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0婦產科
| 是否懷孕 | 醫生抽血檢查後說是典型多囊性卵巢，回診時醫生開了21天黛麗安給我吃 他告知我當天吃就可以，21天後再停藥7天 當天剛好是我月經週期結束的第一天. 吃到現在12天，第一次內射 每天很規律固定時間 沒有忘記吃，有感到強烈胸部腫脹 只是還是有點擔心是否有懷孕的機率，因為好像聽說第一次吃避孕藥一個月之內都算危險，且開始吃的週期時間好像也不太對. | 您好 懷孕的機率不大，繼續服用黛麗安。祝健康 | [
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5泌尿科
| 陰莖問題 | 醫生您好，我最近偶爾陰莖龜頭後面，陰莖中段的前面深處會感到類似抽痛的感覺，但是感覺不會很強烈，用手按壓不會疼痛，之前有每天手淫的習慣，且稍微有頻尿的感覺，偶爾尿完之後沒多久又會跑廁所，但是量很少，請問醫師這是什麼方面的問題呢？謝謝醫生。 | 您好： 如果沒有排尿問題，抽痛可能是神經問題，持續痛可能是受傷，有排尿症狀，要驗尿排除一些問題，如果排尿症狀輕微，多喝水，飲食要注意清淡，飲料暫時勿用。觀察看看 。祝健康 | [
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5泌尿科
| 尿道感染 | 杜醫師您好 我大約三個禮拜前因為包皮搔癢、小便灼熱感到泌尿科診所就醫 擦了美康藥膏、吃抗生素Cephalexin一個禮拜後大致上恢復 不過近期又偶爾覺得小便有點灼熱感 然後前幾天DIY的時候，因為蠻興奮的DIY了2次 結果第2次的時候射出來的精液有一小塊血塊. 想請教： 1.請問偶爾覺得小便灼熱感不是每次，是否有重複感染可能性呢 2.最近常覺得腰痠，不知道會不會跟泌尿感染有關呢 3.請問精液裡有一小塊血塊是正常現象嗎從來沒發生過 若否，是否跟先前的發炎有關呢還是會是其他的問題呢 還請杜醫師撥冗解答，謝謝！ | 您好： 1.請問偶爾覺得小便灼熱感不是每次，是否有重複感染可能性呢---》有可能，只是程度不重，要確認建議檢尿，如果只是一次排尿問題，多半非感染 2.最近常覺得腰痠，不知道會不會跟泌尿感染有關呢---》如果持續或發生其他症狀，可能是 3.請問精液裡有一小塊血塊是正常現象嗎從來沒發生過--》臨床長見，多半問題不大，但仍應就醫。祝健康 | [
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5泌尿科
| 陰部問題 | 一個月前洗澡的時候忽然發現我的睪丸和陰莖長出了一些類似黑痣的斑點.有些還會從小慢慢擴大.其他地方例如小時後就有的小黑痣也慢慢擴大.這是不是性病啊？我現在有點緊張不知道要怎麼辦？如果要去看醫生是要看皮膚科還是泌尿科啊 | 到醫院找泌尿科醫師看. | [
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5泌尿科
| 濾過性病毒 | 許醫生 請問一下 我今天因為肚子很痛，所以在外面再坐式馬桶直接大便，因為很急一開始沒有注意到，坐墊前方有一片不明液體，如果我的龜頭有碰到的話，假如這不明液體有hiv病毒，我會不會感染愛滋如果沒碰到的話是不是就沒事了 | 顏先生： 你好 若龜頭碰到，而且該分泌物很新鮮，那確實有機會得到。 只是機會很小。 一般愛滋病毒，離開人體後，1小時內就死亡。 在乾燥的環境中，可能15分鐘內就死亡。 補充一下， 1.這種接觸，若沒有傷口，一般不容易感染。但若有微小傷口，則有機會感染。 2.若擔心，那就3個月後做愛資病篩檢。 註：疾病管制局在各個縣市，都有合作醫療院所，可以做匿名愛滋病篩檢，你可以上疾病管制局網站看一下，有醫療院所名稱、愛滋病相關衛教，還蠻詳細的。 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。 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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| 大便相關問題 | 已經連續一個月 大便鬆軟一沖就會散開，整個馬桶都被染色，這樣是正常的嗎，還是可能是因為甚麼疾病引起的，以前不會這樣，而且還常常看到食物殘渣像是菜、紅蘿蔔之類的，不管吃甚麼菜都會在糞便中看到殘渣，都已經搞不清楚糞便表面紅紅一點是沒消化完的食物還是摻血了… 去年照大腸鏡檢查有非特異性腸炎 但沒具體說是哪種，請問跟這個原因有關嗎？ | 應只是大腸激躁症，必要可就醫檢查糞便潛血用藥。平時進食多咀嚼。 | [
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| 關節 | 幼時無名指被窗簾瞬間拉扯所以使指末端關節輕微的脫位，眼睛來看則無名指末指節向中指位置偏移，除以上無異狀，復健科醫師說難以回復但可向骨科嘗試詢問，想知道能否使關節復位 | 您好 手指的受傷 在第一時間就該處理 效果會最好 如果己經變形超過三週 常常無法回復 若變形的情況會影響日常生活 那就須要手術矯正 這會有關節僵硬的後遺症 若有疑問 請進一步至骨科門診檢查為好 謝謝 | [
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13肝膽腸胃科
| 大便黏液 | 醫生您好： 這一個禮拜有點便秘（都一小顆粒）或是想上廁所，座很久卻上不出來，也發現肛門都會流出黃綠色的黏液（約一個禮拜了），肛門口有一點點痛，大便中也會參雜白色還有黃綠色的整坨黏液在裡面，後來離家近有去桃園敏醫院去看診肝膽腸胃科，醫生有看了一下說沒特別傷口，也沒看到類似留濃的液體，只有一個小外痔（可能因為我出門看診前怕醫生檢查肛門所以有先去做清洗的動作才去醫院就診），後來醫生只開消炎藥就回來了，回來後肛門黃綠色黏液還是有在流出😦，是不是身體有些問題，這需要照X光看腸胃嗎？還是再換一間醫院做檢查呢？ | Hi： 您好 大便有黏液。便秘、排便疼痛、有黃綠色分泌物、外痔。正常的排便是可以有黏液，如果黏液過多有臭味，要懷疑有無發炎。可檢驗糞便有無癹炎，如沒改善，黏液仍多，也可至大腸直腸科追蹤有無肛裂，發炎，膿瘍情形。 祝 健康平安 衛生福利部桃園醫院 內科主治醫師 林明慧 謹上 | [
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| 脊椎 | １９９１０７ 有誰找的到脊椎生長板的癒合圖阿？因為人家不是說只要脊椎生長板癒合的話，那就不會在長高了， 那我剛剛好有，因為生病兒照了Ｘ光有照到脊椎，可是卻又不知道脊椎癒合長什麼樣子．所以拜託你了． 總之．．．我就是要脊椎生長板已經愈合的Ｘ光圖． | 親愛的Tina 可以來署立嘉義醫院骨科門診，我翻textbook的圖給你看。如果你只有14歲，那麼身高還有一些成長空間，只不過女生的growth spurt在國小五六年級，過了青春期在長高往往很有限，而且很慢。 | [
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| 睪丸問題 | 1.右邊睪丸比左邊大一點正常嗎2.陰穰一定是左邊比較低嗎，我的有時候右邊比較低，正常嗎3.睪丸扭轉是陰穰一直縮著不會鬆弛然後越來越腫嗎4.睪丸的方向會不一樣嗎 | 您好 1.右邊睪丸比左邊大一點正常嗎--常見有症狀如變大疼痛應就醫確認 2.陰穰一定是左邊比較低嗎--不是，我的有時候右邊比較低，正常嗎----常見有症狀應就醫確認 3.睪丸扭轉是陰穰一直縮著不會鬆弛然後越來越腫嗎--很複雜 有血管的問題造成血液不流通 4.睪丸的方向會不一樣嗎--常見 有症狀應就醫 祝健康 | [
