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12胸腔內科
| 肺阻塞 | 胸悶，呼吸不順暢感覺喉嚨好像有痰卡住 | jtr：您好 您的問題有可能是心臟或肺臟或只是生活步調太緊促，壓力較大的關係，建議您可至教學醫院胸腔科就診，醫師會根據您的病情開立相關檢驗項目幫您釐清病情。 | [
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| 假牙 | 袁醫師 不好意思 冒昧打擾 請問 我的下排牙齒掉落3顆 牙醫說須連做8顆才好看 這是正確的嗎 固定假牙的壽命有幾年 能一輩子到老都不壞嗎 請醫師撥空回答 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 大致上來說固定假牙是利用缺牙的牙齒作為支撐例如缺第一大臼 齒就需要兩邊的第二小臼齒及第二大臼齒來形成一個三顆牙的牙橋 缺牙越多牙橋長度也會增加不知您少的是哪幾顆牙若包括前牙 為了對稱性提昇美觀有可能延長牙橋長度假牙壽命要依個人衛生 習慣及便用習慣而定您26歲少了三顆牙不知原因為何若是因蛀牙拔 除建議學習正確刷牙方式才能杜絕後患牙齒健康假牙長壽 最後 祝您 平安快樂 | [
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| 家醫科問題 | 魏醫師您好 我母親今年52歲了，也已經停經，處於更年期的階段，除了燥熱，平日並無太大不適，這幾個星期卻常聽到母親在說，蹲下之後再站起來會感到腰部無力，背部痠疼，不知是不是因為更年期所引起的呢？ 母親日前自行買了旭福葡萄糖胺錠，說聽人家說可以改善身體的不適，我將產品列出的成份列出如下，請醫師看看是否真的能對母親的身體有幫助作用？ 品名：旭福葡萄糖胺錠 主成份：天然葡萄糖胺提煉自蝦、蟹類、微晶纖維素、二氧化矽、硬脂酸鎂。 另更年期一定會造成骨質疏鬆嗎？平時要補充什麼營養來避免或維持骨骼健康呢？或是減輕更年期不適？ 不好意思，問了這麼多問題，還請醫師撥冗為我解惑，謝謝 | 停經後五年內若無法補充賀爾蒙，則可能骨質流失三分之一，若腰部無力、背痛，宜看骨科，作診斷。更年期症狀：如熱潮紅、冒汗、陰道乾澀，以賀爾蒙治療較有效，但若有乳癌血栓或較高血壓者則不適用上說健康食品，不甚了解。 | [
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| 包莖問題 | 我目前已經20歲了，因為未勃起時包皮能夠正常退下，所以平常的清潔沒有什麼問題，不過勃起時退下來都會有一種勒住的感覺，上網查了之後怕退不回去，就沒有硬把他拉下來，這樣的情形貌似也導致我陰莖短小的問題，可惜太晚注意到了，請問這樣的包莖問題，也是建議割包皮嗎？還是能夠只把勒住的地方處理掉，還有現在那種陰莖增大手術是有用的嗎？兩個手術可以一起做嗎？ 謝謝回答，問題有點多，麻煩你了，謝謝 | 您好 多半是包皮手術 因為同為手術 只處理窄的地方外觀會有些地方不平整 至於陰莖擴大手術只有部份單位有做 想要一起手術 可能要先詢問醫師是否可行. 祝健康 | [
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| 長高 | 我現在16歲，最近兩個月左右感覺都沒再長高，請問拉單槓加騎腳踏車，多補充營養，早睡，還可以在長高嗎 | 生長板如果閉鎖了那就不太可能再長高了 | [
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6骨科
| 膝關節 | 醫生你好 請問一下，我膝蓋會痛，有照過×光說是退化了，但醫生只開止痛藥跟叫我做股四頭肌運動，（平躺時腳抬45度）這個動作我也做半年多了，我也吃葡萄糖胺，但恢復的效果都非常有限，最近也聽說有增生治療（注射葡萄糖）也打了3次了，不過就是沒有很明顯的效果，站久了還是有些疼痛（是刺痛感但疼痛位置不固定）並不是非常痛的那種，那膝蓋灣曲時有時膝蓋上方會有些緊繃感，但申直後再灣一次就不會了，雖然醫生都說我的狀況不嚴重，但我恢復的情況就是不明顯，請問醫生還有什麼樣的治療方式可以去試看看（最近郭子乾代言的台鹽補股胜肽，廣告的很大，不過效果如何不知道，但很貴很貴）不知道醫師這裡有沒有治療方式可以讓我參考的，另外想問如果打玻尿酸是讓軟骨潤滑而已嗎？聽說軟骨組織就跟玻尿酸成份接近，有這說法嗎？那玻尿酸打過後，是不是一輩子都要靠打玻尿酸了，不打就會更嚴重了呢 還有什麼吃的物品可以讓我參考嗎？（牌子也好） | X光片說膝關節退化了 那要看退化的程度如何 如果不嚴重通常經過藥物治療就壞改善的 大玻尿酸也可以緩解疼痛 症狀改善了也不必一直繼續打玻尿酸的 去找專業的醫師診察再做治療 坊間的物品都是健康食品級的幫忙不大的 | [
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| 射精 | 醫生你好 跟女朋友行房的時候 有時候進去沒幾下就有感覺 可能30秒而已 會控制不住射精的感覺 有時候又可以持續3分鐘 想請問如何增加自己的持久度或者如何降低自己的敏感度 | 您好： 您的情形要就醫，請醫院泌尿科就醫，有些醫師對性功能較專門，可參考各醫院網頁 。祝健康 | [
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| 門牙 | 醫師我想請問一下 因本人門牙乳牙一直未掉且下方沒恆齒又再痛持續的治療很久的時間一直沒好 到了今年3月份將牙齒拔除，空了一個洞有什麼方法可以補起，目前有許多種方式都不能，牙的空間很小 是否與甲狀腺的問題有關西 | 親愛的網友您好 依照網友的描述，拔除的乳牙門牙下方無恆齒存在。空缺的位置，建議網友可以請牙醫師評估，依實際狀況空缺大小、牙齒排列位置、咬合關係---評估是否可以用1矯正2假牙3牙齒填補補蛀牙的方式彌補。 甲狀腺功能和牙齒的生長萌發可能有關，但和先天缺牙較無明顯關連，謝謝您的提問。 | [
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5泌尿科
| 睪丸問題 | 許醫師你好 大約4天前我洗澡時抹了很多沐浴乳在身上下肢膀胱部位 會陰 沒沖水就開始蹲著洗頭突然感覺左陰囊下部灼燒感似乎被溶劑灼傷的感覺當下因為在洗頭所以想說忍一下 事後睪丸陰囊左邊就開始灼熱 痛了 自己摸 腫脹倒是沒有 但左睪丸有比右睪丸稍微硬一點點 現在灼熱感還是挺明顯的 疼痛且延伸到右睪丸股溝 大腿 這是發炎了嗎 目前還沒就醫會有可能是細菌感染嗎完全沒性行為最近也沒有感冒發燒腸胃炎 現在就是一直灼熱.悶悶的感覺這需要就醫嗎 會是精索曲張嗎 哀很痛苦. | Jie 你好 可能是局部化學刺激造成的皮膚發炎。 細菌感染，不一定經由性行為感染。 環境中、空氣中、水中、手上、毛巾等，到處都是細菌。 一般會陰部感染後，建議減少局部刺激，局部用一些藥膏塗抹。 清洗時，不建議用肥皂或沐浴乳等來清潔，就是用冷清水即可。 清潔後，用乳液或凡士林等，來做局部保養。 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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5泌尿科
| 腎臟問題 | 醫師你好 最近有去做身體健康檢查今天回去看報告整體還算不錯 只是我的腎絲球好像有點低79.24去年檢查還有88.多 因為我是去檢驗所做的檢驗師是說飲食要注意一點 不知為什麼會少那麼多也不知是不是平常都吃外食關係！ 是怕按照這比例明年如果體檢會不會變6字頭了＞ 想請問醫師腎絲球可以救回來嗎平常該怎麼注意或者有什麼保健食品 | 您好： 1 腎功能每次抽多半都有差異，所以要多次抽血比較，腎不好，影響的因素很多如飲食，血壓，藥物，是否有蛋白尿，因為42歲可能要小心追蹤。建議腎科醫師評估。2生活注意有可能改善腎功能 | [
