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4心臟血管專科
| 血壓 | 家父75歲，原本沒有定期量血壓的習慣， 偶爾量著好玩，大約收縮壓都在120-130上下。 不過一直以來心跳都是90上下 202312月開始偶爾會覺得頭暈， 去神經內科檢查，醫生判斷腦血管有18的輕微堵塞 開始吃柏基阿斯匹靈，但偶爾還是左後頭頸肩有不適感， 左眼有睜不開一直要壁上的感覺. 1227晚上突然頭暈，量血壓飆高到200 送急診後打了針降血壓後沒有不舒服即回家 但從此之後血壓一直都在150上下. 12回神經內科看診 請醫生開血壓藥想針對高血壓部分先治療 服用-康你爾 膜衣錠4毫克 天天早晚量測記錄，每天血壓依舊還是150上下 雖然沒有不舒服，但血壓依舊降不下來 偶爾覺得頭暈，量血壓就會較高約 18晚間覺得頭暈，量血壓又到170以上 吃了約一週的血壓藥，血壓還是降不到正常值 因為除了頭暈的症狀之外，並無其他不舒服， 一直不知道高血壓的病程為何， 在網路上google知道有原發性跟續發性高血壓 原本沒有高血壓，突然在一兩個月突然變成高血壓 很慌張又不知道到底是哪一種.哪裡出了問題 因不知道原因，也不知道如何檢查治療 爸爸也每天悶悶不樂.怕更影響身體. 懇請醫生給予建議，該往哪方面去檢查 感激不盡. | 請規律服藥，保持作息正常及規律運動，並控制鹽分的攝取，如果血壓仍然控制不好，再到門診請醫師調整藥物。 | [
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0婦產科
| 會懷孕嗎？ | 1123（三）跟男友有性行為 當時有前列腺液流出來 保險套戴進去後發現戴反邊了.後來再翻過來正常戴回去 但是外面的前列腺液就已經進去裡面了 從1128（ㄧ）就有流一種淺淺咖啡色的類似水的東西 不知道是什麼 這樣是受孕著床成功嗎？擔心好幾天了⋯ 希望醫師抽空回覆。 | 提問者您好 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，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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| 菜花 | 醫生您好，想請問兩個問題，1.我之前感染過菜花，那會傳染給打過hpv疫苗的女性嗎？（有性行為） 2.我大概半年沒有復發了，如果有性行為的話那還會傳染給別人嗎？ | 您好 菜花傳染視hpv 病毒量及對方的抵抗力.另外 hpv 疫苗只能對付幾類的 hpv 不是所有的都可以預防 就是沒有百分之百的意思 如果不放心 目前仍採用安全性行為為好. | [
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| 懷孕嗎？ | 110月經來 117結束，經期都很規律，但是29有和男友發生性行為，可是210原本要月經來，現在遲了三天會有懷孕的可能嗎？ | 110月經來 117結束，經期都很規律，但是29有和男友發生性行為，可是210原本要月經來，現在遲了三天會有懷孕的可能嗎？ Ans 有懷孕的可能 | [
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| 自律神經 | 陳醫師您好 我兩個多月前因胃不舒服.打嗝.頭痛.胸悶.血壓突然升高到醫院掛急診後來服藥期間曾有脖子緊縮.呼吸困難.沮喪.心悸.脈搏微弱.胃脹氣.吞嚥困難.失眠等時好時壞現象近日到家醫科檢查甲狀腺.醫生告知我正常應屬自律神經問題目前服用抗焦慮.胃痛及Inderal藥物但有昏眩的情況產生尤其到了傍晚另外脈搏跳動平均60次我想請問陳醫師向我這樣的狀況需要轉診到其他科門診嗎服用這類藥物後續應注意哪些問題會不會對藥物產生依賴謝謝. | 我想在思考是否自律神經失調問題之前還是必需先確定的確沒有真正生理疾病所引起的不舒服症狀不過以你的年紀來看應該還不至於有太嚴重的生理疾病少是那麼為什麼會出現胃不舒服、打嗝、頭痛、胸悶、血壓突然升高的情況呢其當一個人處於急性焦慮狀態時就容易出現上述的症狀。 你的醫師給你服用抗焦慮的藥物相信你的症狀應該可以獲得某種程度的改善才是但是這一類型的藥物多少會有鎮定的效果有些人多少會出現昏眩的情形你可以試試將藥物劑量減半觀察是否昏眩的情形有減少比如說1顆→二分之一顆服用這一類型的藥物基本上的確需要注意藥物依賴的問題所以千萬不要自己隨意的增加劑量服用如要減藥也是一定要逐步的減藥不要一下就不吃這樣很容易讓身體感到不舒服。 你有服用inderal 心跳加快可以試著減少一些劑量因為inderal會讓心跳減緩。 此外許多自律神經失調有可能有合併其他情緒障礙的問題這一部份當然可以請精神科醫師進一步的評估。 | [
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2牙科
| 智齒 | 我上排的兩顆智齒都開始長出來了 但左上部的智齒 卻造成吃東西時有些不適 請問醫師我最好一次拔除上排兩顆智齒還是只拔左上那顆即可最重要的問題是拔掉智齒與不拔智齒從外觀臉型上會不會造成些許差異 | Andy 您好 1.通常是先拔一邊再拔另一邊否則兩邊都有傷口既不舒服吃 東西也麻煩. 2.大多數人的差異都不大外觀臉型多不受影響. | [
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8乳房甲狀腺科
| 乳癌 | 我12月的時候診察出乳癌三期醫生說作了三次化療以後要手術割除目前我每隔三週作一次化療醫生跟我說我自己會明顯感覺硬塊變小但我已作了3次了卻都沒感覺硬塊有變小我明天要去作第四次化療這期中都跟醫生反應沒有覺得變小且由發現到現在已有一段時間了是否要詳細檢查一下全身看是否有轉移的現象但醫生的反應是反正若有轉移治療方式也一樣所以不需急但我真ㄉ覺得治療好像沒有進展我該相信醫生嗎請問一般乳癌三期大概都化療幾次後開刀呢且我化療ㄉ時候並沒有很痛苦這是個人體質的關係還是藥效太輕呢？謝謝 | Dear Miss len 較大之乳癌是可以先做化學治療讓腫瘤縮小之後再手術切除部分病例我們加上同步之放射線治療以加強效果我們的病例多數在3-4次化療之後會有縮小之現象 不過因使用之藥物及個體之差異倒不可一概而論化療期間做一下腹部超音波或骨掃瞄或腫瘤指數之檢測應為可行當然 如有轉移治療方式一樣但是可以做個基礎值作為日後之參考. 每個醫師對於疾病之治療有其想法 不過較具規模之醫院應有其治療計畫您可以請教一下醫師對您擬定之計畫為何如果上述之檢查均已納入其實是可以放心的應放心接受完整之治療. 乳癌之治療在近年來已有大幅進展您應有信心堅持下去 在此為你加油一下. 祝 治療順利 吳醫師 | [
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| 避孕 | 跟女朋友在93號發生性行為 在隔天服下事後避孕藥 她的月經正常在十幾初就會來 到現在還沒來 懷孕機率高嗎 | 回覆如下 事後丸可以避免八成懷孕，但是仍然有一些懷孕可能。 如果月經遲遲不來，建議先驗孕確認。 桃園醫院 呂理政敬上 | [
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| 夢遺 | 小正： 你好 其實，夢遺是很正常的，只要沒有射精，經過一陣子，無法儲存的過多的精液自然會流出來。 夢遺，是再正常不過的了。 ------------------------------------------------------------------- 那正常的夢遺是不是都會有春夢我所謂正常的夢遺就是您說的無法儲存導致流出 我總覺得我是春夢導致夢遺.還是因為無法儲存導致春夢. 如果正常的夢遺是沒有春夢那我是不是有問題. | 小正： 你好 當然，大部分的夢遺，多是因為春夢引起的。但是，春夢不一定會有夢遺。假如貯精囊理的精液並不太多，有時即使有春夢也不會有夢遺的現象。 註：若常有射精的話，理論上不容易有夢遺的現象。 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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5泌尿科
