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7耳鼻喉科
| 慢性咽炎 | 聲帶在那裡聲帶結節，聲帶息肉喉嚨是否會痛 喉嚨痛很久了，發現鎖骨中有一不明物體，摸起來軟軟，會滑動。 | 宋小姐： 1•妳手摸頸部喉結處附近，便是聲帶的位置 2•有聲帶結節或息肉時，喉嚨應該不會痛 3•建議妳來耳鼻喉科門診，讓醫師檢查鎖骨的不明物體。 | [
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| 淋巴 | 請問以上的病作化療一般要多久時間大概幾個禮拜為一週期發生位置是在頸部若表皮的腫瘤已消只剩內部還有硬塊痊癒的機率有多大會不會再復發復發的機率有多大 | 您好 1.根據您提供的資料難以判斷是 a.頸部淋巴結的未分化惡化腫瘤原發部位不明但懷疑是頭頸部癌症併發頸部淋巴結. b.淋巴癌發作於頸部. 2.請提供病理報告以作更進一步的建議. 3.一般化療3個月為一療程每周一次或3-4周一次. 4.若治療後3個月還剩頸部腫瘤可手術切除以減少再發機率也可考慮放射治療請與您的醫師商量. 5.若化療後還有存在腫瘤則100會再發若切除乾淨後再做放射治療則復發機率降低非常多但必須看您的病理報告才知道. 腫瘤科陳斯榮醫師敬覆 | [
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6骨科
| 膝蓋問題 | 醫師好我媽媽今年60歲，右腳膝蓋痛了4年，膝蓋走路會卡卡，被判定退化性關節炎，一直有打玻尿酸 今年下半年疼痛加劇，走一段路都要走很久，都不能用正常姿勢走路會痛，這兩個月去診所打了兩隻PRP一隻右腳半月板，一隻右腳的韌帶，兩個月了但是疼痛還是好不起來 後來有去找醫師照X光她只有右腳痛，左腳不痛， 右腳 httpsupload.cci120201112p3vQu7.jpg httpsupload.cci1202011127Yht5x.jpg httpsupload.cci120201112JzkuD4.jpg 左腳 httpsupload.cci120201112douWfU.jpg httpsupload.cci120201112JbetYi.jpg 想請教醫師， 1.請問這是第幾期的退化性關節炎是否嚴重有需要裝人工關節嗎 2.這個程度請問打PRP有效嗎 3.請問有需要照MRI嗎可以看到韌帶和半月板的情況嗎 很希望媽媽的腳可以不痛，希望能得到醫師的回覆，先謝謝醫師了 | 1. 約第二期，沒有很嚴重，不需要裝人工關節 2. 打PRP的止痛效果不好，要找到原因處理再針對性注射才會有效 3. 是否需要MRI要按照實際幫你檢查的醫師來判斷，如果是了幾種治療效果不好我會建議做MRI或是用關節鏡來釐清原因 | [
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12胸腔內科
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0婦產科
| 月經 | 您好。我想請問一下，我在正常來經前的七天有在小便和大便時有血，但並不是每次都有，其他時間擦的時候時很少量的咖啡色。第二天就像有月經來，但血的數量都比以前的月經少很多，之後那幾天的血都是有時候是紅色，有時候是咖啡色，而且有血塊。來的時候前幾天胃有不舒服。 請問一下這是為什麼？是有什麼疾病嗎？還有為什麼以前從沒試過這樣現在卻會有？ 謝謝您 | 提問者您好 影響月經週期或經期外出血的因素有很多，例如環境、生活作息、壓力、情緒不穩、飲食、年齡、子宮或子宮頸病灶、懷孕…等，。建議您還是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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0婦產科
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| 川崎症 | 小兒今年剛滿一歲.於半年前曾患川崎症.現在每天仍需服用半顆阿斯匹靈.等半年後再作心臟超音波來看是否心血管恢復正常請問醫師這種症狀是否能夠痊癒之後會有後遺症嗎須注意哪些事項呢這種症狀是否會導致引發心臟疾病 | 王永華先生您好： 川崎症大都會痊愈，但也有一部份小朋友產生心臟血管後遺症，像心肌炎、 心包膜炎、瓣膜炎，冠狀動脈發炎、擴大、動脈瘤等，其中以冠狀動脈病變最常見。注意事項主要是：1.每天按時服藥，醫生說可以停才停2.暫不宜劇烈運動 | [
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| 中藥諮詢 | 林醫師您好： 一、本身是高度近視，但每天又需與電腦為伍，看網路報導有關養眼的茶飲，就每天上班泡“黃菊花、枸杞、紅棗及夏枯草”一起喝約一個月左右，但最近一週以來，發生口乾苦，口腔破洞，及大便不順的症狀．請問醫生，上述症狀是否與每天的茶飲有關？我是否不適合喝呢另外，以中醫觀點，平日要如何保養眼睛呢？ 二、另外，我天冷就手腳冰冷，夏天會手腳很熱，這到底是什麼原因？我的體質是屬熱還是冷的體質呢要如何保養自己的身體呢 以上問題，麻煩林醫生 | 發問日期：20050106 網友資料：jackson030 網友E-mail：jacksoney.gov.tw 網友問題：林醫師您好： 一、本身是高度近視，但每天又需與電腦為伍，看網路報導有關養眼的茶飲，就每天上班泡“黃菊花、枸杞、紅棗及夏枯草”一起喝約一個月左右，但最近一週以來，發生口乾苦，口腔破洞，及大便不順的症狀．請問醫生，上述症狀是否與每天的茶飲有關？我是否不適合喝呢另外，以中醫觀點，平日要如何保養眼睛呢？ 二、另外，我天冷就手腳冰冷，夏天會手腳很熱，這到底是什麼原因？我的體質是屬熱還是冷的體質呢要如何保養自己的身體呢 網友；您好！ 1發生口乾苦，口腔破洞，及大便不順的症狀，可能是這週發生口腔病毒感染，中醫的所謂熱毒內盛，以致發生口乾，口苦 ，或口腔破洞 ，與服用菊花等藥物應無關係，我臨床上應另需辯症給予清熱解毒藥銀花等藥，有比較好效果， 2 電腦族眼睛保養可以找合格中醫師給予睛明 纘竹 等穴道針灸保養 ，熱敷及多休息， 3 冬冷夏熱，寒熱夾雜，必需再參考您其他體質因子，才可下定論您的寒熱體質，目前冬季宜服溫熱藥如十全大補等調理看看，宜多休息，多喝水， 多運動，多服蔬果類及必要的健康檢查以保養身體， 最後 祝 安好 豐原醫院 中醫科主任 林慶鐘醫師上 | [
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5泌尿科
| 性病 | 醫師您好，想請教關於性病感染的問題： 1.若不考慮對方女方有無感染性病，在一次危險性行為之後感染性病的機率有多少？ 2.另外想請教，若照正常衛教資訊來看都是等到3個月後再檢查嗎？檢查結果是陰性代表可放心無感染？或是需持續觀察檢驗才可放心？ 3.想請教醫師，最近在陰莖上發現兩個類似粉刺的小白點，本以為是污垢沒有清理乾淨，但洗淨完之後好像沒有消失，這樣有可能是感染性病嗎？抑或是其他症狀？ 謝謝，祝順心。 | 您好： 1 無此統計 2 如有不安全性行為，要持續檢查，另外不安全性行為可參考 無危險的－自慰 低危險的－相互手淫，淺吻，相互摩擦，戴保險套的性行為 中危險的－深吻，口交，體外射精 高危險的－沒有任何保護措施，造成傷口或出血 3 要醫院泌尿科檢查，多半性病要抽血或診查才可診斷。祝健康 | [
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5泌尿科
| 射精 | 杜醫生你好，我這一兩天有自慰當時用的時候跟結束並沒有任何問題，但是剛剛感覺陰莖左側靠近根部或是輸精管的附近地方會有一種微微的痛的感覺，但是走路抬腳時後就不太會不舒服了，之前也有去看過類似情況，那時候也是自慰後陰莖附近的陰部會微微的痛，泌尿科醫生說叫我多運動沒什麼問題，想請教醫生一般自慰後這樣算是不正常嗎，是否又要再去看醫生比較好，或是像上次的醫生所說不要過度，多加運動自然就好了，謝謝解答。 | 您好： 您的情形，如是偶爾發生，沒有多大問題，如果每次自慰都會，可能先減少頻率，適度運動，這樣1-2星期如果仍會，應就醫較好。祝健康。 | [
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| 消化蠕動問題 | 您好： 偶常嗝酸氣，一個禮拜少說有２次以上。 請問這是啥原因ㄚ？ | 腸內氣體的產生主要有三個來源一者是自己吞入的、二者是腸道發酵物質產生、三者是由血液滲透內腸管正常人每日約產1380CC的氣平均排氣13次日氣的內含成份主要是82的CO2、H2、甲烷而是臭氣主要成分是含硫化合物。 腹內有許多氣體時就可能有往下排不出而必須往上排的情形若你有擔心身體有何病況可以考慮安排胃鏡檢查。 你是腸內環境不良可常喝乳酸活菌奮鏈球菌、乳酸桿菌、數李乳桿菌、短比菲得斯菌、比菲得斯菌醱酵法清腸優酪乳做體內生態環境之淨化在體內清淨你排氣頻繁建議少吃發酵性食物如牛奶、乳糖製品、澱粉、麵包、饅頭、豆類等。 | [
