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5泌尿科
| 頻尿問題 | 許醫師您好： 我從學生時期就有憋尿的習慣，時常會頻尿丶殘尿感，半年前我曾就醫，醫生說我沒問題最近感到腰部很酸所以再次檢查，驗尿後醫生只說是細菌感染丶請多喝開水，就這樣沒有發問的機會，可是看到藥袋上的註明：慢性前列腺炎丶慢性膀胱炎。 請教許醫生：1何謂慢性前列腺炎丶慢性膀胱炎 也是細菌引起的嗎 腰酸也是這兩項所引起的嗎 2很多人叫我不要憋尿，可是我會隨時有尿意，又聽說頻尿會使 膀胱量像橡皮筋過度使用會彈性疲乏，這是真的嗎 3治療方式須要注意什麼還是要作其他檢查 感謝許醫生的回答 | 小心： 你好 攝護腺，又稱為前列腺，是男性才有的器官，女性沒有。 所謂的慢性前列腺炎、慢性膀胱炎，指的是發炎超過6個月的現象，通常，慢性是比較不容易治療的。用比較通俗的說法：慢性，指的是因為急性期沒有治療完整，或者因為持續損傷，造成纖維化等慢性病變，大多數的情形，是沒有細菌存在的。有時後是因為剛開始細菌感染，破壞了組織，在組織來不及修復的情形下，再次感染或者再度受傷（憋尿等），使得組織無法完全恢復正常，這種現象，我們稱為慢性。 以你的情形，可能早期有感染，加上長期憋尿，使的膀胱、攝護腺等無法完全修復，變成纖維化等現象。症狀上，因為有這些疤痕組織（纖維化），造成一些排尿症狀、腰酸背痛等無法獲得舒解，造成患者非常困擾。 一般而言，慢性前列腺炎或膀胱炎，必須非常有耐心，治療通常會超過半年以上，有時甚至根本無法治癒。 憋尿，很多人都以為只要想小便沒去解，就叫做憋尿。其實這觀念不完全正確，應該加上：在身心正常的情形下。 為什麼？ 以你的情形而言，可能一個小時會想解尿2、3次，甚至更多，可是，每次都解一點而已（這是因為膀胱的感覺受到發炎的影響，判斷失靈了），這樣長期下來，會使得膀胱無法休息，膀胱的感覺更混亂，不知道到底是不是真的漲尿。 正確的觀念怎麼樣呢？ 正確的排尿，每次有大約150 CC以上，不超過400 CC的尿量，這才是正常的小便。假如超過400CC，便叫做憋尿。大多數小便都少於100 CC的話，我們稱為有問題的頻尿。假如因為喝水多，或者服用利尿藥物等，造成每小時解了4、5次，每次都超過200 CC，這種情形，是正常的頻尿（因為膀胱就這麼大，無法裝太多液體），是因為尿液製造太多太快引起，膀胱本身並沒有問題。 再說到你的情形，要如何改善？ 以下是我的建議： 1. 養成定時定量的喝水習慣： 比如說，白天每小時喝水50-150 CC，（或者每2小時喝水200 CC，可以配合作息），接下來要做的是，固定時間上洗手間，比如說每2小時上一次，但是，假如排尿量太少，那時間就延長；假如排尿量很大，那就改時間短一點。這樣可以向小BABY一樣，訓練你已經受傷的膀胱。 2.假如長期有細菌感染，可以加上蔓越梅汁： 急性發作時（就是比較不舒服）每日喝500CC，平時保養時，以300CC為宜。怕酸，可以加冰塊、蜂蜜、糖等，怕胖的話，有低糖的產品。相關資料，可以上網查尋。 3.治療，除了上述的保養外，假如有需要，要迅速就醫，這是一定要的啦。 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
| 術後問題 | 包皮手術到現在三個禮拜多了，請問是否可以手淫？應該不至於感染吧？傷手大致上都好了就是有一點水腫，請問可以手淫嗎？？ | 您好： 如果沒有分泌物，應是可以了，不要太大力，可應水腫變厲害。祝健康 | [
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14罕見疾病
| 頭髮斷劣 | 林醫師您好 我女兒的頭髮會反覆的生長斷裂關於這個問題我之前有問過簡醫師簡穎秀 他建議我去看遺傳基因的小兒門診因為我住台南 而且之前我女兒也在成大做過 頭皮切片及一些檢驗 所以想就近掛您的門診 今天我打電話去醫院 院方說您的門診是特別門診 不能直接掛號 請問您我 該如何才能掛號呢 謝謝您的回答 祝健康 | 由於毛髮方面的問題 是皮膚科醫師的範疇 成大遺傳中心的醫療團隊中 建議您可找皮膚科 趙曉秋醫師或李玉雲醫師 如果要掛本院的遺傳諮詢特別門診 請於小兒遺傳內分泌科看診時間 親自至該診間 徵詢醫師同意後給予加掛 | [
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| 事前避孕藥 | 醫生你好 女友曾經在3年前左右曾經吃了23個月婦產科醫生開的事前避孕藥 後來就再也沒吃過了 請問這樣會影響到以後結婚想生小孩的懷孕機率嗎 另外一個問題 女友陰道剛進去的地方 陰道口剛進去的一小前段 摸起來像有多塊凸起物 有凹凸不平的感覺 沒有任何不舒服 而且聽女友描述似乎一直都是這樣 請問這是正常的嗎 我需要擔心是菜花嗎 是否有必要特地請女友去檢查HPV呢 此外因為常常接吻 使否連我自己也要去檢查HPV 包含口腔 不知道會不會太大驚小怪 麻煩醫生 謝謝醫生解惑！ | 女友曾經在3年前左右曾經吃了23個月婦產科醫生開的事前避孕藥 後來就再也沒吃過了 請問這樣會影響到以後結婚想生小孩的懷孕機率嗎 Ans 不會影響懷孕機率 另外一個問題 女友陰道剛進去的地方 陰道口剛進去的一小前段 摸起來像有多塊凸起物 有凹凸不平的感覺 沒有任何不舒服 而且聽女友描述似乎一直都是這樣 請問這是正常的嗎 我需要擔心是菜花嗎 Ans 這是正常的 不需要擔心是菜花 是否有必要特地請女友去檢查HPV呢 Ans 沒有必要特地去檢查HPV 此外因為常常接吻 使否連我自己也要去檢查HPV 包含口腔 Ans 沒有必要去檢查HPV | [
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| 月經問題 | 醫生您好 女友過去近一年月經週期大約都在3235天左右來，上上次與上一次來的時間分別為318與425號，但從425到現在月經都還沒有來，我們在53與515有性行為且未全程戴套到一半才戴，因為延遲很久，爬了板上的文後，於68去婦產科檢查，照了腹部超音波與驗尿後醫生表示沒有懷孕，因此拿了3天的催經藥，但到現在月經都還未來，請問有可能發生未驗出但懷孕嗎 另外613以為快來有發生性行為也未全程戴套，請問這樣是否會影響催經效果 懷孕的機會大嗎 若要再驗孕請問什麼時點去驗會比較準呢 | 您好 懷孕機會應該是不大，吃完催經藥超過一星期還是沒來，建議看婦產科。祝健康 | [
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| 陰莖問題 | 許醫師 您好 有新聞提到旅客去睡旅館的床舖，因旅館床舖未消毒完全，房客讓陰莖直接接觸不乾淨的床舖如裸睡而感染性病如hpv菜花。個人的情況是，去睡朋友家，個人下半身僅著內褲睡在朋友家的床舖上，而內褲中間有個讓陰莖可以露出小便的開口，故有可能陰莖有直接接觸到朋友家的床舖。有詢問朋友得知其床舖很少清洗，因不知朋友有無感染hiv、hpv或梅毒這不好意思直接問，想請問 1.以個人的情況，即陰莖直接接觸可能帶有hiv、hpv病毒或梅毒的床舖，個人會因此感染到上述的疾病嗎 2.以許醫師所瞭解，目前全世界或台灣有無經如此途徑陰莖直接接觸可能帶有hiv、hpv病毒或梅毒的床舖而感染上述疾病的案例發生過呢 以上，懇請許醫師回覆解惑，感謝醫師。 | 匿名： 你好 若床單有相關有活性的病毒，可能接觸到你的身體，那可能感染。但是這樣的機率很低。另外，乾燥的環境，這些病菌不容易長期生存。若有這方面的疑問，建議到疾病管制局網站，裡面有相關的性病知識。若還有疑慮，可以網路或電話請專家幫您解惑。也可以到紅絲帶基金會洽詢。 一般乾燥環境，愛滋病毒存活時間很短，詳細數字，可以到疾病管制局網站自行觀看。 因床單而感染愛滋病、梅毒，應該很少或沒有。這麼容易感染，全世界早就被攻佔了。那從事醫療事業的人，不是全被傳染了（註：病人門診時到處碰，也不可能每個病人前後都消毒）。 若你這麼擔心，那沒完沒了。因為你有沒想過，你碰到的環境都沒有消毒：公車把手、公廁、出入的門把、甚至擺在店裡的東西（可能前一個人沒有洗手摸過）太多太多東西可能經前面的人觸摸沒有清潔。 我覺得，你應該將傳染病的傳染途徑徹底了解，然後作相關的預防措施即可，不需要如此擔心。先了解疾病後再來擔心。 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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| 排卵問題 | 您好，我使用21天避孕藥約8年多，已停藥近兩年，最近開始記錄經期，發現在排卵期會有下腹悶漲，胸部脹痛（有些微失力碰到才會有痛感），體溫偏高的症狀，持續2∼3天，經期約3天，量不多，間隔時間固定約21天，使用避孕藥期間經期約3∼5天，第二天量些微多，後續偏少。 想請問現在會有排卵期的症狀，是因為沒服用避孕藥的關係嗎？還是可能有其他原因？ | 的確在停用排卵藥後確可能出現妳所陳訴的症狀，一般經過幾個週期後就會改善。若症狀很不舒服，可以用藥物做為症狀控制的治療。 | [
