。祝健康 | [
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15復健科
| 肌肉拉傷 | 前年有一段時間，做掌上壓較頻密，可能未能及時拉筋，左腹開始痛同有"頂住"的感覺，原以為是運動後酸痛，但過了一段時間，感覺依然，去醫院看了，醫生表示是肋骨肌肉拉傷，開了藥和藥膏，但食完藥，擦完藥膏，到今都覺得左腹頂住的感覺，有時做完運動，第二日會痛。請問怎麼做才能康復 謝謝 | 做伏地挺身時若姿勢不當，用力過度 的確可能造成肋間肌或腹肌拉傷 除了口服藥物或外用藥膏 可配合物理治療如熱敷或水療加強治療效果 平時亦可多做伸展動作避免肌肉攣縮，增進恢復速度 另外應檢視是否有不正確的運動姿勢 不但訓練效果不彰，反而容易受傷 | [
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2牙科
| 拔智齒 | 醫生你好，我右下角的智齒因為之前有紅腫過，去診所照X光後發現牙根離神經很近，甚至好像有點壓在上面了。 我想問這顆智齒還會再長出來一點嗎？再長出來一點的話他會不會離神經遠一點？ 那如果沒辦法離神經遠一點的話拔完臉部麻痹的機率會不會很高？會不會造成永久麻痹？謝謝醫生 | 您好 若有全口矯正牙齒的需求，建議還是趁年輕時將埋伏智齒拔除，整體恢復會較佳。下齒槽神經受傷，恢復機率很高，且是感覺神經，不會影響說話咀嚼面部表情。 | [
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0婦產科
| 性行為 | 醫師你好 我跟我前男朋友有性行為超過一年.不久前分手了. 我想知道男生會感覺出女生已有性經驗嗎 我不想讓我以後的男朋友知道我有性經驗 | 您好 是有可能可以感覺出來.男女交往貴在真心坦誠以對才是上策. 署立新竹醫院婦產科 | [
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7耳鼻喉科
| 鼻竇炎 | 前幾天 頭痛----鼻樑上兩眉中間到左眼眉毛以上那邊很痛 輕輕拍他或是壓他 會非常痛 中午到下午那時段 會一直痛 痛到想吐 有點鼻塞呈現黃綠色 可是沒有其他 鼻竇炎的症狀了 昨天有看醫生 可是我不太清楚 所以這樣算是鼻竇炎嗎 | 人的鼻竇分為額竇，上頜竇，蝶竇及篩竇。額竇的位置顧名思義是在額頭中間，眉心上方的位置。當感冒造成鼻黏膜腫脹，或是鼻竇開口長出鼻息肉或腫瘤時，就可能會造成額竇分泌物無法排出，因而發炎積膿。症狀包括黃膿鼻涕，頭痛，前額敲痛及壓痛。診斷方法包括鼻部理學檢查，鼻竇X光或電腦斷層。而治療方法要看引起鼻竇開口阻塞的原因，若是細菌感染要投予抗生素，若合併有鼻息肉或腫瘤就可能需要手術才能徹底根除。 這位先生您的症狀和額竇鼻竇炎非常類似，建議您及早至本院耳鼻喉科就診並接受詳細檢查以便於對症下藥。 | [
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| 結紮 | 我有兩個女兒了.因太太本身有血小板低下的問題.故不想再生.想做男性結紮手術.不知道會有什麼後遺症.結紮後再受孕的機率不知道有多高 以後想再受孕的成功率另外費用大約多少以上. 謝謝 | 想做男性結紮最好要有這輩子不想再有孩子的”決心”.結紮當然是由男生做基本上沒什麼後遺症結紮手術後還要射精20次左右清空庫存量再做精液分析確定沒精蟲才算完全當然以後反悔的話可以施行顯微手術再接通但可能要花不少錢而且隨著結紮後的時間長短會影響受孕機率好好想想吧 | [
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| 避孕藥 | 醫生，您好 124有發生關係（是月經過後第二天），是有戴套，但因為燈全關，也不知道有沒有戴好，甚至事後沒有裝水做檢查，隔天125有去買事後藥來吃，但也有點遺忘是否有吃進去（應該是有 因為腹部會悶悶的）本身經期就是對不準時 近期3個月 1027-112、1211-1217、116-122 但昨天127也有發生關係（月經走後第4天），有戴套 也有裝水檢查 是沒有破的 而今天是吃藥後的第6天 早上起床有看見有點血跡（這幾天會繼續觀察），而這幾天腹部也悶脹還有腰歲背痛（感覺很像要來的前兆） 想請問醫生這樣略為的出血 還會有可能懷孕嗎？而這樣應該不算是月經吧？！ 如果不算了話我是不是還會有一次的經血？ 但如果現在的血跡持續7天算是月經嗎？ 這樣懷孕機會還會高嗎？（不希望懷孕 擔心中😓） 最快驗孕時間是性行為10天嗎？ 那多久驗就可以確定沒有懷孕呢？ 謝謝醫生的回答🙇♀️🙇♀️ | 您好 事後避孕藥有些時候會亂經，觀察即可，ㄧ般性行為後12天可以驗孕。祝你健康 | [