| 尿尿問題 | 最近天氣冷不知為什麼上廁所的次數增加好多次以前喝一杯像休閒小站哪種飲料一小時內最多上23次最少1次可是我最近不管喝多或少一小時至少要4次對我來說很困擾我有沒有做運動解決的方法我感覺很像膀胱無力不敢開刀 | 您好 頻尿的原因一般可分為1.腎臟來的尿量增加.2.膀胱容量減少.造成尿量增加的原因可能是生理反應造成如大量飲水排汗減少.喝咖啡成癮所造成尿量增加在病理方面如糖尿病.心臟衰竭使用利尿劑等.造成膀胱容量減少的原因如膀胱炎.間質性膀胱炎.放射線治療.尿路結石或前列腺肥大等均可造成頻尿.另有些病患是精神上的因素造成頻尿. 依您的症可能是膀胱過度敏感造成最好至泌尿科門診就診並記錄解尿日誌以便了解膀胱的容積並接受尿夜檢查是否有尿路感染. 泌尿科陳修義醫師敬覆 | [
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7耳鼻喉科
| 鼻咽癌 | 陳醫生您好 我的伯父得了鼻咽癌，目前已做完化療和電療了，他是第三期的，可適硬塊還感覺有一點，醫生說沒關係，這是正常的嗎伯父休息了一年又去工作機器修理，這樣會容易復發嗎如果復發的話是否真的沒救 | 敬愛的提問者： 您好，鼻咽癌患者的頸部腫塊，在放射治療後，由於裡面的腫瘤細胞會死亡，而原本被腫瘤細胞佔據的空間暫時會被疤痕組織所取代，所以會有一點鼓鼓硬硬的，要一段時間後才會變更小，甚至摸不到。鼻咽癌只要按時追蹤，有復發就馬上繼續治療。請令尊放心工作，放鬆心情，自我恢復及免疫力會好一點，癌症或許比較不會復發。鼻咽癌是所有癌症中比較良性的，肺癌、肝癌、食道癌、大腸癌.等都相當地惡性，目前鼻咽煙第3或4期患者被治癒的不少，請您與令尊一定要有信心，對未來一定要樂觀，因為有關鼻咽癌的治療研究正如火如荼地快速進行著。 天主教輔仁大學醫學系講師 陳建志 敬覆 | [
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6骨科
| 骨折術後 | 醫生您好： 我於2021年因為比腕力導致右手肱骨粉碎性骨折 經醫生評估需要手術植入鋼板固定復原（開刀過程有動到橈神經） 我在植入鋼板後約一年骨頭完全復原（術後四個月後開始運動，但是沒有專項復健），因為有健身運動上的考量，且年紀不算太大，所以跟醫生討論後同意於術後滿1年2022年2月取出鋼板（術後因為需要讓骨頭上的鋼釘洞復原，約有10個月以上沒運動） 2023年2月，我開始真正的回歸健身運動，但是右手的三頭肌肌力與右手的情況差異很大（inboday 身體部位分析中，我右手的肌肉比左手少了0.3公斤），運動上的表現單以三頭肌獨立訓練部分差異約13：4（同樣重量情況下，左手可以13下後力竭，右手只有4下就力竭，而且不是肌肉痠痛的力竭，是有種無法有效控制肌肉的感覺，似乎只能控制一部分的三頭肌），外觀的部分倒是差異不大⋯⋯ 我想請教醫生的是，關於這種肌力流失的問題，我有辦法靠後續的專項訓練回復嗎？有天花板嗎（例如我再怎麼努力也只能達到某種程度的恢復） | 慢慢訓練是可以恢復到一定的程度的 但是要達到骨折前的水準可能有點困難的 只能儘量訓練了 | [
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0婦產科
| 月經 | 我的月經周期一直都不太正常不是不來就是滴滴答答. 最近 1.月經拖很長2禮拜量不多顏色偏咖啡色 2.掉髮長鬍子 3.身體會覺醒熱熱的 4.偶爾心悸 請問醫生我是更年期還是多囊性卵巢還是其他問題 我有去診所醫生沒檢查就開黃體素和避孕藥 吃藥後還是覺得身體熱熱的有做一般抽血CBC-I檢查沒問題是否需要再作其他檢查 目前有吃避孕藥可以作更年期檢查嗎 | 您好 不知妳幾歲，接近50了嗎，如果是，那有可能是更年期，如果不是，建議到醫院進一步檢查，祝健康 | [
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4心臟血管專科
| 心悸 | 劉醫師您好： 我最近一週以來會覺得左胸偶爾會痛，而且感覺到心跳有時會很明顯 就是在一般正常作息下，偶爾會覺得心跳得很大力 前幾天去照了心電圖，但醫師說看不到什麼異常症狀 但他聽診的時候有聽到一聲異音，於是叫我下週一去掛24小時心電圖 但我這幾天有時自己在量脈搏的時候，會覺得脈搏不是很穩 有活動後脈搏變快的時候比較沒異常 但是正常作息下會覺得脈搏會時快時慢 譬如，跳五下之後，第六下跟第七下的間隔會拉長 而且還有另一個症狀是會覺得有一股氣從喉頭噴出來 會有想要咳嗽的感覺，是乾咳，不是有痰的 請問這種症狀算是心律不整嗎？還是一般的心悸？ 需不需要作進一步治療？ 謝謝您∼ 可能症狀敘述的有點亂，請您見諒 | 根據你的描述可能是有輕微的心律不整會有所謂的早期收縮或稱為期外收縮這是一般人也會有的情況不用太在意通常有時候也是與心情壓力、工作緊張忙碌、過度勞累、睡眠不足有關需要調整一下運動放鬆改善睡眠品質。 | [
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13肝膽腸胃科
| 胃食道逆流 | 醫生你好， 最近常常感覺胃部不舒服的狀況出現，特別是在用餐之後會覺得胃部不舒服或是悶悶的感覺，也偶有出現喉部異物感的情況。 給在美國的家庭醫生看過之後，他開了Lansoprazole給我，一天吃30mmg。開始吃後狀況明顯改善很多，一個禮拜後回診，醫生說如果有覺得比較好的話，可以就改成吃Ranitidine就好，要不然就是繼續吃Lansoprazole一個月。 後來在第二個禮拜覺得好很多了隨即改成吃Ranitidine，但是胃部不舒服的情況馬上就回來了，那過兩天又改回吃Lansoprazole，想請問醫生一下，正常情況之下Lansoprazole會建議要吃多久呢？30 天或是更多？如果狀況一直差不多那不就要一直吃下去呢？我在同時也有針對飲食跟作息做出改善 另外想請教醫生，服用Lansoprazole或是Ranitidine是否會對懷孕婦女或是胎兒有不好的影響呢？謝謝！ | L藥是很強的胃酸抑制劑，R藥是中強度。胃酸逆流多需較强用藥且停藥易復發。因倫理限制孕婦人體實驗，沒有安全孕婦用藥研究之下故都先不建議孕婦使用。 | [
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15復健科
| 膝蓋問題 | 膝蓋突然刺痛，但時間都很短暫不會超過一分鐘，發作的時間不常，有時候一天發作一次，有時候短時間也會連續刺痛，發作時腳無法做任何行動，刺痛結束膝蓋就完全沒事一樣。 | 建議復健科追蹤膝蓋超音波，以確定是否有積水情形，若膝蓋無腫脹，則依您年紀來看可能是肌肉不平衡導致的髕股骨症候群又稱髕骨軟化症，建議加強下肢肌力。 | [
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6骨科
| 大腿骨折 | 醫生您好，我在今年的514號的那天大腿骨折，到現在兩個多月了，想請問如果要復健的話怎麼做會比較好。 謝謝醫生麻煩了∼ | 妤妳好， 大腿骨折術後滿兩個月，一般來說可以拐杖開始練習正常行走，有些復原快的甚至可以小跑步，但是還是要以妳的主治醫師配合X光以及他手術當中的狀況，來決定妳現階段可以做哪些復健。 但一般而言，術後兩個月可以做以下復健： 物理治療：熱敷、電療 職能治療：循序漸進--四腳助行器--雙枴--單拐--不靠枴杖，練習爬樓梯等等 運動治療：加強骨四頭肌肌力參考下圖、快走或小慢跑、伸展拉筋 建議妳問問妳的主治醫師妳可以做到哪個程度 祝妳早日康復喔 | [
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2牙科
| 臼齒 | 曾醫師 您好 我的右上第一、第二小臼齒咬合面的"外側"有幾個圓鈍狀的突起，因為其突起非在牙齒的中央，所以我一直以為那是正常的牙齒結構；但近期看了「畸形中央尖（central cusp deformity）」的照片又覺得有些相似。以下請教曾醫師 Q1.請教您，要如何確認牙齒上的圓鈍狀突起是否為「畸形中央尖（central cusp deformity）」呢比如牙醫師視診即知，或需要照X光片才可以確定呢 Q2.承上，若小臼齒咬合面上有圓鈍狀的突起，請教曾醫師，其突起是否有可能只是正常的牙齒結構呢 Q3.請教曾醫師，若為較低矮圓鈍的「畸形中央尖（central cusp deformity）」一般來說需要做積極的處理嗎還是說沒症狀就持續觀察，等有症狀再處理即可呢 以上，感謝曾醫師。 | Kris先生您好： 1.牙醫師視診或照X光片均可以確認。 2.小臼齒咬合面上的圓鈍狀突起，通常是牙齒發育異常造成，齒質增生的結果。 3.如果不平均咬合，就觀察追蹤即可，但如果有不適症狀應立即就醫。 感謝您的來信諮詢，建議與您的主治醫師討論，更符合您現在的治療計畫。 南投醫院牙科 曾光暉主任 | [
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6骨科