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| 懷孕嗎？ | 黃醫師你好，325女友月經來，41有性行為，沒帶套也沒內射，但感覺有前列腺液跑進去，12小時內有去買事後避孕藥給她吃，買愉情錠一顆裝，女友月經週期是30天還蠻穩定的，個人抽了三年菸，這樣的精子活性是不是比較低啊，那這樣懷孕的機率有多大？建議什麼時候能進行驗孕。 | 325女友月經來，41有性行為，沒帶套也沒內射，但感覺有前列腺液跑進去，12小時內有去買事後避孕藥給她吃，買愉情錠一顆裝，女友月經週期是30天還蠻穩定的，個人抽了三年菸，這樣的精子活性是不是比較低啊 1.這樣懷孕的機率有多大？ Ans 325月經來41有性行為，沒帶套也沒內射，12小時內買事後避孕藥吃，這樣懷孕的機率5 2.什麼時候能進行驗孕。 Ans 月經週期是30天，建議425進行驗孕 | [
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| 龜頭外露 | 劉醫師您好 我洗澡時看到的後用日本的曼秀雷敦擦 上下班後去洗澡它竟然破了 我又不好意思去看診所以繼續擦藥 現在是有些地方紅微腫脫皮 我是包皮的外翻時有點痛碰到更痛 上網查了一下看醫生說擦凡士林 | 凡士林僅有潤滑的作用 無法殺菌及消炎. 建議仍需至泌尿科門診就診， 請醫師安排詳細理學檢查以釐清病因. 並接受合適治療. | [
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13肝膽腸胃科
| 大便出血 | 大概是最近快一個月 變得容易便秘 然後大便有時候會有鮮血 但是大便有血不是便秘後才有 以前也有過 可是最近比較頻繁 但是大概一個月前我左下腹開始悶痛 有時候會覺得左腿也有點麻麻的不知道到底是不是心裡原因 因為不注意就不太有感覺 然後最近常常肚子痛可是大不出來 叩診肚子有很多空氣 疑似感覺大便有變細的趨向 可是沒有到很明顯 家裡沒有大腸癌病史 平常也會喝水吃蔬果 但是也會吃油炸跟熱狗 會不會是大腸癌😭 | 痔瘡出血的機率最高。可以先到肛門直腸外科看診。 | [
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| B肝 | 有打過B肝疫苗，也有抗體 想請問醫師： 1. 病人用過的藥膏不小心沾到指縫邊緣的傷口，這樣算間接接觸還是直接接觸呢？ 因為查詢資料說間接接觸不會傳染肝炎？ 2. 這樣被傳染C肝的機率高嗎？ 3. 請問愛滋跟肝炎的傳染途徑及感染率是一樣的嗎？ 謝謝您 | 有B肝抗體應不會被傳染。C肝愛滋更不易如此即受傳染。仍請多小心 | [
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2牙科
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| 氣喘 | 醫師，你好： 我急需氣喘的公立醫院或教學醫院診斷書，但當年是約十歲在私立診所確診氣喘，治療時間約莫三年。治療之後，就穩定未復發，之後亦無氣喘的就診紀錄。那麼現在若我去公立醫院或教學醫院請醫師幫我開立氣喘診斷書，他會開立嗎？或者是，若依我現在控制良好的身體狀況至公立醫院或教學醫院就診接受氣喘相關檢查，醫師會不會開立診斷書給我？ PS.關於診斷書，私立醫院對氣喘的說明不被接受，僅接受公立醫院或教學醫院診斷書 謝謝醫師！ | 您好 診斷書需依實際狀況開立，需就診後由醫師判定，不是病人說是什麼診斷開立。 | [
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| 頸部問題 | 醫生您好 我左側頸部耳朵下長了一小塊的硬塊，一條長長的約2公分左右，壓下去會感覺到痛，而且最近一直感覺得到頭暈，前一陣子，甚至連下巴和脖子之間也長了一塊，現在突然消失了，但耳朵下的一直都在（不清楚什麼時候舊有的）. 我想請問你，這是怎麼啦？麻煩你了！！謝謝. | 您好 回覆有關您的問題 頸部硬首先要排除惡性腫瘤的可能 所以還是煩請您至就近的耳鼻喉科專科 醫師處或本院耳鼻喉科做進一步的診斷及 檢查. | [
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| 是否懷孕 | 我跟我女朋友在129的時候去泡溫泉 當天剛好是他的排卵期 在水中我有分泌出分泌物 他也都泡在水裡後來有用手去摸他私密處但是沒伸到陰道裡只在外面 我們很緊張25小時過後我們去買了愉婷碇 他上次月經來是1125 每隔28天左右會月經 經期為7天左右 請問今天是1212日 尚未出血只有腹部輕微疼痛 未吃藥時預計1224會來12月的月經 如果他在原本預期月經前出血了是否就代表沒懷孕 而那個出血是否算是當月月經 而出血大約幾天量多少算正常 沒出血又代表什麼 他這樣懷孕機率大嗎 我們完全沒有發生性行為 只是怕在水裡的分泌物跑進去還有手上可能沾到我的分泌物又去模他私處 | 提問者您好 依您描述的情況，因為不大會有活動的精蟲存留，所以會懷孕的機會並不大，以往也未曾有經証實的報導。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。而陰道出血無法僅由描述來判斷是否是月經或有無懷孕。仍建議您如果到1月初仍沒有來月經或是不確定是否有來月經的話，應該檢查是否懷孕謝謝 祝 平安 健康 張 醫師 回 | [
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| 懷孕機率 | 醫生好，我女友上次月經是331第一天，平均5天。今天49小日曆上顯示危險期第一天，我手有乾淨的狀況下有摸她的下體，但是擔心內褲上的前列腺液可能會沾到她的腰部，她再用手觸碰到並接觸到她的下體，想請問：如果前列腺液接觸到腰部再藉由她的手觸碰到下體，這樣會懷孕嗎？ | 提問者您好 依您描述的情況，會懷孕的機會不大但並非沒有。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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| 射精 | 醫師您好 由於我自慰算頻繁 （１週內２。３次） 所以愈到後面我發現當射精的那一瞬間 會整個沒有射精時的那種爽快感 請問這樣持續下去會導致以後的性功能嗎？ 休息一陣子之後可以恢復以往的快感嗎？ 謝謝 | 匿名者： 你好 自慰與性功能的關係，西醫認為影響不大，但中醫卻認為有相當的影響。 長期自慰，西醫發現會造成實際性行為時發生暫時性早洩的機會較高。至於快感的降低，是因為你都是DIY，一成不變，久了自然越做越快，越來越像是例行公事，當然快感會降低。 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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19神經內科
| 嘴角不自主收縮 | 江醫師您好： 這兩天發現我右嘴角的肌肉會不自主收縮（非抖動），一小塊區域的肌肉不斷收緊，約2-3秒再自己鬆開（很像被線拉緊放開的感覺） 頻率約3-5分鐘一次很頻繁，除此之外沒有傷口或其他感覺異常，擔心是否顏面神經出現狀況。 不知道這種情形可以先吃B群觀察還是需要馬上就醫，謝謝。 | 您好： 嘴角肌肉的運動是由顏面神經來支配，如果除了嘴角外，是否其他臉部肌肉也有抽動，可先將您的症狀視為顏面神經痙攣。 肌肉跳動的原因 目前研究表明其主要與以下幾個方面有關：運動，急性病毒感染，焦慮及藥物使用。其中，長時間運動是造成肉跳最主要的原因之一。常見可引起肉跳的藥物有：利尿劑，皮質激素、雌激素以及過量的咖啡因。另外也有研究認為殺蟲劑，特別是有機磷等化學毒物同樣可以導致肉跳。在臨床工作中，我們也常發現許多患者存著在這樣一個惡性循環，輕微的微肉跳引起焦慮緊張，焦慮又加重了肉跳，加重了的肉跳進一步引起了患者的恐慌和焦慮。 治療上可以使用肌肉鬆弛劑來治療，較嚴重的病患可能施打肉毒桿菌。 建議您可以找神經內科醫師討論及治療 祝您身體健康 平安喜樂 桃醫 神內江醫師 關心您 | [
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5泌尿科
