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1精神科
| 焦慮 | 醫生您好，我現在是個高二生。從小我的個性就比較內向，如果有親戚或爸媽的朋友來，我都會躲起來， 家中的電話如果不是認識的來打來，我都會丟著不接，因為我蠻怕跟陌生人講話。 我小時就就不太會跟其他小朋友交談、一起玩。不過國小情況有改善，不過國中後，情況又慢慢回來了。我現在在學校也不太會跟同學說話，下課都自己一個，朋友也只有兩三個。如有老師找我講話，我會感到焦慮，眼神僵硬，不太會直視對方；在報告時，我會緊張、口吃，甚至會有很明顯的手抖手抖的狀況從小時候就有。我的朋友也不多回家或到補習班我都自己一個，人多的地方我會覺得緊張、沒安全感，會想要逃離，不過通常只要戴上耳機聽音樂，焦慮感會下降。 我爸會控管我在社交方面，他不允許我假日和朋友出去；平日下課也要盡快回家，不能在外面閒晃。因此除了學校班遊外，我從沒和其他同學出去，也沒去過別人家拜訪。現在我也不會有主動交友的慾望，也不會參加學校的活動，因為我怕和別人交談。 醫生，我還有一個問題如果我想找醫生協助地的話，應該到哪裡？因為我爸絕對不會接受，屆時我可能要自己去。 謝謝醫生 | 葉同學，您好： 依您所述的症狀，確實需要考慮社交焦慮症的可能性。目前一般可以選擇的治療模式，包括使用藥物或接受心理治療。 由於目前台灣法律的規定，未成年人的就醫行為須要監護人同意或授權，尤其侵入行的治療如手術、注射等。 服用精神科藥物和接受心理治療，一般也都認為需要家長同意或授權代理人同意。因此建議您先和家長達同共識，再請家長陪同就醫評估，以決定治療方式。 若真有困難，可以考慮請學校輔導專業人員協助溝通，或者看看你所在縣市政府教育局是否提供與醫療單位合作的到校諮輔服務，可以先行利用。 劉士愷醫師 | [
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2牙科
| 牙齦問題 | 醫生你好，3星期前拔牙後傷口白白的，有回診牙科醫師說正常的修復偽膜，但還是有用藥水幫我清洗傷口，之後白白的偽膜都沒在出現，昨天回診醫生說我傷口太乾淨了，這樣傷口修復會很慢，想請問醫生傷口上的偽膜要怎樣才能出現，每次刷牙都用牙膏會影響偽膜的生成嗎，或是要吃甚麼可以加速修復 | 您好 傷口處不要有食物殘渣堆積，刷牙時小心不要弄破傷口，可以用漱口水輕輕擦拭傷口處一天2次即可，可多吃維他命B，讓軟組織復原狀況較好。 衛福部臺中醫院牙科林佳詠敬覆 | [
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0婦產科
| 墮胎 | 請問之前我朋友19遂在手術墮胎以後一直很痛醫生說3天內會很不穩定這是正常的嗎另外可以吃止痛藥嗎會痛多久是正常.醫生似乎沒給她吃什麼藥.需要吃藥嗎 | 請到門診做超音波檢查 | [
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| 事前避孕藥 | 醫師您好， 想詢問 本來生理期都準時固定28-30天來潮， 來潮天數平均為5天 但從上個月至今開始服用愛薇已經了一個月半（進入第二盒的第14天） 因為是第一次服用，所以從511經期第一天就開始服用，有見紅的天數延長至9天。 在服用第5天和第9天有同房未做防護。 在第一盒結束時，月經沒有正常來潮，於620驗孕為是陰性。 但今天（624）晚上使用排卵試紙是強陽，且出現胸漲跟分泌物。 請問這樣的狀況常發生嗎？ 另想詢問， 真需要補充維他命C 的保健食品，請問與事前避孕藥間隔多久才能避免交互作用？ | 你好 正常是沒排卵，正常吃完避孕藥後一個星期內會來，觀察即可，不一定要吃健康食品。祝你健康 | [
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2牙科
| 咬合 | 裝完牙套5年，咬合不吻造成相對牙（健康完整牙床鬆動）醫師建議要拔掉這健康牙，如何補救可不拔牙？ 帶牙套是右下倒數第二，造成上面的真牙搖晃著，醫師說要拔掉，若拔掉可以將右上最後一顆牙與其它好牙，拉靠近嗎？不再做任何補牙？ 帶牙套及上方牙鬆動，會造成左上方腦，頭疼嗎？ 謝謝您 | 1.如果是戴牙套對咬牙鬆動搖晃，要評估是什麼原因造成的，有可能是牙周病或長期咬合傷害，建議找牙醫師做評估。 2.上方牙鬆動，除非有嚴重的牙感染引起發炎，否則並不會造成左上方腦疼痛。 南投醫院牙科 曾光暉主任 | [
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2牙科
| 牙齒問題 | 醫生你好 前幾天牙齒非常痛 但這幾天有比較緩和了 不過現在牙齒會漲漲的 不痛 可是垂直壓或敲擊時特別痛 這些都是前幾天看完牙醫的事情 醫生先用暫時填補物填充 說先觀察一個月 那我現在是不該直接回診 請醫生在診斷看看 | 如果牙齒會脹痛，特別是垂直壓或敲擊特別痛，應該是牙根尖有急性發炎，應該找牙醫師評估是否需進行根管治療。 | [
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5泌尿科
| 陰莖問題 | 醫生你好我想請問一下以下症狀 我今天早上起床發現龜頭接近尿道的左半部紅腫而且會癢” 之前沒有類似的情況最近家裡養了一隻貓才發生的情況 需要到醫院就診嗎還是買藥膏回來擦就好了 | 黑熊： 你好 照理說，黑熊應該是不會怕貓的（開玩笑的）。 我覺得，應該是貓身上的細菌等跳到你的身上，最好還是儘速就醫。比較厲害的像是弓漿蟲等，有可能會導致眼盲，要非常小心。 行政院衛生署台東醫院 關心您 泌尿科 主任 許維愷 答覆 | [
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10兒科
| 副食品 | 黃醫師你好 我兒子現在不喜歡喝牛奶 月齡4個月 體重只有6.5公斤 我有用紅蘿蔔泥和蔬菜泥給他吃 他都會吃 但是吃不多 醫師 我該如何斟酌蔬菜泥果泥的給予量呢 又該如何讓寶寶多喝牛奶 藥局人員是建議我添加比菲得氏菌來幫助他吸收與開胃 但是商品種類繁多 不知道該怎麼選擇好的產品 醫師你可以給我建議嗎 麻煩黃醫師給我個建議了. | 正常四個月大的幼兒體重大約在5.3kg8.7kg，所以6.5kg還算正常。幼兒在成長當中都有厭奶期，至於吃蘿蔔泥和蔬菜泥，依公司品牌量多少來餵食，吃比菲得氏茵可以增加幼兒一種很好消化增進食慾劑，依我們所記用的是日製、日研LacB詳細還是帶小兒到教學醫院檢查，謝謝 | [
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| 避孕藥 | 612為最近的一次月經，622有發生性行為，1小時內吃二代事後藥。 78、715、725驗孕結果為無懷孕 目前727月經尚未來，有出現過比之前還多的白色膏狀分泌物很像曼秀雷敦軟膏的膏狀，請問還需要驗孕嗎還是已經排除懷孕結果，請問是因為內分泌失調或是使用事後藥的關係沒來嗎謝謝。 請問需要吃催經藥嗎還是順其自然等月經到來即可謝謝。 | 提問者您好 影響月經週期或經期外出血的因素有很多，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、流產、哺餵母乳…等，建議您如果月經仍沒有來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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10兒科
| 小兒神經方面 | Dr. 洪 您好誠心請教.幼兒8歲有過敏病史現常有皺眉 頭部向左應是抽慉吧擺動 眼角向左後上方翻白等之不自主動作詳問曰偶覺疼痛尤以疲累後為甚. 今已日型嚴重 且擺動弧度加大 頻率增加. 懇切請問該向何科問診 是否是腦神經的問題 單純過敏會有此症狀嗎 耽誤您一點寶貴時間 請務必有以教我 謝謝 謝謝 一個憂心忡忡的姑姑 | 絲絲您好： 依您所描述的症狀，最有可能是”tic”不自主的抽搐，指不自主、突然、快速、反覆、無韻律但有時固定性stereotyped的動作或聲語，如果有造成生活或是社交上的問題，稱為妥瑞症。可能是腦神經造成的問題，但大部分是沒有原因的，過敏的小朋友有一部份都有合併tic。不過tic可能又有合併其他的精神問題，如專心不足的過動兒，或強迫症等。可以先尋求小兒神經科醫師，如有需要再找兒童心理科醫師。 祝 順心 | [
