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11營養教室
| 腎病飲食 | 你好：請問洗腎病人，能補充善存綜合維他命嗎？與益生菌嗎？ | Dear 思之：您好！ 洗腎者仍應控制鈉、鉀、磷的攝取，而綜合維他命所含的量較高，容易攝取過量，不建議補充。至於益生菌的種類繁多，在製作時有的可能會加含磷的成分，因此也不建議食用。 洗腎者最應注意的是攝取足夠熱量與蛋白質，每一餐都要有高生理價蛋白質食物，如：雞、鴨、魚、瘦肉類、雞蛋、黃豆與黃豆製品以及透析特殊營養食品等。 祝 健康、愉快！ 衛生福利部桃園醫院營養科主任 施桂梅營養師敬覆 | [
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1精神科
| 藥物交互作用 | 吳醫師您好： 小孩服用癲癇藥物Divalproate sodium250mg500mg之後就情緒低落，抑鬱寡歡，常常將手指皮剝咬得血淋淋。看了醫生說是孩子喜歡疼痛，也沒給藥物治療。這已經3年了，周遭的朋友說可能是強迫症，必須服用藥物治療。但是孩子服用多種藥物，除了癲癇藥物也服用理思必妥，若在加上強迫症藥物，諸如百憂解之類，會不會有交互作用問題？再請問醫師抗癲癇藥物是否可能引起這些行為？若二、三年未復發需減藥又將面臨一次減250mg，是否又減太多？因這藥只有250mg500mg二種而已。 | 網友好： 情緒低落，抑鬱寡歡，常常將手指皮剝咬得血淋淋不見得是Divalproate造成的，臨床上我沒有遇過，教科書上也沒有提及。強迫症藥物藥物目前也都有新藥不太會有藥物交互反應，但是不是強迫症還是要再請教兒青精神科專科醫師。此藥也有藥水，很好調劑量，不用擔心一次只能調250mg。 吳恩亮醫師 | [
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0婦產科
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15復健科
| 肩部 | 陳主任您好： 我沒有操勞很多家事， 也沒有提重物， 但是，肩胛骨下方常莫名其妙酸痛 請問那裡出現問題了？ 可以復健嗎？ 謝謝您！ | 小姐您好 感謝您的提問在這邊先回覆您的問題並提供建議如下 一.實際來說肩胛骨內側及下方是肩胛內收之菱形肌Rhomboid majar 的附著點長期姿勢不良引起居多若是在肩胛下方附近還有是小面關 節滑動或發炎所致. 二.可復健治療.電療及使用藥膏.藥布必要時加上按摩及整瘠處理. 最後祝您平安快樂南投醫院關心您 | [
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5泌尿科
| 陰莖問題 | 請問 我和男友在炒飯時…他的弟弟折到了，但是還能勃起，但一直會痛…兩天了 這種情況需要就診嗎？還是自然會好呢？ 謝謝 | 小白 你男友的問題可大可小不能等閒視之 最好找專科醫師診治以鑑別 診斷 謝謝 | [
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5泌尿科
| 解尿 | 醫師你好 這一年來，行房後，隔日解尿就會痛，並伴有灼熱感，尤其以早晨第一次解的尿最明顯， 隨著解尿的次數增加，疼痛感逐漸遞減，再隔一日，解尿就正常不痛了，這是什麼原因呢謝謝 | 大東： 你好 可能是勃起造成的血管破裂。或者因為性行為造成的尿道炎。 也可能是因為勃起時神經興奮過度造成肌肉酸痛。 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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| 月經 | 上個月316月經結束 323開始腹部絞痛，維持約兩週 41出現假性月經，白帶加咖啡偏紅的血，只維持不到一天 最近跑步一下下就覺得左下腹有點拉扯感，微痛 肚子微凸 月經一直以來都很順，4月突然延遲 看了中醫，中醫沒說什麼 平躺在床上感覺不舒服 平常心跳也加快許多 從來沒有行房過，會懷孕？ | 您好 從來沒有行房過，不可能會懷孕，偶而月經不順，觀察即可，如果還有不適，建議看婦產科。祝健康 | [
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13肝膽腸胃科
| 胃食道逆流 | 醫生您好 我胃食道逆流已經快4個月胃試鏡.X光.血液檢查.超音波都做過檢查.胃鏡報告是說胃部有破皮.其他X光相關檢查都是正常.我與醫生說當時胃悶痛.偶而有胃酸上來到食道.但是次數不多.一週約12次. 現在服用NexiumPPI Gascon排氣 Domperidone加快胃部排空.前3個月因為沒有連續服藥因為症狀稍好轉就停藥.且中午吃飽就躺下.犯了禁忌所以當藥效過了就開始悶痛. 我4月初開始就再回診.醫生也驚訝認為我的病況怎還沒消除.就再開2週Nexium因為健保制度.只能再開2週的PPI.同時預約下個月再回診.同時我中午也改正習慣不再躺著睡.乖乖吃藥不間斷. 我現在症狀是雖然吃Nexium但是快到中午就會出現胃悶.所以昨天吃了一顆Gelusil健胃仙.感覺就好很多.可能就是胃酸造成我胃部不適 想請問您 1.Nexium不是抑制胃酸效果很好嗎.我怎還會有胃酸過多呢.還是說需要換藥 2.我可以配合3餐加入Gelusil嗎 3.像我這種情況.還需要再照胃鏡嗎 謝謝 | 您好 1.Nexium幾乎是目前抑酸能力最強大的藥物，只是每個人的「需求量」或有不同。有些GERD的患者，可能是需一天服用兩次，才足夠解除症狀只是健保不給付一天兩錠。 2.Prw需要時使用加入Gelusil是可行的 3.治療四個月後，是可考慮再用胃鏡評估。另外，胃癌胃破皮的部份也要看是否有幽門桿菌的問題。 祝健康 衛生署桃園醫院 陳奇峰醫師 | [
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6骨科
| 骨折 | 醫生您好 32跌倒第五蹠骨骨折，34開始從石膏改穿醫生推薦的護具鞋，但第二周回診時發現骨裂縫更大（第一張是32剛受傷的照片，第二張是316回診照）。平常護具只有洗澡時才拿掉，睡覺時繼續穿戴，但有幾晚會因為翻身睡覺關係壓到骨頭痛醒了，也不知道是不是因為這樣反而裂縫更大。 附上照片連結 httpsimgur.comalKJYP6M 想請問醫生 1. 目前使用護具鞋情況下是完全不能碰地嗎？因本來一週後要出國，醫生說非出國的話就穿護具行走，但我馬上取消出國了，至今第三週都在家並用單拐慢慢步行，這樣走路時不太會痛的。 2. 睡覺時骨頭被護具鞋壓迫疼痛是正常的嗎？是因為腳姿勢不良還是應該要拿下來比較好呢 3. 醫生提議我開刀，但能否繼續保守治療（實在不想動刀） | 可以繼續保守治療 但是要追萬一無法癒合就需要手術手術 | [
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| 菜花 | 醫生您好； 想請問，菜花抹樂得美到現在。目前自己摸起來是平的，沒有隆起凸點，但是肉眼看得到一條有點黑，隆起的小肉芽。因為我看網路有醫生寫說抹到沒有小肉芽，肉完全平就好。還是為了預防還要再抹呢？這樣菜花算好了嗎？ 謝謝您的回覆 | 除非接種疫苗後或自體「產生抗體」，否則無法根治，會再次復發。 | [
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| 想懷孕 | 醫師你好 想請一下上個月月經來是2月3日2月11日才結束這個月是3月10日來這樣週期是幾天 那這中間的排卵期是那一天 該那天做比較適合雖然過了但想知道是不是搞錯了曾經尋問過醫生但我誤以為月經週期是28天所以醫生告訴我月經來第一天算起到第1219天最有機會懷孕所以上個月是在2月14日到2月21日做我想知道有沒有做錯 我算過好幾年了月經來大概都是7天也有過8天但很少月經完後大概都是28天後才是下一次月經在來偶爾也有快或慢一到兩天 我預計這個月月經結束是3月16日下個月是4月13日來那想懷孕該那幾天做最有機會 週期不同是不是排卵期的算法也不同呢 如果去檢查卵泡是怎麼檢查是照超音波嗎費用會不會很貴 婦產科有在做男生的精液檢查嗎檢查精蟲數量跟活動力等.等 | 你好 想懷孕而嘗試多次未懷孕，可先請教你的婦產科醫師或請教有不孕症專長的醫師。建議你可以將3-6個月的月經時間紀錄一併帶給你的醫師，醫師會依你的狀況給予建議包括以你的情況用哪一種方式推算排卵為宜等。 先生的精液檢查可以在婦產科檢查。 謝謝 | [
