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10兒科
| 生長發育 | 我女兒現在六個月快七個月了不過她是在六個月又15天才學會翻身目前脖子能挻直但是不穏固總是搖晃今天讓女兒採坐姿發現女兒的頭都歪歪的請問這樣正常嗎 還有我覺得我女兒的活動力不太強平時乖的讓我懷疑她是不是有什麼問題 女兒到現在還不會自己用手喝東西只有偶而會扶一下奶瓶我太清楚遲緩兒會有什麼徵兆但是我有時都懷疑她是不是遲緩兒 | 小欣、您好： 1. 小寶寶的成長包含生長及發展：其中發展指的是功能的部分，也就是熟知的”七坐八爬，家長可參閱”兒童健康手冊”裡面就有概略提到寶寶在什麼階段應該會有哪些行為及狀況。若是有遲緩像應帶至醫院請醫師評估。 2. 可請醫師評估是否為斜頸，若是可做復健治療。 祝 健康如意 張文王 | [
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4心臟血管專科
| 心悸 | 醫生您好，最近每晚睡到凌晨2-4點就會醒來，感覺心跳用力但量脈搏只有60左右或更低。 之後就會反覆出現左胸壓迫感，心悸，要用力呼吸，平躺特別不舒服，側睡只能緩解一陣子，坐起來呼吸會比較順暢但還是感受得到心悸，幾乎整個晚上都這樣睡睡醒醒。早上量血壓10161，心跳62。本人身高164體重45 一個多月前看醫生說我可能自律神經失調，但那時候還沒這樣的症狀，請問是正常的嗎？是否需要做什麼檢查 謝謝 | 由於您年紀輕且無慢性疾病，罹患心臟病的風險低。生活中很多因素會造成此情況 ，例如：情緒、壓力、作息不正常或是攝取太多咖啡因的飲料。建議調整生活作息，並規律運動。但如果症狀持續，仍建議至醫院做心電圖檢查。 | [
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5泌尿科
| 精液 | 我的男友射精的時候流血我很擔心這種症狀前几個星期就開始了. 第一次發現射精流血的時候我的想法是認為我下體留出來的水不多 所以他放進去的時候弄傷他才會留血那時是射精的時候和血一起流出來 過后几次都是這樣但是過了一斷時間就沒有了這種症狀直到前兩次 他射精又流血了那時我並沒什麼在意但是昨天他射精時全都是血 我絕得很恐怖我有問他為什麼會這樣他跟我說做太多是這樣的 可是我跟他一星期大概才做兩次我想他平時應該有自慰 做太多真的會這樣嗎我很想了解到底是為什麼. 是不是每個女生做那個流水都會流很多我覺得我很少 可是我們每次都有用安全套安全套的外層原本就有滑滑的液體 可是他放進去的時候我還是會感覺到一點點痛一開始的時候過后就不會了 是不是每個女生都是這樣的 | 血精應驗精液確定一般無大礙宜休養一個月，也有可能陰莖繫帶裂傷出血，須來診檢查為宜，令外，潤滑不足會造成疼痛，因人而異。 | [
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| 避孕器 | 您好，請問我安裝避孕器後通常經期為出血10天（出血變久），避孕器品牌應該是樂母麗銅t避孕的，請問避孕器有分成投藥型和銅t型，我記得安裝費用應該是銅t型（但已三年印象模糊）銅t或投藥型，注射新冠疫苗會有什麼影響嗎？有需要選非腺病毒製成的疫苗或是皆沒影響呢？謝謝您！ | 您好 都不影響。祝健康 | [
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7耳鼻喉科
| 耳朵悶塞感 | 一月中時接電話發現左耳聽不清楚 但做了一次聽力測驗是正常的 二月開始耳鳴並頭暈於是再次求診 做聽力測驗時發現聽力下滑不少 吃過梅尼爾氏症的藥但沒有效果 後來吃了前庭神經的藥有改善頭暈 不過耳悶及耳鳴持續至今 原先懷疑自己是突發性耳聾 但陸續看了三、四個醫生都沒做出這方面的診斷 口服類固醇沒有效果 昨天嘗試了耳內注射類固醇的方式 目前仍是沒有甚麼感覺 想詢問剛注射完時耳鳴和耳塞感會變得很明顯是正常的嗎？ （經過一晚有恢復到原先的程度） 以及耳內注射類固醇大約多快會看到效果？ 謝謝醫生 | 您好 您所提的問題有可能是 1耳咽管功能不佳 最常見，不只坐飛機、登山、潛水會發生，用力擤鼻涕、彎腰也有可能產生。 2突發性耳中風 3中耳炎 a急性中耳炎多和上呼吸道感染感冒鼻竇炎等一起發生，嚴重時耳朵會流湯流膿 b慢性中耳炎急性發作多是之前耳膜就有破洞，因為不潔的水、或是不當挖耳朵，導致發炎 4梅尼爾氏症 --上述疾病均可以經由就醫給予藥物治療而得到適當改善。 -"剛注射完時耳鳴和耳塞感會變得很明顯是正常的嗎？" 答這種現象非常常見 -耳內注射類固醇大約多快會看到效果？ 答此種治療大多用於突發性耳聾聽力掉落2周內效果最好，最遲希望盡量2個月內治療，若要用於其他疾病治療，可以和施做的醫師再行討論 祝平安健康 衛生福利部台中醫院 | [
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| 精液 | 醫師你好：如果精液的顏色為咖啡色（褐色），之前的DIY頻率為一個月一次甚至一個月都沒有，尿尿時都不會痛都很正常，請問一下是有什麼問題？ | 儲精囊或攝護腺微血管破裂 多喝水就會自行恢復 | [
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5泌尿科
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5泌尿科
| 精液 | 最近DIY都會這樣，但是我大概一個禮拜一次，看到這樣我覺得很擔心，但是我又很內向不敢說，所以就跑來這裡問了。第一次看到真的很害怕，精液本身的顏色是乳白的但是仔細看就會看到小顆粒的果凍狀物，希望醫師能幫我解答o謝謝 | 精液黏稠 有時與精索靜脈曲張有關 建議還是要去看泌尿科檢查 並與醫師討論 | [
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5泌尿科
| 菜花 | 2018426號那天跟交往半年的女友去開房間，在插入以前看到一排白色疑似菜花的東西，但我沒想太多以為是洗完澡用衛生紙擦黏住而已，所以就還是直接無套性交，後來沖洗完回床上躺著我再去看一次，發現怎麼還在我用衛生紙試圖要去弄掉發現弄不掉，我隔天趕快叫我女朋友去看婦產科，結果確診是菜花。 我想請問的是，有沒有可能我426那次無套性交也會沒感染婦產科確診我女友陰道裡也有菜花，外陰也有。 426危險性交隔天我聽到女友說是菜花我馬上也跑去掛號檢查 現在正在等報告出來，如果報告出來沒有事情的話，只代表126以前未感染對吧 那我是不是要在726再去驗一次確定我426的有沒有中標 然後再等2019的426滿一年再去驗一次，如果再沒有事的話才可以確認排除所有的性病 那我在這一年期間是不是就不能有性行為了 | 您好 菜花易傳染特別是如果抵抗力弱的 您現在要注意生殖器有沒有長出異狀突起 另外愛滋梅毒要一起驗 至少要性行為後一百天要驗一次. 才能比較確認有沒有感染. 菜花有少少數是超過一年才長出的. 祝健康 | [
