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1精神科
| 焦慮 | 我是一名國二生，國小時曾經被同學孤立（有人帶頭說不要跟他玩），我不太確定事不是誘因，但是我從國小時就有自殺和自殘的想法。我因為想脫離被孤立轉學了，到了新學校大概是七上的時候有感覺比較輕鬆一陣子，但是不知道哪一天，自殺和自殘的想法伴隨著容易哭和暴怒又出現了，家長發現後有帶我去認識的學長開的身心科看。當時診斷是說焦慮症，有叫我服用藥物和心理諮商，但是都作用不大，還是時常突然就暴怒和突然哭，而且每次看診時都會覺得壓力很大，怕我說了什麼心理師都會和媽媽說（我的醫生是媽媽的好朋友）每次話都不敢說得太滿（例如沒說過不想活了）。我也不太想去找醫生因為每次的看診都讓我壓力好大。可能我也有注意力不集中，醫生有給我開利他能讓我吃，我現在是利他能和福安源錠一起早上吃。 目前吃過的藥有 福安源定 贊安諾（睡覺吃的） 想請問： 1.這是單純焦慮嗎？還是是病？ 2.如果換醫生會比較好嗎？（變成大人和小孩都不認識的醫生） 3.不想心理諮商會怎樣嗎？ 4.突然來的情緒怎麼控制？ 謝謝您 | 葉雨妳好 治療要能夠發揮效果，必須要信任專業人員，充分合作，才能達到最好的效果。即使醫師、心理師是父母的朋友，妳仍可以和他們討論妳的疑慮，我相信他們會好好與妳討論解決的方法的。 突然情緒來的時候建議要有耐心，可以先試著觀察情緒，提醒自己不要急著反應，試著理解情緒的來由或是等情緒漸漸淡去。 | [
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9整型外科
| 疤痕 | 醫師您好 因為我眉間長了一顆大約5元硬幣大小的腫塊，所以在一個禮拜前我開刀切除，過程中執刀的醫師說皮膚裡面沒有看見腫瘤，只有發現周遭的脂肪組織特別厚，所以他說把這些集結的脂肪組織推開讓腫脹的地方平順點。 術後前三天額頭腫脹，這段期間有冰敷和熱敷，經過一個禮拜額頭的腫脹消了，但是開刀的地方還是有腫塊腫塊似乎從原先的約五元大小晉升約十元大小，現在熱敷似乎沒有明顯消失再三天就要拆線了想請問醫師，我現在的腫塊會不會還是一樣一直腫在那裡呢 像這樣沒有腫瘤只有脂肪組織集結的硬塊處理後還會再長回來嗎 | 1. 術後的腫脹常常持續2-5周。 2. 硬塊處理後，仍有可能長回來。雖然機會不大。 | [
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6骨科
| 骨折術後 | 醫師您好，我在前年年底車禍鎖骨骨折，於今年一月底取出骨釘，並用免拆的縫線，而最近傷口會流很像是膿的液體透明的還有一些黃黃的，然後傷口也有紅紅的而且會很癢，有貼免縫膠帶但只要洗完澡膠帶就會掉不確定是因為有碰到水還是因為流膿，縫線的部分好像也還沒癒合。請問醫師這樣的情況是正常的嗎謝謝 | 傷口可能有問題 需要回去找醫師再看看 一班傷口癒合良好是不會出水的也不會有液體出現的 紅紅的皮膚或許有感染的可能 | [
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18放射線科
| 輻射問題 | 2012那年做了頭頸的電腦斷層8月做的心導管電燒3月做的 1。請問一年內頭頸電腦斷層的幅射劑量心導管電燒心博過快的幅射劑量會不會對身體產生不好的傷害 2。這樣的劑量會不會超過一個人一年所承受的幅射量 3。女兒今年1月1歲11個月掛急診連續照了2張胸部x光。因為第一次沒抓好照第二次。 那麼小的小接受x光幅射照時都沒有鉛衣防護其他部位會有那些影響 4.請問頭頸的幅射劑量是多少 | 一次頭頸部電腦斷層的輻射劑量約 6 mSv毫西佛 因檢查重點不同，可能掃描範圍及設定條件會有些差異 至於有關心導管電燒，依操作過程的複雜度影響輻射暴露時間的長短，因此可能的劑量約 5-15 mSv 差異可以很大 輻射造成的可能傷害沒有所謂的安全劑量，暴露過多會增加患癌的機率 依統計資料推測 一年接受約 11 mSv 劑量造成傷害的機會非常低，可以不必為此擔心。 由於身體的輻射效應會累積，還是應盡量避免不必要的暴露，尤其是短時間內的重複高劑量的照射。 幼童對輻射傷害較敏感，需要比成人更謹慎，胸部X光一張僅 0.02 mSv，但基本原則還是避免不必要的暴露。 現在儀器防止散射的防護都做得很好，但太靠近的重要部位還是遮蔽較妥。 | [
