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17眼科
| 黃斑 | 醫生您好： 長輩日前檢查出黃斑部出血（有血塊） 昨日打針 數日後要開刀引流 但昨日打針後 今日視力似乎比打針前模糊 且明顯感覺到有液體在眼中流動。但在衛教的時候並無提起 想請問是否正常呢？ 謝謝您的回覆 | 劉小姐 您好： 注射過可能會出現「看見浮動的黑點或線狀體」，或是有暫時性視力模糊情形，這些現象會逐漸改善。可參考： httpsbit.ly39lhGlb 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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18放射線科
| 電腦斷層 | 請問電影斷層一般有可能一預約就馬上照嗎？還是都要先預約時間才能照？例如說我早上去櫃臺排然後馬上就進去照 | 會依病人來源安排檢查時間。如果是急診病人，急診醫師開立檢查單後，電腦斷層檢查室會利用排程空檔時間盡快幫病人檢查。如果是門診病人就要先預約時間排隊，依預約時間進行檢查，如果不能在預約時間來檢查，請事先電話通知檢查單位，更改檢查時間。但如果您的病況特殊，請與您的看診醫師討論這項檢查是否有急迫性。若屬急性的檢查比照急診病人，檢查室會利用排程空檔時間盡快幫病人檢查。如果對安排檢查的時間有疑慮，可以電話詢問檢查單位，但也請珍惜台灣的醫療資源。祝您平安健康。 | [
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13肝膽腸胃科
| 腸胃問題 | 醫生你好，最近這幾個月，有時候只要坐著就會感覺到右下腹悶悶的，跟隱隱作痛，但不會常常痛，有時候會是左下腹隱痛，而且大便的時候肛門附近也會有黏液，但是我體重並沒有減輕，也沒有一下腹瀉一下便秘，只有大便比較硬而已，不知道腹痛會不會是因為我身體比較短，坐著腸子擠壓到才會痛。是不是應該去檢查大便有沒有潛血？謝謝醫生耐心的看完這個問題，祝醫生一切平安，身體健康。 | 您好 腹痛應該不至於受到身體比較短的影響反而要注意是否有排便不乾淨不順暢的現象若有疑問可以找胃腸科醫師驗糞便 彰化醫院關心您的健康 蔡安順醫師 | [
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11營養教室
| 健康食品 | 您好： 最近我想買冬蟲夏草來吃，但是市面上的產品如 台糖、長庚生技、港香蘭. 好像沒辨法在衛生署的網站上查到合法的產品資料 難道是產品有問題嗎 知名藥廠”港香蘭”的產品上面有標”GMP金牌獎”的字樣。 但是也沒食品字號、藥號 它是以”愛家保健”為代理商的樣子 吃起來還蠻有效的樣子，只是一查沒有合法資料，覺得怪怪的。 是我查錯地方了嗎 謝謝！ 請回覆 | 您好！ 產品若未在衛生署食品衛生處所公告之健康食品資料中，表示該產品並未通過健康食品認證，當然該產品就不可宣稱為健康食品，只能說是一般食品而已，因此亦不可宣稱任何療效，否則將觸法，若為保健之故，而想購買健康食品，您可至衛生署食品衛生處之網站查詢健康食品管理辦法與通過名單，才不會無所適從。 行政院衛生署桃園醫院營養室主任 施桂梅營養師敬覆 | [
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5泌尿科
| 陰莖問題 | 前幾天查知識看到陰莖珍珠樣丘疹這個東西請教一下醫生這是什麼症狀呢跟菜花或 疹不同嗎 | 與菜花完全不同。 每個男人都有這種腺體。 | [
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1精神科
| 憂鬱症 | 我之前有問過一次ㄌ抱歉又打勞了自從高1下之後我整各心情都很蕩翻英.到高2要下的時候我就完全讀不下去.所以我自己就休學了.之前高1的時候有打過工.只要有工作就會應徵看看.可是現在休學的我.卻害怕找工作.開始會怕自己做不來等等等的問題.雖然有人說不做看看怎知道自己做不來呢.這各我自己也知道.可是我就是不能突破心理障礙.整天關在家裡也不想出門.現在對我來說錢是唯一讓我快樂的來源吧.可是現在這種狀況的我根本就作不來.我真的不知道怎辦.家人也沒人可以求助.依各是我跟他根本不可能有對話.另依各只忙工作根本來不及想到我們吧.每次工作都說是為了改善生活.可是在我看來根本沒改善.搞不好最後還會失去小孩.我也不敢跟他們說.我自己的心情.因為對他們來說不是讀書就是工作賺錢.我哪來的勇氣跟她們說我可能有憂鬱症我想看醫生.這種勇氣根本沒有.現在得我找不到出路.可幫幫我嗎 | 你好 什麼原因讓你讀不下書？什麼原因讓你找工作又怕做不來？外在因素還是自己的問題？你有不能突破的心理障礙又是怎麼回事？其實心理因素也要治療而不是網路問診可以解決的，趕快找醫師看看吧！ | [
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| 攝護腺 | 您好 包皮炎會引起攝護腺發炎嗎 | 您好 包皮炎和攝護腺炎是兩種不同的疾病。就我所知，兩者並無直接關聯性。但是包皮炎嚴重，有可能會使泌尿系統感染增加，細菌量及種類也增加，建議至泌尿科門診先處理包皮炎亦或包皮過長的問題 | [
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| 懷孕 | 我女朋友625來我們7月16號晚上做功課沒帶套外射而7月19號漲奶月經週期在28∼31天內，724早上子宮痛但下午就沒有了，請問會是懷孕嗎？ | 提問者您好 依您描述行房的日期應該不是在排卵期，但是如果這次排是不規則的話還是很難說，而是否懷孕也不能由主觀的症狀來判斷。建議如果月經過期一個星期還沒來的話，還是驗尿檢查是否懷孕較好，謝謝 祝 平安 健康 張 醫師 回 | [
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| 睪丸問題 | 請問 洗澡時可以用手去轉動睪丸，就像在轉鐵球一樣的動作 這是網路看到 可以提升性功能嗎 謝謝 | 乖乖： 你好 提升性功能？要看是哪一種性功能。畢竟性功能包括勃起時間、硬度、陰莖長度等等。 你說的方法，對於敏感帶恰好在睪丸或陰囊上的人，或許可以提高勃起的興致，能不能增加硬度、時間等，沒有定論。要小心的是，若旋轉過度，會造成睪丸扭轉，嚴重時會壞死，需要接受緊急手術，這點一定要非常非常注意，尤其是由性伴侶轉動時更要小心。此外，有的人，在轉動時，會造成很大的不舒適，反而會造成傷害。 以上，三思而行 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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16腫瘤科
| 淋巴腺腫瘤 | 我媽媽得了 淋巴腺種瘤請問醫師它ㄉ病情要如何醫治呢 ？得了 那個病有禁止不能吃的東西嗎 ？謝謝您ㄉ回答唷 | 您好 1.依病情需要接受化療或放射治療。 2.西醫主張不抽煙.不喝酒.少吃刺激性食物但要正常飲食維持体重中醫才有所謂什麼可吃.什麼不可吃。 腫瘤科陳斯榮醫師敬覆 | [
