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5泌尿科
| 包皮問題 | 許醫師你好 本人的包皮原本是完全覆蓋陰莖的頭，即使勃起頭部也未能完全外露，但是一次手淫過度用力把包皮完全拉到龜頭後面，現在不能自動回復原位，需要手動把包皮翻到原來位置，而且包皮很容易就自行拉到龜頭後面完全外露出來。龜頭位置亦變得異常敏感和乾涸，亦因與內褲磨損致有少量出血，請問這個情況需不需要甚麼治療還是這是正常的現象會逐漸習慣 謝謝 | 偉雄 你好 建議就醫檢查，才能夠知道是否正常。 註：長期龜頭乾澀，比較會出現龜頭發炎等現象。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 行政院衛生署 台東醫院 關心您 以上由 泌尿科 主任 許維愷 答覆 | [
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13肝膽腸胃科
| 腹部問題 | 醫生您好 我上個禮拜因急性腸胃炎到醫院掛急診，現在已經痊癒了，但我看到健保APP上的腹部X光檢測好像有一些問題因為有些專業英文醫學用詞看不太懂 雖然當天醫生說沒什麼大問題，但想請醫生可以幫我看一下X光結果是不是有什麼問題，和如果有該怎麼改善 謝謝醫生 腹部檢查包含各種姿勢之腹部檢查 Rather silen bowel gas pattern. Some calcified spot in the pelvis favored phlebolith unless proved otherwise. | 您好 腸道沒有蠕動，有腸氣集中在某區域的現象，懷疑骨盆腔有靜脈血管微鈣化點現象，應該不是大問題。如有腹痛，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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| 避孕 | 醫生您好！ 我從去年12月開始吃28天口服避孕藥吃到今年7月。730月經來了5天到83其中730開始吃新的一包口服避孕藥，吃了7天以後，因為後面連續忘記吃大概3-4天而停止口服這個月份的口服避孕藥。最後811月經又來。距離上一個週期的時間很短。 想詢問醫生這樣的週期是正常的嗎？ 會因為停藥而造成子宮內膜剝落導致月經來嗎？ | 您好 月經來是因為沒有吃藥的關係，正常避孕藥從月經來的第五天開始吃，那就從815開始吃。祝你健康 | [
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| 驗孕 | 醫師您好，我之前驗孕都是尿在杯子裡，然後把驗孕棒放下去看著尿液經過檢視窗，不是很清楚整個過程幾秒，因為之前才泡幾秒一直沒有吸收的感覺所以我都這樣驗，這樣是不是不正確啊？是不是泡個幾秒就好啊？雖然每次基礎體溫降了月經就都有來，但還是有點擔心 | 之前驗孕都是尿在杯子裡，然後把驗孕棒放下去看著尿液經過檢視窗，不是很清楚整個過程幾秒，因為之前才泡幾秒一直沒有吸收的感覺所以我都這樣驗，這樣是不是不正確啊？是不是泡個幾秒就好啊？雖然每次基礎體溫降了月經就都有來，但還是有點擔心 Ans 因為隨著驗孕棒廠牌不同 把驗孕棒放下去泡幾秒也不同 甚至泡的方式 因此需詳讀說明書 | [
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4心臟血管專科
| 血壓 | 您好 我的血壓愈來越低.本來就不高約10095後來維持在9587最近量變成8252我本身的生活作息並不好有抽煙又常熬夜人家不是說這樣會高血壓嗎但是卻這樣.而且在睡覺時會出現呼吸困難的情況眼淚直流很難過.又只要工作稍微忙一點就會頭暈不知道怎麼了也不曉得該看何種診別是否麻煩您能為我解答. | 依靈網友，您好： 25歲還算年輕，年輕人的血壓較低，愈年輕愈低；還有血壓隨時在變，高低可能有10-15mmHg誤差，左右手亦可能有5-10mmHg差距，坐姿與立姿或睡姿的血壓亦有差距。 您睡覺時的症狀可能與抽煙及熬夜有關，應儘早找內科或胸腔科醫師診察！ 行政院衛生署桃園醫院敬祝安康 心臟內科鍾鈺壎 醫師敬啟 | [
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0婦產科
| HPV疫苗 | 在327號施打第一劑子宮頸疫苗 在527號要打第二劑 原先預約61號打的 最近有暈眩 頭暈的症狀 （本身這2年有時候會有這種症狀 耳鼻喉科檢查是沒找到問題 只是有時候會暈有時候不會） 可是在這幾天又有這些暈眩頭暈症狀 請問 1.這樣還能去打第二劑嗎？ 2.如果不能打最長能延長多久的時間？ 因為2個月的時間已經到了 疫苗藥效會不會有影響？ 3.排卵期和經期來的時間可以施打嗎？還是要避開？ | 您好 如果很暈就延後，如果沒有的話就可以打，時間都是大約的時間，和排卵月經無關係。祝你健康 | [
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| 青蛙肢 | 想請問一下 我的屁股有兩個小凹槽 以前無法併腿蹲下 不過現在似乎情形有好點 可以勉強蹲 不過腳會很痠 然後走路會外八很醜 還有人家說會走路時會踮腳尖走 長跑慢跑完 膝蓋會疼痛 請問一下這樣算是青蛙肢嗎 有辦法透過復健或矯正的方式 恢復成正常的狀態嗎 如果要開刀 復原約需幾天的時間呢 還有若是到骨科檢查詢問 任何一位醫生都OK嗎 還是有要挑專門的醫生比較好呢 目前是打算到三軍總醫院汀洲分院去看 謝謝 | 您好： 回覆您的問題 不要緊張，青蛙肢（臀大肌攣縮）現在已經很少見了，不要擔心，建議您找林柳池主任（星期一、四下午）求診，相信會有最佳解答及治療的，祝萬事如意！ | [
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| 龜頭外露 | 醫師你好 這一個禮拜來發現我的龜頭上有許多紅點，其中有幾個紅點出現了類似嘴巴破洞的樣子，碰到會很痛。我的包皮比較長，可以整個覆蓋住龜頭，但是是可以退到後面讓整個龜頭露出，我洗澡的時候也會翻開來清洗乾淨。這個會是包皮龜頭炎嗎？已經好幾天了還是沒有改善，雖然有的潰瘍的地方好了，但是紅點還在，有的紅點還會有腫腫的樣子。 雖然我已經結婚，但是性行為的時候還是有戴保險套，請問如果在不方便去就醫的情況之下，是否能去藥局自行買藥來使用呢？因為人在國外，就醫真的是很麻煩的一件事情。謝謝許醫師。 | 匿名： 你好 建議龜頭的清潔方式： 1.每日清洗 2.避免使用肥皂或任何清潔用品 3.使用冷水，避免熱水 4.清潔後，可以用凡士林局部塗抹。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 行政院衛生署 台東醫院 關心您 以上由 泌尿科 主任 許維愷 答覆 | [
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| 排便問題 | 請問副院長因為平時大便習慣有時候不固定所以最近我在試著調整成1天上1次看看因為剛剛一直放無聲屁加上好像有一點大便的感覺所以我去上大號但是基本上拉不太出來出來的糞便是羊糞便然後在拉的時候拉不出來所以我有硬出力想拉出來但是卻導致我腹痛他是痛個3秒那樣類似腹瀉痛為甚麼我這樣算便秘嗎還是腸子有東西便秘原來也會腹痛嗎 前兩天腹部有抖動跳動那樣 是腸阻塞還是大腸癌 最近有在吃抗組織胺第三代的 想請教醫生 | 都是蠕動排便反應轉度便仇，基本上不是腸阻塞大腸癌。多水份蔬果，飯後走走，再觀察。 | [
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| 荷爾蒙 | 你好，謝謝你的回答 再次請教，昨天有去看了報告，醫生說第一次是603，第二次是1400，而且已經看到胚胎在子宮內，但醫生說才剛滿四週，醫生之前跟我說只要驗孕棒驗出兩條線就是四週了，那昨天看到的胚胎怎麼只有四週大呢？是因為比較晚著床的關係嗎？謝謝 | 回覆如下 有可能只是測量的誤差. 建議繼續追蹤只要胚胎有繼續長大而且六週時有看到心跳就可以放心 桃醫 呂理政敬上 | [