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7耳鼻喉科
| 頸部問題 | 醫師您好，最近我有到區域醫院照頸部的電腦斷層，在健保app上查詢報告內容提到two big oval well enhancing lymph nodes about 1.3 cm and 2.0 cm in size at right carotid space and another node about 11.5 cm in size at left carotid space of the mouth floor. 我自行翻譯的結果是左側頸動脈間有11.5cm的淋巴結腫大、右側各有1.3及2cm的淋巴結腫大。 想請問醫師： 1.照射電腦斷層時如果有吞嚥會不會影響結果？（因當初照射時並沒有特別叮嚀但上網查詢有看到這個注意事項） 2.關於左側11.5cm這個淋巴結腫大，請問有可能這麼大但我完全沒有任何感覺嗎？誤判的可能性高嗎？ 謝謝醫師！ | Hi： 您好， 1.照射電腦斷層時如果有吞嚥一般不會影響結果。 2.理論上有11.5cm應該外觀非常明顯，建議回診諮詢醫師，是否報告登打錯誤或其他問題。 祝平安健康 衛生福利部桃園醫院 耳鼻喉科主任 鄭爵儀敬復 | [
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3藥物
| 藥物諮詢 | 藥師您好 一年多前被診斷有高血壓，每天服用壓控樂Bisoprolol hemifumarate，2.5mg5mg的半碇， 這藥吃了一年多半碇或是再少一點，最近早上的血壓值經常量到偏低，例如8660或9870， 醫生覺得血壓太低因此幫我換 新保樂 Propranolol Hydrochloride 10mg 早上半碇，晚上視情況服用 醫生說壓控樂是長效，新保樂是短效，但改用這藥後一天，似乎血壓又升高到15090 請問 1.這兩種藥是相同的嗎印象中有位醫生說同樣是β-Blocker，但壓控樂降壓效果較好，保新樂是減緩心律效果較好 2.感覺自從每天服用Q10之後血壓下降了，Q10確實有降血壓功效嗎 PS我不確定血壓升高是心理因素還是換藥的緣故，想說先詢問藥師，觀察幾天再回診. 非常謝謝您的回覆 | GRACE您好 Bisoprolol hemifumarate用途 1.β-阻斷劑一樣，具有降低心博速率以及抑制血漿腎素之作用。 2. 對狹心症病患，因阻斷心肌之β-1接受體而減少心臟活動，進而降低心肌之氧需要量，本品具有消除或減輕狹心症症狀之用途。 注意事項 1.壓控樂本可能增強其他併用抗高血壓藥物之效果。與他藥合用時可能引起心博速率之過度降低。 2. 壓控樂與心肌抑制藥併用時，應謹慎使用 3. 在使用壓控樂時會增加胰島素或口服降血糖藥物之療效，所以糖尿病患者仍應謹慎使用；因為可能掩蔽血糖過少之症狀尤其是心博過速。 Propranolol 用途 1.降低心跳速率和心跳的收縮力，抑制腎素的釋出以及抑制從腦幹血管運動中樞傳出的交感神經血管收縮和心臟加速作用的衝動。 注意事項 Propranolol 糖尿病可能促進支氣管痙攣也會掩飾低血糖症的心跳過快 糖尿 糖尿病患同時使用本品和降血糖治療時應小心。 兩者都是乙型阻斷劑 對心臟作用從而降低血壓，心臟和血壓都有相連您的情形，醫師會聽心臟和量血壓來調控的• Q10使用時對心臟高血壓是否會有幫忙，它是健康食品和藥品都有，但是Q10與口服抗凝血劑Warfarin，會產生交互作用，而降低Warfarin的抗凝血效果。所以服用此藥時還是要小心，我沒高血壓想要用Q10當保養就不舒服，您還是要告訴醫生您有服用Q10喔，祝福您平安喜樂喔• | [
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6骨科
| 脛骨骨折術後 | 醫師您好！我於今年3月10日發生車禍造成右小腿脛骨粉碎性骨折，於隔天進行骨內釘搭配骨粉進行內固定手術；後來出院返家到拆線後過了近三週，不明原因感染，導致拆線後的傷口爆開流出大量組織液，回診檢查，於4月1日醫師為我進行清創手術，並同時拆除了原先內固定的骨內釘，之後改以副木外固定方式住院休養，並進行抗生素療程，前後約二十日後出院返家；我想請教醫師： 1. 這樣的情況需多久才能不需靠柺杖走路？ 2. 粉碎性骨折不做內固定，是否要花費更長時間復原？ 3. 副木要戴多久呢？ 我5月10日回診看片子，我的醫師說骨頭開始長了！要我在家裏可以拿掉副木，要我拄柺杖一分力兩分力練習踩地試試，但我這幾天嚐試後發現，偶爾傷腳在某些姿勢時，好像感覺骨頭有在動，且小腿內部有些痛的感覺，這樣是否有問題，不該再繼續練習踩地了呢？ 謝謝您！ | 1. 骨折復原 至少6週 粉碎厲害的 有感染的 會延遲 2. 內固定可以提供骨折支撐 當然骨折容易生長 但是 感染就必須取出 否則無法控制感染 3. 請詢問主治醫師為好 謝謝 | [
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| 想懷孕 | 您好我想請問一下醫生 本人結婚兩年多一直未懷孕去年有檢查為子宮內膜異位症 但醫生說是輕微所以也未加理會 有做過一次人工受精但沒成功 前幾天再去給醫生檢查發現有巧克力囊腫 醫生說要開腹腔鏡 可是因為是私人診所沒健保費用很貴 我想請問醫生若到有健保的醫院去開腹腔鏡 那健保有給付嗎還需負擔多少費用呢 若沒健保那需付多少費用呢 做完腹腔鏡就能懷孕了嗎 子宮內膜異位會再復發嗎 煩請醫生撥空回答 謝謝 | 1.是的有健保給付之費用部份請到各醫院洽詢確切 要繳多少錢每個醫院即使有健保給付也會有差別. 2.若真的是子宮內膜異位症造成的不孕若能做一個好 的手術術後懷孕機率會增加很多的. 3.子宮內膜異位症是有機會再復發的. | [
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| 成骨不全症(OI) | 林醫師你好 想請問一下，有關對於先天性成骨不全症所做的雙磷酸鹽治療AREDIAR治療，她是不是一種週期性的治療做這樣的治療有沒有什麼比較顯著的副作用呢會不會對日常生活帶來不便呢中部地區有哪家大型醫院有在做雙磷酸鹽治療AREDIAR治療呢 還有，患有先天性成骨不全症的人是不是不適合生育該如何幫助她做好心理建設呢 | 敬覆網友小楊 先天性成骨不全症所做的雙磷酸鹽治療AREDIA治療，需每月定期注射治療，其療效在尚未成年的患者一般較佳，成年後的患者是否仍需長期治療則較無定論 .副作用主要為一開始常會發生的發燒倦怠及全身疼痛，往後需定期追蹤作血液和生化檢查，注意有無造血功能或肝腎等功能異常 . 中部地區在做雙磷酸鹽治療的大型醫院應有中國醫藥大學附設醫院可找蔡輔仁主任，或台中榮總可找徐山靜醫師 . 細節詳情可直接請教您未來的主治醫師 . 馬偕紀念醫院 小兒遺傳科 林炫沛 | [
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5泌尿科
| 陰部問題 | 請問黑色素瘤會對身體造成多大的影響？ 需要切除嗎？ 有快速治療的方法嗎？ | 崇洋： 你好 需要切除，長得非常快速。 完全切除是最快速的治療。 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 以上由 本院泌尿科 主任 許維愷 答覆 | [