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| 事前避孕藥 | 醫師您好 請問排卵前一日行房後誤食了8顆黛麗安懷孕機率高嗎？如果中獎了會對胎兒有什麼影響嗎？ 謝謝 | 排卵前一日行房後誤食了8顆黛麗安懷孕機率高嗎？ Ans 懷孕機率不高 如果中獎了會對胎兒有什麼影響嗎？ Ans 不會有什麼影響 | [
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16腫瘤科
| 淋巴 | 樊醫師 家人罹患瀰漫性大細胞非何杰金氏淋巴瘤 目前正在進行第一階段的治療方式為化學療法加上莫須瘤 由莫須瘤的藥品仿單中得知有持續治療的方式 但詢問主治醫師卻得到相反的答案 請問莫須瘤真的不適合使用於瀰漫性大細胞非何杰金氏淋巴瘤嗎另外淋巴瘤的自體移植是在什麼樣的情況發生才可施行 感謝您的回答 | Dear Hudson 莫須瘤持續治療的方式適用於低惡性度之淋巴瘤，在瀰漫性大細胞非何杰金氏淋巴瘤並不需要。瀰漫性大細胞淋巴瘤，化學療法加上莫須瘤六次療程即達成高度治癒率矣，你的醫生是對的，敬請放心！ | [
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| 藥物諮詢 | 醫生您好 本身因為慢性攝護腺炎去泌尿科診所就診 診所開給我了Urief上次回診反映說會頻尿診所又開給我了Solifenacin 我有幾個問題想請教 1.Urief是讓我好尿尿Solifenacin讓我不會頻尿這樣兩者不會衝突嗎不要吃Urief不就好了嗎 2.Solifenacin會反而讓我尿不出來嗎如果會該怎麼辦 3.抗焦慮的藥物會造成頻尿嗎 | 您好 1 2者的主要作用是在於不用部位 很多醫師如此使用 應說相輔助 不用過慮 2 不會的 發生此情形的機會少之又少 生活要正常更重要 3 要看是那一類藥物 一般藥物都有仿單可參考 網路上也可查到 不了解可提供給我 我來查. 祝健康. | [
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0婦產科
| 懷孕 | 411性行為，事後三小時有吃避孕藥，422月經來，血少量不多但都是鮮紅的有少許血塊，這樣會有懷孕的可能嗎？在幾天以後驗孕沒有就是確定沒有懷孕 | 您好 驗孕要受孕12天以上才驗的出，懷孕機會不大，最好要做事前的避孕措施。祝健康 | [
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15復健科
| 斜頸 | 醫生您好！ 我的寶寶從剛出生躺著時，面都朝右頭往左倒，當時醫生檢查說沒有斜頸，只是頭型的關係，所以也沒特別在意。 最近寶寶開始學坐，發現她頭還是往左倒（臉朝前，朋友看照片說是裝可愛，但其實不是），吃副食品也常常頭歪歪的吃，趴著玩時，好像就沒有明顯往左倒的問題。現在會翻身後，自己趴著睡時也能轉頭換邊，之前坐嬰兒車（斜躺）時也是明顯頭往左倒，喬正很快又倒回去，這幾天看有比較正一點。 前幾天再度抱去問醫生，醫生也是說沒問題，不需做任何處置，但還是有點擔心，為什麼坐著的時候頭會往左倒呢？（坐著時頭可以自由左右轉動）然後她也有大小眼，兩邊的鼻孔有一點點長得不太一樣，但人應該多少兩邊臉會長得有一點不一樣吧？ 醫生您覺得這樣有可能是斜頸嗎？還是頸椎有問題呢？ 新手媽媽，還請醫生幫忙解答。 謝謝您。 | 兩位醫師診斷沒有斜頸，可能是因為臨床檢查頸部肌肉並無明顯硬塊或僵硬，但您觀察仍有頭往左倒及眼睛鼻孔兩側不對稱情況（或許還有兩側臉頰大小不一情況？），此時有可能是頸部兩側肌肉力量不均情況造成，通常隨著寶寶長大會自行改善，如果其他動作發展指標都正常可以再觀察，但家長還是要注意不時可以幫寶寶矯正頭往左倒的習慣，以免長期因姿勢不正造成臉部發育不均影響外觀，如覺情況一直未改善需再就醫。 | [
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16腫瘤科
| 硬塊 | 醫師您好： 約有兩週前發現摸到鼠蹊部有不明硬硬不規則硬塊，壓不會痛皮膚表面也看不出來， 現在變小但是摸起來感覺像是一塊上面有一粒一粒的，要看那一科？還是不用看！ 腋下之前也會長，但是會突出，不會痛癢，自己會消。請問醫師這是淋巴腫大嗎？ 和體質有關嗎？要看那一科？因為長的位置很尷尬。懇請醫師百忙之中抽空幫我解惑， 謝謝！ | 婷婷／39歲／女 1. 約有兩週前發現摸到鼠蹊部有不明硬硬不規則硬塊，壓不會痛皮膚表面也看不出來，現在變小但是摸起來感覺像是一塊上面有一粒一粒的，要看那一科？還是不用看！ a 會變小 可能還是良性的 硬這個特性則像是惡性的 建議還是必須親自到醫院給醫師診治 2. 腋下之前也會長，但是會突出，不會痛癢，自己會消。請問醫師這是淋巴腫大嗎？ a 會自已消 事後推斷為淋巴腫大 是合理的啊 3. 要看那一科？ a 一般外科 婦產科都可以看 可以挑選女性醫師診治 謝謝來信 桃園醫院 陳斯榮 | [
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| 懷孕嗎？ | 醫生您好。 和男友親密接觸，幫他口之後他有一些分泌物，可能是精液。有吃到嘴巴裡之後繼續口所以男友的私密處整個都是濕濕的，後來他自己自慰了一下，沒有射，然後在用他的手隔著我的內褲摸。 1.男友的手碰到和我的口水混到的精液在隔著我的內褲摸我的私密處會懷孕嗎？ 2.如果男友直接碰到在龜頭上面的分泌物在隔著內褲摸我的私密處會懷孕嗎？ 3.我的嘴巴裡有像精液的東西，和男友伸舌頭接吻，他在直接舔我的荳荳那裡會懷孕嗎？ | 提問者您好 依您描述的情況，難以評估懷孕的機會不過只要有活動的精蟲在陰道內且在排卵期，不管是任何管道，仍會有懷孕的可能，仍建議您做好適當的避孕措施，必要時也可請醫師評估，謝謝 祝 平安 健康 張 醫師 回 | [
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| 避孕藥 | 你好我想請問一下長期吃事前避孕藥快兩年了 會造成掉頭髮嗎？目前是吃艾斯利安的 還是有推薦哪種事前藥不會造成掉髮的？ 跟會不會造成血小板過高 大概427 | 提問者您好 一般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。 一般說來服用口服事前避孕藥並不會造成所謂掉髮的問題，但每個人體質不同，若你出現掉髮問題可選擇不含第二代黃體素如 Levonorgestrel Norgestimate等的避孕藥，若仍有疑慮可諮詢專科醫師，謝謝！ 祝 平安 健康 張 醫師 回 | [
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0婦產科
| 避孕藥 | 請問我從月經來的第一天開始吃悅姿的事前避孕藥，到了第六天開始有咖啡色的分泌物，想請問這樣是正常的嗎？ 還可以繼續服用藥物嗎？ 這樣可以不帶套內射嗎？ 謝謝醫生！ | 應該繼續吃，不可間斷，才會有效，有用套效果更佳。 | [
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1精神科