| 骨折術後 | 本人車禍脛骨腓骨骨折，因為被撞的很碎有空隙一公分，有裝內固定鋼板，需要補骨粉嗎？醫師照X光都說骨頭都沒長出來，補骨粉的作用是什麼？補好了骨粉要多久才能行走，補了骨粉若還是一樣沒長，可以試著去走路嗎？ | 您好： 下肢粉碎性骨折一般需三到六個月才可能不用輔具行走，但因人而異，通常定期回診照X光，醫師會指示可以部份負重或全部負重，建議您回診時與醫師討論。您所說的骨粉應該是指人工骨替代物，如果您在追蹤照X光時骨頭延遲癒合或有空隙，醫師可能會建議植骨用自己的骨頭或人工骨替代物手術來促進骨折癒合，最好用自己的骨頭，但手術時間較長且有第二傷口、較疼痛，人工骨替代物有不同的形式和添加物生長因子通常需自費，詳情請與您的主治醫師討論。若骨折仍沒癒合建議使用輔具保護行走需與主治醫師討論。 彰化醫院 骨科 李文宏 | [
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1精神科
| 憂鬱 | 醫師您好，不好意思，內容有點長。 從小時候開始，爸爸就常常會鬧說要去自殺，甚至會不回家，雖然他不曾真的做過傷害自己的行為，可是從小到大，看到他每次那樣，我的心情就會很低落，覺得為什麼要搞成這樣讓大家都不開心，只要他又說要自殺，我就會有想死念頭。國小有一段時間有過有自殘行為，之後雖然沒有自殘行為了，但是只要有壓力事件，我便會想死，國中時期也常常和朋友說，我很想死，每天都想不開，高中大學後好很多，開心的時候很開心，難過或是有壓力時，便會覺得死了算了，也曾經有一次再頂樓望著樓下，腦袋想法就是，跳下去解脫了。這一兩年雖然沒和以前一樣天天想不開，但只要一有壓力事件，就會開始覺得想不開，會哭，胸口悶悶的緊緊的感覺感到不舒服，也曾一個人待再黑漆漆的房間，不想哭，也不想說話。 因為覺得自己也有開心的時候，也沒有天天不開心，因此不知道這樣是否有憂鬱症，有想看醫生，但又不確定這種程度是否需要就診。 | 敬啟者 依據你的描述，初步判斷你確實被情緒問題困擾，至於是否罹患憂鬱症， 可能需要當面見到您，詳細會談評估後才能做出診斷。 您在國小國中時期，因為爸爸的 不穩定情緒，對你的童年生活影響頗多， 當時 會讓你心情低落 感覺無價值 及想到自殺，雖然沒有實際自殺行動，但曾經有過自殘行為。 這些情形，當時應該嚴重影響了你 的日常生活和人際互動，確實也像 憂鬱症的症狀。 現在就讀大學，由你的描述來看，整體情緒狀態 有改進，我會建議你多觀察自己情緒上的變化， 以及睡眠作息、飲食胃口等情形，並且多和親近的家人或朋友聊聊你的心情。 如果還有出現想死的念頭，問題就比較嚴重，建議你 尋求心理諮商或是精神科醫師的評估與治療。 現在台灣健保制度之下要到門診 就醫精神科十分方便，費用也有健保會給付，不用擔心。 敬祝 平安喜樂 精神科 醫師 汪俊年 | [
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| 關節 | 醫師您好 我婆婆於一年前摔倒換了左腳的髖關節 術後怕疼痛加上體重問題92公斤不太願意走動 成日坐在椅子上也不願復健 這幾個月經常說腳痛 也走不太動 動則就要家人載她去診所打針止痛 她一直說自己是筋發炎 等發炎好了就會走了 要去大醫院回診又不肯 請問醫師 這該怎麼辦 會不會是已經肌無力或是沾黏 | 可以考慮去做復健看看 一般的復健診所就可以做了 發炎可以靠吃藥或打針來緩解 髖關節手術後其實很快就可以行走的 初期需要靠助行器 大約兩三個月就可以完全放掉助行器了 | [
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| 避孕 | 黃醫師 您好： 我於5月27日（星期日）時有性行為，全程有戴套（保險套沒有破），但男友在最後要射精前發現保險套有破，當下立即抽出，射在外頭，之後我們就沒有再性行為了。 但我上一次生理期是5月5日開始，怕有萬一，在性行為後25小時（5月28日）吃了一顆性的事後藥，到今天已經6月2號了，完全沒有出血的反應，而且也沒有想吐或是頭暈等症狀，請問這樣是表示事後藥失效了嗎？還是會在6月5日左右和經血一同排出？還是這樣表示我有可能懷孕需要驗孕？ 還請黃醫師幫忙解惑，謝謝您。 | 5月27日（星期日）時有性行為，全程有戴套（保險套沒有破），但男友在最後要射精前發現保險套有破，當下立即抽出，射在外頭，之後我們就沒有再性行為了。 但我上一次生理期是5月5日開始，怕有萬一，在性行為後25小時（5月28日）吃了一顆性的事後藥，到今天已經6月2號了，完全沒有出血的反應，而且也沒有想吐或是頭暈等症狀，請問 1.這樣是表示事後藥失效了嗎？ Ans 不是事後藥失效 2.還是會在6月5日左右和經血一同排出？ Ans 可能會在6月5日左右和經血一同排出 3.還是這樣表示我有可能懷孕需要驗孕？ Ans 上一次生理期是5月5日，5月27日性行為保險套破，5月28日吃了一顆性的事後藥，如果6月5號後完全沒有出血，驗孕看看 | [
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5泌尿科
| 梅毒 | 醫師好，我被驗出梅毒，醫生給我注射一劑青黴素。後來我回家一查，梅毒共有三期，一二期才是打一劑就好，第三期則會不只打一劑就好。 因為我說不定是好久以前就得到了，只是一直我自己忽略身體癥狀，如果是這樣也許我其實是三期梅毒也說不定呀，哪為何醫生沒有再進一步幫我確定是一二期，還是三期，就只直接幫我打一劑呢？ 是因為由驗血，就可以確定是一期二期，還是三期嗎？ 或是其他原因呢？ 謝謝醫師。 | 梅毒的期別由臨床判斷而非抽血。 | [
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0婦產科
| 出血 | 醫生您好 55和511有過無套性行為但皆無射精，第一次沒有吃事後避孕藥，第二次在24小時內有服用避孕藥。 原訂月經來臨日是512（四月份月經為410-414），在518依舊沒有來，於是看了婦產科吃催經藥，當時醫生說明為亂經並且驗孕結果為陰性，522吃完所有的藥。525凌晨突然短暫的肚子刺痛，上廁所結束擦拭發現衛生紙上有一滴像往常月經深鮮紅色的血，還有一些淺褐色的痕跡在護墊上。早上起床時護墊上除了原本的痕跡沒有血，在剛剛上廁所擦拭時又發現有少量的血跡。想請問醫生： Q1事後避孕藥是否會造成亂經現象 Q2驗孕為陰性是不是有可能因為時間不夠久驗不出來？ Q3有爬過文，身體沒有任何像懷孕初期的症狀，但不確定是否懷孕，流血為著床出血還是月經準備要來的前兆？或是其他身體問題？ | 您好 525最有可能是吃完催經藥後出血，暫時觀察，驗孕陰性，也有可能是太早驗，如果不放心，12天後再驗一次，更準確。祝健康 | [
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2牙科
| 假牙 | 我原本右下方最後面的四顆牙齒有裝假牙，但有一天突然掉了，去看牙醫，他說是因為原本裏面的真牙已經 光了，因此只能拔掉，但拔掉後也無法裝假牙，唯一的辦法只有植牙，但一顆卻要價7萬元，我想請問難道真的都沒有其他的辦法了嗎？那我以後不是就無法使用右邊的牙齒來吃東西了，還有，他說如果牙齒不痛，那顆 牙也不急著拔，因為我有SLE因此我雖不太想拔但又擔心到時牙肉會不會密合起來，不是更難拔了？ | sally您好： 右邊下面假牙（應該是牙冠牙橋）牙根蛀牙及牙周問題要拔除，目前除了做活動假牙外，就是植牙。但是經濟因素無法考慮種植牙根，只有保守療法：保留現有的牙齒、齒內治療、牙周處理，等待身體狀況適合時再處置。謝謝您的提問。 祝 健康 儲伯勤 上 | [
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| 固定假牙 | 曾醫師你好，我最近門牙剛裝完固定假牙大概三天吧！可是現在咬東西的時候會痛，想請問這是正常的嗎裡面有先打牙釘再套牙套 這是算牙齒太敏感嗎？因為裝完牙釘也正常，套牙套前也正常。 請問會痛多久有沒有緩解辦法，或吃什麼可以緩解消炎 | 如果裝完牙套固定假牙，咬東西會痛，建議回診檢查，是否因為咬合過高，或是牙套邊緣牙齦有發炎。 南投醫院牙科 曾光暉主任 | [
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| 避孕藥問題 | 請問事前避孕藥可以跟柚子葡萄柚一起吃嗎？ 會影響避孕效果或是造成血栓嗎？ 是完全不能吃還是需跟藥隔開吃？ | 提問者您好 與口服避孕藥會產生交互作用的藥品有： 1.抗生素盤尼西林Penicillin、Cephalosporines、紅黴素Erythromycin、磺胺類Sulfonamides、Bactrim、Chloramphenicol，Doxycycline 會降低口服避孕藥的藥效，當服用doxycycline 時必須採取其它的避孕 -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。 柚子葡萄柚 與降血壓藥較可能有交互作用，謝謝 祝 平安 健康 張 醫師 回 | [