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| 事前避孕藥 | 醫師您好： 1. 之前在醫院檢查出我有多囊性卵巢，醫生建議我吃事前藥調經，目前吃的牌子是愛斯麗安（成份：Cyproterone Acetate 2 mg Ethinyl Estradiol 0.035 mg），不知道藥物的副作用會不會造成性慾降低？剛開始吃的前一年還好，副作用頂多噁心乾嘔，但最近總覺得沒什麼性慾，做愛時感覺沒那麼強烈了？不知道和事前藥有關係嗎？ 2. 除了事前藥，我有在定期服用抗憂鬱藥以及安眠藥物（憂鬱症），不知道這兩種藥物會不會有什麼交互影響？ 3. 憂鬱症服藥大約一年半左右了，事前避孕藥也服用了差不多一年之久，藥物皆沒有變動，前期性慾和性愛感覺都是和服藥前一樣正常的，但不曉得為甚麼最近幾個月開始變得比較沒性慾、做愛很難高潮、容易乾，不知道是哪種藥物影響？ | 提問者您好 口服避孕藥常見的避孕藥副作用有： 頭痛、頭暈、月經過多或不規則、噁心、嘔吐、水腫、子宮頸粘液增加、子宮頸肥大、食慾增加、體重增加、皮膚癢、青春痘、疲倦、沮喪、潮紅、感覺虛弱、乳房脹痛、念珠菌感染增加等等。 而與口服避孕藥會產生交互作用的藥品： 1.抗生素盤尼西林Penicillin、Cephalosporines、紅黴素Erythromycin、磺胺類Sulfonamides、Bactrim、Chloramphenicol -可能會減少胃腸道內幫助吸收的菌叢，因而降低避孕藥的效果 2.安眠藥Barbiturate -增加避孕藥的代謝，降低避孕效果 3.治療癲癇的藥品Primidone、Phenytoin、Carbamazepine -增加避孕藥的代謝，降低避孕效果 4.治療結核病的藥物Rifampicin、Isoniazid 5.降血糖藥物Rosiglitazone 6.Acetaminophen普拿疼、Ascorbic acid維生素C -可能會抑制雌激素的代謝，而造成體內濃度提高而增加副作用的發生。 7.口服避孕藥，會影響抗凝血劑的作用 8.抽菸 -增加避孕藥的代謝，降低避孕效果 您所服用的抗憂鬱藥以及安眠藥物應與開藥醫師討論是否有相關副作用，謝謝！ 祝 平安 健康 張 醫師 回 | [
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10兒科
| 副食品 | 醫師您好 本人一女嬰已8月大一切發展正常但乳房較一般嬰兒大請問是何原因正常否 謝謝 | 一般認為乳房增大及乳腺管擴張是由於嬰兒自身的內分泌系統的反應生長發育正常則大概小嬰兒是正常的只要沒有其他第二性徵如腋毛陰毛甚至月經來若有則為內分泌異常的性早熟其他少見的原因如感染會紅腫熱痛嬰兒較胖或攝取過量的環境賀爾蒙如副食品污染若擔心可至小兒科檢查. | [
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5泌尿科
| 腰痛 | 醫師您好 我想詢問關於左後腰痛的問題 我在昨天0311早上出現左腰疼痛的症狀 只有單側 而且是痛到走路都很慢但還不到完全無法走路的情況 痛了一整天 可是今天早上起來又好很多了 本來如果想說今天起床還是很痛我就要去看醫生了 那這樣我到底是該看不看 再次之前0309） 我本來有想去看婦科，但遇到假日休診想說等有門診再去看 因為上廁所在擦的時候發現我的分泌物 一大坨像我們感冒時的濃痰一樣 （顏色黏稠度），因為私密處會癢 上網找好像是有點感染的樣子 接著禮拜一，也就是昨天出現單一側腰痛 ps.我沒憋尿、沒性行為，頂多可能就是水喝不到3000cc 那如果需要看 我是要看泌尿科、婦產科還是腎臟科？ 謝謝醫師 | 您好 建議順序 先看婦科原因為 是分泌物 如果是感染可能會影響大 如果婦科無問題 看泌尿科 目前多喝水 注意衛生 如有發燒一定要就醫. 祝健康 | [
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15復健科
| 扁平足 | 我想請問扁平足有那些運動的障礙 或者對一般行動上有何影響 我在運動的時後腳趾常會有淤血疼痛的現象 是否與扁平足有關呢 還有扁平足是否真的不用當兵 其判斷標準在那 希望醫師能給我一些意見 謝謝 期待您的回信 | 基本上扁平足並不會有運動障礙有些運動選手本身也是扁平足。 運動時腳趾會有瘀血疼痛的現象，跟鞋子及運動技巧較有關力量集中在某些點 至於是否要當兵及其標準可參考前面的回答，最好是直接向兵役課要資料，要最新的因常常修正。 | [
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| 頻尿問題 | 醫師您好，最近這兩三天開始有頻尿的現象，剛上完廁所過大概十分鐘後就會又有尿意，然後膀胱有脹脹的感覺。約在頻尿發生前好像有尿道發炎的問題，就是如廁時會有疼痛感，可是約一天左右就好了，然後後面這幾天就開始有頻尿的現象。是沒有到尿急很想上廁所，而是感覺好像還沒有尿乾淨，然後膀胱那邊脹脹的這樣，請問頻尿和尿道發炎有關西嗎如果大量喝水排尿能自行好嗎 | 聽起來是膀胱發炎 大量喝水排尿不一定能能自行好 建議還是要去看泌尿科檢查 並與醫師討論 拿藥治療 | [
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15復健科
| 手腕問題 | 請問左右手背，朝著手臂往後90度，左手能90度垂直，右手不行大概45度，這是天生的嗎不會感覺痛或是麻，右手如果用手往後壓倒是會痠痠的。 | 如果沒有受傷的經驗，有可能是天生角度受限，原因可能性很多，如神經肌肉等問題 | [
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1精神科
| 亞斯伯格症候群 | 我是男方，本身健康，跟女友未來有結婚生子的計劃，女友家族健康，但我的哥哥有亞斯伯格症，大約在他國中時才有症狀，並開始做心理輔導至今，目前他有工作，我的父母家族都沒有亞斯伯格症的患者，因為查到亞斯伯格症會遺傳，請問我的遺傳機率高嗎？我做基因檢測有辦法踢除掉亞斯伯格症的基因？請醫生幫忙。 | 您好 亞斯伯格氏症在一般人口的盛行率約是 1 患者的手足有相同體質的機會約是10，若女方並無此特質也無家族史，您的孩子帶有此特質的機會應是低於10 較合理的估計應是在1-10之間。 目前大部分的亞斯伯格氏症無法以基因檢測方式檢測出來，也尚未聽聞有剔除基因的技術。 | [
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15復健科
| 手部問題 | 我因走路不小心被繩子絆住， 左腳小指瘀血骨折， 骨科醫師說不必理它， 它會自然恢復， 我很疑惑， 請問復健是否能較快恢復？ 謝謝！ | 先生您好 感謝您的提問在這邊先回覆您的問題並提供建議如下 1.可作指頭小副木或使用乳膠墊避免走路時過度使力影響恢復 其中指頭小副木可掛復健科健保有幾付. 2.可加強雷射.超音波及電療恢復較為快速. 最後 祝您 平安快樂 | [
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| 感染 | 醫師您好： 我的「綠色分泌物」這種症狀大約持續一年多了，而且外陰部也會癢；我有去看過婦科，而醫生回答都是「黴菌感染」，但總是反覆一直感染，似乎永遠不會好，而我每隔一段時間就會又感染，真的很困擾；這半年來連陰道口也會痛，與先生行房時總是不舒服，而也不是滋潤度不夠，只要是稍微撐開一點陰道口也就會痛，就算是我輕輕用手指去觸摸它也會感到疼痛感，不知是否與長期鰴菌感染有關？還是有什麼其他疾病造成？或是陰道產生了什麼病變？而這種感染是否真的永遠不會好？難道我必需每隔一段時間就得到婦產科報到？ | 綠色分泌物最有可能是陰道滴蟲合併厭氧菌感染，如果長期感染或合併其他病毒感染有可能用手指輕觸也會疼痛，建議換另一位婦產科醫師看看。 | [
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| 胎盤 | 您好 情形是 目前第三胎19週左右前兩胎都足月產自然生 但是這胎卻被告知有胎盤過低的情形 因為之前都在中壢的壢新醫院產檢生產 這胎改到私人診所宏其婦幼醫院產檢中 1.醫生告知我有胎盤過低的情形 請教這跟前置胎盤一樣嗎 2.我未停止跟先生行房.目前一個星期多一次 但行房後肚子都呈現硬硬ㄧ球.在肚臍眼下方要稍後才會復原 那是正常現象嗎 3.不知道是天冷還是我月子沒做好還是baby太低壓到我的膀胱 我竟然會有漏尿情形耶要怎麼改善哪這是尿失禁嗎 4.我是O型RH陰性血型所以之前都有在胎兒滿七個月時打一針七千圓的針劑 但現在這胎的醫生說我不打算再生所以不用打了這樣可以嗎不影響這一胎嗎 雖然已生過兩胎但因為沒遇過這些情形.所以有疑問 還盼您專業的解答.謝謝 | 您好 1.胎盤位置一般會隨著週數移高中期時胎盤過低不代表足月時一定有前置胎盤. 2.19週就宮縮是不正常的. 3.大部分產後會改善. 4.請與你的產檢醫師討論可不可以再打. 署立新竹醫院婦產科 | [
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5泌尿科
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6骨科