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| 大便出血 | 醫生您好，我平時有便秘的困擾 大便會痛也會流血 但幾乎都是鮮血 只有衛生紙擦拭時才有 最近左側腹偶爾會痛 大概有一個禮拜了 昨天跟今天上大號發現大便表面上有點粉紅色的 擦拭時也有一點粉紅色而且好像有黏液 之前都沒有過 昨天上廁所時也會痛 這樣會是痔瘡嗎⋯⋯ | Hi： 您好， 便秘，排便疼痛，衛生紙擦拭時有血。排便有血，疼痛常見原因痔瘡，肛裂，長期反覆發生會貧血。建議大腸直腸科或腸胃科門診追蹤治療。 祝 平安健康！ 衛生福利部桃園院 腸胃科主治醫師 林明慧敬復 | [
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0婦產科
| 月經問題 | 醫師您好： 我9月之前月經週期及天數都很規律正常，10月份月經晚來大約10天且僅有第一二天經血量正常，第三天開始衛生棉就沒有血尿液也無血。11月份來的時間跟10月差不多，但是血量一樣前兩天有經血後就結束了，請問這是正常的嗎？還是繼續觀察？（無性行為經驗）謝謝。 | 生理週期受各種心理及生理因素影響。正常月經週期 21 42 天，正常經期依年紀不同約 3 10 天，若長期不在正常範圍，建議至婦產科專科醫師門診檢查與評估。 | [
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20中醫科
| 中藥諮詢 | 醫生請問 我因為青春痘問題去看了中醫 醫生開了4種藥方 一個是柴胡清肝湯.另一個是半夏洩心湯.還有甘草 另一個因為沒有藥單.所以我並沒看到藥名 我想請問醫生.我吃了上述藥之後 會一直拉肚子這是正常的嗎. 我吃了2包就不敢吃了.請醫生回答. | 您好 柴胡清肝湯主要是以瀉火觧毒為主可能您的青春痘是屬於中醫的實熱症，而其他的藥物如甘草半夏瀉心湯並不會造成腹瀉的現象某些腸胃較弱的人服柴胡清肝湯可能會排便較軟，但應該不致於會造成一直腹瀉可能是其他藥物造成的建議您可詢問開藥的中醫師。 中醫科丁漢祥醫師敬覆 | [
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4心臟血管專科
| 胸悶 | 醫生您好，請問三個月前做過核子醫學心臟攝影、心臟超音波、運動心電圖，醫生說沒事，只是輕微二尖瓣脫垂，最近想又開始不舒服，胸悶、心悸呼吸不順，如果是心梗的話有這麼快就堵住嗎，還是二尖瓣脫垂造成的 | 楊先生您好 以您的年紀，心肌梗塞的機率是很低的。輕微二尖瓣脫垂不影響心臟功能，如您所述心臟檢查都正常就不用太擔心。胸悶心悸症狀常常與情緒壓力有關，建議您適度排解日常生活的壓力保持心情愉快。如症狀長期未改善，或可尋求身心科門診協助。 | [
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| 牙齒排列問題 | 醫生您好，我以前牙齒整齊，但昨天發現 1.我右下的第二小臼齒好像相較於前幾顆牙位置比較往外，角度跟左邊不一樣，咬合的時候這顆牙也跟上面的沒咬上（中間懸空有縫），另外右下側門牙好像比較往內，仔細看才看得出來。 不知道是不是跟我前兩年補小臼齒蛀牙時，牙醫說縫太緊有用個東西卡在牙上隔開有關？還是跟我還沒冒出頭的智齒有關呢？這樣有需要做矯正嗎 2.右上第二大臼齒長度特別短，只有其他牙的二分之一，目前是沒有特別症狀，定期洗牙時牙醫也沒提到，請問有需要做其他處理嗎？ 謝謝醫生 | 您好 補牙的材料或是補牙過程中所使用的器械，都不會也無法改變長期牙齒排列的狀況。若介意牙齒排列的弧線要拉成非常一致的圓形，建議還是要做矯正治療。 牙冠長度會影響到牙齒的咬合，所以需要檢查過後才知道有無需做特別的改變，任意調整牙冠長度都會影響到原本的咬合狀況。 | [
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16腫瘤科
| 鼻咽癌 | 家父去年診斷出鼻咽癌四期，無遠端轉移，並開始做放療及化療，於去年十月結束所有療程，並有定期追蹤。今日回診時，醫生說腫瘤的位置，看起來跟之前一樣，沒有特別的變化，想請問這樣代表治療無效嗎？所以癌細胞還是在的意思嗎？ | 代表腫瘤己痊癒或沒有有局部復發 但癌症治療後會在追蹤期間2-5年內復發或遠端轉移 故建議還是要固定回診追蹤 | [
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5泌尿科
| 性行為 | 醫生您好 我的狀況有點複雜希望醫生能給我一個比較完整的回覆 我再兩年前左右的時候還是個包莖 有去醫院檢查 醫生說要割包皮 但我希望他能給我類固醇擦看看 後面擦過之後 平時已經可以拉下來雖然有點緊 但是再性行為時 龜頭能夠整個露出 問題1我的龜頭特別敏感 我是會有點偏痛的感覺 所以女友幫我口交或觸碰龜頭我完全沒辦法有反應 問題2我小時候就很迷戀看色情片 又有固定的癖好 每天都有手淫 以前看到那些服裝或a片都會特別有反應 但現在完全沒有反應但我還是會看色情片打手槍 但是我就變成用手讓自己勃起而不是看到自然勃起平時晨勃什麼的次數也有減少 問題3我跟女友要做愛的時候現在完全沒辦法勃起 假設他用嘴巴會讓我覺得很敏感不舒服 用手我也覺得很沒感覺 都要我自己打手槍才能順利勃起而且還必須要想一些比較強烈的畫面 但是要插入時 手只要不動 常常就會軟掉 或是插入之後軟掉 有再吃中藥調理身體 但是希望醫生能給我一些建議 | 還是可以考慮割包皮 來減少疼痛感 至於勃起的問題 很簡單 片子不要再看了 | [
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5泌尿科
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4心臟血管專科
| 貧血 | 你好，我本身有被檢查出有遺傳性的地中海型貧血，每次的經期出血量都很大，時常有頭暈站不穩甚至昏倒的現象，之前有去婦產科檢查過，經期跟子宮都是正常的，所以這會是貧血的問題嗎？ 家人會說要吃鐵錠，但是地中海型貧血好像不一定是缺鐵？ 平時生活作息都沒有問題，就只有生理期期間會有這樣的現象，還是只有生理期期間需要補充鐵質？ | 您好 原本就因遺傳性的地中海型貧血貧血不太夠用了 再加上經期量大 更貧血 更不夠用了 當然不舒服 地中海型貧血補鐵沒用 但經期出血補鐵可以有幫忙 生理期期間還是需要補充鐵質 平安 彰化醫院關心您 | [
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10兒科
| 兒童語言障礙 | 黃醫師您好 我想請問您 我兒子今年已經十歲了，可是他講話還是不太清楚 以前有帶去給醫生看過，他說大一些就會好了 可到現在還是一樣，聽說有手術可以治好，他現在這個年紀還來的及嗎？ 我住在台北市有哪未醫生比較好呢？ 請您指點我 謝謝 | 凡是引起腦部損傷或者口腔咽喉內構造有缺限，功能受損皆可影響語言障礙，譬如出生時腦部受傷缺氧，黃疸指數不正常過高，先天性甲狀腺低能症，第8、9腦神經損傷，唇鄂裂、舌頭太短或舌下韌帶太短，都可以影響。詳細請教大型教學醫院小兒新陳代謝專科醫師或耳鼻咽喉科專科醫師診治，謝謝。 | [
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10兒科
| 大便出血 | 今上完大號，擦屁股後發現紙上有血，最近身体並無異樣， 無便秘及拉肚子，肚子也不會痛，血的量不是很多但是很明顯 大便不會臭不像壞肚子，請問不知是何原因 如蒙解答萬分感謝.是看小兒科或是直腸科 | 有可能是直腸、肛門黏膜層血管較浮出、較脆弱的關係，導致大便經過時磨擦破裂而出血。我建議您先看小兒科吃一陣子的藥，若仍未改善，再安排作直腸鏡檢查。 | [
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| 感染性病 | 如題我（男）幫對象口交（男），然後對方是肛門的地方有菜花（有在治療），但生殖器上並未有菜花，請問我這樣幫他口交會有得病的機率嗎？這是前幾天發生的事，有辦法馬上做檢查嗎？（怕有潛伏期） 而且不太理解傳染方式，是近距離就能傳染還是要接觸傳染？ | 您好： 菜花感染您的行為屬高風險，因為對方為菜花患者，如果生殖器有菜花病毒，接觸或是口交可能造成感染，也有可能口腔感染，目前也無法檢測，至於菜花屬接觸感染，不一定是接觸病灶皮膚，有足夠量的病毒存在的環境接觸就有可能。祝健康。 可參考 httpswww.bh.ntuh.gov.twhchInformationLatestNewsletterDetail.aspxMNOC02802ID1046 | [