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5泌尿科
| 菜花 | 醫師您好 我是一位同性戀，去年97年11和12月因為肛門長了菜花，所以用開刀電燒的方式去除，醫師說我的性伴侶也必須去檢查，但他去醫院看了，醫師說很正常不需要作任何處理，讓我們覺得很困惑，因為在我做手術之前，我們一直都沒有帶保險套做愛，所以如果我得了菜花，應該他也會得才對，為何醫師說不需要作任何治療？還有現在我們做肛交動作時，都有帶保險套，但是口交的時候就沒有帶，這樣我的嘴巴和喉嚨會不會長菜花阿？ | 小張： 你好 有的人，抵抗力比較強，不容易得菜花；有的時候，因為身上沒有傷口，菜花病毒也沒有碰到黏膜，因此也不會感染。 此外，菜花會有至少8週左右的潛伏期，表面上看不出來，過一陣子才會出現，也才需要治療。 口腔內，包括喉嚨，都有可能長菜花 補充一點，就是國內得菜花的人，常合併AIDS，因此建議你也要注意一下，最好現在抽血確定一下。 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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| 尿道感染 | 謝謝醫生的解答 禮拜一回去複診 醫生看了報告說是有輕微的發炎他說不用太擔心 開了兩種藥說調整身體一下 但是禮拜二有和女友進行了性行為 行為前後都有做好清潔及排尿 也全程戴套 但是射精的時候覺得尿道有點脹痛 是因為尿道炎還沒完全好 導致的嗎 只有尿道脹脹癢癢痛痛的 今天也是覺得有點不是是因為尿道原本快好又被精液大量流過 所以會痛呢 | 阿末： 你好 可能尿道炎的部份還沒有完全復原，稍微刺激就造成破皮或細微損傷。 若可能的話，建議這段時間避免劇烈性行為。 （或者，大約4-6週禁慾。） | [
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0婦產科
| 月經 | 從2014年5月開始月經來會有內膜狀且時間會拖過10天尤其在2015年更有一次隔10天來一次的狀況來2次後看醫生 這中間照過超音坡也吃過止血藥但是就是沒根治看2家醫生有的是說更年期前的亂經有的是說壓力大的亂經 最後做了抽血醫生說荷爾蒙指數還正常並非更年期後來醫生告訴我間隔21天後的出血才是月經 如果少於21天就是亂經我吃過黃體素約3周後正常來了2次最近2的月經一次約20天後來這個月是19天後就來 請問這樣算正常範為嗎另外荷爾蒙指數的值現會因為值的高低去判斷是否快到更年期了嗎 例如原先值為正常有可能在一年內就停經嗎 有醫生建議我做子宮內膜刮騷手術有必要嗎因為我看了4家診所有3家都說我內膜都在1cm內沒必要 只有一個醫生一直要我做括內膜 | 您好 有可能是更年期開始亂經了，如果還是很亂很困擾，可考慮用荷爾蒙藥調整，如果沒改善，再可以考慮做子宮內膜刮騷手術，這是我的建議。祝健康 | [
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7耳鼻喉科
| 口腔問題 | 醫師你好. 家父三年半前口腔癌開刀手術.醫生告知整形告一段落以後不需再回診.家父目前嘴吧張開最大1.7公分殘障手冊申請條件有看到其中一項張口低於25mm或牙齒小於14顆.請問醫生家父有符合這一項的條件這樣有符合申請殘障手冊的資格嗎 麻煩醫生解答謝謝 | Hi： 您好， 建議可找原手術醫師或醫院評估是否符合申請殘障手冊的資格。 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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| 口服避孕藥 | 我女友126號月經走乾淨 我們129號性行為 體外 有戴套但是事後發現保險套破裂 我們事後3小時內有服用避孕藥levonorgestrel 請問 結束後第3天算安全期嗎 安全期內服用避孕 會有效果嗎 是否有副作用副作用為何 請幫我解答 謝謝 拜託了 | 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。事實上很難真正的確認不會懷孕的安全期，因為七成女性的排卵時間不固定，再者精子在女性生殖道內可活長達5天之久，所以而用「安全期」來避孕是很不保險的。一般常見的避孕藥副作用： 頭痛、頭暈、月經過多或不規則、噁心、嘔吐、水腫、子宮頸粘液增加、子宮頸肥大、食慾增加、體重增加、皮膚癢、青春痘、疲倦、沮喪、潮紅、感覺虛弱、乳房脹痛、念珠菌感染增加等等。 ，謝謝 祝 平安 健康 張 醫師 回 | [
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11營養教室
| 減重 | 日安 想請教的是我現在若是一天是需要1600卡的熱量我想減重的話 據說是要 減少500卡的熱量 那像一般麥當勞的漢堡約4.5百卡 哪我若是早上吃個水果 午晚餐各吃一個漢堡就是一天的總熱量 不超過1100卡那是不是我就可以不用克制食慾 特別吃低油的飲食 也可以瘦身呢 就是把每一樣食物的熱量記清楚坊間的瘦身食譜都有外食食品的熱 量表那我就可以吃牛肉麵啊.臭豆腐.泡芙.甜甜圈.蛋糕.炸雞.燴飯 只要不超過1100卡那也可以瘦的意思嗎 | 您好！ 減肥的目的除了要擁有好身材外，獲得良好健康更是重要考量。減肥時，成年人每日熱量攝取最好不要低於1200卡，否則易造成維生素、礦物質的缺乏，若由飲食所減少的熱量不足500卡時，可藉助運動來消耗能 量。查閱一般外食食品熱量表時，需注意份量與熱量之關係，甚至材料部位與做法不同時，其所含熱量亦不同，不是每碗牛肉麵或每份燴飯----的熱量均相同的。外食時經常選擇油脂含量較多食品，雖可藉由減少其他食物的攝取來達到符合本身所需熱量的目的，但這是不健康的，因外食所用的油品種類與過度反覆使用，皆可能影響健康，同時六大類食物的攝取不均，長期下來，會引發更多的健康危害。減肥，不在於只斤斤計較於總熱量的攝取，也不是所有的菜餚都不可以用油烹調，重要的是，要在均衡營養的原則下，適度的減少熱量攝取，並養成規律運動的習慣，才是能持久的健康減肥法！ 行政院衛生署桃園醫院營養室主任 施桂梅營養師敬覆 | [
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| 陰道問題 | 醫生你好，陰道炎醫生開黴克頓乳膏是要擦在陰道裡面還是只需要擦在外陰部 陰道炎需治療多久呢不會痛也不會癢只是分泌物的問題塞劑塞完後分泌物就沒有在呈現豆渣狀了是快好了嗎還有塞劑會不會把陰道原有的好菌殺死呢 已經快2個月了都還沒有好。。。 | 提問者您好 陰道念珠菌感染的治療方式主要是以塞劑與藥膏的治療為主，藥膏塗在外陰部即可。如果持續治療未改善的話，可請醫師安排進一步的檢查，例如分泌物鏡檢、病菌培養…等 若是對於有抗藥性與反覆感染的患者，也可以用口服藥物治療，治療期間建議暫時暫停行房。 祝 平安 健康 張 醫師 回 | [
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18放射線科
| 輻射問題 | 您好，我最近在做牙齒的治療要給做5顆牙套，有考慮全瓷牙冠，但聽說全瓷牙冠的成分氧化鋯還是二氧化鋯會有些微幅射，這是真的嗎我一次5顆，就怕些微的輻射乘以5倍又常年放在嘴裡會影響健康。是我多慮了嗎還是只要有鋯的成分都有輻射懇求您撥冗解答我的疑難，謝謝您. | Dear 馨 有關二氧化鋯 ZrO2 為穩定白色無味晶體 其中鋯的原子量為 91.224 在自然界有五種同位素 90Zr 91Zr 92Zr 94Zr 96Zr 唯一會產生微量放射線的成份是 96Zr 僅占 0.0280 半衰期為 1.1 x 1017 年 代表在我們使用此成份牙冠所得到的輻射劑量遠較自然背景值為低. 可忽視此輻射劑量. 謹祝 平安喜樂 署桃放射線科 楊菁華 | [
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6骨科
| 關節 | 我的腳背不定時會喀喀響，但是頻率沒有太高。倒是我的肌腱炎困擾了我幾個月的時間，去看醫生，醫生也只會開消炎止痛藥和電療，網路上的方法我都試過了，沒有太大的功效，我也都有休息，直到我的肌腱不會痛了，我就去打球，但最近又痛了起來，我的腳踝不定時的會疼痛，而且頻率非常高，貼痠痛貼布也不會好，不知道是不是腳踝關節不穩固，希望施醫師可以救救我的腳，謝謝 | 關節如果不穩定通常跟韌帶的平衡有關 可以去醫院請醫師做檢查看看 通常用stress test 張力測試拉關節往外或往內加壓 稍微可以分辨有無不穩定 另外也可以照Ｘ光 stress film for ankle joint | [