| 關節 | 施院長打擾了 我左膝關節疼痛一兩年’在一般骨科診所復健一年多’照ｘ光醫師說骨頭沒 問題’可是症狀還是無法改善’尤其蹲久一點’要站起來是乎有點障礙’膝蓋總是 不舒服’醫師建議到大醫院作關節鏡檢查’可是心理有點障礙’請問施院長關節鏡有效嗎’對病情有幫助嗎？苦惱的人’請院長幫幫忙’該怎麼辦？謝謝你的答覆 | 依照您的描述可能是膝蓋骨關節面出了問題，膝蓋骨與股骨大腿骨之間有一個關節介面，它在起立蹲下去的時候會使壓力增加，如果它的表面的軟骨有問題或者排列不正，就會造成膝蓋疼痛的症狀。 您還年輕但是這種可能不能排除，在做關節鏡之前建議先再照一次叫做merchant view 或 skyline view的X光，以確定膝蓋骨與股骨的相對位置及膝蓋骨的狀況。 做關節鏡檢查不一定會使情況改善，您可以先試著做大腿的伸腿運動，加強股四頭肌的力量，這樣子可以減少膝蓋骨的壓力，對於症狀的改善有幫助。 | [
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| 不正常出血 | 您好 我有二個小朋友最小的己經國小三年級.去年因為分泌物多多次至婦產科看醫生重覆細菌及霉菌感染重覆用塞劑及吃藥這三個月以來更其怪走路走一走會有一些水狀物掉下來.請問這是發炎現象還是有可能是子宮下垂.謝謝您的時間. | Dear 牛媽媽 “有一些水狀物掉下來.”陰道分泌物 如果無黃綠或混濁顏色及腥臭味應該沒關係 祝平安健康 衛生署桃園醫院 婦產科主任 黃建勳敬覆 | [
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13肝膽腸胃科
| 右肋骨 | 請問我右肋骨下方會痛 | 回覆： 您好 右肋下緣疼痛，若無外傷，可能要考慮是否有肝、膽的毛病，如膽囊發炎、膽結石、肝膿瘍、肝腫瘤等，建議您若疼痛持續，應至肝膽胃腸科診安排超音波檢查。 內科陳治平醫師敬覆 | [
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5泌尿科
| 靜脈曲張 | 我雙側都有精索靜脈曲張 我15歲而已 有時摸少有時多.我也怕睪丸萎縮 左邊有開刀，兩個月多了怎麼還是摸到靜脈曲張. 是沒好嗎？還是我太召集了 我每天都跑步打棒球訓練.我棒球隊的.會有影響嗎 | 當然會有影響，需要休息。 就算有曲張靜脈睾丸也不一定會萎縮，不需過份擔心 | [
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| 尿尿問題 | 我尿尿時都會如此是否有病 此外尿尿時會顫抖了一下是何原因是否要看醫師 | 小便分差可能是尿道 分泌物較多， 導致 龜頭尿道 稍微沾黏 引起的 。建議要多喝水 或者是手洗乾淨後 輕輕揉搓龜頭， 順一下尿道 再排尿。 如果 有問題還是要看泌尿科檢查 才行。 另外小便會發抖的問題， 目前並無定論，可能是自主神經系統所引起的反應，是很常見的情形。 | [
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20中醫科
| 氣喘 | 我本身有氣喘，只是這陣子總在四五點就會有點喘，以致於無法繼續睡覺，想詢問這是季節變化的關係，還是我怎麼了 | Dear ji／22歲／女 網友 妳好 妳本身有氣喘，只是這陣子總在四五點就會有點喘，以致於無法繼續睡覺，想詢問這是季節變化的關係，這是妳怎麼了 答覆如下 你可能得了氣喘哮喘、台語he龜氣喘是一種常見的氣道的慢性炎症性疾病，主要特徵是多變和復發的症狀，常見症狀表現為喘息、咳嗽、胸腔緊迫胸悶和氣短，導致妳無法繼續睡覺，哮喘普遍認為是由基因和環境因素共同導致的，你可能自身免疫出了問題得了氣喘，加上環境氣候因素--現在季節是秋天要進入冬天，溫度下降天氣變冷、或塵蹣、髒空氣引起妳氣喘發作。除了健建議注重衣物保暖並應該找合格中醫師做適當辨証論治治療才比較好，也才能有保障有效解決問題，也不會誤病情。個人臨床中醫治療常依病人體質以補肺益氣，定喘化痰的中藥辨症給藥，在生活起居宜多運動，洗熱水澡，少吹冷氣，多加保暖衣物，來調理體質，都有不錯的效果。 專此 最後 祝 安好 豐原醫院中醫科主任 中台科技大學通識中心副教授 林慶鐘 博士 上 | [
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16腫瘤科
| 腫瘤問題 | 林醫師您好在我發現左邊的耳垂上長了一個直徑約5mm的瘤軟的已經有好幾個月近一年的時間了根據這段時間的觀察這個瘤忽大忽小有時候是大到像最近的67mm有時小到12mm這種現象”好像”跟我的生活作息有關常熬夜的話就會變大作息正常則小不知我的觀察是否準確不過最主要的是我想請問醫師這個瘤對健康有無影響還有我該怎麼面對 | 您好 建議您至腫瘤科門診經醫師視診觸診後再決定如何追蹤。應無大礙才對先不必太過擔心。 行政院衛生署桃園醫院 腫瘤科林宗哲醫師敬覆 | [
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5泌尿科
| 睪丸問題 | 最近跟女友做過之後連兩天左邊睪丸痛痛的 ，後方又有腫塊有可能是血塊嗎 之前攝護腺碰到時就會痛。 | 您好：飲食先清淡，水多喝尿要淡色為好，酒辛辣不可，每日散步半小時，劇烈運動不要，還有要去找醫院醫生診查 | [
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| 性病感染 | 想詢問若41時有跟性工作者有套口交、有套陰道交、無套手淫，而過程中性工作者有淺吻乳頭與睪丸的行為，但淺吻睪丸只有一下子，而我身上應該是沒有傷口，我自己除了碰觸對方身體之外並沒有碰觸對方私密處以及親吻對方，此外我洗澡後使用了那邊的毛巾擦拭，想問以上這些行為可能感染什麼性病嗎，若有疑慮建議做哪些性病檢測呢？ | 您好： 只要有性行為，就有可能，只是機會多少 （一方要有性病） 如有排尿痛，分泌物，紅疹，水泡，小突起，包皮潰瘍，發燒 應立刻就醫，如果沒有一般 3個月性病檢查。 可依以下判斷 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 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 | [
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| 羊膜檢驗 | 請問一下羊膜穿刺檢查跟羊水晶片篩檢這兩個檢查有甚麼不同 | 羊水穿刺檢查為抽取胎兒羊水，培養其帶核細胞如白血球進行染色體的檢查。 羊水晶片檢查則是將抽取出來的羊水利用多種少見疾病的篩檢。 前者可靠性高，後者收費昂貴，各有優缺點可供參考。 詳細內容可請教試驗提供者。 祝 健康。 | [
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| 會懷孕嗎？ | 醫生你好 我想請問 就是如果內射後8小時內吃了避孕藥 過了12天生理期來了（提早5天）可是第一天的量很少 不過第二天是正常的量 是藥物的副作用嗎？ 還有就是這是生理期嗎？生理期過後一週驗孕還會懷孕嗎？ | 提問者您好 事後避孕藥對月經的影響不一定是提早或延後，它的避孕效果也不是百分之百，失敗率有3左右。建議如果不確定出血是否為正常月經的話，仍然要檢查是否懷孕或請醫師評估，謝謝 ，謝謝 祝 平安 健康 張 醫師 回 | [
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14罕見疾病
| 妥瑞症 | 你好目前我女兒使用妥瑞症藥---理思必妥內服液劑---醫生說它是用來控制ㄉ.是控制他ㄉ小動作ㄇ.但ㄅ之它ㄉ副作用如何長期使用是否有問題因測驗結果還有專注力ㄅ集中ㄉ狀況.服用此藥ㄎ以讓她ㄉ專注力集中ㄇ小女ㄉ服用劑量為0.2ML.晚上睡前服用.我真ㄉㄅ之服用此藥是控制腦部還是因為今天才剛服用.ㄝ一頭霧水ㄅ之如何詢問醫生.看診回來後才有一堆問題想問.總之此藥對小女有何幫助.何缺點.麻煩請您位我解答.感謝您 焦急ㄉ媽媽 | 真抱歉題目有些不清楚 目前對妥瑞症的藥物治療是比較保守也就是說由於預後一般良好故不一定要靠藥物. 建議可與醫師多談談. 另外網路資料很多可上網查. | [
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7耳鼻喉科
| 鼻中膈彎曲 | 醫師你好 本人前天做完鼻中隔彎曲手術 現已出院 不過總覺得鼻子裏有血漿 請問是否可以擤鼻涕把他擤出來 不然鼻子都被堵住的感覺 | Hi： 您好， 建議有分泌物用擦的就好，用力擤鼻子可能容易造成出血，或提前回診請醫師局部治療處理。 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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0婦產科
