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5泌尿科
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| 卵巢 | 醫生您好，今年五月底做身體健康檢查的時候發現卵巢左側有一顆約3公分的囊腫，7月底時至大醫院用陰道超音波檢查卵巢長到4.8公分，有抽血做腫瘤指數都正常，9月底在檢查腹部超音波是4.2公分，醫生都說是良性，請我3-6個月定期追蹤就好，目前12月底要在回去檢查，有點擔心，想請問，良性卵巢的病變機率大嗎？三個月追蹤一次會太久嗎？ 然後我有備孕的打算，有詢問醫師，她是建議備孕一年都沒有寶寶，在拿掉也沒關係。 | 您好 觀察即可，順其自然。祝健康 | [
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5泌尿科
| 梅毒 | 許醫師您好 萬分感謝您的回覆讓我心中有一個依靠. 想再請問二個我心中最不解的問題 1.梅毒細菌能在矽膠情趣用品或物品上存活多久 2.感染梅毒細菌後會在一年後才發病嗎其間身體都全無異常現像 萬分感謝您的關心和熱心打擾您之處還請原諒.謝謝您 | Jason 你好 其實，我稍微查了ㄧ下，梅毒的病菌，只能人與人接觸傳染，沒有中間的其他生物會得到。 至於，在物體表面能夠存活多久？ 梅毒螺旋體一旦離開人體很難生存，60度2分鐘和100度立刻就可以殺死梅毒螺旋體。 這裡有一些梅毒的介紹： httpwww.csh.org.twintoobsarticlearticle04.htm 泌尿科 主任 許維愷 答覆 行政院衛生署台東醫院 關心您 | [
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0婦產科
| 子宮問題 | 黃醫生您好﹐ 我剛被檢查出有可能性的子宮纖維瘤﹐最大約有8.6cm x 9.7cm x 7.2cm. 請問醫生﹐我能有那些治療的方式。因為我未婚﹐但跟未婚夫計劃今年結 婚﹐也準備懷孕﹐請問會有影響或是危險嗎﹖ 另外﹐我該注意那些飲食﹐才能避免纖維瘤增大﹖ 非常謝謝您。 | 您好子宮肌瘤、平均大小大於5CM時，依據統計懷孕時，在增大的機會增加，流產的機率及生產時的併發症也會增加，若是肌瘤位置會影響未來懷孕進展，可考慮先行肌瘤摘除手術，﹝一切都得視臨床是當評估，再做決定﹞飲食與肌瘤的增大與否，並無太直接的科學根據。 | [
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7耳鼻喉科
| 唾液腺 | 醫師您好 家母左側頭頸部位長了一顆結石，每逢進食完皆會腫痛，幾個小時後又會慢慢變小 請問醫師唾液線結石形成原因何是否和家母長年靠左側邊躺著看電視邊進食，壓迫到左側唾液線有關也和口腔清潔不確實有關嗎 在高雄長庚醫院做過電腦斷層，醫師建議開刀切除大小和位置已無法用內視鏡及從口腔內切除 看報告時我未陪同，是由家母獨自一人回診，家母說醫師有說曾有人結石自然慢慢變小 因此在看完報告後，排斥開刀的家母，就在等待神蹟降臨. 現在2個多月過去，倒是沒聽家母喊痛，不知是不會痛還是不敢喊痛. 請問醫師是否有結石會自然變小一說又或有除開刀外其他方法可使結石變小或消失 唾液線結石開刀風險及副作用 先感謝醫師了 | Dear 小穎： 您好， 若已經做過電腦斷層，且醫師建議開刀切除，可能代表石頭大小較大或接近唾液腺腺體的位置，一般較大的石頭可能不易自然排出，除開刀外大概無法使石頭消失或變小，且會隨時間慢慢越來越大，且易引起反覆發炎；大多數術後除了稍微口乾，並無太多後遺症，若有疑慮可再與臨床醫師討論。 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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5泌尿科
| 攝護腺 | 先謝謝許醫生上次的詳細解答 想再多了解一些所以再來發問 我不煙不酒有在控制體脂肪所以沒吃油炸等重口味食物作息正常工作和生活上沒有什麼壓力 為什麼攝護腺炎還是一直復發呢難道沒辦法痊癒嗎 有復發的症狀一定要就醫嗎 還有最想了解的一點就是最近我在勃起持久度跟硬度方面的問題跟攝護腺炎會不會有關係 另外是關於勃起等等性方面的就醫資訊 我才20幾歲有這種疑問要馬上去看醫生嗎 是要怎麼治療呢就醫的效果好嗎 醫生通常會開哪方面的藥藥的部分是有健保的還是要自費呢 不好意思因為最近這些問題一直困擾我所以問題還蠻多的 感謝許醫生百忙之中播空來幫我解答 希望我能夠快點脫離這些煩惱. | BC 你好 攝護腺發炎，有時候就只是局部的纖維化，就是局部有一些因發炎造成的硬塊，造成勃起時會有異物感覺。至於是否復發，則見仁見智。有時候只是因為作息不正常造成的代謝廢物累積，而纖維化這些組織的循環比較差，廢物的堆積就比較多，自然會造成局部的不舒服。 註：這也是為什麼醫師會建議患者勤作局部熱水浴的原因。 而勃起，牽涉到的問題很多，只要身體覺得一點不舒服，就會有勃起的干擾。若是血管或神經的問題造成的，需要做進一步鑑定與診斷，才能夠對症下藥。 我的建議還是老生常談： 1.作息正常，禁煙 2.規律運動，而且強度要足夠 3.保持身心愉快 希望以上的回答對你有幫忙 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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4心臟血管專科
| 心率問題 | 如題 我目前接近確診的問題有偏頭痛、心律不整，以前正常心率大概4060、運動時120130，剛開始發現心律不整時也只有發作時會突然增加，而且就我認知應該只會在爬樓梯完停止不動之後發作 但我今天測到靜止心率8090、走路110120，跑步手錶有測到199（但跑步沒有平常心律不整發作的感覺） 我知道跑步的一定是異常，但他今天整體很整齊的提高，是代表我的心臟發生了什麼變化嗎？會不會以後就變成一直這麼高了？ 另外主要是想問跑完太陽穴痛、耳朵痛，是因為心臟的關係嗎？ 醫生和我說要多運動，但我這樣會不會反而傷害到腦部？很怕腦血管什麼的出事 距離下次回診還有一段時間，我想知道我到底該不該繼續運動，還是少動一點比較好 如果我繼續運動，心律不整會緩解嗎？或是運動前後能不能做什麼來減少頭痛耳朵痛的問題？ | 您好 沒抓到任何心律不整證據前 無法告訴您 心臟不好了 心律幾下和 心臟不好了沒關係 不過一定不會傷害到腦部 先做比較緩和的運動吧 平安 彰化醫院關心您 | [
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6骨科
| 膝蓋問題 | 醫師您好 小弟膝蓋已經不適2.3年了 蹲下去右腳膝蓋會喀一聲 會有瞬間無力感 也會有點疼痛 之前看過醫生 用超音波照 說我右腳膝蓋裡面沒發育好 有積水 叫我吃藥 做復健 但是都沒有改善 小弟練重量訓練的深蹲都會膝蓋不適 怕發出喀一聲又瞬間無力摔了槓鈴 真的非常非常困擾 請問醫師這種情況能怎麼讓他恢復正常 真的非常感謝醫師的答覆 | 您好： 膝關節會有聲音，多半是關節內囊膜皺摺發育不完全所致，如會疼痛而造成蹲下困擾，建議至骨科門診檢查。謝謝！ | [
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5泌尿科