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6骨科
| 骨折 | 王醫生你好，想請問目前術後6周，X光顯示復原良好，但還沒完全癒合。所以醫生建議輔具鞋要穿滿3個月，但有試著脫掉輔具鞋踩地，目前尚無痛感，請問能否繼續脫拐踩地練習，還是得等真正癒合，才能踩地？因為眾說紛紜，所以想得到比較明確的答案，謝謝王醫生撥冗回答 | 您好， 至少部份負重二個月， 之後視骨折恢復狀況， 才可逐步加重負重， 不要掉以輕心。 彰化醫院 關心您的健康 王守吉 | [
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5泌尿科
| 龜頭問題 | 醫師您好 我有一些問題想請教您 我最近發現把包皮往後退讓龜頭整個露出來比較沒有異味也比較沒有龜頭長紅點阿 那我真的很想知道像我這樣一直外露到底是好還是不好 我個人覺得好的點是 真的也沒有異味 另外不好的是做愛時射的時後沒什麼感覺 可請教醫師該怎麼辦呢 是露出來好 還是不要露出來了 那露出來是不是都會有角質軟化的現像嗎 該怎麼辦呢 露出來還是不要露出來呢 我知道也是看我 但我想聽醫師專頁的解答 | 只要沒有發炎 正常擺放或者露出都沒關係 | [
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| 生育問題 | 許醫師 您好 我被無精症這個問題困擾了很久 也應該說精神上被凌遲了幾次. 希望您可以給我一些建議. 我是男性 33歲 13年前因腦下垂體腫瘤開刀 之後都一直有注射男性賀爾摩治療. 每三週一次. 兩年前被診斷是無精症. 我右邊睪丸似乎有點小 是2.6公分有醫師幫我用超音波檢查. FSH及LH非常的低. 兩年前曾有過治療. FSH打1 3 5和LH打2 4 6. 週日打Hcg. 但是三個月後還是沒有精蟲. 之後就一直沒有再治療. 許醫師請您幫幫我. 給我一點希望或者是建議. 請問依您專業的判斷 我還有產生精蟲的可能嗎 還有 每當看到朋友或親氣的小孩出世 我都有很沮喪的感覺 而且非常非常難過. 請問我是否應去看精神科呢 謝謝您 | Mr. Ken 你好 我不知道你13年前的情形，有些腦下腺體疾病本身就會影響到睪丸的發育。手術後，男性賀爾蒙呈現低下，睪丸發育也比較不理想。 我初步的結論是：腦下腺的激素分泌不足，造成睪丸發育障礙。現在使用FSHLH等，可能有一些作用，也可能因為過了青春期，效果有限。 在這種情形，有時候要到專門的醫院，找泌尿科裡面，專門治療男性不孕的醫師來協助。最好申請原來醫院的診斷書、病歷摘要等資料。 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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| 經血 | 醫生您好： 我上一次月經是721來的但他8月份沒有來到921號的時候就有咖啡色的經血 原本以為第二天應該會變鮮紅色的但一直都是咖啡色的而且量也不多一天只需要墊護墊就可以了也是第一次這樣之前都很正常 不知道是步是因為做息不正常造成的還是有其他原因想問問到底是什麼問題 | apple小姐妳好： 你的情形應該是月經失調了。當然也有可能是早期的懷孕造成的出血，不過發生的機率不高，不放心的話就驗尿看看。 造成月經失調的原因，最常見的是作息不正常，壓力太大，體重過輕或過重，飲食不正常或生病吃藥都有可能。 | [
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| 頸部疼痛 | 昨天晚上9點小睡了半小時，起來時脖子沒有甚麼問題，但過了一個小時感覺頸部右側開始疼痛就算頭不動也會痛，只要抬頭或低頭就會很痛，早上有貼貼布也有按落枕穴跟稍微動動脖子緩解，但也只有好一點點，想請問這是落枕嗎如果是要冰敷還是熱敷大概多久會好轉 感謝醫師 | 1. 您描述的情況可能是落枕，一開始如果是明顯紅腫熱痛的急性期，則先以冷敷方式治療約15∼20分鐘，約每1∼2小時施行一次，直到紅腫熱消緩（大部分情況下一天內急性現象會減輕明顯），脫離急性期後，可視紅腫熱情況做冷熱敷交替治療。 2. 當紅腫熱現象大致消除後，即可熱敷，一次約20∼30分鐘，溫度控制在攝氏38∼43度之間即可，以免燙傷。 3. 如果三天後疼痛仍無明顯改善，且嚴重影響生活品質時，建議尋求專業中西醫師的診治。 | [
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0婦產科
| 性行為 | 做愛中 全程有配戴保險套 事後保險套捏一捏也沒破掉 但結束後女生下體超級濕（比以往都濕）（大概一個月沒做愛）請問是精子還是女生的分泌物 | 提問者您好 依您的描述，難以判斷。而全程使用保險套的避孕失敗率在5以上，較其他方法更不可靠。因此建議如果月經期一週以上還沒來的話，仍然要檢查是否懷孕。謝謝 祝 平安 健康 張 醫師 回 | [
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| 排便問題 | 杜醫師 您好 我最近二天 小便有的時候有血 可是好像沒有其他不舒服 我該怎麼辦 | 您好 血尿有可能的原因很多一般無痛性的目視血尿都要做一系列的檢查.確認.請您不論尿液目前是不是很紅.您都需要去醫院作檢查.如X光.尿液分析.超音波等等.謝謝. 苗栗醫院泌尿科 杜時曦醫師 | [
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| 生育問題 | 我之前就有懷疑自己有賀爾蒙方面的問題，今天去做了四項賀爾蒙檢查發現： 泌乳激素過高：27.3 男性賀爾蒙低下：值為3.1 另外兩項因為醫生說是正常我就沒有記它的學名.好像是FSH和LH的樣子. 我的身高和大部分男生一樣有170以上 不過很容易變胖不知跟賀爾蒙有無關係 而我的第二性徵 陰毛應該沒問題算多 但鬍子、腿毛、手毛很少，而且我沒有喉結但聲音是粗的 陰莖短小勃起約10CM 直徑3CM、也有一點男性女乳症的症狀 想請問的是； 1.泌乳激素過高是否會造成男性賀爾蒙偏低？是否為先天性的疾病呢？ 2.若屆時補充男性賀爾蒙我現年24歲 陰莖是否還有發育的可能？女乳症會改善嗎？ 3.男性賀爾蒙製劑注射型.每兩周注射一次是否會有致癌風險？ 4.我的情況會不會造成不孕？ 麻煩許醫師了，謝謝！ | 油條： 你好 1.泌乳激素過高，會有乳房發育的現象。有時與腫瘤有關，需要進一步檢查。 2.若男性荷爾蒙過低，可以補充男性荷爾蒙。但是有癌症風險。另外，24歲是否會發育，過了青春期，發育的機會比較低。 3.建議使用FDA認證過的藥物，罹癌風險比較低。 4.檢查精液才知道。 建議找內分泌醫師諮詢。 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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| 食道逆流 | 醫師您好： 因為之前有詢問過關於逆流性食道炎若發展成胃癌或食道癌的時間以以往經驗及平均值來說，有沒有可能從食道發炎（B級）、胃部輕微發炎，1年半的時間發展成食道癌或胃癌？ 謝謝醫師！ | 大部分不會。 | [
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7耳鼻喉科
| 藥物諮詢 | 請問醫生前幾天感冒喉嚨痛黃色粘稠鼻涕醫生開給我curam早晚一顆，這款抗生素的療程要吃多久？ | 你好 抗生素一般建議使用一週，建議仍需回診持續追蹤。 | [
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8乳房甲狀腺科