| 射精 | 医生您好，我现在出现两种情况需要请您帮忙看看是什么事。 我一星期都有自慰3-4次的习惯，但从上个星期的时候有一次自慰射精后尿道就会有种酸痛的感觉，然后自然反应就像忍尿这样去忍着它，因为如果没忍的话就好像有东西要从里面出来的那种感觉，因为我之前都没遇过这种情况，所以我隔天又在自慰一次观察看看，射精后还是有那种酸痛的感觉，但这次我没有忍，不过都没东西出来，去小便尿量也少，而且排尿也没问题也没疼痛，而这种酸痛就只是痛几分钟而已，赶快去排尿就没事了，不过那种感觉不好受，想问问是什么原因。 第二种情况是自从射精后尿道出现酸痛的感觉后，小便时小到最后就感觉好像小不完的感觉，结果一用力就会有类似精液的液体流出来，（浅乳白色，比精液还粘，但�茖𣳉 希望医生能帮助到我，谢谢你们！ | 您好 本園地回答供參考 無法取代醫師診查 您的情形 如果有服藥物 應要看看藥物是否影響射精 如果無服用藥物 應屬前列腺問題為多 此時如有不安全性行為應就醫 如果無不安全性行為 無服用藥物可先多喝水 飲料酒少喝 辛辣食物避免 做些溫和運動 暫勿憋太久的尿 觀察2-3天 持續症狀未恢復請就醫檢查 如果在此期間發生尿痛尿濁排尿困難應立刻就醫. 祝健康 | [
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| 月經問題 | 5月初開始吃肌醇6月2號月經就提早來了，這樣月經是正常的嗎？ 吃肌醇對女生好嗎？ 因為想懷孕可是身體本身就不會 吃肌醇可以調子宮嗎？ | 親愛的多多您好： 1.月經週期21-45天都是常見的天數，如果月經之後都調整到28-30天來一次，增加排卵次數，懷孕機率也會跟著上升。 2.肌醇又稱維他命B8，屬於多元醇為葡萄糖衍生物，在卵細胞參與生長激素、胰島素受體濾泡刺激素及黃體素的作用，有助於卵巢功能。 3.肌醇是調整卵巢為主，如果還有其他關於懷孕問題，建議至婦產科就診檢查與醫師詳細的討論。 南投醫院婦產科 黃子菲醫師 | [
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| 是否懷孕 | 不好意思，我想請問我的月經是37來的，於323號及329號有性行為過，有戴套確認沒破，因為323剛好是排卵日後2天，請問這樣懷孕機率大嗎？ | 月經是37來的，於323號及329號有性行為過，有戴套確認沒破，因為323剛好是排卵日後2天，請問這樣懷孕機率大嗎？ Ans 有戴套確認沒破，這樣懷孕機率不大 | [
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| 會懷孕嗎？ | 醫生您好 我上一次月經是2月13來 3月4日清晨與男友有套愛愛 因為好像是危險期不太放心 隔天3月5日的時候去婦產科吃事後避孕藥 之後3月7日清晨與男友無套愛愛 做了好一陣子後他拔出來自己打到射精 這樣可能懷孕嗎？ 謝謝醫生 | 類似的問題已經太多，可參考本站常見問答 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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2牙科
| 假牙 | 位置是右下第二大臼齒治療前牙周健康，第一次裝假牙後，咬合不適修到金屬露出能咬合怪異，約3個月因不明疼痛多方檢查後重新治療裝假牙不明疼痛有明顯減緩。 •新假牙全瓷冠因牙齒咬合不適、形狀外凸已修多次，咬合平順了，但最內側時常有壓力感連帶最內側上下牙齦浮腫感，浮腫感消失壓力感也會消失，不知是否正常 •前方牙齦時常痛痛的有鐵味，刷牙時還有怪感牙齦邊鬆開感，靠前內側能看到假牙和牙齦的接縫處。換了超軟毛輕輕刷、牙線清理偶爾搭配漱口水還是一樣，不到3個月發現牙齦邊凹槽淤紅，而後變暗粉色一圈 | 裝上牙套的牙齦感覺疼痛發炎，可能是沒有清潔乾淨，也可能是牙套咬合問題，或是牙套邊緣壓迫到牙齦，建議還是回診找牙醫師作進一步檢查。 南投醫院牙科 曾光暉主任 | [
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| 寶寶生長發育 | 請教裴醫生，我的女寶寶970828出生現在約4個半月大，目前體重約7.6公斤，身高約65公分，寶寶已經厭奶大約1個多月了，排斥所有奶瓶餵食的牛奶、果汁及開水，但如果是湯匙餵食全部都接受。 目前接觸的副食品有米湯、米糊、南瓜泥、蔬菜泥、果汁，也適應良好，每天的總奶量大約只有400600㏄而已，但可以吃到7080㏄調成的米糊或南瓜泥12餐每次約半碗，這樣的飲食方式奶量可以嗎是否會造成營養不良，因為寶寶只愛吃副食品，目前等於是隔餐餵，一餐奶一餐副食品了。 | 您好 正常的寶寶出生時重約三公斤，到第四或第五個月大時會到出生體重的兩倍，滿週歲時會到出生體重的三倍，也就約等於十公斤，之後至青春期每年約長兩公斤。您的寶寶現在約4個半月大，體重約7.6公斤，看起來體重增加正常。 餵食量標準是每天每公斤體重100150CC或公克包含奶量及副食品的重量總合 也可以買個小磅秤來秤重，若您的寶寶現在現在是500CC左右，又可以吃到約300-500公克的副食品，體重與其他身體狀況均不錯，不需要擔心！ 祝 健康快樂 衛生署桃園醫院 小兒科主任 裴仁生 敬上 | [
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| 男性女乳症 | 醫師您好 我身高17885快滿18了 我很明確的知道我有這個症狀.想問以下的問題 1.除了開刀還有別的選擇嗎小5到現在了 2.請問手術費用大概是多少 3.離三芝最近的一間和女乳症相關的醫院請問在哪裡 4.這個費用可以分期 | 是否開刀要經過醫師現場評估費用也是三芝可能到淡水馬偕比較合適. | [
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1精神科
| 自律神經 | 您好： 我媽媽今年５４歲。從年初，一直以為是更年期障礙，到７月初，去看精神科，比較能肯定是自律神經失調。我上網查詢了一些相關知識，了解到這不是幾天就能痊癒的病，但是媽媽的症狀變化無常，時好時壞，讓她一直覺的是其他疾病，看了心臟科，泌尿科，大腸鏡，抽血檢查，一連串下來，甚麼都做了，醫院一家換一家，精神科醫師開的藥也是大同小異。她沒有按規定服藥，甚至停藥，她說，吃了會心臟無力，有一天，她甚至一直上樓要去上吊自殺。媽媽的症狀真的是一言難盡，到了最近，我和爸爸也覺得是不是精神科開的藥太強，產生藥癮之類的，可是不吃又不行。漸漸的，媽媽吃鎮定劑也無法入眠，多吃一顆也睡不著，大小便沒感覺，要自己定時去上，甚至上不出來，沒有食慾，坐也不是躺也不是，狀況非常糟糕。昨天她去長庚看，發現有點胃潰瘍，我想這是一串的惡性循環。我們家附近的醫院都看過了，醫生開的藥都差不多，讓人感到心寒的是，醫生都沒有確切的答覆，只有開藥吃藥。可是吃了藥令媽媽非常痛苦難耐，不吃藥又不是辦法，叫她去看中醫，她又說來不及了，我真的不知道該怎麼辦。 附上她第一次去精神科時拿的藥名 Kinax. Dogmatyl. Eszo. Mocalm. | 有很多時候，自律神經失調嚴重時會併發憂鬱症 不曉得醫生知道你媽媽現在的狀況嗎 如果是自律神經失調的問題變化了， 還是好好跟醫師溝通，可能是需要調藥了， 另外、不是藥重不重的問題 太重太輕或不適合，都需要調藥 要好好跟醫師溝通 | [
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| 恐慌症 | 你好醫師，請問我要出國搭飛機， 但每次搭飛機都會恐慌症發作， 我的醫師都會叫我先吃鎮定劑， 壓得下來通常沒事， 如果壓不下去來，真的會很痛苦， 血壓高 肌肉緊繃 心跳加快， 醫生跟我說真的壓不下來，就好比高壓電跳電，頂多虛脫沒什麼事， 只是過程會很難過， 我想問如果我在高速公路或者飛機上遇到恐慌症發作， 我能做些什麼， 這些症狀會危害到生命安全嗎 | Dear 青龍子 你好，謝謝你的提問，通常恐慌伴隨交感神經活化，所以 常會感覺呼吸加快心跳急促， 而有覺得瀕死感， 持續時間通常不會太長 ，也不太會有真正的生命危險 休息一陣子通常可以改善緩解， 建議你接受專業的評估給予適當的治療，藉以預防發作和減輕症狀。 祝福你。 | [
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4心臟血管專科
| 藥物諮詢 | 打了莫德納疫苗後第4天心跳忽快忽慢喘不過氣醫生開了康肯1.25毫克ERISPAN0.25毫克我例行每天吃Crestor10毫克1顆。靜態心電圖24小時心電圖心臟超音波X光都做過醫生說大致OK只有二尖瓣脫垂的問題沒有太大關係而我的 NT probnt數值高達791目前為止仍查不出原因醫生說康肯可吃可不吃怕養成依賴性但停了幾天不吃心臟就感覺緊緊沈沈的吃了就感覺較輕盈自在我的血壓平常都在9050左右請問是否每天定期服用康肯還是有需要再吃呢謝謝您撥空回覆。 | 血壓如果不高，建議停止使用Concor，並於門診處方醫師討論。 | [
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5泌尿科