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6骨科
| 骨折 | 醫生你好 我是替媽媽詢問這些問題，前天媽媽摔倒，手撐地，去醫院後發現，手的手腕骨折，所以開刀放入鋼板，請問手術半年後她如果要做日常的 ，比如曬衣、炒菜、拿鍋子可以嗎？ 半年後如果她想抱小孩、提重物，手腕骨折地方會再次斷裂嗎？ 半年後她如果想繼續工作，拿水杓舀東西起來的動作，請問手腕會再次骨折斷裂嗎？ 麻煩醫生了 謝謝 | 每人病況與恢復情形不同，建議回診時與主治醫師討論，謝謝您 | [
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| 避孕藥 | 請問可以在非經期期間吃事前避孕藥嗎（悅己）？ 因71315有出遊打算，有可能會碰上原本預計的經期時間，所以想延緩經期。 上一次經期為62-8 週期大約29天 | 親愛的安安您好： 可以在經期期間吃事前避孕藥延經，但有少部分人，可能會延經失敗，而且此周期也沒有避孕效果，避孕藥要記得使用保險套，如有其他疑問，請至婦產科就診。 南投醫院婦產科 黃子菲醫師 | [
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5泌尿科
| 自慰 | 請問醫師 我有自慰的習慣 約略半年前開始大概一天一次左右 然而從上個禮拜開始 我在自慰過後發現精液變黃 慢慢變成深紅色 到現在已經變成黑紅色 幾乎都是血了 請問我是否該立刻就醫 或者可以慢慢休養 停止自慰一段時間對病情有幫助嗎 除了這個問題之外 其他都沒有不對勁的地方 尿液正常 生活也正常 自慰完腹部會稍微痛痛的 想請醫師指教 非常感謝 | 可憐： 你好 自慰，其實，跟正常性行為一樣，有時後會造成微細血管破裂，導致精血症的出現。一旦出現，建議是減少再度出血的機會，就是說，建議停止射精大約2週左右，一般會自行痊癒。 假如超過2週仍然出血，那最好詳細檢查，以防止有腫瘤等問題。 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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1精神科
| 睡眠 | 醫生您好 最近一年似乎是更年期症狀晚上睡覺會醒來三次且睡眠時間不到六小時且有胃部不適問題.醫生開給我輕量鎮定劑於睡前吃吃過一週後目前狀況是晚上約九十點就很睏（尚未吃藥時）可以馬上入睡睡了約三個鐘頭會醒來一陣子再睡.請問我這樣的狀況是應該睡前吃藥還是睡到一半醒來再吃藥 感謝醫生撥冗回答 | Dear 瑪莎你好 如果未服藥有睡意建議可以自行入睡，中斷再補服，不過如果如此服用每日都會中斷睡眠則建議提早於睡前服用，取決於發生頻率，建議可以和醫師討論後調整。祝福你。 | [
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5泌尿科
| 陰部問題 | 這兩天我的陰囊好像有硬化的現象 而且痛痛的有點像是脫水的樣子 乾乾的但無腫大現象可是又紅紅的 不知道是什麼問題 謝謝 | 依據你的描述有可能是感染早期的表現。 例如：性副睪丸炎；急性睪丸炎；陰囊表皮發炎，建議還是到泌尿科門診，追蹤治療。 | [
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0婦產科
| 經期問題 | 我女朋友照理說 730那個會來 可是已經下午了都還沒來耶 我有性行為 都中出 沒內射 沒帶套 都在安全期裡面 會是遲經還是懷孕 | 您提供的資料不足以做成診斷，請至就近婦科門診檢查。 | [
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| 肺癌 | 醫生您好： 我想請問，目前爸爸（年約56歲）在斷層掃描中發現一個有稜有角的小黑點，1公分以下（約0.9公分），當時醫生判斷90是不好的，意思是不樂觀，接著安排抽血檢查，目前已接受抽血檢查，報告顯示其癌指數，發炎指數，且無細菌感染等問題，此次醫生並未對肺部小黑點下定論，僅說抽血報告都正常，接著安排再次住院檢查，再做一次電腦斷層，檢視與先前之黑點有何異同，或變化 ！後續結果，醫生告知有兩個方向可以選，第一為切片檢查為良或惡性？第二為安排手術切除其葉片 ！目前家屬不知道如何選擇，請問醫生您的建議為何？ 請問若做切片，是否有感染危險性？或者是否會影響且破壞原來的黑點，造成病變或擴散呢？ 請問若為良性時，是要切除？還是放著與身體共存好嗎？您的建議為何？ 請問若不做切片，直接選擇開刀切除，是否正確呢？或該如何下決策？ 上述說明，顯示家屬十分著急，毫無頭緒，麻煩醫生您的專業能指引明確光明的路，讓我們能對辛勞付出此生的爸爸盡己微薄孝道，感恩不盡，謝謝！ | 林太太您好 1.早期肺癌沒有切片病理報告無從得知是否為良性或惡性通常會評估得到癌症的風險是否較高如家族中有癌症病史或抽菸史.如能取得過去X光片0.9公分有可能看得到但如果過去更小有可能看不到過去沒有現再長出來是新的病灶反之過去就有現在也沒有長大良性機會較大可再觀望 2.胸腔鏡手術傷口小合併症不大如果證實是早期肺癌可能因此手術而痊癒獲益最大依電腦斷層影像有稜有角可能代表邊緣不夠圓滑臨床醫師確實較不放心擔心肺癌機會較大如果令尊可以接受手術切除一方面提供診斷一方面也是治療之小風險是可以考慮手術如果暫時無法接受只好緊密追蹤每3個月電腦斷層一發現長得太快就趕快介入手術 祝 一切順利 | [
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12胸腔內科
| 氣喘 | 蔡醫師您好： 我的兒子今年31歲，學齡前有過幾次氣喘，但是醫生的治療方式就是開3天的藥，然後開一瓶備勞喘作為緊急時候的備用藥，後來就是小學、國中、高中畢旅時各發作過一次，高中畢業之後至今已經13年沒有發作過。 最近因為工作壓力的關係，常覺胸悶，有氣吸不飽的感覺，再加上鼻塞，急診醫師說應該是氣喘將發作而未發作，後來又去門診，醫師聽一聽說沒有氣喘，但醫師卻開了Relvar ，要求他每天都要吸。 我的疑問是，第一：孩子之前從來沒有每天固定用藥的經驗，而且十幾年沒發作過了，這次也不知道是不是氣喘發作？現在每天都要吸藥是ok的嗎？ 第二：這個藥將來可以減藥或停藥嗎？不會造成依賴吧？ 文長，感恩您的耐心閱讀。 | 您好 氣喘用藥時機包含平時維持治療（例如Relvar及發作時緩解治療（例如備勞喘）。將來是否減藥或停藥要視病情是否控制良好（需由原主治醫師評估）。基本上是因病情需要而用藥，不是因為依賴而續用（不像某些管制藥的成癮性）。即使不是急性發作期，不論聽診是否仍有喘鳴聲，若經醫師評估需要仍建議維持治療。至於副作用因人而異，可參照仿單上的「警語和注意事項」。通常醫師處方藥物都是效益評估大於風險後給予，若有疑問請於診間當場提出或提早回診。 | [