| 避孕藥 | 醫生您好，服用悅己避孕藥第二個月，第19天時忘記吃，但是當天有發生性行為無套，12小時內有馬上服用第二顆。 請問： 1.第20天是否一樣在正常服用一顆？ 2.這樣有懷孕的可能嗎？需要服用事後嗎？ 3.吃完這盒藥一樣中斷7天再吃下一包還是不中斷七天立接著馬服用下一包？ 上網查資料說第三週漏吃藥建議不停藥直接服用下一包，或是直接停藥七天漏吃天數再服用下一包 | 您好 第二十天仍然服用藥，應該是不會懷孕，吃完藥等月經來的第五天開始吃另外一個週期的避孕藥即可。祝健康 | [
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| 胃腸問題 | 我很容易胃脹很想吐 覺得吐出來比較舒服 我一直以為是胃酸過多 但最近我發現. 我按胃時反而沒那麼痛 痛的是肚臍那附近 請問我是不是應該是腸子有問題呢 我該吃什麼對病情比較可以改善 少吃什麼比較好呢 | 回覆： 您好 不知您是否肚子開過刀，體重有無減輕，有沒有發燒，如果都沒有，而且症狀好好壞壞，也持續很久了，有可能是功能性的消化不良，也可能有消化性潰瘍、膽結石…等。建議還是就醫檢查，平常比較油膩、甜的、刺激性的東西、煙、酒儘量不要碰，少量多餐、適度運動、心情放輕鬆。至於肚臍周圍壓痛可能是小腸的問題，比較常見的是腸炎，早期肓腸炎也會痛那那裏，如果症狀一直沒改善還是要就醫。 內科袁宏道醫師敬覆 | [
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| 排便問題 | 醫生您好 我大約三個禮拜前有排便有血 顏色為粉紅色沉澱於馬桶底部且衛生紙上也有 當時於排便前幾天有食用火龍果 之後在排便時也已無血便 但排便時卻有糞便顏色的水沉澱於馬桶底部 擦拭時衛生紙上也有黃色液體 大便都正常為長條狀 無腹痛、痙攣或腹脹 也無大便頻率、粘稠度或顏色突然改變 我在網路上並未收尋到類似的症狀 想請問這種情形需要做淺便檢查嗎 謝謝醫生 | 先生您好 可能跟火龍果的色素有關可再觀察即可。 彰化醫院關心您的健康 陳詩典 | [
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| 經期問題 | 我月經一直不正常這個月都是一點一點的到目前已經差不多10天了目前也是有在吃藥.問題是這段期間跟先生有性行為這樣會不會有問題啊 | 您好： 回覆您的問題。 月經週期不正常通常是荷爾蒙失調的結果，如果已經持續10天以上，應該做一個完整的檢查，包括超音波檢查，荷爾蒙（抽血）分析，甚至作內診，以鑑別診斷出何種毛病，再對症下藥。至於這段期間的性行為，應該不至於會有大問題。 | [
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5泌尿科
| 龜頭問題 | 許醫師 您好， 我想請問保險套的用法，想請問的是說我有包皮過長的問題，那我想請問在性行為時，戴保險套時是否要撥開龜頭，還是可以不用撥開，哪種方式才是正確的？因為我現在有個問題是沒撥開時，保險套最後會跟龜頭和包皮的孔黏住，在性行為時會有不舒服的感覺。但是撥開的時候，好像又太敏感了，請問該如何解決，謝謝。 | QQ： 你好 龜頭是否需要撥開，看每個人的習慣。沒有一定怎麼帶套子的方式。 註：不論是否用保險套，龜頭露出來本來就會比較敏感。 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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10兒科
| 嬰兒誤食 | 女兒一歲兩個月 坐在餐桌以上 不小心拿到酒精 且噴頭未鎖著 當下在忙沒注意到 注意到時噴頭是像這女兒 不確定女兒是否有咬噴頭誤食到酒精…或是噴到臉眼睛 但餐椅旁的地上有一攤水 聞是酒精 鎖好後觀察女兒怎麼玩發現有倒的動作 跟想舔瓶身 未看到咬舔噴頭是否較能放心呢😭😭 這次教訓馬上把酒精藏好不在使用… 當下有馬上給寶寶喝水 跟觀察 我還需要注意寶寶什麼嗎🙏🙏 是否需要看診呢 | 如果酒精誤噴到眼睛，眼睛應該會有強烈刺激感而立刻哭鬧不安，所以我認為應該沒有接觸到眼睛。消毒用酒精對口腔也非常刺激口感不好，所以若沒有明顯哭鬧不安嘔吐感，我想對嬰兒應不至於大量吞服，就算還是有一些些口腔接觸應不至於有明顯不良影響只要不是工業酒精的甲醇，我想不用過於擔心。 | [
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| 懷孕 | 醫師您好 我和女友在1114號有親密行為，體外摩擦，陰莖在陰道外摩擦，感受乾燥疼痛，沒帶套，而後來上網查說可能懷孕，因為當天是排卵期，所以聽說機率更高，因為當下覺得不會所以沒吃藥，而14天後月經來，天數6天，但好像遲來了五天，那麼這樣會懷孕嗎很擔心 | 您好 月經來了應該沒懷孕吧。祝健康 | [
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5泌尿科
| 自慰 | 醫生您好 我昨天去看泌尿科了，診所醫生是回覆我因為很常自慰，所以沒有晨勃跟勃起沒那麼硬是正常的，因為都消耗掉了，減少自慰的次數自然會恢復，想請問診所醫生回覆的是否合理∼？一個月約26次的自慰是否會過多（因為好像看過研究說一個月21次以上好像可以保護前列腺）？ 然後網路論壇也很多人說自己可能一天自慰兩三次也會正常的晨勃及硬度。 謝謝醫生！ | 您好：網路文章不一定可靠，臨床上會很大不同，要參考應以醫療機構的文章如台大，成大，長庚等 為好，我感覺有的人2-3次天也是看體質，不是每個人都做的到 ，至於 21次可保護攝護腺也是太主觀了。祝健康 | [
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2牙科
| 補牙 | 醫生您好 約莫一個禮拜前去診所補蛀牙，由於臼齒很多年前已經有補過牙了，這次醫生發現內部又有再蛀，所以重新挖開補了一次，說蛀得蠻深的。 在補的過程也沒有說傷及神經及需要根管治療等，因此補完之後便回家請我觀察看看。 補完吃東西一個禮拜後都很正常，無疼痛及敏感。但在前天刷牙時補過蛀牙的那顆頰側面感覺酸酸的，刷牙時不會，只有在漱口時會酸痛一下就沒了。 隔天吃東西時遇到冷熱會敏感痠痛，在咬到較硬的食物時也會酸痛，但也是一下就沒了，喝常溫及吃常溫的東西並無異狀。 酸痛的點都是頰側面而已，並非整顆酸痛敏感 因此想請問醫生 1 是否為填補物某些脫落造成敏感酸痛 2 是否為頰側面琺瑯質受損造成敏感酸痛 3 或是可能有傷及神經呢 但術後一周都沒事，是一周後才怪怪的 謝謝醫生 | 您好 1. 應該是填補物因為蛀牙很深所以很靠近牙神經，所以填補後如果遇到冷熱刺激，牙神經會較為敏感酸痛。 2. 有可能是頰側牙齦萎縮造成齒頸部露出口腔，而引起的敏感酸痛。 3. 如果不是持恆性的冷熱刺激，牙神經應該都全恢復正常，建議追蹤觀察。 南投醫院牙科 曾光暉主任 | [
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5泌尿科
| 精索靜脈曲張 | 1•我的下面左邊大於右邊的兩倍，去醫院檢查，醫生說是輕微的靜脈曲張，但是我覺得已經腫成兩倍大了，還有機會再變大嗎 2•還有如果痛是次數很少，只是坐的時候會怪怪的，感覺有一個大大的東西在下面，我要開刀嗎附註我還沒有結婚，所以有沒有影響生育不知道。醫生叫我每年去檢查，可是我心裡總是很怕會更嚴重，每天都很擔心，到底要怎麼知道嚴重性。 3•如果開刀後左側是不是能變小一點，不要那麼大了，不然很難坐和站，開刀有沒有壞處，會不會再覆發而恢復原狀，還是等結婚後再開刀。 麻煩陳醫師的回答了，謝謝 | 您好 罹患精索靜脈曲張在治療上，若僅有輕微的不適，可以藥物治療減輕疼痛；如果疼痛劇烈或造成不孕症時，則應手術治療。手術方法有：經後腹腔精索靜脈結紮手術、經鼠蹊部手術、顯微高鼠蹊部精索靜脈切除術、腹腔鏡精索靜脈結紮手術各種手術均有優缺點。復發率約10-15。 又依您所述左邊陰囊大於右邊的兩倍，在精索靜脈曲張患者較少相差這樣大，必須考慮其他可能性，如疝氣、陰囊水腫、隱睪症、腫瘤或淋巴腺炎等。最好請泌尿科醫師診療，必要時可安排陰囊超音波檢查。 泌尿科陳修義醫師敬覆 | [
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1精神科
| 睡眠問題 | 醫師你好 簡單敘述我的情況 以前長期熬夜到半夜1.2點才睡 早上6.7點起來弄點事後又繼續補眠到8.9點 但不管怎睡都狂作夢 睡醒反而更累 現在狀況有些變了 晚上精神變好 不太想睡 我怕是失眠所以 晚上11點多就睡 躺床後就失去知覺 時鐘聲 心跳之類的都沒聽到 沒作夢 直到早上6.7點起來 個人覺得沒什睡但精神普通 弄點事後又繼續補眠到8.9點 又開始狂作夢 反而更累 我這樣到底有沒有算失眠的情況 謝謝 | Dear aquoioa 你好，謝謝你的提問。 原則上，主觀的沒睡好，以及白天精神受影響，都算是失眠的一種，聽你說來主要還是來自於作息不規律導致，目前你調整至11點預備睡眠是蠻好的方式，雖然身體還不適應，持續固定之後，生理時鐘會再找到新的平衡，到時候應該會改善！如果持續有困擾，建議前往身心科進一步諮詢！ 祝福你！ | [