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| 菜花 | 請問醫師： 我的包皮有點長但還能退下來露頭，三個月前在正上方的皺摺處發現了一小個增生物 只有一個，但好像有很慢的在長大，我很害怕不知是不是菜花，於是我就用剪刀把它剪掉因為不大只有不到1mm但它卻又慢慢的長了出來，我想請問： 1.菜花會只長一個小小的嗎 2.菜花從肉眼可見到長很大度速度有多快 | 真的是天才不到1mm的東西竟然也可自行操刀解決這下子證物也不見了下次再發生請留下來找泌尿科醫師看看至於是不是”菜花”很難說 | [
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1精神科
| 其他 | 我從臉書得到以前同學的訓息不過很可惜對方認為沒有聯絡的必要就傳訊息給我認為會造成困擾我就想既然如此我就收手吧不讓對方留下壞的印象我想做跟不做都心中會有疑問不過我想我可以收手了也許人有時後覺得人活得沒有意義時會想去做一些事讓自己生活覺得有意義對方的反應或許也在告訴我平時不經營人際關係臨時要找人大概情況就是這樣吧盼心理師給個意見 | 您好 尊重對方的感受是很好的做法，理解對方的感受和立場，為對方設想，長期而言，人際關係上會更順利。 | [
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| 避孕藥 | 醫師你好 近期我和男友在44的凌晨5點30分左右有發生性關係，在結束之後發現保險套有破掉，實際進入體內的精子也不知道有多少，當下也沒有藥，等藥局開門時買了后保寧吃，大約9點時服用，服用完後也沒有身體不適或是出血的狀況，平時的月經作息也都很規律，112、215、315基本上都五天左右，可是目前月經應該要來可是都還沒有來，偶爾感覺肚子悶悶的不知道是不是心理作用，很擔心是不是已經懷孕了自己確不知道…想問這樣的話懷孕的機率會不會很大 | 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。而懷孕初期不見得有特定的症狀，也無法用主觀的症狀來判斷。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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| 髕骨 | 您好 我有看過您之前回答"髕骨軟化症" 的例子依照醫師的診斷我是先天性的骨骼髕骨外翻而且兩腳都是而也做過復健但是沒有什麼改善所以請問如果"手術治療"是怎樣的治療法是將韌帶割開嗎 會有什麼後遺症嗎 | 您好 傳統上是在膝外側切在3.95公分的傷口再將膝外側筋膜作切開手術後遺症有5可能會包含膝血腫.膝無力.傷口感染等謝謝！ | [
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5泌尿科
| 包皮問題 | 醫生您好，我在520號以後接受包皮環切術後，傷口癒合差不多且不會痛時有自慰了一次，當時水腫病還沒消。 之後定期都會自慰水腫一樣都沒有消，請問要怎麼樣可以讓水種快速消除呢 還有因為包皮並未完全割除，所以在未勃起時包皮是可以包住龜頭，勃起才會露出龜頭，讓包皮包住龜頭時沒有不適，但是我發現時間一長，我發現癒合的那一圈疤痕會變緊，並且在往後拉的時候會有疼痛感，所以這算是內部傷口沒有完全好嗎是否要等水腫消了然後將龜頭露出不要包住 有甚麼藥品或是方法可以快速消水腫呢 | 小翔： 你好 看起來是疤痕造成狹窄，建議接受矯正手術。 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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15復健科
| 腳痛問題 | 今天下午開車時， 我的左腳還沒來得及伸入車內， 就被朋友開不好玩的玩笑， 朋友開車從反方向靠近我的車門 左腳小腿就被自己的車門夾住， 痛得幾乎斷掉， 我又火又慌張， 不知怎樣處理， 趕緊拿起富帝芬藥布貼上， 現在越想越不對， 因為我的腳走路一跛一跛的， 請問醫師碰到這情形應怎樣做？ 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.大致上來說被車門夾住應先行冰敷並抬高腿部. 2.建議可貼藥布.藥膏或是止痛藥在急性期也可以使用. 3.建議應至復健科或是骨科檢查是否有骨折或是其它傷害再進 一步治療. 最後 祝您 平安快樂 | [
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0婦產科
| 懷孕機率 | 924月經來928走 101∼105號都有發生關係 有帶套104app顯示危險期開始所以晚上結束有吃事後藥 19）105早上有在發生關係 也有帶套在關係完第10天害怕 有跑去驗孕 很快約三分鐘顯示一條線 這樣懷孕機率很大嗎 很害怕（ 有量體溫 都36度以下 胸部顏色正常 分泌物沒邊多 東西口味也沒改變 上廁所 一天大概不超過六次 喉嚨卡卡 咳嗽的時候有的時候會嘔一下 鼻塞 喉嚨有痰的算是症狀嗎有點像感冒那樣 | 924月經來928走 101∼105號都有發生關係 有帶套104app顯示危險期開始所以晚上結束有吃事後藥 19）105早上有在發生關係 也有帶套在關係完第10天害怕 有跑去驗孕 很快約三分鐘顯示一條線 這樣懷孕機率很大嗎 Ans 這樣懷孕機率不大 PS 很害怕（ 有量體溫 都36度以下 胸部顏色正常 分泌物沒邊多 東西口味也沒改變 上廁所 一天大概不超過六次 喉嚨卡卡 咳嗽的時候有的時候會嘔一下 鼻塞 喉嚨有痰的算是症狀嗎有點像感冒那樣 | [
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13肝膽腸胃科
| 肛裂 | 醫生你好，我是提問210875的患者，我昨天有去給醫生看過，醫生有看過我大便照片，說那個是鮮紅色的血絲 由於我在血便前的一個星期有腹瀉，而且肛門有輕微疼痛的情形，可能是這個導致的 1 我想請問我血便當下並沒覺得肛門疼痛，疼痛和血便有可能隔那麼久嗎？ 2 我血便的前一天晚上因為很想睡覺，就憋著大便不上，不知道跟這個有沒有關係？ 3 我這樣算肛裂嗎，我現在不痛是不是就沒有必要抹藥？ | 多是肛門小血管受損，無持續出血多無需再多治療。肛裂多是在排便時肛門刺裂痛合併出血。 | [
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| 肝臟問題 | 醫生您好， 在前年體檢檢查出胎兒甲性蛋白13.8 GOTGPT都高，照超音波醫生說肝粗粗的應該是肝纖維化，驗血沒有BC肝不喝酒所以判定是自體免疫引起的肝纖維化但不知道是幾級程度吃了一陣子藥後肝指數就恢復正常值。 最近去驗血和照肝纖維化檢查儀結果指數12說是初期肝硬化，但肝指數正常因之前血小板才6萬有在吃類固醇樂而爽血小板回到11萬，醫生說有在吃類固醇就不用另吃藥了半年檢查一次就好。 請問陳醫生前年到今年才兩年就從纖維化到肝硬化嗎？ 初期肝硬化真的不用再吃藥或如何維持不惡化呢？ 自體免疫引起的肝硬化有方法讓肝臟再恢復嗎？ 陳醫生謝謝您耐心看完。 | 妳的狀況比較特別，自體免疫性肝炎個人差異大，用藥也有不同，故必須依個人狀況而定。請多與主治醫師討論。 | [
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| 懷孕 | 不好意思醫生 一直很擔心所以一直重複提問⋯ 1216月經來7天後走 24日發生性行為 有戴套有吃事後丸（一顆裝）去網路上查為安全期 1228亂經 1231又性行為 有戴套有吃事後丸 網路上算是說最容易受孕的期間 後來檢查保險套無破裂 可是拔出來的時候 陰莖底部 保險套內有液體不知道是精液還是潤滑液 15號出血 血量少 呈咖啡色 16 早上血量偏多紅色 17咖啡色血量很少 頻尿是性行為前就開始了 早上有想吐的感覺 可是這幾天又沒有了 不確定是否為心理作用 17肚子漲吃不下又有點痛痛的 1.請問醫生憑經期血色量跟我述說的身體狀況能判斷是否懷孕嗎？ 2.我們做了2次 現在驗可以知道兩次都沒懷孕嗎？ 3.請問醫生為什麼一天咖啡一天紅又一天咖啡色的經血？ | 您好 事後避孕藥有些時候會造成亂經，懷孕機會應該不大，驗孕要受孕12天以上才驗的出，最好要做事前的避孕措施，如果還有不適，建議看婦產科。祝健康 | [