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0婦產科
| 避孕 | 您好我女朋友月經週期大約32天 131號月經走我們在29號發生天內射精事後也有吃一顆避孕藥（藥局只有給一顆） 在今天220號驗孕地二條都非常極度的淺這樣有可能懷孕嗎 問題1.藥局給一顆避孕藥是正常的嗎 問題2.會不會有可能懷孕 | 您好 有可能懷孕，建議看婦產科。祝健康 | [
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5泌尿科
| 驗尿 | 您好 請問自慰當天驗尿，有可能會驗出蛋白尿嗎？自慰頻繁會導致蛋白尿嗎？謝謝您。 | 您好 應無關聯 有蛋白尿 要複檢. 祝健康 | [
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7耳鼻喉科
| 耳悶塞感 | 左耳塞住，用力拉會有很大的風聲。 | 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 --上述疾病均可以經由就醫給予藥物治療而得到適當改善。 如果您已經至醫院做過純音聽力檢查需帶耳機，在隔音聽力室中，發出聲響請您按鈴，而非只用音叉測試，若您經過此項檢查，確定非突發性耳中風 耳聾，則有可能只服藥即可，但若您沒有做過純音聽力檢查，建議至醫院檢查，用以排除是否為突發性耳聾，突發性耳聾黃金治療其為兩週，盡早治療效果較好。 祝平安健康 衛生福利部台中醫院 耳鼻喉科主任 季照芸敬復 | [
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0婦產科
| 懷孕 | 你好醫生，我和我女朋友在美國826好的時候發生了性行為，當時有帶保險套，但是在要射的時候我抽出來，發現套在滑落，我們不確定有沒有滴在裡面，但是大多數的精液東歐滴在身上或是床單上，我們還是很擔心，想說回國後繼續觀察，我女友上次的月經是在美國810號來的，正常來說她下次的月經應該是在98號這段時間，只是我女友在台灣94的時候上完廁所發現有咖啡色的分泌物，我們以為是月經來的前兆而已，但在95晚上的時候上完廁所她又發現了有粉紅色的分泌物，我們就開始緊張起來，因為她之前有過咖啡色的分泌物，但粉紅色卻從來沒有，現在只能等之後幾天看月經有沒有來了。所以我想請問一下醫生 1.咖啡色分泌物跟粉紅色分泌物是否是懷孕的前兆呢？2.請問大概哪個時候驗孕最準呢.3.如果真的懷孕了，應該吃藥就可以了吧，會對身體很傷嗎？ 。麻煩醫生回答了 謝謝醫生🙏 | 我和我女朋友在美國826好的時候發生了性行為，當時有帶保險套，但是在要射的時候我抽出來，發現套在滑落，我們不確定有沒有滴在裡面，但是大多數的精液東歐滴在身上或是床單上，我們還是很擔心，想說回國後繼續觀察，我女友上次的月經是在美國810號來的，正常來說她下次的月經應該是在98號這段時間，只是我女友在台灣94的時候上完廁所發現有咖啡色的分泌物，我們以為是月經來的前兆而已，但在95晚上的時候上完廁所她又發現了有粉紅色的分泌物，我們就開始緊張起來，因為她之前有過咖啡色的分泌物，但粉紅色卻從來沒有，現在只能等之後幾天看月經有沒有來了。所以我想請問一下醫生 1.咖啡色分泌物跟粉紅色分泌物是否是懷孕的前兆呢？ Ans 咖啡色分泌物跟粉紅色分泌物不是懷孕的前兆 2.請問大概哪個時候驗孕最準呢. Ans 915 3.如果真的懷孕了，應該吃藥就可以了吧，會對身體很傷嗎？ Ans 吃藥就可以了 不會對身體很傷 | [
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1精神科
| 失戀 | 醫師你好. 這幾天跟男朋友分手了. 我們交往近3年.也是我的初戀.這期間我很依賴他 把他當成生活的重心 這幾天他提出分手後 我就開始鬱鬱寡歡 吃也吃不下 這2天來我只喝了兩瓶不到的飲料. 在他跟我提分手的時候 我大哭崩潰 甚至頭腦.雙手都感到麻麻的感覺 為什麼會這樣 這幾天整個人都空空的 什麼事都不想做 只想見到他. 整天頭暈暈 好像隨時都會倒下去 胸腹部也會感到不舒服 有那種被抽空的感覺 會痛 會緊張 睡覺也睡不好 作夢會夢到他 醒來後整個人還是頭昏 然後又繼續睡. 有時候還會想割腕. 請問我這些症狀該去看精神科醫師嗎 是否該吃藥 還有.看精神科的醫藥費會很貴嗎.我還是個學生 怕負擔不起. | 親愛的Y小姐： 剛剛過了七夕情人節，在花好月圓的中秋前夕，突然與交往近三年的初戀男友分手了，對許多人而言確是一大打擊！我可以體會這種強烈的分離與失落的難過！這樣的情緒也確實影響到妳的睡眠、飲食、生活作息與人際關係，甚至即將或已經開學的學習表現。 以妳所描述的狀況，這是一種急性的適應障礙引發的情緒困擾，建議妳就近前往精神科醫療院所接受專業的醫療診療，短期的藥物治療加上心理諮詢，可以協助妳改善睡眠與食慾，並且進一步協助妳做生活與情緒上的調整與自我調適，更重要的是讓妳的生活儘快回到規律與正軌，重新安排重心與連結！ 這些醫療服務健保是有給付的，而妳只需要負擔掛號費與部分負擔，當然某些特殊的心理諮詢，可能需要自己花錢〈妳可以選擇是否接受這些特殊的心理諮商〉。 祝平安喜樂！ | [
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11營養教室
| 手術後飲食 | 您好： 因為家父發生兩次中風，因此想請教您如何做好高血壓患者的飲食調養？不知是否有這方面較詳細的資料（而非一般的大原則建議）？ 謝謝！ | lotus您好 對不起因網路聯絡問題.現在才回您訊息.請原諒 一般腦中風.高血壓是其中原因之一.因長久高血壓引起腦內小動脈壁 的壞死而變脆弱時.由於突然血壓上升.腦血管收縮造成腦中風. 高血壓的遺傳因子很大.雙親都有高血壓病史者.小孩有60的機會會高血 | [
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0婦產科
| 懷孕嗎？ | 請問我女友月經來17天但是第8天開始有咖啡色分泌物而且還有味道到了第10天量變多了 上次經期玩是1212但是我們1216我們有性行為沒有戴套但沒有內射 本來差不多16.7號月經會來但是他提早一個禮拜月經就來了，月經來前他有吃過耳鼻喉科開的感冒藥吃 月經差不多都2628天來一次，不知道這樣有咖啡色分泌物是不是懷孕 | 類似的問題已經太多，可參考本站常見問答 提問者您好 依您的描述出血有可能是荷爾蒙失調或經期提早來，不過懷孕早期或著床前後也有可能會出血，因此建議如果正式月經一星期以上仍未來或是不確定的話，仍然要請醫師檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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| 睪丸問題 | 醫生您好我的睪丸有一種很難形容的感覺摸睪丸不會痛但就是感覺有點酸悶這樣是有發炎嗎還是自慰過度所影起的神經興奮失調呢 | 小E： 你好 都有可能。 另外，也有可能是同側腎臟結石，也會有睪丸不舒服，摸不到痛點的感覺。 建議就醫診斷治療。 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 泌尿科 主任 許維愷 答覆 | [