| 勃起 | 許醫師您好： 最近發現有勃起方面的問題，主要是在性愛過程中硬度不比從前，中途會軟掉需要靠其他刺激才能再硬，但是感覺硬度不佳，且偶爾有早洩的問題！ 因為以前不曾發生過類似的狀況，讓我很緊張。 經至泌尿科診所檢查，抽血發現男性荷爾蒙偏低，所以開了男性荷爾蒙塗抹凝膠和壯陽藥物！ 想請問醫師： 1.我日後得一輩子補充男性荷爾蒙嗎？ 2.我還這麼年輕，看了一下衛教專欄發現男性荷爾蒙偏低是更年期才有的症狀，若多吃點海鮮，保持良好運動，有可能會恢復嗎？因為我不想一直靠藥物治療！ 3.一直以來我都沒有抽菸喝酒的習慣，且以前是運動員，實在不解為何男性荷爾蒙會突然偏低，有沒有可能還有其他原因導致陽痿呢？ 4.沒有晨勃是不是不太正常？ 感謝醫師的回答！ | 匿名： 你好 1.持續追蹤荷爾蒙，夠了就可以停止。 2.可以恢復。重要的是規律生活，持續運動，健康飲食，戒菸酒等。 3.男性荷爾蒙偏低，若日常生活沒有影響，可以不需要補充。 大多數男性荷爾蒙製劑，可能引發惡性腫瘤。因此，建議使用要非常小心，並且最好找有衛福部認證、FDA或歐盟認證的藥品。 4.請參考我先前關於晨勃的回答。 我一再強調，對於可以勃起的人，晨勃沒有任何意意。 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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5泌尿科
| 勃起 | 想請問一下 在自慰的時候坐著的時候大概硬度都89但只要站起來可能就只剩下56或是直接軟掉 想請問這是因為自慰的時候已經習慣一個動作所造成的還是其他原因，作息很正常也有在健身。 一個星期自慰平率大概是23天如果真的是一個動作所造成的那這樣有什麼方法改善， 很怕以後再行房的時候出現問題。有動過精索靜脈曲張的手術跟這會有關連嗎。 | 與靜脈曲張無關 不需要擔心 自慰跟行房有差異 | [
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| 延經藥 | 您好 想請問關於第一次吃延經藥的問題 本來上個月月經是1018號來的（但9月份由於課業壓力大 月經沒來 算經期不穩定的體質） 但這個月因為1122以及1128∼121都有重要比賽，非常擔心卡到生理期，（本人生理痛非常嚴重，影響極大 ） 從1114就有胸部脹脹的現象，是月經要來的感覺 1115便趕緊去婦產科掛號拿了延經藥， 因為醫師沒辦法保證能讓他在1123∼1127中間這個空檔來潮， 便建議我直接吃17天份，吃到121事情辦完再停藥讓月經來 但本人在1115晚上吃完一顆延經藥後 今日1116肚子有些微悶痛感、上廁所有少量咖啡色分泌物（很像我來潮前一兩天的症狀）怕月經還是會來！ 請問這樣是正常的嗎？ 有辦法成功攔截月經那麼長時間嗎？ 謝謝！ | 如果要延經達2周，失敗的機會極高，建議可考慮停藥讓月經提早來，剛好也能避開重要比賽時間。另外，關於經期不規則與嚴重經痛就近至婦產科診所進行進一步評估與治療。 | [
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| 家醫科問題 | 醫師你好 每次天氣忽冷忽熱時我都很容易會頭痛但最近發現只要一頭痛的話我就會有想吐的感覺因為我本身的腸胃就不是很好 所以我想請問一下醫生你覺得是哪裡出了問題謝謝 | 您好 頭痛或頭暈厲害時，往往會覺得噁心、想吐，跟是否腸胃不好不儘然有關。若常常頭痛，應至神經內科求診。 祝健康 衛生署桃園醫院 陳奇峰醫師敬啟 | [
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6骨科
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5泌尿科
| 性病感染 | 親愛的杜醫師 您好！ 今日下午在國外的天然溫泉池，大約有15x60M大小，遊客不多，大約30-40人左右，底部是天然的石塊砂礫，移動時不小心踢到石塊，立刻就上來池邊，發現右腳大拇指外側角質層脫了一小塊，約3x3mm，有看到一絲絲血絲，清洗乾淨之後就沒看到血絲了，有用酒精消毒。 現在角質皮掉了，沒看到明顯的傷口，用手按壓也沒有痛感。 人在國外，第一個想到的就是趕快請教杜醫師。 上述這樣的狀況會被感染性病嗎？是不是我多慮了？ 謝謝杜醫師，週末愉快！ | 您好： 不應該會感染，祝健康 | [
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| 懷孕機率 | 醫生您好∼我大概在12號發生第一次性行為 期間沒有戴套也沒有射（但可能有用到前線列液）第二次性行為相隔一個禮拜左右 有抽插幾下後戴套 性行為完後過幾天分泌物有出血的狀況 上次月經大概1220 但現在122 我都沒有任何經前會有的徵兆 之前都會胸部脹脹的 會不會也有可能是因為我最近因為扁條線化膿 有吃抗生素Curam 1000mg的關係 大概在115號開始吃的 想請問這樣懷孕幾率大嗎 | 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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| 第五蹠骨 | 醫師您好，我於1022不慎踩空階梯造成左腳第五蹠骨骨折，因無外傷所以並未開刀。這一個月間以木板貼在腳底做固定，並進行敷藥。到目前為止足部的腫脹已幾乎消退，也不太會感到疼痛了。 但在1119照X光的時候，骨折癒合的狀況不盡理想和1025第一次照的X光比較僅有非常些微的密合 想請問像我這樣的狀況，是否應該要穿戴護具較好呢？有需要拄拐杖嗎，還是可以直接用腳行走？ 謝謝回覆 | 您好： 骨折一個月X光多半不會有太明顯癒合狀況，但只要不過度負重或疼痛多半不至於造成太大問題，骨折癒合至少需要三個月，拐杖使用可減少對骨折部位的負重併發症會較少。謝謝！ | [
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5泌尿科
| 濾過性病毒 | 醫生你好 我在學校有個穩固的炮友球隊的 最近因為對方交到女友所以理性的結束了這段關係 但是回頭想想 還是想知道正確的防治性病觀念 例如： 我們做愛的過程中都有使用保險套，每次我也都有檢查保險套是否破掉（最後套子也都安然無恙） 那是否只要是進入前戴套 射精完後在軟掉前拔出來 之後取下保險套就能防止性病呢？ 也因為我們都怕保險套破掉 所以有在做愛時使用水性潤滑液的習慣 這樣應該也能更有效降低套子破掉吧？ 再來就是 性交時有戴套，可以防止體液的交換，是否就可以防止梅毒淋病菜花愛滋 透過體液交換而得到的性病呢 也想請問口交時 如果已確認口腔沒有傷口聽說事後刷牙會造成牙齦有細小傷口，所以我都是使用漱口水清潔， 那是否基本上不容易得到上述性病呢 不過對方跟我說他確定要入伍了，我猜體檢時應該他是沒問題啦，但為日後著想，有些觀念道聽塗說不如直接詢問。 在此感謝醫生的回答 | Coco 你好 看得出來，你很用功的尋找資料。 你寫得都沒有錯。 這樣的保護，基本上可以防止感染。 不過，任何防護措施都無法100％防止感染，只是機會非常低。 註：另外，口內幾乎都會有傷口存在，無法完全避免。很多是肉眼看不到的微細傷口。 況且，口腔內的表皮是黏膜，無法完全阻擋病菌。 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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1精神科
| 藥物諮詢 | 先前因失眠於家醫診所看診，醫師開「使蒂諾斯」，之後於身心科看診時，因醫師認為使蒂諾斯不太好，轉而開「羅氏導美睡、永信佩你安錠」。但比較起來後者導美睡的效果不顯著，通常吃完藥過一兩後時還是很有精神，但使蒂諾斯約服藥半小時後就會感到眼皮沈重。請問兩者都是助眠藥，兩者主要差異是在哪？使蒂諾斯比較難戒斷嗎？ | 敬啓者 您好，您的提問 因原醫師離職 已於419由主管單位轉交給我回覆 抱歉讓您久等了！ 導美睡 基本上是屬於短效型的安眠藥物 其誘導入睡的時間較短 代謝的時間也較短 但是您使用起來好像效果不明顯 至於 使蒂諾斯 是屬於中效型的安眠藥物 您使用起來的感覺不同 有可能是因為二種藥物的作用機轉稍有不同 至於 醫師建議您換藥 其中一個可能的因素是 使蒂諾斯 有部份的使用者會有類似夢遊的副作用 如果有此副作用 是一定要作藥物的更動的 以上回覆 敬祝 身心愉快 一般精神科 張芳榮 上 | [
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13肝膽腸胃科