| 射精 | 想請問一下醫師，自從有記憶以來，我自慰經常是流精的，只有大概10是射的，但我自認硬度是正常的。 但跟女生做時射精流精大概30是流的，我也不太確定，因為有時候是帶套狀態。 感覺我常常會忍不住就射了1分鐘內也行，但只要撐過一個時間或一個感覺就可以持續很久幾個小時也行； 自慰的平均時間比做愛平均時間短很多。還有本身我的體毛很多，性慾很大。大概1天自慰1次吧 所以我想請問我要如何改善流精的問題，是因為過程不夠久沒辦法累積力量嗎 | 射精過程與尿道內括約肌的收縮，膀胱頸出口關閉，球海綿體肌與坐骨海綿體肌產生律動性收縮有關，並非過程不夠久沒辦法累積力量。 | [
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0婦產科
| 懷孕用藥 | 請問我在懷孕8週的時候同時吃了以下藥品一包是否會影響胎兒 SINPRIM F.C. TABLETS "CHINTENG" SINWELL TABLETS "KOJAR" WETA B6 Tab 50mg Utrogestan soft capsule 100mg IWELL TABLETS EVEREST 其中IWELL TABLETS EVEREST是近期我去婦產科檢查 醫生開黃體素IWELL TABLETS EVEREST給我 其他三樣藥品是之前醫生開給我止孕吐的 沒有想太多就一起服了一次藥請問是否會影響胎兒 謝謝解答 | 您好 一般是不影響。祝健康 | [
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5泌尿科
| 檢驗 | 醫生您好 小弟最近感覺睪丸外搔癢 甚至會癢至上面靠近龜頭口的地方 不過感覺似乎都在外面外層 前幾天不小心有ㄌ一夜情 不知道是心理因素還是真ㄉ有問題 就一直睡不好.深怕得病所以我想請教醫師幾ㄍ問題 第一危險性行為之後因該多久去做檢查比較適宜怕延誤時間 第二費用怎算有沒有像驗孕那種東西可以驗ㄉ出來 第三就是我ㄉ龜頭尿尿口處旁邊有白色小點幾個不知道是不是正常 還有就是龜頭的地方有刺癢ㄉ感覺這樣ㄉ感覺不知是否也正常 而且還很頻尿感覺一直想尿尿. 麻煩醫師為我這解答 謝謝您 | 陳先生： 你好 我想，一次危險的性行為後，我們建議的檢驗，是在大約6週以後做，AIDS、梅毒等。假如都是陰性的，那應該沒有感染，太早做檢查，會有空窗期，即使是呈現陰性，也沒有太大的意義。 目前檢驗都需要抽血，無法像是驗孕一樣方便。 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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| 避孕 | 想請教醫師，我在320開始服用避孕藥，吃到322第三天覺得身體漲漲就擅自停藥了，一直到今天328突然感覺想 像月經來，可是是咖啡色的，在停藥這週身體完全沒有感覺像要來的不舒服感（我是一個經前症候群非常明顯的人）。請問醫師我現在應該怎麼做？ | 提問者您好 依你的描述，建議先等經期來後再觀察。而如果持續一出血則還是請婦產科醫師檢查與治療較好，謝謝 祝 平安 健康 張 醫師 回 | [
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17眼科
| 眼睛發炎 | 醫生你好 最近下眼瞼的地方長了一顆白白的東西 兩隻眼睛都有 大概有1個多月了 原本沒什麼不舒服 後來眼尾的地方開始會癢、刺 上週去看了醫生 說是眼睛發炎造成的 說只用點眼藥水、熱敷就好 目前眼尾癢、刺的症狀好了 但是白白的東西沒有消 眼瞼的地方紅紅的有血絲 換間診所看 醫生一樣說那是皮脂阻塞 除非凸出不然不用特別處理 但是一直覺得眼睛很乾、痠 有時候會覺得有異物感、刺刺的 而且眉頭的地方總是覺得脹脹的 有時候太陽穴的地方也會脹 另外就是我本身是高度近視大概700多度、散光200度 一年多前左眼開始會看到一個黑點 當時沒去診所檢查 但應該是飛蚊症的那個情況 然後就是畏光的情況嚴重 剛到戶外都會不太舒服 大約一個月前右眼也會看到黑色絲狀的東西 偶爾左眼眼尾會閃過黑影 當時有去診所檢查 醫生是說眼睛沒什麼問題 但他檢查的時候沒有點散瞳劑 是直接用儀器看 目前有覺得看東西變糊 除了眼鏡磨損嚴重也有度數增加的問題 想請問一下醫生 1.關於上述情況有什麼建議？ 2.有乾眼症、視網膜裂孔的可能嗎？ 3.可以請醫生做什麼樣的檢查？ 4.如果要配眼鏡，目前的情況適合嗎？ 謝謝 | 陳小姐 您好： 1.如果是皮脂阻塞，就如醫師所說，除非凸出不然不用特別處理。如果有異物感、刺刺的，可能是結膜發炎，需要點一下藥水。眉頭的地方總是覺得脹脹的，有時候太陽穴的地方也會脹，可能是眼睛疲勞的訊號，告訴您需要多休息。 2.通常飛蚊症是無害的，如果沒有其他問題，可觀察即可。醫師檢查過，應該是沒問題。 3.如果懷疑乾眼症，可作乾眼測試。 4.配眼鏡是沒問題的。 台灣e院 朴子醫院眼科： 星期一二四五早上 8：00∼12：00 星期三下午 14：00∼16：30 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 希望有機會能為您服務。 高丕霖 | [
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0婦產科
| 事後避孕藥 | 想請問一下，我和男友發生性行為，避孕套沒有破，但是因為我是以女上位的姿勢，男友達到高潮後射精，我站起來後保險套內的精液就漏出來，以防萬一在93號當天吃了事後避孕藥，然後在911號時突然流血，上廁所時擦拭後，有少量的淡淡的血跟咖啡色的血，持續一天，到912晚上時上廁所突然來了深紅色跟平時月經來相似的血量跟血塊，913的早上又變回少量的淡淡的血，一路持續到917都是一樣的，918則是突然感覺到下面有分泌物發現也是有點淡淡的咖啡色分泌物，請問這樣是月經失調嗎還是甚麼情況呢，然後上個月月經來的時間是822 | 您好 吃事後避孕藥有可能造成亂經，應該是不會懷孕，觀察即可，如果不放心，驗孕看看。祝健康 | [
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22戒菸
| 戒菸門診 | 你好我抽煙抽了3年囉很想戒煙但是我不知道嘉義市哪裡有 戒菸診所你能告訴我嘉義哪裡有嗎 | 親愛的偉誠： 我查了一下衛生署國民健康局的網站資料，嘉義市有許多大醫院都有提供戒菸諮詢與門診戒菸的服務，資料如下： 衛生署嘉義醫院〈05-3109090 嘉義市北港路312號〉 嘉義基督教醫院〈05-2765041 嘉義市忠孝路539號〉 聖馬爾定醫院〈05-2756000-3705 嘉義市大雅路2段565號〉 嘉義榮民醫院〈 05-2359630-2547 嘉義市西區世賢路二段600號〉 另外下列小型醫院與診所也提供戒菸諮詢與門診戒菸的服務，資料如下： 吳長宗診所〈 05-2239036 嘉義市西區鎮南里光華路3號〉 仁友醫院〈05-2308595 嘉義市文化路242號〉 世華醫院〈05-2767102 嘉義市東區和平路178號〉 陳仁德醫院〈05-2258279 嘉義市林森西路285號〉 孫福山內兒科診所〈05-2766266 嘉義市圳頭里林森東路470巷6號〉 潘內兒科診所〈05-2284757 嘉義市東區公明路352號〉 黃銘模診所〈05-2247873 嘉義市建國里中正路374號〉 陳欽朋診所〈05-2761596 嘉義市東區頂庄里嘉北街66巷9號1樓〉 信合美聯合診所〈05-2867272 嘉義市美源里興業西路89號〉 玉山診所〈05-2715913 嘉義市東區吳鳳北路312號〉 宏醫診所〈05-2254868 嘉義市民族路309號〉 林海南診所〈05-2273185 嘉義市西區福松里康樂街157號〉 黃丙丁家庭醫學科診所〈05-2223464 嘉義市書院里民族路730號〉 佑仁診所〈05-2335906 嘉義市西區福全里友愛路190號〉 陳明煌診所〈05-2337036 嘉義市西區保安里北興街442號〉 黃彬聯合診所〈05-2333380 嘉義市博愛路一段411-3號〉 曾良達診所〈05-2333928 嘉義市西區保安里八德路338號〉 慧昭診所〈05-2293506 嘉義市西區通運里林森西路552號〉 文山診所〈05-2293119 嘉義市東區府路里國華街171號〉 祝戒菸成功、平安喜樂！ | [