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| 大便出血 | 兩三年來一直有血便的症狀 出血情況大多是在糞便的前端 血是混在糞便中 有時後跟黏液混在一起（我有痔瘡 痔瘡出血不是會在糞便的末端嗎）以及偶而腹部絞痛後拉肚子帶血 加上體重減輕 非常擔心 麻煩而醫師建議 另外想請教醫師如果沒做無痛大腸鏡是否會因為不舒服喊痛而造成醫師分心 導致沒看清楚 又或者有死角沒看清楚 我知道檢查的準確率沒有百分百 但大概有幾成的準確率（三年前做過 沒做無痛 一直喊痛 怕會不會沒看清楚） | Z先生您好 1. 有血便有體重減輕的現象，請給立即去鄰近醫療單位給醫師評估。 2. 內視鏡檢查關乎清常乾淨程度、配合、儀器設備以及醫師細心程度，無法跟您分析準 確率，但安排無痛是可以讓您檢查時的舒適度上升。 謝謝您的提問 | [
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| 藥物諮詢 | 醫生您好，希望您能依據我的情況給予建議與解惑，謝謝！ 背景情況敘述： 我23歲，6年前體重超重，空腹血糖133mgdl，大約從那時開始月經不規則，常半年來一次、一次十幾天。 之後23年慢慢瘦回正常體重，月經週期有好轉但仍不大規則，此時照超音波發現兩個卵巢都有多囊。經醫生指示服用避孕藥一年半，目前已停藥。 今年2月抽血結果大都正常：空腹血糖82、飯後血糖107、糖化血色素5.1、Testosterone17ngdl，E2、FSH、LH全都是正常值，惟有泌乳激素輕微偏高32ngml 想請問： 1.目前不打算懷孕，但希望能幫助卵巢自然排卵，以改善月經不規則情況，請問吃肌醇有幫助嗎？（因為避孕藥產生的月經不排卵，因此想嘗試看看能否從根本改善「不排卵」問題） 2.有查到多囊一天的肌醇劑量建議吃到2g，不過我現在飲食算是均衡健康，抽血數值也沒什麼問題，若吃肌醇會建議一天劑量多少呢？ 3.若吃肌醇，建議吃多久？如果停吃會有什麼影響嗎？ | 您好 1.吃肌醇有幫助。 2.可以吃肌醇，一天2g。 3.肌醇屬輔助藥品，無法建議吃多久。 衛生福利部花蓮醫院關心您的健康 | [
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| 視網膜問題 | 目前22歲 因出生時早產只有24周.吸高濃度氧氣 故當時有ROP三期 故雙眼接受雷射光凝固療法治療 目前左眼1.0 右眼0.03 今日回診當初開到醫生詢問 是否有辦法恢復到0.6-0.8左右 醫生說無法恢復 有照OPTOS.OCT 給出最後診斷為foveal hypoplasia 想再詢問一下醫生 這樣真的沒有辦法在進行雷射或抗血管新生藥物恢復視力嗎 | 劉雲男先生您好： 診斷為黃斑部生成不良，如果照這個診斷，基本上是無法改善的，提供您參考。 南投醫院眼科 何建賢主任 | [
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5泌尿科
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| 膽結石 | 抱歉.我並非因為有病才來詢問的. 只是看了很多標題而有一點小疑問. 希望您還是能用e-mail回覆我 請問.肝膽結石就是膽結石嗎 或是兩者是不一樣的呢 | 肝膽結石指的是肝管內結石及膽囊內結石早期台灣因為環境衛生不好所以有許多人有肝結石也有膽囊結石但目前肝內結石在台灣已愈來愈少但中國大陸過很多目前台灣的膽囊結石與歐美國家的發生原因相同即就是膽固醇型結石。 | [
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2牙科
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6骨科
| 肱骨骨折 | 醫生您好. 我於3月11日右手遠端肱骨粉碎性骨折.當日下午在台北內湖三總醫院手術.置入兩片鋼板及一鋼丁固定.於4月10號拆石膏.術前已發現大拇指無法自行翹起.手指呈握拳無法自行打開.醫生說撓神經有損傷.術中醫生有看到尺神經.發現沒有斷裂.但沒有看到橈神經.無法判斷損傷程度.拆石膏後發現手腕下垂.手指頭可握拳但無法自行打開.小指無力.向下彎有腫脹感.另四指皆尚有力.但也無法自行翹起.請問醫生. 1.目前僅做物理治療.有熱敷和電療.請問醫生還建議再多做什麼治療比較好 2.醫生說滿6周再開始做職能治療.請問醫生這樣時間會拖太久嗎做職能治療時會傷害到神經嗎 3.醫生排5月23日做神經傳導檢查.但我很擔心神經是否有斷裂.也很擔心延誤治療時間.請問醫生是不是要到別間醫院檢查 4.因一直都給同位醫生看診.請問醫生能否推薦台北專業的骨科醫生及復健中心.目前的病情真的很讓我擔心失望.很害怕一輩子是這樣的情況. 非常感謝醫生的回答.感恩. | 神經受損未必斷離要重接，恢復期可能長達3-6個月，神經傳導檢查可評估損傷情形，如3個月以上沒恢復可考慮手術探查。 | [
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16腫瘤科
| 直腸癌 | 請問醫師直腸癌第一期手術後追蹤，大腸鏡和電腦斷層檢查’那一種比較能正確診斷謝謝您• | Gogo 直腸癌第一期手術後追蹤，大腸鏡比較能正確 謝謝您的來信 並祝新年快樂 桃醫。 陳斯榮 | [
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| 陰莖問題 | 陰莖矯正究竟有無健保呢在此網頁收尋的結果有醫師回復無健保，但日前在報紙上看到則說是有健保。真是讓人匪夷所思，而實際費用大約是多少呢南投醫院對於此手術的經驗大約有多少 | 先生您好 感謝您的提問在這邊先回復您的問題並提供建議如下 很抱歉本院並無提供執行陰莖矯正的手術建議您去台中榮總泌尿科 找賀昊中醫檢查在請教他是否須矯正及是否健保有幾付. 最後 祝您 平安快樂 | [
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16腫瘤科
| 手臂上有小硬塊 | 醫生你好 上個月因為左腋下有凸起來去看了血液腫瘤科 當時醫生有開抗生素（懷疑是毛囊炎 也做了抽血與ＣＴ看了胸腔（醫生懷疑是怕其他地方移轉過來的 看了片子後 醫生沒有發現什麼奇怪的狀況 血液檢查也沒有什麼紅字 吃了抗生素 腋下腫塊也漸漸變小 就請我在觀察. 另外 我的左前手臂肉與骨頭之間壓下去感覺有個不是很硬的東西（很像淋巴瘤之類 這個已經有好幾年了. 我想問我上個月做的那些檢查是否很可排除是其他地方移轉過來的壞東西（只做胸腔CT 另外 我在上個月做的檢查對於我的左前手臂那個東西是否還需要做檢查 如果需要 要看那一科？ 謝謝 | 阿良／42歲／男 你好 1. 上個月做的那些檢查是否很可排除是其他地方移轉過來的壞東西（只做胸腔CT A 腋下腫塊也漸漸變小已經證明他不是壞東西 檢查只是在時間證明之前先讓你安心的 事後當然更不需要再做任何檢查 2. 另外 我在上個月做的檢查對於我的左前手臂那個東西是否還需要做檢查 如果需要 要看那一科？ A 這個已經有好幾年了已經證明他不是壞東西了 謝謝來信 祝你生活在健康的喜悅裡 桃園醫院 陳斯榮 | [