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| 避孕藥 | 醫生您好： 我是第一次服用事前藥。婦產科醫師開立溫不妊30，並叮囑從月經第二天開始吃（仿單寫第五天）。 我從 228 經期第二天開始吃，除 228 以外，服用的第二天、第三天都感到下腹部悶、脹痛，很像經痛的感覺（但通常經期第三天已經不會經痛），而且不像經痛一陣一陣，這個痛是持續的，請問這是副作用嗎？ 若是副作用，會建議我先將開封的這包吃完嗎？副作用帶來的不適會慢慢消去嗎？能否吃止痛藥止痛？謝謝！ | 您好 一般很少有這症狀，可以吃止痛藥看看，避孕藥要吃完，否則月經會提早來。祝健康 | [
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| 不正常出血 | 呂醫師您好 我的經期來的時間不是很固定， 不過，一直以來都落在31-40天之間 每次生理期來的總天數都為7天，沒有例外 這幾個月準備懷孕， 8月底選了幾種周期，算出的排卵期作功課（上次生理期第一天為810結束時間為816）， 有作功課的日子分別為 825、82731天的、82933天的、83135天的 91： 上廁所發現有血絲距離上次月經的第一天僅有21天， 92至今日912已11天一直都為鮮紅色，時有血塊，： 前三天幾滴血， 之後變為血量相較生理期為中少不算太多 （衛生棉很少弄髒，大多是上廁所時會排出足以染紅馬桶的血量＆血塊） 911 有買驗孕棒驗孕，顯示為未懷孕 在朋友的建議下，我有從97開始量基礎體溫使用的是傳統型的舌溫溫度計，每天早上睡醒未起身量的 分別為 9736.8度 9836.5度 9936.7度 91036.7度 91136.9度 91236.8度 不知道連續11天出血是什麼原因？目前好像也沒停血跡象，不知道會不會停止 麻煩醫師您了，謝謝您 | 回覆如下 在預定要來月經的日期之前就已經有陰道出血而且來的時間更長但是量偏少卻又持續不停有幾種可能 有可能是亂經例如睡眠不夠緊張壓力作息改變都可能導致荷爾蒙不穩定引起亂經.如果持續不停請到醫院治療. 也有可能是胚胎剛著床就流產由於胚胎在體內停留時間很短所以驗孕驗不到.可以休息幾個月再嘗試懷孕. 其他可能例如發炎腫瘤受傷等等請到醫院檢查確認. 桃園醫院 呂理政敬上 | [
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7耳鼻喉科
| 頭痛 | 我晚上睡覺躺側睡頭都暈要躺正的才不會暈，不知是不是我在一月底發生車禍的關係，而我的右耳朵好像的耳鳴，我也有去看醫生也是沒用，還是一樣會暈。 | 您好，聽您的症狀想要確定的是發生的時間以及持續時間有多久（每次，還有頻率？如果車禍有造成頭部受傷或是輕微腦震盪的確可能有關，不過聽你的症狀也有可能後內耳不平衡有關. 頭暈症狀排除器質性的問題後，功能上的障礙有時並不會立即恢復，特別是有一段時間的！ 所以，您還是應該要持續就醫遵從醫囑！ | [
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16腫瘤科
| 癌症 | 陳醫師 你好我媽做腮腺手術的化驗報告終於出了証實是High Grade的Mucoepidermal Carcinoma Of Parotid淺層那顆是癌有點連接了深層的表面而深層的那顆不是癌但都全割了報告又指出有淋巴血管受侵略 醫生說手術做得很好看來不似有擴散但因此癌很惡及復發性很高所以要做33次電療下星期一會照CT scan照完才安排電療的開始日期. 我有以下問題希望你能為我解決 1.手術既然做得好報告又指有淋巴血管受侵略即是否擴散因醫生說要發出來才知.是否沒有方法可知道如果擴散又會去了哪裡 媽的嘴唇有時紅腫或痕癢是否跟擴散或什麼有關 2. high grade是否一定復發如果復發能康復的嗎多少年不復發就表示沒事 3.醫生沒有說媽是第幾期是否須要知道是否很重要我見媽都精神只是瘦了十多磅. 4.食物方面西醫說什麼都可食中醫說不可食公雞鴨鵝紅肉蝦觸貝類油多的罐頭食物通通不可食. 到底有什麼可食不可食 電療前後有否分別 而媽是第幾期又有否關係 另外需要營養補充奶粉之類嗎 很抱歉我知我太多問題但這都是我心急想知道的謝謝你. | 您好 1. a.淋巴管應指附近的淋巴管內有癌細胞沿淋巴管可擴散至附近淋巴結再至胸管淋巴再至全身. b.不必考慮是否有方法知道其實最進的檢查也只能檢查到0.5cm的腫瘤一兩個細胞擴散到那裡是檢查不到的. c.嘴唇紅腫很癢應非擴散請醫師診查. 2. a.不一定復發 b.若復發必需再開刀切乾淨才能康復. c.通常3-5年不復發以後復發機率就降低很多但醫師絻不會保證完全沒事. 3.可請問醫師第幾期我個人認為不重要不管第幾期都必須配合治療. 4. a.營養方面西醫覺得什麼都可吃只要不刺激就好但体重不能繼續減輕. b.電療時口腔黏膜破裂進食會痛才必須喝高蛋白奶粉或用鼻胃管進食甚至打點滴. 腫瘤科陳斯榮醫師敬覆 3. b | [
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15復健科
| 背部問題 | 你好 自從年前的兩次車禍後一次是直接撞擊到背後腰部 另一次則是臀部先撞擊到地面 且撞擊力皆很大 造成常常會有背後腰部酸的情況發生 且造成無法就寢 因會酸到在床上翻 請問是有造成骨盆移位嗎還是別的情況呢 有看過醫生 但一直無效果 是否應該x照光呢 另外 不知為何我的右肩在疲勞時例如打電腦 開車 逛街等等 總會出現酸痛的現象 嚴重時連右側頸部 甚至右側太陽穴附近也會出現酸痛 請問是什麼原因 我以困擾很久了 可否詳細為答以上問題呢 謝謝 | 1.您可以照一下X光片，排除骨頭的傷害，另外骨盆的位移也是有可能，這必須當面看，並做些簡單的檢查。 2.您右肩的問題可能跟長期的姿勢不良有關，要調整一下姿勢。 很抱歉！線上回答似乎幫不上大忙，我想可能還得就近看一下醫師。 | [
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| 陰道問題 | 兩個月內復發四次，日常該注意的都有注意，請問陰道塞劑會殺死正常乳酸菌嗎？口服制黴菌藥的副作用為何？（看診醫師說會有肝病）如何可以根治？若不買很貴的大醫院賣的U-relex其他牌子的乳酸菌有用嗎 | 你好 陰道乳酸菌起著調節與維護陰道環境的作用，當它因感染、用藥等影響而量減少作用減弱時，就可能容易產生陰道感染等症狀。缺少保護菌的陰道環境，也讓陰道炎亦復發而不易改善，其實人體生病後，需要較長時間的復元都是類似的狀況。 陰道局部的問題，建議可先考量局部的用藥，反覆發作的黴菌感染，視狀況可選用抗黴菌口服藥，但須注意肝功能的問題。 乳酸菌選擇，可參考合法廠商資料。 減少疾病，以維護個人身體健康、改善不良生活習慣及遵醫囑正確用藥為宜。 謝謝 | [
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7耳鼻喉科
| 過敏性鼻炎 | 請問一下有關鼻中隔彎曲OR鼻息肉OR鼻竇炎，我之前有去中醫給他燒，後來效果不好然後當兵的時候一直頭暈很嚴重，後來去三軍醫院看他有用一支管進去鼻子然後說有急性鼻竇炎開藥給我吃後然就有比較好了就不去管他ㄋ不過最近鼻涕一直倒流然後感冒過後的23個禮拜都頭暈暈的持續一陣子想說去醫院檢查一下看看有沒有慢性鼻竇炎然後開刀因為我有鼻中隔彎曲順便一起治療可是我有是網查一下鼻病他說我有給中醫燒過鼻黏膜有破壞過要吃藥治療3各月才可以開刀不然會造成2次傷害。想問一下我這個情形要如何處理 | 您好： 不管有沒有給中醫燒過鼻黏膜 慢性鼻竇炎除非有明顯併發症 ㄧ般還是會先用藥物治療 用藥無效後才會考慮手術. 建議您還要是要請耳鼻喉專科醫師先做詳細檢查 以決定治療方向. 胡克信 | [
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0婦產科