| 恐懼 | 想請問醫師 我本身很容易焦慮緊張，也很會預設很多事情早情自己的壓力，有看過精神科，醫師有給我抗焦慮的藥，說控制不了時吃。今天的問題主要是想問，我從小搭飛機就很害怕，我不是害怕墜機，我是害怕起降以及亂流時飛機往下的那種下墜感，做自由落體或坐船那種上下的感覺，感覺心臟掉下去的那種感覺，我知道每個人都會有那種感覺，但我問其他人，他們都說那沒甚麼，就心臟跟肚子癢癢的。 我的疑慮如下，希望醫師能幫助我，我下個月底要跟家人出國，要坐飛機，導致我現在很焦慮 1.請問如何克服 2.我有二尖瓣脫垂，那亂流時，急速下墜，撇開我害怕的心理，下墜會對我心臟造成任何問題嗎 3.這點是最困擾我的，我知道害怕是心理問題，可是下墜感是牽扯到生理上，會有不舒服心臟掉下去的感覺，所以我不清楚到底是怎麼回事。 | Jack 你好 這是屬於預期焦慮，你預期坐飛機降落時會有讓你害怕的感覺因而感到焦慮。焦慮時會造成心悸、心跳加速，一旦焦慮狀態緩解，通常就可恢復正常。 通常成功的經歷過幾次之後，這種焦慮感通常會逐步減輕，事前服用一點抗焦慮藥物，通常也能降低焦慮反應。 另外也可試著轉移注意力到窗外的風景，或是書本雜誌上，去稀釋掉那些預期焦慮。 祝福你有個美好的旅程 | [
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| 藥物諮詢 | 醫生您好 我於12月初發現月經遲來一週多 至婦產科驗孕證實懷孕 礙於現實因素必須做人工流產 因為週數小（約四週多）因此選擇藥物流產方式 1221早上在診間服下一顆ru486 1223自行在家服藥（3顆口服藥物），腹痛感不嚴重，大約一個多小時後開始出血，但是出血量不算多 1224早上回診超音波顯示胚胎有往下位移，但未成功排出 因此醫生立刻安排陰道塞藥的動作，有告誡會比較痛並當下吃了一顆止痛 下午自行在家，醫生說藥效很快約3-4點可以拉出陰道中的紗布，但是我並未感到任何不適疼痛，拉出紗布後也沒有大量出血 請問這些藥物是否在我身上沒有起到效用呢？ 感謝！ | 您好 抱歉無法由你的所述診斷，是否藥物有作用，建議回原婦產科檢查。祝健康 | [
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5泌尿科
| 射精 | 男友在做愛完有時會有紅色分泌物他也不覺得痛是甚麼造成的 | 會不會是攝護腺發炎引起的精血症請他到醫院找泌尿科醫師檢查治療. | [
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1精神科
| 恐懼 | 本人為social phobia患者 在精神科醫院治療了快兩年 除了藥物之外 期間我也不斷地強迫自己做認知行為治療 目前可以上街買東西 還當了學校畢業典禮的主辦人，但準備期間是我人生中最可怕的經驗，我要不斷地吃Inderal才能撐住 結束後我整整昏睡了一星期，醫師說是我身體無法承受這種公眾場合的緣故 但近日因為同住的家人疑似思覺失調症自殺，家裡的直系血親共有4人是因為自殺死亡 而我在治療方面雖然有所進步，但至今仍然無法eyes contact，醫師診斷疑似為schizoid personality disorder 但我查了網路上的衛教文章，此案例似乎很少有相關的資訊 請問治療方式與social phobia有何不同 又因父親正在癌症治療後追蹤期，母親遭到特定反精神醫學的團體洗腦認為精神科是偽科學 因此至今雙親都不知道我的狀況 請問該讓他們知道會好一點嗎 感恩 | 敬啟者 感謝您的提問 嚴格來說 Schizoid personality disorder 如果是正確的診斷 因為其屬於personality disorder 的範圍 在治療上 多為支持性的療法 因為以藥物或心理治療能改變其個性的可能性較低 依您所述 您可以完成學校畢業典禮的主辦 應是很有成就感的 也很辛苦的過程 也代表您的現況及治療是相當好的 至於您與父母的部份 我想如果您可以照顧好自己 倒也不急於要立即告知 但是 如果您的狀況有所變化 需要家人的協助與關心 我想也要立即 直接地讓父母清楚及關心您 以上回覆 敬祝 身心愉快 一般精神科 張芳榮 上 | [
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7耳鼻喉科
| 鼻涕 | 醫生您好黃鼻涕黃痰鼻竇炎的問題困擾我很久女兒8月開始上學幾乎每個月都在感冒連帶著先生跟媽媽我也一起循環只是困擾我的是我每次感冒第一個症狀都是喉嚨痛伴隨著鼻涕倒流黃鼻涕自從女兒上學後每次帶病毒回家媽媽我每次中獎都會有黃痰跟黃鼻涕黃痰是從鼻腔吸出來的而且是第一天不舒服就開始有黃鼻涕跟黃痰上個月12月初因為之前都沒把鼻竇炎抗生素乖乖吃完一周以上12月決心要把該死的鼻竇炎給斬除吃了將近快一個月的抗生素也給醫生抽鼻涕內視鏡確定康復才沒繼續拿藥但1月底爸爸跟女兒又相繼感冒媽媽最後一個才被傳染但一傳染我又開始出現黃痰黃鼻涕覺得困擾想請問醫生一感冒就有黃痰跟黃鼻涕 這樣是屬於細菌感染嗎還是病毒感染也有可能呢因為爸爸被醫生診斷是鼻竇炎但小孩醫生認為沒甚麼黃鼻涕但有痰所以先開化痰止咳藥先觀察未開抗生素媽媽因為第一天 所以醫生也沒馬上開抗生素只開一般感冒藥請我回家觀察三天再來看 想在請問醫生鼻竇炎過敏性鼻炎黃痰黃鼻涕會每次感冒就馬上出現症狀嗎是否即便把藥吃好吃滿但下次又感冒生病還是會再發作呢覺得每個月都在吃抗生素有點困擾但小孩上學好像很難不生病的. 謝謝醫生 | 您好 建議若症狀持續且反覆 就診耳鼻喉科 可以考慮鼻咽喉內視鏡檢查 看看是否有腺樣體增生肥大、慢性鼻竇炎等問題 | [
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16腫瘤科
| 硬塊 | 兩個禮拜前腋下有點痛本來以為只是毛囊發炎之類的 但不到五天的時間發現腋下深處居然長出硬塊並且又腫又痛睡覺時都會一直痛醒外觀看起來也明顯多一塊肉（像副乳）但並皮膚看起來沒有紅或傷口之類的！一個禮拜前去外科診所就診醫生診斷為大汗腺炎開了五天的抗生素跟消炎藥還有胃藥但我吃到第三天時開始出現食道腫.胃炎.便秘。 現在吃完五天的藥了但腋下還是一樣腫（沒有變更大）痛也只有緩解一點點∼想問問醫生我該回診同一個診所？還是建議我去醫院看診？那我一樣是看外科嗎？（目前已經三個星期了） | Ｓ／36歲／女 Q： 想問問醫生我該回診同一個診所？ 還是建議我去醫院看診？ A： 各有優缺點， 1. 給原來的看的好處是，他看過原來的狀況 2. 給大醫院專業的乳房外科醫師看可能可以順便做乳房超音波 3. 乳房X光攝影檢查：45-69歲婦女、40-44歲二等血親內曾罹患乳癌之婦女，每2年1次。以你現在的年紀，可能不需要。可以由專業的乳房外科醫師評估。 Q： 那我一樣是看外科嗎？（目前已經三個星期了） A： 是，可以考慮專業的乳房外科醫師特別門診 祝早日恢復健康 桃園醫院 陳斯榮 | [
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5泌尿科
| 性病 | 醫生您好，我有兩個固定性伴侶，今年發現自己尿尿開始癢癢並且只在早上起床時有些許的黃色黏液！ 接著有自己去診所接受抗生素針劑及兩週的doxycycline藥物治療！並且第一次看醫生的當天直接接受性病的篩檢 檢查 ，檢查完的隔週報告顯示沒有淋病也沒有批衣菌！ 後來也沒有症狀了，然後又開始跟兩個性伴侶有無套的性關係！ 接著又過一週，發現自己症狀又出來了，就換了一家診所接受治療，也是使用針劑抗生素及doxycycline藥物治療兩週，同時也請其中一位伴侶一起接受檢查及同樣的藥物治療兩週（沒有針劑），其中一位伴侶檢查結果也沒有淋病！ 而第二次治療後，又恢復正常的與兩個伴侶皆有性行為，結果又重複感染了… 醫生，我想問的問題是！ 1.我這樣算是有淋病嗎？因為我跟其中一個伴侶檢查都沒有淋病 2.我這樣反覆感染是真的淋病嗎？還是單純的尿道炎？ 3.我的症狀只有輕微早上一點點黃色黏液及尿尿搔癢，淋病症狀有這麼輕微嗎？ | 您好： 1.我這樣算是有淋病嗎？因為我跟其中一個伴侶檢查都沒有淋病---》有可能是一般感染，因為重覆發作，應注意，用保險套防護 ，多喝水，少刺激食物 2.我這樣反覆感染是真的淋病嗎？還是單純的尿道炎？--》淋病確診要去大醫院，一般都用症狀判定可能是，不是確定 3.我的症狀只有輕微早上一點點黃色黏液及尿尿搔癢，淋病症狀有這麼輕微嗎？---》有可能 祝健康 | [