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| 肺腺癌 | 主任好，家母於202205診斷出末期肺腺癌，檢測為ALK基因，開始時服用立克癌控制病情，原先控制的還不錯，但於202302開始有神經症狀並且檢查發現有移轉到腦部，目前是做全腦放療加服用瘤立剋約一個月但效果似乎不大，家母已臥床無法自理，吞嚥功能跟語言表達也有障礙。 有幾個問題想請教 1.瘤立剋效果不是很好，是否能夠改吃安立適？ 2.安立適對於腦轉移的腫瘤是否有效果（穿透BBB？ 3.已經吃過立克癌與瘤立剋，若再申請安立適健保會給付嗎？ 4.若藥物有效果，腦部的腫瘤變小，神經症狀會改善嗎？（手腳癱瘓，吞嚥功能，記憶退化，語言障礙等等） 謝謝解答。 | 您好 1.瘤立剋效果不是很好，是否能夠改吃安立適？ A瘤立剋屬於第三代藥物，安立適屬於第二代藥物，兩者並無實驗直接比較。但已服用過同是第二代的立克癌，反應不好再換瘤立剋，若瘤立剋反應也不佳，換回第二代的安立適可能也不見得有反應。 2.安立適對於腦轉移的腫瘤是否有效果（穿透BBB？ A安立適對於腦轉移有不錯效果 3.已經吃過立克癌與瘤立剋，若再申請安立適健保會給付嗎？ A健保規定，使用二代藥物立克癌，安立適反應不佳，可申請第三代癌立剋。另規定申請立克癌或安立適，除非有發生嚴重不良反應及耐受性不良外，不得轉換。是否會通過，端看所提供的理由和審查醫師的判斷。 4.若藥物有效果，腦部的腫瘤變小，神經症狀會改善嗎？（手腳癱瘓，吞嚥功能，記憶退化，語言障礙等等） A 理論上，腫瘤縮小，神經症狀會改善 | [
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| 經期問題 | 醫師你好我想請問 1.我的月經來時除了紅血還帶有黑色物不定時排出顏色如同布丁底層的焦糖打比方但腹部不覺得有異狀或疼痛不知道這樣是不是不正常是什麼原因呢 記得我以前來時第一二天都正常的量多顏色都是一般的紅色然後大約在第四五天會排出一塊顏色較深紅的長塊狀現在也會有但是在排量時多了比較黑的血那是什麼呢 2.以前經期大約78天就結束了而現在有時會拉長到10天或是正常7天結束後過幾天又斷斷續續來一些有時候是像白帶一樣的紅色血絲這樣正常嗎是什麼原因呢 | 您好 請來就診醫師會為你做超音波檢查若有性行為會再加上內診及抹片檢查若皆無異狀則可能只是亂經與緊張壓力作息不規律較有關係. 署立新竹醫院婦產科 | [
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| 事後避孕丸 | 2-21號有發生性行為但是是體外射精，後面我想到有前列腺會有一點精蟲，我2-22就買莉潔婷這個牌子的事後避孕藥但他只有一錠，一早8點給女朋友吃，下午到今天都有一點點的肚子痛和一點點想吐又吐不出來的情況！ 想請問一下我事後避孕藥是晚上2-21買的早上2-22 8點才吃這樣的情況是對的嗎？ ps：因為她還是第一次破處與第一次吃事後 | 您好 一般事後避孕藥是48小時內服用，不能相信安全期，性行為要做好『事前』的避孕措施比較好，祝健康 | [
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| 排卵期 | 上次經期是1023從119就擦到一點帶血絲的分泌物1111開始擦到較多鮮血很像生理期第一天的少量鮮血. 昨天1112看診醫師說應該是排卵期出血開了三天的止血藥給我吃我吃了昨天跟今天早上兩次但今天仍在出血是可以沾滿衛生紙的較稀鮮血. 請問如何區分是排卵期出血或是生理期提早到來 我擔心若是生理期提早到來吃止血藥會不會有影響呢謝謝 | 回覆如下 1 排卵期出血的特徵如下時間上剛好是排卵日附近出血時間短只有一兩天會自己止血不一定需吃藥治療 2 可能是亂經其他可能包括發炎瘜肉懷孕腫瘤等等可以就醫檢查治療. 桃園醫院 呂理政敬上 | [
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1精神科
| 焦慮 | 醫師您好！ - 這幾個月開始我因為心跳過快、胸口不舒服 有到網上查詢後得知可能是心肌梗塞或是其他疾病的症狀 後來也有到醫院去做檢查 並沒有心律不整的問題 這幾個禮拜突然開始我只要有一點點小症狀 我就會很怕自己會出現心肌梗塞和其他導致死亡原因 也會因為這些事煩到睡不著（很想睡但沒辦法入睡 這幾個禮拜幾乎都是快天亮才有辦法入睡 入睡後大概4-6小時就會清醒 基本上沒辦法睡到8個小時 然後只要身體哪裡突然痛一下我就會往最壞的想法去想 常常會有我是不是得了癌症？我是不是會死掉這種想法 最近因為這些事感覺真的很累 精神狀況也變得很不好 … 我想請問這樣的症狀是屬於焦慮症嗎？ | 網友好 確實可能是焦慮症，建議就近至附近的精神醫療院所就醫。 吳恩亮醫師 | [
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13肝膽腸胃科
| 腸胃肝膽科 | 醫生您好，最近兩個多月以來我發現我排便的時候有，大便變細、水瀉、腹瀉、便祕或者正常排便，以上幾種不同的穿插發生，排便週期大致上沒有改變，但爾額正常排便的隔天，會發生腹瀉後，回歸排便週期，期間發生過一兩次胃脹，消化不良，噁心或者嘔吐，請問這是腸胃急躁症嗎擔心是腸胃的症。 近期覺得睡完覺起來還是想睡，口乾舌躁、眼睛乾，這是肝部分的生病嗎 謝謝醫生的抽空回答。 | 先生您好 應是激燥症，可先檢查糞便潛血，並適時用藥及飲食調整。 彰化醫院關心您的健康 陳詩典 | [
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6骨科
| 十字韌帶 | 10天前打球跳起單腳落地 扭到左膝蓋 後來過幾小時後腫了 走路沒力 會痛 腳不能彎曲大于90度了會痛。 然後照了MRI 結果說是 前十字韌帶撕裂 和 骨挫傷了。 然後到前兩天 睡覺時小腿抽筋 突然一下反射動作 硬把腳拉到180度了 然後膝蓋巨痛了一下醒了 當下膝蓋痛到緊了 伸不直腳 過一會才可放鬆。但那痛感感覺又是打球受傷時的痛感一樣。而且又是感覺到有一條根在膝蓋裡面痛的感覺。 然後到現在膝蓋腫的程度也跟睡覺再拉傷前差不多。走路也是膝蓋腫了伸不到全直 不太能走。 走路時感覺膝蓋裡面有一條根在痛 感覺有時會連帶痛到屁股 像神經痛的感覺。 想請問睡覺時又再弄一下 這個會令原來撕裂的十字韌帶 變成斷裂嗎？ 很怕它全斷了。如果真的會變成斷裂 會有甚麼症狀 ？ 會再出血 變很腫起之類的嗎？ 還有我原來過了7天是在熱敷的。現在算是又弄傷一下？ 要改成冷敷兩天？嗎？ | 您好 據您文中述及，較不怕說是本來前十字ACL從撕裂變斷裂因為醫學上撕裂和斷裂都是指一樣，只是區分不完全單束或完全雙束斷裂 ，比較怕是有新增或其實您受傷時就亦存在的半月板破裂，望您再和您主治大夫面對面評估 ACL是在您作一些急停、急𨍭彎、變方向的動作時才會有較明顯感受到它存在或不存在的差別 現在又腫了，建議先冷敷 以上報告，望早日康復 | [
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| 膝蓋問題 | 賴醫師 你好！謝謝你的回覆。 膝部的問題好像不斷變差，最近站立同一位置約十多分鐘後再走路，膝部會疼；平日也會交叉腿坐，但坐久了還會麻痺；天氣轉涼，我的膝部仍會發出聲音，但不會疼痛，走路多了膝部也會很酸軟，而且會有不穩定的感覺，好像大腿和小腿都是分開走路似的。 請問醫師，我的情況是前十字韌帶斷裂的病徵嗎？如果不醫治的話，可以嗎？因為我怕疼痛，又對很多止痛藥敏感，對克痛和阿士匹靈等有嚴重的副作用，吃後半小時即會出現眼角膜水腫，要施打類固醇針藥才能消腫。 如果要動手術，我怕會出問題。 謝謝醫師的指教！ 怕看醫生的讀者muumi 敬上 | muumi 你好 目前宜使用護膝併安排核磁共振檢查以確定診斷至於是否一定要手術須再進一步評估不要諱疾忌醫謝謝. | [
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0婦產科
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| 植皮 | 朋友五年前因為全身45二度燒燙傷有些傷口採植皮處理.最近身體右半邊有植皮的部分還有手部易發癢且發紅，是不是皮膚有什麼變化了而且最近很容易疲倦 | 身體只要有較深的受傷傷口或開刀傷口，就一定會產生疤痕。 如果燒傷後需要植皮手術，表示傷口比較深。即使經過植皮處理， 仍會有疤痕的產生。至於疤痕在產生的過程中，神經末端在此生長 會呈現較紊亂的方式，因此病人在一段時間後，疤痕處會覺得又痛又癢。 如果你朋友植皮後至現在一直都覺得癢，可能原因即在此。若不然，是 最近才出現癢的情形，還是先找整形外科看看是不是有其他原因，如接 觸性皮膚炎，或其他內科疾病，再轉介其他科醫師治療。 衛生署新竹醫院整形外科羅啟華 | [