| 子宮內投藥系統 | 醫生您好， 目前已接種葆貝疫苗兩次了，但我發現他這一批疫苗的保存期限，即將在我第三次接種時，剩下4天至5天就過期了，請問這樣快過期的疫苗對於第三次的接種會有影響嗎？會不會較沒防護力之類的謝謝醫生解答 | 您好 應該不影響。祝健康 | [
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| 腳痛問題 | 我騎機車因路面不平摔了一大跤， 我的左腳被機車壓傷， 腳踝上面的腳骨頭凹陷了下去， 又腫又痛， 我有冰敷也有擦非炎藥膏， 已經兩天了， 骨頭摸起來一直是凹陷的， 痛得不能再騎車， 請問醫師，復健可以治療嗎？ 謝謝！ | 先生您好 先感謝您的提問在這邊先回覆您的問題並提供建議如下 1.應先到醫院進行復健科檢查是否有骨折或脫臼的現象. 2.若有應先固定在作治療. 3.在家可泡溫熱水若無法解決可考慮復健電療或深部治療. 最後 祝您 平安快樂 | [
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6骨科
| 第五蹠骨折 | 醫生您好 31因跌倒受傷，32經骨科診斷為第五蹠骨基底骨折。 316回診時發現骨裂口變大，當時醫生建議開刀打鋼釘，我選擇保守治療二週，於330（距離受傷差不多快一個月了）回診時發現裂口已有80空間呈現灰白色，醫生表示有在長了可以脫掉拐杖並且穿護具鞋出門行走上班。 4月開始這個月我依舊在家辦公，每週僅有一天走路至超商買物品而已，在家有脫拐穿護具鞋於客廳，每天會有幾小時脫掉鞋子光腳稍微行走，腳步疼痛感跟地板筋骨僵硬都有極大改善，按壓骨折處也不太會感到疼痛了。 然而427回診時醫生說裂口又開了，要求我得動手術，並只說打鋼釘的好處和如果保守治療五月回診再開刀，只會增加困難度等等。從受傷到現在每次詢問醫生保守治療除了固定和較少活動，是否有其他治療方式增長骨頭癒合（例如營養補充，或是復健科的電療等治療）醫生都說完全沒有，只有開刀跟固定二擇一。 1. 想請問骨折滿二個月了，現在真的得只能開刀了嗎，因為醫生說很大機率不會再長，或是是否有其他非開刀的治療方式增長骨頭。 2. 這段時間是否不應出門走路，還是要繼續撐拐杖不讓基底著地以免裂口不癒合呢 | 一般來說，第五蹠骨基底骨折多半不用手術，只需約8至10週的石膏固定 石膏拆掉後，進行約4至6週的復健，就能恢復得不錯 少數病人因為骨折移位較嚴重或粉碎，無法以石膏固定達到良好的癒合 或是病人無法接受3個月的保守治療時，這時就可以考慮手術 建議可以門診諮詢其他醫師意見 謝謝 | [
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| 性行為後出血 | 醫師您好！不好意思打擾了！ 我上一次的月經126來1212號結束，於1225號進行無套性行為（無內射）後，當天上廁所就出現少量鮮血，且隔日變成咖啡色出血伴隨著陰道口時不時會感到搔癢，後來到今日（時至今日為止共4天）都有微量咖啡色的血（像月經後幾天那樣），出血量是越來越少但還是有出血，搔癢也變得沒那麼頻繁了，上廁所後馬桶邊偶爾有一點一點的咖啡色血，想請問一下我這樣是正常的嗎？ 謝謝醫師 | 提問者您好 影響月經週期或經期外出血的因素有很多，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、子宮或子宮頸病灶、感染、排卵、懷孕、流產、哺餵母乳…等，建議您如果症狀持續或加劇需請婦產科醫師檢查是懷孕或是其他原因，謝謝 祝 平安 健康 張 醫師 回 | [
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0婦產科
| 經期問題 | 請問一下我54號來的月經照理61號要來 但在530有吃抗生素再吃之前有白帶 吃藥的途中就沒了 到67號有性行為之後有出血到隔天沒血 69號才突然又有10號的量就很多 但之前會經痛這次沒有 這樣算月經來嘛 | 提問者您好 影響月經週期或經期外出血的因素有很多，例如環境、生活作息、壓力、情緒不穩、飲食、年齡、子宮或子宮頸病灶、懷孕…等。建議您如果症狀持續或加劇需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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| 腹部問題 | 醫師您好 小弟我肚臍下方1公分處至右下方3公分處附近最近按壓都會疼痛，洗澡用蓮蓬頭噴也會微痛，其他動作並不會痛，不是便祕的疼痛，最近10天有12次腹瀉，我28歲工作都是日夜顛倒的，也常睡眠不足，看了醫生醫生只聽我口述就直接回我是腸子的問題，開的藥我吃完了但還是一樣的狀況，請問我的狀況是什麼呢那裡疼痛跟脊椎側彎有關係嗎麻煩醫師幫我解答一番感謝 | 您好 輕微的腸炎，可以有這些症狀，若服藥沒有改善可考慮檢查大腸X光攝影，脊椎側彎要非常嚴重超過30度以上才會壓迫內臟。 祝健康 衛生署桃園醫院 陳奇峰醫師敬啟 | [
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| 避孕藥 | 1113生理期來第一天就吃了事前避孕藥，到今天1122和男友發生關係無套內射請問會懷孕嗎？我應該吃事後藥嗎？ 吃了事後藥後要什麼時候才能再吃事前藥？ 是吃了事後藥流血的第一天嗎？ 今天陰道分泌物還有一點咖啡色請問是什麼情況？ 我是第一次吃事前避孕藥牌子是愛斯利安摩依錠 吃事前藥之前有吃過事後藥大概五次7月到10月這之間吃的 | 1113生理期來第一天就吃了事前避孕藥，到今天1122和男友發生關係無套內射請問會懷孕嗎？我應該吃事後藥嗎？ Ans 應該不會懷孕 不需吃事後藥 今天陰道分泌物還有一點咖啡色請問是什麼情況？ Ans 子宮內膜不穩定 PS 我是第一次吃事前避孕藥牌子是愛斯利安摩依錠 吃事前藥之前有吃過事後藥大概五次7月到10月這之間吃的 | [
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2牙科
| 牙齒外傷 | 醫師您好，我大約月底想去做牙齒美白，已先詢問過是做牙托式的，醫生說那種可以每天自己套算方便，但她說做牙齒美白這一個月盡量不能吃顏色重的東西，以免也染進牙齒，包含綠色蔬菜，所以我想請問這樣不就只能喝白開水.吃白飯.吃白菜或高麗菜了嗎因為我現在是高三生，很看重成績很拚學業，請問如果只吃這四樣東西撐一個月，會不會精神不濟或頭腦不靈光之類的會影響讀書的情況牙齒美白我已想做很久，但不知道高三是不是個好時機，還是除了吃這些也能吃一些別的東西，想諮詢您的意見。謝謝您 | 牙托式的牙齒美白帶用的時間大致上多在晚餐過後，不在進食，然後帶到隔夜早上，如果擔心食物的色素影響美白效果，建議餐後該立即潔牙，只要保持良好口腔衛生，則帶漂白牙托一段時間，也比較不會有牙齦發炎的情況產生。 | [
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13肝膽腸胃科
| 胃炎 | 醫生您好 於上禮拜四518開始輕微拉肚子，519當天也有拉肚子，晚上開始覺得全身疲憊，520就醫，醫生診斷為病毒型腸胃炎，回家開始發燒發燒大概從禮拜六燒到禮拜一約莫三天、拉肚子，因止瀉藥吃了一樣還是繼續拉，522號回診醫生幫我換了另一種止瀉藥Lopedin Cap.，吃了之後確實沒有繼續拉，但變成嚴重便秘，而且肚子還是會持續悶痛、偶爾會微微絞痛，請問這樣是代表腸胃炎尚未復原嗎一般來說腸胃炎復原的期間會拉長到多久呢因為以前腸胃炎通常一兩天就會痊癒，第一次這樣…，還是要繼續回診呢 另外因為吃止瀉藥便祕的關係，我有恢復繼續吃益生菌，是可行的嗎 謝謝醫生回答 | 止瀉過強會便秘，需停藥。恢復快慢則因人而異，配合調整飲食，超過1個月則腸胃科門診進一步診查。益生菌若無不良反對則可使用。 | [
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| 乳頭和乳暈癢 | 你好我是男生20歲 之前就稍微有發現自己左邊的乳頭比較凸一點 今天早上發現左邊的乳頭可以擠出一些白色分泌物 不是液體是像擠粉刺那種白色乳狀物 晚上還是可以擠出一點 有人說可能只是一般皮下脂肪分泌 但還是有點擔心 想請問這樣有沒有大礙囉多謝 | 一般這是粉刺之類的生理構造.如果沒有惡化例如潰爛變成腫瘤又變平了.可以追 就好了.如果有惡化就要看醫生 | [