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| 事後避孕藥 | 我女友有吃事後避孕藥 但是他的月經很亂 有時候幾個月來一次 有時候一個月來好幾次然後拖幾個禮拜 那吃事後藥後月經會更亂嗎會大概多久才來？ 14天後在驗孕嗎？ | 女友有吃事後避孕藥 但是他的月經很亂 有時候幾個月來一次 有時候一個月來好幾次然後拖幾個禮拜 那吃事後藥後月經會更亂嗎會大概多久才來？ 14天後在驗孕嗎？ Ans 吃事後藥後月經會更亂 不知多久才來 每個月都需驗孕 | [
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17眼科
| 乾眼症 | 柳醫師 您好 我50歲 最近每次月經來的期間眼睛會覺得很疲勞酸澀，有時會覺得眼睛沙沙 的，額頭兩邊也會不舒服，容易失眠，請問這是正常現像嗎或是要看那一科？ Thanks in advance. 小貞 | 小貞 妳好 依妳的描述眼睛的部分會容易疲勞、眼睛酸，並有眼睛乾澀的情形。 這些症狀表現可能是合併有老花引起的眼睛疲勞與乾眼症的情形。 老花的部分與年齡有直接關係，是眼睛調焦功能的退化，一般人從40歲左右開始就會感覺到功能的退化，之後逐年影響加劇。可以控制用眼時間、適度休息、適度眼睛熱敷或使用老花眼鏡來改善。 乾眼症可能的原因亦很多，常見的有1水液層分泌不足：後天性自體免疫疾病類風濕性關節炎、全身性紅斑狼瘡、內分泌失調如停經，感染、受傷、藥物等等。2油脂層分泌不健全：瞼緣結疤、眼瞼炎等等。3黏液素層分泌不健全：維生素缺乏、慢性結膜炎、藥物等等。4淚液膜分佈不均勻的問題。治療一般是以增加眼睛滋潤人工淚液、改善眼睛淚水不足的情形為主。 綜合妳的整體表現，可能停經開始前的表現，除了該去眼科就診外，亦應該去婦產科看一看噢 敬祝 健康 台灣ｅ學院-眼科 台北市立聯合醫院中興院區眼科 柳景豑 醫師 2008.12.9 | [
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10兒科
| 寶寶生長發育 | 醫師您好： 1.我的寶寶現在已10個多月從6個月開始就有異位性皮膚炎皮膚還不錯但偶爾臉頰會出現一些紅色的小疹子我們平常會提供寶寶食用的副食品如薏仁.豆腐.番茄.魚.麵包.餅乾.可以食用嗎謝謝 2.我們家隔壁的孩子目前九個半月大，可是從六個月後斷了母奶就不接受配方奶， 請問媽媽該如何顧全他的營養呢 | 1.引起過敏的食物，大多數來自蛋白質、牛奶、蛋、黃豆、堅果、海產類及魚等，均是常見過敏的食物，任何一種食物均可能引起過敏，如發現那一種會引起過敏，可先不要食用，等孩子稍大點可抽血驗過原試驗，以確定是那一種過敏原而避免之 2.若九個半月不喝牛奶，可讓寶寶吃稀飯等十至十二個月大可吃些麵條、吐司、乾飯、蔬菜丁等，滿一歲以後才可進食一般成人的食物，但太硬太甜太油太 太辣等還不宜食用 | [
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5泌尿科
| 尿道問題 | 杜醫師您好， 小弟一直以來都會把龜頭翻出來清洗，兩個月前開始龜頭有點難翻出來清洗，又摸到一小顆約3mm3mm硬硬的東西在尿道口旁，偶爾會陣痛刺痛，於是努力翻出來拍了照是暗紫色，並給醫生看，醫生說割包皮完才能確定，已於上周割完包皮當下順便檢查，包皮手術結束當下我有問醫生關於這顆並表達偶爾會痛，執刀醫生不太在意說是血管瘤不用管，感覺是「除非破掉再說」 重點術後能看到龜頭後我發現這顆血管瘤比兩個月前拍照比較「有變大將近一倍」6mm6mm，偶爾還是會陣痛刺痛，請問杜醫師我該怎麼辦？ | 您好 可醫學中心檢查 如果原就在醫學中心看的 應該就是定期回診 祝健康. | [
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7耳鼻喉科
| 咽喉問題 | 醫生您好，吃烏龍麵的時候不知道為什麼突然好像跑到鼻腔裡不舒服後，感覺他滑了一下不知道有沒有吞下去。後來感覺咽喉有點異物的感覺有去吐出一口，後來就都有一種異物的感覺，因為看鏡子時發現好像是我要用舌頭用痰時碰到咽喉那附近的懸垂體的錯覺而已或是我剛剛這樣吐完太過在意緊張的關係。 想請問醫生食物會因為這樣不小心變成吸入性肺炎嗎⋯最近看到家裡群組講到剛剛又突然這樣所以有點擔心，以及這時候多喝水可以緩解嗎，因爲還是有點異物在咽喉的感覺。 謝謝 | Hi ： 您好， 若無吞嚥時引發劇烈咳嗽，一般應該不會引起吸入性肺炎，可能只是口咽部或鼻咽部的發炎或異物引起的異物感，可多喝水先自我觀察，若持續3天以上未改善建議就醫確認。 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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13肝膽腸胃科
| 腹部問題 | 醫生你好我最近一至二個禮拜膀胱跟子宮的部位常常會悶悶的隱約的痛不至於痛到受不了有時常吃完東西後不到幾分鐘就會放屁想大便有時會大軟便有時像拉肚子但都不會大很多有時用點力氣大便時膀胱跟子宮的地方就會痛痛的也會感覺沒大乾淨不知道到底是不是腸子出問題還是哪邊出問題總是很擔心卻不知道要往哪邊尋求醫生也不敢亂看不知到該看哪一科 感謝醫生耐心看完 謝謝 | 請至腸胃科就診接受下腹胃道X光檢查 | [
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5泌尿科
| 性功能 | 許醫師您好 我在網路上有看到您為一些病患提供咨詢您得回答很詳盡所以我看了覺得您是可信賴的希望我把自己的問題提供給您您不吝解答 我今年31歲近一年多以來跟女朋友做愛漸漸感到勃起度變差了開始時勃起情況很正常.但是每一次做愛都會在女性體內就軟掉最近情況越來越嚴重最近幾乎我女朋友幫我進行任何的挑逗行為我也會勃起困難就算勃起了也不是很硬而且一下子又軟掉了最近甚至連射精的時候也不是很硬越是這樣我心裡壓力越大其實最近做敗已經沒有感到什麼快感了都草草結束因為很怕久了又軟掉了而且常常軟到無法進行性行為我的身體很健康沒有任何重大疾病陰部也未受過嚴重外傷我從13歲就有自慰的習慣平均一個禮拜3次之前應付女朋友也沒出現過問題我有考慮過是不是心理的因素導致刺激感降低減退了所以我有到外面買春但是情況也是一樣而且我很愛跟我女朋友做愛最近連早上起床也不見勃起想請問醫師這是屬於心理問題還是生理問題如果需要求診我應該去哪裡盡量提供最好的醫師還是說我要去台東找醫師您求診我住台北縣新莊市 謝謝您許醫師 麻煩您了 | 郁欽： 你好 你給我戴了那麼高的帽子，害我不知道怎麼走路了。 言歸正傳，你的情形，絕大多數是因為心裡的因素造成的。應該是最近工作上或經濟上或生活點點滴滴等，慢慢累積，造成心裡上的壓力。可能在剛開始時，有一些硬度降低，你很在意這一點點，慢慢累積心裡的壓力，強化失敗的經驗。最後，終於失去信心了。 建議：可以考慮就醫，目前可以使用一些輔助藥物，增加勃起的硬度、時間等，短暫使用，可以恢復信心，應該順利度過這段不愉快的經驗。 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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0婦產科
| 懷孕 | 你好医生，我女朋友上次来月经是在6月20〜23日，6月29有性行为，全程戴套和体外射精，安全套有放水检查没有破，她月经本来就不太规律，7月23679日都有一点白色的分泌物在内裤上，她也感觉分泌物比以前还多一点。 分泌物变多会不会是怀孕的症状？ 如果不是怀孕，那分泌物突然变多是正常的吗？ | 您好 應該不是懷孕，有可能是排卵，如果量很多，還是建議看婦產科醫生。祝健康 | [
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13肝膽腸胃科