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0婦產科
| 子宮問題 | 自初經以來，月經皆不規則，最長7-8個月沒有月經，近2年週期大約35-70天左右；月經期間除腹悶、胸漲等正常不適外，並不會劇痛。 8月中到現在，一直有經血，量少、顏色時而鮮紅時而褐色，並無往常不適感，此情形已持續8周左右，期間並無性行為，且驗孕為陰性。本週做過超音波，醫師表示子宮略腫，約8.5cm3.7cm3cm，子宮內膜6mm，並無積水、發炎、肌瘤或囊腫，醫師建議如有想要調整月經可進行3-4個月的荷爾蒙治療。 由於目前人在就醫不便的國家，因此想請教 1. 子宮大小是否算正常？ 2. 目前狀況可能有什麼其他疾病風險嗎？是否需要再做其他檢查項目呢？ 3. 治療後是否經期就會正常？ 4. 考量到未來1年有規劃生小孩，接受荷爾蒙治療之必要性？ 以上還麻煩您解惑，謝謝！ | 您好 有點大，但是可以接受範圍，建議可以用避孕藥來調月經。祝健康 | [
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4心臟血管專科
| 心臟問題 | 醫生你好，想替我媽媽（54歲）詢問一些狀況 我媽媽近期坐著就會喘、而且很累不想動、腳踝水腫（家醫科醫師說缺鐵），三個情況（超過一周） 她現在連去二樓房間都不想去了，寧願坐在客廳睡. 眼睛黑點（眼科醫師說老化）（超過兩周） 有先掛醫院了，但想提前了解 想請問這是典型的心臟衰竭狀況嗎？還是有可能是較嚴重的二尖瓣膜脫垂狀況？糖尿病？ 上網查資料後發現似乎都指向心臟衰竭或較嚴重的二尖瓣膜脫垂 有辦法治療好嗎，還是我該做心理準備. 到時候該跟醫師提什麼治療？ 若是心臟衰竭，排心臟有什麼條件？ 去年通過了長效型心臟輔助器的健保補助，想請問有什麼條件？ 感謝醫生 | 您好 您想太多了 建議先至心臟科門診進一步檢查確定問題 再來討論後續為宜 平安 彰化醫院關心您 | [
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| 會懷孕嗎？ | 請問53性行為在陰道口繞5秒以內 有吃24小時事後避孕藥 510月經來四天 63來七天 76來咖啡色斷斷續續 之後去婦產科檢查都是一條線陰性 有照超音波說這月底就回來了 給我吃調經藥 只是還在出血 請問婦產科這樣說是不是就代表不會懷孕 而且都80幾天了希望醫生能幫我解答 我已經驗了十幾次都一條線了 且作息不正常 | 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。 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，而事後避孕藥對月經的影響也不一定是提早或延後，它的避孕效果也不是百分之百。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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| 焦慮 | 我從幼稚園看到有一個同學自慰便開始，直到現在，我自慰時感覺會有另外一個我想盡辦法懲罰我，我不知道那是不是我，但每次自慰完就很後悔剛剛自己做的事，我真的不知道該怎麼解決，處罰方式像是憋尿，冬天穿短袖躺在地上.我不敢跟家人說，但最近感覺變常自慰，這請問這是精神病嗎？ | 就您的描述，自慰頻率增加，或因為自慰產生罪惡感，均不是精神病的症狀， 您不必擔心。但若因此產生極大困擾而嚴重影響生活功能，建議還是可至身心科門診評 估是否有其它焦慮症狀，及有無需要進一步心理或藥物治療。 | [