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15復健科
| 家醫科問題 | 陳醫師好！ 早上起床前， 抱腿至胸部的柔軟性運動， 先抱單腿再雙腿， 做的時候感覺蠻不錯的， 但起床後腰及背部卻酸痛？ 請問可能的因素是什麼？ 謝謝！ | 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.隨著年齡的增加或腰肌不夠柔軟都會造成腰椎前彎過大 因而造成腰背酸痛再加上床墊支撐力不足會造成症狀加劇. 2.建議如下 A.抱腿至胸部之動作可增加次數特別是睡前及起床時 B.至復健科檢查是否有相關椎間軟骨突出並加以治療 C.買符合人體工學之床墊但腰椎前彎能得到支撐. | [
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| HIV感染 | 醫生您好 我兩個禮拜前有危險性行為，前幾天下午突然全身痠痛，畏冷，喉嚨痛，發燒 隔天去看耳鼻喉科，醫生說喉嚨有三個潰瘍處，嘴唇也有一點小潰瘍，醫生診斷應該是腸病毒引起，但我手腳沒有起疹子 早上看完診吃完藥晚上除了喉嚨痛就沒其他症狀了，但隔天喉嚨好像更痛了，舌頭好像也有一點刺刺的 想請問醫生如果確診愛滋，愛滋的急性症狀期會有以上的症狀嗎 | 您好： 愛滋或梅毒的症狀都多變，不太能用症狀判斷，但是都有抽血即可確認的特性，可以抽血檢查，如果陰性，3個月後要再確認以免空窗期，祝健康 | [
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| 藥物流產 | 到醫院檢查時發現懷孕七週，已吃了藥物流產，目前吃完藥後第六天，前面2-3天排血量大而且會有血塊掉出來，大約一小時換一次夜用型衛生棉，現在的話排血量逐漸變少了，但偶爾下腹還是會感覺到一點痛痛的感覺，有點類似經痛那樣，醫生沒開其他的藥物（子宮收縮劑還是其他的藥物）因為我是人在國外看的醫生就只有流產藥吃完就沒了 1.請問下腹痛是正常的嗎？不會一直持續痛也沒有到非常劇烈的疼痛感 2.請問目前如果喝生化湯可以嗎？ 因為醫生是說兩週後才需回診，目前就是擔心可能有發炎還是會有排不乾淨的現象. 謝謝幫助回答！！ | 到醫院檢查時發現懷孕七週，已吃了藥物流產，目前吃完藥後第六天，前面2-3天排血量大而且會有血塊掉出來，大約一小時換一次夜用型衛生棉，現在的話排血量逐漸變少了，但偶爾下腹還是會感覺到一點痛痛的感覺，有點類似經痛那樣，醫生沒開其他的藥物（子宮收縮劑還是其他的藥物）因為我是人在國外看的醫生就只有流產藥吃完就沒了 1.請問下腹痛是正常的嗎？不會一直持續痛也沒有到非常劇烈的疼痛感 Ans 是正常的 2.請問目前如果喝生化湯可以嗎？ Ans 兩週回診後一切沒問題，再喝生化湯 PS 因為醫生是說兩週後才需回診，目前就是擔心可能有發炎還是會有排不乾淨的現象. | [
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| 避孕藥 | 您好，有以下三點想詢問 1. 如題，今日1222原本要吃的藥少了，才發現可能是前兩天沒注意多吃了一顆，請問今日1222是否應該繼續服用？或是等明日1223再接著吃呢？ 2. 這樣是否會影響避孕效果呢？ 3. 下一包藥也是從生理期來後的第三天開始服用嗎？ 謝謝您。 | 提問者您好 您的提問回覆如下 1. 繼續服用即可。 2. 影響不大。 3. 一樣按照原來的吃法（停藥7天或經期第三天開始）。 ，謝謝！ 祝 平安 健康 張 醫師 回 | [
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| 巴氏腺囊腫 | 您好 最近覺得下腹不舒服，感覺身體有點發炎，洗澡時摸到左側有一約1-5元硬幣大小的腫塊，上網查了一下那個位置應該是巴氏腺囊腫，雖然不會像網路上其他人分享的案例非常腫大與疼痛難耐，不會痛可是持續有發炎癢的感覺，類似一直想上廁所，好像除了巴氏腺囊腫外可能併有尿道炎還是膀胱炎，但是解尿又不會疼痛，尿量也正常，也沒有分泌物，實在是坐立難安，可是要等到下星期才有空就醫，家裡附近有不少藥局，希望您可以提供一些不用處方也買得到藥或藥膏，先緩解一下也好😂感謝 | 下腹不舒服，感覺身體有點發炎，洗澡時摸到左側有一約1-5元硬幣大小的腫塊，上網查了一下那個位置應該是巴氏腺囊腫，雖然不會像網路上其他人分享的案例非常腫大與疼痛難耐，不會痛可是持續有發炎癢的感覺，類似一直想上廁所，好像除了巴氏腺囊腫外可能併有尿道炎還是膀胱炎，但是解尿又不會疼痛，尿量也正常，也沒有分泌物，實在是坐立難安，可是要等到下星期才有空就醫，家裡附近有不少藥局，希望您可以提供一些不用處方也買得到藥或藥膏，先緩解一下也好 Ans 藥局有陰唇發炎癢的藥膏，輕微尿道炎或是膀胱炎則多喝水 | [
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9整型外科
| 男性女乳症 | 您好 我最近發現左胸左上有一些腫大的顆粒 每個大小不一 不規則形 連在一起 每個都不大 小於1.5公分 也可以感覺到有脂肪囤積 左胸有些微腫痛 大小左胸也比右胸大 請問這是男性女乳症嗎 奇怪的是那些連起來的腫塊也有從胸部左上方的的部位連接到我的腋下 讓我常常感覺到左邊腋下左手臂跟左背部有點怪怪的 有時會感覺到腫起的淋巴 都小於1公分 請問這是男性女乳這典型的症狀嗎 壓迫到腋下淋巴之類的 還是有腫瘤的可能性 謝謝 | 男性女乳症通常只是乳房較大，若是淋巴腫要看醫師有，可能發炎。 | [
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| 脊椎問題 | 醫生您好，近幾天感覺一直不太舒服，昨天晚上左腳一路從臀部感覺燙到大腿小腿（主要集中在臀部跟大腿），早上起來後沒有再明顯感受到左腳的灼熱感，但卻換成大約在肩膀連線上面一點的一段脊椎（不知道是胸椎還是頸椎）有灼熱感，還伴隨偶爾左上臂跟肩膀也有一點熱熱的。上網查幾乎都說是椎間盤突出，可是我才18歲而已，因為考試所以近幾個月都坐很久，但從來都沒有過什麼腰痛肩頸酸痛脖子不舒服，也沒有做什麼大幅度的運動，就近兩天就突然毫無預警的感覺壓到神經，灼熱，而且還是兩個地方，讓我非常非常的焦慮。請問這樣看起來我的症狀真的是因為椎間盤突出嗎？如果是的話治療有辦法復原嗎？ | 陳小姐您好： 您提到的症狀可能要考慮神經根壓迫的情形。 如果您的症狀持續且進展，可能要考慮一些自體免疫性疾病。 椎間盤突出造成疼痛有幾個來源，其一是機械性疼痛，可發生在日常活動上，其理論是當環狀纖維層破損後，其內的髓核組織從破洞處溢流至受損的纖維層中，原先無血液供應的髓核此時可能形成局部的發炎反應而產生下背痛。 此外，水分不足以及神經發炎也會有類似的症狀。 建議您可以多補充維生素Ｂ群，並提醒自己每半小時起身進行伸展運動，避免神經壓迫及肌肉緊繃造成症狀加重。 建議您可以到神經內科門診檢查追蹤（需要影像及神經傳導來輔助診斷） 請在就醫前後落實自我保護，清潔消毒，落實防疫新生活。 感謝您的提問，有相關問題，歡迎再討論！ 祝您身體健康 平安喜樂 桃醫神內 江俊宜醫師 關心您 | [
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| 生殖器官 | 許醫師 我女朋友幫我DIY沒有很大力，射精後一會兒發現我的包皮有紅腫的情形，用水沖洗會感到刺痛，症狀已持續1個月了，之前都沒有這樣的情形，不知哪裡出問題。 | 呈： 你好 可能是感染或者過敏或者清潔方式錯誤。 詳細龜頭的清潔方式，請參考過去小弟在台灣e院給網友的建議。 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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17眼科
| 眼睛黑影 | 醫生你好，我雙眼約500度，屬於高度近視患者。最近跑步的時候會有半透明的黑影隨着心跳的節奏出現和消失，請問眼睛出現了什麼問題？以後能繼續跑步嗎？謝謝。 | Lam 您好： 請至眼科檢查一下，沒有問題就可以跑步。 台灣ｅ院僅提供醫療問題諮詢，不做診斷、不開立處方； 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 高丕霖 | [
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5泌尿科