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| 手肘問題 | 施醫生你好： 瀏覽了『線上QA』後，發現曾經有其他人向您請教過類似的問題， 因此想向您請教相關的問題： 狀況1： 我的小朋友於6個月前受傷，左上臂接近手肘關節裂傷，急診時從手臂外打入兩支鋼釘，並且裹石膏5週。 狀況2： 石膏拆掉後1週，即進行復健。已進行半年了 狀況3： 至今，左手臂能伸直，但打彎僅能至80度上下臂夾角左右便無法再進步了。 最近再度尋訪其他醫院骨科醫生，該醫師認為可採取麻醉後復健是否就是一般所提到的「關節授動術」？ 我的問題1：這樣的醫療方式會否造成什麼不良的影響？例如神經或韌帶或肌肉等的拉傷或對生長板有無不良引響？ 我的問題2：這樣的醫療方式的效果如何評估？例如：手肘彎曲度能回復到什麼程度？或是多久的時間能見到效果？或這樣的復健會一次就OK嗎？還是多久的時間內必需重複施行多少次？ 我的問題3：這樣的醫療方式對小朋友而言適合嗎？我的小朋友5歲 希望您能看得懂我的描述，更希望您能撥冗幫我解答這些問題，又或者您有什麼樣的建議能夠建議我這個六神無主的憂鬱媽媽。 非常感謝 | 1.小心做應該對關節的活動度的改善有幫助。 2.評估就是看做授動術之前與之後的肘關節活動度的改變，通常是做一次，如果須要也可以再做一次。做完之後立即可以看到效果，但必須配合復健的進行才可以維持或進步。 3.這種方法是教科書上所記載可以採用的方法之一。 | [
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| 精蟲 | 我平常都有在看A片的習慣，但還不至於無法控制自己，DIY的時候，在怎麼弄就是無法射精，上網看了很多方法還是沒用，頂多是感覺到很興奮快出來的感覺而已，我是心態上有問題，還是我不夠了解自己勃起都沒有問題，包皮也都有在清洗 | KK 你好 應該是技巧性的問題。 換句話說，刺激不夠造成的。 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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11營養教室
| 營養諮詢 | 您好 我記得我吃水蜜桃的時候刺激到腦部，使我的記憶力增強 雞精與b群我有試過都沒水蜜桃來的好 這是馬上見效的 有一段時間我缺乏正常飲食，腦力不太好 發現水果依補充下去，讀書讀的非常厲害 我是不是已經達到了我想問的問題了 還是說醫生還有更好的營養方 | 您好 您提到您有一段時間缺乏正常飲食 可能會造成血糖偏低 血糖偏低當然會造成精神不繼 注意力不能集中 這個時後如果補充含水份及糖份的水蜜桃 當然會有助維持精神 雞精主要含微量氨基酸及電解質 B群主要是維生素 並不含糖 但是您如果只吃水蜜桃 不均衡飲食 長期還是會有營養偏差的問題 建議您還是三餐均衡飲食 並適量活動 這樣對腦力及體力都好喔 以上由衛生署南投醫院蔡秀雯營養師回覆 | [
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5泌尿科
| 陰莖問題 | 許醫生 你好 我看A片時，都可以勃起，也能順利射精 但在跟女朋友作愛前愛撫時都能勃起，但要插入時就會稍微變軟，如果換姿勢的話就會整個軟掉 我上次去嫖妓也是這樣的情況，那女生就問我是不是常打手槍 我想請問醫生說 常打手槍12天一次會發生這樣的情況嗎 我一個禮拜沒打手槍，跟女朋友作愛也還是有這樣的情況 這樣該去看醫生嗎 還是再多禁慾一段時間就會好 麻煩醫生您的回覆與幫忙 謝謝 | 小p： 你好 有可能是性功能障礙，需要做近一步的檢查。 註：手淫與性功能障礙沒有絕對關係。 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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| 預防注射 | 趙醫師您好 請問1.最近腸病毒及腦脊髓膜炎正在流行，請問是否有預防疫苗可打. 2.我的小孩現在約週歲，請問肺炎疫苗及A型肝炎是否需要施打. 謝謝您 新竹 apple 612 | A1.國內並未有常規在打這些疫苗. 2.如果居家環境清潔及水源均無問題 一般不需要打這二種疫苗. | [
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16腫瘤科
| 肝腫瘤 | 最近檢查出肝功能異常自己覺得不舒服 這23ㄍ月有咳不完的痰 想請問醫生肝癌及肺癌初期會有何症狀 謝謝您 祝平安快樂 | 您好 請直接照胸部x光及腹部超音波檢查. 腫瘤科陳斯榮醫師敬覆 | [
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8乳房甲狀腺科
| 乳頭和乳暈 | 您好，乳頭周邊長出一顆顆的小顆粒，看起來應該是蒙氏腺，請問要切除的話可以掛皮膚科嗎？ | Dear Jing 可以掛外科或皮膚科即可。 | [
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| 懷孕 | 我同學月經125號來 我們1217發生關系 沒戴套也沒有射 她月經應該12號來 懷孕機率大嗎 如果懷孕還有什麼方法補救 | 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，如果月經該來沒來超過1星期仍沒來，建議看婦產科。祝健康 | [
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10兒科
| 小兒科 | 兒子剛滿14個月 自從六個月後就常常身上起很多紅點 會癢 有時會消 晚上就更嚴重 可是我又發現好像每次玩到全身大汗時 紅點就會出現更多 請問這是異位性皮膚炎嗎 因為從來沒換奶粉 如果現在換水解蛋白奶粉會不會太遲 還有應該注意甚麼 家裡有養狗和貓不是我的所以沒有辦法不養 常掉很多毛 聽說有養小動物 紅點就永遠不會好 有這種說法嗎 謝謝 | 小英您好： 異位性皮膚炎的特徵是六個月以後出現皮膚疹子，聽起來很像歐。現在小朋友14個月，如果是很厲害的話再換奶粉，如果是輕微的異位性皮膚炎，注意容易過敏的食物盡量減少攝取，例如蛋白在這個年紀是可以吃了但還是少一點，蝦子蚌殼螃蟹這種有殼海鮮盡量延到2歲以上再吃，油炸食品和高熱量食物如巧克力糖果也盡量少吃，食物方面這樣就可以了。治療方面可以用類固醇軟膏加上止癢藥膏，一天兩次的薄薄使用，不會出現副作用，並且皮膚會好的很快。 | [
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| 泌乳素 | 醫生你好，5年前因為腦下垂體瘤，動過手術治療。2014年疑似腫瘤復發，2014年8月底經由放射加馬刀治療一次。從今年2月開始至今半年時間無月經。是否要接受賀爾蒙藥物治療呢？這一年來體重要急增7公斤，每個禮拜定期運動以及飲食控制仍舊瘦不下來。謝謝 | 提問者您好 依您的描述，建議先抽血檢查是否泌乳激素過高或其他內分泌異常造成，如果是此狀況應先檢查腦部與治療泌乳激素過高，而不是補充荷爾蒙。若不是此狀況則需安排其他檢查，謝謝 祝 平安 健康 張 醫師 回 | [
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0婦產科
| 懷孕機率 | 醫生您好 不好意思打擾您： 我於315吃完RU486第二劑，直至這兩天血都已經基本排乾淨剩下一點褐色分泌物 今天晚上有發生性行為，但有戴套（基本上檢查過套子沒破） 請問有需要補吃一顆事後避孕藥來防止懷孕嗎？謝謝您 順便想請教兩個小問題： 藥流後是不是會特別容易再懷孕？ 藥流後子宮復原期間再吃事後避孕藥是否會傷害子宮？ 感謝您的回答 | 您好 有做避孕措施應該是安全。祝你健康 | [
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5泌尿科