| 打膈 | 醫生你好 我是個經常容易脹氣的人，但是大都只要打嗝把氣吐出後就沒有事了 事實上我的排便不是很正常（2.3天一次） 但這幾年，我特別會放屁，以往我是只有要上廁所時才會 可是我從早放到晚，不過我卻比較少打嗝了.可是一直放屁卻讓我很困擾” 可以請問我這樣是腸胃有什麼問題嗎 還有.關於我爸是那種只要吃完東西過一會就會要去蹲廁所的 我自己覺得很不可思議，剛吃完就要廁所.應該沒有消化的那麼快吧 盼答. 謝謝 | 回覆： 您好 排氣，是正失的生理反應，只是為何會有太多氣體跟飲食成份、飲食習慣及排便習慣有關，如吃許多高纖、根莖類的植物，因纖維人體無法消化，會被腸內菌分解產生氣體，又吃飯太快，邊吃飯邊說話，嗜食含氣飲料，嚼口香糖等都會將空氣吃入肚而脹氣、排氣。排便不好也會使腸道菌有更多時間分解腸內物，故要先檢討飲食、生活習慣，若仍未改善，可至腸胃科門診，請醫師為您評估是否需藥物使用。您父親的情形，應是腸道功能障礙，可就醫檢查及治療。 內科陳治平醫師敬覆 | [
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| 避孕藥問題 | 我因為過度減重的關係導致體內女性荷爾蒙幾乎沒有，就跟現代那些運動女選手一樣，因為脂肪量不夠導致內分泌失調，目前有服用祈麗安做調經的動作，目前吃到第二盒結束，有些許咖啡色分泌物出現，想請問是先停藥呢？ 還是說繼續服用祈麗安？ 我從來都沒有發生過性行為所以不會有受孕的問題，那目前已經停藥1天了，要重新開始計算吃藥嗎？ | 您好 繼續服用，停一天沒吃，再補吃沒吃的那一天，同時吃2顆藥即可。祝健康 | [
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0婦產科
| 懷孕 | 上個月月經提前一個禮拜16來，而最後ㄧ次發生關係是129，皆無帶套。210有驗孕但顯示陰性，這次延遲了快2個禮拜，但是這期間分泌物多而且也會漲奶肚子酸酸的，請問會懷孕嗎？ | 您好 一般懷孕機會不高，性行為要做好『事前』的避孕措施比較好，如果再等一星期月經沒來，建議看婦產科醫師。祝健康 | [
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4心臟血管專科
| 心室早期收縮 | 何主任您好不好意思再次打擾您，請問主任在醫學上VPC算是研究很久的症狀嗎？因為蠻多醫生也都無解，主任行醫好幾十年，一般健康的人心跳也會偶爾出現VPC嗎？主任的專業正常一天70-200下左右的VPC會年紀越大變的更嚴重嗎？有時候在彎腰或是吃飽打嗝比較容易誘發到VpC嗎？主任是不是因為醫生的專業比較了解心臟才會知道漏拍沒有生命危險，而我們因為不了解被症狀嚇到才會一直覺得很可怕？是不是放輕鬆他真的不太重要？不好意思謝謝主任！祝您平安 | 您好 沒錯 VPC是研究很久的症狀 幾乎每個健康的人心跳偶爾會出現VPC 正常一天70-200下左右的VPC屬於正常範圍的量 不須吃藥 不見得年紀越大會變的更嚴重 每個人誘發VpC原因不見得相同 什麼原因都有可能 漏拍VpC沒有生命危險 放輕鬆他真的沒事 別一直自己嚇自己 平安 彰化醫院關心您 | [
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| 懷孕 | 黃醫師 您好我是延續 的問題 請問如果是射在內褲上會懷孕嗎他除了內褲還有穿衛生棉 用完時 他那個剛好來他91號來我們93號弄 如果他幫我自慰完 手上還有精液 擦一擦後 再碰內褲 請問這樣會懷孕嗎 精子能活多久 Q1會懷孕嗎 Q2精子可以活多久阿 | 如果是射在內褲上會懷孕嗎他除了內褲還有穿衛生棉 用完時 他那個剛好來他91號來我們93號弄 如果他幫我自慰完 手上還有精液 擦一擦後 再碰內褲 請問這樣會懷孕嗎 精子能活多久 Q1會懷孕嗎 Ans 不會懷孕 Q2精子可以活多久阿 Ans 一星期左右 | [
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| 乳頭和乳暈 | 最近開始我的乳頭會突然很癢 受不了會去抓 很不舒服 會有分泌物 請勿是什麼問題 謝謝 | Hi 小小： 您好， 大多是分泌物舊積於乳頭表面引起，有時有看不見之微小分泌物於乳頭上，會引起癢不舒服，有時可用含有少量類固醇之藥膏塗抹，若症狀持續，建議門診追蹤。 祝平安健康 衛生福利部桃園醫院 外科主任 周佳正敬復 | [
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3藥物
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16腫瘤科
| 腫瘤問題 | 曾醫師您： 我的叔叔最近開始做電療的治療了鼻咽癌第三期間 請問會有什麼副作用？ 平常的生活及飲食方面有注意什麼 如果妨間有一些中醫的藥或者是一些祕方可以食用嗎？ | 您好 鼻咽癌放射治療一般急性副作用是口乾照射後2週出院咽腔內黏膜破損約照射後3週出院咽喉痛.接近完成時照射到的皮膚發紅甚至破皮.醫師會開藥使患者的症狀減至最低。如有作同步放射及化學治療急性副作用會加劇.飲食方面怨吃刺激性的東西如辛辣油炸食物不要吃酸性強的水果如鳳梨.吃西瓜是不錯的選擇.至於中草藥及秘方要非常小心使用以使傷肝及傷腎.據一調查顯示約有25的洗腎病人是胡亂吃中草藥及秘方引致腎衰竭而洗腎 行政院衛生署桃園醫院敬祝安康 腫廇科曾玉華醫師敬啟 | [
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| 懷孕嗎？ | 醫生您好： 我3月月經是36-312 35的時候有性行為前面沒有戴套動幾下 但是後面全程都有帶 37的時候也有性行為沒有戴套但是射在肚子上 41有性行為也有戴套可是沒有射 昨天跟今天內褲跟護墊上都有褐色的分泌物 這個月月經也還沒來 。 請問這樣會懷孕嗎？ 麻煩醫生解答. | 3月月經是36-312 35的時候有性行為前面沒有戴套動幾下 但是後面全程都有帶 37的時候也有性行為沒有戴套但是射在肚子上 41有性行為也有戴套可是沒有射 昨天跟今天內褲跟護墊上都有褐色的分泌物 這個月月經也還沒來 。 請問這樣會懷孕嗎？ Ans 3月月經是36-312 357的性行為不會懷孕 41性行為有戴套因此不會懷孕 | [
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| 陰莖問題 | 用自慰套自慰後陰莖右側腫脹像青莖條狀的腫塊會隱隱做痛我猜想可能是套子太緊潤滑不夠造成的退下包皮後查看會因為右邊腫脹會彎曲已經23天了請教醫師這樣需要就診嗎如不須就診能建議可以擦什麼藥嗎 | 需要儘速就醫，否則可能產生缺氧壞死的現象，影響勃起能力。嚴重的時候或者拖太久，會造成陰莖的組織、神經壞死，可能日後無法勃起。 | [
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1精神科
| 憂鬱 | 我常常動不動就生氣，不然就煩悶，然後遷怒到別人身上，不然就跟人家爭辯，生起氣我自己也克制不了，有時候會無緣無故的哭覺得自己很沒用，想死，開心的時候很開心，不開心的時候就很糟，有時候也常常坐不住 只是我不知道這樣要不要去就醫？ | 你好： 你可以先到董氏基金會的網站：httpwww.jtf.org.tw進入心理衛生區 ，有份台灣人憂鬱症自填量表，若自我檢測有憂鬱症之可能，我想也有必要看一下醫生了。 林醫師 | [
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2牙科
| 牙齒外傷 | 前幾年掉了一顆牙齒 之後就只長出來一點點 在這一年中 掉牙齒的地方長了一顆很像肉芽的軟軟的不去用他不會痛之前有試過拿牙籤戳 會流血 有時候會變小顆 但過不久又變比較大顆 想請問這是什麼情況。我都有固定刷牙的 | Hi 您好， 我們無法只根據您文字描述做出診斷，建議您到口腔醫療院所接受診治。 祝平安健康 衛生福利部桃園醫院 牙科主任 黃志成敬復 | [
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| 陰部問題 | 醫生您好 半年前有陰部癢過 最近又有癢痛的症狀 且有乳白渣渣的分泌物 請問這是什麼病症 什麼原因造成 有沒有什麼方法可預防哪些東西不能吃或有益的 且我都是性行為完後發癢 但是我们有戴保險套 不知到底問題出在哪裡 煩請醫師解惑 | 健康！Jj小姐你好： 婦女會陰部的感染（包括陰道炎）的主要來源是來自肛門的腸胃道菌種，例如大腸桿菌、念珠菌等等。其中念珠菌的感染會形成乳白渣渣的分泌物，並引起會陰部的搔癢。含乳酸桿菌的飲品，有助改善，腸胃道的菌種，或許有所助益。祝早日恢復健康！ | [