| 性行為 | 許醫生您好 我服用高血壓藥物多年最近幾年也服用降血酯及攝護腺肥大藥物．最近２年都無法勃起行房這是否跟藥物有關是應掛高血壓心臟科還是泌尿科．還是也經無法醫治．麻煩你 | 您好： 回覆您的問題。 高血壓及高血酯是心血管疾病的高風險，也會造成陰莖動脈阻塞而引起性功能障礙。現在新的血壓藥造成性功能障礙的比例很低，建議您到泌尿科門診追蹤，並帶現在服用的藥物給醫師參考。 | [
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2牙科
| 植牙 | 醫生您好， 不喜歡看醫生，所以拖了很多年，結果牙周病很嚴重，上排牙齒很糟，掉了幾顆，咨詢兩家醫院給的建議不太一樣，一家是逐顆植牙，缺的牙均種上牙根，另一家則是建議上排全部拔掉，但只種8顆牙根，其他的用牙橋，想請問如用牙喬，那沒有牙根的部分骨頭會萎縮吧！我知道植牙沒法用一輩子，怕以後要再重植，骨頭萎縮後就無法再重新植牙了？但蒐詢網路資訊也有人說上顎不適合種滿14根牙根，不知道那家醫院是對的？ 又門牙外暴但很堅固，門牙的部分如果拔掉用牙喬，那門牙的骨頭萎縮了，不知道人中是否會陷下去？？ | DEAR jun小姐：您好！依所述！牙周病很嚴重，拔完牙，骨頭會萎縮很厲害！重建有幾個選擇，1.全口假牙最便宜實用.2.植牙.全口假牙.3.骨頭重建後植牙﹝費用最貴請多和醫師溝通 謝謝祝平安 牙科 黃廷芳主任敬上 | [
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| 睪丸問題 | 醫師您好 這一個禮拜內 右邊的睪丸突然覺得緊緊的不舒服 右邊都會比左邊的高 第一天有感覺時洗澡碰到會稍微痛 但緊緊的感覺一直都有 剛剛去醫院 遇到的醫生看完我睪丸直接說天氣熱的關係 尿尿沒問題的話就沒關係 直接說這樣就好也沒開藥給我？想請問醫生我這種情形是否像這位醫生所說的一樣天氣的關係 但我一直覺得緊緊的 也不知道怎麼形容 | 您好 醫師您好 這一個禮拜內 右邊的睪丸突然覺得緊緊的不舒服 右邊都會比左邊的高 第一天有感覺時洗澡碰到會稍微痛 但緊緊的感覺一直都有 剛剛去醫院 遇到的醫生看完我睪丸直接說天氣熱的關係 尿尿沒問題的話就沒關係 直接說這樣就好也沒開藥給我？想請問醫生我這種情形是否像這位醫生所說的一樣天氣的關係 但我一直覺得緊緊的 也不知道怎麼形容 -- 勿久站久坐 內褲鬆些 如果沒有皮發紅 睪丸腫 一般生活注意就可以了. | [
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| 藥物諮詢 | 您好，我想請問以下藥物是否影響事前避孕藥效果： acetaminophen mylanta Keflex Acyclovir 200 以上藥物均須服用7天，請問會影響到避孕效果嗎？ 事前避孕藥：黛麗安21錠 | 以下藥物是否影響事前避孕藥效果： acetaminophen mylanta Keflex Acyclovir 200 以上藥物均須服用7天，請問會影響到避孕效果嗎？ Ans 幾乎不會影響到避孕效果 PS 事前避孕藥：黛麗安21錠 | [
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0婦產科
| 感染問題 | 目前使用塞劑第二天 第三天早上發現有出血 但月經在117結束 塞藥第一天在128晚上 這樣還需要繼續使用嗎 目前也有使用避孕藥 可以繼續吃嗎 | 提問者您好 影響月經週期或經期外出血的因素有很多，例如年齡、環境、生活作息、壓力、情緒不穩、體重變化、藥物、事後避孕藥、飲食、多囊性卵巢症候群、子宮或子宮頸病灶、感染、排卵、懷孕、哺餵母乳…等。建議您避孕藥繼續服用，而出血如果量多則暫停塞劑，症狀持續或加劇需請婦產科醫師檢查是荷爾蒙失調或是其他原因，謝謝 祝 平安 健康 張 醫師 回 | [
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13肝膽腸胃科
| 腹部問題 | 醫師您好. 大約兩個月之前右後腰開始有灼熱合併輕微酸痛感時好時壞的原本以為是運動傷害但最近半個月來症狀蔓延到右上腹躺臥休息症狀會消失但開始工作後症狀就會開始出現奇怪的是採站姿症狀會較輕微採坐姿症狀較明顯排便情況及頻率正常. 不知是啥原因 -- | 回覆： 您好 可至醫院內科或家醫科安排腹部超音波（包含肝、膽、腎臟）掃瞄，並驗尿檢查及X光檢查。 陳治平醫師敬覆 謝謝！ | [
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0婦產科
| 月經 | 醫生你好。我的月經大概是在去年的一月開始的，之後的月經週期很混亂，可能一個月來一次，也可能兩個月來一次，經期可能只有三四天，或是可能到兩個禮拜那麼長，這個之前問別人的時候得到剛開始的時候都會比較亂的回答。有些時候是正常的血（有時會是正常的但是量很多）；有些時候會是深咖啡色；也有些時候會留一點經血，感覺月經來了，但是很快又變成淡咖啡色或淡咖啡色帶一點粉紅色的，不知道是分泌物還是經血的東西，然後這樣幾天後停止，有時也會突然有一點咖啡色，持續幾天後停止。除此之外陰部有時會發癢，之前有一段時間經常自慰。想請問這樣的話大概會是什麼樣的問題，還有需不需要看醫生。 | 有關您的疑慮回應如下 初經後的青春期月經紊亂多半為生理狀態 不需過度憂慮 但是若是出血過度或是經期過長以致於造成生活不便 建議還是就醫調整經期會比較適當 謝謝您的提問 並祝您健康快樂 | [
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17眼科
| 假性近視 | 請問31歲成年人的假性近視久了後會變成真實度數嗎 日前在眼科散瞳前後驗光度數差了100度跟125度散瞳前兩眼大概650度，散瞳後一眼550 一眼525，醫生有說是疲勞引起的假性近視，但最近這半年4.5次的檢查都是650或625，想請問假性近視久了後會變成真實的度數嗎 | 您好： 到了一定的年紀後，因為睫狀肌的彈性變差、無法放鬆，所量測到的度數都是因睫狀肌引起的「假性近視」。 您目前散瞳還會減少，等到睫狀肌無法因散瞳而放鬆時，度數就固定了。也有可能還會加深，但仍屬於因睫狀肌引起的假性近視。而不是因為眼軸長引起的真性近視。請參考： httpsbit.ly30ou9SH -- 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
| 其他 | 醫師您好： 近來報章、電視新聞很多因變電所、基地台…等等似有若無但又心身恐懼的電磁波來影響人體。最直接的影響就是X光是輻射線，有穿透率，照多了也不好對不對呢？每次牙醫師要照X光，我就有一種莫名的排斥，要是放射線影響了健康，那是多划不來的一件事吧。前幾次還好，有穿鉛衣，一張一張拍，這次去看牙齒，這個地方進來的了一種X光機，口唅一個7字型的棒子卡在門齒，下巴靠在機器上面，然後什麼隔離衣也沒穿，就看到一個滾筒從前面到後面滾過一次，這個機器到底安不安全？是否代表我的整個頭暴露在放射線下，身體也沒鉛衣來隔離，那對我的健康會有影響嗎？有輻射殘留嗎？謝謝您的回答！ | 所指的應為齒顎全景x光片攝影，一般而言是為了了解上下顎全口牙齒得狀況，如：是否有齲齒、根尖是否有病變、顎骨是否有病變、顎骨是否有骨折等外傷。一般若不是常常照射，並不會對人體有明顯的不良影響。 | [
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5泌尿科
| 菜花 | 請問醫生有關於菜花 1.最短與最長潛伏期為？ 2.去年八月我有與陌生女子一夜情 有無套口交，戴套性交 之後一直固定性伴侶 今年428時覺得龜頭有出現癢及微微灼熱感 懷疑因性愛造成破皮之類的 430下午又與另一陌生女子進行有無套口交，戴套性交 當天晚上洗澡後（使用新買的沐浴露洗澡） 過一兩個小時後覺得下體灼熱感變很強 去浴室檢查發現龜頭及尿到口附近長出芝麻般的紅腫 隔天去診所看 醫生只覺得性愛過度表皮受傷 使用不習慣的沐浴品造成紅腫 請問有無可能因表面皮膚有受損情況熬進行無套口交 當日立即感染馬上產生菜花症狀？ 3.另外有無可能去年八月就感染 至今才發病？ 4.若第三題為有可能，那去年到今年這期間我的固定性伴侶是否會感染（無發現症狀的情況下-潛伏中是否有感染力？） 5. 57 紅腫的地方還有 目前無明顯變大 且不會痛 灼熱感也沒有上週明顯 無分泌物 請問此症狀還有可能感染菜花嗎？ 補充57去醫院門診 醫師說病灶太小不確定是否感染菜花 | 您好 1 最短與最長潛伏期 平均3個月 但幾星期到幾年都有可能性傳染病臨床圖譜及治療指引 2 多為發炎不會馬上長出菜花 3 有可能 4 有可能 但受病毒強弱及本身抵抗力有關 5 前提如果對方有菜花 你就有風險 所以要安全性行為及觀察. 祝健康. | [