| 乳房問題 | 我媽媽上個月作了社區健檢的乳房攝影，寄來的報告建議去大醫院再作檢查，並來電說有鈣化情形。 於是，我們去了長庚作了乳房攝影和超音波，乳房攝影的護理人員說有鈣化，超因波的醫師說有水泡，再到門診時，醫生只說，要我們考慮是不是手術把水泡拿掉，以防日後變化，未提及鈣化問題。 我的問題是想請問： １、水泡是纖維囊腫嗎？它的處理方式是直接動手術還是有其他呢？ ２、如果真的要動手術，是拿除水泡還是整個乳房？算大手術嗎？ ３、醫生未提鈣化的處理問題，是代表沒關係嗎？ 不好意思，問了這麼多問題，因為最後看報告的那天，我沒辦法陪媽媽去，媽媽沒和醫生問詳盡，所以想請您幫我解惑，好擔心、好心急，麻煩了！ | Dear 小君： 您好， 1. 纖維性囊腫的表現很多樣化，疼痛、乳頭分泌物、水泡等變化、鈣化也會，但在超音波下常看不到鈣化的變化。 2. 水泡之處理，常用抽吸的方式，再送細胞病理檢查，很少手術處理，但若有反覆復發，有時可以手術，一般單純切除水泡即可再看病理報告是否需切除更多的乳房。 3. 超音波常無法看到微小鈣化之變化，若有懷疑惡性之可能時，可由乳房攝影去定位鈣化位置做粗針切片或切除。 祝平安健康 衛生署桃園醫院 外科主任 周佳正敬復 | [
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| 分泌物 | 醫生你好月經走後.上廁所會有淡淡的黃色液體量稍多.隔天性行為用後面做的姿勢有點痛有流血.還是會有黃色液體有點怪怪的臭味.不知道是不是感染 | 提問者您好 依您的描述有可能是骨盆腔或陰道發炎，建議您請婦產專科醫師問診後，視病況決定是否安排相關檢查（如超音波、分泌物細菌培養、顯微鏡檢、尿液檢查、x光片、抽血…等）才能解決您的病痛，謝謝 祝 平安 健康 張 醫師 回 | [
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15復健科
| 手臂問題 | 8-9年前因為左手臂痛左手指麻刺進行MRI檢查 報告說C3-4-5-6有椎間盤壓迫 後來去復建治療，大約恢復7-8成 ，後來復健就斷斷續續 直到今年六月確診新冠康復後，感覺症狀突然變得比較明顯 但也是偶爾一段時間不舒服 過一段時間就又沒事 比較不一樣的是最近 右手也偶有類似的症狀 另外腰椎X光檢查 也是有L3-4-5-S1也有輕微壓迫，所以左腿左腳也有不舒服 最近也偶爾右腳也有不舒服 想問的是，這種症狀轉移到連同右邊也有些症狀，也是因為頸腰椎壓迫造成的嗎 還是有其他神經病變 | 您好 根據您的描述，您的症狀介於亞臨床到臨床之間（時有時無），這我們會把它歸類成細小病兆，若症狀持續就先做物理治療在看後續反應如何。但令人擔心的是影響的範圍確實在變大，若是由脊椎壓迫神經造成的不舒服，感覺層次疼痛或麻會沿著皮節dermatone分佈，若是多發性神經病變，會沿著神經控制範圍分佈，這兩個可以由臨床症狀做簡單的分別。另外，可由神經肌肉電學檢查來做個初步的篩檢。 衛生福利部花蓮醫院關心您的健康 | [
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| 藥物諮詢 | 醫生你好，我剛剛懷孕5周左右，在4月15號由于不知道懷孕吃崔經藥（NORETHINDONE ACET 口服 一天三次 3天一次2顆單位TAB SCANOL 口服 一天三次 3天一次1顆單位TAB）但是我沒有吃完大概吃了5次就被我女兒扔掉了，我去檢查醫生是建議我再過2周去驗血看是男是女，如果是男生就沒有影響，如果是女生就怕胎儿男性化，因此我很擔心。想從多方面了解一下，真的會有是女生就要拿掉的風險嗎？請醫生給我一點建議。我的月經周期很亂，上次月經已經是2月21號。所以是從B超判斷胎兒5周大，醫生說大概是哪几天受孕的。 | 近日超音波檢查估計判斷胎兒約5週大，4月15日約3週前服用NORETHINDONE ACET黃體素類，依照孕期推算服藥日期應該是約排卵受精日前後，雖然此類黃體素有雄性化作用基，不宜使用於孕期，但並不是致畸胎藥物，而且用藥日期也非胎兒性器官分化時間，我的建議是您可以安心繼續保留懷孕，請考慮與您的醫師再討論，告訴醫師您對懷孕的期望。 | [
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5泌尿科
| 淋病 | 醫師您好，請問尿道有膿性分泌物和紅但不腫的情形，是否一定是淋病呢 DNA篩檢淋球菌和披衣菌均為陰性，是否就代表沒有患病呢 謝謝。 | 您好 淋病確診要參考抹片及培養 但是如果有膿性分泌物是一定要感染治療. 謝謝您的詢問. | [
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0婦產科
| 巴氏腺囊腫 | 您好∼ 最近準備懷孕但同房完巴氏腺都會腫痛 最後一次同房完醫師開了Keflex給我吃約吃了一個多禮拜 請問如果有懷孕會影響胎兒嗎？ 我需不需要停藥呢？ 謝謝 | 您好 Keflex吃了一個多禮拜如果有懷孕不會影響胎兒，如果治療好就可考慮停藥。祝健康 | [
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20中醫科
| 氣血失調 | 醫師你好： 我想請教您一個問題，那就是中醫都是在講經絡、調氣、運行的問題；所以我想說，其實我有會一點點「功夫」，但就是沒辦法自己調整氣，所以有時氣來的時候我會非常激動，想要發洩比如想打人或物或者大聲叫出來，我不知道怎麼調整自己的氣，氣憋在心理很痛苦；我雖然是有精神官能症，但我不大認為是心理因素或者只有一點點吧，我是如此認為。 | 小傑您好 氣是真實存在的從來信中看來您也感覺到了但是氣的培養是必須在自然.放鬆的情況下訓練不宜太刻意若有氣鬱或氣滯的情形可藉由長嘆息或吶喊方式疏解也可局部拍打按摩亦有幫忙。 行政院衛生署桃園醫院中醫科黃仲諄醫師敬覆 | [
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6骨科
| 骨折 | 如題，請問醫生因為我是近端肱骨骨折，開刀的刀口在肩膀側邊，有用鈦合金骨板和釘子固定，但是那邊肉比較少，是不是手術多少會傷到肌肉？因為現在手術後滿一個月了，但是我的肩膀平舉時明顯兩邊不一樣，受傷的那側感覺不到九十度，甚至更多的是靠背部在帶動肩膀平舉，而不是肩膀本身的肌肉，請問這是正常現象嗎？ | 波波你好 開刀一定多少都會有肌肉損傷，開完刀會有關節僵硬也是常見現象。只要手術成功、骨折癒合後慢慢復健及運動就能夠順利恢復。 祝你早日康復 | [
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1精神科
| 強迫症 | 莊醫師您好 三年前我就有一直重複關瓦斯的動作，可是當時並沒有感覺會影響我的生活，症狀也曾消失過，可是今年八月初在一次閃腰後，又出現其他可怕又煩心的症狀和念頭，剛開始是會注意自己開車時踩油門和煞車的動作，而這些動作對我來說是簡單根本就不用去注意的，可是就是沒辦法不去注意這些小動作，接下來是開車時只要是看到前面的車子或行人，就會起一個會撞到他們的念頭，明知是不會，可是就會跑這樣的念頭來，實在令我感到非常心煩，接著是不論是開車或騎車，當達到某一速度時我就開始恐慌起來，非常的不舒服，接著又陸續出現根本不用注意的正常現象或生活動作，我也知道不要去注意這些無意義的想法，可以我就是無法擺脫不去想，我好煩又好痛苦，不知何時又會跑出令一個無聊的想法，我真怕這樣下去我會發瘋，請問我是怎麼了，我該如何是好。請莊醫師指導。謝謝！病歷方面：十二指腸出血五次，鼻子過敏嚴重鼻塞。 | 江先生你好 根據你的描述，你可能是得到”強迫症”. 所謂強迫症是指一個人會反復不自主的出現某種念頭或衝動，這些念頭或衝動會令當事人感到焦慮，害怕並想與之抗衡，造成當事人極大的困擾，甚至影響到日常生活，工作與人際關係等. 目前強迫症可經由藥物治療，行為治療與心理治療等方式獲得不錯的療效，建議你可就近至精神醫療院所尋求專業的精神科醫師根據你的情況給予你適當的協助 黃湘雄 | [