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1精神科
| 妄想 | 余醫師您好， 身邊有家人因出現妄想症狀，所以去抽血檢查，T4、T3皆正常，但是TSH偏低，醫生好像說這是亞臨床甲亢，同時也有去精神科看病，並服用每日半顆Abilify和半顆SeRoxat。有看一些文獻和文章，有提到亞臨床甲亢會可能產生妄想，但好像不常見，也很少文章和文獻有特別研究，所以想問一下醫師的臨床經驗，是否亞臨床甲亢只有TSH偏低，會產生妄想症，TSH穩定後，妄想症是否有機會恢復正常 | 您好： 聽起來您的家人正受精神現象所困擾，或許也影響到生活以及與身邊他人的相處。在此情形下，家人願意一同探索及了解情況，是件值得嘉許的事。感受得出您對家人的用心，對家人現狀的不安，及對改善的期待。在受精神現象之苦者復元的旅程中，家屬持續的支持、維持穩固的醫病團隊關係以及依整體狀況評估而安排相對應療程的治療都是很重要的面相。 礙於生理疾病專業性及複雜性如TSH下降之因有多重可能、精神醫療多樣性精神症狀之因亦有多重可能、線上平台隱私及醫療考量層面廣泛，為避免對病情及多方誤會，建議與治療醫師持續討論各樣的擔憂及想法，並持續追蹤，以便診察醫師陸續安排最契合家人實際整體狀況的檢查及規劃後續醫療計畫。 玉里醫院關心您 | [
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5泌尿科
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| 腹瀉 | 請問醫生我今年27歲，近兩三年排便都是軟便不然就是拉肚子，無腹痛或血便，排出來的糞便有時會是偏綠色或是有菜渣，今年四月照胃鏡有感染幽門桿菌吃兩個禮拜的藥，但症狀還是持續，也有體重變輕症狀，請問這會是什麼原因造成的 | 您好 可能是腸躁症或是飲食，精神壓力所造成，如果有大腸癌家族史，可以就診胃腸科，醫師評看看有沒有需要安排內視鏡。 彰化醫院關心您的健康 蔡安順醫師 | [
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| 腎臟問題 | 婆婆82歲 153公分 目前74KG 有糖尿病高血壓最近身體水腫 經診斷是慢性腎臟病 腎功能只有20多肌酐酸過高 請問飲食上要注意些有哪些食物攝取應注意. 1. 鈉的攝取每日 5000毫克以內可以嗎 2. 蛋白質攝取每日 50公克以內可嗎 3. 鉀 磷 的攝取量 有限制嗎 4. 哪些食物不可以使用 5. 市面上有出版介紹各種食物營養成分的書嗎 | 您好 相信您已經做過功課，故能知道其飲食控制的方向 一般而言，慢性腎病的飲食其飲食原則 1.鈉的攝取量：約2-3克鹽，也就是1200mg 鈉，以一般正常人約為6-8克鹽，也就是2400mg鈉。鈉不僅存在於鹽巴當中，還包括調味料如醬油、沙茶醬、蕃茄醬，及醃漬物當中。甚至天然食材就含鈉。以一份均衡飲食一日所攝取到的鈉約為300mg。如果有水腫情況，會建議要更嚴格限制鈉的攝取。 2.蛋白質的攝取量以婆婆的身高，其理想體重約為50公斤左右，不知她平常沒有水腫之體重大約會是幾公斤，以理想體重計算會建議她一蛋白質攝取量約為43-50克左右，一日蛋豆魚肉類份量約為2-3份，還要注意主食類中也含蛋白質，需要以低氮澱粉如冬粉、米苔目去取代。 3.鉀及磷要依照抽血報告才調整，一般而言腎功能不好鉀及磷較容易有代謝異常狀況，如果指數高就要限制，但並不是所有人都要限制，限制過多容易造成營養不良情況。 4.限制攝取的食物一般而言是加工醃漬物，另外較重要得是楊桃含神經毒素，腎功能不好的患者要避免攝取。 5.衛生署有出版一本食品營養成份資料庫，可以查詢食物營養成份，也可以至網路衛生署食品資訊網查詢。 以上由衛生署南投醫院蔡秀雯營養師回覆 祝您健康 | [