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0婦產科
| 避孕藥 | 吃悅姿244事前避孕藥兩個月。 731月經第一天，第一次服用悅姿第一顆，月經826-91粉紅藥吃完第三天來月經， 828吃第二包悅姿第一顆，831有性行為有帶套，其他有幾次愛撫與口愛。 第二盒悅姿244昨晚已經吃完，月經還沒來，今晚應該是要吃第三盒第一顆。每天都有準時吃藥，有一段時間感冒有吃感冒藥，當時詢問藥師說兩種藥不影響。 1.請問每個月月經時間不一定嗎？ 第一盒在白藥第3天來，這盒吃完卻還 沒來，延遲是否正常？ 2.今晚繼續吃新一包嗎？月經繼續等嗎？ 吃新一盒避孕藥月經還會來嗎？會不會 就少一次？ 3.需要看醫生嗎？有懷孕可能嗎？ 謝謝醫師 | 您好 避孕藥從月經來的第五天開始吃，有吃應該就不會懷孕，月經還沒有來，建議再等一個禮拜，如果還是沒有來，建議還是要看婦產科。祝你健康 | [
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6骨科
| 肩部問題 | 醫生，我想請教一下 1201下雨天騎車路滑摔車 摔倒左肩膀旁疼痛 有去診所看X光 沒傷到骨頭 過了幾天後 左肩膀舉起突然陣痛無法放下 是不是關節骨的問題嗎？ | 您好原因有很多您只是照過X光沒有骨折，但還是有很多軟組織的可能問題，建議你再回醫院做進一步檢查，謝謝 | [
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| 腸胃問題 | 醫師你好 請問如果每日大便次數約4-6次 大多在每餐飯後都一定要去廁所 這樣的情形已經變成常態. 但大便是正常 並無腹瀉的問題 這樣有可能是什麼問題呢 謝謝 | 您好 大便次數較多次，都是在飯後，比較常見的原因為大腸急躁症，為腸道功能性的障礙，生活緊張有壓力，或不注意飲食因素吃油膩、辛辣、含咖啡食物等，暴飲暴食時症狀會更明顯，臨床診斷須先排除其他可能，治療以症狀治療為主，如有血便、明顯體重減輕、胃口不佳，則要作進一步檢查。 內科林明慧醫師敬覆 | [
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| 陰莖問題 | 醫師您好我的雞雞那邊靜脈血管那長出一粒粒白色的東西 不過小小的 數目是還好 我有長珍珠丘疹 跟這個有關西嗎 長在靜脈那的東西抹起來沒感覺 按的時候也沒有流什麼東西出來 如果把皮拉開會有稍微禿禿的 不知道是什麼病因 想請教您 謝謝 | 陰莖上白色細小的東西成因很多 可能是珍珠丘疹 、病毒感染或毛囊發炎角質化 建議就近至泌尿或皮膚科檢查 | [
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15復健科
| 胸痛 | 有一天晚上坐在電腦前，忽然覺得吸氣右胸會有點疼痛，起初沒理會，過半個月覺的沒好，還痛到腋下肋骨跟後背，才去看醫生，看了胸腔內科照x光沒事，醫生說應該是肌肉拉傷，開了止痛跟肌肉鬆弛的藥吃一個禮拜還是無效，後來改看骨科，一樣開藥打針還是無效，目前該看神經內科，先吃藥等做檢查神經傳導的項目 ，但是呼吸痛就算了，目前又後背的疼痛越來越明顯，只要特定動作還是睡覺轉身都會疼醒。想知道我到底該看哪科或是做哪些檢查才能找到病因啊…我沒撞傷或是拉傷 是先右胸呼吸疼痛才慢慢轉移到右後背疼痛，右胸用手去壓肋骨就會有疼痛壓迫感，醫生你建議我看哪科還是做什麼檢查嗎？拜託了感謝你。 | 依據症狀描述，肌肉拉傷、肌筋膜疼痛、或甚至脊椎神經根病變都有可能 至於是否還有其他問題 請親自就醫接受評估並依實際病況安排適當的檢查 上述的科別都可以前往就診，另外亦可至復健科接受診治 | [
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7耳鼻喉科
| 頸部問題 | 這三四個月，感覺脖子裡面一直有東西，有幾個時間經常想吐，反胃噁心，又吐不出來，像是早上剛起床，或者洗澡時，快吃飽時，轉脖子時，肚子倒是沒有不舒服 請問是哪邊出問題了，三年前做過胃腸鏡 只是有痔瘡 另外疑似還有淋巴 左邊下顎頸部的地方有一顆 摸起來不痛，但是常發熱腫腫的感覺，已經半年多，跟反胃的脖子中間異物感又不同 需要做什麼檢查 | 你好 若頸部有淋巴結，建議可先至耳鼻喉科檢查，或考慮自費全身健檢，在依照健檢報告中有問題的地方，至各專科別深入檢查。 | [
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| 氣管 | 請問醫師： 我之前感冒支氣管發炎，照x光沒有肺炎，但我的右胸腔骨會有裡面很敏感的癢感（不是表面癢），壓它甚至會引起咳嗽，有時深呼吸也感覺到支氣管會癢（敏感），讓我很擔心，想請問醫師，這是否跟支氣管有關係？有建議什麼進一步的檢查？（自費檢查也可） 醫海茫茫很無助，希望醫生指點我，謝謝∼ | 為過敏性支氣管炎若咳嗽未改善建議至胸腔科門診再檢視一次 謝謝您的來信 | [
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| 抹片檢查 | 醫師您好： 想請問您產後兩個月做抹片準確率高嗎？ 抹片報告顯示CIN1有可能驗錯嗎？ 之前抹片檢查都沒問題？怎生完抹片報告卻顯示CIN1∼ 這樣在自然生產過程中會傳染給寶寶嗎？要如何得知寶寶有沒有被傳染？麻煩醫師幫我解答。 | 您好 自然生產過程中不會傳染給寶寶，應該沒錯，CIN1代表細胞的變化不表示病毒感染，應該進度做子宮頸切片檢查，如還有疑慮建議咨詢常看的婦產科醫師。祝健康 | [
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11營養教室
| 飲食問題 | 范主任妳好 是這樣我因為家人有甲狀腺的遺傳的緣故 每三個月的都會定期抽血檢驗空腹 最近有一項項目 potassium 血鉀 稍微高一點 5.1 超標5.110 這樣 那這樣離高血鉀症狀又好像不太似查詢 畢竟還沒到那麼誇張 所以上來提問之類的 | 您好 正常血清中的鉀離子濃度正常為3.55.1 mEqL，您的檢驗值為5.1在正常值上限，建議可以在飲食上稍加注意，避免攝取過多高鉀食物如地瓜葉 、空心菜、波菜 、莧菜 、竹筍、香蕉、奇異果 、美濃瓜、哈密瓜、木瓜、聖女蕃茄，雞精 高湯 咖啡茶等勿食用過量等。 祝 健康、愉快！ 衛生福利部桃園醫院營養科 范純美營養師敬覆 | [
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0婦產科
| 避孕藥 | 醫師您好， 我最近因為有避孕需求，第一次開始服用21天的祈麗安避孕藥，從月經開始的第一天開始吃，每天都準時晚上八點服用，但是目前已經服用了12顆（剩9顆），但還是有出血的症狀（點狀），詢問當時拿藥的診所他們說這是副作用但屬於不正常出血，請問建議是去掛號還是繼續正常吃藥觀察即可？謝謝 | 提問您好 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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6骨科