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| 事後避孕丸 | 我女朋友在15號之後吃了事後避孕藥接著在18開始大量出血比她之前月經來都還要多，甚至還有血塊，大概七天。但是到現在211她的月經都還沒來 可以請醫生判斷一下是發生甚麼事情嗎 會懷孕嗎還是因為吃事後避孕藥所以月經延遲 可以怎麼做去調理她的身體 | 您好 事後避孕藥有些時候會造成亂經，如果還是不順，建議看婦產科醫師。祝健康 | [
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| 運動後問題 | 今天晚上在健身房做V型蹲舉，因為想挑戰自己所以重量往上加，結果在蹲舉的過程中忘記呼吸，最後一下的時候感覺後腦勺有東西裂開斷掉的感覺，從器材上下來後整個人沒力，後腦勺劇烈疼痛，眼睛也有眼壓過高時的疼痛感，再去做其他動作只要會出力，充血的時候整個頭就會非常痛。大概過了五個小時了，現在躺上床的時候，一開始後腦勺有感覺東西裂開的地方，壓在枕頭上時會痛。一般走路的時候也時不時會頭痛。現在也還是出力時就會疼痛。還有會想吐的感覺！ 請問醫師這會不會是中風前兆吖？ 還是只是微血管破裂？ 抑或是我可能腦子長了什麼腫瘤！ 因為我有皮脂腺痣該不會已經長腫瘤了吧！！不過皮脂腺痣在我的右太陽穴上方感覺又不太可能。 還請醫師為我解惑 謝謝您 | 您好 根據上述症狀，有可能是頸椎椎間盤移位，建議至神經內科門診。 | [
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| 包皮問題 | 請問許醫師包皮微癢有沒有可能是得到性病了 因為我前幾天有發生危險性行為 | 劉阿凱： 你好 當然無法完全排除性病感染。 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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| 視網膜問題 | 請問早產兒一定要作視網膜的檢查嗎我的寶寶35週又三天出生出生時2450克重目前出生四個月矯正年齡三個月沒有用氧氣黃疸照光照十天有人說一定要做又有醫生說可以不必做請問視網膜有問題小寶寶反應在日常會有那些症狀出現又他常會揉眼睛和流淚，想睡會看玩具太久或直視燈光時最明顯，這是正常的嗎我該帶他去作視網膜檢查嗎或看眼科治療嗎他會找人眼睛也會隨著物體轉動煩請解惑感激不盡 擔心的新手媽媽 | 您好 以您的寶寶之懷孕週數及出生体重來看視網膜病變的機會比較低但不代表絕對沒問題所以檢查一下比較安心.如果只是輕微的病變日常生活較不容易發現揉眼睛也可能是癢或模糊. 眼科王璋驥醫師敬覆 | [
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5泌尿科
| 龜頭炎 | 醫生您好 想詢問三個問題 前一個月有去看醫生並診斷龜頭炎 去的時候龜頭大部分變紫紫黑黑的 部分紅紅的，醫生開給我美康乳膏擦 美康乳膏已用藥1個月又一個禮拜，龜頭顏色恢復一半，龜頭區塊分為黑 紅 跟皮膚色比起一個月前有變好許多。 1.美康乳膏能連續使用多長時間？ 2. 應該要繼續使用到紅色與黑色部分消失嗎？ 3.原本美康乳膏找不到，假日的時候停藥兩天後來又使用四溢乳膏塗了一天，現在找到美康乳膏了可以繼續塗美康乳膏嗎？ | 您好 如已使用一個月 應回診 看是否已ok不用再用，至於顏色要與正常時比較，如果偏紅應仍有發炎。回診是必需的。 祝健康 | [
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7耳鼻喉科
| 鼻涕 | 醫師你好，我自從628確診後服藥有改善許多，然而會乾咳及鼻涕倒流，又於716有照喉嚨內視鏡，醫生表示有痰多的現象有開化痰藥服用，724開始有黃綠色痰液去看耳鼻喉科說是急性上呼吸道感染，醫生有開抗生素，有治療服藥，目前覺得還是會乾咳、一到灰塵多的地方呼吸就會癢會咳嗽、運動後有點喘、早上會有倒流的淡黃色痰液但是一咳出來就整天無痰、感覺鼻腔後面嗅覺不太靈敏、食慾不振是否需要看醫生？是否為鼻竇炎？但我無任何發燒症狀 | 你好 若症狀持續未改善，建議至耳鼻喉科就醫檢查評估是否需藥物治療，或僅需觀察即可。 | [
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13肝膽腸胃科
| 大腸急躁症 | 請問1.大腸鏡是否就是腸內視鏡2.大腸鏡照的範圍只有大腸的前端嗎那比較內部以及小腸可以檢查的到嗎如果可以.請說明原理.謝謝 | 您好 腸內視鏡分兩種，一種是大腸內視鏡，另一種是小腸內視鏡。大腸內視鏡從肛門 進入，經乙狀結腸、降結腸、橫結腸、升結腸至迴盲瓣，此乃大腸得起始點，有時可以經過迴盲瓣進入迴腸末端，此乃大腸鏡所能檢查而的最頂點（受限於本身管子的長度之 故）。小腸內視鏡乃經由嘴巴進入，經食道、胃、十二指腸至小腸，因小腸長達數公尺，因此小腸鏡並無法進入到小腸的最末端。目前新發明的膠囊式攝影機，經嘴巴吞下後，可一路進行至大腸排成，途中會自動隔一段時間拍下照片，並傳送至外面之電腦以供判讀，對於小腸病變之診斷有相當大的幫助，不過因為是拋棄式，成本很貴，因此目前仍無法普及。 行政院衛生署桃園敬祝安康 肝膽腸胃科楊培鎮醫師敬啟 | [
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15復健科
| 韌帶損傷 | 我的右腳踝打球時扭傷， 先後看過2個中醫， 後來看西醫去照Ｘ光 答案是韌帶受傷 請問我該如何復健？ 謝謝！ | 先生您好 感謝您的提問在這邊先回覆您的問題並提供建議如下 1.深部熱療如短波.雷射.深部電療如干擾波等較為有效. 2.必要時打上了彈繃或貼紮將踝固定於九十度. 3.鞋的選擇足跟部有保護作用及氣墊者必要請鞋匠加作 鞋外墊減少再扭傷之機會. 最後 祝您 平安快樂 | [
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20中醫科
| 中藥諮詢 | 我是類風濕，因長期吃免疫抑制劑導致白血球下降。從110.10月 111.5月 都在68千徘迴也算OK，但自6月後由7070、8450、5710、至9月只剩下4830，因此想諮詢如何增加白血球的數量 有營養師建議我中藥的黃耆、洋蔘、黨蔘、枸杞、紅棗、伏苓也可增加免疫球蛋白的數目。 想問的是 1、洋蔘、黨蔘等人蔘對於類風濕應該不適合服用對嗎 2、黃耆、枸杞、紅棗、伏苓，我打算煮成湯當茶飲用， 可以增加白血球是嗎 中藥材和水量有一定的比率嗎 3、還有其他中藥材可以煮成湯當茶飲引用，而能增加白血球的嗎 4、或有其他另外的建議嗎例如，薑黃粉 5、降發炎的中藥材有哪些目前有吃魚油 | 1、洋蔘、黨蔘等人蔘對於類風濕應該不適合服用對嗎 相對不適合，吃營養點的食物即可 2、黃耆、枸杞、紅棗、伏苓，我打算煮成湯當茶飲用，可以增加白血球是嗎 中藥材和水量有一定的比率嗎 目前不建議，因為還不需要，白血球尚有4830，低到3000以下再考慮或ANC小於3000； 黃耆長期服用容易造成自體免疫疾病控制不穩定；這四個藥黃耆（北耆）最有效；另外，要達到白血球增加的黃耆量也要夠大才會有效果，茶飲類量較少不容易 3、還有其他中藥材可以煮成湯當茶飲引用，而能增加白血球的嗎 最有效的還是北耆，但易增加免疫疾病活性，非必要時不建議；若長期服用需有西醫血檢，一旦血檢異常需立刻做修正；這些藥材幾乎都是雙面刃，需慎用 4、或有其他另外的建議嗎例如，薑黃粉 薑黃粉長期服用不建議，原因同黃耆； 目前不到服藥程度，我只建議飲食營養充足，作息正常，適度運動；蛋、肝、魚、肉、堅果、四神等營養價值高的食物多吃；還是有機會再高起來 5、降發炎的中藥材有哪些目前有吃魚油 最有效還是屬苦寒類，如：黃連，黃芩，黃柏等；但如果西醫血檢發炎部分無異常，身體無不適，不需太擔心 | [