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4心臟血管專科
| 血壓 | 醫師您好 想向您請問74歲的女性老人家 有高血壓 今天突然有高的血壓達到160低的血壓反而略低74左右 而且伴隨顫抖跟冒冷汗還有些無力 請問醫師這是什麼樣的情況是否該深入檢查 | 您好 血壓達到160 很可能是身體某部分不適引起伴隨顫抖跟冒冷汗還有些無力 突發性血壓升高 應可先觀察 先喝個熱水 休息一下 針對身體某部分不適先處理為宜 血壓很可能是不適之後造成的 平安 彰化醫院關心您 | [
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0婦產科
| 避孕藥問題 | 您的問題：醫師您好. 同一個問題隔幾天又收到一次回覆，但內容卻不同，我有點疑惑，請幫忙再說明一次. 謝謝你 “我的月經週期大約是28天前2天後4天左右會來，前2次是830及929來，這個月1025來，下個月預計1121來，但4天後要出去旅遊，想吃避孕藥讓它提早或延後. 請問若是服用21天型的避孕藥，可以少吃幾天讓它提早嗎？還是得買第二盒多吃幾天再停藥讓月經慢幾天來？ 另外，排卵期胸部非常漲痛，且一直持續到月經來才不痛是正常的嗎？請問有什麼方式可緩解疼痛？這種情形不是每個月都會發生，請問是為什麼呢” 1027 回復醫師：婦產科曹國桃 醫師建議：您好 兩者都可以，至於乳房的疼痛，有可能是荷爾蒙的關係，如果不適，可以症狀治療。祝健康 111 回復醫師：婦產科曹國桃 醫師建議：您好 繼續吃下一包的避孕藥到旅遊結束，等月經來再吃另一包的避孕藥，胸部漲痛，可以吃普拿疼，如果還是不適，建議看婦產科。祝健康 | 您好 如果你想提早就先停藥，如果想延後，就繼續吃下一包到旅遊結束，至於乳房痛的問題，可以先吃止痛藥看看，不過建議最好還是給乳房外科檢查。祝健康 | [
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| 失眠 | 不好意思請問一下這問題已經困擾我3個禮拜多了 目前大一 剛開學的第一個禮拜我都睡得很好 但是第二個禮拜開始. 就一直失眠. 每次眼睛明明很酸很想睡覺卻睡不著. 回到家中由於讀大學住外面 雖然可以正常睡眠但是大部分都會在1點或3點之間醒來. 就再也睡不著 淺睡這樣 跟家人說 都只要我習慣就好. 這樣真的很痛苦 雖然隔天不會很累但是眼睛會很酸. 希望能有解答 謝謝 | 您好： 看的出來您真的爲了失眠所苦。失眠的原因短期可能是壓力刺激所致，長期跟性格、睡眠衛生習慣等有關係。治療失眠也不是只有藥物治療，非藥物治療的效果可以持續更久，包括睡眠衛生、刺激控制、認知行為治療等。建議您至精神科您的睡眠類型所適合的治療，對症下藥，才能解決您的痛苦。南投醫院精神科關心您。 | [
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12胸腔內科
| 呼吸困難 | 醫生您好： 自從96打完疫苗後，身體一直出現呼吸困難的症狀至今（1015）。其中，914的發作較為嚴重，但送急診後抽血和x光無異常，醫生認為是換氣過度。爾後因不放心，陸續反覆檢查了心臟內科和神經內科，目前表示皆無異常。因症狀仍然持續，不放心下便買了較好的血氧機來自我檢測。大部分的時間皆為97-99，不過，昨天我又忽然呼吸困難時，當下立刻檢測，發現血氧機上跳的數字竟是72，過了10幾秒後才慢慢回到97附近。我馬上掛胸腔科醫生詢問，醫生認為要以最後數字為準。然而，當天晚上回家準備入睡時，因爲不放心便將血氧機套在食指上睡，原先好好的，都在97-99附近；但正要入睡時，忽然感到呼吸困難，一睜開眼發現數字竟然變成82…接著也是過快一分鐘的時間才慢慢回復成正常值（這段時間血氧機皆套在手指上）… 想請教醫生：如果是換氣過度，或是自律神經失調引起的呼吸困難，血氧應該不會有這麼大起伏對嗎？或是說我可能有呼吸衰竭、肺阻塞的可能性呢？謝謝醫生，謝謝您。 | 睿先生您好 目前心臟科及神經內科排除各自可能問題，血氧的部分起伏太大可能是機器開始測量，還沒抓到標準的波型，確實要以最後穩定的數字為主，但仍可考慮至胸腔內科，排除其他氣管相關問題，如氣喘或肺阻塞之類的問題。少數情況則須考慮風濕免疫的特殊問題。 彰化醫院 胸腔內科 關心您 | [