| 肋骨問題 | 醫生你好 之前車禍左邊的肋骨靠近胃的地方變的突出5CM.照X光醫生說沒問題我跟醫生說可是左邊肋骨三角變得很突出. 醫生跟我說有些人本來左右邊骨頭就不一樣大小之後我就沒再問醫生了 我想請問醫生 我原本的左右肋骨是平行的一樣大小一要高低因車禍過後左邊肋骨突出5CM這樣真的沒關西嗎 照過X光沒問題就沒關西嗎 | 您好 須實際看到人及X光片才有辦法客觀的回答您的問題 謝謝 | [
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10兒科
| 肺炎鏈球菌疫苗 | 親愛的醫師 您好： 女兒在1歲1個月時施打肺炎鏈球菌疫苗第一劑， 原本安排在1歲4個月時施打第二劑，卻因為感冒而延期， 前幾天1歲5個月時又因體溫過高而未施打因第一劑打完後有發燒， 想請教的是 1 第一劑、第二劑間隔數個月是否會影響疫苗效用 最長不要超過幾個月為佳 2 如果只打第一劑，而不打第二劑，可以嗎 3 如果只打第一劑，而在2-5歲時，再施打一次，可以嗎 4 耳溫經常在 37.2 37.4 之間，是否屬正常範圍 謝謝您 | 1疫苗研發過程後所訂的間隔一定是能產生最好的免疫力較不會去管最常不超過多久大原則是間隔拖越長疫苗效用一定越有限也就有可能在這段時間被感染不過間隔再久應也不用再補打第一劑. 2同上劑數不足疫苗效用一定越有限甚至無效就也有可能被感染. 3肺炎鏈球菌疫苗原本2歲以上就只打一劑而已所以當然可以但要小心2歲以前被感染. 4測耳溫是較方便但受的干擾較多如小於6個月嬰兒耳道未拉直或耳屎阻擋都可能有誤差建議可以較不易受干擾的腋溫比較看看耳溫37.5腋溫37以上算發燒若真的耳溫經常在37.2 37.4之間定義上未發燒可請小兒科醫師檢查看看若活動力飲食無異應無妨. | [
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| 關節 | 爸爸膝蓋都有積水的問題他都會去抽水可是看了許多的醫師 也吃了許多的藥都不見好轉 我想請教楊主任這種疾病應該要怎麼去治療才好呢謝謝 | 親愛的cherry 膝蓋關節積水是骨關節退化的跡象之一 已經到了會積水的程度 關節炎至少也到中度了 建議您的父親 可以先做x光檢查 一方面確定關節炎的程度 另一方面也可以作為治療的參考 關節炎的治療不是只有吃藥而已 如果吃藥一直不好 我們也可以依病況選擇做關節鏡或手術治療 希望對您有幫助 | [
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0婦產科
| 羊膜檢驗 | 想請問 做完羊膜穿刺的同一天 是否可以進行例行產檢 還是羊膜穿刺跟產檢之間要有一定的天數間隔 | 做完羊膜穿刺的同一天 是否可以進行例行產檢 還是羊膜穿刺跟產檢之間要有一定的天數間隔 Ans 羊膜穿刺與例行產檢並沒有一定天數間隔的規定 | [
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5泌尿科
| 靜脈曲張 | 精索靜脈曲張一定不孕嗎 雙側都有 | 並不一定，只是增加不孕的機率。 | [
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0婦產科
| 月經 | 醫生你好 我月經912∼918 我月經一向很準時28∼29天 這個月1012沒有來 我剛月經遲到一天就去醫院打了催經針 打完了沒有什麼月經的前兆的感覺 我在上個月的排卵期第7 8天性行為無戴套沒有射 在109無戴套拔出來射在衛生紙 我這樣會不會懷孕了？ 我打催經針那天有驗孕 醫師說沒有懷孕 請問是我壓力太大一直熬夜造成月經晚來嗎 | 您好 打完催經針一星期後才會來，如果還是沒來，建議看婦產科。祝健康 | [
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10兒科
| 耳朵問題 | 醫生你好我想請問一下有關耳多廔管是算先天遺傳上問題還是後天的畸形那在新生兒出生時會做這項的檢查嗎 | 您好 耳前廔管是胚胎發育時未退化完全的小管，發生跟遺傳有關，大部份都沒有症狀，只有少部分會重覆感染才需要處理。出生時可自行檢查在耳瞉上方和臉交界處是否有一小洞。 行政院衛生署桃園醫院敬祝安康 小兒科主任張培鑫醫師敬啟 | [
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5泌尿科
| 性功能 | 許醫生您好 我這個問題已困擾我兩年了一直找不到解決的方法很苦腦. 因我長年住在國外這方面的醫生也沒有像台灣一樣方便找. 我男友於兩年半前服用禿頭藥約十個月然後停用之後便完全沒有性需要 他也不會自慰去看過西醫醫生做了驗血說沒有什麼異常 也檢查過他那也很正常.就是沒有性需要.長達快兩年. 這是為什麼 他約快四十在吃藥前一切都很正常. 我不知該如何是好有想去看中醫.可否給我個意見這是為何 我們在一起約四年了您覺得有可能在一起太久沒了新鮮感嗎 就算是如此他怎麼有可能連最基本的需要都沒有.不解. 謝謝您. 小安 | 小安： 你好 我想，有一些禿頭藥物，確實會影響到男性性功能，雖說比率不高，但是還是有這個機會。 一般停藥後，性功能就會正常。現在他的情形，我認為有可能是合併心理上的因素所造成。可以與男友溝通看看。 至於你說失去新鮮感？有的夫妻，結婚幾十年，都還有需求，你說呢？ 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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| 事前避孕藥 | 醫生您好初次服用事前避孕藥-愛薇244劑型有些問題想請教 1.於服用的第15天起有出血情況目前已是第18天血量維持在類似月經量少的情況請問這是正常的嗎 是否應繼續服藥 會影響避孕效果嗎 若內射的話會懷孕嗎 2.平時睡前有在服用鎂的習慣Puritan's Pride普瑞登Magnesium250mg或500mg請問這個跟事前避孕藥一同服用會影響避孕效果嗎 3.先前有量基礎體溫的習慣於吃事前避孕藥後平均基礎體溫較高是正常的嗎 謝謝醫師耐心看完謝謝 | 提問者您好第一次服用藥物通常是月事來的第一天，或是月事來潮的後幾天，不同產品的服用規則會有些許差異。此外，事前避孕藥至少要連續服用七天，才能達到避孕效果。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。 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、Doxycycline 會降低口服避孕藥的藥效，當服用這些藥時必須採取其它的避孕方式 -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 9. 長期飲用茶飲或食用某些草藥是有可能與口服避孕藥互相產生相加減的效果的。除此之外，服用任何一種藥品需配服開水，都不能與茶、咖啡等飲料配服，否則會影響藥品的效果。 所以如果服用避孕藥期間必須要服用上述相關藥物，最好做好七天額外避孕措施。 另外，避孕藥因為有黃體素，有可能影響基礎體溫。 謝謝 祝 平安 健康 張 醫師 回 | [
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| 事前避孕藥 | 不小心多吃了3天的事前避孕藥，月經沒有照著預期時間來，請問兩者有關係嗎？下個月的避孕藥應該晚三天吃嗎，還是照著原本的週期吃呢？需要少吃三顆嗎，還是一樣吃21顆呢？ 謝謝！ | 提問者您好 依您的描述，建議等月經來後，依原來的時繼續服用新的完整一包，謝謝 祝 平安 健康 張 醫師 回 | [