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3藥物
| 藥物分級 | 藥師你好 我因長痘6月底開使吃了Vibramycin抗生素藥劑，Prednisolone過敏免疫治療劑，後來又因心情不佳吃了Erispan，Deanxit及Secorin Doxylamine succinate25mg 大約吃了三個星期，接著又因下部霉菌感染吃了Flagyl，Diflucan及用Gyno-pevaryl vag supp陰道塞劑 。這些藥只有抗焦慮的藥在8月20日停，其餘皮膚的藥約到9月10日，接著就吃霉菌的藥吃到9月底。我的最後一次月經是8月21日來的 ，算一算現在懷孕應是第七週 ，吃了這麼多藥，孩子有沒有影響，會不會畸形？是否需要拿掉孩子？ | 您好 回覆您的問題 根據您的描述 依據您的用藥 影響的藥品較大為皮膚科藥品及抗黴菌藥 提供以下資訊供您懷孕用藥等級參考 不過仍請您再與婦產科醫師諮詢溝通婦產科醫師依臨床的經驗能給您更合適的答覆 Prednisolone 等級C 懷孕第一期為D Vibramycin等級D Diflucan等級C | [
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| 骨折 | 李醫師您好 請教您一個問題九月底本人右前臂尺骨中間部位骨折經醫師開刀骨板固定至昨日-12月21日回診醫師判定骨折間縫仍過大似乎未完全癒合這情況正常嗎倘使再過一段時日仍無法癒合則必須再開刀手術嗎抑或有其他方式挽救 謝謝您 | 您好： 回覆您的問題. 長骨骨折術後追蹤三個月仍未看到充足的癒合骨垢生成，並不是絕對不正常的事，因為每一個人骨折的原因、骨折的形成、處理方式，原先骨質好不好.等原因都不同。學理上，骨折治療後三到五個月，另一種說法是六個月，就算是延遲癒合，骨折治療後六到八個月仍未癒合，另一種說法是九個月，就算是不癒合。 骨折術後如果有延遲不癒合的現象，可作以下處理： 1.再觀察：有的人就是骨頭長的慢。 2.石膏固定：內固定外加上外固定，增加穩定性。 3.電刺激：目前比較少採用。 4.超音波刺激器：目前健保不給付，有個人專用型及多人共用型，臨床效果30∼50﹪。 5.震波刺激器：機器較大型，只有少數區醫院有，而且也得自費，效果不亞於超音波。 6.骨髓或骨生長因子注射：骨髓得由身體取出，與人造骨生長因子混合後用針統注射到不癒合處，是目前熱門的發展。 7.手術治療：可將骨折不癒合，粗分為二類，一類是欠缺癒合骨痂型，這種情形需要重新將骨折兩端擋住骨生長的壞痂去除掉，同時補上自體海綿骨加上骨髓液體，以及穩定性的內固定，如此成功的機率可以大大提高。另一類是有大量增生的骨痂，但未不癒合，這種情形一般是內固定不夠穩定，如果是骨版固定就得加長骨板，若是骨髓內釘，就得改較大內徑的釘子 或改有上下互鎖式骨髓內釘。 您的情形為必須要再手術. 行政院衛生署基隆醫院 李文琳 | [
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13肝膽腸胃科
| 腸胃問題 | 您好醫生 最近在吃飯的時候會覺得食物吞不太下去吞嚥卡卡的情形， 然後吃飽飯後則會覺得喉嚨很緊， 明明沒吃很飽會一直想打嗝， 一直感覺咽喉處有氣體的感覺， 有時咽喉有氣想打嗝卻嗝不出來就一直卡在喉嚨那， 然後早上及下午4-5點時會出現噁心咽喉卡氣體想吐的感覺， 躺下更明顯， 有吃了診所開的腸胃藥但是一個禮拜後症狀依舊存在， 想請問醫生這是什麼症狀 需要多久才會改善 | 小瑜您好，如經用藥治療後症狀仍未改善，建議回診諮詢或改至醫院家醫科、肝膽腸胃科看診，謝謝。 | [
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0婦產科
| 月經 | 醫師您好 目前我因月經在本周五後已遲來了15天至今都未來本來要在3月24日左右就應要來未來這個月大約會在22日左右到 從去年10月到今年平均在2633天會來也有幾次在4050天來過的但少 | 您好 你有些亂經，建議看婦產科詳細檢查。祝健康 | [
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6骨科
| 骨折 | 粉碎性的骨折或骨刺其骨頭如未完全取出人的皮膚是否會自行吸收其骨頭 | 您好： 回覆您的問題。 有的會吸收，但大多數不會被吸收，如果造成臨床症狀，例如有壓痛，活動限制的影響，還是會建議做處理，但每個人的情況不一樣，還是要跟主治醫師討論才好。 祝 事事如意！ | [
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| 陰部問題 | 醫生你好 我去年有因為感染就醫醫生也有給我塞藥劑、吃藥、擦藥之後就有好很多 可是好了不過一個多禮拜又會復發開始有分泌物、以及陰部搔癢非常嚴重的癢 導致我反覆就醫一開始醫生都會說是我自己可能沒保持好衛生之類的.但是我都有 所以變成我懷疑那個醫生到底會不會看.一直持續到現在都還是有分泌物 且不是白白的是像水一樣會讓內褲濕濕的很不舒服 再來外陰部有長毛的地方是這一個多月才發生的也是開始癢 我自己照鏡子看居然白白的像脫皮似的這次我也是去看了醫生 可是這醫生總是不聽我敘述完就打斷我的話最後只開了藥給我吃 跟藥膏給我擦像白白脫皮的地方 請問醫生我自己有甚麼地方可以改善嗎或是再找其他醫生看看 我很擔心我下體被我抓壞了有時候真的太癢 且我想要根治以前從來不會這樣的 | 1.據您的陳述，很可能是黴菌感染，黴菌未除去前會一直發癢，一般用藥需持續12禮拜甚至更久。 2.若有糖尿病應同時治療 3.應定期子宮頸抹片做檢查 4.避免皮膚刺激物並保持會陰乾爽，穿著寬鬆棉質衣服，避免尼龍類緊身衣。 5.每天早晚用藥膏塗抹3週後再換每天使用1次含1類固醇藥膏塗抹患部 | [
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5泌尿科
| 藥物副作用 | 前陣子，有跟主任你發問過，但現在應該是藥物副作用引起，因為我在未服 活路利淨時， 平時的自慰射精都是正常的，一服它之後，勃起正常，高潮射精的感覺也有能感覺到陰莖有射精時的輸動感 但精液平白無故消失了，看了google之後 說是此藥會造成 逆向性射精，但尿尿感覺只有一點點渾濁，卻沒有白色精液， 並且說這種藥物引起的逆向性射精不會影響健康？ 再來確實也有點影響性慾的感覺，但是我算是性慾比較旺的那種， 不過也因為這藥衝動感減少很多 （有很明顯的感覺，又或者是因為空白彈，讓人有種進入賢者，又有種沒射出來的不悅感，所以會很想射出來） 我想請問這藥 是最有效治療攝護腺肥大，并且改善讓它縮小的藥嗎？ 因為好像看到有藥是有這樣的效果 所以這藥要吃多久 才能達到效果？ 畢竟醫生說我這年紀 攝護腺有點肥大需要早點治療！ 也看了說這藥似乎不管吃多久 只要停了副作用就會消失恢復正常！ 還是說 我在服藥時，盡可能壓低自慰次數，直到醫生停藥為止，又或者是有別的藥可替代？ | 您好 此類藥多有此作用 如果不放心 可以回診時換藥有的藥影響較少 至於服用多久要醫師評估 也不用特意盡可能壓低自慰次數 祝健康 | [
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1精神科
| 恐慌症 | 最近一個月因為身體許多症狀頻繁就醫， 包含肚子痛、頭痛、頭暈、脖子跟左手發麻、呼吸困難等， 終於被診斷出得了焦慮症， 得知是焦慮症之後，症狀雖然還是有，但都減輕了許多， 也許是因為知道不是甚麼會致死的嚴重疾病而安心不少吧！ 目前希望能夠不依賴藥物， 靠檢討自己的生活型態來康復， 已經開始固定就寢時間、每天運動、補充鈣質等方法， 但在要睡覺時總是會感覺心臟跳動強烈，干擾睡眠， 嘗試深呼吸但感覺會更專注在心臟的不適， 請問有沒有什摩辦法轉讓我能更容易入睡呢？ | 您好 您有在練習呼吸，我是建議可以在這個基礎上繼續下去。這邊我們可以不要強調深呼吸，因為有人會感覺好像要刻意憋氣，變得更緊張。另外一種方式是腹式呼吸，也就是只要把注意力放在肚子就好，讓呼吸自然發生，不要去控制呼吸的長短與深淺，注意力放在肚子隨著呼吸而上下起伏的動作就好。 這個練習不一定要在睡前練習，而是有空就練習，時間短則幾秒鐘，長則幾分鐘都好，重點是練習的次數越多越好，這樣可以打斷焦慮緊張的惡性循環。原理就像是不停的跑步很多人都沒辦法，但是跑一段路，休息一下，再跑一段路，再休息一下，這樣反而可以跑很久，跑很遠。 另外，肌肉放鬆練習也很推薦，您可以上Youtube看看教學影片，跟著練習，持之以恆，也很有效的。 敬祝 一切順心 丁碩彥 醫師 敬上 | [