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| 驗孕 | 我是 我在吃完催經藥723月經都沒有來，當天早上也有驗孕依舊一條線，隔天去婦產科腹超，醫生說暫時月經還不會來，因為子宮內膜薄，我有說我吃了催經藥很久月經沒來，醫生問我還要催經嗎？但我最後想說等看看好了。 請問我還需要在驗孕嗎？ 有可能是因為有受孕但因藥物的關係晚著床所以驗不到？ | 吃完催經藥723月經都沒有來，當天早上也有驗孕依舊一條線，隔天去婦產科腹超，醫生說暫時月經還不會來，因為子宮內膜薄，我有說我吃了催經藥很久月經沒來，醫生問我還要催經嗎？但我最後想說等看看好了。 請問我還需要在驗孕嗎？ Ans 不需要再驗孕 有可能是因為有受孕但因藥物的關係晚著床所以驗不到？ Ans 不可能是因為有受孕但因藥物的關係晚著床所以驗不到 | [
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5泌尿科
| 精索靜脈曲張 | 醫生你好 請問一下 睪丸左側是在哪一邊 因為我覺得我右側的睪丸好像有靜脈曲張的現象 但我不知道那是左側還右側 因為我的大小腿也好像有靜脈曲張的現象 請問這有聯帶關係嗎 | 權： 你好 睪丸的左右與左右手是相同的分法。 下肢的靜脈曲張，一般與精索靜脈曲張沒有關係。 發生在右邊的精索靜脈曲張，必須要做詳細的檢查，有時是因為腹部有腫塊壓迫才造成的現象。這點要小心。 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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| 中風飲食 | 我的奶奶 今年74歲了 因為高血壓而中風住院 她又吃不慣醫院的伙食 所以家人要親自為她準備 又不知怎麼準備 如果想諮詢營養菜單 該怎麼找呢 | 你奶奶有高血壓故要採用低納飲食也就是平時烹調用的調味料要減少每日食鹽量不超過5公克食物皆以新鮮的來烹調儘量少用醃製品、罐頭食品及速食並且吃水果時養成不沾梅子粉或食鹽的習慣應可做到低納飲食的伙食了. 至於高血壓患者並不需要特別的菜單只要多採用新鮮食 | [
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| 經期問題 | 請問一下 我每次經來都有血塊很難過 月經要來之前也都會發生酸痛疲累’’’’ 請問是我身體有問題嗎 還有. 聽人家說如果懷孕ㄌ 需要家長陪同剛滿18 但是父母離婚ㄌ 媽媽不在身邊 爸爸不知去向 我該找誰陪我去呢 | 1.經血過多甚至有血塊，就必須至婦科門診檢查其原因，如子宮內膜增生、息肉、肌瘤或子宮內膜異位症等。 2.月經來之前有不舒服的現象，很可能是經前緊張症，這是因為賀爾蒙作用所引起，如果沒有大礙，心情放鬆即可。 3.懷孕了，自己去產檢就可以了，如果考慮墮胎，還是必須有監護人的同意才行。 | [
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4心臟血管專科
| 心房顫動 | 主任您好： 我過年期間發生心臟突然跳很快又跳很慢，不規則，後來去醫院急診，醫生說是心房顫動，大約每分約150下，打針後慢到110左右，但是還是不規則跳動，醫院建議先住院，持續打點滴藥物，隔了約24小時後恢復到正常7080下，心跳也規律，血壓110／65之間期間有服用臟得樂，降血壓藥，保拴通的藥，後來排超音波檢查跟24小時心跳圖醫生都說正常，先吃藥控制看看，但是我看網上有提到臟得樂比較容易影響甲狀腺問題，我之前好像有輕微甲狀腺亢進，所以想問一下醫生，有沒有副作用最低的藥物 。。。。。。。。 我之前有發生過心跳加速，可是至少是規律的跳，但這次是不規則的跳，然後健康檢查有說我心臟有早搏現象但不影響功能跟生活，但是一般人好像都沒早搏啊，還有沒有甚麼檢查可以檢查出原因然後對症下藥戒菸戒酒2年多了 | 您好 臟得樂長期大量服用才比較會影響甲狀腺 您目前是急性期 藥物較多應該之後會再減輕 原因不一定檢查得出來 甲狀腺亢進亦有可能引起心房顫動 和主治醫師配合檢查用藥即可 平安 彰化醫院關心您 | [
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| 支氣管 | 張主任你好： 1.因左右下肺葉均有支氣管擴張症無法切除未來最後的發展會變成怎樣 2.目前每日上午尤其中午黃綠濃痰合計約有兩、三湯匙有可能吃什麼藥變清痰或無痰嗎 3.蘿蔔加麥芽糖蒸食如何曾經長期吃西藥無改善請指點。3Q！ | to Frank 1. 會導至肺衰竭 . 但可能要很長的時間 . 2. 所以必須每天作姿位引流. 醫學還是有極限 病人有了解後自己要好好保養. 3. 蘿蔔加麥芽糖蒸食如何 不詳 . 祝您健康 張醫師 | [
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| 扁桃腺 | 一直以來我扁桃線有一邊比較大（右邊） 不過最近 我扁桃線發炎了兩週以上 有時候右邊脖子也會癢癢的 左耳有時候會痛（一天大概2.3次而已） 昨天有去診所看 醫生說是鼻涕倒流 扁桃線發炎而已 左耳有點發炎而已 但我還是有點怕 怕是腫瘤之類的 | Hi： 你好， 若已經醫師檢查，大多可初步排除腫瘤，一般有疑慮時醫師會轉介至大醫院再檢查，若藥物使用後仍未改善，建議仍須回門診再次檢查。 祝平安健康 衛生福利部桃園醫院 耳鼻喉科主任 鄭爵儀敬復 | [
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0婦產科
| 事後避孕丸 | 我跟男友831日有發生關係，是無套外射，但是那幾天剛好會碰到我的排卵期（手機軟體算的）所以91我有去買事後避孕藥吃（一錠），後來93有戴套發生關係，94有一次無套外射，請問這樣還需要再吃一次事後嗎？因為我爬文看到一個月經週期只能吃一次事後。還有時候避孕藥是會延遲排卵還是干擾著床？ | 阿美小姐妳好： 事後避孕藥只能用來預防萬一，不能作為常規避孕使用，所以一個月最好不要超過一次。事後避孕藥的避孕原理是干擾著床。 鑒於建議你這次不要再吃事後避孕藥了，以後還是要全程戴套比較妥當。 | [
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| 胃脹氣 | 醫師您好： 目前常常飯後有問胃脹問題（約半年了），飯量也儘量吃七分，慢慢吃，但仍然會胃脹跟胸悶且需透過打嗝才能舒緩，偶爾會有胃酸逆流跟嘔吐現象，請問能透過飲食改善嗎？或者需要去照胃鏡，謝謝 | 可考慮檢查胃鏡並遵從飲食調整與用藥 | [
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5泌尿科
| 陰莖問題 | 為什麼我剛剛用洗手乳洗完龜頭後變得很刺痛然後壓的時候覺得熱熱的 | 您好 因為洗手乳成分未明，可能含刺激性物質造成龜頭刺痛感 建議以溫水清洗生殖器即可 若是仍然有疑問 歡迎至泌尿科門診諮詢 | [
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0婦產科
| 白帶 | 請問在無感染的情況下， 白帶一定會是透明無味的嗎？ 有次因為上大號完，發現白帶有淺黃色但無味 所以去看婦產科， 但婦產科說無感染症狀， 有的話也只是非常輕微的感染而已， 在第一次性行為之前，白帶有時候也會呈現透明帶點白色， 所以白帶正常來說是透明無色無味， 淺淺黃色 無味也是正常的嗎？ （無癢、痛、粉狀之類的症狀前提之下） | 您好 透明應該是還好，如果黃綠色很多有異味，那有可能是發炎，就要看婦產科。祝健康 | [