| 排便問題 | 小兒2歲以來一直有大便難解問題之前吃了一陣子軟便劑之後有改善但最近又開始排便不順2天3天漸漸到4天才上且因太硬而造成肛裂流血並是在有吃軟便劑的情況下還4天才解大便吃藥似乎一點幫助也沒有平時飲食早晚喝鮮奶主食還是以飯麵為主看的小兒科醫生都還是建議多吃蔬菜但吃的量還是有限水果份量和水也吃不少.想帶去大醫院做檢查如果要做大腸鏡之類的檢查又怕這麼小怎麼受得了請醫生幫幫忙 | 回覆： 您好 幼兒便秘大部份都是功能性便秘（即沒有器質性的病變，只是單純腸蠕動不好，或飲食因素引起），如果小朋友體重正常，腹部沒有摸到腫塊，大便沒有出血，也不會不明原因腹痛，並不建議做大腸鏡檢。可考慮換奶粉，多喝水，增加纖維素的攝取。早上起床喝一大杯水養成按時排便的習慣，如果已用藥物還是便秘厲害的話，可能還是給小兒胃腸專科醫師檢查一下較好。 內科袁宏道醫師敬覆 | [
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5泌尿科
| 前列腺 | 你好 從小就有自慰的習慣 近年覺得DIY結束時會產生墜脹感或是裡急後重的感覺 因為時常在深夜或是熬夜 所以想說是不是身體搞壞了 今年更是感覺只要在逛黃片的時候就會有脹脹的感覺 停止不看的時候感覺就會慢慢消退 現在大概一周會DIY2-3次 另外似乎還有一些腸道的疾病 上廁所容易上不乾淨有碎便留在直腸內我有戴手套去清出來就舒服多了 但是兩種感覺很像有時候分不太出來 想請教醫師兩個問題 1.個人有熬夜DIY的習慣 甚至兩種合併 這樣會不會導致攝護腺腫脹或是肥大 2.攝護腺會不會有可能壓迫到直腸 造成裡急後重或是腸道異物感上不乾淨覺得裡面還有東西 | pig 你好 1.不至於，除非經常造成攝護腺發炎。 2.不容易，除非攝護腺非常大或者非常腫脹。 | [
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| 坐骨神經痛 | 陳主任好！ 我常常由臀部往下延伸到腿的側面、或者後面，甚至到腳板、腳趾，除了疼痛的感覺以外，還有麻木無力、發脹、發冷的感覺，這些不適的感覺，又隨著行走、或搬重更加重，讓我很害怕很困擾，請問除了開刀外，看復健科可以減輕或解決問題嗎？謝謝醫師！ Nana | 1可能係椎間軟骨突出壓迫坐骨神經所致 2復健可用熱療干擾波及腰椎牽引治療約七八成可改善 3若無效考慮開刀可請教骨科或神經外科是否可用內視鏡或熱頻針或傳統手術 | [
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13肝膽腸胃科
| 腹瀉 | 請問醫生我今年27歲，近兩三年排便都是軟便不然就是拉肚子，無腹痛或血便，排出來的糞便有時會是偏綠色，今年四月照胃鏡有感染幽門桿菌吃兩個禮拜的藥，但症狀還是持續，也有體重變輕症狀，請問這會是什麼原因造成的 | 您好 可能是腸躁症或是飲食，精神壓力所造成，如果有大腸癌家族史，可以就診胃腸科，醫師評看看有沒有需要安排內視鏡，另外，還有一些是內分泌的問題，如甲狀腺功能亢進。 彰化醫院關心您的健康 蔡安順醫師 | [
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| 雷射問題 | 醫師好：我10月19日因為眼睛有亮光到診所檢查，醫師說9點鐘的位置視網膜比較薄幫我打了雷射補起來，並告訴我光或飛蚊多要再回去檢查。2天之後飛蚊變多回去檢查醫生說原來雷射之處沒問題，4天之後飛蚊細點點又更多，又再回診檢查說3點和6點之處有血點，也幫我補起來，但我的飛蚊並沒有變少，還是好多（點狀、線狀）都有，也因第二次雷射線狀的飛蚊揪結再一起成水母狀，室內也看的清清楚楚。今天到醫學院再檢查一次也說沒問題，但我今天起床感覺右眼又些霧，我好擔心害怕，請醫生幫幫我建議我。 | 麗娟您好： 如果有飛蚊突然變多或出現閃光幻視的情形，建議還是要找時間再回去散瞳檢查。 南投醫院眼科 何建賢主任 | [
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1精神科
| 精神分裂症 | 您好！五月的時候，我要參加一個升學考試，每天都很緊張。某天晚上，我在睡覺前一直說我會考上，結果到後面變成我會殺死媽媽，我嚇到我一直想趕走那個想法但都沒辦法，接下來就開始有會有傷害家人的想法，我怕我會詛咒和傷害家人一直都沒辦法讓這些消失，甚至想結束自己的生命，想未來以後要離家人遠一點，我最近有在想大學畢業後要不要去看精神科或接受心理治療。我該怎麼怎麼做才能不再有這些不好的想法？我有精神病嗎？謝謝 | 建議去精神科做深入的評估，如果不是精神症狀，就應該考慮接受藥物治療與心理治療 | [
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5泌尿科
| 菜花 | 醫生你好 請問如果得到菜花或潛伏期內 去施打九價疫苗 會增強抵抗力或降低發病機率嗎 | 您好 如果您有菜花問題 請先處理菜花 疫苗是預防 可不是治療用的 另外打了疫苗也不是百分百不會得喔 請注意有些資料說疫苗 會用某些方式描述說某病百分之多少是由幾型造成此疫苗可百分之百對此型有效 但是重點在您不一定是由幾型造成的 了解嗎. 謝謝您的問題. | [
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| 備孕問題 | 醫生 您好 1. 因家中有養貓咪，請問是否建議備孕時先進行弓漿蟲檢查呢？ 2. 請問在外上廁所若是衣物內褲不小心碰到馬桶坐墊或馬桶邊緣，之後再穿上是否會有感染疑慮？ 3. 如坐式馬桶有前位使用者踩上去的腳印或是其他髒污，但沒注意直接坐上去使用，是否會造成感染？ 謝謝醫生 | 您好 感染機率應該不大，要先檢測一下是否感染也可以。祝你健康 | [
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0婦產科
| 分泌物 | 醫生您好感謝您在百忙之中的回答 距離月經該來的時間已經過了十天 正常月經週期都蠻時準的偶爾有一兩次會晚一兩個星期 不過這次有分泌物黃黃咖啡色的不知道是否正常呢 剛過月經週期時陰部會覺得搔癢這兩天就不會了是否正常呢 | TINY小姐妳好： 有些人月經要來前，會先有一些少量的出血作為前兆，尤其是不按時間來的月經更是如此。建議你可以再等幾天看看，也許過幾天量就開始多起來了。 有時月經要來之前，受到陰道酸鹼值度改變的影響，分泌物會比較多，導致搔癢。但是你過了幾天就自然好了，那就沒有什麼關係，不用擔心。 | [
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0婦產科
| 口服避孕藥 | 想請問 1.上個月吃悦己621月經第一天吃第一顆，吃到711把21顆吃完 開始停藥7天，不過715是停藥的第四天月經就來了，這樣正常嗎？ 2.那這樣我下一包服用的日期應該是等停藥7天後就是第八天719開始服用，還是月經來第一天715就開始服用呢？ | 您好 正常，ㄧ般避孕藥從月經來的第五天開始吃，吃完之後月經ㄧ星期內會來。祝你健康 | [
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11營養教室
| 減重 | 不知為什麼我總是吃不飽，而我之前也曾嘗試減肥因為我太肥ㄌ，但受ㄌ幾公斤後想說先恢復正常飲食，但是後來吃東西總是感覺永遠吃不飽，因此又胖回來ㄌ，到底要如何瘦呢？而為何我總吃不飽呢？ | 您好 吃東西除了讓我們身體得到營養外 也會給心理得到滿足 就像小孩會吃奶嘴 尤其是睡前或哭哭的時候 如果想多吃但熱量低的 大概就只有蔬菜了不包括澱粉質的例如地瓜 馬鈴薯 山藥 菱角 蓮子 芋頭 玉米 . 不限量ㄛ 可以吃泡菜 不要加糖或油 可以吃沙拉 但不能加沙拉醬或橄欖油 可以吃燙青菜 不要加油或肉燥去拌 可以喝蔬菜湯 但不要加澱粉質的蔬菜 也不要用太白粉勾欠 多喝水也可以讓肚子飽一點 另外增加飽足感的還有市售的商業配方的高纖粉末 可以加在水裡 喝了會有膨脹飽足的效果 還可以促進排便 大型的藥房都有 另外一些代餐包也有這一類的效果 還有吃東西的速度要放慢 小口慢慢嚼才容易有飽足感 以上的招術都使完了 只好運用自己的意志力 自我催眠暗示---我飽了 我飽了開玩笑的ㄌㄚ 意志力是最方便最有效的根本解決之道 還可以運用在其他方面ㄌㄟ 只是練成隨心所慾要花一點時間罷了 祝你成功 巧雲517 | [
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| 陰莖問題 | 許醫生，您好 我覺得自己陰莖從小到大沒有發育 沒有勃起很小，勃起也是，包皮也一直抱住的 想看醫師詢問，是不是荷爾蒙發育問題 那假如醫生要給我檢測荷爾蒙的話 上網看是看內科或新陳代謝科也可以 可是有些人說要空腹，有些說不用 我是要看泌尿科 有需要空腹嗎？ 在請問醫生，關於性器官通常發育到幾歲 課本說是18-22也有人說是 國中到高中這段時間 是否要看個人體制，那發育結束，要怎麼檢測出來，還是外表可以觀看 麻煩醫生了，感謝 | 大學新生人： 你好 泌尿科門診就醫一般不需要空腹，檢測荷爾蒙一般也不需要空腹。 陰莖的測量長度，就是從陰莖最根部量到龜頭頂。 註：httpjohn547.pixnet.netblogpost93091768-pennis 你的課本所說的陰莖長度值得商榷 建議您可以就近到醫療院所做進一步的詳盡檢查。 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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1精神科