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13肝膽腸胃科
| 大便相關問題 | 醫生您好， 我最近大便有觀察，有時候大便內會有紅色類似血塊或是黏液，我的大便呈現黃咖啡色、 有成型、每天大一次。 近期也容易頭暈，有去檢查大腸鏡胃鏡也都沒有息肉或是發炎，只有輕微胃食道逆流和 胃發炎 請問我還可以去檢查哪裡呢？ 身體可能是哪裡出問題呢？ | 做糞便潛血檢查為陰性，且無貧血， 則不必再做小腸檢查。 | [
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5泌尿科
| 術後問題 | 醫師您好，無意打擾您的時間，在下今年29歲，歷經包皮環切術後，已過4天，回診時主治醫生說一切正常，可以開始淋浴洗澡，不用包紮，並且說會有點腫脹是正常的現象，但我想問一下，當初我在手術時主刀者有說「我繫帶有撕裂傷，已將我縫合。」 然而以下現象不知和此細節有無關聯： 一、現在尿尿有時會有一段小粉紅尿是正常的嗎 二、今天尿尿後馬眼下方有出現一滴黑血滴完後就沒有血跡。 三、術後用紗布包起來，至今甚少出血，都只有馬眼附近有出現些微血跡，今天午覺勃起更是只在紗布上看到黃點擦上的優典。 四、尿尿術後全都分岔亂噴。 我想請問一下醫生，我這樣的情形算是正常的嗎 因為雖然有給醫生看過了，術後至今也不太有甚麼疼痛，只有些微的腫脹，但還是有點擔心.。 | 聽起來似乎沒有大礙 ，在尿道龜頭的部分如果有腫，小便就會亂噴 。繫帶雖然縫合，但不一定長的好。 至於傷口一些血跡的問題， 建議還是要回門診問手術醫師 ，當場檢查才會知道。 | [
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| 精索靜脈曲張 | 醫師您好 我最近有去看泌尿科 檢查結果是附睪發炎和輕微靜脈曲張 目前有在吃藥治療 想請問如果這樣的狀況性行為會導致病情加重嗎？ | 您好 最好是不要 如果有也要安全性行為. 祝健康 | [
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| 腳指內翻 | 醫師好： 我是先前發文腳趾內翻術後問題 請見諒我一直發問 但關於腳趾內翻的文真的很少 我111剛手術完 前天118媽媽拿了腳趾內翻的矯正套給我穿 因為太緊很不舒服 所以我只穿了大概不到一個小時就脫掉了 但不知道是不是穿太緊的關係 脫掉後腳趾關節處截骨處，不是傷口 只要關節一彎曲和刻意按壓就很痛，痛到快冒汗的那種 而且跟我剛開刀完換藥的照片 看起來比好像又恢復開刀前的彎度了，還是因為是腳腫的關係，所以看起來跟開刀前差不多 不知道是不是傷到裡面正在修復的骨頭了 但我一樣起身站立走路會穿着石膏鞋 謝謝醫師解答，打擾了😥😥 | 手術之後的疼痛是一定會的 可以使用藥物來緩解 如果要看是不是矯正完全 就必須回診去照X光片檢查 | [
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0婦產科
| 人工受精 | 醫師您好： 今天上午剛做完流產手術，因手術完醫生就走了來不及問到一些相關問題，可以跟您請教嗎？謝謝 1.因自費了玻尿酸凝膠防粘黏，想請問一下 玻尿酸凝膠是用針頭打進子宮內膜，還是用針管只是放入子宮裡呢？ 2.目前有塞一個紗布因為叫我晚上九點再拿掉是否為了防止凝膠流出用的？我要怎麼做才不會讓玻尿酸流光呢？ 3.術後護理的部分，要盡量走動才可防子宮粘黏還是盡量躺平休息？ 4.玻尿酸凝膠是降低粘黏機率嗎？若不幸粘黏是不是除了子宮，輸卵管也可能粘黏呢？ 還是僅限於子宮內？ 不好意思醫師麻煩您 謝謝 | 回覆如下 很抱歉個人沒有使用玻尿酸凝膠用於流產手術的經驗書上也沒有提到流產手術後需使用玻尿酸凝膠.所以無法回答你的問題. 桃園醫院 呂理政敬上 | [
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8乳房甲狀腺科
| 乳房問題 | 醫生你好。 我本身有乳腺瘤病史。良性每年都有定期追蹤。 兩個星期前約8月十幾號突然發現胸部上方有一顆很硬 很像痘痘的硬塊。紅紅的凸凸的還有點痛。 8月19月月經來。一直到結束。那腫塊還在 只是變比較不突。不紅。也不痛 只是看的出有一點紅紅的樣子 請問這樣是有什麼問題嗎？ 希望只是長痘痘。。。。。 | 硬塊應實際診療才有辦法鑑別，您所說的很像是感染，青春痘是有可能， 但還是建議門診實際診視 謝謝您的提問 | [
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15復健科
| 膝蓋 | 您好，十幾年前以前讀書時，因為常坐在書桌前就睡著，長時間膝蓋都是彎曲的姿勢，導致我一陣子就會出現膝蓋附近疼痛到無法走路，後來工作後，因工作的關係，長時間久坐，有時可能一二小時才起來活動一次，之前只要起來活動一下，就會恢復正常，但近來一個月，不管我是坐在沙發十幾分鐘或是在床上睡幾小時後醒來，都會覺得腳十分彊硬，要起身膝蓋內側常痛到不行，壓下去都很痛，都要在起身之前，深呼吸然後用雙手撐著 才能站起來，然後試走一小步，有時甚至要有點像螃蟹一樣橫著走，然而走路 下樓都很卡，下樓要一格一格慢慢下，上樓也是，有時會覺得雙腳根本沒力，若沒有手撐著，實在無法自如的上下樓，一痛起來走路緩慢到像六十歲的老人，之前看過骨科，也照過膝蓋的x光，但醫生說還ok，沒啥問題，但是我近期 若是沒有吃肌肉放鬆及止痛消炎的藥，我根本無法正常順利行走，剛開始 可能幾天痛到不行 才吃藥，最近一天至少要吃一次，多則要吃到二次，很怕不依賴藥物就無法好好走路， 請問我這些症狀是怎麼樣的情形，若我要就診的話，是應該看復健科嗎 謝謝 | 琪拉 您好依據您的描述，問題可能出在膝關節周圍的軟組織韌帶、關節內軟骨、關節周圍的肌腱等，平時應注重熱敷、拉筋，保持局部軟組織的柔軟與彈性，並適度的訓練大腿股四頭肌的肌肉力量，增加膝關節的穩定度。關於這方面該如何操作與訓練，許多網站都有詳細的介紹。 這個伴隨你好一陣子的慢性問題，建議您先學習觀察疼痛程度的起伏，每當在症狀加重的初期，就要注意避免過度使用。持之以恆自我訓練與保養三個月，有機會讓症狀緩和且減少發作。若要知道確切的診斷，就診復健科骨科都是可以的。 敬祝 早日康復 陳佳莉 敬上 | [
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| 性交疼痛 | 我想請問醫生 在生產前包括未懷孕時 與老公性交從未感到不適 可是在生完到現在 與老公性交總覺得子宮頸跟子宮的地方很痛 越激烈 疼痛感越強烈 如果次數較多 隔天都還會有悶痛的感覺 只有在月經快來與月經來的時候才會有生產前性交的那種舒服感 以前只有過幾次在卵期會這樣 可是生完小孩疼痛次數變頻繁且明顯了 這是為什麼呢 | 小姐您好 產後性交不適，若是自然產，可能和會陰傷口有關，若是剖腹產，可能和子宮傷口有關，這些都是會隨著時間改善。 衛生福利部花蓮醫院關心您的健康 | [
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5泌尿科
| 包皮問題 | 包皮末端長了一個紅紅的腫塊，壓了會痛，自慰的時候包皮拉扯也有些微疼痛，想請問醫師這可能是毛囊炎嗎？ | 您好： 有可能，如果保持清潔1-2天未改善，有變大發紅，要就醫治療。祝健康。 | [
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14罕見疾病
| 罕見疾病治療 | 丙二酸血症的嬰兒會導致以後會有什麼症狀發生那又要如何預防他的症狀發生該如何照顧飲食要注意嗎或者是他在生長過程會有什麼病變發生 | 請詢問本院侯家偉醫師，謝謝 | [