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2牙科
| 兒童牙科 | 如果是牙齒因琺瑯質發育不完全，因此顯露出黃色的象牙質 那有可能經過手術變白嗎？？？ 或是其他解決方法？？？ | 您好： 象牙質的顏色是沒辦法靠手術方式變白的。 您的情況可以考慮用「鑲瓷貼片」或「鑲瓷牙」的方式改善。 | [
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16腫瘤科
| 硬塊 | 醫師您好，最近在鼠蹊部陰毛右上摸到腫塊，站直或躺下腫塊會比較凸也較明顯，大腿彎曲摸起來會比較小比較沒那麼硬，大約1.5cm，有時鼠蹊部右下周圍有點疼痛感，尤其是躺平或站著，因為前陣子有車禍腰後方瘀血還會痛，不知道跟這個會有關係嗎？需要去醫院一趟，還是再繼續觀察呢？謝謝醫生！ | 你好： 有可能是疝氣，請去看泌尿科或婦產科，謝謝 | [
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7耳鼻喉科
| 耳咽管 | 這一週下來右耳有種聽到的聲音變大的感覺，就是可以清楚聽到自己的呼吸聲，自己講話的聲音也變大聲。 今天去看了耳鼻喉科，也有用內視鏡檢查了，醫生說是我的耳咽管阻塞，也叫我多捏鼻子閉嘴呼氣讓耳朵通風，請問這樣是正確的嗎？謝謝！ （我耳朵並沒有悶塞或脹痛的感覺，反而是感覺很通風，很不舒服…） | 耳壓有變化通常和天氣有關 而且大部分是耳咽管調節不良並不一定是塞住 如果吹氣沒有用可以至醫療院所就診服用一些耳咽管放鬆的藥物 祝平安 | [
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5泌尿科
| 術後問題 | 您好，我想請問一下 因為我看大家術後勃起都會痛，但是我術後已經兩天了 頂多充血但都不會痛而且不會到跟之前一樣勃起的很高昂，都只是平平的充血變大一點點，龜頭部分做完手術到現在還是有點腫脹，這是什麼現象，很怕因為使用了包皮槍手術導致日後的性功能，煩請解答疑惑，感謝您。 | 您好：包皮手術無論包皮槍或是其他方式都不會影響以後的性功能。祝健康 | [
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5泌尿科
| 精索靜脈曲張 | 醫師您好 我在網路上看到 精索靜脈 尤其是左側 如果在肚子用力時就明顯鼓起 放鬆時就消失 就表示有精索靜脈曲張症 那右側也有 但不明顯鼓起 用手壓著可以感覺到有鼓起 這樣正常嗎 一般正常的精索靜脈 肚子用力時會怎樣 之前有去醫院檢查 本身左邊有精索靜脈曲張 右邊沒有 請幫幫我 感謝. | 阿峰： 你好 增加腹壓，會造成精索靜脈的回流壓力增加，若有曲張的現象，因腹部壓力增加的話，比較容易看出來。若不確定，可以作陰囊超音波。 另外，可以檢查精液，看是否因精索經脈曲張造成不孕症，或者精蟲異常。 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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| 懷孕嗎？ | 醫師您好： 最近有夢到自己懷孕再加上皮膚很乾燥粗糙臉會脫皮（幾乎每天都待在冷氣房） 然後又有內分泌（白色的） 再想是不是懷孕了 625-74我跟男友都有做愛（有1-2天沒做） 過程是男友進去幾下之後才戴套都射在套子裡面 做完之後有檢查保險套，都沒有破掉 （其中幾天做的時候是在沒戴套情況下進去幾下之後出來，沒有射精。） （上一次經期是在616-622） | 您好 懷孕機會不大要等，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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| 第五蹠骨折 | 醫師您好： 我於426右腳翻腳刀導至第五蹠骨骨幹骨折（橫向完全斷裂）些許位移 骨科醫生說不值得開刀，打石膏6個禮拜610已拆，醫生說可以拿著拐杖輕輕踩地走，之後慢慢增加重量，至今已10個禮拜，右腳還是無法完全脫杖行走，右腳踝關節 腳筋 腳後跟都很僵硬 腫漲。請問這樣正常嗎？這跟我20年前的右腳踝兩側開放性骨折有關聯嗎？請問多久後可正常走路？完全康復要多久？ | Ray你好 1. 打完石膏常常會僵硬腫脹，但是10周了就有點太久了，建議你到復健科加強復健，才能減少後遺症，因為你的"跟腱"可能有沾黏攣縮，這個需要治療師幫你比較能進步。 2. 跟你20年前骨折比較沒有關聯，除非你那時候就有留下後遺症 3. 一般10周是可以正常走路的，但是要看你的X光長得怎樣，有些人體質不好或者抽菸骨頭會長很慢。 4. 要趕快加強復健，按照你的復原進度，快則三個月，慢的話要半年以上。 祝你早日康復，彰化醫院骨科 陳柏辰醫師 | [
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7耳鼻喉科
| 頸部問題 | 醫生你好 我在1個月前洗澡時發現頸部耳朵後面靠近頭髮的地方摸到2個腫塊，隔天給附近的診所看，他給我抗生素吃，吃了一個禮拜有縮小，就沒給我開抗生素了，後來就發生感冒喉嚨破洞，鼻塞，扁桃腺發炎的症狀，醫生說是感冒，而且淋巴結有腫起來，不過剩下一顆，後來吃了一個多禮拜的藥與抗生素，感冒症狀都沒了，只剩下偶爾咳漱有痰，淋巴結有縮小至要用手壓才能摸的到，可是最近這一個禮拜，我有發現到它有時會腫大手觸摸時軟軟的，通常是在睡覺後醒來，不然就是天氣冷的時候有時又摸不太到用力摸才摸的到，軟軟小小顆，通常是運動或者是站立的時候，我想請問這是之前感冒還沒好所以才這樣嗎可是他在我還沒感冒前就腫了有需要去大一點的醫院做進一步治療嗎之前有問診所醫生，他說不用擔心放著不管如果沒變大是不是就不用裡它了 P.S半年前有做身體檢查，血液常規檢查都在正常值，然後按壓都不會痛 | Hi 您好， 如果淋巴結大小已經變小且有時候才摸得到，大多是良性的變化，建議可以先觀察，如果仍會持續變大或疼痛，就需再次就醫檢查。 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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5泌尿科
| 性功能 | 杜醫師，不好意思，因為板上發問者年輕人居多，我的疑問找不到先前的解答，只好不齒在此請教您。 我是最近才發現自己跟太太房事時無法勃起。即使diy之後硬挺了，進去不久即軟下來。這讓我多少有些洩氣。太太的反應也會增加我的困擾。但我自己對「年老力衰」這件事還能面對現實，不一定非要如何不可，只是會納悶自己是否走到了人生的某種終期？心如止水我不怕，反而有種以前少有的淡定。但我想知道在這個年紀出現這樣的情形，是否正常？ 為了求證，我曾多次diy，都還能堅挺，也會有分泌，只是變得很少。太太也在這一年來發現了這個現象。 我的疑問太不具體了，若有冒犯之處，請醫師見諒。也許我只是陷在一種初老的症候中，不知道如何面對它。謝謝醫師 | 可以至泌尿科門診檢查 但聽起來還是心理因素居多 適時的變換 或調情或許會有幫助 | [
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0婦產科
| 月經 | 醫生您好，這裡有幾個問題想問，再麻煩您幫我解答了，謝謝！ 1.我想問月經期間有可能會排卵是對的嗎？ 2.我的月經週期從1月開始到現在都落在30到32天這樣算是規律的嗎？ 3.月經天數也落在7-8天這樣應該算幾天？ 4.那這樣我的月經週期應該算幾天？ 5.我有可能會在月經期間排卵嗎？ | 提問者您好 依您描述，週期在30-32天，大致規律，您的排卵期應在經期結束後，謝謝 祝 平安 健康 張 醫師 回 | [