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| 事前避孕藥 | 醫師您好，我目前有在服用事前避孕藥（美適儂），想請問吃了普拿疼伏冒加強錠是否會影響避孕效果？是否有需要再採取額外的避孕措施？ 謝謝您 | 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、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。 謝謝 祝 平安 健康 張 醫師 回 | [
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9整型外科
| 重建手術 | 楊署長您好 謝謝您. 我是一般民眾我的手指受傷指端缺損我是住在高雄市的民眾我想請教署長我可以找那位醫師替我安全的診治傷指才可以恢復呢另外我以前在網路新聞上看到一則新聞美國有一位和我受傷情形一模一樣的人他接受細胞再生粉末的治療以後傷指完全長好恢復原來的形狀及功能. 我想請教署長這種醫療方法台灣或高雄是否已經有引進來呢因為我不明白有誰可以替我醫好傷指不知衛生署是否可以指點我該如何處理謝謝您 祝如意. 病患民眾 洪 | 網友您好 您說的細胞再生方式目前國內尚未有醫師發表成果目前就我所知可用骨頭延長再加皮瓣覆蓋的方式將手指延長本人曾在北榮受訓時看過建議可至手外科門診看看. | [
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4心臟血管專科
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6骨科
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6骨科
| 手肘問題 | 醫師你好 我在六月初的時候手肘旁邊突起來的地方狠狠撞到 當時麻痛而且發熱到快昏過去 有時候會不小心碰到之前撞到的那個地方 然後手就會麻 主要是4.5指會麻 我是學鋼琴的人 年底要比賽 我很怕這樣對我的手會有影響 尤其是4.5指 這樣撞到會不會傷到神經 手會不會越來越沒力 多久才會復原呢 我平時該怎麼保健呢 謝謝你 感激不盡 | 肘關節的內側有尺神經的通過，撞擊會導致麻及痛，如果事後手指仍然可以活動自如那就沒有關係，過幾天就會改善了。儘可能不要將肘部置放在桌上以免壓到神經。 | [
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| 月經 | 李醫師您好 我的生理期一直都很規律約23∼25天來一次月經，且血量正常約5天結束，也不會有經痛。但最近這2次經期都有些不同以往的狀況，前二個月的經期突然量很大，伴隨大量的血塊下來，肚子悶痛而且站起來就覺得頭暈，生理期天數變長，後面幾天就成點狀出血；最近這一次的生理期則是距離上一次的天數才18天，前2天點狀出血，第3天才正常的血量，想請教醫師這會是什麼問題是子宮？還是荷爾蒙該何時去看醫生是經期時？還是經期結束後？ | 您的月經有規律性上的異常，也有經血量的異常及感覺上的異常，宜來診檢查，可在經期結束後來，謝謝！ | [
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13肝膽腸胃科
| 腹痛 | 蔡醫師您好 從去年開始看了不少次腸胃科 大約每3-4個月就會發生一次 每次約1個月左右才會好轉 症狀大約如下 右下腹接近小腸、盲腸周圍痛 脹氣嚴重照過超音波 之前做過的檢查如下 照過斷層掃描無特別異樣 看診過的醫師觸診時說有可能是不知名發炎小腸或大腸 但基本上吃一些腸胃藥發馬膜衣錠之類的 久了就又好了 詢問 1.在痛之前右下腹都會突然有一陣像"腸道拉扯"、"類似滑出的"感覺有點難以形容 之後就會開始右下腹痛 這有可能是腸道痙攣或其他症狀產生的感受嗎 2.現在只要做把膝蓋縮到腹部的動作可以明顯感受到右下腹疼痛 也有明顯壓痛 如果只是肌肉拉傷有可能造成這樣的結果嗎 再麻煩醫師解答有可能造成的原因 謝謝您 | 您好 1.有可能是腸痙攣另外腹股溝疝氣腸沾黏或是憩室炎.都可能. 2.股肉拉傷故名思義就是拉動肌肉的疼痛一般膝蓋縮到腹部的動作腹部肌肉應該也會被用到所以腹部肌群因為過度運動也可能造成疼痛的症狀。 彰化醫院關心您的健康 蔡安順醫師 | [
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15復健科
| 關節 | 潘醫師您好 我是個兒童美術教師，在指導孩子畫畫時常需低頭與小孩子說話， 這一個月以來，發現肩頸十分酸痛，向上仰或向下彎都很不舒服，試過中醫 針灸效果不彰，目前接受拔罐及推拿的治療.請問這樣的治療方式是不是 正確，或者該進行何種檢查及醫療謝謝 | 您好： 您還年輕，而且沒有受傷，最主要的原因應該是長期的姿勢不良及壓力，而後者我們往往會低估其影響力。 對於問題的處理，可分治本與治標來談，「急則先治標」也就是說很不舒服時，先緩解症狀再說，然而根本原因不解決，它還是會反覆發作。只要治療的過程及之後讓您覺得舒服都是適當的治療，若是讓您覺得不舒服了，便要小心。不妨就近到復健科接受物理治療，並照張頸椎X-ray。 關於姿勢的調整，可分動態及靜態，不妨參考前幾篇相關回答，若有興趣可另闢專欄，專講姿勢調整。 珍重。 | [
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4心臟血管專科
| 心臟問題 | 陳醫生您好 我是二尖瓣膜脫垂的人.醫生說我只有一度.今年二月份有做過檢查.但自那時到現在至少有十二次以上的不舒服了.有12次的服藥.有個疑問是.請問這樣算是正常嗎還是要回診不了解的是-痛時吃藥.那就不需回診嗎有人說太勉強會造成心室肥大.這樣會嗎回診是如何計算一年一次還是兩年一次呢有時太累.是否也會造成不舒服 麻煩您了.謝謝解答 wen | 二尖瓣膜脫垂是有時會造成胸悶胸痛的情形，但是主因是過度疲勞、壓力過大或是緊張過度所造成，可保持輕鬆心情，適當的舒解壓力可減少不適症狀，也謝謝您的提問。 | [
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0婦產科
| 事後避孕藥 | 請問醫師 今天剛吃完事前避孕藥第六顆 約五分鐘過後去尿尿 這樣會影響避孕效果嗎？謝謝 | 您好 不影響避孕效果，請放心。祝健康 | [
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| 陰部問題 | 請問醫生我學生時代ㄉ時候約1516歲時 只要運動過量小便完睪丸異常疼痛也不能說是睪丸 就是睪丸跟肛門中間那邊ㄅ很痛大約會持續15秒ㄉ疼痛 之後在好像沒發生過一樣沒感覺ㄌ不過也不是常常會這樣 偶爾或是那一陣子常常 縣再22歲ㄌ有時候在激烈ㄉ性交後也不會這樣 但是平時ㄉ運動過後偶爾也會疼痛 15歲之前完全不會 對這點滿疑惑ㄉ請問我有生病ㄇ | 那年15歲時沒什麼怎樣22歲時也不會怎樣這樣看來應該不會是什麼”生病”也許只是肌肉酸痛而已不放心的話找泌尿科醫師幫你看看. | [