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| 月經 | 84.5號跟老公計畫好去南部2天1夜.沒帶套內射兩次.4號是上個月排卵期最後一天 回來後有想吐大吃跟痠痛的症狀810.16分別驗兩次孕.結果都是一條線 這個月姨媽是817要來.但整整遲了5天.第5天才去看婦產科醫生開3天催經藥 回去吃後25.26.27肚子偶爾會陣痛.27號中午感覺怪怪就去廁所看. 發現內褲上有一個5元硬幣的血.就墊衛生棉下午看發現咖啡色帶有紅色一大坨咖啡色居多10元硬幣在小一點的大小 肚子還是會痛. 請問這有可能懷孕嗎 咖啡色算姨媽嗎 | 提問者您好如果您確認827的出血是正常月經的話，就沒有懷孕。但是如果不確認827是否為月經的話，因為有無懷孕並無法由主觀的症狀來判斷，建議需要請醫師安排相關檢驗判斷， 謝謝 祝 平安 健康 張 醫師 回 | [
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5泌尿科
| 檢查 | 請問醫生 剛性行為幾天能做 全套性病檢查 上周三有跟2位性工作者發生關系 有大約1分鍾左右無套吹用硬戴套跟沒有口對口親吻只有我短暫咬了三下乳頭 然後戴套做 做完有沖洗回家有洗澡跟酒精擦拭清潔 這四天下體出現微癢跟尿尿微痛 沒分泌物出現 是否是性病前兆 | 您好： 如果排尿痛或尿道有分泌物 ，生殖器出現水泡，顆粒，紅疹身體出現紅疹要立刻就醫 至於檢測 梅毒 3星期，愛滋 3個月 （有的儀器或機構會早些 ） 可依下自行評估風險 依性行為危險程度分級來說， 無危險的方式有自慰、擁抱、撫摸生殖器以外的地方 低危險度的方式有相互手淫、淺吻、相互摩擦、戴保險套的性行為 中危險度的方式有深吻、口交、體外射精 而高危險度的包括有沒有任何保護措施的性交、性交時造成傷口或出血。 祝健康 | [
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11營養教室
| 增胖 | 如何使兩邊臉頰再減肥當中不瘦下來 我是長期兩邊臉頰胖不起來想知道是什麼原因造成的呢 | 您好！營養學上目前尚未聽聞有「胖臉」的飲食方法；減肥，一般是全身性的脂肪細胞會變小除非是特別著重身體某一部位的鍛鍊，所以若身體的某一部位脂肪細胞較多時，減肥或增胖的效果會較明顯，反之，則變化較不明顯。 行政院衛生署桃園醫院營養室主任 施桂梅營養師敬覆 | [
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2牙科
| 牙齒問題 | 曾醫師 您好 幾個疑問想請教您如下 Q1.我左下第一大臼齒的咬合面發現有一個小縫，不確定是崩裂還是原本就長那樣，雖無任何症狀，但有些掛心；我已看過牙醫，醫師說因非蛀牙無法做任何處理。請教曾醫師，若該臼齒的咬合面小縫去做窩溝封填，您認為適合或有必要嗎 Q2.我有45顆牙齒的正面或側面，有幾條像髮絲的垂直細線，長短不一。肉眼看不出來，要用燈光照才看的出來。請教曾醫師，依上述，您認為我牙齒的正面或側面有幾條像髮絲的垂直細線，可能是什麼問題呢如牙裂紋或牙脫鈣 Q3.承上，若這幾顆牙齒的表面或側面有像髮絲的垂直細線為"牙裂紋"的話。請教曾醫師，牙表面有牙裂紋但無症狀，一般來說該如何處理為佳呢 Q4.承上，請教曾醫師，依您的看診經驗，牙表面有牙裂紋但無症狀的患者，屬多見還是少見呢 Q5.我的左下側門齒，用鐵製餐具輕敲會有些敏感的情況，其它牙齒輕敲則較無感覺。請教曾醫師，用鐵製餐具輕敲牙齒表面會有些敏感的情況，但無其它症狀，咬合也正常，您認為這顆牙齒是什麼問題呢P.S.這顆牙齒先前已洗牙檢查過，應無蛀牙 以上，感謝曾醫師。 | Kris先生您好： 1.除非窩溝很深，否則只需做好口腔清潔即可。 2.建議找牙醫師做進一步診斷。 3.4.牙裂後如果只侷限在琺瑯質，一般沒有症狀，只要追蹤觀察，並避免咀嚼硬的食物。 5.有敏感的症狀，可能是該牙牙齦有萎縮，或牙本身有小的裂紋，如果症狀持續可回診檢查。 南投醫院牙科 曾光暉主任 | [
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15復健科
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13肝膽腸胃科
| 便秘 | 便秘問題 醫生好 在大概最近這兩個月 深受便秘困擾 大便頻率大概都是三天一次 且都是偏硬且不好大 而在飲食方面 這兩個月也都是非常健康的 大量蔬菜及水果 蛋白質也都是以原型肉為主 基本上沒碰任何炸的或是飲料等 而且有固定吃益生菌的習慣 並且這兩個月也都每周有氧運動150分鐘以上 並且有喝大量白開水（有早上喝黑咖啡習慣） 而飲食也都多以168斷食為主 並偶爾進行231飲食法 但是仍然是便秘的情形 這使的我這兩個月特別焦慮 想問醫生這是什麼情況？ | 許多原因可能會引發便秘，包括纖維，水分之攝取不足，長時間久坐，環境之改變，藥物的使用，大腸結構性異常或是內分泌疾病等等。 任何持續的排便習慣改變，無論增加或減少排便次數及質量，或是排空困難度增加，都應尋求醫療諮詢。 您的便秘症狀已持續3週以上，建議至腸胃科門診進行進一步的問診以及檢查，以釐清造成便秘之原因。 | [
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1精神科
| 壓力問題 | 您好 我喜歡摩擦棉被，用手指或是嘴唇輕輕地摩擦。 這會讓我很有安全感，壓力大的時候特別有效，會讓我覺得心情愉悅。 但是我並不會因為這樣而產生性方面的快感，只是單純的覺得安心。 從大約國小的時候就有這樣的情況，一直到現在當覺得難過或是害怕，還是會忍不住想要做磨擦的動作。 雖然對生活沒有造成太大的困擾頂多只是早上有時候會離不開床 但是家人知道後覺得必須就醫，想問問您這樣算是戀物的症狀嗎 謝謝您。 | 您好 依您的敘述，這儀式有自我安撫的效果，且多數時間並不影響您的功能，應該是還好。 這些自我安撫的儀式有可能隨著時間轉換改變或消失， 另外要注意的是什麼造成您的壓力，針對壓力去做應對，可能會是更重要的事。壓力少了，這些儀式通常也就少了。 祝福您 | [
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| 輻射 | 我今年16歲 因多年前家人因故去世 所以多出一間房間 但是那間外面2樓隔沒多就是電線杆的變電箱 我怕會對我的健康造成危害遲遲不願搬入該房間然後就不能自己一間 所以想請教一下醫生的看法 謝謝 | 阿蔡： 目前沒有證據可以證明電線杆的變電箱對人體有危害。不過各人有各人自己的感覺，如果心裡一直有疙瘩，還是不要搬入該房間吧。 | [
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2牙科
| 門牙 | 莊醫師您好 我的一顆門牙被玻璃門撞歪，當時醫生幫我作了回復以及固定的處理，不過到現在已經過了一個月了，門牙還是無法正常咬食物，只能喝流質及吃稀飯，喝水或碰到冷空氣會覺得酸軟，醫生還是要我再觀察。請問莊醫師，類似這種狀況，要恢復到正常大概要多久時間？ | 你好 不知道你固定的東西拆掉了嗎 若是拆掉了而喝水或碰到冷空氣會覺得酸軟就應該告訴你的醫師 看看是否有裂痕或者需要做根管治療 | [
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5泌尿科
| 精液 | 為什麼現在射精的力道都不像剛學會自慰時那麼強勁. | 您好： 回覆您的問題。 射精的過程包括三個動作：（1）閉鎖膀胱頸（2）排遺精液（從儲精囊或輸精管進入尿道）（3）尿道球肌收縮，加壓於尿道，由於膀胱頸已閉鎖，精液由尿道口射出。 您的問題為第三部份尿道球肌收縮減弱，心理因素可能是最大的原因，另外可做骨盆腔肌肉的訓練。 | [
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0婦產科