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| 呼吸困難 | 醫師您好 我想請問，有時候突然會呼吸困難，覺得氣管整個縮起來的感覺，需要很用力吸氣才有辦法吸到空氣，然後最近偶爾也有胸悶問題，請問該注意些什麼嗎？ 謝謝您！ | 您好 如果有小時後氣喘要去看胸腔科如無氣喘病史先注意不要吃冰冷食品也要注意調適生活壓力休息要充足 | [
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| 補牙脫落 | 曾醫師 您好 我前兩天吃水餃時，咬到一個白色略硬的物體吐出，但不確定是否為水餃內餡的碎骨，因此懷疑也可能是我牙齒補牙處的樹脂有脫落的情況，目前我的牙齒沒有明顯症狀且咀嚼正常。以下請教曾醫師 Q1.我補牙的地方有頗多處，但目前無法明顯判別是那顆牙齒的補牙處樹脂有脫落的情況。請教曾醫師，若是補牙處的樹脂脫落，一般來說會有什麼樣的症狀呢比如吃東西會酸、痛等 Q2.承上題，請教曾醫師，若是補牙處的樹脂脫落，有可能完全無症狀且可正常咀嚼嗎 Q3.目前不確定我牙齒補牙處的樹脂有無脫落。請教曾醫師，依您的看法，我是否應該回牙醫診所檢查看看呢還是說，若我一直沒有明顯症狀且咀嚼正常，則可先觀察，等有明顯症狀再就醫即可呢 以上，感謝曾醫師。 | 1.有可能吃冷熱食物時會敏感痠痛。 2.如果補牙處樹酯脫落的範圍很表淺，可能完全無症狀。 3.如果明顯症狀，可以先觀察，一旦有症狀出現，應立即就診。 南投醫院牙科 曾光暉主任 | [
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20中醫科
| 減重 | 請教醫師 您對”針灸減肥”與”針灸增高”的看法謝謝您的答覆 | 嗨Miss OL 針灸廣泛用於減肥及增高大概是近十多年的事，理論上皆可行，用於減肥一般不限年齡，當然在年輕女性或近期產後肥胖者效果較佳，大體而言多能見到效果，但若要有“神效”除了持續毅力外還要靠一點運氣，此外在增高上就有其年齡限制，在青春生長期方可見其效。這樣的回答您還滿意嗎？歡迎您再來信討論。 | [
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20中醫科
| 減重 | 今天在電視上看到有關中藥藥草加薑汁泡澡可以減肥 想詢問一下藥草包裡的成分有哪些 若單純以薑汁泡澡效果也一樣嗎 | Hi，Snoopy： 很抱歉未能與你看同一節目，以致未能提供當時泡澡減重的藥草包內容，但不論是藥草包或先前流行的粗鹽，薑汁泡澡要能收減肥而非只有脫水之效，在泡或洗澡時，勤奮的按摩是必須的，此外，由於薑汁本身可以擴張血管，增加血流量，提高代謝率，因此，是可以用在減肥的，但效果好不好就難說了． | [
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3藥物
| 事前避孕藥 | 你好，我有在網路上看到避孕藥和咖啡會產生交互作用 我想請問我平常都在晚上1100服用避孕藥，隔天早上才喝咖啡，這樣會有交互作用嗎？ 請問這樣會影響到避孕效果嗎？ 另外，我想請問蔓越莓乾會影響到避孕效果或者有其他交互作用嗎？ （一樣在隔天早上吃） 謝謝醫生 | C女小姐您好：首先感謝你的提問，正在服用避孕藥的人，如果多喝咖啡可能使咖啡因代謝減慢而在體內濃度增加，導致心跳加速、噁心、暈眩等不適症狀，因為妳都有間隔時間所以如果沒有上述的不舒服沒關係喔。另外蔓越莓乾是食品不用太擔心喔.謝謝妳 | [
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13肝膽腸胃科
| 膽囊問題 | 醫生您好，一週前因感到脹氣而去看醫生隨後轉為膽囊發炎，目前服用抗生素病症已好轉。 當初檢查時無膽結石，所以為非膽結石發炎，判斷是細菌感染。 回想起兩週前有進行過肛交，事後有些微出血但一兩天後就恢復正常，膽囊炎是否有可能與此有關。 | 您好 應該不相關。一般來說沒有膽囊結石，膽囊發炎的機率不高。如果沒有照過腹部超音波，建議就診胃腸科安排腹部超音波。 彰化醫院關心您的健康 蔡安順醫師 | [
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1精神科
| 躁鬱症 | 醫師妳好，我妹妹在一年前從公司辭職後，就一直待在家裡，當時聽說和公司有不小的爭執，約莫半年左右，她的情緒開始有了變化，經常疑神疑鬼，說母親不重視她，要陷害她，甚至口出穢言，除了母親，對其他人也一樣，言行上變得極為暴燥前半年並無異狀，和家人相處甚歡，簡直判若兩人，最近，她變本加利，與父親的爭執中傷了父親，說出傷害父母的言語，這樣算不算清精神上有問題，因為她現在對大家不與理會，不知如何勸服她看精神科 | 您好： 晚了幾天回覆，請勿見怪。 由來函所敘述的狀況判斷，你妹妹的精神狀況的確出現若干異常，可能是情緒障礙或其它精神障礙，且有就醫的必要。 勸說病患就醫是一件極困難的任務，若其目前對家人有若干懷疑的意念，可試著找她目前仍信賴的朋友或親戚幫忙；或是從其覺得痛苦的角度勸說就醫，避免諸如精神有問題等較具價值判斷的說法，而可從失眠、食慾不佳或其它身體不適等角度，勸說她就診，一般病患較易接受。 若仍無法成功，可由家屬至有居家治療服務的精神科（各療養院及較大型綜合醫院應都有此服務）就診，安排醫護人員至家中診視。 若出現較危險的行為，如自傷自殺、攻擊他人等，可聯絡當地衛生所精神科公衛護士，尤其安排強制送醫。 巫毓荃 | [
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6骨科
| 尾骨挫傷 | 醫生你好，我四月初的時候，不慎跌倒，撞到屁股尾骨，前去醫院照x光，說是挫傷，沒有骨折，讓我少運動，然而直至現今7月中旬，久坐或坐到某些特定姿勢就會作痛，有前去看過這樣的恢復時間約三個月左右，但目前為止已經超過，請問醫生，這樣我要再去醫院做檢查嗎？還是可以怎麼做？謝謝 | 挫傷三個月之後仍然會痛 可能發炎尚未痊癒 可以熱敷 試試看 也可以試著吃一些抗發炎要來緩解 如果還不會好就必須再去看醫師了 | [
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0婦產科
| 流產 | 九月中約9月15日因事故流產過一次，那時候約莫已懷孕兩個月。上週約10月1日週三行房，今早驗孕兩條線、呈現懷孕反應？ 請問有可能嗎？女友告訴我的時候實在有點半信半疑。 請協助解惑，謝謝您。 | 理論上流產後血中懷孕的荷爾蒙serum b-HCG是慢慢消退的 所以即時在流產後二至四左右都有可能驗小便呈陽性反應 但如有不正常腹痛或陰道出血請就醫檢查 | [
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| 藥物副作用 | 您好，服用異位寧大概三個月，臉上開始長很多痘痘，請問建議尋求皮膚科治療或者是向開藥的醫師反應就好呢？ | 葛根 您好 請先向開藥的醫師反映，是否有其他可治療青春痘的藥物。 衛生福利部花蓮醫院關心您的健康 | [
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5泌尿科
| 性病 | 前些天，去飯店找小姐 但我沒有性器官接觸我本身都穿著衣服 我只用手摸胸部，及用手指頭手指頭有套著保險套插入陰道， 完後我立刻用自來水洗手及用依必朗乾洗手洗手 之後離開飯店後1.5小時在公司，不小心手稍微割到有流一點血 請問這樣會感染愛滋或性病嗎？ 感謝 | 您好：無危險的－自慰 •低危險的－相互手淫，淺吻，相互摩擦，戴保險套的性行為 •中危險的－深吻，口交，體外射精 •高危險的－沒有任何保護措施的性行為，造成傷口或出血 如果依您的描述： 應該是低危險的。機會低。祝健康。 | [