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| 其他 | 本人先生 42歲 男性 近日我發現他小便時不是直立去小便 而是選坐著坐廁上小便. 本人曾問他何解這樣坐著坐廁小便而不是直立去小便 他說以免弄污廁所. 本人有點疑惑 不知他是否說真話 還是他有其他隱憂. 請問會否有其他病因男性會導致坐著坐廁才小便 是否因尿急.或是什麼可能性 謝謝回覆.祝蒸蒸日上 | 只要他喜歡何妨日夜生活睡覺在一起的人有什麼隱憂你們最清楚42歲應該未到攝護腺肥大造成尿路阻塞解不出來的年齡.坦白告訴他你擔心的事也許沒事也許他可到醫院找泌尿科醫師看看. | [
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| 產後問題 | 醫師你好，我是已經生完孩子而當初因為受不了脹奶的痛而打了退奶針…沒料到造就現在胸部縮小到比原先的還要小…我想請問有無什麼方法能讓退奶針從體內排出乳腺能夠恢復暢通…後悔打退奶針了…當初醫師也沒告知會有這情況 | 您好： 一般退奶針含有男性素、女性素及黃體素。可抑制泌乳激素，降低泌乳及乳腺之增生。通常這些成分早就排出體外，不會存留在體內。乳房的大小主要以脂肪組織為主。要想豐胸，可以坊間豐胸膳食試看看。當然若再次懷孕，乳房也會大起來的。 感謝您的來信！ | [
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0婦產科
| 子宮內膜異位症 | 黃醫生您好 我今年24歲跟老公結婚一年餘沒有任何避孕措施 卻依舊沒有懷孕.我平常月經來潮時有明顯的經前症候群徵兆 月經來時也都會經痛並伴隨腹瀉腹瀉的情況是近幾年比較明顯. 由於日前再報紙上看到關於子宮內膜異位的相關報導因此懷疑. 1 請問醫生我的狀況是不是子宮內膜異位症呢 2 若要進行相關的檢查請問醫生什麼時候去比較恰當 是月經前還是月經後 3 另外還要請問醫生初步的檢查大概是使用何種方式是否 照超音波或抽血就可以知道有無罹患此病還是會直接安排腹腔鏡 的手術呢 我們很希望能有孩子所以麻煩醫生在百忙之中為我們解答 了 不勝感激. | 依據您的描述 您有經前症候群 但不能如此就斷論有子宮內膜異味症 至於不孕的問題 請您先做一個月的基礎體溫表 再門診尋求醫師幫忙 | [
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12胸腔內科
| 戒菸 | 醫生你好 請問醫生 第1我沒用過尼古清 尼古清是用吸的嗎 還沒有戒斷抽菸的話 直接用尼古清有辦法戒菸嗎 如果再想抽菸的話用尼古清這樣有辦法戒菸嗎 第2 戒菸藥我沒吃過 如果去看醫生 開戒菸藥 吃戒藥是什麼感覺 如果吃完戒菸藥過一段時間還是會想抽菸嗎 如果還是會想抽菸的話 很多人都說靠意志力我沒辦法 不管我做什麼事情或者出去散步 我還是會想抽菸 通常吃戒菸藥是1天3次嗎 如果吃戒菸藥是不是就會不想抽菸 戒菸藥如果飯前吃可以嗎 | 您好 你考慮的問題很多面向建議您直接掛戒菸門診由戒菸衛教護理師評估你對尼古丁的依賴程度由醫師幫你開立幫助戒斷的藥品12週後續門診再評估是否調整 | [
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11營養教室
| 體重 | 營養師你好 我目前滿15歲快16，我遵照之前的營養題目每天都吃2500卡左右的熱量，可是近期體重卻不斷上升，又怕吃太少會影響發育，請問該怎麼辦呢？如果我沒有吃零食而是正常吃三餐就攝取到這麼多的熱量又要如何減少ㄋ 我目前173公分體重58.5公斤，原本才56才過個禮拜就上升到58了，我怕體重一直上升結果變成過重 | 您好 體重的上昇，主要影響較多還是進食的熱量過多，有些食物感覺吃得不多，但是含的熱量其實相當可觀。 建議您至營養諮詢門診找營養師詳細評估您的飲食內容，或是做食物的搭配，來調整熱量攝取喔！ 以上由衛生福利部南投醫院蔡秀雯營養師回覆 祝您平安健康 | [
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1精神科
| 適應障礙 | 我星期一或星期三會去你的診吧 但我不知道自己要怎重新適應看診 我怕自己再用藥會不會真的就再次傷害自己 我需要再次重訴嗎我知道自己長期會想哭 這次是老師陪我出門去辦好健保的 但健保局的人看了我的健保卡竟叫我向你要診斷證明申請殘障手冊 我不承認自己有精障就算大家都說我有我也認為我好手好腳的為什麼要申請呢 救護的朋友說我真的情緒出現問題所以我現在真的也不敢去當志工 但我最近真的常會想傷害自己或結束自己因為家庭因素和心理因素 我變的自閉很少開口說話也很少睡覺我就診時要如何向你說因為我知道你的診間有位護士我不敢在太多人面前向人家訴說我的情況因為我怕被貼標仟 我要如何再踏出那一步 最近常在聊即時他們常告訴我你爬起來你的說服力會比較好你比較有同理心可以幫更多和你類似的人但我真的能再回到志工行列嗎 我能回到過去嗎每天想著好想回到之前的自已就感到自巳如可過這種日子 我迷惘自己了感到許多事都是不被同意的. 我該怎麼重新開始呀 今天和救護隊長在討論強制送醫因為他常嚇我再不去看醫生就強制送醫有什麼條件行成呢 可否請醫生告訴我們.精神衛生法21條有改嗎.謝謝 | 歡迎您過來 關於身心障礙手冊或強制就醫相關規定 法令上有其定義 不是看精神科就符合執行的 您有疑惑 屆時亦可以針對您的現況討論 | [
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13肝膽腸胃科
| 胃不舒服 | 你好醫生我想請教一下 我最近腹部常常有陣陣抽痛然後有時候會有像跑步完喘不過氣的那種痛 而且腹部感覺有突起 或者是沒有吃什麼東西就感到明顯飽足感或者吃了東西就會很想吐 和起床的時候會想吐 但排便很長只有感覺但上不出來 而有時會有心跳很快的症狀 | 您好 根據您的描述陣陣抽痛腹部感覺有突起容易飽想吐，可能的原因為宿便／便祕，或是胃炎／食道逆流／或潰瘍，至於為何會容易心悸，可能要詢問心臟科醫師。建議您多補充水份／蔬果／適度運動，減少飲用含咖啡因飲料，如果一直不改善，可以就診胃腸科 彰化醫院關心您的健康 蔡安順醫師 | [
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1精神科
| 焦慮 | 醫生你好我有焦慮的症狀也在治療中治療至今有些症狀以逐漸好轉卻胸悶痛及心跳還是沒能改善反而好像加重如爬樓梯心跳沒法馬上平穩慢走一段路也好像要發作發作症狀確是全身發麻至後腳底發麻且肩頸痛帶有些後腦暈眩四肢無力酸痛後小腿無力感及胸悶痛直到胸前骨骼些微緊縮到講話都有些吃力不愛說話且對一些事都感到劇怕不敢動連出門好像在恐懼什麼明明心情是很高興出門卻身體是恐懼的神經過度焦慮一樣狀況就在下車後問題就出現了。真不知是不是我的症狀並沒有好轉反而是更遭呢還是我誘發其他症狀出來了如呼吸過度的症狀呢 | 小香妳好 焦慮的人本身就很容易擔心，而這些擔心又可能誘發身體的緊張反應，呼吸變快、心跳加速，身體更加不舒服，更強化的原本的焦慮和擔心。 建議先從控制呼吸凱始做起，專注在呼吸上，將呼吸調慢調勻，通常身體會慢慢舒緩下來。 若是自己還是很難做到，可考慮就診接受生理回饋放鬆訓練，學習有效的放鬆技巧。 也可以在回診時與醫師討論其他因應方式。 祝福妳 | [