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| 腸胃問題 | 醫師您好 這陣子有服用治潰藥物百抑潰及摩舒胃清後後來百抑潰停藥後只服用摩舒胃清及胃部不適時服用"康胃"及"美必胃"但是這一陣子來總是於清晨約5點於肚臍上方及週圍總會有腹痛不適喝個水後或解便後又變舒服多腹部按摩一下也會減輕不適不知是否為藥物問題或胃腸蠕動問題.等其他原因可服用哪些藥物以治療此症狀還是現在所服用之藥物會出現此副作用 Thanks | Kevin先生您好： 應是蠕動脹氣問題，可繼續用藥，再視狀況與醫師討論調藥。 彰化醫院關心您的健康 陳詩典 | [
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| 腫瘤問題 | 醫生您好： 我半年前因為左耳聽力變差（感覺像是隔一層東西），再加上出現頭暈、偏頭痛等情形，前往醫院做檢查，醫師做了切片檢查後，他說我是良性的鼻咽腫瘤，因為腫瘤塞到耳咽管，所以我才會覺得聽力變差。 在今年二月初我前往開刀，住院期間我依然覺得耳朵塞塞的！現在出院後，我發現耳朵塞的情形越來越嚴重的感覺，而且左邊的鼻子常常一天到晚塞住，我看過很多醫學報導及文獻，其中指出鼻咽癌的切片檢查陰性不代表絕對是良性的！由於我不清楚那位醫師是否有再把我的腫瘤（211）送檢一次，因此想請教醫師，對於我現在的症狀是代表什麼樣的情形？有沒有可能是不好的結果？ | 婷婷，您好： 根據您的描述，導致您左耳聽覺症狀的原因，很可能是耳咽管開口堵塞，或耳咽管功能不良，而包括鼻咽部腫瘤、鼻炎、鼻 竇炎等都可能造成這些耳咽管的問題。建議您還是先請耳鼻喉科醫師確定沒有惡性的鼻咽部腫瘤，再找出致病的根本原因加以治療，相信很快就可以解決您的困擾， 行政院衛生署桃園醫院 耳鼻喉科胡克信醫師敬覆 | [
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7耳鼻喉科
| 頸部問題 | 醫師您好 昨晚睡覺早上起床時發現兩邊頸部淋巴會痛第一次這樣 不知道是不是落枕 因為休息過後就有比較好了 還是有其他因素 請醫師給個回答謝謝 | 您好： 頸部的淋巴結腫大應該注意， 有時會考慮腫瘤的可能， 當然你也不需要過度緊張， 請到耳鼻喉科專科醫師就診， 應該就可以有較好的解答。 許家禎敬上 | [
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2牙科
| 牙套 | 醫生您好！我臼齒蛀一半所以那一半有做金屬假牙。 做好的那一個禮拜感覺非常不舒服，食物殘渣都會卡在那顆牙齒的牙縫，覺得假牙沒有貼合牙齦，導致卡殘渣的時候牙齒都會非常敏感非常痠痛，所以就又會去找原醫師。跟醫師描述後他只說是牙齦發炎、需要磨合，但是之後問題還是一直存在，甚至有好幾次疼到頭痛。 想請問醫師假牙沒有做好還能不再花錢重新做一顆嗎？ | 您好 通常建議至少先觀察一個月，若仍是很不舒服，可以考慮直接根管治療後將整顆牙齒以牙套包覆。費用部分，建議在同一間診所做處理，會有比較合理的折扣。 | [
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5泌尿科
| 口交問題 | 今天跟一個性工作者無套口交，其實事後滿後悔無套口交的因為不知道會不會染病，然後過程有舔蛋，完事之後洗完澡回家不知道是不是心理作用感覺偶爾蛋蛋養養的 另外想問醫生 無套口交會得愛滋嗎？ 其他性病的症狀空窗期大概多久會出現什麼症狀 | 您好 可由以下評估 當然性對象要有性傳染病. 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－沒有任何保護措施的性行為，造成傷口或出血 空窗期不定 但是無症狀3個月檢查 有症狀如起疹 水泡破皮 生殖器腫塊 排尿痛 尿道口分泌物. 要就醫. | [
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7耳鼻喉科
| 扁桃腺 | 右邊扁條線上有白白的自己擠白白會跑出來而且臭臭的 然後過沒多久又 出來之後去看醫生醫生說那是扁條線結石. 扁條線結石會怎樣嗎 扁條線結石如何治癒 扁條線結石可以自行擠嗎 | 基本上這個疾病對生命無危害。時常注意口腔衛生與扁桃腺的清潔可能有機會治癒，若時常造成困擾且不會自癒，則可考慮扁桃腺切除。 | [
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12胸腔內科
| 支氣管 | 最近我去兵役體檢之複檢 報告出來 我還是一頭霧 上面寫支氣管擴張試驗為陽性 這屬於是 fev1 2.63 fvc 4.82 54 這個有達到 支氣管擴張併有輕度以上肺功能障礙者 | Dear 小麥那是用藥物來區分你對藥物的反應 表示對你氣喘的評估 可能不用服兵役 當然還有激發試驗 就是用藥物誘發氣喘 反應有問題歡迎再提問 . 黃伊文 | [
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5泌尿科
| 泌尿道感染 | 醫師你好 我最近這兩個禮拜發現小便時排尿量變的細小偶感腰酸但不是很明顯而且常睡不安穩半夜會感覺尿急而起床上一次廁所但尿量也不多不知是那裡出了問題好像無法很順利舒暢的排尿. 麻煩醫師撥空解答不勝感激謝謝 | 困擾的陳先生： 你好 首先，要確定是否有感染，最簡單的方式，就是尿液檢查。排除感染因素後，才能夠做進一步的鑑別診斷。 除了感染因素外，精神因素：緊張、壓力等，都有可能會影響。 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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20中醫科
| 經期問題 | 你好： 最近常破嘴尤其月經來時必破，月經來時腹部不會痛 前幾天有去看中醫醫生開了清心蓮子飲6.0克，黃連解毒湯4.0克，甘露飲4.0克 5天份，至今吃了4天，吃了後 1.食慾不振 2.四肢無力 3.嘴巴總覺熱熱的 4.人就是提不起勁味口不佳 嗯嗯我有B肝不知是不是月經來又吃中藥的關係 麻煩妳了謝謝 | 小美 這些症狀是因為MC來又吃一堆較冷的藥的關係，與B型肝炎的關係較不密切。 要不吃加上MC過了休息一陣子就會慢慢恢復，別太擔心。 | [
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6骨科