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| B肝 | 如主題所示 進一步想問三針功能分別在哪 還有為何有人打了找不到抗體哪怎辦 另外想問D型肝炎在人體為何不能單獨存在必須有B型肝炎病毒同時存在才會引起感染最後想問為何六歲以內感染B型肝炎病毒易變成慢性 成人時感染則不易變成慢性. 但成人感染C型肝炎病毒則易變成慢性呢 謝謝！ | 回覆： 您好 1.任何預防針，打一針可能可以引發部分抗體，但效果不是很足夠，須再加強一劑至二劑，增強免疫細胞的反應，B肝疫苗則是建議在第一針後1個月、6個月再施打2、3劑。若經二個療程注射仍沒有抗體則是無反應者，則不用再打疫苗。 2.此乃病毒特性。 3.因幼年時免疫系統未成熟，無法識別外來抗原，也無法將其清除，故幼年時得到B肝，大部分變成慢性，乃是經過免疫耐受期。至青年時期免疫力增強，開始會攻擊受B肝侵入的肝細胞造成肝炎發作，稱免疫清除期。若成人感染到，因免疫力強，故多為急性肝炎，將其一舉清除。C肝則是因病毒很容易產生突變，免疫細胞應接不暇，無法將其全部清除，故易形成慢性。 內科陳治平醫師敬覆 | [
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| 精蟲 | 我今年高二 每天大約自慰2次 之前都正常 可最近一兩天發現精液跟痰類似 黃色的 憋了兩天再射還是黃色的 跟痰接近 請問我是不是得了什麼病. 還是只是打太頻繁需要戒除？ 我本身有精液囊腫 重新提問： 除了複診 可以先停兩個禮拜再觀察嗎？因為我才高中沒有性經驗 且不太好意思開口 可先觀察保養嗎？ | 你好 無法由精液的顏色來作判斷。 建議到檢驗所或醫院作精液檢查。 太頻繁，或許也會造成局部損傷吧。 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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14罕見疾病
| 身高生長 | 醫師你好我的女兒今年10歲剛要升小四身高才139cm.這幾天月經來潮.胸部也有發育情況.請問這樣算早熟嗎可以用人為抑制月經嗎因為聽說月經來潮後約只有一年生長期.可以做骨齡檢測方式.了解生長板是否快癒合嗎因為女兒身高目前才139實在算太矮.非常擔心 | 您好 一般女孩初經平均為12歲 正常範圍為10-14歲. 一般平均她還會長高約10-13公分3年內完成. 骨齡會較精確告訴她的成長空間 停經治療會需自費 效果不大 每年差距1-1.5公分. 依據這些醫學數據 請自行決定 徐醫師 | [
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5泌尿科
| 愛滋病篩檢 | 醫師我想請問一下。我去年9月底發生危險性行為得了淋病。101號開始治療淋病 醫生說已經完全治療好了 不用再去醫院了 後來可能我的心裡過不去 只要有哪裡痛還是癢我就會去衛生局買愛滋試劑測試差不多10月底開始第一次。後來每個月都有次到318都是陰性。請問我這樣還算有風險在嘛。最近也因為睡醒肚子就會痛所以很擔心 | 您好： 只要超過3個月，檢驗正確，後無不安全性行為，就正常，祝健康 | [
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5泌尿科
| 結紮 | 您好： 我是一位已婚婦女，我與外子想找尋男性結紮的相關資料 但在所有男性結紮資料都只介紹其方法，請教下列問題 1.請問要至醫院什麼科門診？ 2.那些大醫院有作男性結紮手術？醫師？ 3.男性結紮手術有健保補助，還是要自費？ 謝謝你撥冗看閱∼請協助∼ | 男性結紮要找泌尿科專科醫師幫你處理，當然事前的討論是必須的，健保給付與否，請打電話請教健保局，健保局電話：﹝02﹞21912006。 | [
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20中醫科
| 帶狀泡疹 | 丁醫師您好： 想請問您有關帶狀疱疹的問題，煩請您播空回覆，謝謝！ 我的先生於六天前右眉上突然紅腫，接著眼睛，右鼻，額頭一直到頭頂都長出一顆一顆的紅點，看醫生之後說是帶狀泡疹，請問丁醫師，這種情形有沒有中藥可以服用？平常要用什麼食材或藥方來增加免疫力讓泡疹減少復發？現在在發作期間能不能擦什麼外用的藥方來讓它快點好而不至於惡化？ 以上是我的問題，有勞醫師！謝謝！ raylene | 您好： 帶狀疱疹再中醫的看法多是認為濕熱蘊積所導致，所以中藥來治療帶狀疱疹在急性期多以清熱解毒利濕藥處理，而可以外用黃連膏或黃柏膏，而至於緩解期所服用的藥物，則代須依照個人體質來判斷，若屬於氣虛者，可以服用黃耆的補氣藥，脾虛者，則可服用白术、茯苓等健脾藥，可以請中醫師為您先生診斷治療，但平常的生活起居一定要注意，避免熬夜、勞累，飲食上也應少吃烤炸、辣、油膩或冰冷的食物。 丁漢祥 | [
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1精神科
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| 事後避孕丸 | 你好，我月經週期是423 523 618 我在626時有和男友性行為，拔出來體外射精時發現套子前面破掉了，事後也有在一小時內馬上買事後避孕藥吃， 在629時有驗孕一條線，73也有驗孕也是一條線 78號時發現有流血像是月經但少量大概是25公分衛生棉一半之後持續到712血量越來越少但還有一點點大概3公分，想請問是事後避孕藥會影響月經量嗎，還是吃事後避孕藥造成出血而還不是月經，這樣還有懷孕嗎？ | 提問者您好 事後避孕藥在行房後72小時內服用的效果有97，不過並不是百分之百，失敗率有3左右，但仍算是一個補救的方法。不過太早驗尿不見得能夠測得出來。而事後避孕藥對月經的影響也不一定是提早或延後。建議如果持續出血或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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10兒科
| 寶寶生長發育 | 陳醫師.有關我上次所問你的問題.很不好意思我再請問你一下喔.再餵食寶寶蔬菜泥水果泥及米粥等副食品時只能照你以上所說的量來餵食嗎我的寶寶現在已經不大願意喝牛奶了.再吃米粥時都要吃上一大碗.吃蔬果泥時也都吃滿多的.如：香蕉泥吃三分之一截.蘋果泥吃四分之一顆.等而我的寶寶再不吃時就會轉開頭不吃或吐出來.這樣就應該不是所謂的反射性吸阭了吧因為我的寶寶現在不喝牛奶所以我想他既然肯多吃那我是不是就可以照他所所願意吃的量來餵食呢還有寶寶現在都喜歡彎著腰把兩隻手支撐在腳附近坐著跟翻身.他才五個月.骨頭還那麼軟我該制止他這種動作嗎還有現在可以買那種兩段式的螃蟹車給寶寶坐嗎可以調很低而不是完全站立的那種謝謝 | 來函提及副食品的問題，就餵食的量來講，若身高體重有正長的發展，且大便正常，無消化不良或是腸胃道不適之問題產生，當然無需強硬限制攝取之量。但就五個月大的寶寶來講，是否能夠充分適應各種食物之攝取，似乎有點過早些，牛奶還是有其營養上的價值，不可偏廢。 就嬰幼兒的神經動作發展，有其一定的時程，若發育不錯，已到達可翻身且要練習坐立階段，可順其自然，至於螃蟹車的問題，建議較大時再使用為佳。 | [