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| 避孕 | 醫師您好目前服用事前避孕藥已有8個月餘因為服用中期皆有出血情形故有換了3個牌子吃但這個月我換回之前吃過的牌子時服用第二天就發生出血約護墊量直到現在第九天亦在出血想請問醫師： 1.持續出血是否會影響避孕效果？ 2.這個牌子之前吃過而現在除了出血外還伴隨情緒低落及食慾不佳請問這是避孕藥的副作用嗎？ 3.去看了婦產科醫師開了黃體素要我伴著事前藥吃請問這個月性行為是否需要搭配保險套呢？ 謝謝醫師！ | 您好 還是有避孕效果，建議下一次改回不會出血的避孕藥。祝你健康 | [
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| 感染 | 醫生您好， 最近因為固定健康檢查的關係，有做了每年固定的子宮頸抹片檢查並加做HPV的檢查。 健檢中心回覆的結果是子宮頸抹片是陰性正常，但HPV是感染16型都是單一性伴侶，身體也沒有不舒服的症狀 請問我應該要去大醫院檢查嗎檢查的流程是直接切片嗎 HPV16高危是不是罹癌的機率很高 是否會傳染給我先生呢 謝謝醫生的解答 | 您好 應該是不用做切片，建議最好是半年做抹片追蹤即可，男性影響較少。祝你健康 | [
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5泌尿科
| 陰囊問題 | 醫生您好 前兩天發現我的陰囊皮內有長一顆小小硬塊（確定不是長在睪丸上面），壓它會有些許疼痛 平常不會痛請問是怎麼回事 | 您好 如果持續或是甚至在變大或有其他尿道症狀出現可能要就醫檢查 如果等1-2天或是有的時候會消失漸漸變好 就不用了. 祝健康 | [
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21流感諮詢
| 發燒 | 最近天氣轉涼常常摸額頭或肚子都有點溫溫的，可是量體溫都沒發燒，腋下溫度都在35.6到36.4晚上會比較高差不多36˙7，這樣是低燒嗎？請問腋下溫度機度算低燒 | 親愛的讀者好 關於最近天氣轉涼回覆如下 1. 一般發燒定義為額溫或腋溫為37.3度以上 2. 若是37.3至38.5度算是低度發燒 而38.5度以上算是高燒 3. 低度發燒可先補充水分及多休息 如未改善 則應至醫療院所尋求治療 4. 高度發燒應立即至醫療院所尋求協助與治療 謝 謝 | [
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5泌尿科
| 陰莖問題 | 請問一下醫生就是我的陰莖上有很多略突起一顆一顆小小的顆粒摸起來一顆一顆擠的話並不會出血也不會痛也無分泌物是膚色的但頭顏色比膚色但一些但不是白頭請教一下是陰莖珍珠樣丘疹嗎如果是該如果處理呢 陰莖珍珠樣丘疹」是一種長在陰莖，沿著龜頭冠狀溝，排列整齊，約略米粒大小，圓頂、平滑、互不融合的膚色或淡紅色小丘疹。發生率約19％，常見於年輕男性。一般無自覺症狀，是一種皮膚正常的生理性變化，並非病變，所以當然也無傳染性。 此病的病因目前仍不清楚，但有時會發生於包皮過長的年輕男性，故有學者認為可能是與包皮過長、包皮垢較多而造成慢性炎性刺激有關。也因常在洗澡時或性交後突然發現，所以亦常被誤認為是尖圭溼疣，即所謂「菜花」，而造成恐慌。 其實，臨床上欲診斷「陰莖珍珠樣丘疹」並不難。一般而言，若當事人並無從事危險性行為，也極少去三溫暖等公共場所，再加上病灶外形長得較規則，且短時間內數目並無增加或顆粒變大的情況，便有可能是「陰莖珍珠樣丘疹」。 | 王弟弟： 你好 你真的是考倒我了。診斷疾病，需要實際上看到，無法在線上診斷。 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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6骨科
| 脛骨骨折 | 醫生您好 上次承蒙您細心回答，今天回診有些狀況想再請教您。 我在211發生車禍，造成左腿脛骨平台粉碎性骨折併膝關節脫臼， 212術行左側脛骨平台骨折復位及鋼板鋼釘內固定術，使用自費內鎖式鈦合金鋼板。 這個月過得小心翼翼，而且傷口大致癒合、骨折處也比較不痛了， 期待今天複診能聽到醫生說「恢復很好」的好消息 結果醫生看了Ｘ光，說平台有點塌陷，要再動手術調整一下 雖然醫生說只是把螺絲鬆開、調整位置，再把螺絲鎖回去而已 傷口也不會像第一次開刀那麼大 但其實還是很擔心. 想請教醫生 一、這類型骨折術後再進行二次手術是常見的嗎？ 二、上次回診（兩個禮拜前）沒有照Ｘ光，但醫生說我可以稍微練習彎曲， 因為我不知道骨頭復原情形所以還不敢太積極的彎曲（遠不到90度），請問膝蓋彎曲會是平台塌陷的原因嗎？ 三、雖然骨折才過了一個月，骨頭沒那麼快長好，但畢竟也是一個月的復原進度了。 我再進行二次手術後，是不是骨頭復原的進度又歸零重新開始呢？ | 1.不常見但是有時候會遇到 2.不是 骨折時可能就已經存在 之後慢慢的陷下去的 3.這個位置的補骨癒合很快的 因為它是疏鬆骨居多 cancellous bone 比 cortical bone長得快多了 | [
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| 包皮問題 | 醫生不好意思 我是 那位 還有些疑問 我今天是術後第15天 不知道為啥有一處裂開的傷口今天整天都隱隱作痛 之前還不會 另外整天都會滲血水是正常的 大概一小時滲一滴的量吧 另醫生說的避免勃起 清晨我都有壓下 平常也沒有勃起 一天也擦三四次優碘 也會用食鹽水沖 做我手術的醫生只有第二天要我回去換藥而已 完全都沒有要我回診 說第三天就不用包紗布 擦藥擦一周就好了 18號因傷口裂開都沒復原回去門診 該醫生看完後也沒有要我再回診 所以都不知道這狀況該不該回診 或是都是正常狀況不需回診 | 您好 您的問題 我建議您回去給醫師說明清楚滲血量清潔方式較為合適傷口疼痛本就會一段時間如果是開刀傷口有積血排出來就好了如果是每天都在新滲血比較少會發生 醫師會給您一個有效的處理方式. 祝您早日康復. | [
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| 精液 | 今年16歲了 生殖器大小粗細正常 但自慰時射出來的精液量很少 也不黏稠 請問是我的睪丸發育不正常嗎 我從國一到現在高一 射的量都一樣少 | 請到泌尿科門診接受診療與進一步檢查，方能給您正確答案。謝謝 林紋旭醫師 | [
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| 事後避孕藥 | 醫生您好 上次月經是95∼911。和男友在18號那天有行房，套子有破但沒內射，因為我上個月的月經不規律，排卵期也是，所以在完事後5小時服用可後安避孕藥。25號有出血，到今天還是有出血狀況，跟月經的量差不多，想請問這是避孕藥的副作用，還是月經提前來了？ 是副作用的話，下次月經會在什麼時候來？ 謝謝答覆 | 您好 有可能是吃事後避孕藥的關係，驗孕如果沒懷孕，觀察即可。祝健康 | [