| 手肘問題 | 醫師你好，我只前與人發生車禍，對方說要求手失能賠償，我希望他去做失能鑑定，但是他卻只給我醫院診斷證明書，內容是現右手手肘活動較左手損失30％， 請問這樣算是失能嗎？ | 你這將的說法無法判定 還是要去醫院鑒定才行 | [
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13肝膽腸胃科
| 排便問題 | 前陣子醫師說是作息失調後有調整作息 昨天是照三餐吃 排便稍微正常些 但還是有一點點軟 家人不在不方便所以微波了便利商店的咖哩來當午餐 早起但沒吃早餐 吃完沒多久就拉肚子了 顏色偏黃 並沒有特別惡臭 之後不知道是不是因心理作用就會想再去排便 嘗試排便 但是甚麼也排不出來 只是會掉出非常少許稀便 帶有黏液 大便肉眼看就是普通的拉肚子沒有血 但是擦拭屁股會有黏液 不知道會不會是因為沒有規律飲食而產生的 暑假開始睡眠時間就很晚 到最近才改 前陣子看診所好像也有一點腸胃炎的症狀 但已經過一陣子有好轉了 比較不解的狀況是 大前天到昨天3天糞便都比較有成形 怎麼今天又拉了 心裡會緊張 而後屁股又會有感覺 腸胃也會比較躁動 最近同樣有出現一些現象但不知道有沒有影響 眼睛有睡但是還是會有點紅紅的 尿液顏色正常 但會有些許泡沫 且不易破 非常少 但是有盡可能減少 水面衝擊力道沒有太大衝擊形成的泡沫 | 應仍是大腸激躁症，需調整正常飲食 少辛辣刺激。尿液泡沫多無意義，先不必太過擔心。 | [
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| 藥物諮詢 | 醫師您好： 目前求孕中，昨日排卵前一天，第一次使用網路上口碑好的助孕潤滑劑。擠入陰道內有明顯的刺癢、刺痛感，約35分後就不會了。之後過程中除了感覺有點溫熱感沒有任何不適，問老公會不會覺得刺激刺癢，老公說他不會。 產品成分有：去離子水、羥丙甲纖維素Hypromellose，氯化鈉Sodium Chloride，對羥基苯甲酸甲酯Methyparaben，甘油Glycerol，磷酸鈉Sodium Phosphate，氯化鉀Potassium Chloride，磷酸二氫鈉odium dihydrogen Phosphate，氯化鎂Magnesium Chloride，氯化鈣Calcium Chloride。 上網查大家都說此潤滑劑溫和不刺激，和我的使用感受不符。請問醫師如果我懷孕了孩子能要嗎？如果真的是產品出問題，會不會讓胎兒不健康或畸形呢謝謝您 | 您好 應該不影響，如果不是陰道乾澀，建議還是不要用任何潤滑輔選劑。祝健康 | [
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20中醫科
| 中藥諮詢 | 您好，我最近有吃壽美降脂一號，來調降高膽固醇，但最近新聞對於紅麴有一些不好的案例，想了解此中藥的紅麴成分，是否來自於日本的小林製藥呢？謝謝。 | 您好： 謝謝您對中醫藥的關心 壽美降脂一號膠囊的衛格爾醫藥有限公司 有發表安全性聲明 提及未曾使用小林製藥或坊間其他廠家原料 若要知道更詳細資料 可至衛格爾醫藥有限公司 網站查詢 祝 健康 順心！ | [
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20中醫科
| 中醫皮膚病 | 您好，冒昧請教，家父於１／２昏倒，到院已無生命跡象，經急救二十多分才有微弱的心跳呼吸，因他本身有心血管疾病，所以也緊急先做心導管疏通一條心血管。 只是至今已2個多禮拜，他仍呈現昏迷狀態，昏迷指數由一開始的３現在已進步至８分，眼睛會張開，會眨眼，按他的穴道感到疼痛時手也會縮，但並無意識和光反應。腦波報告是說腦部幾乎沒有活動，也就是說，他的腦幹還算ｏｋ，但醫生說他的腦皮質因缺氧已受損。 我的重點是，所謂的腦皮質也是腦細胞生成的吧？一旦死亡就無法再生嗎？像他這樣，是否還有甦醒的機會呢？又，是否有什麼方法可以幫助他？因為我在網路上有搜尋到一些利用中醫療法而使植物人甦醒的案例，所以想請教中醫的治療方式對於像他這樣腦缺氧的患者是否可行？他目前已拔管，自行呼吸應該是沒問題，但我們想要請問是否有更積極的療法？我們正面臨著極大的困惑和抉擇，請不吝賜教，萬分感謝∼ | 根據您的描述，或許中醫也可以給予一些幫助。此種病人中醫的治療可分為藥物治療及針灸治療，當然也需配合西醫方面的治療。如果你們住的醫院有中醫科的話，請拜託主治醫師開會診單，儘早加入中醫的治療希望越大。祝您父親早日康復。謝謝。 | [
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1精神科
| 藥物戒斷 | 醫生你好 日前因為思覺失調、憂鬱症到身心科治療 主治開藥為大塚安立復半顆 、利福全一顆、安伯寧一顆。 治療期間到現在約一個月、目前狀況已穩定 。 主治醫生建議為、安立復半顆必定維持、其他可視情況調整、安伯寧可視情況吃 、一個月後最好狀況是只吃安立復半顆。 想請問醫生該如何減藥戒斷比較好呢 目前利福全一顆、安伯寧調整為半顆已近兩個禮拜。 睡眠狀態晚上固定2、3小時醒來、睡滿6、7小時後無睡意， 安伯寧是否再減半一兩個禮拜後停藥 利福全怕有依賴性較強、何時調整為半顆比較適合或半顆維持多久在戒斷呢 以前皆未符過類似藥物。 非常感謝醫生回答 | 您好減藥.停藥的問題還是要與您的主治醫師討論較好.利福全.安伯寧的減藥過程因人而異.無固定先後順序.利福全的依賴性也不一定比安伯寧強.您目前也可嘗試利福全的減藥.不過還是如前所述要與主治醫師討論為佳. | [
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0婦產科
| 超音波 | 醫生您好 我確定懷孕前的最後兩次MC日期是四月三日五月二日 與先生同房日期為四月七九日 四月二十一二十三日五月十三五月十六每天都有 但都是採體外射精方式. 若以五月二日計算到今天我應該是懷孕26周又3天. 可是在20周又5天922時去產檢醫生說以胎兒體重與頭圍看來當天我應已懷孕22周又1天往前11天所以預產期也要提前. 我沒記錯MC 來訪的日期啊 因和先生分隔兩地 四月及五月只有那幾天同房本身並沒有其他的性伴侶也很注重衛生. 為什麼會這樣呢真的讓我很懷疑這個小孩是怎麼來的麻煩幫我解惑好嗎 上次做一般超音波檢查醫生說子宮跟卵巢都沒問題 1想請問一下一般超音波可否檢查出有無巧克力囊腫因這一年來經前兩天經後兩天都有巧克力色分泌物且經前左右卵部位都有明顯的悶痛不知是否可以以此判斷巧克力會有什麼症狀呢 2若是要檢查經前或經後的甚麼時候比較恰當可不可以跟黃體素同時檢查 3另外想請問經前三個星期即胸部脹痛是否為泌乳素過高 4還有因結婚一年半仍未懷孕醫生只簡直單說要看輸卵管有無塞住.