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1精神科
| 情緒不穩定 | 你好最近剛要升大學的我一直面臨到底要不要升學和升學要讀哪間的問題。班級上也出了一些問題讓我在學校也沒辦法做自己。跟朋友也是最近很常情緒失控前一秒開心下一秒一個不合我意的事發生我就會叫大家滾、不要煩我等等很鋒利的字眼甚至都會被自己氣到控制不了的哭出來又一直在心裡面問自己我在哭什麼還有情緒一來就會想輕生也有自殘的念頭因為這樣我砸壞了不少東西請問這樣我是因為最近壓力太大還是心裡有生病呢 | 妳好 依妳的敘述，有許多壓力事件最近同時存在。妳面臨了升學的壓力和抉擇、班上出了一些狀況、人際互動上有壓力、情緒及衝動控制力變差。看起來眾多壓力把妳壓得喘不過氣來。建議適時讓自己休息。當所有的壓力集合在一起時，會讓人心煩意亂，難以承受，建議分開來個個擊破比較可行。冷靜分析各個壓力源，分別找出可能改善的方法，致力於可以改變的部份，接受那些無法改變的部份。但是若狀況一直沒有改善，有可能是壓力已經造成了憂鬱的症狀，如果連食欲、睡眠都受到影響，建議就醫尋求協助。 祝福妳 | [
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6骨科
| 膝蓋問題 | 醫生您好. 我的狀況已經持續近二個月了 我沒有做過什麼劇烈運動.只是在五月份出國.我想會不會是走太多路造成的. 剛開始是左膝在跪著時會感覺膝蓋的筋好像拉到一樣.突然感覺到劇烈的疼痛 但是將腳拉直後.又不會痛.慢慢一個禮拜後連腳彎曲也會有這樣的感覺 而且本來只有左膝會這樣接著連右膝也覺得膝關節緊緊的.只要彎曲膝蓋都會疼痛 也會感覺膝蓋無力在走路會感覺膝蓋裡的軟骨好像會移動.走起來很不舒服 不只走路不舒服.有時連站著也不舒服而且膝蓋上方骨頭都會痛 這期間我也有去看過中醫.但是成效不大也去看過復健科及骨科. 都告知應該是膝蓋軟骨受損及膝關節不穩定所造成.也叫我訓練四頭肌.自已做一些運動來加強四頭肌的力量我也有持續做運動近半個月. 但最近走路連腰及大腿.膝蓋都會疼痛因我原本也有及脊椎側彎，這會有影響嗎 因為實在不知到底是什麼問題可以請您為我解答一下嗎.謝謝您 | 可能是膝蓋骨的軟骨出了問題，也有可能膝蓋的排列位置不對，或者是不穩定造成的，還是要去找另一位醫師看看，到底是那一種狀況。做四頭肌的訓練也要三到六個月才會有效果，因此還要再持續做才有效。 | [
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| 大便出血 | 最近大便時常有出血的問題，大概沒十次有七八次出血，持續了滿久的時間，可能有幾個月，大便後通常馬桶裡很多血，然後也會滴血，前陣子大便時有蠻強烈的疼痛，最近大便時基本上沒有疼痛感，但流血狀況還是沒有改善，大便少數時候衛生紙上會有一些血色不確定是黏液還是血便混合的東西。大便習慣正常，大約一致二天會有一次。請問現在這樣的狀況可以自行溫水坐浴緩解嗎還是需要到醫院檢查。家裏無大腸癌病史。 | 雷先生您好 您還是可以請肝膽胃腸科醫師診視一下，進一步檢查比較放心。謝謝您的提問 | [
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| 骨頭問題 | 請問.聽說骨頭痛若沒醫治好以後會站不起來是嗎 這需要長期治療嗎若正在當兵該怎麼辦 謝謝 | 請先至骨科門診照x-光，並經醫生檢查後再行討論。 | [
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| 月經 | 醫師您好 我女友跟我說這次她的月經是偏黑色的 我女友是在我跟她行房完後的隔天來月經的 是否是這樣造成月經的顏色有點異常 可能是身體發生了什麼異樣嗎 需要去看診嗎 感謝醫師的回答 | 女性生殖道異常出血當然需要婦產科醫師診察，疼愛她，請儘快陪她求診於婦產科醫師診察。 | [