| 懷孕機率 | 醫師您好，想請教一下，App估算的排卵日是912，在914時跟女友發生性行為（無套無內射）但因為擔心前列腺液中的精子，所以在915服用第二代事後藥（Ella，大約是事發後的40小時，女友服用後沒有撤退性出血，只有痠痛及肚子悶痛的副作用。想請教一下醫師，這樣懷孕機率高嗎？ 另外想請教一下醫師，網路上好多人說在排卵後服用事後藥沒有效果，但也有人說排卵後服用第二代事後藥有抑制著床的功能，想請教一下醫師第二代事後藥的功用，在排卵後服用第二代事後藥的避孕機率高嗎？ 因為每天女友都很焦慮，所以趕快來詢問，日後也會做好安全措施，謝謝醫師，辛苦了 | 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. 第二代口服事後避孕藥主要成分Ulipristal acetate是一種口服的合成選擇性黃體素受體調節劑，與人體本身黃體素受體達到很高結合性，而舊型成份Levonorgestrel是使用高劑量的黃體素去抑制或延遲排卵發生。有研究指出，新一代的避孕效果比舊型高，即使在性行為發生後的5天內服用仍有效，但仍建議盡早服用為佳。謝謝 祝 平安 健康 張 醫師 回 | [
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12胸腔內科
| 支氣管擴張症 | 醫師您好： 本人被醫師診斷出患有支氣管擴張症，伴有非結核性分枝桿菌，偶爾會有咳血情形。於3個星期前開始服用紅黴素Erymycin，每天1顆；最近每天的排痰量似乎有減少一點點，請問這樣算藥效有發揮嗎？另3天前開始，咳出的痰有一些暗褐色的結塊及一些血絲，但咳嗽並沒有加劇，人也沒有不舒服，而今天咳出的痰已經沒有結塊，不過感覺較為黏綢，顏色也比平常的黃綠色更深一點，請問這樣代表了什麼呢？因為我下次的預約門診是在一個月後，我需要提前去找醫生報到嗎？ 謝謝您的回答！ | 讀友好： 患有支氣管擴張症，極可能會有呼係道的症狀，不管是否 伴有非結核性分枝桿菌。 如症狀加劇或喀血量增，都可以提前回診，解決目前的急性症狀。 因可能還有其他的細菌感染。 祝福您 張醫師 | [
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| 經期問題 | 醫師：請問水銀體溫計用一般的可以嗎？經期不規則，要如何配合使用體溫計和試紙的結果？謝謝 | 你好 水銀體溫計是傳統常用的體溫計，如你需要記錄基礎體溫可購買專用的體溫計，亦有可測試排卵的試紙。希望我有回答到你的問題。 謝謝 | [
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5泌尿科
| 陰莖問題 | 您好 想問一個問題本人的陰莖下半部與睪丸接觸的地方最近一個禮拜起先發生搔癢且在表皮部分有紅色反應且與其接觸之睪丸表面亦有紅色反應也是會有搔癢感覺有使用藥膏治療並於初期若盥洗時以肥皂清潔該處會有輕微痛感該處皮膚無法接受過度摩擦 通風好時比較不易流汗亦會緩解 目前與女友已有性行為所以不知其是否為單純黴菌感染之濕疹或是其他之皮膚病 煩請解惑 謝謝 | 回覆問題 濕疹及黴菌感染皆可能會引起皮膚癢及紅腫單用口述無法判斷必須眼見才能判斷，故兩種皆有可能. | [
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0婦產科
| 乳房 | 不好意思我是個今年32歲 未婚女性請問一下這兩天只要睡覺醒來乳頭單單右邊就會莫名痛了幾秒.剛好我是月經來後的第三天.痛了幾秒之後又突然不會痛了但是只要壓就會痛. 請問一下為什麼會這樣之前一直都不會的.我是不是有什麼腫瘤 | 提問者您好 依您症狀的描述較可能是發炎或是接觸摩擦造成，建議您觀察幾天後如果症狀持續的話，可以請乳房外科或婦產科醫師評估檢查，謝謝 祝 平安 健康 張 醫師 回 | [
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3藥物
| 藥物治療 | 您好我是新光醫院藥師.我的長輩因皮膚過敏.在貴院看診醫師開一種. 白色.直徑0.5CM.圓形上有AGT刻痕.請幫忙查詢貴院 此過敏藥.成分及名稱.或健保碼.謝謝 | 江藥師您好 此藥品為Allergen 50mg中文名敏佳安錠 成份為Mebhydrolin 健保代碼為A029752100 用途為皮膚炎、蕁麻疹、過敏性鼻炎等 謝謝指教 | [
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| 菜花 | 我的切片報告未出來˙也曾到另一家診所就醫診˙a家醫師說我ㄉ白點很多˙肉眼看得出來˙但是我自己照鏡子看卻看不到˙b加醫師則說目前看到就只有當初切片店稍後ㄉ黑痂皮而已˙無見有其他明顯東西˙兩家醫師說ㄉ不同˙讓我憂心慌慌˙請問˙菜花是一眼則見還是需要優碘擦拭過才看得清楚 我不懂˙請醫師幫幫我 若切片報告出來˙假設真有菜花˙我接受治療˙可以痊癒嘛還可以有性關係嗎 還會傳染給對方嗎塗藥膏危險性高嗎 會傷害到正常組織嘛 藥膏是自費嗎 若用電燒˙過程先局麻˙之後過程會疼痛嗎 電燒和塗藥治療期需多久復發率呢 hpv報告出來˙要如何判定 我若要施打子宮頸癌疫苗˙還來ㄉ及預防嘛 | 耐心等病理報告，以確定疾病，再請醫師依據病理報告及診察給予您治療。如何治療及治療情形，您應該請教診治醫師。如果是"菜花"尖型濕疣，可以治癒，但是也有復發機會；會經性行為傳染。HPV人類乳突瘤病毒檢查報告判黷，須請教診治醫師。施打子宮頸癌疫苗，仍然可以預防注射以後的HPV人類乳突瘤病毒感染。 | [
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| 勃起 | 所以沒有晨間勃起是表示勃起神經有問題嗎如果平常正常但就是沒有晨間勃起 | K 你好 晨間勃起的條件： 1.神經正常 2.膀胱要漲 沒有晨間勃起，不代表神經有問題。只能說，若有晨間勃起，那這部份（不是全部）的神經是完整的。 另外，沒有人每天都有晨間勃起。 只要曾經有晨間勃起，這部份的神經傳導就是正常的。 只要勃起正常，就表示勃起神經是正常的。 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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17眼科
| 眼皮問題 | 小孩20幾歲，今天去驗光所配眼鏡的時候被驗光師說眼皮下垂。 請問眼皮下垂會影響眼睛度數或閃光度數嗎？ 又小孩這麼年輕，眼皮下垂是不是不正常，需要做甚麼處理嗎？ 謝謝您的回覆！ | 小可 您好： 眼瞼下垂有可能會造成散光。 眼瞼下垂有可能是天生的，如果有影響視力或外觀，可以請醫師評估是否可以手術治療。 -- 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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0婦產科
| 懷孕 | 請問跟女朋友無套做愛 插入過程不到3分鐘然後拔出來也沒射 這樣懷孕的機率大概多少？ 如果隔20小時吃事後藥這樣成功機率是多少？ | 您好 有吃事後避孕藥，懷孕機會應該是不大。祝健康 | [
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4心臟血管專科
| 新冠疫苗施打後 | 醫師您好： 我本身有過偶發性心律不整狀況，當時有檢查過無大礙，但有輕度偏中度的二尖瓣脫垂問題。於1014接種BNT疫苗，除了注射部位不適第一天注射處周圍有紅腫、整個上臂皮膚搔癢情形；第二天後症狀改善，但注射處肌肉痠痛維持四天，到1016時忽然出現左邊外側胸口處左乳房外緣處一陣抽痛，僅維持幾秒，接著隔15分鐘同部位出現輕微悶悶的感覺，心想再觀察、不要緊張，但到今天1023中午開始，斷斷續續的又出現同一個位置-左邊靠外側胸部悶悶的、不至於到疼痛的感覺，試著休息跟調整呼吸好像就緩解了，自行測量血壓也都正常血壓10967心跳64，我該如何判斷是否需要就醫？還是持續觀察即可？謝謝您∼ | 接種B N T疫苗後的注意事項請詳閱指揮中心公告注意事項。如果您的上述症狀有加劇未改善，請至醫院就醫接受詳細檢查。 | [
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| 嬰兒飲食問題 | 你好想請問醫師 目前寶寶喝配方奶（亞培親護水解1）都會二個小時就餓要喝奶，這樣正常嗎？ 其二喝奶時喝太快（奶嘴頭s就哭，喝太慢（奶嘴頭ss喝到一半也哭都餵1個小時，什麼方法可以解決呢？ | 1個月大的新生兒胃的容量還很小，很快就會排空了，所以很快就會覺得餓想喝奶是正常的。新生兒的胃大腸反射還蠻強蠻敏感的，也就是喝奶到胃會刺激腸子的蠕動，有些敏感度較高的新生兒就會發生腸絞痛的現象，如果確定不是其他病態的情況，例如發燒疝氣牛奶蛋白過敏.等等，則腸絞痛只是暫時性的正常現象，這時候的腸絞痛只能以安撫的方式或腹部順時鐘按摩協助排氣來處理，腸絞痛通常3個月大之後就會慢慢消失了。 | [
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