輸卵管塞住是否就不會排卵什麼情況下輸卵管才會塞住 不好意思因目前身在國外一跟這裡醫生有點溝通不良所以很多疑問希望您能幫我解答麻煩您了謝謝. | 您好 妊娠週數是以最後一次有來月經的第一天開始往後計算而超音波週數是以超音波來測量胎兒大小而換算出之週數您的後者大於前者2週且確定月經沒記錯代表胎兒發育較大領先平均值2週意義在此與您何時行房無關. 署立新竹醫院 婦產科 1.巧克力囊腫與巧克力分泌物沒什麼關係，如果子宮內膜異位症長生卵巢形成曩種，就是巧克力囊種，它的症狀是1.經痛，2.不孕，3.性交疼痛。 2.超音波檢查時程與月經週期有關，不同日數檢查不同項目，如果是檢查巧克力囊腫，則無關係，抽血檢查如果是抽一般荷爾蒙，以月經來第3至5日較準，至於黃體素則是在月經來第21天。 3.泌乳素過高，通常伴隨月經週期過長或乳汁分泌，常與精神科用藥，腦瘤或不明原因有關，一般年輕女性胸部脹痛多為荷爾蒙刺激導致乳房腫脹。 4.輸卵管有無堵塞，可安排作輸卵管子宮攝影，它與有無排卵無關，一般而言，不孕症原因包括了：a.排卵與卵巢黃體機能b.輸卵管有發炎或堵塞c.子宮腔內著床問題與子宮頸抗體d.男性因子，如果曾經發生過骨盆腔炎3次以上，輸卵管堵塞機會就大為增加。 | [
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| 睪丸問題 | 在今天忽然發現睪丸可以自己控制上上下下，坐著是會放鬆的，但是站著時會稍微卡住要自己退下來，請問這樣是正常的嗎？ | 睪丸有提睾肌，上下移動可能是提睪肌反射導致 | [
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6骨科
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6骨科
| 第五蹠骨 | 王醫生你好，想請問目前術後6周，X光顯示復原良好，但還沒完全癒合。所以醫生建議輔具鞋要穿滿3個月，但有試著脫掉輔具鞋踩地，目前尚無痛感，請問能否繼續脫拐踩地練習，還是得等真正癒合，才能踩地？因為眾說紛紜，所以想得到比較明確的答案，謝謝王醫生撥冗回答 | 您好， 至少部份負重二個月， 之後視骨折恢復狀況， 才可逐步加重負重， 不要掉以輕心。 彰化醫院 關心您的健康 王守吉 | [
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| 是否懷孕 | 張醫生，您好 我想詢問 請問現在我吃的感冒藥與避孕藥可否一起吃 是否會影響避孕效果？ 避孕藥：悅姿 感冒藥 Panadol Perozol Zcough Koder Syr . Azithromycin250mg | 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 與口服避孕藥會產生交互作用的藥品有： 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 建議這個週期同時使用其他避孕措施，謝謝 祝 平安 健康 張 醫師 回 | [
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| 尿道分泌物 | 感謝醫師的回答 但我還有些問題想問 尿液培養是驗尿液中的發炎細胞這是聽醫院醫生說的嗎白血球.等 昨天我又去了檢驗所驗尿也是正常的 至於疼痛感好像漸漸的比較好了尿道口碰 到內褲還是有點搔癢還有睪丸感覺有點敏感 我有找過之前醫師您的回覆尿道發炎後不一 定會馬上感覺變好我因該是屬於這種情形吧 我查過尿道炎好像很容易復發但好像是女性較容易復發那男性勒 還有我才剛好的話可以從事水上活動嗎會不會有影響例如游泳SPA海水浴場 還要要如何預防再復發 這個我大概有查了但還是問一下 不外乎就多喝水少憋尿 或喝蔓越莓汁 再次感謝許醫師的回答 | 小明： 你好 一般這種情形，我不叫做復發，而是再度感染。就像是呼吸道的感冒，你不會將後面的感冒當作第一次感冒的復發，而是再一次感染。泌尿道感染也是一樣，大部分很容易治療。但是若衛生飲食習慣不好，很容易再度感染。 游泳等水上活動不會影響。除非正在急性期：非常疼痛、分泌物很多。 保養：就是多喝水、不要憋尿等 以上，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 泌尿科 主任 許維愷 答覆 | [
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6骨科
| 腳痛 | 醫生您好，近一兩年來下肢的關節或骨頭有時會產生類似生長痛的酸痛感，且多在晚上睡前發生，想請問醫師是否有需要看診的必要，因頻率實在不高，故有疑慮，望醫師解惑，謝謝。 | 可以先用熱敷或按摩來緩解 如果還不好 才去看醫師 | [
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8乳房甲狀腺科
| 乳房問題 | 醫師你好 之前有上網請教過問題.是有關乳頭流出黃黃的水狀.上個月看過醫生也做過超音波．醫生說沒問題．昨天發現乳頭竟流出血水．吳醫師可否幫我解答．又我住基隆是否可介紹基隆．台北的醫師給我．我很擔心醫師口中的沒問題 | Dear Miss咪咪 有關乳頭流出黃黃的水狀.做過超音波．如果沒問題．應該稍可放心 但是你說發現乳頭流出血水．倒是要再注意一下 儘管因而找出有癌細胞之機率很低 乳房攝影或再一次之超音波檢查 及流出之液體送細胞學檢查都可以進一步確定您的情況 基隆地區大概以本署基隆或長庚醫院較具規模 您可就近前往一般外科 有些醫院會特別標出乳房外科 就診 放輕鬆 不必往壞處想 祝 幸運 健康 吳醫師 931005 | [
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| 大便出血 | 最近一週大便中帶有血絲有時大便時屁屁會有痛痛的感覺，有一次擦屁股時衛生紙上有寫，偶爾帶有白黏液，排便習慣沒有改變也沒有腹瀉便秘大不出來的情況請問我的腸子是出了什麼狀況？ | 肝門痛並帶血是因肛裂。黏液則屬正常。 | [
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| 復健問題 | 醫師好！ 家人最近剛開完髖骨，在家休養，她是否需要接受復健治療？以後會有不良於行的後遺症嗎？請回答！謝謝！ LoLo | 1.需做復健先從深部熱療及肌力訓練 2.避免髖關節過度彎曲及內收 3.可用枕頭擋於雙膝之間避免上述不良動作 | [
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1精神科