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4心臟血管專科
| 心悸 | 醫師您好， 最近每個月都會有1-2次心悸的情形發生。 一開始會感覺到明顯的心跳，接著會微微顫抖、手無力、頭暈、喘，但都是輕微的（跟18歲時有一次心悸到完全喘不過氣、狂抖、想哭的情形相比，現在的症狀都是可以忍受、算輕微的，不會到非常不舒服的那種），然後在坐著或躺著休息之後身體就會發癢（由內到外的那種深層的癢），有時會抓的到癢點，有時候怎麼抓都抓不到那個點。但因為心悸好像是蠻多人都會有的症狀，不確定有沒有需要就醫檢查之類的？ 另外之前曾經吸氣到一半左邊胸口會突然抽痛，痛到無法繼續吸完那一口氣，但把氣吐掉然後幾秒不吸氣後就又好了，這個發生的頻率大概3、4個月一次吧，很少發生，但這好像不是正常人會出現的狀況，所以想知道 是哪裡可能有狀況才會這樣嗎？有看醫生或做檢查的必要嗎？還是平常多注意飲食、作息就可以了呢？ 麻煩醫生解答了，謝謝您！ | 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，仍建議至醫院做進一步檢查 | [
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13肝膽腸胃科
| 食慾不振 | 您好，想詢問∼ 我在去年12月底突然雙腳無力麻痛，站著都腿軟，根本無法站直，過幾天後換手也開始麻痛，看了神經外科，醫生說看神經內科，神經內科醫生安排做了檢查也沒問題，後來過了一禮拜多又慢慢好起來了。當時神經內科醫師有轉診叫我去看看風濕免疫科，後來醫生就持續追蹤血液，3月時抽血檢查有因為lupus anticoagu指數偏高（1月也有抽，的比照3月又更高了），醫生就開始叫我吃asprin。（目前2日一顆） 聽說那藥會容易傷胃，之後就開始常常左右輪流兩邊腹部疼痛，就去看了腸胃科，每次照超音波都沒事，後來在上幾個禮拜醫生建議照胃鏡看是否有腸胃疾病，照完後醫師說只有一點食道炎，其他部分盡力看是沒甚麼問題，有做培菌檢查也沒事，除了十二指腸沒有到就因為我一直咳出打進去的氣沒辦法看到皺摺處（照胃鏡過程太敏感一直嘔吐，造成醫師無法順利得看清楚）目前已2個禮拜，每天都在反胃想吐，食慾也改變，原本能吃完的飯吃了幾口就飽，不然就是吃一口或聞到味道就反胃了。 醫生有開反胃助消化，胃潰瘍和消脹氣的藥，但吃了一個禮拜還是沒改善，請問還會有其他問題嗎？請問會是惡化或我該怎麼做呢 先謝謝願意看完我表達地亂七八糟的文章 | 您好 食慾不振，嘔心想吐。胃鏡腹部超音波檢查沒有很大問題。建議要找根本原因才能對症下藥。自體免疫疾病及相關併發症如血管炎。狠瘡抗凝血因子高與動靜脈栓塞有関。藥物阿司匹靈可防止血栓形成及再癹。建議注意飲食，腸胃藥物治療、風濕免疫科追蹤檢查。祝 健康！ | [
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1精神科
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0婦產科
| 保險套 | 醫師你好！ 上一次月經是514來-518發生性行為是518還有殘血過程中下面濕了故當時不知道是保險套破裂是事後男友射精完拔出才發現！ 請問我經期約30天但現在都623了還沒來徵狀有胸部腫脹且肩膀酸痛情緒不穩這兩天不會頻尿不會腰酸不會疲倦且食慾正常下面也沒特別分泌物很擔心是否懷孕？！ | 你好有懷孕之可能，請到婦產科門診檢查。可能卵巢抗體失調或泌乳激素過高，感謝提問。 | [
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13肝膽腸胃科
| 胃腸問題 | 一天解幾次才是正常？ 大便正常的顏色是什麼顏色？ 大便呈黑色是因為胃潰湯，還是有其它原因？ 飯後容易打飽嗝算正常的反應嗎？而且小腹會變的比較大，但到下一餐時又變小了這是怎麼回事？ | 網友好 排便天三次至三天一次都是正常 只要不妨礙生活且體重正常 顏色不易判斷 必須化驗才知 其他狀況皆為消化過程的小異常 可就醫診治及調整飲食 祝平安 | [
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5泌尿科
| 勃起 | 醫生你好，我有自慰的習慣，最近發現我的生殖器翹不起來，就算硬了也沒辦法持久，感覺陰莖根部沒有力，無法支撐，而且早上起床很少晨勃 請問1.沒有晨勃正常嗎？請問我這算是勃起功能障礙了嗎 2.戒掉手淫的話會自己改善嗎 3.吃抗抑鬱的藥物有效嗎妥解鬱之類的. | 建議至門診就診檢查以確定狀況 | [
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| 保險套 | 醫生您好，在和男友到一半的時候保險套幾乎全破，可是男友還沒射出只有出來一點點的液體，之後在事發一個小時左右服用了事後避孕藥安立婷，請問這樣處理懷孕的機會大嗎？之後有沒有其他推薦的避孕手段？ | 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，您的年齡可以考慮使用低劑量的避孕藥，或是使用小型的避孕器，謝謝 祝 平安 健康 張 醫師 回 | [
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0婦產科
| 避孕 | 醫生您好： 我目前服用黛麗安已經9顆（從經期第三天開始吃，服用時間是在000-100之間，沒有漏吃過），但發現副作用為失眠，自從服用藥物之後便非常不容易入睡，因此想問是否可將服用藥物時間調整成白天，這樣晚上可能會比較好入睡？但怕這樣會失去避孕效果，不知道能不能中途更換服藥時間呢？謝謝！ | 提問者您好 只要調整服藥的時間，沒有超過12個小時以上，是可以這樣更改的，避孕效果一般不會改變太多，謝謝！ 祝 平安 健康 張 醫師 回 | [
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| 月經 | 我和女朋友3月19月經來 第4天22 內射 內射後第8天肚子痛一直拉肚子 這是懷孕嗎？ | 您好 懷孕機會不大，最好要做事前的避孕措施，如果月經該來沒來超過1星期仍沒來，建議看婦產科。祝健康 | [
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15復健科
| 腳痛問題 | 昨天晚上忽然發現腳底板後半部那快肉肉站ㄉ時候會痛.而且只有右腳.請問是怎ㄇ回事ㄋ. | 妹仔你好： 妳的症狀看起來像足底筋膜炎足底筋膜因外力的重複性傷害造成腳底筋膜發炎主要有下列症狀：1.在足跟內側有漸歇性疼痛尤其在下肢承重的時候2.通常在早上起床或長距離步行或上樓梯時會使症狀加劇。在物理治療的處理原則上：1疼痛的處理使用儀器經皮神經電刺激或熱療熱敷、水療、超音波減輕疼痛及放鬆筋膜；2在運動治療上建議做小腿後側肌肉的拉筋運動，也就是以弓箭步的姿勢，要拉筋的腳在後方，腳跟著地，膝蓋伸直，重心放前腳，前腳膝蓋彎曲，直到感覺後腳小腿肚拉緊，持續1020秒，每次至少做10次上3藥物的治療，可以有效的減緩疼痛的產生4在鞋子的選擇上應避免穿硬底及高鞋跟，如果足底疼痛情形的很嚴重的話則建議要到醫院接受治療。 我們的醫療團隊很樂意為您提供專業諮詢以及服務 台北醫院復健科祝您健康平安 許振榮 | [
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5泌尿科