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6骨科
| 腳指外翻 | 去年暑假做完右腳大拇指外翻的手術後回診都很正常，今年寒假2月多去回診照完X光醫生說固定的釘子斷掉了請問這是正常的嗎？雖然醫生說沒有大礙只是想請問這是因為什麼不良習慣或是太劇烈運動所照成的嗎？還有斷掉後一定要取出嗎？繼續留在身體內會有什麼影響？如果真的開刀取出後，術後是否能夠馬上正常走路，還是要用拐杖一陣子？ 謝謝您耐心的回覆我的問題 | 如果骨釘斷掉了但是骨頭已經癒合了就可以不必處理 如果斷掉的骨釘會刺激到附近的組織引起症狀那就的取出來 手術後通常要幾天的時間才可以恢復的 能不能過馬上走路要問手術的醫師 | [
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2牙科
| 蛀牙 | 醫生跟我說門牙部分有黑黑的部分是蛀牙但我照鏡子看不知道是牙縫陰影還是真的蛀牙就是有一小部分黑黑的假設真的有一小部分蛀牙那請問靠一直刷牙能補救嗎還有一顆門牙旁的牙齒確定已經蛀進去了牙齒上黑黑的那請問門牙旁的牙齒會不會很難補會不會不美觀 | 您好 若已經影響到美觀，且又無法以刷牙的方式將其移除，建議還是請醫師進行齲齒治療的方式，重新填補恢復美觀及功能。 衛福部台中醫院牙科林佳詠敬覆 | [
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13肝膽腸胃科
| 腹痛 | 醫師您好 我女友這一兩天左下腹部開始出現間歇性的疼痛 大約間隔1020秒患處會像觸電一樣感受到疼痛 疼痛的位置都相同目前已經有去附近的肝膽腸胃診所看過 看診醫師排除了腎的問題僅告訴我們說可能是發炎的症狀 讓我女友好好吃藥休息若病狀好了也不需回診 目前女友都有好好吃藥但事過一日女友的鎮狀還是沒有得到有效的改善 請問這樣的症狀可能為何需要進一步到大醫院進行檢查嗎 | 您好 間歇性疼痛可能跟腸子內有宿便加上腸絞痛有關係另外婦產科問題例如卵巢問題都有可能。 彰化醫院關心您的健康 蔡安順醫師 | [
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5泌尿科
| 精液 | 傅醫師您好：想請問在醫院做的精液檢驗報告中，ＷＢＣ白血球報告值5-10參考值是1-5，這樣算是過高嗎？若真的是，該如何處理呢？需要掛哪一科？另外黏稠度報告值為Watery，這樣也是正常嗎？感謝醫師撥冗回答。 | 如果沒有症狀不見得要處理，有可能是發炎造成白血球過高，最常見的部位是攝護腺。 若有症狀則建議至門診進行進一步檢查。 | [
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0婦產科
| 會懷孕嗎？ | 醫師：您好，我想請問我的月經在410結束，我414有跟先生同房3次，2次未戴套未射精，1次有戴套，請問我這樣需要吃事後避孕藥嗎？會容易懷孕嗎？ | 月經在410結束，我414有跟先生同房3次，2次未戴套未射精，1次有戴套，請問我這樣需要吃事後避孕藥嗎？會容易懷孕嗎？ Ans 不會容易懷孕 不需要吃事後避孕藥 | [
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| 月經 | 醫師好，我和女友在24日有過一次性行為，全程都有戴套，且隔週月經就來了，之後也沒有進行性行為，然而這個月月經已經遲了約5天左右，且在這段期間內，有一天突然冒出少量血。想請問這是否可以排除懷孕可能？那麼若排除懷孕可能，那麼還有哪些因素可能造成？謝謝醫師。 | 您好 月經來就沒有懷孕，再等一至二星期，如果還是沒有來，建議看婦產科。祝你健康 | [
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13肝膽腸胃科
| 食道逆流 | 醫生您好 今年九月中因為喉嚨持續有灼熱感，所以去照了胃鏡，醫生判斷是胃食道逆流B級，噴門有點紅，並開了PPI給我吃，還要求我要改善生活飲食習慣，服藥期間大部分狀況都有好轉，但是偶爾就會突然又有逆流的症狀出現，大約一個禮拜才會又恢復，想請問生活飲食習慣改變之外，還有需要注意什麼原因會造成突然爆發嗎？因為我本身是一個極度容易緊張的人，不知道會不會有影響，然後復發後回去看醫生，醫生又多開了famotadine、mywell、加速胃排空跟消脹氣等藥，想請問醫生如果我本來就有服用PPI，又服用上面的藥的話，會不會因為抑制胃酸過多，而造成胃酸反彈的現象呢？ | 禁煙酒，少咖啡少喝茶，少刺激性食物及糯米製食品，避免吃太甜或太酸，少喝飲料，睡前3小時禁食，睡時枕頭墊高，少吃稀飯。 當然，緊張壓力大也會增加胃酸分泌。 | [
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15復健科
| 膝蓋 | 我目前20歲 就讀大二 之前在高三時期的排球比賽 左腳膝蓋往外側扭傷 當時有至民間整復所整骨 也有至骨科檢查 當時醫生都僅照x光表示骨頭無受傷 但我到目前膝蓋都還是無法做劇烈運動 當我打排球左腳單腳落地 會軟腳並且再次扭到，只要運動就很容易又再次扭傷 到目前有時候跪著再起身時也有卡到筋的感覺嚴重時導致無法伸直，硬伸直則筋會非常痛 、膝蓋也有鬆鬆的感覺 像此類運動傷害是否可申請照核磁共振，又或者有無什麼方式可復健改善 已經困擾我好久的膝蓋 再麻煩醫生您解答了 | 所描述症狀可能與韌帶肌腱等軟組織有關 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最適合的檢查與治療方式 | [
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| 牙套 | 我不久前做了牙套（没做根管治疗），现在里面发炎疼痛，在服抗菌素。我的问题是抗菌素能彻底消灭病菌吗？能不做根管治疗吗？ 谢谢。 | 您好 若牙齒神經發炎，抗生素是無法徹底治療的，因牙齒神經絕大不份都包在牙齒內，仍須進行根管治療。 祝 平安健康 | [
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| 骨骼問題 | 孫醫師： 您好！有一連串關於骨密度的問題想請教您。 1.關於足跟骨的骨密度檢查是否足以代表受測者的骨密度狀態？ 2.此數值是否為了解骨質狀態的唯一指標？ 3.以此作為補充鈣質的依據是否適當？ 4.如果想要比較正確測得全身的骨密度狀態需要做什麼檢查？ 5.骨質密度是否需要每年都檢查？ 6.另外鈣質如果攝取過多，對身體會不會有不良的影響？ 非常謝謝您的解答！ | 您好！ 1.一般說來 足跟骨的骨密度檢查僅為篩檢之用 不足以代表受測者的骨密度狀態 2.此數值無法做為為了解骨質狀態的指標 3.每日攝取足夠鈣質是停經婦女必須的要務 不須要依據骨密度檢查結果 4.如果想要比較正確測得全身的骨密度狀態 請至醫療接受骨科或婦產專科醫師檢查 5.骨質密度是如果有異常才需要每年檢查 否則2-3年追蹤檢查一次即可 6.鈣質攝取必須能夠被身體吸收方為有效 一般說來體內腸胃道會自我調控 不至於過多 | [
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5泌尿科
| 檢驗 | 非常感謝許醫師您的答覆. 您的回覆讓我寬心不少.在這裡再次感謝. 今天.我出現了些許症狀.讓我又陷入了披衣菌的陰影中. 1.我的會陰部位.覺得有點漲漲的. 2.睪丸.有時左邊有時右邊.覺得有怪怪的感覺.有點像痛.又不是很強烈 3.尿道口.也有怪怪的感覺.我有包皮過長的現象.我每天都會檢查是否內褲上 有分泌物.結果都沒有. 不知道這是不是攝護腺發炎的關係.或是披衣菌的關係. 再次懇請醫師您的協助.感謝. | 這位不知名的人士： 你好 很高興先前的回答帶給你一些幫助。這次，其實，你的問題，很多人都有，只是，大家都不肯拿到台面上來討論。在門診，你的情形，並不在少數。 包皮的清潔問題，一般確實會影響到尿道等，造成局部的搔癢、分泌物等。而你最在意的批衣菌，一般很少會有症狀，因此，你的情形，通常只是一般的感染，比如說常見的皮膚上的細菌等。 再談到清潔，一般人，尤其是像你這種比較仔細、比較會吹毛求疵的人（我猜的，不知道準不準？），對於包皮的清潔，一定是不遺餘力的，每天都使用肥皂塗抹，恨不得沒有一絲異位出現；其實，這裡，在龜頭的部分，並不是皮膚，而是黏膜（就像是口內的上皮組織），假如常常使用肥皂清潔，反而不好（你不會用肥皂清潔口內吧），會造成油分都被過度清除，造成細菌、霉菌反而容易滋生。 換句話說，我的意思是，龜頭的部分，只要使用清水就可以了，假如真的很髒，一週1∼2次使用沐浴乳（像是多芬那類，洗起來滑華的，油油的最好）就可以了，甚至，覺得太乾澀，可以抹一些嬰兒油來保護細嫩的黏膜。 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