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| 腹瀉 | 陳醫師您好！ 這件事困擾了我幾年，有時還會導致我上課遲到，因為要花時間去廁所。 每次早上準備去上課的時間（7-8點）都有大機會要去大便（肚子痛的那一種），拉出來的永遠是水狀，請問發生何事？ 另外就是星期六日如果我睡過了這個時間點，就不會肚子痛，並且拉出來的都是實體。 謝謝！ | 可能與大腸激燥症有關，即壓力體質影響排便，必要可就醫評估治療。 | [
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4心臟血管專科
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0婦產科
| 避孕藥 | 醫生你好，我月經週期31天，我在83來的月經，813吃事後避孕藥，818出血，我這幾天的出血從咖啡色到紅褐色到現在只出現一點的咖啡色，可是這出血已經8天了，正常嗎？我有去看過婦產科，有照超音波，是沒事的，我也有去另一家婦產科看過，內診說我子宮發炎，至於出血要我當作一次月經來看出血，只是出血只有一兩天是紅色的後面幾天都是咖啡色，是怎麼回事？流血超過8天還需要看醫生嗎？ 我想在問，正常週期的月經我下次應該要在93來，會亂經嗎？亂經我該怎麼做？ 今天825早上我有自己驗孕，是一條線，性行為後14天驗準嗎？ 如果吃事前藥，會傷身體嗎？ | 月經週期31天，我在83來的月經，813吃事後避孕藥，818出血，我這幾天的出血從咖啡色到紅褐色到現在只出現一點的咖啡色，可是這出血已經8天了，正常嗎？我有去看過婦產科，有照超音波，是沒事的，我也有去另一家婦產科看過，內診說我子宮發炎，至於出血要我當作一次月經來看出血，只是出血只有一兩天是紅色的後面幾天都是咖啡色，是怎麼回事？ Ans 需要看醫生檢查 流血超過8天還需要看醫生嗎？ Ans 流血超過8天需要看醫生 我想在問，正常週期的月經我下次應該要在93來，會亂經嗎？亂經我該怎麼做？ Ans 調經 今天825早上我有自己驗孕，是一條線，性行為後14天驗準嗎？ Ans 不準 如果吃事前藥，會傷身體嗎？ Ans 吃事前藥不會傷身體 | [
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| 事後避孕藥 | 醫生您好，我上次月經是619-24，預計排卵期是74。在629當天做完2小時內服用妊止避孕藥，之後的第12天（710）早上驗孕是呈現一條線，下午就開始流血。但這血距離我下次月經時間（717）提早了8天，（之前月經的時間都滿固定，週期大概28天），量也比一般月經少，請問這是月經嗎？有可能會是著床出血嗎？另外我在吃藥後的12天驗孕是準的嗎？ | 上次月經是619-24，預計排卵期是74。在629當天做完2小時內服用妊止避孕藥，之後的第12天（710）早上驗孕是呈現一條線，下午就開始流血。但這血距離我下次月經時間（717）提早了8天，（之前月經的時間都滿固定，週期大概28天），量也比一般月經少，請問 1.這是月經嗎？ Ans 這不是月經 2.有可能會是著床出血嗎？ Ans 不一定 3.另外我在吃藥後的12天驗孕是準的嗎？ Ans 不準 | [
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6骨科
| 人工關節 | 李醫師您好 先謝謝您撥冗解答問題。 近來因足踝骨折進行內固定關節復位手術，手術前主治醫師建議注入人工骨泥可讓癒合較好，當時為了想加速骨頭復元，因此同意自費加入骨泥。但是這幾天不論是在網路尋找資料，又或者是看了站裡的一些病友提問，都沒有將人工骨泥用於足踝的案例.使用人工骨泥是否真的有特殊功效？還是反而會有負面影響？ 謝謝您。 | 您好 回覆您的問題 我想您的主治醫師應該是建議您注入可吸收液態人工骨，這是一種相當方便使用的骨缺損補充物，比拿自體骨移植或者別人捐的異體骨移植方便安全許多，唯一不便是得自費因為健保不給付，如果你有興趣在網上尋找資料可以打關鍵字〝可注射人工骨〞或是〝MIGⅢ〞就可以得到相關資料而且你對於你的病情有知的權利，你可以要求主治醫師提供注入物的廠牌名、商品名或請供應商提供進一步資料。 最後 祝 早日康復 署立基隆醫院骨科 李文琳醫師 | [
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| 懷孕嗎？ | 月經剛走第一天無戴套無射有機率懷孕嗎 | 提問者您好 每位女性的月經天數不同，排卵日也不一定規則，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，只要在危險期即有可能。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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| 手部問題 | 醫生你好.請問.如果手指頭的關節疼痛無法彎曲.通常手指僵硬，產生疼痛法彎曲，彎曲時伴隨疼痛.而且是一支手指.過一陣子換另一支.請問醫生我的手怎麼了.會很嚴重嗎. | 很可能是指節間的關節發炎，或者是肌腱炎，這都與使用過度有關。另一種疾病是類風溼性關節炎，則會是兩側對稱發生，而且一次發作起來會持續六週左右，同時會有紅腫熱痛的表現。 想一想看看你會不會經常要使用手去打電腦或者做一些反復的動作，減少對指節關節的使用可能會好一些，不然就要去找醫師看看。 | [
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| 懷孕嗎？ | 1210號當天我的月經剩餘一些，幾乎沒有，我與我男友當天晚上曾試著愛撫，他外射在衣服上並無插入，射後馬上去清洗衣物以及手，但回來時仍有觸碰我的陰道，想請問月經剩餘一些血絲代表排完了嗎觸摸是否會造成懷孕怕手沒洗乾淨 | 您需要的不是醫療諮詢而是性知識學分的補修，此類問題建議參閱國民健康署「性福e學園」或婦產科醫學會「青少女年避孕指引諮詢家」 httpgoo.gldc6PfW 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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0婦產科
| 懷孕用藥 | 我眼睛常點過敏藥水和降眼壓的藥水！懷孕期間的頭四個月還有在點知道不能亂吃藥很小心！但是卻疏忽了眼藥水也不能亂點！這期間點了麥迪森克壓眼藥水成分：Timololas maleate2.5ml. 立敏停眼藥水成分：ketotifen fumarate0.345MGas ketotifen0.25mg這對寶寶初期會影響嗎？？我很擔心！！ | 有關您的疑慮整理回應如下 妊娠期間確實應儘量不服用非必要的藥物 以免造成胎兒成長上的疑慮 一般藥物根據懷孕影響的風險由低至高 分別歸類為A B C D X 不同類別大項 您也可透過網路查尋各藥品對應的類別相關資訊 根據您所提到的眼用藥物 Timolol目前歸為C級 而Ketotifen fumarate為B級 常規實務使用上都會儘量挑選A或是B級的藥物使用 但若是因為必要而無法取代的用藥時 也會使用C或是D級的藥物 至於標示X級的用藥則是懷孕使用的禁忌藥物 建議您可以再向眼科醫師諮商討論後續用藥的選擇較為妥適 謝謝您的提問 並祝您健康快樂 | [