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| 避孕 | 黃醫師您好，我第一次服用yaz244避孕藥，每天晚上有按時吃，沒有遺漏過，今晚應是吃第28顆（白色錠）。今天下午有內射⋯請問這樣還可能有懷孕機率嗎？還需要補吃ella嗎？ 2.因今天是服用的第28天，目前生理期還沒來⋯請問正常來說大約幾天內會來？（未服用避孕藥之前，我的經期都固定27-28天）如果一直沒來的話，大概幾天後要去看醫生？ 3.明天是第29天，不管月經有沒有來，都繼續吃下一包嗎？ 4.如果手邊有兩種選擇：下一包yaz、或是使用evra避孕貼？請問何者效果會較佳？或者副作用感可能較低？（因即將搭長途飛機出差，擔心副作用感可能加劇） 勞煩您抽空答覆，謝謝黃醫師。 | 第一次服用yaz244避孕藥，每天晚上有按時吃，沒有遺漏過，今晚應是吃第28顆（白色錠）。今天下午有內射⋯請問這樣還可能有懷孕機率嗎？還需要補吃ella嗎？ Ans 沒有懷孕機率 不需要補吃ella 2.因今天是服用的第28天，目前生理期還沒來⋯請問正常來說大約幾天內會來？（未服用避孕藥之前，我的經期都固定27-28天）如果一直沒來的話，大概幾天後要去看醫生？ Ans 等待生理期 不需要去看醫生 3.明天是第29天，不管月經有沒有來，都繼續吃下一包嗎？ Ans 可以 4.如果手邊有兩種選擇：下一包yaz、或是使用evra避孕貼？請問何者效果會較佳？或者副作用感可能較低？（因即將搭長途飛機出差，擔心副作用感可能加劇） Ans 副作用差不多 | [
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| 懷孕嗎？ | 上次月經是726-731 下次是823 812有無套性行為 可是只有幾下而已 不到1分鐘 之後在下體摩擦 可是沒有在陰道口 app說那天受孕率-中 請問這樣懷孕的機率大嗎？？？ | 您好 懷孕機會不大，任何時候最好要做事前的避孕措施，不能相信安全期，如果月經該來沒來再超過1星期仍沒來，建議看婦產科。祝健康 | [
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| 生理期疼痛 | 您好 我的月經已兩個多月沒來了，我無任何性行為，以前也有很多次這種異常記錄，請問我該去檢查嗎？為何月經會一直處於異常狀態呢？都二十一歲了，月經為何還是亂經呢？謝謝 | Dear 雨小姐： 月經要穩定，首先，控制月經的女性荷爾蒙及 體素也要穩定，而這些荷爾蒙的控制，其實是由大腦裹面的下視丘及腦下垂體所控制，而要保持下視丘及腦下垂體的正常運作，必須有規律作息，睡眠正常，𣎴要有太大壓力，不要太胖或太瘦，最好能規律地運動。如果以上情況，你都有做到，卻還是常常月經𣎴規則，那麼就建議你來婦產科檢查一下。 祝平安健康 衛生署桃園醫院 婦產科主治醫師 呂理政敬上 | [
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11營養教室
| 肝功能 | 請問哪協食物可以下降血酯肪 因為有酯肪肝想請問飲食如何調節 上次健康檢查醫生說我有中度脂肪肝 請問該如何減輕 1.我想請問如果有B肝帶原 也有脂肪肝 可以食用啤酒酵母嗎 因為有些人說啤酒酵母對肝好 也有人說不好 所以想說啤酒酵母到底對肝好不好呢 2.另外我之前去做檢查 ALTSGPT肝酵素 40 胎兒蛋白 2.2 在飲食方面我需要注意哪些呢 感謝你的回答喔 黃小姐你好 我在最近體檢中發現有中度脂肪肝及有發炎現象GOT80GPT215請問我的飲食上要去如何改善兼具有提昇肝臟機能及降低脂肪肝我未酗酒及服用藥物謝謝 | 江先生您好： 如果要使血脂肪得到有效的控制，須先全盤檢視本身的飲食習慣飲食 ，再來做通盤的飲食控制。 應注意下列幾點： 1.體重宜控制在標準範圍內：肥胖者應逐步減輕體重，但不建議快速減重，一週減0.5公斤為宜，尤其是痛風者快速減重會加速痛風發作。 2.遠離甜食及精緻糖類，因過多糖類會在體內代謝成三酸甘油脂，例如：糕點、飲料、餅乾 3.限制油脂類食物的攝取：油脂類可分可見脂肪及不可見脂肪兩者都要注意，可見脂肪為肥肉、培根、雞鴨皮、豬皮、魚皮、奶油、牛油、豬油、沙拉油、麻油、瑪琪琳、烤酥油。 不可見脂肪：酥皮點心、甜甜圈、燒餅、蛋糕、沙其瑪、綠豆糕、全脂牛奶、冰淇淋、乳酪、鮮奶油、香腸、火腿、熱狗，蛋黃，家禽家畜肉、肉酥、魚卵、麵黐、麵筋泡、油豆腐、豆腐泡、酪梨、橄欖、椰子肉、蛋黃醬、奶精、花生醬、芝麻醬、瓜子、腰果、開心果、杏仁、核桃、松子、油炸食品，油條、炸雞、薯條。 4.酒精類飲料宜限量飲用：一天建議啤酒 250毫升或高粱酒 3060 毫升或威士忌、白蘭地 4080 毫升或黃酒、花雕、紅露、紹興 100200毫升或葡萄酒200 毫升，如有血脂過高情形應暫時禁止飲用。 5.培養固定運動的習慣，以達血脂控制，建議『333』一週3次、每次30分鐘、心跳達130下，如果每天運動30分鐘尤佳。 以上 祝身體健康 平安 署立彰化醫院營養室黃玉如201007211828 麻原： 很抱歉至今回復，脂肪肝的原因有：肥胖〈過重〉、酗酒、糖尿病、營養不良等。請確認原因後對症下藥，謝謝！ 您好！ 1.B啤酒酵母的主要成分是維生素B群，維生素B群參與很多營養素在肝臟 的生化反應，因此被認為是補肝的健康食品。但在人體不缺乏的情況 下，過量的維生素B，反而增加肝臟負擔。 2.肝帶原者要定期檢查追蹤肝功能變化，脂肪肝的治療則要找出病因，才 能對症下藥，酗酒、體重過重、血脂肪高、缺乏運動、營養不良、藥 物……等均會導致脂肪肝，在就診時請與肝膽腸胃科醫師討論病況。 3.脂肪肝的飲食原則以均衡飲食為基礎五根根莖類、蛋豆魚肉類、蔬菜 類、水果類、奶類、油脂類，每天六大類均衡攝取不可偏廢，並配合 高纖維飲食，你的肝功能指數稍高，找出原因，切忌道聽途說，服用成 份不明或誇大功效的食品藥物，方為良策。 新竹醫院黃淑俐營養師 阿明：你好！你的問題主旨是“好的膽固醇”，是否有脂肪肝合併血脂肪過高？請先注意自己的體重是否過重，如果過重〈表示營養過剩〉要先減重，飲食宜清淡、高纖維、均衡的六大類食物〈奶類、主食類、蔬菜、水果、肉魚蛋豆類、油脂類〉。如果體重正常，請加強運動，鍛鍊身體肌肉組織，減少脂肪，平時規律生活勿熬夜，並定期回診追蹤。 新竹醫院黃淑俐營養師回答 | [
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0婦產科
| 懷孕嗎？ | 在排卵期後四天跟男友在陰道口摩擦，確定陰莖沒有濕有稍微插入陰道，但沒有插進去，還是處女，這樣會懷孕嗎 | 提問者您好 依您描述的情況，會懷孕的機難以評估，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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5泌尿科
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4心臟血管專科
| 血小板 | 醫師您好 我在3月底發現血小板只剩23000我從3月開始吃西藥到現在增加到43000 請問一下43000算是正常範圍嗎有藥物可以完全治療到跟一般正常人一樣 那是哪些原因引起的要注意哪方面呢血小板過低會造成血癌嗎或是會有 哪些異常症狀呢 | 小銘網友，您好： 血小板正常值約在20萬30萬之間，所以你的血小板值43000仍偏低，應找「血液專科醫師」診斷，找尋原因，對症下藥，一般皆可以治療。血小板值偏低很多，易導致瘀青，出血等，所以需很小心，且需儘快接受診療。 鍾鈺壎 醫師 | [
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| 避孕 | 曹醫師你好 我在1113開始吃第二個月的玫麗安，吃到123是最後一顆，都是在早上830吃，都沒有漏吃，這期間也都沒有做。但是因為129要出國玩10天，我不想要生理期在出國的時候來，所以我沒有停藥，開了新的一包繼續吃，也是每天按時吃沒漏吃，只是因為時差關係所以吃的時間算起來是台灣的早上400，比之前提早了4個小時 1210、1213、1214都有跟男友做愛，都是無套但沒有內射，然後在1214晚上就流了一點點血，是紅色的，但我當天還是繼續有吃玫麗安 1215血量有增多一點，跟月經一樣，我還是吃了玫麗安 1216開始停藥，然後月經一直到1220是最後一天，所以實際上流血的時間是1214∼1220 我想請問的是： 1.我的下一包藥應該還是在停藥的第八天，也就是1223開始吃對嗎？ 2.避孕藥是抑制排卵所以應該是沒有排卵的吧？這樣還有懷孕的可能嗎？ 3.為什麼1214的時候我還沒停藥但是就有流血了？ 謝謝 | 您好 避孕藥從月經來的第五天開始吃，不必很準時，大約時間即可，有按時吃就有避孕效果，如果當天忘記吃，隔日要補吃忘記吃的藥即可，避孕藥是抑制排卵所以沒有懷孕的可能，。祝健康 | [