| 恐慌 | 醫師您好 是這樣的，我因為身體容易緊張的問題，比較會恐慌心悸胸悶，所以我很少很少和別人出去玩。然後最近有朋友邀我逛百貨，我本來很抗拒，但我想說我自己再這樣下去不行，所以我鼓起勇氣答應朋友的邀約。 約好的日子快要到了，但明明本該是開心的事我卻一直莫名的焦慮緊張，我好害怕我在去的途中、逛的途中突然昏倒之類的，這種問題從我被診斷有二尖瓣脫垂閉鎖不全就一直困擾我，導致很少和朋友出去玩。 緊張的嚴重程度大概是手汗流不停和一直想上大號，事情還沒進行就會不斷焦慮、心悸和胸悶，頭會暈、喘不過氣。 想詢問醫師在這種時候該如何是好有沒有在家就能緩解焦慮和緊張的辦法以及如果我在室外該如何自我緩解 | Jennifer妳好：看起來妳焦慮起來會到類似恐慌的程度，這時候建議妳可以放慢呼吸愈慢愈好，並且盡可能用腹式呼吸，當妳的呼吸放慢下來後，這些身體不適的症狀就會逐漸改善。這樣的呼吸方式最好是平常就要多加練習，這樣在焦慮時才能立即派上用場。但若妳的情況讓妳感到困擾，建議還是可以至身心科就醫，尋求專業的協助喔！無論是藥物治療或是心理諮商，都可以有效改善妳的情況的。祝平安健康！ | [
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0婦產科
| 保險套 | 跟男友做到一半保險套掉落（未射精），當下未意識到可能掉在陰道內，換新的繼續，隔天滑出上面有白色分泌物與血絲，小腹有點痛痛的，請問這樣是發炎的徵兆嗎？是否可能懷孕？ | 您好 如果是排卵日，還是有可能懷孕，最好吃事後避孕藥，發炎機會應該是不大。祝健康 | [
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18放射線科
| 顯影劑 | 醫師您好，近期因顳顎關節障礙有至醫院做檢查，已經四天了，打顯影劑的部位還是會感到疼痛，張口時也是，請問這樣正常嗎？這兩天有持續熱敷。（當初注射的時候打了三次才打到對的位置，不知道這樣是不是有影響？）謝謝您！ | 您好 依您描述如果檢查後在打針的部位出現持續疼痛且沒有改善，建議至原就診醫院，經醫師理學檢查評估或與檢查單位討論檢查結果，進行適宜的處置或觀察。 祝您平安健康。 | [
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5泌尿科
| 菜花 | 請問如患有”尖性濕疣”在性行為時若未戴保險套是否會傳染給配偶敬請撥冗指教TKS | 尖頭濕疣即所謂的“菜花”，是性傳染病的一種。性傳染病就是性接觸而感染的疾病，當然沒做任何防患的性接觸，中獎的機率一定高，這樣你了解了嗎？不過，因“菜花”是一種濾過性病毒傳染的病，有時潛伏一段時間後才“長”出來，因此有任何懷疑最好找泌尿科醫師檢查看看，同時當場請教“保衛”之道。 | [
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17眼科
| 視力問題 | 請問醫師 我今年38歲，我的近視右眼375度，左眼225度，閃光右眼150左眼50，近日看東西時的距離跟以往不太一樣，以前看近物不會有困難，最近需要把東西拿遠一點才看得清楚，我的眼鏡是兩年半前配的，鏡片已有磨損。 請問 1.兩眼視差算多少？ 2.跟老花眼有關嗎？ 3.這跟鏡片磨損相關嗎？ 祝平安順心 謝謝您 | Dear 阿信 您好 問題1.兩眼視差200度. 問題2-跟老花眼有關. 問題3.未看到鏡片無法判定. 柯美蘭 敬上 | [
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13肝膽腸胃科
| 下腹痛 | 請問醫生 本人下腹悶一年多 有看過很多科 婦科腸胃 泌尿 醫生都照過超音波和x光沒找出任何問題 這種情況能向醫生要求作核磁共振快速準確的診斷出病因嗎？如果可以有給付嗎…會很貴嗎…？ | 您好， 下腹不適若已看過婦科.腸胃科.泌尿科且照過超音波和X光則應屬功能性障礙居多 建議可考慮下腸腸胃科攝影檢查核磁共振並無絕對必要 衛生福利部桃園醫院 腸胃科主治醫師 陳奇峰敬復 | [
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10兒科
| 預防注射 | 寶寶在滿兩個月的時候要打五合一，３／３０，但是有往後移，４／９才注射．這樣滿四個月大的五合一疫苗預定是在５／３０注射，這樣算往前提前了１０天，會不會有什麼問題？如期接種可以嗎？ 另外知道沙賓疫苗要口服兩次，那我打完兩次五合一，下兩次疫苗是不是就可以打四合一呢？ 夏天到了，寶寶另外需要接種輪狀病毒疫苗嗎？四個月就可以接種嗎？ | Dear 雪 針對您來信中的問題回答如下 1.您的寶寶滿四個月即可接種五合一第二劑，雖然第一劑有延後，但五合一二劑間隔只要不小於一個月即可，只提前10天不會有問題但寶寶一 定要四個月大。 2.政府因政策問題鼓勵寶寶至少有二劑口服沙賓疫苗，所以您寶寶可以下二次改打四合一疫苗加口服沙賓疫苗。 3.以小兒科的立場而言，若家長經濟能力許可，讓寶寶多打疫苗都是好的輪狀病毒腸胃炎也可以很嚴重，8個月大以下的寶寶都可以口服輪狀病毒疫苗因8個月大以上並無臨床經驗參考，較不建議。 旗山醫院小兒科 蕭凱文 | [
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| 中藥諮詢 | 之前有一個中醫師建議我吃地黃丸請問一下它有分五味地黃丸六味地黃丸.等不同的種類他們的差別在哪呢每天要吃幾次幾顆價錢大約是多少 是不是吃了以後精神會變比較好.謝謝 | 地黃丸分六味地黃丸和八味地黃丸，六味地黃丸用在補腎陰，八味地黃丸補腎陽，價錢依各藥廠定價而有所不同。服用法通常一日三回，每次5-10粒。 吃了會不會精神好些？要看有否對症下藥。 吃六味地黃丸要有口乾舌燥、失眠、手足心熱、腰酸等症狀。八味地黃丸則需要口不乾不苦、易倦、眼隱然腰酸等症狀。若不對症吃了反而會有害，還是讓醫師幫您把脈，四診合參，看適不適合吃，再去買藥比較好。 | [
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5泌尿科
| 龜頭外露 | 醫師您好 我有發現自己龜頭表面上有長一小顆白色大約1mm的東西不是龜頭背面它看上去像青春痘，從我發現它到現在已經有半年了，這半年來也沒有在長第二顆，這一顆白色東西我有用手摳過是不痛也不癢。我想請問醫師這是啥 | 您好：可能是正常皮膚變化，但也不能排除是需要治療的，如果您有性行為，建議找醫師確定一下，謝謝您的詢問 | [
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0婦產科
| 出血 | 曹醫師你好 我想問我女兒現在是小六了月經也已經來了但這幾天突然說胃痛當天下部有些許的血絲本以為是月經來了但那時剛完一個禮拜多了還會這樣嗎這樣的情形已經三.四天了請問這情形我該去肝膽腸胃科還是婦產科呢這幾天女兒也說胃都怪怪的.我真的不知道該掛那一科可否告訴我呢 | 您好 不正常出血暫時先觀察，胃痛該去肝膽腸胃科，如還有不正常出血，建議看婦產科。祝健康 | [