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| 避孕 | 每次男友有讓我懷孕的可能的時候 我都會請他去幫我買事後丸來避孕 第一次購買時，我只吃一包 可是後來又一次，他卻拿了六包給我 且前二包葯師包成紅包，說要先吃，後四包是白色 共三天吃完 請問有何不同！ 再者，之前只吃一包時，我沒有不適服用後只覺得生理期來時有些微疼痛. 後來這個分三天服用的，我卻覺得服用後有精神不濟的情況 不知是我自身的關係，還是葯物影響呢？ 那麼`事後丸有那些副作用呢？聽說會嘔吐！我倒是一點點，不明顯 因為都是請男友去買的！所以不能清楚的請問葯師這個問題！請幫偶解答！謝謝. | 事後避孕丸多半成分分為高劑量的女性荷爾蒙，若是每次都這樣服用，月 會不規則，有些人會嘔吐頭暈，正確的方法應當是按時用。避孕藥 | [
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5泌尿科
| 睪丸問題 | 醫師您好，最近幾個月發現右側睪丸下方有2顆大約紅豆大小硬粒，外觀看不出來，只有自己手摸時才會發現。沒有疼痛或不適，但心裡不是很踏實，是不是有可能是哪些疾病的病徵？或是需要進一步做哪些檢查？謝謝！ | 您好 如果是圓形 摸起來會跑 多半是水泡之類的問題可以觀察. 如果固定在睪丸上 請醫院泌尿科就醫 除了觸診有的醫院會做超音波檢查. 祝健康. | [
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| 產後問題 | 醫師您好 我自然產完後 肛門一直有墜脹感 我每天泡盆 但是還是未改善 有去看直腸科指診也說肛門沒問題 我平常就有便秘 大便都很用力才解的出來 現在大便也是要用肛門出力才能上 明明沒想大便了肛門就是有壓迫感 放屁的時候肛門會感到輕鬆 但是只有一下子而已 大完便一樣沒改善 請問這個該怎治療 | 您好 建議還是泡盆，滿月後如果還是不適，建議先看直腸外科。祝健康 | [
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| 腹部問題 | 這幾天肚子有時會悶痛需要到隔一天早上才能上廁所（排便習慣在早上）後來有時會感到肚子脹脹的，現在縮小腹時小腹會痛，撐肚皮小腹會感到痠痠的感覺，想請問一下醫生為什麼小腹會這樣？該怎麼改善與治療？謝謝 | 您好 注意一下是不是有宿便或是有吃刺激性的食物尤其辣的食物也會造成腹部不適。建議清淡飲食，補充足夠的水份及蔬果。 彰化醫院關心您的健康 蔡安順醫師 | [
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5泌尿科
| 包莖問題 | 醫生不好意思 本人今年高二 17歲 小弟弟似乎有包莖 勃起時龜頭無法露出 開口過小 有考慮過要做包皮環切手術 在明年暑假畢業時 會找時間處理 最近在龜頭和包皮上面發現兩顆像水泡的東西 搓了有點痛痛的 請問這會是什麼？ 我每天都會盡量的清洗龜頭 雖然翻不太開 總是沖水沖很久 一直困擾我很久的 包莖要怎麼洗龜頭才能乾淨呢？ 因為課業還有統測壓力 加上我自己的心理準備 不能馬上抽出時間去做環切手術 在此謝謝先醫生解惑 | 您好： 平時推下包皮，清水沖洗擦乾推回就可，不要濕濕的，如真有水泡要就醫，才能判斷為何。祝健康 | [
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] |
7耳鼻喉科
| 耳咽管 | 您好 兩年多前開始兩耳有耳塞現象，就像是聽到自己的呼吸聲和說話聲，漸漸的開始對生活影響並偶而感到暈眩。 至耳鼻喉科掛診，並做耳咽管內視鏡通暢，但鼻息肉、淋巴組織稍大，但仍未影響通暢；耳膜有凹陷，並做耳膜穿刺，但阻塞仍在，且更為嚴重；聽力檢測亦正常。 醫生診斷目前寫聽覺異常、不明急性或慢性非化膿中耳炎，並研判耳咽管功能不良。目前開藥為治療過敏性鼻炎含噴劑，但仍未見改善。 想請問相關注意事項，或是否需要轉院 感謝您的回覆 | 耳咽管的問題，確實非常困擾患者，看不到摸不到，但就是會讓生活品質變的很差， 一般耳咽管的問題，初步應先排除的問題，我想之前的專科醫師已經都做得很好， 重點是你的症狀似乎沒有改善，這一來，我們就要往一些其它方向思考， 我看到你的年齡，有一部份這個年紀的女性有一些會有『過瘦』， 造成的結果是耳咽管『過通』，這也會不舒服， 檢查的方法很簡單，你把頭盡量低到兩腿之間，大約三十秒， 如果是阻塞型，症狀會更塞，若是過度通暢型，症狀會有一點緩解， 耳壓不正常會影響前庭功能，所以可能的耳鳴和頭暈就會伴隨而來，不可不慎。 當然還有一些頑固型的耳胭管疾患，更不容易治療， 通常還可以靠『耳咽管功能測試』來進一步區分。 | [
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6骨科
| 關節 | 您好我奶奶腳關節很痛又很腫的話退化性關節炎會讓膝蓋很腫走路又很痛算輕微嗎 因為我奶奶說醫生說是輕微關節炎骨頭沒事但卻腫大會是更嚴重嗎 想請問您台北有門診嗎想帶他去做詳細檢查去不知道該去哪家比較好 | 退化性關節炎在年紀大的人都會有的 有些症狀比較嚴重可能是突然發炎變嚴重所以會腫脹無法行走 acute exacerbation 也有可能是裡面的滑膜發炎所致 如果x光片顯示關節炎的程度不是很厲害 通常用保守治療 吃藥物 做復健 或使用助行器走路就會改善的 台大總院骨科有門診 | [
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| 陰部問題 | 醫生好 我有兩個問題請教您 1.私密處的大陰唇與小陰唇中間凹處皮膚有裂痕，很像割傷一條的那種，平日廁所後都是用按壓的方式，由前向後擦拭，上廁所傷口不會痛 但洗澡時會刺痛，去過婦產科診所，只說擦拭不當或過敏導致，拿過敏藥給我擦，但沒什麼改善 2.私密處長毛的地方或大陰唇皮膚處都會很癢，醫生一樣說過敏，開藥劑跟藥膏，吃藥有改善，但藥膏一樣沒用 不曉得這樣我該如果檢查，因為頻繁. 另外，平日須吃什麼保養品嗎？這樣會減少不舒服的症狀嗎？ | 1.私密處的大陰唇與小陰唇中間凹處皮膚有裂痕，很像割傷一條的那種，平日廁所後都是用按壓的方式，由前向後擦拭，上廁所傷口不會痛 但洗澡時會刺痛，去過婦產科診所，只說擦拭不當或過敏導致，拿過敏藥給我擦，但沒什麼改善 2.私密處長毛的地方或大陰唇皮膚處都會很癢，醫生一樣說過敏，開藥劑跟藥膏，吃藥有改善，但藥膏一樣沒用 不曉得這樣我該如果檢查，因為頻繁. Ans 需視診檢查 另外，平日須吃什麼保養品嗎？這樣會減少不舒服的症狀嗎？ Ans 不須吃什麼保養品 | [
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6骨科