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| 感染性病 | 我舅舅給我妹妹蘋果 因為他喝酒喝到精神有問題 我擔心他可能有加東西在蘋果裏 那些蘋果放了有一晚吧 我妹妹洗一洗就吃了 如果他有把他的體液注入蘋果裏 吃了會感染性病還是其他的疾病嗎 1.如果他有菜花我摸蘋果會感染嗎 2.其他的性病好像是體液傳染比較高是真的嗎只有菜花皮膚接觸就會感染嗎？ 3.我妹妹她洗蘋果再吃是不是可以排除菜花的風險了 4.因為我妹他在還沒洗的碗上洗蘋果 這樣會不會讓性病残留在上面我隔了一小時才去洗碗因為水有濺到我的臉 我擔心這樣會不會感染性病我的臉上有痘痘的傷口如果濺到我嘴裏或眼睛鼻孔裏 這樣有可能會感染嗎 | 您好：1.如果他有菜花我摸蘋果會感染嗎--》不會 2.其他的性病好像是體液傳染比較高是真的嗎只有菜花皮膚接觸就會感染嗎？--》皮膚直接接觸機會較大 3.我妹妹她洗蘋果再吃是不是可以排除菜花的風險了 --》可以 4.因為我妹他在還沒洗的碗上洗蘋果 這樣會不會讓性病残留在上面我隔了一小時才去洗碗因為水有濺到我的臉--》不會傳染 我擔心這樣會不會感染性病我的臉上有痘痘的傷口如果濺到我嘴裏或眼睛鼻孔裏 這樣有可能會感染嗎--》不會 祝健康 | [
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| 是否懷孕 | 醫生好我上個月mc是18號來.我通常都會慢4天可是上個月慢5天.後來這個月卻應該在險套.但卻沒來也沒有要來的感14號來但因為我都會慢4-5天所以應該在18或19號來.在這段期間有性行為有帶保覺.後來我有去醫院看.才知道長了水瘤有5公分了.醫生有開摧經藥吃3天.今天第3天了還是沒有要來的感覺.622有自行去買驗孕回來驗沒有懷孕.請問1我是因為水瘤的關係才月經沒來嗎請問2我應該沒懷孕吧.請問3吃了藥要等幾天才會來萬一還是沒來是否再回去檢查請問4水瘤如果還是沒消除了開刀還有別的方法嗎 現在月經只要超過該來的時間沒來我就會很擔心. | 1.卵巢水瘤和月經異常可能有關係，但關係不大。 2.是否懷孕，仍請到婦產科就診確定。 3.吃完催經葯，約三到五天後，月經才會來。 4.卵巢囊腫，應先抽血檢查，排除惡性腫瘤的可能，再以超音波追蹤囊腫的變壓，可能變大、可能不變、可能消失。而腹腔內視鏡手術是一個不錯的選擇。 | [
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| 營養諮詢 | 黃 主任您好 想請問市售的罐頭營養品.完膳是否適合70歲老人長期服用 我爸年紀大食慾不是很正常經常需要靠完善來補充營養可以長期服用嗎 有無不良影響 | 您好 老年人如短期三餐餐過少或無食慾可建議用營養品來補充1-2餐但不建議完全代替天然飲食 因罐頭或粉狀營養品沒有植物化學物質 在天然食物中才有且天然食物可維持咀嚼及吞嚥功能 如爸爸長期食慾不正常建議要找醫生看看找出原因對症下藥 另多活動及可煮一些促進食慾的食物給爸爸吃喔 例粥中可加1匙蛋白粉或煮海鮮粥含鋅.等 祝爸爸愈來愈健康 加油 部立彰化醫院 黃玉如 | [
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| 懷孕機率 | 想請教醫生如果每天都有打手槍然後無套抽插了幾下事後用手擠壓有感覺到分泌物這樣懷孕的機會高嗎感謝醫生 | 您好 應該是不大，不過建議還是要做避孕措施。祝健康 | [
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8乳房甲狀腺科
| 乳房問題 | 我的胸部大小不一該怎麼辦 已經快差1個CAP了 這樣是不是比較容易得乳癌 那我買內衣該如何選購會比較好 是買較大的還是遷就小的那邊 食補有用嗎會不會一起長大然後還是差一CAP 我已經20了還會在長嗎？？ 不想開刀處理 想知道有沒有其他辦法可以挽救 這樣得到哪些疾病的機率較高 | Dear Miss Ellen 胸部大小不一不代表一定有問題先不用太過擔心 這樣的情況與 ”是不是比較容易得乳癌” 不能畫上等號 買內衣時買較大的會比較好 20歲有些人仍會再發育食補之效用目前仍不確定 一般來說這種情形不必開刀處理建議你觀察一下 不過以你的情形應該至門診檢查一下確定沒有其他疾病才好. 祝 健康 吳醫師 | [
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12胸腔內科
| 呼吸困難 | 醫師您好： 最近發生了呼吸要很用力才會吸到空氣的感覺，是從使用漂白水清掃後（未稀釋），在刷洗廁所後覺得不舒服後就趕緊開窗並且離開，大約5分鐘的時間。這個狀況已經持續了四天了，除了呼吸要用力、胸悶，沒有咳嗽也沒有疼痛的情形。 但我本身有自律神經失調和焦慮的情況，我不知道這是哪個方面造成的，因為用漂白水掃廁所的當下，我ㄧ感覺到不舒服就很緊張的跑去外面狂吸氣，之後幾天就這樣了。 另外我也有胃食道逆流的情況⋯ 我想請問：短時間在沒開窗的情況下使用漂白水（未稀釋）會造成肺部或呼吸道很嚴重的傷害嗎？ 呼吸不順的情況有時候會突然好了但一下子就又不順了。 | 您好 時好時壞應該沒有明顯氣管或肺部的傷害調適一段時間就好了自律神經失調及焦慮症建議定期身心科門診追蹤 | [
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6骨科
| 關節 | 洪醫師. 請問閉瑣性橈骨頭骨折受傷已5個月受傷後當天鋼板復位.醫師評估遲緩癒合個人OK.檢查鋼釘板該調整就調整做骨移植生長癒合如何.本人想留住自己骨不想裝置人工骨有其它治療嗎.謝謝洪醫師. | 橈骨頭骨折已經5個月手術後應該已癒合若骨折未癒合才要考慮骨移植促其骨癒合.因此需視其骨折需要而定.因為有x光可實際檢視建議與主治醫師詳細討論後再決定. | [
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15復健科
| 膝蓋 | 李醫師您好 兩個月前在打籃球時受傷，在台中榮總照x光還有核磁共振，醫師說骨頭沒事，但是十字韌帶撕裂和膝蓋瘀血。 現在有在做肌力復建，可是膝蓋還是有點腫腫的，我該怎麼做才可以讓解決膝蓋瘀血的問題 謝謝您 | Hi 您好， 可以用超音波檢查瘀血是否需要抽取。若不需要持續復健。 祝平安健康 衛生福利部桃園醫院 復健科主任 李偉強敬復 | [
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16腫瘤科
| 淋巴結腫大 | 醫生您好 我在六個月前發現脖子右側有淋巴結腫大 然後腫起來沒有消 之後在8月的時候又發現脖子左側腫了幾顆小的 10月的時候又發現新種了幾顆 我在6月8月都看過醫生也照了超音波但都沒檢查出什麼 近幾天又發現腋下有一小串淋巴結腫大 脖子上也有淋巴腺整條腫大 但這些腫大他的大小都不是很大 可移動 腋下的壓會有點痛 請問我現在是要去掛耳鼻喉科還是直接去血液腫瘤科 | 脖子左右側與腋下皆有淋巴結腫大 可以去掛血液腫瘤科看看 | [
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| 菜花感染機率 | 醫生您好： 大概在上星期二有找過性工作者，過程基本上皆有戴套，前幾天發現大腿根部靠近陰囊的地方，有一個疑似息肉的小點，小點根部有一個細細類似莖狀連著大腿，我把他拔掉就流一點血了。想請問醫師 一 請問感染菜花有可能在一個星期左右就長出病灶嗎？ | 您好： 雖少見，但仍要繼續觀察，是否有再長出，祝健康 | [
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13肝膽腸胃科
| 腹部問題 | 醫生您好最近腹部不是很舒服大便時會拉出一堆空氣，然後會感覺沒有啦乾淨的感覺，剛起床腸子會抖動然後排除很長的屁.請問這是腸躁症嗎還是其他病症？ | 放屁不是病，原因多與飲食成分可參考網路及吞入空氣，可再觀察。 | [
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1精神科