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| 身高 | 我之前看了一本書日本作家 他說多吃菠菜及沙丁魚有助長高 是不是真的 還有 代餐代糖.跟新鮮食物比起來 是好還是不好 謝謝 | 妳好 由於妳說的那本書的內容，我並不清楚，但若想長高，以菠菜和沙丁魚的營養成分而言，皆含鈣質不多，因鈣質才有助長高，除非吃魚的頭、尾、骨頭（如小魚干、小蝦米．．．．），才會攝取到鈣質，至代餐和代糖皆是肥胖者和糖尿病人，用於減重或控制血糖的一種食品，代餐是代替正餐的食物，因為熱量低，但是營養素不足，且口味不佳，而代糖由字義可知是代替糖的一種食品，它主要是由蛋白質的某種胺基酸合成而來，本身有甜味，但熱量不多，且不會造成血糖的上升，以上兩者食品皆非天然的食物，而是合成的食品，故當然無法和新鮮的天然食物相比，因天然食物富含多種天然的多種營養素，建議還是多選用新鮮食物。 | [
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| 小便 | 其實我都有著這樣一個問題想說是不是因為自己太胖導致的 每次小便時我如果有和同學一起去時為何總是我尿的很快就ok 而大多數同學都不疾不徐之態慢慢尿完 是代表我膀胱或者其他泌尿功能有問題還是我真的太胖了ˊˋ 另外是不是我太胖了造成皮下脂肪遮住陰莖長度呢 是否能藉由運動改善呢 感謝回答 | 小飛象： 你好 小便的速度，好像與身體的肥胖程度沒有關係的喔！ 小便的速度，與小便的量，尿道的壓力有關係，好像沒有人說與肥胖程度有關。 另外，小便素到快，應該是比較好的現象，表示你的尿道阻力是比較低。 註：若真的要比較，醫學上會用尿量年齡每一秒的CC數 等來做客觀的分析與評估。 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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5泌尿科
| 包皮問題 | 醫生您好，我包皮沒勃起跟勃起都可以退下來，但是包皮開口很緊勃起是可以用手拉下來，可以拉到冠狀溝下面但就會像是綁橡皮筋那樣卡在冠狀溝下面，想請問醫生這樣會造成陰莖受損嗎需不需要割包皮 謝謝醫生 | 您好： 如果太緊是建議包皮手術，尤其是勃起時會疼痛，祝健康 | [
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4心臟血管專科
| 心臟問題 | 何醫師 主任您好 前陣子我因為頭暈 肩頸痠痛 胸悶去拔罐推拿，後來推拿師傅跟我說 我的頭暈應該是心肌缺氧造成的，請問醫師 心肌缺氧是否會有什麼併發症，我要如何改善呢？我的體型比較胖 是否這都有關係呢？但是我去年有做過 靜態心電圖、24小時心電圖、運動心電圖，今年年初我做了心肌酵素（驗早起心肌梗塞）、肺功能檢查.以上心臟科的檢查都為正常，胸腔科的也正常，這樣我是不是該再回去心臟科做檢查呢？ 謝謝醫師 | 您好 靜態心電圖、24小時心電圖、運動心電圖，心肌酵素、肺功能檢查. 以上的檢查都為正常 再加上年輕 心肌缺氧應該機率不高 如不放心在至門診進一步檢查即可 平安 彰化醫院關心您 | [
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| 避孕 | 一月月經110∼116 二月月經28∼214 上次月經是37∼313 三個月週期都不一樣 我用手機app程式推算危險期是317∼326， 我跟男友326下午有做一次沒戴套，但沒有內射，做完不知道為什麼下腹部有點不舒服，請問這樣懷孕機率大嗎？這樣還要不要吃事後避孕藥.？ | 您好 不放心可以考慮吃事後避孕藥，一般事後避孕藥要48小時內服用，是否懷孕要等，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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| 胃食道逆流 | 楊醫師您好 從小腸胃不好，時常拉肚子， 本身有過度肥胖問題 這兩個月來， 常常在晚飯吃飽後睡著後 突然驚醒會心悸心臟跳很快， 偶爾因為胃痛沒辦法睡覺， 前陣子偶爾大便會有很迷你的鮮血塊 但之前有檢查因蹲廁所太久導致的內痔 所以覺得是內痣破掉 這三天持續晚上一躺平， 胃就覺得怪怪的但不會痛， 呼吸不順，導致一整晚都會沒睡好 早上起床就有嘔吐感 可是晚餐是前一天晚上約七點進食 凌晨12點過後才就寢 白天上班時，用餐進食也容易覺得想吐 下班騎車也會因胃怪怪的導致呼吸困難 感謝楊醫師耐心閱讀及回覆 | 周小姐 您好 您的種況應該是因為食道逆流導致，建議減重，多運動多吃蔬果，還有也請您給腸胃科醫師檢視安排胃鏡檢查，謝謝您的提問。 | [
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12胸腔內科
| 其他 | 醫生想請問 最近幾天 常常會突然感覺吸不到空氣 喘不過氣來 需要用力深一口氣才會好 沒有胸悶症狀 目前喉嚨有一點痰但是咳不出來 跟一邊鼻子有輕微鼻塞 偶爾會乾咳 這是什麼症狀 | 您好 天氣不穩定也會有類似的症狀如果症狀持續存在仍建議到胸腔科門診就診並接受胸部X光檢查 祝 好 | [
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16腫瘤科
| 淋巴問題 | 請問一下醫生我的脖子左邊淋巴腫腫的，用手摸可以摸到很多顆，用眼睛看不出來，原本一開始我有合併其他症狀 發冷 頭昏 眼睛痛 左扁桃腺稍微變大 晚上睡覺流汗 疲憊 脖子動的時候會痛 拉傷那種痛 淋巴壓了也會跟著痛 有去醫院看診 吃了一個禮拜的消炎藥之後上面那些症狀都沒了，但是淋巴好像只有消一些，現在按壓也不會痛 第二次有照鼻子內視鏡 沒有發現什麼 只是我很疑問這會不會是什麼大問題，因為我的是摸到很多顆 | 應該只是局部發炎引起的良性淋巴結腫大建議觀察即可. | [
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5泌尿科
| 梅毒 | 我想請問醫生梅毒的空窗期到底多久了 我高危發生在25號之後就沒有了 在3月號的時候有去成大匿名篩檢 想問說就是1個月的時間了 梅毒驗出來是陰性 那準確率高嗎 因為網路上有人說要6個月 30天去 會有假陰性出現嗎 | 確實空窗期可能到3個月. 半年應該很少見 若有擔心. 建議還是要去看泌尿科繼續追蹤檢查. | [
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| 會懷孕嗎？ | 醫師你好，女友於216號生理期結束（沒有出血），而今天（218）有從事性行為且沒有戴安全套，射精時有拔出來但是還是有殘留在女友體內，正在猶豫要不要吃事後藥，女友的經期還算正常，經由PC（生理期推算app檢測今天為安全期且排卵日估計會在226來臨（app估算），請聽聽醫生的建議，這樣懷孕的⋯⋯機率還大嗎？現在是性行為過後的2個小時，女友還需要吃事後藥嗎 | 提問者您好 如果經期或排卵不規則的話，這次的排卵期不見得一定提早或按時間排卵，最好仍以事後避孕藥補救，但避孕效果也不是百分之百。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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| 骨折 | 醫生好，我大約15年前手肘和手腕因運動從高處摔下造成手肘粉碎性骨折和手腕骨折，當初有打鋼釘也已在數月後就拔除。但術後復健完手的可翻轉程度大概只有正常的一半。小時候因父母不允許再做任何積極治療，就只能接受這個狀態。想問現今是否有何做法還能再治療改善恢復到更接近正常的狀態？真的是困擾了自己很多年的問題，麻煩您解答，謝謝。 | 您好， 建議您到醫學中心找骨科手外科專科的醫師進行診療喔。我推薦彰化秀傳骨科陳信銓醫師。我有好幾個病患是類似狀況，轉介給陳醫師醫治好的 祝你康復 | [