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0婦產科
| 懷孕機率 | 在經期第四天無套外射，但不確定有沒有完全外射，月經週期為35-41天，但經期後下腹持續悶痛和腰痠，無其他症狀，想請問有沒有懷孕的可能？ | 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。而懷孕初期不見得有特定的症狀，也無法用主觀的症狀來判斷。建議如果月經過期一星期以上的話，仍然要檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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1精神科
| 焦慮恐慌症 | 常常突然間會感到緊張焦慮，沒有原因的突然出現，雖然能有意識的思考和人正常聊天談話，但是小動作持續，緊張和焦慮也沒有停下，過幾分鐘後就好了，這算有問題嗎？常常看到一些東西即使知道做了之後的結果還是一樣會想著如果這麼做了會怎樣這種問題，這也算有問題嗎？最近也常常出現因為一些原因或是沒有原因的突然喘不過氣，過度換氣的現象，這些是甚麼問題？曾經有過焦慮症或是恐慌症的現象發作一次，是因為上網查才知道那次都有出現所有症狀，沒有去看醫生只是自行猜測（當時的症狀是突然感到臉很紅很像發燒的感覺，有意識知道附近的人在做甚麼也知道自己不太對勁但是腦袋一片空白一直盯著某處看也沒辦法控制但是能夠回答別人的問題只是情緒很不穩定，一直出現小動作，想哭，想突然跑回房間但是我壓抑下來，很焦慮緊張感覺快失控，呼吸有點困難，之後又沒事了，幾分鐘後又發作一次，總共發作兩次，最後一次結束後感覺有點冷，然後很累，嘴唇感覺一樣像是發燒熱熱麻麻的感覺） | yo 妳好 妳所描述的症狀確實有可能是恐慌發作，建議可練習轉移注意力或做放鬆練習。但如果發作越來越頻繁，建議就醫尋求協助。 祝福妳 | [
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| 眼睛不協調 | 醫生您好：最近不知道為什麼不管是起床，還是看電視，左眼在眨的時候眼角會有幾點固定的黑影，像是那種被強光照過後留下的殘影但是會消失，去看眼科跟醫生說明後，他跟我說是眼睛疲勞，其它沒問題，可是過了有幾個禮拜黑影在眨眼的時候還是會在，請問這有可能是什麼問題呢？ 2.在閉上眼睛後也會在剛剛黑影的位子有亮光，也是會消失。請問有可能過一陣子消失嗎？還是我除了眼科還需要去看其它科呢？謝謝醫生 | 您好： 您的情況可能是飛蚊症，也就是玻璃體退化的現象，亮光可能是玻璃體拉扯視網膜產生的現象。這種現象有可能會持續很長一段時間。 眼科檢查沒問題，可自行觀察即可，如沒有太大的變化，應該是沒有關係的。 -- 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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| 傳染性病 | 您好，本人沒有性病， 請問在一般工作日常後沒洗手的情況下觸摸及以手插入女性陰道會造成女方傳染性病嗎？ 她目前是覺得下體癢癢的及下腹痛，去家醫科拿尿道感染的藥吃 請問性病有什麼徵兆嗎？女方可以去什麼科檢查呢？謝謝 | 您好 如你描述 未保持清潔是會感染但是多半是一般感染非性病 婦科就可以了 另外性病的症狀很多. 但是需經醫師診斷或檢查檢驗. 祝健康 | [
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5泌尿科
| 勃起 | 許醫師您好： 這個問題已經困擾我很多年了， 就是我在勃起時陰莖有變硬，但是就是無法抬頭，感覺根部的地方就像沒有支柱一樣，導致要做愛時，陰莖無法直接頂進去，每次都必需用手擠住根部，才能順利進去，不過也常常因此軟掉。 直到我最近在網路上看到一篇報導，把陰莖上的白膜和恥骨上的骨膜用強力縫線縫在一起，就可以有懸吊韌帶繫住的功能。 因我小時候曾好奇，用橡皮筋綁住陰莖根部約莫一小時，是不是因為這樣而導致懸吊韌帶斷掉，而導致陰莖無法抬頭的問題，若採用這樣的手術是否有用呢？謝謝 | 阿宏： 無法判斷。 一般陰莖懸吊韌帶只是支撐住陰莖，並沒有增加硬度的功能。 若有勃起的問題，建議做陰莖勃起相關試驗，看是否有神經血管的障礙。 | [
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1精神科
| 藥物諮詢 | 我在昉間有看過精神分裂症的書.說長期服用精神科藥物會生出畸形兒精神分裂症會遺傳可信度如何我按時服藥已三個月沒復發情形.將來有停藥機會嗎有兩種說法.真實我人在桃園醫師可否介紹比較專業的醫院或醫生我是在桃療治療.他們無法解決此問題.謝謝一天200mg的seroquel會導致糖尿病嗎我不知所措.謝謝我早上爬不起想換藥 | 親愛的朋友： 精神科的藥物種類非常多，過去的研究顯示僅有極少數有可能導致胎兒畸形，而且只有在患者是母親，且在懷孕後的頭三個月內福大量精神科的藥物，才有可能。一般而言，只要是長期服用藥物的患者，在準備懷孕前，務必要與主治醫師討論，如果可能在停用藥物後才來懷孕，是比較安全的做法！ 上次已回答目前一些文獻與研究報告指出，seroquel不會引起糖尿病！而長期治療下，這個藥物相對安全，對腎及肝功能並無明顯影響。至於是否可能以後痊癒〈好到不用吃藥〉？以目前的研究及文獻，都是建議需長期服藥！你服用這藥物而有一些副作用，是否換葯或調整劑量？我仍是建議你與你的主治醫師討論！ 至於除了桃療外，桃園附近的桃園榮民醫院、敏盛醫院、居善醫院、林口長庚醫院均有精神科，也可以就近詢問。 祝平安喜樂！ | [
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2牙科
| 植牙 | 醫師您好 想請教幾個關係鼻竇增高手術及植牙相關的問題 門牙右側的牙齒因多前年吃東西用力咬到雞碎骨近幾年該牙突然情況變的很糟 正在接受牙周病治療似乎是很嚴重牙齦萎縮也很嚴重. 目前自己傾向植牙目前有諮詢過一位牙醫師因為鼻竇高度不足以讓植體依附無法進行植牙 該醫師並不怎麼推薦進行鼻竇增高手術並向自己說明那樣植體的依附力一樣很不好. 因此想請問如果進行鼻竇增高手術時是將病灶的牙拔掉後治療牙周病後再進行會比較好 還是拔掉後緊接著進行鼻竇增高手術比較好 進行骨增生後植牙的植體依附力是否比起真骨差很多呢而導致植體幾年後鬆動等其它問題 另外在進行鼻竇增高手術時能一並置入植牙的植體嗎 感謝醫師煩忙之中抽空回覆問題 | dear 蘇先生您好您的 問題很好拔牙後是否立即植牙主要還是看每位醫師的經驗而定.立即植牙的 優點是 一次到位.而拔後等傷口好再植牙.是比較穩健鼻竇增高手術時能一並置入植牙的植體.是可以的 多保重祝一切平安順利 牙科 黃廷芳主任敬上 | [
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7耳鼻喉科
| 聽力問題 | 鄭醫師您好 近期因戴耳機次數太多 有次開太大聲外面都聽到 最近幾天右耳道有麻麻的感覺 用手機聲音靠近後 有麻麻刺痛感 沒有耳鳴或聽力變小 左耳沒有不舒服只有右耳 但平時右耳朵裡有點疼 也有點悶悶的 就有種耳機頭還在裡面的感覺 聽聲音有點不舒服 有點像聽到噪音的不舒適感 有捏鼻子減壓過 右耳氣出去時有聲音也比較大聲 這是正常的嗎？ 想請問休息幾天不聽聲音是否能自癒 這是因之前給予耳朵太大刺激造成的嗎？ 是否去看診下比較好呢？ 謝謝 | 你好 若無明顯聽力變差或持續耳鳴的情形，可先自我觀察，若擔心或症狀超過一週仍持續未改善，建議可至耳鼻喉科就醫檢查。 | [
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| 懷孕機率 | 醫生您好，我是固定週期的34天，1223-28是之前經期，29因為性行為有吃事後藥，16-11有出血（事後藥），下次月經是26-11，本次的月經38來，但量少了許多（鮮紅色出血，原本以為是月經），但到310甚至就沒有了（37有無套性行為無內射），有進行兩次驗孕都沒有懷孕，請問是什麼原因呢？ 是因為37號的性行為造成的嗎？ | 1. 1229的性行為其實可以不用使用事後丸。 2. 但您服用後一週內出血是事後丸的關係16。 3. 而38的月經是否因排卵造成的生理性月經，或是藥物干擾產生的子宮出血就不得而知了。 4. 所以服用事後丸後到月經恢復規律前，都要採用其他的避孕方式。 | [