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| 避孕藥問題 | 醫師您好，想請問一下 因為我是月經的第六天才去看婦產科 並拿了避孕藥（21天的） 然後醫師是要我當天吃第一顆避孕藥（月經第六天） 可是我後來再去拿藥的時候藥師是跟我說 都要在月經的第五天服用，上網爬文也很多人說如果是要避孕請在月經的第一天到第五天服用才有避孕效果 但我第一次服用避孕藥的時候已經是第六天了 （我個人月經平均都來7.8天） 第二包服用第一顆的時候也是月經來的第六天 請問這樣會影響避孕效果嗎？ 以及為什麼爬文都說如果是「避孕」的話請在月經第一天到第五天服用，「調經」則第六天第七天也可以，可以告知原理嗎謝謝醫師∼ | 月經的第六天才去看婦產科 並拿了避孕藥（21天的） 然後醫師是要我當天吃第一顆避孕藥（月經第六天） 可是我後來再去拿藥的時候藥師是跟我說 都要在月經的第五天服用，上網爬文也很多人說如果是要避孕請在月經的第一天到第五天服用才有避孕效果 但我第一次服用避孕藥的時候已經是第六天了 （我個人月經平均都來7.8天） 第二包服用第一顆的時候也是月經來的第六天 請問這樣會影響避孕效果嗎？ Ans 這樣不會影響避孕效果 | [
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13肝膽腸胃科
| 食道問題 | 醫師您好 我在去年5月胃鏡發現胃潰瘍及幽門桿菌治療2個月後再照胃鏡醫生說潰瘍好了菌也滅了但是我一直覺得食道有異物感前些天換了另一位醫師一照胃鏡發現食道有2個潰瘍請問醫師這有可能是去年胃鏡沒發現一宜潰瘍到現在嗎還是新生成的呢食道潰瘍是因為胃食道逆流的關係嗎食道潰瘍要如可治療治療多久得過食道潰瘍會是食道癌的高危險群嗎謝謝回答 | nini小姐您好 應是新的病灶多是胃酸或外物刺激引起.切片可排除癌症但機會很小尤其不煙不酒擔心的話 12個月在胃鏡追蹤即可.藥物治療請與醫師討論配合即可. 彰化醫院關心您的健康 | [
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12胸腔內科
| 慢性咳嗽 | 大概從2023.12月開始家母今年55歲便開始有咳嗽的症狀，當下有去診所看診，判定是一般感冒，給了三天份的藥回家吃，但狀況並沒有好轉，一直持續到了今天也不見好轉。 症狀只是乾咳，並沒有吐出甚麼。 期間都有不斷的關心，和建議去做個檢查和看醫生，但家母非常抗拒，一直堅持說吃保健食品就好了，但就我觀察吃了至少三個月了，也不見好轉，嘗試和家母溝通多次，都吃了閉門羹。 想請教您，這個症狀需要就醫嗎建議去大醫院做檢查嗎該如何說服家母會較適合 抱歉第一次發文，排版和表達比較亂些，麻煩您了。 | 楊小姐您好： 根據您的陳述，您母親咳嗽的情形已經超過三週，算是慢性咳嗽的情況。慢性咳嗽的原因很多，小至鼻涕倒流、大至惡性腫瘤。建議還是請您母親就近至有胸腔內科專科醫師的醫療院所就醫。 至於如何說服病人就醫，需要智慧。我會建議您可以找其他家人或您母親信任的好友關心她，說明她的情況需要專業胸腔內科醫師進一步評估，以免小病拖成大病，更難處理。 感謝您的提問 祝 順心 衛生福利部新營醫院 胸腔內科主治醫師 汪政德 | [
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2牙科