| 焦慮 | 自從三個月前有過一次性行為後，我就一直很害怕懷孕，自己有驗過也去大醫院驗過了，期間生理期也有每個月固定來，但還是很害怕懷孕，擔心是不是自己或醫院疏失所以沒驗到，也很害怕自己的生理期其實是懷孕初期的出血。每天都在擔心，不知道該怎麼辦才好 | 網友妳好： 懷孕除了是一種生理現象之外，也有很多的心理、社會意義。有人害怕懷孕，也有人一直希望懷孕。如果是害怕懷孕，令人焦慮的是不一定有人可以商量，於是有些問題放在心裡，焦慮的心情又會繼續放大。相信妳自己驗過孕，也到大醫院去驗過孕，知道自己並沒有懷孕。不過妳的擔心表達了對於懷孕的「後果」妳可能無法承擔。 「焦慮」跟「害怕」其實不是完全相同的概念：「害怕」的對象，通常很明確。我們會怕黑、怕蛇、怕高…等等，通常我們不會在這個「可怕的東西」沒出現的時候引起緊張的情緒。相反地，「焦慮」的情緒常常是無邊無際的，說到「到底在怕什麼？在煩惱什麼？」，常常自己也不一定明白，有時候這種情緒會帶來失控感，也沒辦法相信別人的訊息，甚至自己身體的訊息妳也不相信了（例如，妳提到的驗孕結果是一條線，醫師告訴妳結果是沒懷孕，你的月經還是照常來）。這時候，別人也許會有個問號：「那要怎樣妳才相信？」其實妳知道這個焦慮帶來的「不安全感」會讓妳比較難「心平氣和」接到正確的訊息。適當處理焦慮的確是很重要。這個後果妳到底能不能承擔？可能有人可商量會更好。家人、朋友、能夠瞭解妳的人，都可以是商量的對象。如果有心理諮商，也是一個好主意。至於藥物緩解焦慮，雖然有用，不過也許妳心裡能夠心平氣和，把問題弄清楚，先決定讓藥物幫上妳的忙，醫師跟妳討論的時候，才不會讓自己又有「到底要不要吃藥」的「選擇障礙」而更焦慮。 目前這個時代，社會對於懷孕通常是給予祝福的，即使懷孕生子與結婚不完全是「同一件事」，大家也愈來愈能接受。也許妳對於「當媽媽」這件事覺得難以想像，因為「有性（性行為）」不代表「當媽媽（懷孕）」，也不代表「當老婆（結婚）」，只是這幾種常常相互影響，人人處境也不相同。所以人生真的很複雜，該找個人好好喝咖啡，討論一下。驗孕結果是「陰性」，喝咖啡沒關係的。 祝 在喝咖啡、聊是非之中，慢慢對自己更瞭解。 廖定烈醫師 | [
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6骨科
| 骨折 | 小弟大腿骨折斷裂手術之後下層用來上鎖釘子斷了開刀醫生說那個沒關係 後來長短腳裝外固定器在做延長這個開刀醫生也說那沒關係我跟醫生說但是那邊都會有痛感 醫生說是骨折還沒癒合關係才會這樣裝外固定時候有幫我取出大腿外側斷掉那節內側沒有取出 請問醫生我一直在那邊有都會有刺痛感使得我無法出力我應該請醫生幫我取出斷掉那節釘子嗎 雖然不知道什麼原因但總感覺是金屬留在身體裡面才會引起的刺痛感請問醫生我應該盡快取出還是這是其他原因引起的刺痛感 | 你好： 骨折患肢仍會有刺痛感無法出力可能是骨折尚未癒合，才會有這樣的症狀。我建議您暫緩取出斷掉的那節釘子，待骨折癒合後取外固定時再一併處理。 | [
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0婦產科
| 事前避孕藥 | 張醫師您好，我是第一次使用事前避孕藥，目前服用悅己： 1.在服用到第19顆時開始有出血情況，請問這是正常的月經嗎？ 2.下次服用避孕藥應從什麼時候開始？ 謝謝🙏 | 提問者您好 避孕藥使用期間月經來潮或發生出血時，不須停藥，仍照時間規則服用。當身體適應避孕藥後，不正常出血情形會停止。但若不規則出血發生超過三個月，或大量出血，則需諮詢醫師建議。 ，謝謝 祝 平安 健康 張 醫師 回 | [
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| 出血 | 最近上廁所都會出血，請問這是什麼病症的徵兆嗎 | 許： 你好 可能是泌尿道結石、攝護腺尿道膀胱疾病、泌尿道腫瘤等 當然，過度運動也可能造成血尿。 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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0婦產科
| 出血 | 請問月經914來，923晚上有一點咖啡色分泌物。然後924晚上也有咖啡色分泌物，接著就一直斷斷續續淺粉紅或者咖啡色或者偶爾擦不到，量很少都不用護墊就可以。看日子可能是排卵的關係，想請問若是排卵期出血這樣很少量持續幾天需要就醫，本身沒有任何不舒服，上網查有人出血很多天甚至一直到下次月經都有可能，想知道排卵期出血幾天需要看醫生止血？謝謝 | 您好 ㄧ般約3天左右，觀察即可。祝你健康 | [
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| 胃鏡 | 醫生請問幾天前到醫院照腸胃鏡 因為麻醉後醒來完全沒碰到醫生完全不知道狀態 聽報告也至少要兩週以後 請問以下在健保快易通查到的報告的意思是什麼呢？ Intestine small terminal ileum endoscopic biopsy --- chronic inflammationThe specimen submitted consists of two tissue fragments measuring up to 0.3 x 0.2 x 0.2 cm in size fixed in formalin. Grossly they are gray and soft. All for section. Microscopically section shows a picture of nonspecific chronic inflammation with infiltrate of mixed inflammatory cells in edematous lamina propria. | 您好 關於無痛胃腸鏡檢查報告。麻醉醒來人還不是很淸楚。建議門診配合鏡檢影像及切片病理報告，醫師解釋較為清楚。此病理報告為末端迴腸切片診斷為慢性發炎。祝健康！ | [
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| 月經 | 醫生您好 我每次月經來時都會擦到有一點一點小小的黑色顆粒 請問這是什麼原因呢 謝謝 | 提問者您好 依您的描述，那些顆毛如果沒有造成特別的症狀，則有可能是正常的，而如果會有不適症狀或外觀有變化。建議可請婦產科醫師安排相關檢查，以判斷是否需要治療，謝謝 祝 平安 健康 張 醫師 回 | [
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| 足底筋膜炎 | 想請問一下，肌腱炎要多休息才會好，可是因為是在足底每天都還是要走路、上下樓梯，在走路的時候會痛。如果平時走路用彈性繃帶包著會對減輕肌腱負擔有幫助嗎？另外，包了1小時左右會覺得麻麻的是正常的嗎？還是我包太緊了 | 足底筋膜炎足底的肌腱炎因走路承受體重負荷而產生疼痛，但稍微活動後會較舒緩。 使用彈性繃帶包著應該只有稍微減輕肌腱負擔，最主要是改變鞋墊，使足弓有支撐才能減輕肌腱負擔，進而使肌筋膜炎恢復。 | [
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0婦產科
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7耳鼻喉科
| 其他 | 你好 應該感染腺病毒， 紅眼睛＋扁朓腺化膿。 抽血指數15.2 醫生說要住院或口服抗生素 因有小孩選擇口服隔2天回診若沒壓下來還是要住院. 想請問發炎指數代表何意義 ex 10以上為中度或重度 老實說不清楚這代表意思.也不知這嚴重性. 謝謝 | 敬覆 如若高燒或症狀持續未減緩，請趕快回院就診治療。 新竹醫院耳鼻喉科主治醫師施水木 | [