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0婦產科
| 會懷孕嗎？ | 116月經來最後一天已經沒什麼出血了 有與男友做愛事後有吃事後避孕藥 吃藥完幾小時後又有發生一次 這樣前次吃的事後避孕藥有效嗎？ 月經原本應該是1129來 但現在已經晚一個禮拜了 這樣會是有懷孕的可能嗎？ | 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，如果月經該來沒來超過1星期仍沒來，建議看婦產科。祝健康 | [
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| 會懷孕嗎？ | 醫師您好 請教您 我最近有計劃要懷孕. 但由於35歲了我儘量選排卵週行房我的生理期蠻準時的. 由於我的月經快來了再58天就來了 我最近在行房時不禁想到一個問題 假設前幾天 受精卵已經著床而我又在最近行房2次 那命根子不停的進出是否會使 已著床的受精卵掉了 因為我的體質比較寒曾經有中醫師說過 我的體質若沒調好即使懷孕也容易流掉. 想懷孕的小琪 | 不會有此情形，可以放心，謝謝！ | [
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| 智齒 | 想問拔完智齒，醫生說兩週後拆線。今天是第五天，而昨天縫線好像掉了，目前是只有輕微疼痛（也不是持續），我想請問有兩個問題。 1.請問縫線通常可能是幾條？因為昨天好像掉一條但智齒那還是有一條黑色的（因為昨天沒看清楚就被水沖走了⋯⋯），那這樣如果真的是剩一條會影響很大嗎？ 2.上網爬過文，不少人說掉了就多注意，如果有什麼事再去看醫生，因為我也第五天了，有些人説一週就復原較好然後拆線了，請問我該立刻去找醫生還是可以觀察狀況再做打算呢？ | 您好 若目前沒有疼痛或流血不止，建議一周後回診拆線即可，現在回去也不太有必要再多縫一條線，徒增傷口疼痛而已。 | [
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5泌尿科
| 精索靜脈曲張 | 精索靜脈曲張手術及睪丸固定術的風險和併發症 | 圈圈： 你好 我不知道你所謂的風險？死亡率，應該在百萬分之一左右吧，應該沒有太大的生命風險。 併發症：傷口疼痛、感染等應該都會有。此外，精索靜脈曲張手術的復發率大約在10％左右。 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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| 避孕藥 | 醫師您好我是 的發問者想再請教您 這個月我改避孕藥牌子由悅姿244劑型改成21顆劑型的藥 616當天吃完悅姿最後一顆有效藥 619月經第一天 620 吃完悅姿最後一顆藥無效藥 623 月經第五天開始吃新藥21顆劑型的第一顆藥 想請問您 1. 617-623停藥期共7天請問停藥間隔是否太多天 會影響到現在的避孕效果嗎 2. 625為吃21劑型的第三天當天有性行為並內射請問需要擔心懷孕嗎 3. 這21劑型的藥牌子之前有吃過但截至今天629還在出血619至今請問是月經嗎 | 您好 正確的吃法，把藥吃完，觀察下一包避孕藥是否還有不正常出血，如果還是有，那就要看婦產科。祝你健康 | [
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5泌尿科
| 頻尿 | 林醫師好 昨天開始有超過8次上廁所夜晚兩次查了一下可能跟情緒壓力有關握從3月開始吃減輕焦慮跟憂鬱情緒的藥有可能跟藥物有關嗎 我喝水沒有喝夠量喝水習慣要怎麼調整比較好 如果下週未改善要看醫生的話 這段時間我需要紀錄什麼嗎？ 謝謝醫師 | 您好： 藥物會影響，但是不是完全，喝水以開水為主，均勻喝，尿色太深就要補充水份。祝健康 | [
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0婦產科
| 避孕藥問題 | 從大概一年前開始因為多囊導致我月經變季經到完全不來，所以跟醫生討論後就吃事前讓月經順利 1220那次月經來之後沒買藥所以就沒吃。 0114那天性行為保險套脫落，當晚吃了事後。 請問這樣我是等得到月經自己來的嗎？ 本來是想說吃了事後之後會像吃催經藥來月經，但不確定到底會不會來，畢竟我先前都靠吃事前來月經。 還是我在性行為後兩個禮拜左右都沒有來月經再驗孕，如果確定沒受孕再開始吃事前呢？ 再麻煩您回覆了，謝謝。 | 您好 事前避孕藥要月經來的第五天才開始吃，月經月經超過一星期沒來，建議要看婦產科。祝健康 | [
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0婦產科
| 出血 | 您好我於1219早上做抹片檢查隔天1220下午即小量出血且是深褐色到了1221出血情形就像是MC來的感覺一樣連續了4-5天氣味.顏色.出血量等都跟MC時相像可是我上次MC是125來下次應該是15我一直以來MC的時間很準時平時也沒有異常出血過想請教醫師為何做完抹片後有這些出血狀況呢我生過2個小孩謝謝 | “上次經血125來，一直以來經血來的時間很準時，下次應該是15”，依據您的敘述，可見您的經血周期規則，約為30日，排卵期推估在經血周期第16天，剛好是本周期的1221，所以仍須考量到可能是經期間的排卵期子宮出血，雖然量多，且近似往日經血；但是，臨床經驗，同一女性，一生中，排卵期子宮出血症狀，並不是每次相同或近似。如果沒有持續不停的排卵期子宮出血症狀，可以靜候經血是否於15附近來。應該不是做完抹片後所致的出血。 | [
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12胸腔內科
| 咳嗽 | 醫師您好： 我已經咳嗽超過1個月了，這是近半年來第2次咳嗽超過1個月；第1次咳嗽將近1個月的時候有去大醫院作胸腔X光檢查，但X光片並未看出異狀，後來吃藥後就漸漸好轉。 這次是第2次，距離第1次也只有約1個月的時間，這次已經咳嗽超過1個月了，初期只有咳嗽，並無其他任何感冒症狀，後來看中醫後喉嚨劇痛轉看耳鼻喉科，喉嚨好了但一到晚上又有發燒的現象（曾有幾次燒到39度以上），現在已沒有發燒現象但咳嗽的時候胸部右邊（約腋下和胸部間）會有抽痛的感覺，連呼吸也會有點抽痛。 請問我這算是感冒嗎？應該看哪一個門診才對？還是應該作什麼檢查？請醫師幫我解惑！謝謝！ | 您好 建議您儘快看胸腔科門診或一般內科。 祝安康 | [
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| 緊張 | 醫生您好，我的目標是想要成為一名醫生，所以很喜歡看手術畫面，但是最近覺得很奇怪，在看手術畫面時會噁心肚子痛緊張，然後今天甚至還會發抖，就算是看tlc 頻道的一些切除脂肪瘤或打骨釘的影片也會覺得很不舒服，但是以前都不會，以前看腦部的手術畫面也不會發抖；最近我一直有噁心感想吐但是吐不出來，已經1個月了，甚至伴隨著胃痛，我的生活作息就是要早起上學，但是到凌晨三點四點才睡，想請問上述症狀是否和我的不良作息相關？我最近的睡眠品質也很差，一直做惡夢，起床時會頭痛，然後又會突然有很緊張的感覺，就是起雞皮疙瘩這樣子，想問問如果我改善生活作息，問題能解決嗎？ | 網友好 醫生您好，我的目標是想要成為一名醫生，所以很喜歡看手術畫面，但是最近覺得很奇怪，在看手術畫面時會噁心肚子痛緊張，然後今天甚至還會發抖，就算是看tlc 頻道的一些切除脂肪瘤或打骨釘的影片也會覺得很不舒服，但是以前都不會，以前看腦部的手術畫面也不會發抖；最近我一直有噁心感想吐但是吐不出來，已經1個月了，甚至伴隨著胃痛，我的生活作息就是要早起上學，但是到凌晨三點四點才睡，想請問上述症狀是否和我的不良作息相關？ A上述情況我覺得和不良作息不見得有關，但不良坐息會造成其他健康的危害 我最近的睡眠品質也很差，一直做惡夢，起床時會頭痛，然後又會突然有很緊張的感覺，就是起雞皮疙瘩這樣子，想問問如果我改善生活作息，問題能解決嗎？ A有可能可解決。 吳恩亮醫師 | [