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| 脊椎神經腫瘤 | 醫師你好 因為之前不慎跌到，以致屁股著地，起初感覺股溝附近及腰有疼痛感，但並非十分疼痛，於是前往臺大醫院骨科與三總的神經外科作檢查，也都照了x光，台大的醫生回答是骨頭可能有裂傷，但他叫我自己回家好好休養，並且開了消炎藥給我，而三總的醫生則照了更仔細的x光片，他指出那並非裂傷，而是我先天就有的，但也是叫我自己回家好好休養，也只開了消炎藥給我，而我現在受傷的部位也不痛了，四肢活動正常也無麻感，大小便也無失禁的現象，但我有下列的疑問 1. 我這樣算是已經沒事了嗎脊隨有傷害或壓迫到嗎 2. 要是脊隨有壓迫到，會是什麼感覺痛麻嗎 3. 股溝附近算是薦柱還是尾骨阿台大的醫生說是尾骨可是看圖像是薦柱阿 4. 若是不放心想要知道脊隨有無受到傷害，要使用什麼儀器，掛哪一科需自費嗎 以上是我的問題 謝謝醫生 | 1.應無脊髓或神經壓迫 2.會痛 3.尾椎 4.先作臨床理學檢查，神經科或神經外科皆可。 | [
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13肝膽腸胃科
| 肝硬化 | 醫生您好，我父親有肝硬化病史，已經在醫院追蹤多年，3年前有做過胃鏡，並未發現食道靜脈瘤，然今日回診的時候，有詢問醫生是否該再做一次胃鏡檢查，醫生說等排便有出現黑便的情況時再排胃鏡檢查。 我想請問醫生這樣肝硬化患者會建議定期每幾年做一次胃鏡呢？這位醫生這樣的作法是沒問題的嗎？謝謝您。 | 原則可2年一次。但若血小板明顯下降，或自費肝纖維化測量數值高20pka，則一年檢查一次。 | [
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15復健科
| 坐骨神經痛 | 幾年前坐骨神經痛，放很久沒去管 後來拉單槓吊著治好了 但是有個後遺症 我右側腿部柔軟度變很差 幾年前真的慘，坐在椅子上右腳要跨在前面放著時，都覺得那個臀部跟腿之間深處的筋很緊 這幾年間我常常坐在椅子上用電腦時，都會讓右腳往前跨在東西上練柔軟度 現在好一點了，但右腳柔軟度還是比左腳差 做深蹲 髖關節沒問題，硬舉 腿後側也可以 膝蓋沒彎的時候拉伸 右腳的臀部跟大腿之間的深處就是特別緊 做臥推時身體會做出一個弧度 常常臥推幾分鐘後，身體的前側 髖曲肌那個位置的筋就會突然出現一種無力的痛感，休息一下後就會消失 然後我發現我腿伸直坐在地上 右腳踝往外轉的時候，那個緊繃處會特別明顯 躺著時右腳踝往外轉的時候 也可以去拉那個地方 以前打籃球時如果有做側邊的跑跳，有時候突然間就會覺得胯下深處隱隱作痛 導致無法繼續，但往前方跑是可以的，休息一下之後才會好 這是啥問題啊 該做甚麼動作去拉開那個緊繃處比較好 | 坐骨神經痛、肌肉拉傷或韌帶肌腱等軟組織問題都可能引起相關不適症狀 實際情況需經現場診視才可正確評估 線上諮詢無法取代實際看診 請前往骨科或復健科就診以正確診斷並安排適當的治療方式 | [
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18放射線科
| 電腦斷層 | 請問一下 前一些日子 去做腹部電腦斷層有加顯影劑 他CT上面寫的輻射 CTDlvol DLP SD HELICALCT 14.00BODY 449.2BODY 7.5 NORMALCT 9.2BODY 1.8BODY DYNAMICCT 14.4BODY 2.9BODY HELICALCT 14.00BODY 449.2BODY 7.5 HELICALCT 14.00BODY 449.2BODY 7.5 HELICALCT 14.00BODY 449.2BODY 7.5 不好意思打擾 這樣全部大概是多少mGy 會不會提升致癌的風險 我很擔心健康的影響 | 您好 蔡惠予教授等人文獻指出歐盟16262 號報告所建議之電腦斷層參考劑量水平於一般腹部檢查的DLP為780 mGy.cm。您的報告呈現為449.2，為合理值。電腦斷層掃描與輻射劑量相關的參數主要有兩個，CTDI vol和 DLP。DLP Dose-linear product 用來評估受檢者電腦斷層掃描的輻射劑量。DLP（單位：mGy·cm） CTDI-Vol x total scan length。E＝k·DLP。轉換係數 k（mSv·mGy －1 ·cm －1 ） 與檢查部位有關。DLP 449.2mGy.cm如以成人腹部轉換係數ｋ0.015 換算後有效劑量E0.015x449.2 6.7 mSv。6.7mSv x4 約為26.8mSv。 根據國際輻射防護委員會ICRP103號報告指出，100毫西弗以下的劑量（包括一次或多次）不會造成臨床上的功能損害。聽從醫生指示接受輻射相關的檢查，是考量健康上的好處大於輻射的影響。如有疑慮，建議與醫師多做溝通後再接受檢查。千萬不要因為害怕輻射而逃避檢查，從而錯失了疾病的治療時機。 以上請參考，祝平安健康。 參考資料 蔡惠予等人 X 光電腦斷層系統之物理測試彙整建議：中華民國醫學物理學會電腦斷層工作群報告。中華放射醫誌Chin J Radiol 2009 34 173-184 | [
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0婦產科
| 月經 | 以前的月經量都是四五天才會慢慢結束 但是前三個月下來的量 發現三四天就開始減少 這個月的三天就快沒有了 沒有性行為 但是會自慰 請問這是多囊性卵巢的症狀嗎？ 初經時小六就來了 週期都很正常 只有月經越來越少的症狀 謝謝醫生的答覆 | 提問者您好 影響月經出血量的因素有很多，例如年齡、環境、生活作息、壓力、情緒不穩、體重變化、藥物、事後避孕藥、飲食、多囊性卵巢症候群、…等。建議您如果月經量持續減少三個月以上的話，再請婦產科醫師檢查是荷爾蒙失調或是其他原因，謝謝 祝 平安 健康 張 醫師 回 | [
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| 骨折術後 | 醫師您好， 我在4月7號發生車禍左手鎖骨遠端處骨折， 隔日實施開放式復位併內固定手術，自費使用鎖骨鉤鋼板， 4月16日拆線。 請教您： 1，一般使用鎖骨鉤鋼板，三角巾是否仍要長時間綁住，如果是一般需要綁多久？如果不用綁著，是否也還不能亂動？ 2，目前左手軸以下活動正常，時間上是否已必須開始活動，若活動會影響鎖骨鉤鋼板固定，以及骨折處癒合嗎？ 3，續上述，左肩是否也要開始活動呢？或者需等一段時間後再動才不會影響癒合呢？ 5，由於左肩酸痛，肩膀外側腫脹衣服接觸就會痛，晚上還無法躺平睡著，目前大多坐著睡，請問此不適感大概會多久？是否持續吃止痛藥？ 6，辦公室內工作一般多久可以回到職場？ 非常期待您的回覆，非常感謝您的時間。 | 1.要看骨折手術後固定的情況而定，如果固定的很好三角巾使用的時間會短一點，通常四到六週即可 2. 越早動越好但是也要看骨折手術後固定的狀況 3.肩膀也要動 4.可以吃止痛藥，時間長短不一 5. 六週左右 | [
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5泌尿科
| 睪丸問題 | 我想請問一下！！因為之前太愛玩，被朋友踢到睪丸！！ 現在一左側的變成橫的．．．．． 請問我該怎麼辦！？ ｜ ＿ 是否要做手術。 我很喜歡打籃球．棒球． 請問做完手術後是否打球會裂開等等的．．後遺症！ | 確實令人擔心假如外型左右對稱沒太大的異常應該沒什麼問題不過還是請到醫院找泌尿科醫師幫你檢查看看. | [
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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
] |
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