| 睡眠 | 不知道為何最近幾個月來晚上睡覺時每天都會醒來1-2次然後又繼續睡曾經有一天醒來4次的紀錄不知道為何會如此而且我看感冒時的醫生和婦產科的醫生都說我壓力大但是我是學生感覺不出來我壓力大丫 | Hi！您好 根據國外或國內研究，所有人口當中，有約四分之一、甚至更高比例的人，具有睡眠方面的困擾，其中以入睡困難最多，其次是睡眠過程中斷、早醒及過眠。失眠的原因，大部分則是與身心壓力的失調有關。其實，很多的失眠現象都是短暫而可以恢復的。 我們人體的生物時鐘功能，會自動調節， 您先不必過度擔心。 所謂的壓力或是造成心理負擔的壓力，有時我們並不易察覺， 可能一點生理賀爾蒙的變化、 一點身體不適、 旅行時差、 課業工作較重、 人際交往不順等， 都可能是壓力源， 日積月累，造成身心調適的障礙。短暫的失眠現象就可能是一種警訊，告訴我們要放慢腳步，調整心情了。先以平常心面對看看，應該會很快改善，祝福您！ 劉醫師 | [
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10兒科
| 寶寶生長發育 | 醫生您好： 我家兒子目前一歲三個月大了，目前身高72.5公分，體重8.1公斤，是否過於瘦小？是不是需要做生長發育評估？謝謝。 | 小林你好： 貴公子的身高和體重皆小於３百分位，皆不在正常範圍內。請問他是不是早產兒？出生前及出生時狀況如何？有沒有其他身體健康的異常？頭圍如何？他是需要做生長發育的評估！ 請儘快赴就近醫學中心找一般兒科的小兒專科醫師就診！按時定期接受疫苗和身長發育健檢是非常重要的。單一次的數據和評估對貴公子的幫助恐怕很有限！ 花蓮醫院小兒科關心您！ | [
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16腫瘤科
| 癌症 | 我媽媽目前癌症末期該怎麼辦何種治療才是最有效的 | 珊 癌症如果還未治療過，雖屬晚期，亦可藉由治療達成減緩症狀延長生命的效果。但需找醫學專家處理，切勿誤信偏方、另類療法、飲食治療等非正統方法，以免花錢又耽擱病情。如果癌症已經由專家用盡辦法治療，那麼可以考慮安寧療護。安寧療護也是一門專門學問，並不是放棄的意思，而是對病人身、心、靈三方面的全方位照顧，讓病人得以善終為目的。祝福你們全家，加油！ | [
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6骨科
| 骨折 | 醫生您好！我之前98年6月27日，在學校打工從一樓高的地方摔下來，造成左腳跟骨骨折，我在淡水馬偕手術，醫生是用開放性復位鋼板內固定，迄今已4個多月了。馬偕的醫生在一個月前跟我說可以放掉拐杖走路了，但不能走太久。我還是學生，常得四處跑教室上課，不知道是走太久還是怎樣，最近走路時，左腳跟很痛，而且是偏外側才會痛，導致我現在不敢走路，而且左腳只敢偏內側走。然後，我就去找中醫及國術館，但他們都說是裡頭的筋發炎，建議我早點拆掉鋼板，復原才會快。我在淡江大學唸書，目前23歲，因為大家都說年輕人復原很快，但我到目前為止都不能放心走路，我真的很懊惱、鬱卒，我現在陷入兩難，週遭的人有叫我早點拆掉鋼板，也有叫我一年後才拆，我不知道怎麼辦，因為我不知道「痛」的來源是不是鋼板，所以想請教醫生，鋼板一般是多久才能拆呢？那我的情形應該如何？不好意思，拉拉雜雜說了一堆，麻煩醫生了，謝謝！ | 您好： 您的問題應該問您的手術醫師，每一個人骨折的位置不同、形態不同、處理方式也不同，所以每一個病患的情形都不同，倒是不知您有沒有復健治療過呢？請您的手術醫師推薦一位復健科醫師，做一段時間復健看看，如果真的沒進步，再考慮是否應該拆除內固定。 內固定（包括鋼板、骨髓內釘、鋼針…等）一般是等到骨折癒合後，術后滿一年以上（有的地方要一年半以上），才可以拔除內固定。最後還是強烈建議您找時間回診，有任何問題聽您的主治醫師就對了！ 最後，祝早日康復！ | [
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| 咬合 | 醫生您好： 上個禮拜不小心用力咬合後面臼齒，導致後來吃東西會有點不舒服小痛，然後就改吃軟的食物，但是對冷熱不會敏感刷牙也不痛，放開咬合也不會痛，只是吃硬一點的東西會有感覺而已，然後今天吃東西時意外的不會那麼不適，連咀嚼也還可以。 但是前幾天太擔心就用手電筒照了一下臼齒，發現在齒頸部那邊有些牙隱裂不大就是表面上看起來小小短短的，在懷疑是不是從齒頸部斷裂到牙根或是只是牙周韌帶發炎而已？！已經有預約牙醫了但還是會過度擔心所以想問問您 （臼齒有補過蛀牙） 謝謝醫生 | 您好 依您所述，比較傾向牙周韌帶發炎，因為休息完後就有改善。然而是否有裂痕到牙根裡面，建議還是拍攝X光片確認。 衛福部臺中醫院牙科林佳詠敬覆 | [
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2牙科
| 牙齦腫痛 | 左下後面牙齦已經腫痛第三天快四天，但因為連假 ，很多牙科診所都沒開。 之前也有腫痛過，通常幾個小時就好，家人都說那是火氣大等等原因. 這次痛到牙齒閉合或太張開都會讓嘴巴裡的肉朋友牙齦 非常痛 在第二天原本有消一些腫 但變得比原本硬 還是會痛 睡一覺起床又繼續腫 第三天開始有一些東西已經不能咬 因為食物碰到牙齦很痛！喝冰水會減緩疼痛 第三天晚上開手電筒照鏡子 看到有白白的東西 有去查那是什麼 查到是膿包或是智齒 壓下去的感覺跟右邊正常牙齦的感覺一樣 但只要碰到就非常痛 現在是一個比牙齦紅一點點的明顯突出 白色的突出物緊鄰第2大臼齒 可以稍微判斷一下是膿包還是智齒嗎 如果去看醫生的話要事先請假及預約 怕到時候真的來不及看醫生 謝謝醫生！ | 您好 因為緊鄰在第二大臼齒，加上您的年紀也正好是在長智齒的時間，所以極可能是阻生智齒造成的牙冠周圍炎，不過還是建議您先請假，照張X光片，確認真正的病因為何才是正解。 謝謝 | [
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| 懷孕嗎？ | 醫師您好 我有幾個問題想請教您 第一上個月我女友為了去玩水而吃了延經藥為了計算安全期等想請問吃了藥以後還是以大量出血那天8月13為月經第一天嗎她的平均週期約為28天 第二在9月8日那天和女友發生性行為然而事後發現保險套沒有帶好有外漏從後面的口漏出來套子並沒破現象我們擔心會懷孕她的月經一直到9月15日今天一直沒來所以我女友跑去買事後避孕藥吃在這裡想請問以我女友的週期來說9月8日的性行為導致懷孕的可能高不高她的月經還沒來正不正常呢而她吃了事後避孕藥有沒有效果呢 第三想請問在行為發生後幾日可以買市售的驗孕器材來檢驗呢 第四萬一她真的懷孕了在1個月內的有哪些較安全的墮胎方式呢已滿20成年 問的有些亂請您給予指教 | 一、是。 二、事後避孕丸要辦事後72小時內服用才有效，，有可能會懷孕。 三、月經該來而未來就可驗。 四、RU486或人工手術流產 | [
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0婦產科
| 會懷孕嗎？ | 請問醫生 跟女朋友僅有愛撫 龜頭有流出分泌物 不確定有沒有碰觸到女朋友陰部 但沒插入沒射精 這樣有可能懷孕嗎 | 跟女朋友僅有愛撫 龜頭有流出分泌物 不確定有沒有碰觸到女朋友陰部 但沒插入沒射精 這樣有可能懷孕嗎 Ans 這樣沒有可能懷孕 | [
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| 菜花 | 醫師您好，目前正在皮膚科使用冷凍治療外陰的菜花，醫師說若陰道內也有的話要給婦產科看。爬文後有醫師提到樂德美可擦於陰道內，所以想請問使用方法 1.自己因看不見陰道內患處，是用手或棉花棒沾一點樂德美伸進去抹一抹就可以了嗎？ 2.陰道內也是一週擦三天嗎？（擦一休一） 3.樂德美睡前擦在外陰，隔天早上需洗掉，但是擦在陰道內就無法沖洗，就不需要再沖洗了嗎？ 4.擦在陰道內的反應，也是會像外陰一樣紅腫嗎？ 以上問題，感謝醫師的回答 | 此藥品擦拭於外陰部的病灶即可， 一般使用次數為每週三次每週一、三、五或二、四、六，每天於臨睡前使用一次。塗抹乳膏後 6-10 小時內，請勿洗澡。 6-10 小時後，應以性質溫和的肥皂和清水潔淨患部。塗抹乳膏後，請勿以繃帶或其他敷料覆蓋患部。 謝謝 祝 平安 健康 張 醫師 回 | [