| 睪丸問題 | 煩請提供無睪症的相關資料例如其症狀 | 是隱睪症吧！每一個新生男嬰都要檢查是否有“兩顆”，基本上足月出生的小孩大部分睪丸都以從後腹腔降至陰囊內，假如出生時經小兒科醫師檢查發現有未下降或未完全下降至陰囊時，可能就要懷疑是隱睪症﹝睪丸未降﹞，此時會轉介給泌尿科醫師作進一步檢查，在初期可以觀察或特殊藥物讓睪丸下降，但假如到兩歲前仍未改善時則要以手術方式來處理，介紹你看httpwww.shutien.org.twstucbf.htm 或 httpwww.shutien.org.tw0015009.htm | [
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| 頻尿問題 | 想請問醫生長自慰會導致頻尿嗎 我的症狀在冬天很嚴重，而且尿量少，常尿不乾淨，所以都不太愛喝水， 而在交了女朋友之後也發現有嚴重早洩交往兩年，請問有什麼辦法改善嗎 | 冬天較頻尿為正常現象。 至於早洩，可考慮至門診就診。 | [
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5泌尿科
| 生殖器官 | 醫師你好，我有個問題想請教，我本身體重１２５以上現在己至１１５以下慢慢的在 受下來了，可是我的生殖器卻只有１∼２公分，硬起來時可能只有五∼六公分，可以詢間一下如果我受到剩９０公斤時生殖器會不會變回正的大小，如果不行，可有辦法變成跟一般人一樣（８公分以上）手術或吃藥可以恢復嗎，謝謝．在者那些醫院有做類似的門診． | 您好 您可能是因為體重過重.減重一些性器就會比較明顯. 行政院衛生署新竹醫院泌尿科主治醫師賴榮豪 | [
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13肝膽腸胃科
| 大便黏液 | 大便突然變細，偶爾會有血，沒大便但是肛門會流出大便黏液 | Hi： 您好， 大便時有黏液出現，大便黏液若太多有惡臭或出血，可能大腸發炎，需進一步檢查。 糞便突然變細，可能要增加纖維及水份攝取，沒有改善，請門診追蹤檢查。 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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8乳房甲狀腺科
| 男性女乳症 | 袁醫師 您好 有關「男性女乳症」有幾個疑問想請教您如下： Q1.好幾年前的某段時間，我的左乳房突然略感脹痛且在乳暈處按壓似有硬塊與壓痛感。過一陣子後，左乳房脹痛、乳暈處硬塊與壓痛感消失，之後就感覺我的左乳房似乎有點發育長大，稍微比右乳房大了些。目前除了我的左乳房稍微大於右乳房外，並沒有其他不適。請教袁醫師，依上述，我的情況是「男性女乳症」嗎 Q2.承上題，若我的情況確實是「男性女乳症」。請教袁醫師，「男性女乳症」會只發生在單側乳房嗎因為我的情況似乎只有發生在左乳房。 Q3.請教袁醫師，「男性女乳症」跟「男性乳癌」之間有關係嗎意即有「男性女乳症」的人，依臨床上的觀察，會因此提高得到「男性乳癌」的機率嗎 Q4.我在查詢相關資訊的過程中，看到一則醫師說法為「男性的左側乳房比右側乳房更容易得乳癌。」請教袁醫師，依您的看法，上述的說法正確嗎又，若該說法正確，其原因或理由是什麼呢 以上，感謝袁醫師。 | 男性的乳癌還有跟女性的乳癌左右邊其實並沒有什麼分別只是可能每一個數據統計起來略有差別並沒有特殊的證據證明集中在哪一側。男性女乳基本上還是跟女性荷爾蒙是有關係的所以他也有可能是男性乳癌的一個來源。依照你的描述應該是男性女乳沒有錯其實也是一樣兩側得到男性女乳的機會都是一樣的只不過剛好遇到是左邊或右邊。 | [
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| 陰道問題 | 有時候在高潮後非一般性交.是以手刺激陰蒂達到高潮會發現陰道分泌出來的體液有血絲而且大約是出現在排卵期前後.這樣是卵巢有毛病嗎還是子宮有問題呢 另外之前有做過全身體檢項目有包含子宮頸的檢查並沒有發現問題.請問一般醫院的全身體檢可以檢查出子宮或是卵巢有問題嗎 謝謝 | 陳醫師回覆 有些正常婦女在排卵期間會有陰道出血的問題通常量少且持續時間均比正式月經短是正常現象.當然如果不放心可找婦產科醫師作抹片及超音波看子宮卵巢有無異樣. 一般全身體檢若有至婦產科檢查才會做內診及超音波也才較可能檢查出子宮卵巢的問題. | [
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| 感染 | 醫師，您好 前陣子陰道分泌物帶有血絲所以去做婦科做了檢查 但因無性經驗也沒內診，醫生診斷是念珠菌感染 不過聽說念珠菌不是會伴隨搔癢情況，我的陰部一直都不會搔癢啊 吃了醫生開的藥，會頭暈想吐，所以吃了三天就沒繼續吃了 過了幾天血絲的狀況就消失了 近期在月經過後約一個星期左右，出現了咖啡色的分泌物 大約持續了快兩個星期才完全消失 這種情況可能是因為念珠菌復發的情況嗎？ 無性經驗無法內診的人是否有什麼方法可以準確的判斷病因 因為我之前去看婦科，醫生純粹只用口頭詢問的方法來問診 謝謝您 | 念珠菌與不正常出血無關。 月經乾淨後一個星期才出血，通常是排卵性出血，特徵是：1.微量咖啡色出血，2.有時伴隨腹痛，3.不服藥自己也會止血。而念珠菌感染口服藥會對肝臟有影響，肝功能不好有時服藥有不適的現象。 | [
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13肝膽腸胃科
| B型肝炎 | 陳醫師你好 我是B肝帶原者，前幾天又回診檢查結果B肝表面抗體8540（）醫生沒開藥給我只有要我繼續每半年回診抽血檢查想請問數據那麼高不用吃藥嗎？ | 若只是表面抗原陽性，濃度雖高而沒有肝硬化且肝功能gotgpt正常，仍不建議用藥 | [
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4心臟血管專科
| 血壓 | 脈搏跳動90到110次.我本身有高血壓有在吃降高血壓的藥.請問這是什麼原因 | 心跳的正常速率是每分鐘60-100次.脈搏跳動到90-110次是稍微快一點 造成的原因有緊張.焦慮.甲狀腺機能亢進或是心臟本身節律的問題. 如果本身有高血壓可使用降低血壓及心跳的藥物.如有任何問題可 到心臟科門診做進一步了解. | [
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| 牙齒外傷 | 我的右上排的牙齒旁邊之前就長了一個包，只是不知道他是從牙齦長出來還是牙齒！ 長出來時偶爾會痛個幾天，也沒有膿是硬硬的肉包∼ 這幾天痛的很厲害，發現包包變大變更痛外，腫起來然後外觀變成好多個禿出點 不知道我這是什麼症狀呢？因為現在人在泰國也已經懷孕7個多月了 不知道我要去看牙科還是婦產科？ 這個包是吃藥就可以消掉的嗎？ | 你好 聽起來像是牙齒的問題建議你還是看一下牙科 吃藥不一定會消 | [
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0婦產科
| 經期問題 | 我上月經期來是22631結束，之後有性行為但都體外！ 而這次的經期應該要到的，但卻326這天小便用衛生紙擦拭有褐色帶淡血，以為經期來墊了衛生棉卻沒有血，到27號小便擦拭只剩褐色偏多，一樣衛生棉沒有寫，而2526號這兩天腹部疼痛一下之後就沒了！ 請問為何會這樣？ | 提問者您好 由您描述的「月經」狀況，似乎都不是正常的經期現象，因此無法由此判斷是否真正是有來月經。建議您請婦產科醫師安排尿液、超音波或抽血檢查，才能判斷是否懷孕，或是荷爾蒙失調造成的不規則出血，謝謝 祝 平安 健康 張 醫師 回 | [