| 手淫問題 | 醫生好第一個問題是沒勃起的狀況下可以蠻輕易的退下包皮但是勃起後用手退去包皮感覺很緊難以退開請問是包莖嗎接者問這樣的狀況下再進行性行為時會有任何問題嗎第二個問題是本人從以前到現在手淫的方式都不對都是以磨擦龜頭在未勃起下射精的最近發現用上下摩擦的方式能勃起但射不出來請問該怎麼辦是否要先禁止自己手淫一陣子在試著用正確的方式手淫呢懇請醫生回答 | 您好： 1 是包莖 2 如果會緊，進行性行為不會有太大問題 ，太緊，性行為時間長，包皮易水腫。3 可以試著同時上下摩擦的方式 併刺激龜頭，試試看。祝健康 | [
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5泌尿科
| 生殖器官 | 醫生您好，最近生殖器官開始長毛髮後，我有觀察自己的生殖器官有兩個問題想問醫生。 第一，睪丸的有時候感覺好像其中一邊比較低還是有點錯開的感覺是否正常。 第二，睪丸後面連上去好像摸得到兩條粗粗的管子那是什麼動脈嗎？還是輸精管，有點擔心是不是不正常的構造，因為最近洗澡都會特別去注意也想說有毛髮要洗乾淨點才發現的。 謝謝。 | 您好 第一，睪丸的有時候感覺好像其中一邊比較低還是有點錯開的感覺是否正常。--正常 第二，睪丸後面連上去好像摸得到兩條粗粗的管子那是什麼動脈嗎？還是輸精管，--多半是輸精管 祝健康 | [
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| 濾過性病毒 | 請教醫師 今早上廁所時 無意中發現小弟弟背面應該算是包皮表面有一小顆白色突起物 大概是冠狀溝的下方一點只有那一顆小小的. 我想確認是不是一些屑屑所以用指甲輕輕地推了一下 它就掉了抱歉我知道不該亂弄它 掉下來時沒有血也沒什麼感覺 掉出來的一小顆的觀察大概長度不到1mm 約0.5mm 很小很小不小心就掉了 弄掉後我看皮膚上是小小紅紅的. 不知算不算丘疹但不會癢. 請問 1 除了菜花外 有可能是其他東西嗎.像是. 2 它不在冠狀溝上是接近冠狀溝 但不在那邊 所以不可能是珍珠狀丘疹嗎. P.S. 我下次看到一定會給醫師看的絕不敢自己弄掉 煩情醫師協助 我真的很害怕 不知道現在要怎麼辦. | 焦急： 你好 1.菜花，一般顏色比較深色，不容易脫落。 2.可能 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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0婦產科
| 驗孕問題 | 我跟伴侶一直有在規律地用舞悠避孕環，無戴套也無內射，但最近女友月經後覺得身體不舒服（有血塊、點狀出血） 去婦產科檢查時，發現尿液跟驗孕棒都有懷孕反應，但驗孕棒的線非常淺，所以後續又安排了抽血檢查會在幾天後得知 請問是不是可能跟我們在第四週拔環期間有性行為有關，但查詢相關研究後，也說避孕環正常使用的話在拔環那一週也是有用的？ 因此想請問醫生有沒有可能是有尿液檢驗陽性而血液結果無懷孕的可能性？ | 提問者您好 依您的描述，如果兩種檢查均無錯誤的話，結果應該一致，建議只能等抽血報告確認，謝謝 祝 平安 健康 張 醫師 回 | [
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5泌尿科
| 濾過性病毒 | 醫師您好， 請問親人患有梅毒已超過50年， 身上有如腫瘤般的炎性軟瘤乾癬， 如幫梅毒晚期親人按摩是否會被傳染梅毒 腫瘤般的炎性軟瘤，是否會因按摩而滲出組織液 若按摩者手有傷口，是否會被感染 期盼您的回覆，謝謝 | 小P： 你好 若手部有傷口，接觸分泌物可能會感染。 對於梅毒的診治，並非我的專長。 若有疑慮，建議請教感染專科醫師。 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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| 肛門問題 | 我聽聞別的外科女醫師提及 肛門清潔 如何肛肛好呢 只要擦到只有淡痕即可 然後 水洗＞濕紙巾＞乾擦 我個人最近碰到一個問題 我本身是完全蹲下來擦拭 我問很多人是半蹲或坐著擦 想問醫師 是只要肛門口周圍清潔即可 還是肛門口裡頭戳進去 也稍微擦一下嗎？ 過去的我 會在肛門口裡頭一點環繞擦拭 順時針 逆時針都會 但這實在花費我太多時間 最長要15分鐘 我怕我的病人會在這段時間沒被抽痰，跟我say goodbye 所以姿勢及清潔肛門的程度 想好好請教醫師 謝謝 | 一般衹要肛門週圍清潔即可，與姿勢應無大關係。 | [
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0婦產科
| 骨盆腔 | 醫生你好 我本身為第一型糖尿病患者 生完小孩正哺乳中十個月 11月底左右月經才第一次來 而大約在12月初的時候有不明的下腹痛 看過醫生並內診過，是骨盆腔發炎 吃了抗生素2個禮拜覺得不再痛，醫生便說可以停藥 結果沒多久又開始痛.所以又回去看一次 就又吃了兩個禮拜的抗生素 醫生也說沒有問題了不用再吃了 結果又開始痛了. 聽說生完前幾次的月經還不規律 這樣到底是發炎還沒好要再繼續吃，還是月經要來了呢. 好怕這樣反反覆覆的讓細菌產生了抗藥性 都只有下腹部痛，沒有異常分泌物 謝謝醫師 | 您好 抱歉無法由你的所述診斷，有可能是發炎，如果還有不適，建議看婦產科。祝健康 | [
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5泌尿科
| 攝護腺 | 醫生好 我5年得前副睪炎後變成慢性攝護腺炎，因為攝精會痛我就3個月排精一次，去年初發有咖啡色血精，診所醫生說不要常時間禁慾，我一個月一次後4月分射精後副睪痛副睪炎復發。吃了三個月抗生素到現在單側還會痛。仍有咖啡色血精，診所醫生說不用在意怕就去大醫院檢查！於是心恢意冷，馬上去長庚掛了一位老教授的診，他幫我做直腸超音波發現有囊泡，驗psa0.8核磁共振影像確認是囊泡2.6公分在中下位置。醫生告訴我抽水泡容易復發，泡熱水半年追蹤就好。 但我很還是很擔心壓力很大，囊泡，血精，攝護腺炎痛沒解決。 請問醫生囊泡的問題很難處理嗎？是否如老教授所說。網路上也很少人討論。謝謝！ | 您好： 您所謂的囊泡不用特別在意，要治療副睪及攝護腺炎，攝護腺炎不易治療，部份人是要服藥一段時間，幾個月都有可能，不能斷藥，生活一定要注意，一不注意，會抵消服藥效果，可上網查此病注意事項，不然極易復發，間間斷斷治療，祝健康 | [
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16腫瘤科
| 腋下有硬塊 | 您好 我兩、三個禮拜前發現腋下有硬塊 腫腫的地方看起來紅紅的 摸起來有一點點腫 按下去會痛 前幾天碰到胸部會有一點刺痛 大小大概是1cm 那這樣要看哪一科會比較好 | 可能只是毛囊炎 可以看婦產科. | [
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0婦產科
| 是否懷孕 | 我女友一直經期很不規律 有時3個月有時2個月才來一次月經 而且沒有特定日期 一月月經剛停不久我們有了一次性行爲 沒帶套子 也沒射精 之後2個月都沒大礙 除了胸有時會有一點點漲痛還有肚子肥了一點點 然後3月月經來了 量比平常的多 來之前有啡色分泌物 2星期後也開始有同樣的東西 現在還有頭痛 噁心 胃不舒服的狀況 會是比較晚才出現有寶寶的症狀嗎。還是有其他問題？ 她最近有很大的壓力 會是這樣影響嗎？ | 女友一直經期很不規律 有時3個月有時2個月才來一次月經 而且沒有特定日期 一月月經剛停不久我們有了一次性行爲 沒帶套子 也沒射精 之後2個月都沒大礙 除了胸有時會有一點點漲痛還有肚子肥了一點點 然後3月月經來了 量比平常的多 來之前有啡色分泌物 2星期後也開始有同樣的東西 現在還有頭痛 噁心 胃不舒服的狀況 會是比較晚才出現有寶寶的症狀嗎。還是有其他問題？ 她最近有很大的壓力 會是這樣影響嗎？ Ans 應該到醫院做詳細檢查 PS參閱國民健康署「性福e學園」或婦產科醫學會「青少女年避孕指引諮詢家」 httpgoo.gldc6PfW | [