| 陰莖問題 | 最近剛和女友開始性關系，但我在做愛時陰莖都會軟掉，做的時候沒什麼感覺，但用手口會再硬起來，但進去不久就軟掉了. 自慰時都正常，國中時就割了包皮，網路上說割過包皮的人比較不敏感，不知是不是真的 身高173，體重112，工作常熬夜 謝謝您的回覆 | 胖子： 你好 可能是刺激不足，比如說，因為姿勢或者體型限制，造成刺激的強度不夠，當然勃起會受到影響。 另外，也可能是心肺功能不足，建議規律運動：每週3-5次以上，每次40-60分鐘以上，強度要足夠。 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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| 會懷孕嗎？ | 您好 我上次月經是1123晚上來一點點 1124來比較多 週期是30天 我121有跟男朋友接觸 但是是用手 不太清楚手上有沒有精液 請問這樣有可能懷孕嗎？謝謝 | 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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| 肺部問題 | 醫師你好. 我於91.6.10做建康檢查，照胸部X光片發現於左部肺下方有一圓形陰影， 直徑約5Cm於是便至省桃胸腔科作檢查，經電腦斷層後確認為肺部長出 的，因其所在處無法作內視鏡，而血液檢驗血紅素及血小板.都正常， 於電腦斷層看其未有結節，醫生請我將第一次胸部X光片資料調出，我將 89.12 X光片調出予醫生，兩張X光片其陰影大小相同，但醫師仍建議我要 將其開刀切除。 目前身體狀態皆正常，我想請問周醫師我是否有開刀的必要性。 PS無吸煙之癮 | 常見的肺部單一結節原因很多，可能的原因有癌症，結核病 ，隱球菌感染，結核病後遺症.等多種原因造成，依問題中所言，若確實大小在一年半間無變化89年12月至91年6月，惡性的可能性會減少，故在無症狀下，亦可採取密切追蹤胸部X光約2個月後，若欲有確實答案，恐怕亦需手術切片才有答案。 | [
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2牙科
| 洗牙 | 您好，人生中第一次洗牙 想問，洗牙完後（第二天），會流血是正常嗎？ 有時候吃東西就流血，睡覺醒來口水有血 感覺無時無刻都有在流血 | 您好 若本身無血液方面的疾病血友病.凝血功能不佳. 肝功能不佳.，導致流血不停。一般長期未洗牙的病友，其牙齦都會有慢性牙齦炎甚至牙周病的狀況，因此剛做完洗牙或牙周治療的動作，都會有些許滲血、牙酸軟敏感、牙縫變大的狀況。若還是很不舒服，建議先回原診所，請醫師檢查，看是否需要進一步開立其他口服藥幫助您症狀減緩。 衛福部臺中醫院牙科林佳詠敬覆 | [
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| 子宮頸癌問題 | 我於小切片發現子宮頸鱗狀上皮CIN3及腺癌微侵襲癌，LEEP手術後病理報告為子宮頸鱗狀上皮CIN3及腺癌原位癌切片邊緣很乾淨，沒看到微侵襲癌，手術醫生說這種情況很少見，不確定真的是微侵襲癌或組織採樣變形等因素，並已申請通過重大傷病卡，診斷證明書為1A1。幫我做大切片的醫生建議我盡快切除子宮不要拖，另一位醫生覺得可以再觀察，請問醫師切除與否要如何評估利弊得失為何感謝醫師的解答與耐心。 | 曾小姐 您好 子宮頸腺癌，通常往子宮腔長，比較不容易追蹤，若為IA，建議子宮切除。否則的話，要每3個月抹片追蹤，若又發現異常，則必須再大切片，或子宮切除。 | [
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6骨科
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7耳鼻喉科
| 扁桃腺結石 | 醫師您好 因為喉嚨覺得卡卡照了鏡子發現有一顆扁桃腺結石卡在那邊用肉眼即可看到.確定是扁桃腺結石.以前就有類似這種狀況.只是目前肉眼看的到的這顆很頑固不論怎麼漱口或咳嗽也用了吸痰的方式想吸出甚至自行用棉花棒沾水稍微戳一下都還是一樣卡在那邊. 又因為目前懷孕中25週左右 想請問是否等他自行脫落 有什麼方法可讓它自行脫落 因為用棉花棒去碰觸較深處的地方會有嘔吐反應進而引發肚子的不舒服. 以上問題 感謝撥冗時間回答 | Hi： 您好， 若無特別不適，可多漱口看是否會自行脫落，若無法自行清除，建議至耳鼻喉科診所請醫師處理較佳。 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
| 會懷孕嗎？ | 女友幫我打手槍後 我的手有沾到精液 用衛生紙擦掉後伸進去女友陰道內會懷孕嗎？女友經期已經遲到兩天這樣怎麼辦 | 1.女友幫我打手槍後 我的手有沾到精液 用衛生紙擦掉後伸進去女友陰道內會懷孕嗎？ Ans 很難懷孕 2.女友經期已經遲到兩天這樣怎麼辦 Ans 先驗孕 | [
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| 龜頭外露 | 醫師你好 最近才開始注意到自己有包皮過長的問題 勃起或未勃起都不會外露龜頭 經過數日的努力後首次在未勃起下拉到了冠狀溝沒有覺得任何不舒服 但發現冠狀溝有一圈紅紅的還有些滲血 可能是造成的傷口或是發炎？ 最近幾日每日都會想辦法克服敏感去清洗龜頭 在包皮外露的情況下勃起是否會造成鉗頓包莖 應該在包住的情況下勃起比較好？ 這樣可以不割包皮嗎？ 問題有點多麻煩了 謝謝 | 包皮的問題還是要現場看 建議 避免褲子穿得太悶熱了 勿久坐 要起身走走 多沖水. 不要洗太用力 建議只用清水清洗. 少讓龜頭接觸化學物質. 洗澡後用吹風機吹乾 小便後要擦乾並注意清潔 | [
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6骨科
| 股骨骨折 | 醫師您好： 目前於今年125發生車禍造成右大腿股骨粉碎性骨折，隔日進行手術開放性復位及鋼釘鋼板固定術，目前已術後四個月，近日回診醫師告知骨折尚未癒合，並且須持續以單邊腋下拐助行，以下有幾點想請教您： Q1 因一個月前術後三個月時有到復健診所進行電療、熱敷、體外震波、徒手治療等物理治療，復健師告知可以不用再拿拐杖，所以我已經放掉拐杖行走一個月的時間，我想請問提早放掉拐杖會影響骨頭癒合嗎？正確可以放掉拐杖行走的時間點應該以什麼做為判斷呢？ Q2 目前右大腿側邊常有抽痛的情形，請問這是正常的嗎？ Q3 請問飲食方面會影響骨頭癒合的嗎？該如何吃才能幫助骨頭癒合呢？ 謝謝醫師，再麻煩您撥空回答。 | 1. 應該要等癒合之後才能負重行走 太早走步使用拐杖 有可能讓骨折次再次斷裂 2.正常的 3.營養的食物都可以 也要補充鈣質 蛋白質 維生素等等 | [
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12胸腔內科
| 咳嗽 | 我想問一下 咳嗽兩個月了 我感冒起先是先有喉嚨痛 咳出綠色的痰 看病之後不舒服的症狀好了 痰也沒有顏色 但是咳嗽一直沒好 講話才會咳 講多了 咳嗽就越劇烈 喉嚨會癢癢的吐出來感覺是比較稠的口水 平常只要不講話不太會咳 運動跑步時 不講話也不會咳 我想問一下這有可能是腹部問題嗎 咳嗽兩個月了 | 長期咳嗽病因很多已看過耳鼻喉科醫師初步排除該科疾病如有胃酸逆流或慢性胃痛可看腸胃科最重要是掛胸腔科門診照一張X光片再請醫師為您診斷 祝 早日康復 | [
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15復健科
| 超音波治療 | 醫師您好 因頸椎椎間盤突出在診所做復健有電療加熱敷脖子拉脖子以及超音波儀器做左邊膏肓再上來接近肩部位置附近做塗抹治療. 剛開始還沒什問題但日子一久發現做完復健後隔天那部位的肌肉會緊繃一開始是自己做熱敷但效果有限近來開始吃鎮定劑來放鬆肌肉但也僅能維持幾天又要等到去做復健後才稍微有放鬆到. 因此想請問醫師有什可以達到長效果的方法嗎 還是復健就不做超音波治療了呢 謝謝醫師. | 您好： 超音波治療在臨床上是用來鬆弛粘連的組織、增進組織的延展度、提昇組織的彈性，促進局部血液循環， 也就是說它可以用來治療緊繃的肌肉， 其他的治療方式還有深層按摩、伸展運動及藥物等， 針對長期緊繃的肌肉需要應用多種方式一起治療， 也非 短時期可以見效。 | [
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0婦產科