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| 包皮問題 | 醫生我想割包皮但又不想割太多，擔心會因為包皮留太長會有其它問題 因為之前咨詢時醫生他跟我說留太長有可能會導致這些問題 所以想請教一下醫生，包皮傷口孿縮或沾黏跟手術時預留的包皮長度有關係嗎 所以手術時包皮預留長度太長是否有可能會照成傷口孿縮或沾黏嗎 | 大頭： 你好 包皮傷口的癒合，與手術後傷口照顧有關，與包皮長度沒有關係。 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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20中醫科
| 子宮肌瘤 | 張醫師您好： 想請教您子宮肌瘤復發後喝茶的問題。我第一次長肌瘤是在107年，在去年年底復發，或許跟當時母親罹患乳癌所導致的壓力有關，這半年沒有再長大，目前不到兩公分，經期大約35天，量不多，剛來的兩天會不太舒服，會拉肚子，頭也會有點暈，喝黑糖薑茶會改善，經期大約四五天結束。 除了持之以恆運動之外，還想徹底戒掉手搖飲，想請問每天還是想喝茶的話現在夏天所以喝溫的，可以： 1. 喝綠茶嗎 每天可以喝多少呢 2. 烏龍茶及紅茶呢 3. 可以喝黑豆水嗎 這部分上網查詢有看到兩種說法，因此想說請問您最準。如果可以喝的話是一週可以喝多少量呢 4. 經期來的期間可以喝國寶茶嗎 或者有推薦什麼茶類 最後想請問，有人說中醫可以透過中藥和針灸協助子宮肌瘤縮小，想請問真有這回事嗎 又或者如果只做針灸的話有幫助嗎 不好意思問題滿多的，再請您撥冗回覆了，非常謝謝您！ | 喝茶葉茶，手搖飲料不讚同，黑豆自買泡開水發芽食用較營養，適量隔日吃，不擔憂。請定期回婦科追蹤肌瘤，不可放任不關心，切記，為要點。祝健康。部嘉 關懷 妳 | [
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16腫瘤科
| 癌症 | 醫生你好. 我是何杰金氏症第二期的病人.我目前正接受化學治療.如果說要檢查何杰金氏症是否已痊癒通常都會有怎樣的檢查例如.照x光之類的 我的手部長了很多小水泡.請問是否可以先暫時停止治療呢對病情有影響嗎還有就是說醫生說我要化療6次.目前我已做4次了.如果說腫瘤不見了可以停止化療嗎還是說不管怎樣都要做完6次的療程 | 陳小姐： 您好。電腦斷層攝影最常被用來評估療效，正子掃描可以看腫瘤是死是活，正在風行當中，可惜蠻貴的。6次治療仍屬標準，就算腫瘤全都不見了，建議您還是接受6次化療。至於水泡因為沒有親眼看見，不敢隨便出主意。但是要小心帶狀皰疹哦！祝早日痊癒！ | [
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| 懷孕嗎？ | 在1031號時 有跟女友互相愛撫且壓在他身上 但沒有發生性行為 但女友說弟弟好像有碰到妹妹一點點 那一天是安全期隔一天111月經就來了 但在上上禮拜1116排卵期有出血得狀況 請問這樣有懷孕嘛 | 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
| 懷孕嗎？ | 女友亂經但全程有使用保險套 會不會太大力跟小小的軟掉繼續進行因而造成側漏 拿出來才射精 事後檢查保險套沒破 這樣還有懷孕的可能嗎 | 類似的問題已經太多，可參考本站常見問答 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。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