| 兒童牙科 | 請問林主任： 我沒有抽煙，也沒嚼檳榔，牙齒卻有黃褐色齒垢，曾到牙科診所洗牙，也沒洗掉，是否可以購買電視購物中介紹的齒垢去除劑來使用？有沒有副作用？或有其他安全的方法可去除齒垢？還有，如何消除口臭？ | 一、牙齒異色兩大原因： 1.外因性：抽煙、喝酒、嚼檳榔、喝咖啡.等；可藉由研磨方式清除。 2.內因性：藥物、外傷.等；需牙齒美容漂白；坊間產品良窳不齊，誤 用，否則害牙傷財，建議尋家庭牙醫師診斷治療較有保障。 二、口臭為複雜多因素症狀 口腔病因：不良口腔衛生、牙周感染、嗜食辛辣物、年齡、藥物等 非口腔病因：呼吸系統、精神系統、全身性精神疾病等 4970 來自口腔病因，平時要勤刷牙、多漱口，使用牙線，輔以漱口 水及口腔芳香劑外，須作鑑別診斷，找出病因，對症下藥，方能奏 效。建議至牙科作徹底之檢查，相信有所助益。 | [
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7耳鼻喉科
| 暈眩 | 請問我在3年前左右暈眩 在睡覺時發生 吃了血液循環的藥 過幾分鐘就好轉 不過沒有辦法馬上爬起來 而且眼睛看出去的視角傾向左邊 而且只要我不動平靜的狀態看東西感覺會稍微不規則晃動 而且不管姿勢如何都會有一種感覺.像是晃動感不穩感但自身都沒有晃動 那種感覺都是假像的 而且症狀是整天的 但是非常輕微不會影響生活 給醫生看才得知是內耳循環不良造成的 不過查得出大概是什麼原因 不過一直沒有很好的治療成果。。。 | 先生您好， 暈眩有眾多可能 1若合併頭部會隱隱作痛或是稍微不規則晃動-疑似頭頸部血液循環不佳等 2若伴隨有耳悶、耳脹、聽力損失 -疑似突發性耳聾、梅尼爾症、急性迷路炎等 3若轉頭會加重症狀-疑似耳石脫位等 其他如前庭神經炎、偏頭痛型暈眩、姿勢性低血壓、血脂過高、腦部病灶等等，都是暈眩的診斷之一。 建議至耳鼻喉科或是神經內科進一步檢查治療為佳。 祝平安健康 衛生福利部台中醫院 耳鼻喉科主任 季照芸敬復 | [
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13肝膽腸胃科
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0婦產科
| 事後避孕丸 | 吃完事後避孕藥後兩週以上驗孕可測出是否有避孕成功嗎 當天性行為完就吃藥了 但過了一週多都沒來 前兩次的情況是： 214事後吃藥 220月經 313月經 322事後吃藥 328月經 不知道前兩次是否為撤回性出血 46事後吃藥 到目前都還沒有來. 是否有已經受孕的可能 如果已經受孕，該怎麼處理 | 您好 儘量不要以事後避孕藥為常態避孕方式 畢竟事後避孕藥是高劑量荷爾蒙治劑 月經該來而未來仍得驗孕是否避孕失敗。 婦產科黃建勳醫師敬覆 | [
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| 避孕藥 | 目前服用悅姿（在吃第二盒） 1.想請問每天都有按時吃的話 在第二盒的第幾顆開始才會有藥效？ 2.這個月已吃到剩6顆 但下腹部一直有陣痛（有點想月經要來前的不舒服） 已持續快10天 請問是正常的嗎？ 感謝醫師 | 您好 避孕藥一般都是月經來的第五天開始吃，把一盒避孕藥吃完後等月經來，正常是一星期內會來，有按規定吃就有避孕效果。祝健康 | [
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| 懷孕 | 醫師你好，想請問女友上次經期是911-917都很規律跟準時。事後在930我們有性行為嘗試無套破處，一開始無套進入確認破處成功後，有嘗試抽插1-2下就拔出，最後是體外摩擦才射出在腹部處皆無套。目前是打算等看下次月經有沒有準時來，請問這樣懷孕機率大嗎？還是有其他需要注意的？謝謝 | 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。如果月經過期一星期以上的話，要檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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17眼科