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7耳鼻喉科
| 流鼻血 | 您好 冒昧請教醫師 兒子今年滿3歲 這陣子發現他常流鼻血 再來就跟著出現感冒症狀了 想問流鼻血跟感冒有關係嗎 孩子很小時感冒都去看耳鼻喉科醫生 醫生每次都會抽鼻涕想問抽鼻涕會不會是造成兒子常流鼻血的原因 這陣子去看那醫生時 在抽鼻涕時會伴隨抽出血 醫生都說那是鼻子裡的結痂 不要擔心 真的是這樣嗎 我比較懷疑的是因為過度抽鼻涕的動作已造成孩子鼻黏膜的傷害 才會每次感冒時大多會流鼻血. | 小姐.您好1.想問流鼻血跟感冒有關係嗎 DRYEH.無關2.孩子很小時感冒都去看耳鼻喉科醫生 醫生每次都會抽鼻涕想問抽鼻涕會不會是造成兒子常流鼻血的原因Dryeh.可能是.但也不是絕對.3. 這陣子去看那醫生時 在抽鼻涕時會伴隨抽出血 醫生都說那是鼻子裡的結痂 不要擔心 真的是這樣嗎 Dryeh.我亦不能武斷評論.4.我比較懷疑的是因為過度抽鼻涕的動作已造成孩子鼻黏膜的傷害 才會每次感冒時大多會流鼻血.Dryeh.那就從此不要讓小孩接受抽鼻治療吧 | [
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13肝膽腸胃科
| 腹痛 | 醫生您好，我前幾天連續兩個晚上都上腹部劇痛，睡夢中被痛醒，我當時以為是胃潰瘍，胃痛，隔兩三天去照胃鏡，發現胃都很正常，只有輕微發炎，想請問胃輕微發炎有可能造成半夜睡夢中被痛醒程度的疼痛嗎？ 還有去照胃鏡當天有順便照超音波，發現膽有5顆結石，醫生沒說有發炎現象，只開“艾適美、排利空、利膽能”三種藥給我服用一個禮拜 想問： 1.當時半夜上腹部劇痛有可能是膽結石造成的嗎？因為位置蠻中間的，不是偏右上方（肩膀背部也無疼痛） 當初急診抽血有檢驗我的“膽紅素總量”是0.29 2.膽結石大概綠豆大小5顆，有可能靠吃藥溶解排出嗎？大概要多久時間才有效果？最終是否只能將膽囊切除，因為很害怕最終得走到膽囊被切除這一步，所以想問問醫生我的狀況。 先謝謝醫生解答！ | 仍有可能是膽結石臨時卡住，下次若再痛可掛急診超音波確認。吃藥效果不好，但手術可視狀況不急於一時。 | [
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] |
5泌尿科
| 包皮問題 | 醫師你好 本人包皮未勃起是蓋住龜頭，但拉下來沒有問題，勃起時也可龜頭露出 將近4個多月沒有性行為，疑是使用不當過期沐浴乳洗手乳洗生殖器詳細情形不知 昨晚發現包皮前端非常乾硬平時是軟軟的，拉下變困難，嚇到去用水洗淨，在沖水時才有改善些 今天有好一些，包皮像是塗了漿糊般黏住失去了原本的彈性，環狀有些微的脫皮剝落，而沖水還是會改善 平時完全不會痛不會癢沒特別感覺。 想說是洗到不乾淨東西造成，他會自己好嗎還是是什麼症狀的潛伏期 感激不盡 | jeremy 你好 龜頭的清潔： 1.避免任何清潔用品 2.不要使用熱水 3.清潔後，用凡士林塗抹 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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0婦產科
| 不孕症 | 曾患有子宮頸糜爛和子宮內膜異位，是否易不孕？是否每個人都適合做人工受孕和試管嬰兒還有精子XY分離術？費用多少 | 嚴重子宮內膜異位會較不易受孕，試管嬰兒各家收費不一約十幾萬，並非每人均適合。如果還有問題，請至婦產科門診。 | [
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| 乳頭問題 | 今天早上315換衣服時突然覺得左邊乳房疼痛，手舉高或用右手抓都會，掀開內衣，發現乳頭長了一顆類似痘痘的膿包，純乳白色，擠出來也跟痘痘一樣，有膿和類似粉刺的東西，但它軟軟的一捏就扁了，擠完後左乳房還是有點痛，但又比沒擠前好很多了 擠後有點緊張所以有摸摸看乳房腋下有沒有腫塊，但目前都沒有 | 我想還是給乳房外科醫師現場幫你檢查看看再作處理 | [
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5泌尿科
| 割包皮術後 | 醫生您好，722時有重新縫線（原先包皮槍釘子被我撐爆了）今28日早上發現有輕微滲血，懷疑有裂的更大的情形，並且持續有癢的感覺。 1）雖然只有輕微滲血，但這個要怎麼處理？繼續換藥就好了嗎？不太想重新縫線了 2）27號換藥時已經掉了一個線結，時間這麼短是正常的嗎？ | 您好： 1）雖然只有輕微滲血，但這個要怎麼處理？繼續換藥就好了嗎？不太想重新縫線了--》如果一針長度，可能自己癒合，太長可能就要處理了，不然傷口可能長不好 2）27號換藥時已經掉了一個線結，時間這麼短是正常的嗎？--》幾天內常見 ，避免勃起有助傷口。 祝健康 | [
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4心臟血管專科
| 心跳問題 | 不好意思 醫生您好 家母近年來開始偶爾會有晚上心跳加速的情況發生 62歲 也有去心臟內科做檢查 檢查出來無異常 醫生有開類似鎮定劑的藥 不過家母因為要工作 基本上不喜歡吃那個藥吃完會想睡 家母本身有糖尿病，今年年初有做甲狀腺手術全拿 有吃甲狀腺素 吃的量不多 以前很愛喝咖啡 不過已經戒了 想請問醫生 如果心臟內科檢查無異常 會導致心跳加速的因素也都盡量避免了 卻又不定時晚上會發生心跳加速的情況 是還有可能什麼原因導致的呢 謝謝醫生 | 您好 不定時晚上會發生心跳加速可能跟自律神經不穩定有關 建議和醫師討論用藥後 固定吃 有狀況告訴醫師才有辦法調藥 平安 彰化醫院關心您 | [
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13肝膽腸胃科
| 腸胃肝膽科 | 醫師您好： 因爲很擔心，所以想問一下.請問 1.胃癌晚期（第3期以上）有沒有可能食慾很好胃口大？ 2.請問若大腸癌晚期（第3期以上）有可能大便還只是濳血嗎？還是一定會出血？ 謝謝醫師！ | 親愛的陳先生 關於您的問題 1. 胃癌晚期（第3期以上）還是有可能食慾很好胃口大，但比率小少 2. 大腸癌晚期（第3期以上）有可能大便濳血，有可能也可能用出血表現 | [
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| 懷孕 | 您好：日前敝單位提供子宮頸抹片健檢，那時我有跟醫生說應妊娠一個月能否檢查，他表示國外在懷孕初期作抹片的情形很正常且必要。後來我收到通知書說有發炎現象，想請問懷孕期間子宮頸發言是正常現象嗎？或我需要做哪些進一步的檢查？對胎兒會不會有影響？此外，我的血小板數值為378＊1000ul（正常為PLT：120-350＊1000ul），這是否與子宮頸發炎有關，這樣的數值會不會太高？謝謝。 | 子宮頸抹片檢查主要的目的是對子宮頸癌或子宮頸上皮細胞病變提供早期篩檢的工具，子宮頸發炎與上述兩者並無絕對關聯，可以不必太緊張，一般而言懷孕並不一定要作抹片檢查，因為懷孕時子宮頸細胞會發生暫時生理性變化影響準確度。 由於目前懷孕ㄧ個多月，胎兒各種器官正在成形，建議暫時不需治療，除非有不正常出血或分泌物過多不適。 血小板378000，正常值為15000-45000，與子宮頸炎無關不必擔心。 | [