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| 再生不良性貧血 | 朋友的女兒患有再生不良貧血.用了免疫抑制療法效果不佳.請問是要靠藥物或輸血還是骨髓移植. 血紅素6 白血球3000 血小板30000.嗜中性球450 另外請問骨髓移植配對難不難等 謝謝 | 米兒： 因系統錯誤致延遲回答，請見諒。 免疫抑制療法效果不佳，以目前言，只有做異體骨髓移植了。但有一定的風險。來源以親兄弟姊妹為佳。慈濟骨髓庫或其他臍帶血庫的配對不是很難，但非親屬移植風險更大，費用也較高。另外如果經濟能力許可，可以和主治醫師商量，是否自費試用高劑量「返利凝」Eltrombopag Revolade，或許會有效。謝謝！ | [
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| 懷孕嗎？ | 本人月經週期不固定，之前檢查有多囊性卵巢的可能。後來幾次有正常月經，時間不固定。最近兩次是28-212以及33-37。前日317下午有性行為，一開始戴套有放反，還沒戴上去，立即翻正使用，之後全程戴套。男友說當時應該是沒有前列腺液在上面，不確定。事後不心安，318晚間事隔約30小時服用韻婷事後藥。有搭配止吐目前沒有副作用，想請問這樣懷孕機率高嗎下次月經會正常嗎如需驗孕建議何時驗孕 | 月經週期不固定，之前檢查有多囊性卵巢的可能。後來幾次有正常月經，時間不固定。最近兩次是28-212以及33-37。前日317下午有性行為，一開始戴套有放反，還沒戴上去，立即翻正使用，之後全程戴套。男友說當時應該是沒有前列腺液在上面，不確定。事後不心安，318晚間事隔約30小時服用韻婷事後藥。有搭配止吐目前沒有副作用，想請問 這樣懷孕機率高嗎 Ans 懷孕機率不高 下次月經會正常嗎 Ans 會正常 如需驗孕建議何時驗孕 Ans 41 | [
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| 事前避孕藥 | 醫師您好已服用244劑型的事前避孕藥兩個月了但這兩次都是到第1314天就開始少量出血直到無效藥後月經來想請問 1.從出血後開始一樣每日按時服藥請問出血會降低避孕效果嗎 2.現在想換其他廠牌吃想請問是在吃完這包有效藥後隔天就接著吃新的一包嗎 因為現在每天仍持續少量出血 還是要等月經血量多時為第一天月經起算再開始吃新的一包呢 謝謝醫師 | 您好 還是有避孕效果，請把原來的藥吃完後等月經來的第五天，改吃別的牌子避孕藥。祝你健康 | [
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7耳鼻喉科
| 耳鳴 | 醫生你好 最近 耳鳴左耳翁翁聲 早上起來 就消失 大概 中午 就出現 或太累 也會更大聲 有時 有點耳悶 自己講話 聽起來 感覺上有點 破音.有耳鳴 那耳 敲耳朵旁邊 感覺 跟正常的耳朵右邊聲音不一樣 會有砰砰聲 問體 跑了幾家大醫院 照了鼻內視鏡 很多次 都正常 這表示 耳鳴 跟鼻咽癌 沒關係了嗎 請問一下醫生 鼻內視鏡一般多久作一次 也有做聽力 測試 有問體的耳朵左耳聽力有些退化.是聽力退化的問體嗎 麻煩醫生回答 感謝 | 您好 耳鳴的原因很多，聽你描述的症狀可能與耳咽管功能異常或神經性聽力受損有關，如果已照過鼻咽內視鏡，應可排除鼻咽癌的機會，但耳咽管功能及神經性聽損可能是造成耳鳴的原因，可以與醫師討論後嘗試藥物治療看看是否會慢慢改善。 祝平安健康 衛生署桃園醫院 耳鼻喉科主任 鄭爵儀敬復 | [
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5泌尿科
| 藥物問題 | 許醫師您好 包皮龜頭炎可以用現在市面上的一種藥膏叫療黴舒來擦嗎 會不會對比較常復發的包皮龜頭炎有效維持長期不復發 不知道會不會傷害包皮龜頭或有什麼副作用 麻煩許醫師解答一下 | 小K 你好 你說的藥物，是黴菌使用。若包皮因黴菌感染，可以使用；若不是，沒有效果。 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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6骨科
| 鎖骨問題 | 醫師您好 我現年24歲本身有雞胸從小到大這個問題一直困擾著我害怕別人異樣 的眼光我想請問一下我現在24歲可以開刀嗎有風險嗎開刀後修養要多 久的時間健保有給付嗎請問新竹哪裡有醫院可以做這項手術謝謝 | 您好 此問題應向外科詢問謝謝！己將您的問題轉交給外科。 | [
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5泌尿科
| 龜頭外露 | 許醫師您好， 小弟是之前45曾問過您問題的Sam。 上次問過您之後，小弟去看了泌尿科醫生。那位醫生說是龜頭包皮炎，也開了tetracycline給我塗抹。那目前塗藥已經有五天了，冠狀溝及包皮癢的症狀也基本上算是有緩和，也沒有之前的紅腫了，但是龜頭上的小紅點或是說肉色偏紅的微小顆粒還是存在，平常雖不是很顯目，但勃起後會變得比較明顯一點。那位醫生說不用太介意那些微小顆粒，因為是正常的。 那小弟想請問那些紅點顆粒會自然消去嗎還是也要塗抹tetracycline小弟目前tetracycline大部分都是抹在冠狀溝上才會消去如果會消去的話又大概需要多久呢 不好意思還有這些問題，因為勃起的時候感覺不是很美觀，所以小弟想知道能不能恢復正常。 謝謝許醫生 | SAM： 您好，很高興為您服務 冠狀溝的小紅點，會不會是正常的腺體？在這裡，有一些正常的腺體存在。 註：若是正常的腺體，一輩子都會存在。無法消失。 行政院衛生署 台東醫院 關心您 泌尿科 主任 許維愷 答覆 若對於回答有疑慮，歡迎繼續討論。 | [
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| 會懷孕嗎？ | 今天女友月經來的第五天女友幫我自慰，之後射精在床上和她的大腿上，在清理的過程中手有碰到精液，之後有用沐浴乳洗手，再幫女友進行指交，請問一下這樣會懷孕嗎 | 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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| 懷孕機率 | 醫師您好，請問我918922為經期，經期都不太規律，有使用排卵試紙測出強陽轉弱是102為排卵日，並用app測出顯示排卵期估算是927106，106跟老公無套內射，請問懷孕的機率高嗎？最快哪天可以驗孕呢？感謝醫師百忙之中回覆，謝謝。 | 提問者您好 依您的描述，建議1027以後如果月經仍沒有來再檢查，謝謝 祝 平安 健康 張 醫師 回 | [
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| 感染 | 醫生您好 我檢查出有滴蟲性陰道炎 在還沒檢查出滴蟲前有考慮懷孕 所以特別算了危險期 生理期是927來的 1027因生理期延遲沒來到醫院檢查 檢查出滴蟲但沒懷孕 醫生有開一種催經藥，但我有跟醫生說我想懷孕怕吃催經藥導致沒懷孕，醫生告訴我這藥吃了如果有懷孕是安胎藥沒懷孕是催經藥，請問有這種藥嗎？ 滴蟲有口服篩劑和藥膏持續用了7天，催經藥也口服了3天 但是生理期延遲了13天還沒來，請問這是正常嗎？ 到醫院檢查3次都沒懷孕，請問這是因為滴蟲的原因嗎？ | 回覆如下 1 醫生開的藥應該是黃體素。 2 滴蟲不會影響生理期。 3 如果月經仍然不來，請再就醫檢查。 桃園醫院 呂理政敬上 | [
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16腫瘤科
| 乳癌 | 請問哪一種方法檢查乳癌的準確度會較高 超音波攝影，X光攝影或是血液檢驗如DR70 或是還有其它方法 | 您好： 抽血檢查最不準確，超音波及X光乳房攝影則是各有優缺點。 一般乳房腫塊是先作超音波檢查，有懷疑時再做乳房攝影檢查相互印證。 您既然有懷疑了，就應該要找乳房外科醫師診斷一下！ | [
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5泌尿科
| 精液 | 請問服用含有類固醇的藥會使精液程現透明的顏色嗎 | 請珍惜我們的網路醫療資源，詢問相同問題時，請指定一位醫師營養師就好。 楊楊： 你好 不清楚，我沒有碰過。 不過，您可以請教藥劑師。 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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11營養教室