| 度數問題 | 醫師您好 我之前配了一副眼鏡，當時的結果是這樣的：左眼近視550度、右眼近視650度、優勢眼：左眼。由於在配鏡當時對於驗光師的一些做法有些疑惑的地方所以想請問醫師： 1.在配眼鏡驗光師有建議右眼不配滿而左眼優勢眼配滿，因為這樣可以對我的情況比較好。請問這樣的說法成立會有他的依據嗎？還是說兩眼都配滿會比較好呢？ 2.想請問驗光師所說的兩眼度數可以酌減降低壓力是指什麼意思呢？一般來說減多少度會比較適合呢？ 3.一直以來有個說法是說成年之後近視度數就不太會上升了，請問這樣的說法成立嗎？還是說這只是一種江湖傳說而已呢？ 4.我發現最近幾年我的左眼優勢眼度數相對來說度數沒有什麼變化，反而是右眼的度數上升的比較快。請問我該擔心這樣的現象嗎？ 5.我發現有時候我的眼睛會依賴不同的眼睛作為主要用眼也就是有時候使用左眼、有時候是用右眼，請問這是正常現象嗎？ 謝謝醫師！ | 睦荃 您好： 1.如果是我配，就會兩眼都配到足，如果想要減輕看近的壓力，可考慮配戴多焦點的眼鏡。 每個人的觀點可能不同。 2.如果減少度數，是可以減少看近距離出力，不過看遠就會變得不適那麼清楚，要看個人接受度。 3.是正確的。 4.如果不是大幅度的增加，也不需過於擔心。配足眼鏡度數，比較不容易增加。 5.和你的眼鏡度數有關，眼睛會自動選擇看清楚的那隻眼。 台灣e院 朴子醫院眼科： 星期一二四五早上 8：00∼12：00 星期三下午 14：00∼16：30 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 希望有機會能為您服務。 高丕霖 | [
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| 肺結核 | 醫生您好 家中爺爺高齡89歲今年8月因身體不適送至急診 後來轉至加護病房出院調理身體逐漸恢復健康 上個月突然接獲醫院通知 爺爺疑似肺結核有照X光判讀和菌培養 連續三天的菌培養只有第一天呈現陽性 家中其他成員也有到醫院照X光通通沒有感染 想請問醫生 因為爺爺沒有咳嗽也沒有其他的類似症狀 三次菌培養也只有一次呈現陽性 菌培養會不會有誤診的可能 目前人仍在隔離病房 上周因服結核藥肝指數過高暫時停藥 身體狀況稍改善後繼續投藥 但人的意識及精神每況愈下甚至出現失智的情況 是否能暫停投藥或是有其他的治療方式 還是可以到其他的醫院或是單位進行複檢 謝謝醫生 | 您好 肺結核的診斷除參考痰液培養及分枝桿菌鑑定結果不一定要2套或3套都有才算也會有X光片不正常浸潤現象這部份可請教主治醫師至於有些人服用抗結核藥物出現肝炎副作用仍可等肝功能改善後再慢慢試藥如最後使用藥物不是標準處方服藥時間必須延長才能達到成功治療的目的 祝 好 | [
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7耳鼻喉科