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11營養教室
| 減重 | 營養師你好 目前我的身高為155cm體重75kg.屬肥胖體質 從小到大我ㄉ體型一直都是壯壯ㄉ平日喜時烘焙食品尤其是麵包吐司餅乾簡直視它們為寶一碰到就狂吃絲毫不知節制. 我不挑食喜食蔬菜特愛水果. 最近為了省錢午晚餐都以考冷凍蔥油餅為主食外加約1份水果果腹. 愛泡綠茶喝不加糖也喝溫熱開水不常喝市售加糖飲料. 我已經控制自己的慾望2-3個月效果有限常常瘦一點過幾天又胖回去一發現自己吃過量就自暴自棄的大口亂吃吃完後又粉懊惱為何要吃這麼多. 因為我是外食者想請問一下 1.我的肥胖原因是否為喜食烘焙食品 2.如果要控制熱量攝取要如何選擇食物 3.萬一不小心於減重時期吃過量了怎麼辦 4.如何抑制自己”想吃”ㄉ慾望 5.怎麼做才能瘦得健康 感激不盡 絕望的小胖敬上 | 您好： 很抱歉，因有要事耽擱，至今才給您回信，請見諒。依您的身高評估理想體重應為47.5-58公斤。 1.一般烘焙食品大致上屬於含有比較高的油脂及糖分，相對的也提供很高的熱量。一般會造成肥胖的原因很多，喜吃烘焙食品可能是原因之一。 2.多選用富含纖維質的食物如：全榖類、水煮蔬菜等。每日以三餐為主，平均分配，不偏重任何一餐，避免吃宵夜等。食物之選擇盡量選用烹調方法是清蒸、煮、烤、滷、涼拌、燙等。 3.若是吃過了量，可藉運動或在下一餐少吃些，但仍建議您三餐平均分配是比較好的。 4.飢餓時可選用體積大、熱量低的食物，如：洋菜凍、或喝開水、大蕃茄等。 5.最佳的減重方式要飲食控制搭配恆久適量的運動。 減重是一件長期的工作，若您需要別人來督導您，建議您至醫院找合格營養師做減重諮詢，我們會根據您的飲食習慣來設計屬於您的菜單，這樣會比較貼切您的需求。 祝減重成功、平安健康 秋涼敬上 | [
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| 懷孕 | 醫師你好. 我和男友在22號至28日間幾乎每天做愛.而且每天大概2次.而第一天做愛時 他說他當天早上及前一天都有DIY過.還有我上次生理期是15日結束的. 我想請問如此頻繁的做愛次數在加上第一次做不久前他DIY.那懷孕的機率大嗎 .我們有時有戴保險套.有時沒有.而沒有時他都是體外射精. | 生理期結束後不久，就近入排卵期，如果是28天週期的人，大約是隔七天左右，前後誤差三天，所以從19日到25日都算是危險期。 你們做愛的時間是在危險期之內，又沒有全程使用保險套，是有懷孕的可能性。但因為女生每個月只排卵一次，也未必一定懷孕，一般估計，年輕男女在未避孕的情況下每個月懷孕的機會是四分之一。 體外射精是可以減少懷孕的機會，但通常仍然會有少量的精子，在射精前就已經流入陰道內，所以仍然可能懷孕。 做愛之前先DIY，也會減少精子量，但未必完全沒有精子，仍可能懷孕。 所以體外射精以及DIY是不可靠的避孕方法，也許短時間內可以不懷孕，但長期下來，懷孕的機會還是很高。 建議妳不要冒險，還是要採用更可靠的避孕方法，例如避孕藥、避孕器、保險套等方式更為恰當。 | [
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7耳鼻喉科
| 鼻子問題 | 鄭醫生你好 本人去年7月有檢查過鼻咽內視鏡，沒什麽問題 去年12月也疑似卡魚刺，從鼻進去看過內視鏡，最近一個月鼻涕水偶爾有血絲，本身也有鼻過敏症狀，剛好出國了，不知是否空氣質素關係引起鼻過敏發作，大約2個星期左右，常常回吸鼻涕吐出來有點黃黃的偶爾會有點血絲，試過有2，3次血比較多的，但今天更嚴重起床第一口痰是綠色的，便跑去看醫生，醫生說我鼻過敏嚴重，綠色鼻涕可能是鼻發炎或鼻竇炎，有先開2天的藥我吃，請問這情況有可能會是鼻竇癌或是鼻咽癌早期嗎？最近感覺左耳有點嗚嗚聲實在害怕壞東西 本人也有吸煙習慣，又沒這麽快回國，擔心拖延病情，請問醫生有需要現在再去做鼻咽內視鏡檢查嗎？ 煩請醫生幫忙解答，感謝 | hi： 您好， 若以前檢查過，大多數出血仍與鼻部微血管出血所造成，建議可以先改善鼻過敏或鼻竇炎，若仍有出血現象，可以再至耳鼻喉科檢查。 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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6骨科
| 骨骼問題 | 醫師您好： 我33歲男性，近日在職場有藥廠的免費骨質疏鬆測試，結果測出來是-2.5， 測試部位是腳跟骨。近年來生活習慣每日咖啡約12杯，運動約每月兩次， 抽煙每日約5支，習慣超過12點睡。 其實我滿震驚的，因為不認為男性33歲會達到如此差的狀況，想請問醫師您 ，像這樣的測試方式是準確的嗎？另外我應該如何繼續追蹤處理？由內在疾 病引起骨質疏鬆的機會有多少？現在開始吃鈣片又有多少機會可以改善？ 我人在台北市，有適當的醫師可以介紹嗎？ 很抱歉問題很凌亂，還請您多多指導。謝謝。 | 男人較少骨質疏鬆尤其在35歲是骨頭最硬的時候，建議停止喝咖啡，多喝牛奶及慢跑運動，再至大醫院接受骨質檢查。 一般，超音波測試腳跟較不準，如仍骨質疏鬆建議去大醫院新陳代謝科查甲狀腺及副甲狀腺功能，或腎臟疾病。 | [
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5泌尿科
| 精液 | 您好： 之前因為精索靜脈曲張而去做了精液檢查，檢驗單結果如下： 結果 單位 參考值範圍 Total amount 5.0 ml 2.0 Count 42.0 106ml 20.0 PH 8.0 7.2-8.0 Motility 1HR 75.0 Active50.0 Morphology 73.0 15.0 想請問一下 1. Count那裡是指濃度呢？還是指精蟲總數？ 意即此次射精是有4200萬隻精蟲還是4200521000隻精蟲？ 2. 此精蟲數量對一個24歲的年輕男性來說是否偏少？ 謝謝！ | 林先生： 你好 1.count，算是濃度。一西西的精蟲量 一般會達到60106ml 2.精蟲數量較少，不過可以受孕。 建議從作息的調整來改善。不要熬夜，每週至少運動3天以上，每次至少40分鐘。 飲食也要定時、定量，不偏食。減少再製品的攝取：飲料、加工食物、油炸等 禁煙 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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7耳鼻喉科
| 鼻涕倒流 | 有去診所看診吃藥了 但跟之前有一次狀況一樣 有一天晚上咳嗽停不了 頻率很常 一咳又會全身熱起來 所以根本沒辦法睡 兩次都是10點躺到2.3點受不了 坐著熬到天亮 整個過程咳嗽都沒有中斷過 隔天喉嚨都會變乾咳 好像被咳壞了一樣 想請問這種情況有什麼辦法可以暫時壓制咳嗽 至少可以入眠一下 我試過甘草藥水、薄荷喉糖、中藥的清肺散 都沒有效果 這次我特別感覺一下 好像是鼻涕一直在倒流 我把頭180度反過來可以明顯感覺到水流很快填滿鼻子到真的流出來 但倒回來又不會流鼻水 另外詢問一下 喉嚨有時候會突然一個點好像被刺到 然後就會開始猛咳 這是什麼原理 乾咳會建議多喝水嗎 感覺我越喝越咳 尤其是溫水 有種把喉嚨洗更乾的感覺 再麻煩醫師回答了 感謝 | 你好 引起咳嗽的因素很多，鼻涕倒流、鼻竇炎、胃食道逆流或感染後的呼吸道敏感均有可能，若持續不適或藥物效果不佳，建議可至耳鼻喉科或胸腔內科就醫檢查，若已經試過含喉糖，或一般成藥均無法有效止咳，並無其他有效辦法可快速止咳，仍需就醫找出原因，使用其他針對性藥物才能控制。 | [
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