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0婦產科
| 白帶 | 醫師你好： 我810月經來到今天826應該算是排卵期，前幾天都有透明的 白帶流出這應該算是正常的吧 可是今天我有看到也是透明狀的白帶，但是帶有一點點血絲內 這樣是不正常的嗎我這期間都沒有性行為 | 您好 有可能是排卵性出血但要來診檢查才能確定是否是此診斷或是其他問題.你若有過性行為但沒有每年做抹片更應立刻來診. 署立新竹醫院婦產科 | [
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12胸腔內科
| 支氣管擴張症 | 支氣管擴張症與長年吸煙有關嗎 在醫藥新聞中得知新藥”優吸舒都保”Oxis Turbuhaler在台已由健保給付在就醫時可要求醫生開立此藥嗎 感謝撥冗答覆. | 1. 支氣管擴張症是肺部的支氣管發炎後，支氣管遭破壞而引起，亦有先天性的。 與吸煙較無直接關係。但有支氣管擴張症的病人不應再吸煙，以免支氣管功能 更被破壞。 OXIS turbuhalar 為一較新型的支氣管擴張劑，對某些病人可能較有效。 不過新藥對您並不一定比常用的藥物較好，還需專科醫師臨床評估。 | [
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| 懷孕嗎？ | 我的經期是在47來的，3月經期在38，來的時間都是七天 418的早上跟男友有親密動作（男友穿內褲有頂到陰部）但是沒有插入，我還是處女，當天男友也沒有射精 我一直擔心前列腺液裡面有精蟲，所以在418晚上10點多有服用事後避孕藥，這樣會有懷孕的可能嗎？ 那經期大概什麼時候會來？ | 您好 否懷孕機會不大，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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27核子醫學科
| 輻射問題 | 鄭醫師您好： 本人於111年10月短短2天內照了2次腎臟有顯影劑的電腦斷層（因為2天看不同醫院的急診），之後1個月內還有照腎臟動態攝影。 請問這劑量會對身體造成影響嗎？ 另外再請問因為我最近在備孕，身體殘留的輻射會影響之後懷孕胎兒健康嗎？ 最近體檢也驗出甲狀腺亢進，跟電腦斷層有關係嗎？ 謝謝撥空回答。 | 李小姐妳好 關於核子醫學檢查的腎臟動態攝影 這個檢查所用到的Tc-99m類藥物通常是不會影響到腎臟功能 但輻射藥物會殘留在體內約13天 所以如果是去年10月接受檢查的，基本上是不會影響到最近的懷孕 至於電腦斷層掃描的輻射問題 這檢查是使用X光，會有輻射劑量問題，但並不會殘留在體內 不過輻射劑量是不是太多會造成身體的影響 這跟使用照射X光能量大小和顯影劑種類有關 這點可能要詢問幫妳照射的放射科醫師 至於甲狀腺亢進的問題，這個疾病造成的原因很多 但輻射線太多通常是破壞甲狀腺的功能，通常是以甲狀腺功能低下表現 比較少會出現甲狀腺亢進的現象 不過還是建議妳去諮詢內分泌專科醫師會有比較準確的答案 最後祝妳身體健康萬事如意 | [
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15復健科
| 痛風 | 張醫師您好： 我的男友在三個星期前，腳後跟突然感到疼痛，因他在去年開始罹患痛風， 所以這次我們認為應該是痛風所致，於是從飲食開始調整，經過大約一星期 不但沒有改善，痛的部位從接近腳踝轉移至接近腳跟的部位，男友在四年前 在打球時曾傷害到阿里斯腱，於是他懷疑是舊傷引起，他開始尋求民間療法 ，但包藥膏逾二星期仍不見起色，甚至有疼痛加劇的現象，請問我們應該朝 那方面來就醫呢？這種情況是否會持續很久？麻煩您為我解答，謝謝您。 祝 一切順心 vivi 敬上 | 可至復健科門診評估治療是否痛風或肌腱受傷引起可能要看到病人作詳細評估才能知道。 | [
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9整型外科
| 臉部整形 | 之前ㄧ陣子忙碌東西吃比較少結果感覺顴骨變的突結果怪到骨頭去.，我開始亂壓臉，結果臉明顯變的很奇怪.我還亂用手用力壓裏面肌肉跟推它結果明顯變大後來越壓臉越大半邊臉腫起來圓圓膨膨的跟另ㄧ邊原本很對稱的變得很不對稱有去看了整形外科照了X光醫生說沒傷到骨頭開了消炎藥跟肌肉鬆弛劑當時越壓越大腫脹部份感覺緊繃是發炎微血管破裂那有傷到軟骨嗎有造成神經肌肉壞死嗎臉可以正常動可是緊緊的請問我這樣會有推到軟骨組織移位嗎以後會自己復原消回去嗎還是要去哪科看醫師給它把組織推回去什麼時候要熱敷大概要多久會消呢謝謝醫師 | 網友你好： 一般僅僅用手按摩是不可能傷到軟骨或硬骨的，倒是軟組織或微血管會受傷造成腫脹現象，可以在急性期二至三天內冰敷，之後便可以開始熱敷，時間為一個小時做十分鐘即可，也不要過度熱敷及按摩。腫脹現象一般在三個月內即可自行消退。希望能幫到你！ | [
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| 會懷孕嗎？ | 醫師您好：上一次生理期是1114，通常生理期都滿準時，理應今天1212要來報到但還沒出現所以有點緊張。跟男友發生親密行為時是體外摩擦未超過三分鐘，男友有穿內褲但有分泌些許前列腺液，我沒有穿內褲但也有分泌物；想請問醫師這樣的情況下會有可能懷孕嗎？謝謝醫師 | 提問者您好 依您描述的情況，懷孕的機會不大，但並非沒有可能。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，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。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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| 不孕症 | 請問動過墮胎手術是否導致不孕？ 如果不孕還有月經嗎？ 尿道感染治療後的復發機率高嗎？要如何預防呢？ | 墮胎手術還是不宜做太多次萬一子宮內膜受到損傷容易造成子宮腔黏連的後遺症以致月經異常及懷孕能力受損 尿道感染治療要完整治療不可中斷才不容易復發 多喝水別憋尿及安全性生活是預防之道 | [
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| 恐慌症 | 醫生我之前在家打電動突然心跳和呼吸喘氣不上來一走動心跳加快一緊張跳更快好像快暈倒到大醫院抽血心臟都沒事也沒甲狀腺亢近醫生說我可能是緊張所引起什麼是恐慌症我的情形不像吧為何會得到恐慌症 | ”恐慌發作”是指突然出現的呼吸加速， 像吸不到氣一樣， 心悸， 驚慌， 會有”快死掉了””快不行了”的感覺. 因為”恐慌發作”的症狀很嚇人， 通常患者會被十萬火急的帶到急診室去， 但檢查的結果又都正常. 一般人都有可能在某些狀況下出現”恐慌發作”， 單一的發作並不算異常. 若”恐慌發作”反覆出現， 到一個月三四次的程度， 或是已達到即使沒發作也持續擔心”下一次什麼時候發作”， 則可被診斷為”恐慌症”. 恐慌症因為會對生活造成影響， 一般建議應找精神科專科醫師治療. 治療的方法包括藥物治療， 放鬆訓練， 認知行為治療等方式， 療效通常不錯. 常見的問題是一般民眾常將恐慌症誤以為是心臟， 氣喘等症狀， 又無法信任醫師的診斷， 反而延誤了治療的時機. | [
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7耳鼻喉科