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| 事前避孕藥 | 醫師您好，昨天我的女友一時疏忽，事前避孕藥晚了三小時才發現忘記吃，然後她立刻補吃。女友已經連續吃事前避孕藥半年了，過去半年每次都有大致準時吃藥，直到昨天疏忽。昨天是新的一包藥的第一週第六天。然後今天女友照時間準時吃藥。雖然女友昨天只晚了三小時，是在十二小時之內補吃，但是因為我們在國外，女友服用的事前避孕藥的品牌，跟台灣常見的品牌、成分可能不太一樣，所以還是希望請教醫師，這樣晚三小時會不會影響避孕效果？我們平時性行為，都習慣我不戴保險套內射，女友昨天晚三小時吃藥，現在我們性行為我不戴保險套內射，女友會不會有懷孕的風險？我需要戴保險套增加避孕措施嗎 事前避孕藥的品牌與成分如下： 品牌 afaxys 成分：levonorgestrel and ethinyl estradiol tablets USP 0.1 mg0.02 mg 麻煩您了，謝謝您。 | 您好 一般是不影響。祝健康 | [
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11營養教室
| 體重 | 您好 我生產完已經快11個月了，體重卻沒有降下來，而且又胖了10公斤， 我該如何呢我現在身高165cm，體重64公斤，希望能給我建議和幫我設計 我的淢重食譜，謝謝 我若報名瑜珈有幫助檢重的效果嗎 | Dear 小妮： 不知你是否哺乳，若是哺乳則不適合減肥，一般我還是要建議你檢查一下飲食熱量是否過高，若無法得知可找營養師幫你計算，妳的理想體重為59公斤，可先降低飲食中的熱量，如油煎、油炸、油酥食品不吃，飲料、點心類、宵夜不吃，注意食物中含油量，另需加入運動，瑜珈昰一種很好的運動，對於減肥可能效果不是很好，但有運動比沒運動好，另如快走、慢跑、騎腳踏車、有氧舞蹈，皆昰很好的減肥運動。 謝惠敏 | [
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| 壓力問題 | 您好 最近因為服役生活上產生許多不適應導致壓力緊繃及心情低落是否是精神上有點問題呢有什麼方法可以改善壓力大的問題嗎 | 您好 因為服役造成的壓力及不適應此為環境適應的問題 心情若能藉朋友及 家人來抒發 軍中保持與同儕的良好互動 皆能適時的紓解壓力. 要注意是否影響到正常作息及活力持續影響超過二週建議就醫. | [
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0婦產科
| 月經 | 林醫師您好，我想請問一下，我的月經嚴重的失調。從小六初經到現在專二了月經都沒準過都會延期很久然後少數幾次時量會很少，而且一差就差了好幾個月最少是差10天，其於的都差了好幾個月，甚至有到4個月的最近越差越嚴重。所以那次我有去婦產科先吃了催經藥沒來，所以又打了催經針才來，也去婦產科照過好幾次的超音波，也都沒事，也沒有什麼多囊性卵巢，什麼都沒有，所以婦產科醫師建議去抽血做內分泌檢查泌乳激素、甲狀腺激素、生長激素、腎上腺皮質素.等等之類的結果抽出來數質也全都正常 所以我真的不知道該怎麼辦了，超音波照了沒問題，內分泌數值也沒問題可是月經就是失調很嚴重，而且不是最近才變這樣的而是從初經到現在。 | 夏茜小姐您好 若上述檢查超音波、荷爾蒙、內分泌檢查等且體重正常範圍內，本身並無慢性精神疾患或輪夜班生活史，推測最有可能是排卵狀況不佳無排卵或排卵不規則，建議您於月經來時1-5天內婦產科就診治療。 衛生福利部花蓮醫院關心您的健康 | [
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13肝膽腸胃科
| 大便出血 | 醫師您好，兩天前還有今天我出現便血的問題 第一次便血時大約是幾個月前，那時以為是痔瘡，去診所看診後醫生說我年紀比較輕不太可能是痔瘡，所以開了藥（有軟便劑）症狀也有改善 兩天前我又出現便血問題，和幾個月前一樣都剛好是在月經來的時候便血，排便時也有大便過硬肛門疼痛的問題，兩次都是鮮紅的鮮血，排便後肛門也有疼痛幾天，感覺有撕裂傷。 兩天前便血後我沒有去看醫生，而且因為肛門有點痛所以兩天都不敢上廁所。今天再次便血，月經已經結束了，不過便血的問題沒有改善，有多吃蔬菜水果，但大便還是乾硬，並且是塊狀的，沒辦法拉出一整條，有點排便困難，又感覺大不乾淨。血是在大便的上方，沒有跟大便纏在一起，但是量有點多，上完廁所擦屁股幾次之後就沒有繼續流了。 想請問醫師這樣的症狀是痔瘡、肛裂還是經期便血？請問我該如何改善？謝謝。 | 判斷起來痔瘡的可能性最高。建議到肛門直腸外科就醫。 | [
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3藥物
| 藥物諮詢 | 醫師您好 本人在家中整理東西時發現以下兩種藥物 1Hyptone Tab 2Glucocal Tablet 應該是多年前家人所服用的藥物 但如今卻早已忘記其作用為何 請問這兩種藥物的 中文名稱 其功用與療效為何 謝謝 | 您好 您所提之二種藥物名稱，於藥品參考書籍及健保用藥品項中，均查無該藥品，故無法回答您的問題。建議您直接向原就診醫療院所查詢。 | [
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7耳鼻喉科
| 唾液腺囊腫 | 靠近舌根附近長了一顆黃色豆豆 摸起來硬硬的 舌頭動有時候會有凸起的異物感 不會痛 如圖 httpsdrive.google.comfiled18O1b--2yvvymQ7IVQ8-ybrAkftNTQhCaviewuspdrivesdk | 你好 常見為舌頭上唾液腺的囊腫，可以先自我觀察，若大小持續變大或有疼痛發炎等症狀，建議就醫檢查治療。 | [
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| 乳房 | 醫生你好 我媽媽46歲且3個月前有服用女性賀爾蒙的乳房大約有半年的時間都有分泌乳汁，一開始是透明無色，到後來是乳白色子宮頸有去做檢查，抹片和切片報告說指數到6，需要治療疑是癌細胞指數到6，但還不癌細胞 我想問的是 我媽媽到底有沒有癌細胞還有她的乳房到底有無疾病媽媽有乳房攝影，報告出來說一切正常，只有一個白點 | 您好 1.乳頭有異常分泌物首先應排除乳癌之可能性若乳房攝影正常之後應檢查是否泌乳激素過高或是否有腦下垂體腺瘤的可能性歡迎來診. 2.抹片和切片報告沒有什麼所謂指數您若要詳細諮詢歡迎帶您媽媽及影印報告來李醫師門診謝謝 署立新竹醫院 婦產科 | [
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5泌尿科
| 尿尿問題 | 每次小便時肚臍下方內部都會有一點痛但是又不像是痛，不知是什麼原因。 | 小便時肚臍下方內部會有一點痛，可能是您經常習慣憋尿所造成，請您改善憋尿習慣。如果改進後仍會有這種感覺，可能要請您到泌尿科門診做進一步尿道及膀胱的檢查了。 | [
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