| 避孕藥 | 張醫生您好，我吃悅己進入第四個月，中間沒有停藥或是漏吃，服用以來也沒有出現過任何出血狀況，僅有頭痛噁心副作用，126號開始新的服藥週期，但到26號開始分泌物出現一些些混合咖啡色出血，有上網先查說是排卵期但有也另一說避孕藥不會有排卵期產生。27近看了婦產科，但醫生看只草草說劑量不足再加開賀爾蒙劑量Provera 10MG 20顆 10天份，但又說了若吃了增加劑量下一週期可能會再突發出血。請問張醫生對此出血狀況看法及是否該服用加強藥物謝謝 | 提問者您好 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。依您症狀的描述，建議依照醫囑加服黃體素，若下週期有異常出血的話再請醫師檢查評估，，謝謝 祝 平安 健康 張 醫師 回 | [
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6骨科
| 坐骨神經痛 | 醫師您好 我目前懷孕15周 前幾年檢查出腰椎第四第五節受損 近期除了腰部容易痠 臀部梨狀肌周遭、大腿、小腿到腳踝骨頭 早上起床都會劇痛刺痛，僵硬，小腿以下腳麻 身體痛到無法移動，腳無法抬高、彎曲，躺著稍微好一點 但大腿小腿到腳踝處會有抽痛感 需在床上掙扎幾小時才能好轉起床 走路疼痛感尚可接受，走久小腿以下會麻 坐下起立有時臀部會刺痛拉扯感 去看骨科診所，因懷孕無法照X光 醫師只能開止痛、B1B2服用 兩天復健電療一次、在家熱敷，每週回診注射B12舒緩 之前注射B12臀部稍微舒緩，但現在吃止痛藥注射已無效 每天早上都痛到哭 想問醫師是否為坐骨神經痛？注射葡萄糖是否有效，或是有無其他辦法，謝謝您 | 您好， 懷孕期間腹部變大，腹內壓較大會影響原先脊椎病症狀的嚴重度，目前只能多休息，症狀治療待孕期結束再看症狀變化有無進一步處置之必要，若是神經有結構性壓迫，注射葡萄糖無多大幫忙。 彰化醫院 關心您的健康 王守吉 | [
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5泌尿科
| 割包皮術後 | 醫師您好 想詢問包皮龜頭黏連的問題 我於2年前左右割過包皮 本來是完全包莖，而去割包皮的契機是因為發炎，尿尿會痛 割完後醫生表示說，剩下沾黏的部分撕不開了，就看之後做愛能不能把它撕開 但是無法 因沾黏與沾黏之間的小冠狀溝處清潔不易，且會發癢 想詢問醫師，這是否能處理呢？ 另外還想問，割完包皮後，一直到現在 龜頭表面不是平整的，且從最嚴重的冠狀溝沾黏處有延伸一條摸起來粗粗的區域，一路延伸到尿道口附近，每次都會去想把它摳掉撕掉，但就會形成小傷口，或是之後就會又重新長回來 想詢問醫師，這是否也能處理呢？ 還是就只能這樣了 感謝 | 您好 您的問題是多次發炎 結疤 清潔維持較不易形成. 如果有嚴重的情形建議整形醫師 當然大醫院的泌尿科也能處理只是要看醫師有沒有此方面的專長 處理後可以改善多少請與醫師討論. 祝健康 | [
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4心臟血管專科
| 心跳問題 | 你好醫生我經常胃部中位置對上有一下收縮心跳嘅感覺！之後喉嚨兩個鎖骨嘅中間會跟隨有心跳一下感覺！發作嘅時候摸着頸脈搏本來規律跳到抽搐嘅時候會跟抽搐的頻率一樣！發作時候心率65-75想問究竟係胃定係個心有問題？一天發咗大概20幾次每次都係一下跳動就冇啦！本身有胃病有問題！謝謝你醫師 | 您好 或許除了胃有問題外 還有些陣發性心律不整 心有無問題難說 建議至心臟科門診進一步檢查為宜 為您禱告 平安 彰化醫院關心您 | [
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17眼科
| 近視雷射手術 | 我右眼散光250度近視100度，左眼散光450度遠視100度， 可以用開刀方式矯正嗎 | 說明：有嚴重散光，而右眼近視、左眼遠視，故先確定是否有弱視，如無弱視應可雷射開刀矯正。建議與開刀醫師詳談。 | [
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4心臟血管專科
| 新冠疫苗 | 主任您好，想像您詢問說，在打完第三劑疫苗輝瑞、輝瑞、莫德納後出現胸悶、呼吸急促，有時會喘等症狀尤其喝到咖啡時特易發生。此症狀已有約2個月的時間，近期剛好做健康檢查，靜式心電圖的報告顯示"竇性不整脈"，約2年前健檢時為正常，這有可能與疫苗有關嗎 另前陣子掛號看診，看診醫師說有可能為二尖瓣脫垂，這也跟疫苗有關嗎感謝主任的回答。 | 疫苗與二尖瓣脫垂無關。 如果症狀未改善，請至醫院做詳細檢查。 | [
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| 懷孕 | 醫生您好： 女友月經從1123∼1128來了6天，週期大約都是30天。 1130∼123都有親密接觸 第一次我用飛機杯打手槍的時候有把飛機杯的尾端靠在女友的下體模擬愛愛，可是不小心滑掉彈出來，女友和我都沒有感覺有接觸到對方，可是怕有分泌物彈出來彈到他下體，目測是沒有白白的東西，如果有不小心彈到的話會很危險嗎？ 第二次我在打手槍的時候女友坐在我右邊的大腿上，我只有碰到他的大腿沒有接觸到下體，後來我就到旁邊打到射。 第三、四次我都是褲子脫掉就把套子戴上，然後有頂她，過程約都是5分鐘，然後都到旁邊打到射，也都有灌水確認套子沒破。 女友預計是1223要來，目前還沒來，可是有胸部漲按壓到會痛的情況，請問這樣是快來前的胸漲機率高還是懷孕漲的機率高？ 請問上述的情況會懷孕嗎？ | 女友月經從1123∼1128來了6天，週期大約都是30天。 1130∼123都有親密接觸 第一次我用飛機杯打手槍的時候有把飛機杯的尾端靠在女友的下體模擬愛愛，可是不小心滑掉彈出來，女友和我都沒有感覺有接觸到對方，可是怕有分泌物彈出來彈到他下體，目測是沒有白白的東西，如果有不小心彈到的話會很危險嗎？ Ans 不會很危險 第二次我在打手槍的時候女友坐在我右邊的大腿上，我只有碰到他的大腿沒有接觸到下體，後來我就到旁邊打到射。 第三、四次我都是褲子脫掉就把套子戴上，然後有頂她，過程約都是5分鐘，然後都到旁邊打到射，也都有灌水確認套子沒破。 女友預計是1223要來，目前還沒來，可是有胸部漲按壓到會痛的情況，請問這樣是快來前的胸漲機率高還是懷孕漲的機率高？ Ans 快來前的胸漲機率高 請問上述的情況會懷孕嗎？。 Ans 不會懷孕 | [
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| 懷孕 | 我上次月經來的時候是225那週，一項月經都很準時，週期都落在32-33天，預計排卵日是312 我在318時有發生性行為但是沒有內射，隔天馬上買安立婷事後藥吃（時間未超過24小時），我想詢問這樣子我會懷孕嗎？ | 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，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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| 藥物諮詢 | 請問一下： 最近經血量少且在嘴巴周圍不斷長痘痘﹝下巴最嚴重﹞，醫師給予Doxymicin、Lunar、Tengen 使用，且表示要連續吃三個月，請問一下療程一定要三個月嗎？且其中一顆好像是避孕藥，吃了以後會不會造成不孕 | 小姐您好 感謝您的提問在這邊先回復您的問題並提供建議如下 具體之療程由醫師視病情之需要而定另有關其口服避孕藥部份 不會造成其不孕請不用擔心太多. 最後 祝您 平安快樂 | [
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10兒科
| 副食品 | 醫師 我想要請問一下因為平常在家都是我跟我太太在顧小朋友那我要怎麼觀察小朋友是不是肚子餓然後他下一餐要什麼時候吃 | 家長您好因近日事務繁忙故晚回請見諒 一般3個月內嬰兒約3-4小時餵一次奶 一天餵奶次數約6-8次剛出生的嬰兒會需要較多次的夜奶 但寶寶半夜哭醒除了肚子餓或是正常生理現象身體的不舒服也會哭. 總奶量每天每公斤約需要150 CC 左右。寶寶肚子餓，除了哭之外可會出現類似尋乳反射，這時將奶瓶拿靠近寶寶、或是餵母乳的媽媽將乳頭靠近他，肚子餓的寶寶就會出現覓乳反應 . 3-4月大後添加副食品除了與大人一起吃的正餐外 2-3次的餵奶是OK的. 希望有回答到您的問題謝謝 部彰 鍾瑞賢醫師 | [