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| 懷孕 | 醫師你好，與男友在719發生性行為 因保險套破掉拿掉繼續做，在射精前離開體內 並在性行為後13小時（719）服用妊止事後藥 上次經期為74-78 服藥後在724-728有如月經量的出血情形 此次出血是否可視為月經？ 是否需先進行驗孕？ 原預計87下一次來經，若無來經 是否需進行驗孕？ | 與男友在719發生性行為 因保險套破掉拿掉繼續做，在射精前離開體內 並在性行為後13小時（719）服用妊止事後藥 上次經期為74-78 服藥後在724-728有如月經量的出血情形 此次出血是否可視為月經？ Ans 不一定 是否需先進行驗孕？ Ans 不需先進行驗孕 原預計87下一次來經，若無來經 是否需進行驗孕？ Ans 是 | [
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| 月經 | 醫生你好 請問吃了事後避孕藥會影響月經來潮幾天 他是在月經前來一個禮拜吃的 昨天因該來的，卻沒有來 玩性行為 沒有進去也沒有帶套只有在肚子上射精 今天是第二天也沒有來月經 請問算正常嘛？ | 吃了事後避孕藥會影響月經來潮幾天 是在月經前來一個禮拜吃的 Ans 不一定 昨天因該來的，卻沒有來 玩性行為 沒有進去也沒有帶套只有在肚子上射精 今天是第二天也沒有來月經 請問算正常嘛？ Ans 玩性行為沒有進去也沒有帶套 只有在肚子上射精 不會懷孕 也不需吃事後避孕藥 | [
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2牙科
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20中醫科
| 生理期 | 顏醫師您好請問我每個月MC大約都只來二天，量都很少 第一天肚子都會痛，而且血塊很多.為什麼量 少都只來二天就快沒了是不是吃什麼可以改善 那我在月經後都會喝四物湯，可是常常都會嘴 破.長痘痘.上大號會痛.是不是喝四物湯的關係 謝謝. | 1.經量少，血塊多又長痘痘，表示荷爾蒙不調。可以到婦產科驗看看。 2.四物湯雖然是用在補血之用，但非每個人適合吃，吃後有人會口乾舌躁，有人會拉肚子，都表示不適合。 長痘痘若長在下巴，且在月經前後長，與月經不調較有關，睡眠不足心情緊張，吃的較熱會長在其他地方。 3.平時調養上，應少吃冰冷水果，冷飲，沙拉等，月經來前一週和經行那一週更不要吃冰，洗冷水澡，吹太多冷氣。 謝謝你的來信！祝安好 | [
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13肝膽腸胃科
| 腸胃問題 | 醫生你好. 小孩目前六歲三個月.最近幾個月經常的喊肚子痛.一個禮拜大約會痛一到兩次.痛點再肚臍附近.每次痛的時間大約都10鐘以內就不痛了.每天都要大便兩次.有時候偶而會大三次.常常說要大便卻是只有放屁不然就是大一點點.請問這症狀是哪裡出了問題.需要去掛小兒腸胃科做檢查嗎 麻煩醫生解謝謝 | 先生您好 可先至一般小兒門診治療，若未改善再轉診小兒腸胃門診。 彰化醫院關心您的健康 陳詩典 | [
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13肝膽腸胃科
| 糞便問題 | 醫生您好 因為看到網路上說有發現糞便像鉛筆可能是直腸癌 有點擔心 最近一兩次排出來的糞便 觀察到 糞便是呈現前面整條粗而尾端約1公分結尾處像鉛筆一樣細 沒有血 想問這樣是正常的嗎？ 上個月才做過糞便淺血檢查 是正常的 | 您好： 大便型態改變，原則上也是大腸癌的非特異症狀之一。非特異-故名思義就是不一定是，如果剛剛驗過糞便潛血正常，可以先不必太過擔心。如果大便型態沒有改善，且合併其他症狀，如：體重下降，血便血絲便，請就診胃腸科或大腸直腸外科。 彰化醫院關心您的健康 蔡安順 醫師 | [
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18放射線科
| 輻射問題 | 感謝醫生回應。 醫生，因本人有慮病恐慌症加上自律神經失調，這三年跑診所門診多次，您好，我107、108年在做了以下檢查： 頭部電腦斷層CT、頭部核磁共振MRI、胸部X光（約10次）、腹部電腦斷層CT、頸部超音波、心臟超音波、乳房超音波、胃鏡、腹部超音波、腹部X光、大腸鏡。（於您一月份有回應我是總共11.7毫西氟） 但在109年（今年）又因胸悶刺痛掛急診不同天醫生照了3次胸部X光，及醫生因主動脈瓣膜指數高照了含顯影劑的心臟CT 因不懂心臟CT輻射多少，及照X光頻率太密集，我又開始非常焦慮，我會不會得癌症或其他疾病？ | 潘小姐您好 依據美國放射技師學會網站資料，30歲女性3次胸部X光正、側位輻射劑量約0.3毫西弗、心臟CT（1次）輻射劑量約16毫西弗，這2項檢查額外癌症風險約增加千分之2。 根據國際輻射防護委員會ICRP103號報告指出，100毫西弗以下的劑量（包括一次或多次）不會造成臨床上的功能損害。輻射在醫療領域的利用越來越多，為達到檢查或治療的目的，並提供醫生診斷或治療必要的資訊，聽從醫生指示接受輻射相關的檢查或治療，是考量健康上的好處大於輻射的影響，如有疑慮，可與醫師多做溝通後再受診。 祝您平安健康。 | [
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12胸腔內科
| 胸口鬱悶 | 我的兩邊胸骨很凸到鎖骨那都感覺怪怪的穿衣服時骨頭被衣服碰到就會有種壓迫感很緊的感覺 深呼吸時會感覺左胸有東西壓住很緊我左胸骨很凸凸到可以直接摸到骨頭之前沒有這樣 我有氣胸一年前開過刀最近有回去檢查照X光沒事 這問題持續了一段時間了 希望可以找到答案 | 胸骨廓異常可以請幫您氣胸開刀的胸腔外科醫師評估也可以到胸腔內科門診做肺功能檢查看看胸悶是否與肺功能有關聯 祝 好 | [
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4心臟血管專科
| 心電圖 | 何主任您好，家母前段時間做了24小時心電圖檢查，檢查報告中有一段文字寫到no salvoVT，我知道VT是指心室心搏過速，那no salvoVT代表的意思為何呢簡單來說就是想請教何主任，no salvoVT到底是有或沒有心室心搏過速問題呢因為檢測醫師只表示心電圖與心臟超音波結果目前整體功能還正常，以上資訊請教，煩請何主任解答，辛苦了，真心感謝。 | 您好 就是指沒有較明顯的心律不整的意思 沒有心室心搏過速問題 無須緊張 彰化醫院關心您 | [
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| 結紮 | 你好 我目前已婚育有一男一女 與太太討論後想做男性結紮的手術 但心中又覺得害怕不安 想請問男性結紮是否有比女性結紮要來的快且方便 手術方式.時間.費用如何 我如果去醫院是先掛門診再約時間做手術嗎 大約需要去醫院幾次能完成 以及需要注意些什麼事情 謝謝 | 賢賢您好 1.按優生保健法男性結紮節育需配偶同意. 2.最好已有兩名子女至少三歲以上. 3.男性結紮比女性容易. 4.手術為局部麻醉於陰囊表面左右各半公分傷口.手術約一小時完成需自費本院約八千元. 5.需先掛門診以安排雙方方便之手術時間. 6.含手術後第十一精液分析共需來診三次. 7.術後仍需避孕至精液分析無精蟲為止. 行政院衛生署新竹醫院泌尿科主治醫師張成業敬覆 | [
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0婦產科
| 月經 | 是這樣的：我的月經在1115早上630來到一直到1120結束，1127時我跟我男朋友大吵一架 我的情緒很失控 後來吵完架後我去上小號 擦拭的時候出血了 量像月經來到第三天到第四天 大概是一片半∼2片護墊 而且顏色有時候是鮮紅色有時候是咖啡色 距離出血前最近一次性行為是在1126 請問這可能是出了什麼問題？ | 非經期之異常陰道出血，先考慮抹片檢查及超音波檢查，若排除任何疾病，有可能是排卵期出血此為正常現象，但不見得每個月都有。 | [
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13肝膽腸胃科
| 排便問題 | 我最近有下腹部按壓疼痛，側躺也會痛，有時悶痛，有時絞痛，有時也有想上廁所的感覺，但又上不出來，也會有噁心感，大便顏色有時深有時淺，有時也會有小小的出血 | Hi： 您好， 16歲女性，下腹部疼痛及排便異常大便有血。建議就醫。下腹部疼痛可能跟腸胃道、婦產科、泌尿道的問題有關。大便不順暢有血，常見的原因便秘、痔瘡肛裂流血，腸胃炎、大腸炎等。症狀持續建議門診就醫檢查！ 祝 平安健康！ 衛生福利部桃園醫院 腸胃科主治醫師 林明慧敬復 | [