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| 經期問題 | 我想請問醫師 最後一次是99年2月25日在99年3月28日有一點暗紅色之後都沒有了那是什麼原因但我這個月都還沒有來需要看醫生嗎謝謝醫生 | 你好 月經沒來如果有性行為要注意是否有懷孕的可能還是建議要看醫生喔如果沒懷孕也是應調整月經恢復正常的週期. 謝謝 | [
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1精神科
| 自律神經 | 昨天跟同學約去喝咖啡後，跟他討論未來討論了半天， 回家後莫名的感覺心跳加速，有點頭暈，跟另外一個 朋友提起這事，他說可能是自律神經失調，因為我長 期噴鼻過敏噴劑，他說他母親也有噴這種東西後來醫 生說他母親自律神經失調跟噴這個有關係，然後我同 學又說而且脊椎有問題的似乎也較易有這毛病我有脊 椎側彎，我後來上網查了一下，好像真的是這方面的 問題，我臉很偶爾也會有點發麻，而且我聽音樂試圖讓 自己放鬆後就好很多，我想請問這到底是什麼病？會很 嚴重、會有生命危險嗎？如果放著不管會自己好嗎？看 醫生應該要看哪一科，有沒有推薦的醫生呢？我住台北 東區？另外，如果我又覺得心跳有點加速，那麼那時是 不是最好要避免運動比較好？我最近因為減肥有點節食， 會跟這有關嗎？謝謝。 | 自律神經失調的症狀千變萬化，而且多與焦慮、緊張、憂鬱有關；定期作息、運動、正面思考等，都有助益緩和您的現象。同時，也建議檢查甲狀腺功能與心電圖的檢查，確定無心臟與甲狀腺方面的毛病。 咖啡因會引起心悸，鼻噴劑中含有的麻黃素也會引起心悸，所述症狀應該詳細檢查，可先就診家醫科，排除其他疾病例如甲狀腺與心臟本身的問題後，可求診精神科。節食的確會影響到生理與心理的狀況，很難說與這些症狀有關或無關，端視於節食的程度。 好好照顧自己，不適時謹慎求醫，知道確定的原因再對症治療，一般效果都令人滿意。 | [
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5泌尿科
| 看哪一科 | 我想請問一下。下嘴唇內側如果長了些有點白白一點粗糙的東西那是菜花嗎？ 如果是 那應該到泌尿科看診嗎？ 還是要到哪一科看診？ 麻煩了 感謝 | 耳鼻喉科 | [
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| 尖性濕疣 | 醫生您好 三年前與女友性愛時可能摩擦有傷口 就得了菜花.但女友也無患過菜花 然而醫生說要電燒.電燒完後就未曾復發過 前年回診給醫生檢查看，醫生說沒有復發 還說如果過了一年沒復發的話就痊癒根治了真的會根治痊癒嗎 這幾天就覺得陰毛附近覺得養養的 洗澡時發現附近長了2.3科很微小很小的小痘痘 不知是我的幻覺還是自己心裡作用自己下自己. 不知道是不是復發.還是最近這幾天天氣很炎熱 造成濕疹.讓我每次一想到就提心吊膽的 很害怕又覺得很困擾. 麻煩請醫師可以告訴我的症狀是怎樣嗎 另外真的可以根治痊癒嗎 . 謝謝 | 提心吊膽： 你好 菜花，很容易診斷。只要看一眼，有經驗的醫師大概都可以做出正確的診斷。 菜花，若超過1年沒有發病，除了少數特例，否則，應該是痊癒了。 菜花，沒有啥症狀，就是用長出來的病灶做診斷。 近年來，有人用抽血來作為輔助診斷。 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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7耳鼻喉科
| 鼻子問題 | 許醫師您好 我女兒今年5歲常會流鼻水或鼻涕看醫師吃藥14天左右都不會好約10天前至耳鼻喉科看診醫師診斷為過敏性鼻炎並且用一種儀器測試耳朵用波型顯示告知有中耳炎已經連續吃了10天的葯鼻涕的情況有改善但沒完全好偶而還會流鼻涕但是中耳炎的部分卻沒改善醫師還有請我們配合吃口香糖及吹氣球想請問醫師的是中耳炎有可能沒有症狀嗎正常的療程應該多久呢那種儀器醫師有聽過嗎準確嗎謝謝許醫師 | 您好： 回覆您的問題。 中耳炎的確可能影響聽力，但小朋友未必會注意及告知父母，除此之外其餘耳朵症狀不常見也不明顯，正常來說，吃藥一般是2週，若無明顯改善得延長至1-3個月，若還是沒有明顯改善，為小孩子的語言學習，還是建議做通氣管置入手術，因有可能腺樣體增生造成的中耳炎，有時須併做腺樣體切除術，您所說的應該是鼓室圖，原理相當簡單但非常實用及準確，小孩子的中耳炎是非常難以被發現的，因為臨床上小朋友不太會表現，但有過敏性鼻炎則機會增加。此外，過敏性鼻炎的流鼻涕須長期用藥控制，時間長達半年或更久，單用10天是部份改善的。 | [
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| 腹部脹痛 | 最近兩個星期開始脹氣，沒有吃很多東西肚子也感覺很脹，之前有脹氣都很快就消了，但最近兩個星期都是持續的脹氣，但不會痛，打嗝排氣都變很少，上大號頻率沒有變都是一天一次，也沒有便秘的情況，有運動的習慣，吃的東西也是健康的，不吃炸的，甜的也很少，但最近睡眠狀況比較不好，接近期末考，在猜想是不是壓力導致的腸胃脹氣問題，之前在學校也會想上廁所，最近在學校皆沒有便意，蔬菜水果沒有不吃，都有在攝取。想請教醫師，脹氣怎麼辦以及如果去看醫師該如何向他描述問題幫助找到脹氣原因。 | 生活都很標準，必要可就醫用藥看看，平時可少量多餐。 | [
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1精神科
| 藥物諮詢 | 醫生您好 我本身有ADD注意力缺失症又有強迫症。兩者皆是經醫生確診過的。強迫症的部分是最近才確診的。強迫症確診後，醫生是開強迫症的藥給我，暫時不開專注力藥物。之前吃的專注力藥物是專思達，但聽說興奮劑利他能、專思達皆屬於興奮劑會讓強迫症的情形變嚴重。 強迫症藥物的部分，我這個寒假吃了2週後，目前打算先不吃，因為我覺得我應該差不多能自己克服了。而專注力藥物，下學期或許還能勉強不吃，但大四的時候因為畢業前有重要考試，要讀的書很多，所以可能非吃不可。但怕開學後或大四時，強迫症又復發，所以想問問可能同時吃思銳和強迫症藥物嗎兩種藥會不會互相抵消之類的注意力藥物主要是要提升讀書的持續力、續航力及自制力，不然常常看一下書後，字就讀不進去了 | 小恩妳好 服用思銳需持續服用三周到六周之後才會出現顯著改善注意力的效果，若不是持續規則服用，效果並不顯著。 另外因為強迫症的藥物種類也有好幾種，兩種藥物是否會出現交互作用也需再個別查詢，建議可回診時和醫師詳細討論。 祝福妳 | [
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| 流產 | 您好我再11月時用藥物人工流產 11月底複診已經留乾淨了 在128來了月經 留了大概6天 流產前我月經來的時間都滿準的 流大概57天 1218有性行為 但忘了帶套沒射進去但怕風險. 之後的性行為好像都有帶套 我想問我下次月經來大概是什麼時候 以及我排卵期是什麼時候 如果真的要驗孕 大概什麼時候能用驗孕棒驗的出來 | 流產後月經來了第一次之後的月經週期就跟之前一樣 但女性月經週期排卵期常受壓力或生活作息外在因素影響 所以很難正確推斷 性行為當次若有受孕大約在2-3週後即可自行用驗孕棒驗出 保險套避孕效果有限操作的正確度也會影響避孕效果 若時常有性行為 建議女生長期服用事前避孕藥避孕效果最佳男方使用保險套預防性傳染病 保護自己也保護對方 做好事前避孕便不需要每次性行為完就提心吊膽 | [
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0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0,
0
] |
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