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12胸腔內科
| 呼吸窘迫症 | 醫生您好，我本身有先天性的心室中膈缺損，小時候有經由洪啟仁醫生診斷表示無須開刀，自然恢復之可能極大，所以我也就不太去理他了，但是最近呢我和平常一樣會打球籃球運動，也沒很激烈，但在我打完球後，開始感到明顯不適，嚴重耳鳴，眼前慢慢變黑，覺得有在呼吸，但卻吸不到空氣，每走一步路感覺就更加明顯，事後，這些症狀已經疏緩，但卻換成胸口，會有間接的，悶、呼吸困難，走路走不了多久，就會覺得喘，胸口悶痛感就會變的更加明顯。 | 您好 請先至心臟科檢查、診療。 | [
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0婦產科
| 子宮問題 | 醫師您好： 我想請問您，若我到婦產科檢查，醫師有開給我FROTIN SUPP的外用藥，治療時間有何注意事項嗎？例如：一週之內不能有性行為.，或不能喝咖啡、茶.等？ 還有，我看了兩家婦產科，但講法都不一樣，該怎麼判別？ 生理期間的後面幾天，即經血量少的一、兩天，到底可不可以有性行為？ 不是說只要有性經驗開始，每年都要做子宮頸抹片檢查！？是第一年開始嗎？還有，現在是每個女生都可免費檢查，還是只有已婚且達35歲以上的婦女有這樣的免費服務？ 謝謝您的回答。 | 我想請問您，若我到婦產科檢查，醫師有開給我FROTIN SUPP的外用藥，治療時間有何注意事項嗎？例如：一週之內不能有性行為.，或不能喝咖啡、茶.等？ ------ 白帶常常是生理性的，尤其是排卵前後。這不一定要用藥。 如果是細菌性或霉菌性或陰道滴蟲的感染，則需治療。這要看看診的醫師怎麼說。 FROTIN SUPP是治療滴蟲的塞劑。 另外，白帶多常是身體性寒﹝冷身﹞，如果太累了，吃太冷了，或太晚睡了，會比較厲害。 還有，我看了兩家婦產科，但講法都不一樣，該怎麼判別？ ----- 這個嘛，妳問我，我不曉得要問誰呢。 生理期間的後面幾天，即經血量少的一、兩天，到底可不可以有性行為？ ----- 是可以，不過這時加用保險套，可能好些。 不是說只要有性經驗開始，每年都要做子宮頸抹片檢查！？是第一年開始嗎？還有，現在是每個女生都可免費檢查，還是只有已婚且達35歲以上的婦女有這樣的免費服務？ ----- 有性行為後，應每年做一次抹片。健保局是規定婦女三十歲後，可每年免費做一次抹片。 | [
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3藥物
| 藥物諮詢 | 我因為椎間盤突出.引生出許多的疼痛. 我現在服用以下的藥物.想問問會不會有後遺症. 普服分PURFENF.C TAB 400G 每餐三顆.但疼痛並不會因此而減低. 景德舒體 STICINETAB 2MG ”KINGDOM” 每餐一顆.但服用後會出現嚴重的疲倦感. 不知道這樣的服用藥物.會不會產生巨大的後果.謝謝 | 網友您好，我是鄭藥師： 您的來信中提到，您因椎間盤突出，引出許多疼痛，並服用下列二種藥物．1.普服分PURFENF.C TAB 400G 每餐三顆.但疼痛並不會因此而減低. 2. 景德舒體 STICINETAB 2MG ”KINGDOM” 每餐一顆.但服用後會出現嚴重的疲倦感. 3.不知道這樣的服用藥物.會不會產生巨大的後果.謝謝 若有更多資料，將能更清楚回答您的需要． １． 不知您年齡及體重 ２． 來信中有些不是很清楚您的使用劑量 ３． 有些不知是否錯別字．（如”g” or “mg”） “STICINE” OR “STIDINE” 本人依產品的說明書及MIMS簡明處方的部分內容加以回答． １． 普服分PURFENF.C TAB 400G 每餐三顆.但疼痛並不會因此而減低 答：普服分（PURFEN）F.C TAB 400 G 每餐三顆 是否為（PURFEN）F.C TAB 400 MG 每餐吃三顆，那一天吃幾次呢 依PURFEN F.C.400 MG Ibuprofen的說明書提到 本劑為非類固醇抗發炎藥，並具鎮痛效果． 【適應症】： 消炎及鎮痛慢性風濕關節炎，關節痛及關節炎，神經痛及神經炎，背腰痛，手術及外傷後． 【用法用量】： 類風濕關節炎及退化性關節炎： 成人建議劑量：一天劑量1200mg到3200mg 400mg一天三次或四次 一般劑量3040 mgkgday 分34次服用． 病情較輕之病人用20mgkgday即可． 超過50mgkgday安全性尚未建立，不建議使用． 【注意事項】： １． 對本劑過敏者禁止使用． ２． 胃潰瘍及胃腸出血之患者應小心使用本劑． ３． 本劑偶有造成體液滯留，或水腫現象，因此高血壓及心肺功能不全患者應注意使用本劑． ４． 本劑與其他非類固醇抗發炎藥物相同，會抑制血小板凝集，進而延長流血時間． ５． 本劑會影響肝功能檢查的結果不正確． ６． 本劑偶會引起無菌性腦膜炎病例． ７． 長期服用本劑會引起急性腎間質炎的可能． ８． 本劑會增加Methotrexate的毒性，亦會降低Furosemide的利尿效果． ９． 本劑會增加Lithium血中濃度． １０． 懷孕或授乳之婦女不可使用本劑． 【副作用】： 本劑偶會引起不適，但發生率很低．同時亦有極少數的患者會有頭痛，神經質，皮膚潮紅，食慾不振，及水腫等現象發生． 2. 景德舒體 STICINETAB 2MG ”KINGDOM” 每餐一顆.但服用後會出現嚴重的疲倦感. 本人上網依英文STICINE找不到資料，再用舒體找到舒體絲 中文“景德”舒體絲2公絲 STIDINE TABLETS 2MG “KINGDOM” Tizanidine.專治神經疾患所引起之痙攣症狀疼痛性肌肉痙攣. 若網友使用的是STIDINE本院無使用此藥因此查資料 則依MIMS簡明處方的部份內容簡介如下 TIZANIDINE （STIDINE 景德藥廠） 【適應症】 神經異常庝痛性肌肉緊張引起的痙攣. 【用法用量】 庝痛性肌肉痙攣每日3至4次每次2至4毫克 神經異常引起的痙攣每日最佳劑量12到24毫克最高劑量每日小於36毫克. 【注意事項】 腎臟或肝臟功能受損的病人必需調整其劑量.開始治療時病人會有思睡的現象應告知不要進行需高度警覺性的活動比如開車或操作機械. 對孕婦哺乳及兒童安全性仍未知不建議使用. 【不良反應】 副作用包括思睡疲勞頭暈口乾噁心及輕微的血壓下降.除此之外可能發生肌肉虛弱及失眠.曾觀察到低血壓及心博徐緩的例子 3. 不知道這樣的服用藥物.會不會產生巨大的後果.謝謝 【回答】每個人的體質不同無法因此給予一定的回答不過還是小心服用若有任何不適應回醫師處診療. | [
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5泌尿科
| 龜頭問題 | 醫師您好 去年11月龜頭有紅點不痛不癢但有日漸變多，去醫院看開了四益乳膏給我，擦了約一個禮拜看起來好了就沒擦，過約一個禮拜又起紅點這次變得會癢而且有白白的垢，我又開始擦藥，這次擦了一個禮拜好轉之後又保險起見在擦一個禮拜確認沒事才停止。 不過過了一陣子又起紅疹，這次不痛不癢沒有白垢，又繼續擦藥，之後就紅疹變淡，充血時才比較明顯，這次就一直維持淡淡的紅疹但是就是沒有完全消失。 因為擦藥不見效果暫時停藥，現況是這幾天紅點又變多變明顯的感覺，一樣不痛不癢。 期間我停止自慰，洗完澡會擦乾上完廁所一定用衛生紙擦乾，情況允許還會用清水沖洗，沒有過不潔性交，只有跟女友做過且都有戴保險套，但發病後也停止性行為。 家族沒有糖尿病史，體重也沒有過重，平常包皮包著沒有割包皮，但充血時一樣可以掀開。 目前除了紅點又變多沒有明顯不適但就是無法解決不知道應該要怎麼辦，需要再次回診嗎？ 有可能是藥擦太多嗎？還是就是龜頭炎沒有痊癒？ | 您好 如果擦藥改善 停藥又復發 應回診 生活的注意一定要嚴格重點是清潔及乾燥飲食要清淡內褲要寬鬆些洗浴水溫度不要太高 包皮潮濕易龜頭發炎再犯 您的情形有可能是未完全好就停藥 擦藥時薄薄一層就好 有進步可一天擦藥一次 祝健康 | [
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