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5泌尿科
| 靜脈曲張 | 醫生你好，我有精索靜脈曲張問題，大約一兩年前曾經檢查過，醫生說看我要不要手術還是等長大再手術因為有點麻煩。我有左睪丸有靜脈曲張。跟右側睪丸幾乎算是沒有的一點點曲張，有時看起來明顯，有時根本看不太到。醫生說可能是因為長期的跑步打籃球之類，都是我愛的運動，然後我內褲太寬鬆造成地心引力把他拉下來等等的。平時坐著的時候有壓到他也會痛痛的。但是是幾乎感受不太到的痛，只有那個姿勢會有，不至於痛到無法忍耐。請問推薦動手術嗎？還有是真的因為打球才造成這問題嗎？ 還有甚摩其他原因會有精索靜脈曲張的問題？ | 年輕男性精索靜脈曲張的手術適應症如下 1. 影響造精功能 如精液品質不佳睪丸萎縮 2. 反覆性疼痛保守治療仍無法改善. 建議與醫師討論是否需做手術 及做手術的利弊得失. | [
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| 是否懷孕 | 我想請問一下 我之前生理期都很準 從3月份到9月份生理期都是1415號之間來的 然後10月11號期間做愛有內射 結果到今天18號了 生理期還是沒有來 尿尿的時候也沒有像之前那樣有要來的分泌物或是血絲 但是這2天肚子一直有悶悶的感覺 請勿一下這樣有可能懷孕了嗎 | 回覆如下 性行為前後沒有避孕，就有可能懷孕。 請驗孕確認。 桃園醫院 呂理政敬上 | [
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| 事後避孕丸 | 我女友因為忘記上一次是那時候來的 可是我的映像是在73左右 我們在728，29有發生性行為 29晚上8，9點女友有買避孕藥吃 在30早上10點左右有發生性行為 因為沒戴套，又加上女友說她經期不一定 所以很擔心，請問這樣懷孕機率高嗎？ | 回覆如下 1 按照日期推算，您的女友可能的排卵期在7月17日前後一週，所以，發生性行為的時間，應該不是排卵期，所以懷孕機率不高。 2 有服用事後避孕藥，懷孕機率更減少，不到2成的機率。 3 雖然懷孕機率很低，但是仍然有些許可能。如果月經遲遲不來，仍須驗孕。 桃園醫院 呂理政敬上 | [
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20中醫科
| 鼻子過敏 | 顏醫師您好 我的小孩4足歲多經常感冒尤其是氣候大轉變時及冬天.曾經在長庚醫院抽血驗過敏指數達99.很高.最近常無故就流鼻血.我想一直吃西藥也不是辦法請問可用中藥來調理體質嗎須等感冒好了才開始嗎 | 流鼻血和過敏性體質不那麼相關，但都可以用中藥調理，感冒時要先把感冒治好，才能調養，因為中醫學上說：「新病先治」，「外邪先去」，所以您說的很對，要等感冒好了才能開始用中藥來調養身體。 | [
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6骨科
| 肋骨問題 | 有天胃痛不舒服的時候不經意的壓了肋骨下方 壓到了一塊可以移動很像軟骨的東西 而且移動的時候會有"咖咖"的感覺 這幾天要壓的時候就找不到了 但是有時候某些彎腰呼吸或扭腰時又可以感覺到 而且按壓左肋骨最後一根靠近中間要往上轉的地方會非常痛 而且痛感是會延續一下子的 這兩個問題會是肋軟骨發炎嗎？還是脊椎側彎所導致的？（本身左肋骨比較突出，而且肩膀有歪斜的症狀） 謝謝醫生解惑！ | 有可能是軟骨發炎 靠近中間的地發有可能是劍突 也是軟骨 他位在胸骨的最下方 有時候會微微的凸出來 用力壓到有時候會疼痛的 這個跟脊椎側彎無關 | [
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0婦產科
| 分泌物 | 在性行為後的兩三天開始出現咖啡色分泌物，持續了26.27天之後，出血持續了6天但是量沒有以前那麼多。（開始出血已經比預期晚6.7天） 出血完後身體已經無其他異狀2-3天了。 請問為什麼咖啡色分泌物會持續那麼久？ 那這樣我還有可能懷孕嗎？ | 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。建議您如果月經仍未來的話需請婦產科醫師檢查是荷爾蒙失調或是其他原因，謝謝 祝 平安 健康 張 醫師 回 | [
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| 避孕 | 36月經來311月經走在318的時候有發生性行為有戴套但後來發現套子破掉但無內射，在兩小時後有吃愉婷錠一錠裝的，324有出血，327剩下一點點了，這樣會懷孕嗎？ | 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，。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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| 味覺 | 我今天吃了咖哩炸豬排便當、喝可樂、吃到咖哩時，覺得咖哩有藥的味道！有點苦，和喝可樂的時候我覺得像思樂冰的味道！我有憂鬱症，是憂鬱症影響，還是味覺有問題？ | Hi： 您好， 若吃的大部分食物味道均改變可能與味覺異常有關，若僅某些特殊食物才有，不一定是味覺異常的結果，若持續有味覺異常的情形建議至耳鼻喉科或神經內科檢查。 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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| 鼻子問題 | 想請教一下，我之前感冒，右邊鼻孔內有黃鼻涕且倒流至喉嚨，並無發燒，只有偶而頭痛，曾去耳鼻喉科看過，說我是鼻竇炎，已有做過治療，目前已無黃鼻涕，但持續有聞到一些臭臭的味道，之前也請醫師幫忙用內視鏡檢查過，他說照起來的圖，應該已有改善，並沒發現任何問題。我想請教的是，如果像我現在的狀況，是需持續去治療呢 還是鼻竇炎能靠自我的調整解決嗎 如果可以，我需注意什麼 才能康復。 PS. 我是創傷後壓力症候群的患者，且我猜我也可能有慮病症的可能，我不知是否心裡會影響我生理上的問題嗎 如持續聞到臭味. 謝謝 | 您好 鼻竇炎治療通常需要一段療程症狀解除後還需要 你可以和你的醫師討論你是否還需要繼續用藥或是觀察or 需要再做進一步的檢查 你的症狀的確在有的鼻竇炎病人會出現 所以好好和您的醫師討論吧 祝早日康復 | [
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1精神科
| 憂鬱症 | 陳醫師您好 我是一個在大陸工作的財務人員我在外工作的三年中心理的轉變很大其實我以前在台灣時就看過家醫科有焦慮心悸自律神經失調等問題來了大陸這三年來我並沒有交到可以談心事的朋友我常常一個人在宿舍哭甚至連哭都很壓抑因為隨時有隔壁同事敲門找我我又必須裝的很正常所以我連哭也不能盡情的發洩我的難過覺得很痛苦常常頭腦像裝了很多東西快要爆炸一樣而且漸漸覺得人生沒有意義我記得以前看家醫科醫生問我會不會覺得人生沒意義或會不會想自殺我都說不會現在真的開始有這種想法而且跟家人的關係愈來愈差雖然我心裡不想跟他們衝突可是每次講電話我總是控制不住自己的情緒跟他們用不好的態度講話因為我一聽到不想聽的話就會無法控制情緒即使我知道爸媽是出於好意我也沒辦法控制自己也已經很久我無法專心的坐下來看書超過三分鐘我總覺ㄉ莫名其妙的焦慮心悸也還是常發生我不知該怎麼辦在大陸我沒去看過醫生所以把以前家醫科開的藥帶來吃但是我覺得現在吃了效果沒像以前那麼好甚至我都沒感覺到有什麼效果了真的會愈想愈擔心這種情形如果回台灣治療須不須要治很久或是有沒有其他方式可以讓我改善這種狀況呢麻煩您幫忙解答謝謝 | LISA你好： 依據你症狀的描述，應該屬於憂鬱症。 目前憂鬱症的治療方式，仍以藥物治療為第一線，若評估有需要，可以搭配心理治療。目前藥物非常進步也非常多種，副作用少，服藥又方便，而且效果也都很不錯，然而治療失敗很重要的原因之一，就是「耐心」。往往個案自覺情況好轉後，就不再服藥，造成反覆復發，臨床上治療的療程，至少需要1-2年。我不知道你每次去大陸都停留多久，你可以檢附機票證明，拿藥60天，然後去大陸後，找精神科醫師，拿相同的藥物。 謝謝來信！ | [
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