| 焦慮症 | 你好！ 我從12歲開始便很害怕到街上去，這數年來除了上學，我都只會躲在家中，我常常覺得自己比不上別人，特別是衣著方面，我感覺到自己的衣著很土，差死了！可是又不敢去買衣服，因為我總覺得店舖內的人都望住我，鄙視我；而且我會很怕和陌生人談話，連打電話去諮詢某些問題也不敢，但是和家人還有熟悉的朋友，我又可以暢所欲言，不會像對著陌生人那般說不出一句話來。 有時也會有點覺得自己有雙重人格，因為在學校和在家裡好像兩個人一樣，一個安靜而沒多少話說，另一個就多話而且開朗，請問我這種情況算不算有問題？？是焦慮症嗎？還是人們說的精神緊張呢？？ | 靜兒你好 關於你的問題 我認為你的確市有問題的 應該要接受治療 基本上你的疾病就是焦慮症的一種 稱為畏懼症 或是社交恐懼症 這一類的疾病其實是很常見的 只是程度嚴重的差異會有所不同 有一些人一上台就緊張 或是有一些人一跟別人講話就緊張 畏懼正也有其他的種類 比如有一些人在高的地方就害怕緊張 有一些人看到老鼠 昆蟲就怕 你的狀況已經影響你的社交行為因此我會建議你接受精神科的治療 會有不錯的治療效果的 祝你健康 | [
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5泌尿科
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1精神科
| 診斷 | 首先，先感謝醫師在百忙中抽空閱讀和回覆🙏🏻 我看身心科持續看了2個月左右的時間，一開始的診斷是「F4323伴有混合憂鬱情緒及焦慮之適應疾患」； 後來因為一些事情，多了次診斷1「F39情感疾患」； 最近換了一個醫師回診，主診斷變成「F39情感疾患」；而次診斷1則變成「F4323伴有混合憂鬱情緒及焦慮之適應疾患」； 想詢問的問題： 1.這樣的診斷是代表說我從適應障礙症變成情感疾患了嗎？ 2.我有上網查過「F39」的診斷是「未特指的情感性精神障礙」這是什麼意思？有點不太了解「未特指」是什麼意思😅 再次感謝醫師的耐心閱讀🙏🏻 | 您好： 聽起來您的身心處境似乎對生活造成一些影響；而或許是擔心，或其他各式因素及感受，使您想對精神診斷有更多了解。您有心去探索及了解自己所處的狀態是件值得稱許的事。在持續探索自身狀態的旅程中，不少身心醫療資源的使用者觀察到，與團隊互動及討論時，除了身心困擾及精神診斷外，也會逐步探索自身內外在的資源及優勢。他們也觀察到，這些多面向的持續自我了解，是幫助自己成長及渡過人生大小風浪的重要根基。 精神診斷是身心狀態史化約後的結果，也是醫病合作一同度過難關時，所考量的眾多面向之一。因此，對於您所提出的問題，單從診斷及診斷的變化回推背後的原因是很困難的，懇請海涵。為了避免誤解，建議您將問題向診療醫師詢問，以獲得較契合您實際狀況的解答。 玉里醫院關心您 | [
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| 菜花 | 醫生你好，想問一下關於菜花潛伏期的問題 從被無套口交以來超過三個月，我的生殖器都沒有出現相關的病灶 是不是就可以確認沒有被感染？ 另外只要我被無套口交超過三個月後都沒有出現任何病灶 這三個月內有性行為的話皆全程戴套會有機會傳染給其他人嗎？ 謝謝 | 您好：菜花潛伏期平均三個月，但是幾年的也有，另外保險套防護可能減少感染的機會，但不能完全防止感染（但是還是建議使用）您如果得到菜花，出現突起物是您的免疫力與病毒性強弱有關，所以您如果感染，即使未見病灶，還是有風險傳給別人（所以要保險套防護全程），多些知識防身，謝謝您的詢問 | [
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| 事前避孕藥 | 醫生您好！以往我正常月經準時在每個月的24號左右來，但我在這個月1013號的時候第一次吃事前避孕藥現在也已過數天了，想詢問說，我這樣提早在正常月經來潮前吃，效果如同一般正常在月經第一天到第五天之間吃的一樣有避孕作用嗎？ 主要我會提早吃只是單純想避孕用不是要調經，但又不想等到每個月正常月經24號開始的第一天在吃，才會有這樣的動作，醫生會怎麼建議？ 我需要現在停藥讓月經來在吃，還是說就這樣繼續準時吃下去21天停藥7天的規則，避孕效果顯不顯著？假如此刻停藥會不會導致亂經的可能性？ 在勞煩醫生解我的疑惑，謝謝！ | 1. 事前避孕藥連續使用一週以上，才有避孕效果。 2. 任意期間開始服用，易打亂自身月經週期。 | [
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