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12胸腔內科
| 喉嚨 | 請問 醫師 我先生今年3月底因為氣喘發作，住了快一星期的醫院，醫師在他出院時有開吸必擴讓他控制氣喘，可是他會一直反應喉嚨有沙沙的感覺，而且檢查他的喉嚨部分發現在內側的地方也有一些小小白色的顆粒，但是他吸完之後都有漱口。 請問 醫師，這樣是正常的嗎？ | 您好 有關您所提到喉嚨會覺得沙沙的，表示雖有漱口但沒有漱乾淨，嚴重點有時會喉嚨沙啞，甚至長白色念珠菌。所以至少在吸以後，漱口漱5口以上再吐掉。感謝您的提問。 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
| 腸胃問題 | 醫生你好 我在三星期前，有一次嚴重腹瀉 當天拉了78次 最後一次的時候發現拉出血來. 出血量不多，但是看到真實有嚇到 之後我就開始查詢自己的排便狀況 發現現在雖然恢復排便正常（形狀，顏色正常） 但是卻參雜白色類似棉絮的東西 請問這樣是大腸發炎的症狀嗎 需不需要照大腸鏡做進一步檢查？ | 您好： 一般腸胃炎嚴重，有時會解血便及黏液。 如果糞便檢查有血液及黏液，或有症狀如腹痛、腹瀉、解血便、體重減輕，可安排大腸鏡檢查有無發炎性大腸或其他大腸炎及其他大腸病變的可能。 祝平安健康 衛生福利部桃園醫院 腸胃科 林明慧醫師 敬復 | [
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| 陰莖問題 | 醫生您好∼以下有幾個問題想請問您一下： 1.陰莖勃起時包皮仍完整包住龜頭，但可以輕鬆完全翻開。陰莖勃起後，龜頭部分有少許下彎，需要治療嗎？ 2. 左邊睪丸比右邊睪丸小，是正常嗎？ 陰蘘熱漲睪丸下垂時，可明顯看出。 3. 陰莖勃起後，陰莖是往前翹，而不是貼向小腹是正常嗎？是否充血不足？ 4. 陰莖根部有少許類似粉刺的小突出物如何處理？該突出物很小，且不痛不養 5. 請問醫生本諮詢網的email能否收受患者的生殖器官照片，方便醫師瞭解病情呢？ 謝謝您花費寶貴的時間瀏覽此信∼ | 看起來應該還蠻正常的百聞不如一見請找泌尿科醫師當場檢查看看再說. | [
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| 手術後飲食 | 黃淑俐 營養師 你好 個案是一位約60歲的父親需要換肝該父親的女兒捐了一半的肝臟給這位父親 所以我想詢問 換肝後需要補充什麼營養食品或有何注意事項 謝謝92.7.29 | 你好 一般將換肝飲食分為急性期〈手術後3個月〉與慢性期〈3個月以後〉，急性期因排斥作用最強，使用的抗排斥藥物劑量最大，此期的營養治療的主要：目標必須提供足夠的營養素抵禦微生物感染、促進傷口愈合，蛋白質需要量每公斤體重1.5-2.0公克，如果進入慢性期，抗排斥藥物劑量減至穩定量，蛋白質需要量每公斤體重1.0公克即可〈與一般健康成人相同〉，慢性期的營養治療目標則針對換肝後的長期合併症著手：預防肥胖、高血壓、高脂血症、骨質疏鬆症、糖尿病等慢性病。平日以均衡飲食為基礎，嚴禁高油食物〈油炸、油煎、油酥、肥肉、西點等〉，肉類以深海魚類取代，根據文獻報告其中的omega-3脂肪酸可改善器官移植的排斥作用，並養成運動的習慣，促進身體新陳代謝，常常量體重，切忌肥胖，定期追蹤病況。 | [
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| 驗孕 | 626號無套內射排卵日第2天，本身週期正常為28-30天，正常 79-10號來生理期，到714都沒來，剛好性行為第18天驗孕為陰性非晨尿，請問醫師這樣結果可信度高嗎 若還是沒來潮需隔多久再驗一次 有確診新冠肺炎會影響到生理週期嗎 謝謝醫師 | 您好 驗孕陰性，應該是不會懷孕，再等一星期，如果還沒有來，建議看婦產科。祝健康 | [
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| 性病傳染 | 醫師你好 我與小姐的行為有全程帶套 但一時腦衝頭舔了女方的下體 我嘴巴的智齒注牙 也有牙周病 假如對方是性病的帶原者 這樣我感染的機率是不是很大. | 您好：短時間的舔了女方的下體前提是對方有性病，應屬低到中危險度的。以下為性病傳染風險的評估. 祝健康. 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 | [
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| 中西醫合併治療 | 侯醫生您好，我今天去西醫做了菜花雷射手術，術後僅有3個月自費口服藥要吃完，消炎外用藥三天，並定期按時回診，我擔心的是復發，我該如何讓復發率降到最低，中醫的療效在降低復發率會比西醫好嗎？還是中西醫合併治療雷射手術後的菜花？降低復發率效果會加分嗎？中醫有為菜花病人看到痊癒的嗎？再請教中醫看此症是自費還是健保？我想找看看高雄有沒有中醫師健保看菜花後續療程的，謝謝 | Hi： 小楊先生您好，您的問題我很難回答。目前並無足夠的文獻或證據能讓我直接幫您解答中西醫合治是否能降低復發率或是中西醫哪一方面的復發率較低。當初老師在教學時會舉出他個人治療沒復發的成功案例；但是我個人則無此治療經驗，無法回答。中醫看此症若是以科學中藥治療則大部分健保均有給付，若是以飲片或外用藥物則通常無健保。高雄是否有以中醫皮膚科或泌尿科為主的醫師，個人則無熟識，所以無法推薦，建議您可在各醫院的醫師介紹在搜尋一下。希望這些建議對您有幫助。 祝平安健康 衛生福利部桃園醫院 中醫科主任 侯毓昌敬復 | [
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| 社交 | 你好我從網路上搜尋找到我好像有社交恐懼症 我已經7.8年都不太敢出門 除了吃飯會出去以外 其他時間都在家 我是是因為痘痘關係 所以不敢出門 有時候在外面會有注意力無法集中 呼吸急促 胸悶 沒有自我的感覺 看到網路上對於治療社交恐懼症 需要找出癥結並開導 但我的癥結就是痘痘問題 可是一直好不了之前也有去看皮膚科 現在變成不敢出門看醫生 只靠家人去醫院拿痘痘藥回來 我又無法欺騙自己 安慰自己來讓自己的心理好過點 就算社交恐懼症好了 但痘痘一直都在 我覺得我還是會復發 請問我該怎麼辦 | 如果覺得問題癥結是痘痘，那就勉強自己找家地點近可信任的皮膚科就診，有些事情只是想、擔心、注意到自己有更多的毛病，卻不行動是無法改善的。 質采醫師 | [
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| 十字韌帶 | 施醫師您好：不好意思 我於今年830車禍，造成大腿骨骨折當下沒有感覺膝蓋疼痛，96出院後某天半夜膝蓋突然很痛，有一陣子沒辦法完全伸直和彎曲，有一點腫、熱，後來回診時照了核磁共振醫生說看起來稍微受傷應該沒事，但到現在快四個月了，可以伸直、彎曲了，但還是會腫、熱，有時還會軟腳，到別間醫院照了X光，醫生說前十字韌帶好像斷了、軟骨應該斷了一半這樣有點難判斷，之後可能要鑽3個孔進去看才能知道實際狀況。 想請問一下像我這樣是確定要開刀嗎？還有目前在還沒開刀前，需要使用腋下拐嗎？ 麻煩醫生了🙇🏻♀️ | 鑽三個度進去看 就是做關節鏡手術 如果是韌帶全斷complete tear而且有膝關節嚴重的鬆弛 那可能需要手術 你可以再去醫學中心的運動醫學開找醫師在檢查看看有沒有必要手術 | [
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