| 頸部淋巴結 | 鄭醫師您好 幾個關於後頸部淋巴結腫大的問題想請教您一下 1. 查過一些資訊以及問過一些專科醫師，都提到頸後枕部這部位的淋巴結腫大約1cm左右，幾乎都是良性的居多，比較不像是淋巴癌或是轉移癌。請問您實務上的經驗也是這樣嗎 不針對個人的狀況，就針對您看診統計上的機率讓我參考一下。 2. 關於淋巴結的觸感，看您之前的回覆我知道很硬不會移動的要特別注意。但有一些資訊提到摸起來QQ有彈性的像是良性，可是也有一些資訊說是QQ有彈性的像橡膠的，可能是淋巴瘤。請問這部份有什麼可以分辦的差異嗎 或是說因為纖維化而變得比較大的淋巴，摸起來也會比一般的淋巴結稍微韌一些嗎 3. 我知道有一些淋巴瘤長得比較慢，但以大部分的淋巴癌而言，是否腫大的淋巴結約1cm左右觀察36個月都沒變化，且身體無其他不適症狀，就可以比較放心了呢 另外如果長期存在的淋巴結腫大510年以上，有時候比較摸的到，有時候比較摸不到，但大小都還在1cm左右，這樣都算是正常的變化嗎 謝謝您 | Hi： 1. 頸後枕部的淋巴結腫大的確是良性的占大多數。 2. 淋巴結的觸感僅能提供臨床上的參考，無法單以觸感來確定診斷。 3. 一般大小無明顯變化的淋巴結大多為良性變化，可自我觀察，但亦非只要無變大就一定是良性，仍需依臨床症狀綜合判斷；若擔心是否為淋巴瘤，只有淋巴結切片病理檢查才能確定診斷。 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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| 藥物交互作用 | 醫生您好！ 我自己本身有幾個問題想詢問 1、我已經吃悅姿約兩年多，目前還沒有停過藥，想詢問是否有必要停藥休息呢？ 如果需要大概要休息多久 ps本身吃事前藥是為了調經避孕 2、吃「悅姿」事前藥，不能使用抗生素等等的，但想詢問是否能夠使用類似普拿疼痠痛藥布，這一類的外用藥物呢？ 例如： 普拿疼肌立酸痛藥布：每片6g 10x14cm含 Diclofenac sodium 60mg 其他成分賦形劑： Adhesive plaster Purified lanolin Zinc oxide Silicon dioxide Aluminum chlorohydrate Menthol oil Paraffin oil L-menthol Titanium dioxide Alcohol. 本藥成分屬於非類固醇消炎止痛藥成分NSAIDs。 3、以及是否可以吃退燒藥呢？ 剛好常備藥品有退燒藥及一些皮膚科的外用藥物，例如：四環素，是否會影響避孕效果。 在麻煩醫生了 謝謝您 | 提問您好 建議吃避孕藥的期間不宜太長，最好每年〈每吃1年後〉即找你有信任的醫師評估情形，再決定下一年服用的情形，而不要每次均自己去藥房買來吃。雖說長期吃後停藥可能短暫造成排卵功能的影響，但一般是可經由排卵藥物的方法來恢復。 與口服避孕藥會產生交互作用的藥品： 1.抗生素盤尼西林Penicillin、Cephalosporines、紅黴素Erythromycin、磺胺類Sulfonamides、Bactrim、Chloramphenicol -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 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。 8. 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。 所提藥物成份影響機率不大。 謝謝 祝 平安 健康 張 醫師 回 | [
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0婦產科
| 口服避孕藥 | 醫生您好想請問一下關於悅己避孕藥 由於自己的經期不順加上有發生關係 所以大概從3月開始吃悅己 請問吃多久要停藥呢半年還是一年或是不用 它的劑量是21顆吃完停7天不吃 有看到一種說法是來的第五天吃 可以現在吃的第4盒來的第五天已經超過停7天不吃的範圍了 請問該怎麼做呢謝謝 | 提問您好 1、長期服用避孕藥之後，想要懷孕可能會有短暫的影響，因為避孕藥的成分是抑制排卵來達到避孕的效果，當卵巢長時間處於被抑制的環境，一旦停藥會產生不排卵，所以醫師建議若長期服用避孕藥的女性朋友，若是您有懷孕計畫時，最好在前半年就停藥，讓卵巢有一段時間從被抑制到慢慢恢復到正常排卵，即可懷孕。萬一較長時間沒有恢復排卵〈有無排卵可由基礎體溫表的量度來得知〉，也可求助於婦科醫師尋求恢復排卵的方式。因此，建議吃避孕藥的期間不宜太長，最好每年〈每吃1年後〉即找你有信任的醫師評估情形，在決定下一年服用的情形，而不要每次均自己去藥房買來吃。雖說長期吃後停藥可能短暫造成排卵功能的影響，但一般是可經由排卵藥物的方法來恢復。 2、此週期的避孕藥已經到第五天，可以開始服用了。所提兩種方法任選一種均可，只要規則即可。 謝謝 張 醫師 回 | [
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13肝膽腸胃科
| 腸胃炎問題 | 醫生您好： 星期二早上的時候我比平常早醒，覺得很想吐，過了約兩小時症狀稍微改善，但一到晚上又突然覺得噁心想吐 星期三也因為突然想吐而比平常早醒，這天晚上是目前症狀最嚴重的，噁心反胃的感覺強烈到睡不著，因為從星期二開始都沒吃太多，去吐也吐不出東西，只有乾嘔 星期四睡醒之後覺得好很多，但一到晚上又開始覺得不舒服，拉了肚子幾次，睡到半夜四點又突然醒來，覺得頭暈發冷 星期五除了早上拉肚子以外都沒有其他特別不舒服，結果今天半夜兩點左右醒來覺得很想吐，過了兩小時後症狀改善才回去睡，剛才六點多又醒來覺得噁心想吐，因為最近幾天腸胃不適吃得很少，試著去吐也只有乾嘔 我從星期二開始都只有吃稀飯、吐司、白飯喝水，這幾天常常都是白天狀態不錯，以為快好了，但半夜就會突然醒來覺得噁心想吐，一直睡得很不好，現在也非常想睡，但躺下就覺得反胃，也怕又睡沒多久就醒來想吐 我是考生，離考試只剩不到兩周，這樣反反覆覆的症狀已經影響到讀書，不知道何時會好讓我很焦慮，請問這是腸胃炎嗎？還是胃食道逆流？該如何改善症狀？謝謝 | 可能有腸胃炎，可就醫止吐藥並少量清淡飲食調理。 | [
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6骨科
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5泌尿科
| 梅毒 | 背景簡述： 本身是個hiv感染 服藥控制良好 前一兩個月打b肝疫苗 約有一兩年前得過梅毒 指數兩個月前聽醫生說是24 最近腳底和手掌各出現一個可疑紅點 生殖器有少許 三個月前有不自愛的有無套性行為 但對方堅稱他沒有染病 問題： 請問這有可能是復發的嗎？ 還是說再度感染的機率較大？ 實在不太有臉再回去原本看hiv的醫生那邊接受梅毒治療 不知能否到其他醫院治療這一部份 如果給別的醫生治療後， 其實原本的醫生若是看到幫我持續追蹤的梅毒指數的變化也可能知道不太對勁對吧？ 抱歉思緒有點雜亂 謝謝醫師 | 您好 聽起來梅毒機會不小，至於新癹生或復發無法確定。因為您本身免疫力較弱，請多保護自己。醫者父母心，相信都以你們的健康為首要任務。請至原來的感染科醫師處持續治療。祝平安。 | [
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| 懷孕機率 | 醫生您好 我上次月經是在1123，週期28天 在月經來的第六天吃口服避孕藥 但只吃了大概四五天後面就忘記吃了 在124、1210有性行為最後一次是1217全程都有使用保險套 app上寫月經應該是要23號來 但到現在都還沒來 1228有驗孕是陰性 請問這樣懷孕機率大嗎 | 提問者您好 因為您避孕藥的吃法已無效果。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，一般避孕不建議單純使用保險套的方式。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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0婦產科
| 月經 | 我平常月經週期約35天左右， 上次與男友發生關係是在1225，有帶套。 然後1231月經就來了， 但奇怪的是再上ㄧ次的月經是122 （才過29天） 而且這次1231來的月經血量比平常多很多 然後 結果現在31號了月經還沒來⋯ 都過2個月了⋯ 請問是內分泌失調的可能性比較大，還是其他狀況⋯ 謝謝 | 提問者您好 影響月經週期的因素有很多，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、懷孕、哺餵母乳…等，建議如果正式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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16腫瘤科
| 腋下腫塊 | 醫生您好，大約在今年4月，月經來前幾天發現腋下長毛處有一個約5元硬幣大小的腫塊，且按壓會痛，不算硬。本來覺得可能是因為月經要來的關係，但後來想了想，我今年4月以前，月經前後，完全沒有過 任何腋下會腫痛或長東西的症狀，只有一般月經來的普通症狀--乳房脹痛和下腹些微疼痛。 本人無使用任何除毛的產品或用具 本來以為4月份月經結束會自己消失，但一直到現在11月了，都還在，但似乎沒有變大，外觀也沒有任何異狀就一般的腋下皮膚那樣，也似乎只有在 月經來前10天 開始痛，請問這樣是正常的嗎 因為以前沒有，今年才開始莫名其妙突然有的 如果需要去醫院，建議做些什麼檢查以及什麼科別呢 謝謝醫生 | 匿名／26歲／女 如果需要去醫院，建議做些什麼檢查以及什麼科別呢 A： 乳房外科或一般外科 作什麼檢查應該尊重你所看的醫生，由實際診治醫師決定 祝：身心健康 桃園醫院 陳斯榮 | [
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