| 身高 | 我今年大一，因小時候腎臟病服用類固醇，使生長板提早愈合，導致身高過矮，只有140公分，可否藉此手術改善情形。如要延長約10公分約需多少時間，對於需要做此手術的人是否有健保，約需花費多少？手術後須戴環狀固定器，是否會相當疼痛？我只有暑假3個月有較多的時間，如此手術需花費許多時間是否該考慮暫時休學？ 我一直猶豫很久不知該不該做此手術，心理很恐懼，也很害怕，但我實在不想因身高的自卑影響我一輩子，所以希望您給我一些建議。 | 建議您找小兒骨科的專家就醫，先確定您的問題是屬於那一種疾病造成的。如果是疾病造成的則可以使用健保，手術延長十公分約須三個月，環狀固定器使用的時間也約三個月，疼痛難免。可能須要休學，不過先找專家看診以確定手術之必要性。 | [
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6骨科
| 脛骨骨折術後 | 本人於323進行右腿脛骨平台自費互鎖式鈦合金骨折手術，目前約5週，術後已可以達到90度的彎曲，可雙腳站立，右腳要伸直發現膝蓋角度無法跟左腳一樣站直，勉強會痛，另外骨折處的地方進行足泵運動會痛，原本前幾週不會，是不是我之前使用拐杖走路太久導致，擔心是否固定器走位，我也試著丟拐走幾步路，後來發現很痛就不敢嘗試了，另外右腳要往後翹起來發現無法超過110度，可是手扳可達成，是固定器的關係嗎，還是肌肉萎縮造成，謝謝 | 手術後膝關節的活動程度會降低是必然的 如果要恢復到未受傷前的情況就必須積極的做復健 但是做得太過分也會引起疼痛的 如果擔心固定的鋼板移位可以去照一下X光片便可以知道了 膝關節的彎曲要慢慢的來 不能操之過急的 | [
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5泌尿科
| 膀胱炎 | 之前尿道炎拖了兩個星期才去看醫生， 後來連續吃了一個月的藥有好轉， （在就診後已沒有頻尿等狀況） 但是就是一直卡在出尿前下腹部會酸痛， 不會到很痛， 我有一直回去複診也有驗尿 醫生沒說什麼只是一直開藥給我吃 還說那是後遺症⋯⋯ 後來我上網查 查到「間質性膀胱炎」 但擔心是不是自己想太多 想請問您的意見 我應該再吃藥呢還是去大醫院做檢查⋯⋯？ | 與間質性膀胱炎無關 請淡定 | [
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1精神科
| 恐慌症 | 10多年前恐慌症發作，之後就固定吃SSRI的藥物控制。去年開始斷斷續續恐慌心悸，最近詢問醫生建議改成SNRI的藥物。我想請問，爬文後發現，SNRI的差別是多了正腎上腺素，可是正腎上腺素不是會增加血壓和心跳嗎？那我目前最大的問題就是緊張和感覺心跳大力心悸，這樣是否不適合此類藥物呢？因為改藥對我來說是很大的壓力，想要了解清楚。謝謝醫生。 | 嗨您好： 您的問題問得很好，SNRI雖然理論上會透過減少正腎上腺素的再吸收，來增加神經突觸間正腎上腺素的濃度，但它對周邊神經系統的影響並不像對腦部那麼大。對心臟而言，它有可能會短暫地增加心跳，但身體會有調節的機制，透過其他方式將心跳降下來；至於血壓的影響，有少部分人在服用SNRI特別是venlafaxine後會有血壓升高的情形，但幅度不大，而且與劑量有關劑量愈高，血壓增加幅度愈大。總結來說，SNRI是可以治療恐慌症的，它的優點是多了一種作用機轉，所以療效可能會更好、更快。當然增加一種作用機轉，可能會出現的副作用也會增加，但大部分副作用是會隨著時間增加而改善的，且並非所有人都會出現。建議您若有這部分的擔心，可以與您的醫師討論，選擇最適合您的抗憂鬱劑喔！祝早日康復。 | [
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| 事前避孕藥 | 您好，目前服用德國拜耳欣無妊第三盒，經期週期也非常規律，想請問以下問題： 目前都是以經期第五天服用，依據說明書上寫服用一週（7日）後無套進行性行為可達到避孕效果 目前經期規律：0201-0205、0229-0304、0328-0401 若已知0504將會發生性行為，但服藥為第六天是否還會有相同效果？是否需要提早服用藥物去調整呢？ | 您好 避孕藥從月經來的第五天開始用就有避孕效果。祝你健康 | [
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7耳鼻喉科
| 唾液腺囊腫 | 醫生你好 想請教你一下 我最近因唾液囊腫問題而已經切除掉了 傷口也好了肉也長出來了 我看網站上討論唾液囊腫切除後會有再複發的可能性 我想請教醫師 切除完如果會再複發的時間大概是多久後 如果過了多久時間沒在長出囊腫就不會再有複發的這問題了呢？ | 您好， 按照您的敘述 唾液囊腫若切除後，不要不斷咬它或是揉它 較不會復發 但若是不斷咬它或是揉它 隨時有可能會再復發 若症狀持續 建議就診耳鼻喉科。 祝平安健康 衛生福利部臺中醫院 耳鼻喉科 主任 季照芸 敬復 | [
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0婦產科
| 驗孕 | 上一次月經115來，在129、24、219皆有同房無避孕，31有到婦產科驗尿1條線，超音波也沒照到，但是胸部按壓會痛的症狀維持約1個禮拜，私密處也一直都有透明分泌物黏稠無味，請問醫師 我會因為晚排卵影響受孕時間 導致還沒驗到懷孕嗎 | 親愛的匿名您好： 的確晚排卵可能31還驗不出來，如果截自目前月經還沒來再麻煩驗一次，沒有懷孕的話可與婦產科醫師討論催經的藥物使用，有其他問題再麻煩就診與婦產科醫師討論了。 南投醫院婦產科 黃子菲醫師 | [
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13肝膽腸胃科
| 腹瀉 | 醫生您好，因為目前人在菲律賓有腹瀉困擾想諮詢 症狀是大概一天拉4-5次肚子，但是每次都一點點（水加便） 拉肚子前都會有些腹疼，吃飽飯後會想嘔吐，目前症狀持續4天，應該先禁食或是只吃清淡的餐點嗎？ 或是如果我手邊有止瀉藥、普拿疼止痛可以使用嗎？ 早餐的話都因為不舒服會吃少許粥，但是中午餐量會比較大稍微鹹一點，晚上跟中午差不多 偏鹹。水的話只喝寶特瓶及煮過的水 謝謝醫生 | 您好 不曉得目前症狀是否好轉若有止瀉藥可以先服用補充水份清淡飲食若是吃得下水或運動飲料稀釋可以喝可以不必禁食。腹痛不建議吃止痛藥除非發燒，或肌肉痠痛。希望您已康復。 彰化醫院關心您的健康 蔡安順醫師 | [
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6骨科
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5泌尿科
| 龜頭問題 | 許醫生不好意思阿我的意思就是說包皮上會出現一些白白的點還可以擠出來不過擠完後會留點血然後包皮會有點痛本來是只有一兩顆現在抓完後會出現越來越多的感覺 | Chris 你好 我想，應該還是皮脂腺發炎所造成，應該很像青春痘。白色的東西是油脂，擠出來可以加速恢復，但是要注意清潔問題。 建議，減少油膩食物的攝取，並且適當局部清潔，避免出口堵塞，應該就沒有問題了。 會癢、痛的話，可以局部擦藥，或者口服藥治療。 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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6骨科