| 營養諮詢 | 請問一天如果要吃六份豆魚肉蛋該怎麼分配份量 查了一下有人說吃豆類少吃肉類比較好也有人說豆類缺乏必需胺基酸肉類比較營養要以肉類為主 我目前是1份豆類1份蛋2份魚2份肉不知道該怎麼改 謝謝 | 您好！ 黃豆製品的確缺乏甲硫氨酸，但是當餐食物，也會吃到其他的食物，就會補足不足的氨基酸，例如米飯中就含甲硫氨酸，除非長期都只吃單一食物，否則不太容易有缺乏而造成問題的情況。 故鼓勵食物應該要多樣化的攝取。至於每天應該要攝取多少份的各類含蛋白質食物及每餐分配情況，應該要看個別的情況而定。而食物的攝取不只是考慮營養素，還要考慮個別化的活動量，消化吸收，壓力因子，食物的來源及烹調方式等，個別飲食習慣等等。 蛋白質也只是身體所需多種的營養素之一，建議依照國民飲食指南，均衡攝取各大類食物。 以上由衛生福利部南投醫院蔡秀雯營養師回覆 祝您平安健康。 | [
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2牙科
| 牙齒矯正 | 如果要矯正使用外力拉出 有幾種方式 | 親愛網友您好 依照網友的描述，牙齒的方向長歪、長不出來。建議網友可以請矯正醫師檢查及 評估，長歪牙齒的部位及生長方向，做必要的檢查後，才能判斷牙齒是否可以處 理。在有些情況下，長歪的牙齒如果可以用矯正的方式保留，也會合併口腔外科 醫師的會診。建議網友可以請牙醫師檢查後，再依醫師的建議處理，謝謝您的提 問。 | [
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1精神科
| 精神疾病 | 我的腳喜歡互相碰撞 或是腳拇指喜歡交插緊緊的 我把這個稱做『不寧腿』 另外我發覺我早上醒來就很興奮的樣子喜歡先到處走動 甚至先跑去買早餐吃之後會想騎機車去晃一晃然後回家支後躺在床上大約一小時左右才去刷牙；我覺得我好像心始終靜不下來 之前上網看到『靜坐不能』我的醫師有開恩特萊給我吃 其實是我要求他開給我吃 他是說有支氣管炎和氣喘是禁用後來我出示別的醫師有開此藥他才開給我的。不過服用兩三天支後上述所述的症狀並沒有獲得控制 我是希望能否說明還有合病會有我上述的症狀 因為所謂的『不寧腿』是跟睡覺有關我是把自己腳的情況也稱做是另類不安寧的腳。 能否請醫師說明一下讓我對自己的情況有一點認識！ | 您好 我們看醫生，大部份就是因為自己注意到有某個不尋常或不舒服的症狀表現。但是也許還有其他我們沒注意到或比較不關心的症狀，對於我們是什麼疾病的診斷是很重要的。網路上回答類似您這種問題，就是容易落入瞎子摸象的陷阱，因為我們沒有辦法對您的問題以及您沒提到的問題，都做一些通盤的判斷考量。 上述提到的這種狀況，躁鬱症的躁症，所謂的過動症，焦慮症等等也可能會這樣。但是您是不是以上的問題，您的精神科醫師最清楚了。 其實，我也不建議您捨近求遠，有問題應該當面請教您的醫師，最好不要四處問不專業的人，或問我們這種完全沒看到您的醫師。網路上得到一些醫學常識大致上是還可以，但是網路上不適合去問別人我們自己是不是有什麼毛病等等。 如果您對您的精神科醫師沒有信心，我建議您可以換一位，掛號請他幫您評估比較好。 敬祝 一切順心 丁碩彥 醫師 敬上 | [
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| 思覺失調 | 之前醫師你好像有回覆過余光強迫的問題，我和那個人的症狀很像，可是我是已經進化到了根深蒂固的程度了，我有在大醫院打針。剛開始我沒有這麼嚴重，可是從我發病的開始（3年前），各種陰陽怪氣。我很想反駁，我只是思考方式跟一般人不一樣而已，而且我看人的時候從一開始到現在就只有緊張和壓力。其實我不只一個問題⋯⋯就這樣吧（想了很久才發的，希望他們不要看到這篇評論🙏） | 妳好 思覺失調症的思考症狀及情感症狀，經過持續的治療，通常都會改善的，建議耐心的和醫師合作，配合治療，不管是口服藥或是長效針劑都有療效。耐心持續治療一段時間，症狀通常會得到改善的。 | [
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| 會懷孕嗎？ | 醫生請問一下我跟女友73號發生關係（無套沒內射） 女友擔心74號吃了事後避孕藥711號有出血的狀況，是月經嗎？ （女友又是月經一兩個月來一次的那種） 這樣懷孕機率高嗎？？ | 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。事後避孕藥對月經的影響不一定是提早或延後，它的避孕效果也不是百分之百，失敗率有3左右，不過仍算是補救的方法。建議如果不確定出血是否為月經的話，需請婦產科醫師安排相關檢查才能確認，謝謝 祝 平安 健康 張 醫師 回 | [
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13肝膽腸胃科
| 便秘 | 陳醫師你好， 狀況快約有一個月了吧！ 肚子悶悶漲漲的，想放屁又很難放屁、想打嗝缺打不出來， 而且又便秘（最久三天大一次），然後又大便大的很吃力又大得不乾淨，好像卡在肛門一樣，而且上大號的時候，很難專心，想東想西，就是很煩躁的感覺，也告訴過自己放輕鬆，可是還是沒辦法！ 那種肚子悶、漲又很難呼吸的感覺，特別最近晚上常發生，肚子很不舒服⋯⋯ 不知道醫生我是不是消化不良還是怎麼樣？ （偶而熬夜、不抽菸喝酒檳榔；因住外面，都吃外食、不常運動） | 建議先調整飲食，少油少刺激食物，多青菜水果，若仍未改善，就到腸胃科就診。 | [
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2牙科
| 根管治療 | 您好 請問一件事 我6年前有一顆牙齒抽過神經然後也做了牙套封起來 9月時咬到硬東西突然很痛去了3家牙醫診所 醫生說 牙根發生病變 有的建議我直接拔掉 有的問我要不要先治療 我後來選擇先治療看看 牙套一拿掉發現牙齦太高沒辦法做根管治療 必須先做降牙齦的手術我不是很確定是不是叫降牙齦的手術但是聽說要磨掉骨頭 醫院跟我說除了要掛號之外還要自費 1.降牙齦的手術要2500左右 2.根管治療費用每次350左右 大概的費用是這樣嗎做根管治療是一項很大的手術會有危險性嗎 麻煩您解答謝謝。 | 您好 1.降牙齦手術應為牙冠增長術。費用為10000元以內視難易度而定. 2.根管治療若使用非健保範圍之儀器材料有不同的收費. 3.根管治療是精細療程但應無危險性。依標準操作. 牙科劉添財醫師敬覆 | [
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13肝膽腸胃科
| 腸胃肝膽科 | 這兩天我有感冒的症狀，頭痛頭暈和鼻子過敏 三餐飯後吃飽就會嘔吐，因為這樣我少吃一點結果一樣還是嘔吐，因此我不敢再吃任何的東西了，我有去看耳鼻喉科服用了感冒藥可是嘔吐也不見好轉，只服用兩包藥，我想請問一下我腸胃是否出問題，應該去看腸胃科 ，頭痛頭暈和嘔吐這些症狀是同時出現的，目前只要進食就嘔吐，應該如何進食 | 您好 若進食就會嘔吐仍建議要補充水份及電解質.若是持續無法進食或是連喝水都想吐的話建議就診急診或胃腸科. 彰化醫院關心您的健康 蔡安順醫師 | [
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| 前列腺 | 醫生尼好，我35歲昨天去醫院醫生幫我肛門指診，往左變按非常疼痛，醫生說可能是攝護腺發炎，因為上網查發炎好像很多種我不知道是不是我的行為引起的，我自慰蠻頻繁的，還有熬夜，少運動，飲食蠻重鹹，是不是這些原因造成的呢可是我年輕的時候也蠻常這樣的作息，為什麼不會發炎呢，然到是因為年紀大了那想請問我現在該如何改善呢 | 酷： 你好 疾病，是累積造成的，當然也可能是剛好感染。 比如說：若你每天像柯市長一樣騎車挑戰雙塔，哪一天會造成骨骼肌肉損傷沒有人知道。你不能說以前不會，現在當然也不會。 攝護腺發炎有很多分類法，我不知道你問的是哪一種。 比如：急性，慢性 細菌性，非細菌性 . . 既然知道你的生活作息有問題，那就儘速改善，否則後果還是要你的身體來承擔。 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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| 排卵期 | 你好 想請教最近兩三個月均有排卵性出血症狀是否很嚴重該如何處理是否影響受孕 | 親愛的網友您好 不知道您如何正確確定是排卵性出血症狀同一女性每個月不一定都會出現排卵性出血症狀出現的症狀也不一定每個月都一樣出血原因是因為排卵時體內女性荷爾蒙雌激素輕微波動致子宮內膜些許剝落的出血不一定需要治療或者視出血症狀程度給與治療不影響女性受孕能力. | [
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