| 膝蓋問題 | 請問因為出車禍右腳大腿骨折有小小的裂縫沒有開刀只有打石膏 然後打了快兩個月 現在已經拆了一個禮拜 可是兩隻腿相比還是明顯的有點腫 是什麼問題呢 需要熱敷還是冰敷不好意思 | 是正常現象 循環不良 骨折附近的關節以及肌肉缺少運動 吧腳抬高即可 可以熱敷 | [
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| 乳頭問題 | 我去年10月底自我檢查乳房時發現右邊乳頭擠壓時出現分泌物，短短兩個禮拜時間從原本琥珀色到血色 後來找了第二家醫院後在今年1月經過血液檢查及乳管攝影、超音波是乳管瘤，2月初進行乳管瘤手術，但切除完後兩個禮拜拆掉紗布，乳頭及乳房皮膚會特別癢，導致不時會去抓，術後一個月在某次自我檢查又再次出血，當時在開刀前看診過程，醫生有表示手術拿掉不代表以後不會再長，而當時看診時醫生也說明，自身狀況建議可以做乳管鏡檢查，並告知彰化基督醫院有此設備，但礙於本人居住地在台北，上網搜尋資料也查不太到相關醫療資訊或是乳管鏡設備醫院 現在因又再度出血，而且短時間內也無法在做攝影，想詢問目前台灣還有那些醫院有在做乳管鏡或是有著設備的，可盡速安排，以上謝謝。 | 據我的了解目前只有彰化基督教醫院有這個檢查其他醫院可能要上網查一下 | [
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| 結紮 | 請問想要結紮男性，要看那一科以及要注意那些事項以及健保是否給付 請告訴我謝謝 | 男性結紮請找泌尿科醫師處理。結紮是把輸精管切斷再分別結紮，因此要有不想再有生孩子的決心，請三思。當然也可跟醫師請教做多方面的考量再決定。健保局目前給付有爭議，請您直接打電話問健保局。 | [
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5泌尿科
| 陰莖問題 | 請問陰莖沒勃起大小是多大？ 勃起多大？ | 小竹： 你好 陰莖大小，沒有一定的標準。與身高等有關。 註：幾年前，台灣有醫師作過相關的測量，並公佈計算公式。 你可以上網查一下。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 衛生福利部 台東醫院 關心您 以上由 泌尿科 主任 許維愷 答覆 | [
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| 孕婦問題 | 王醫師，你好 我已懷孕八週，之前約五週時不知道自己懷孕吃了治流鼻水的藥Lontec，看過婦產科，醫生說是屬於c級用藥，應無大礙可是，心中仍有疑惑會不會因此導致胎兒畸形可否由羊膜穿刺來篩檢胎兒的健康與否這種藥到底會對胎兒造成何種影響該不該終止懷孕 | 抱歉，因本人出國未能及時回答您的問題。 羊水胎兒染色體在受孕的時候就已經決定了，所以不用因這問題去檢查羊水。C級用藥表示”孕婦必要用藥仍可在醫師指引下使用”，所以不必擔心。 | [
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3藥物
| 藥物諮詢 | 醫師您好 請問 aceocape endase wilcon-u 請問這些藥的用途是什麼 因為我患有濕疹，請問請問可以使用 普特皮 protpic 這種新藥是否有副作用 類固醇算是一種抗生素嗎請問類固醇和抗生素不管外用內服，它一個治療療程是幾天 請幫我解答 謝謝您 | 您好 1Aceo的 作用： 係一合成之NSAID為lndomethacin之衍生物， 具有強力、迅速的消炎、解熱、鎮痛作用。Endase是除去炎症性浮腫、腫脹和血腫”可融解除去由手術、創傷、火傷、炎症性疾患引起的病灶和周圍 的纖維素，並同時促進病灶治療和肉芽組織的新生’能使腹腔的粘性分泌物液化，幫助咳痰或膿汁的排泄’另一粒就是胃藥了 . 2protpic 軟膏用於異位性皮膚炎濕疹等非接觸性皮膚炎的治療，特別適用於傳統標準療法療效或耐受性不佳的患者’，在醫師監督下間歇性地長期使用Protopic 是安全的’Protopic 較為常見的副作用包括局部灼熱或刺激感，但隨著皮膚狀況的改善，副作用會逐漸減輕；研究也指出Protopic 可能會加重紫外線對皮膚的傷害，因此，必須要提醒使用Protopic 的患者避免陽光或紫外線的照射，外出時也要做好防曬的工作，例如長袖衣物、帽子、陽傘等。授乳婦則請避免使用本品。 治療異位性皮膚炎第一個非類固醇局部免疫調節劑用藥（Protopic普特皮）病患在使用一週後，患部面積、病灶嚴重程度以及皮膚搔癢程度，均顯著且有效降低。目前異位性皮膚炎治療多以口服抗組織胺及外用類固醇軟膏為主，療效雖良好，但長期使用可能會產生皮膚萎縮、毛細血管擴張、腎上腺抑制、新陳代謝異常、續發性感染以及免疫力下降，若塗抹在眼睛周圍的病灶，很可能導致青光眼等後遺症.所以要很小心. 和目前傳統用藥相較，Protopic在使用後，無全身性免疫抑制副作用，安全性高，適合異位性皮膚炎患者短期或間歇性長期使用。 臨床數據也顯示，病患在使用Protopic的初期，塗抹部位會出現燒灼感、輕微搔癢等副作用。原因不明，一般認為與基劑有關，但國內外病患的使用經驗類似，此種副作用在用藥三天至一週內就會隨著病灶改善而消失，病患不必過度擔心。 在剛開始使用時，先開始在患部嚴重區域塗抹如百元紙鈔般的薄層面積，待皮膚適合藥性後，再塗抹其他病灶，這樣可以避免灼熱感發生。若患部已有細菌感染，應先請教醫師，做適當處理；孕婦和授乳母親使用普特皮軟膏前，應先諮詢醫師。 3.類固醇不是抗生素其療程要由醫師看症狀來決定.謝謝您的問題 Bye | [
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4心臟血管專科
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4心臟血管專科
| 心跳快速 | 李醫師不好意思打擾您，想請問您我這個月做過心臟超音波正常、24小時心電圖正常，但是一直有心跳比較快的問題，睡覺都50-60，但一起床去洗個臉就130-140的心跳，走一走每次都130-140，有一次恐慌症發作去急診心跳到180多，但沒有psvt 沒有心律不整，醫生說太緊張，請問醫生恐慌症心跳有可能跳到180多嗎？有氧是不是很危險？我真的好焦慮好擔心，有時候坐著心跳就100-110，以前是有少量VPC問題大概100下醫生都說無害，心跳快檢查很多次心臟卻正常，還有可能會是什麼原因？對不起李醫師我真的很害怕，再麻煩您幫我解答，謝謝您 | 如果一些客觀檢查都正常，那其實可以放心。如果真的還有漏掉什麼的話，我想大概是要查是否有甲狀腺亢進或是貧血。 另外，我強烈建議可以就診身心科做進一步的評估。 | [
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| 睪丸問題 | 醫師您好 之前有一次用修指甲的小剪刀剪睪丸上的小毛 不小心刺到睪丸 當下也有流血 那想請教如果真的不幸刺到睪丸內部的話 會有什麼樣的問題嗎 謝謝 | 您好 有可能會發炎化膿如果有紅腫要就醫. 祝健康. | [
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