| 喉嚨問題 | 醫生您好∼ 我目前即將升高二 我大概從兩年前就開始覺得喉嚨越來越不舒服，有把我脖子往下扯很緊繃的感覺，又有點腫腫的，但不會痛也不確定病根是在哪。這個狀況也嚴重影響我日後的生活作息，包括睡眠障礙，吞東西時有點難下嚥，甚至講話也變得結巴，沒那麼順暢，也讓我變得跟人溝通會有點緊張。 這段時間大大小小的醫院也都跑很多次了，之前有醫生懷疑是鼻子過敏所導致，但做了鼻鏡檢查吃了一些胃藥始終沒有改善喉結緊的感覺，之後也喝顯影劑去照了喉嚨到食道的X光，醫生也都說沒什麼問題，也查了一下網路曾推測有可能是自律神經失調導致喉嚨不適，但我到覺得有沒有可能是先有喉結腫大的問題才導致自律神經出問題 我覺得我目前喉嚨的狀況都跟網路上或醫生所說的什麼異物感、喉球症或自律神經失調不太像. 可能是比那更嚴重的問題或者還是是自己想太多.？ 我目前最想知道的就是到底問題是出在哪以及我該看什麼科或檢查 很不好意思打的有點長.我只是希望能詳細說明我的症狀以便得到解答. 感謝醫生的回覆∼ | 您好， 您所提的情形有可能是慢性咽喉炎 建議就醫喉內視鏡檢查排除腫塊的情形以及藥物治療 除了藥物治療外 日常生活注意事項為 -- 吃完食物兩小時不要平躺睡覺 請避免 咖啡、茶、香菸、酒、炸物、辣物等 皆會對症狀改善有幫助 祝平安健康 | [
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0婦產科
| 生理期疼痛 | 醫師您好 我的生理週期是28-30天很準時，上個月我的生理期是29214，可是這次卻遲遲未來，316自行驗孕是陰性這個月很多煩心的事睡眠也不好但因裝避孕器所以很擔心子宮外孕請問醫生我有可能懷孕嗎請醫生為我解答，謝謝！ 曾有內分泌失調的情況，後來有看婦科，吃黃體素調經 過了半年後 下巴又開始長痘痘沒吃葯的這陣子，時好時壞！ 那麼現在痘痘好了，可是生理期走時會有點拖 拖的那幾天，血的顏色變的有點褐色，請問這是什麼原因呢？ ps我平常很少喝冷飲及冰品。 謝謝您細心的回覆。 醫生你好： 我老婆說每當生理期來肚子就很不舒服，請問這是什麼原因造成的？？有減輕生理期來的痛方法嗎？？還有以後懷孕生完小朋友當每次生理期來肚子不舒服情形會改善嗎？謝謝醫師撥時間回覆 | 您好 月經該來未來請至婦產科院所驗孕.避孕器妊娠亦有子宮內孕並非皆外孕. 署立新竹醫院婦產科 妳好 月經來完後有點拖先檢查是否有病理性問題若沒則屬功能性若超過7天則調精治療 回覆如下 有可能只是子宮強烈收縮但是也有其他可能例如是子宮肌瘤.子宮內膜異位症等等.必要時請到門診來 做進一步的檢查 呂理政敬上 | [
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0婦產科
| 懷孕時 | 您好 我目前懷孕14週 昨日因拍婚紗照有些動作導致肚子不舒服到晚上時出現淺咖啡色 分泌物請問會有問題嗎 上週曾因陰道搔癢去婦產科求診 醫生說是黴菌感染開了塞劑給我 請問會不會對寶寶有影響呢 為什麼不同的醫院會 有超音波解讀不同的結果 該如何選擇什麼設備的醫院才能有清楚的超音波診斷寶寶性別呢 煩請解惑 萬分感激 謝謝您 | 親愛的網友您好 整日拍婚紗照的勞累會導致孕婦骨盆腔充血而出現下腹部不舒服症狀甚至輕微出血淺咖啡色的流產先兆適當休息後症狀會自然改善應該不會有問題如果仍然擔心一週後門診複診即可.臨床上孕婦常見患有黴菌感染的白色念珠菌陰道炎給予陰道塞劑是恰當治療不會對寶寶有影響.產前超音波檢查不應該用為胎兒性別判定 | [
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5泌尿科
| 攝護腺 | 醫生您好，我約有五年慢性無菌攝護腺發炎，第一年會陰部較不舒服，但後來會陰部狀況好轉就停藥，但這幾年尿尿仍然會等一段時間，有時冬天尿尿攝護腺會刺痛，而最近會陰部開始腫脹辣辣的感覺甚至到睪丸都有一點不舒服腳要開開才會好一點而且射精完要等一下（比以前久）陰莖才會消腫所以我又回去看醫生，醫生指診很痛但出來的液體仍然是無菌，但後來驗尿發現有血尿（肉眼看不到），醫生說照電腦斷層，因為輻射很強所以在猶豫，請問我這麼年輕有可能得到攝護腺癌嗎還是攝護腺發炎變嚴重了 以前手淫一天一次偶爾兩三次請問這樣有關係嗎，謝謝您 | 您好 慢性無菌攝護腺發炎與 DIY 關係應該不 非常難治 我有病人幾十年都斷斷續續有問題的 您可能不僅服藥 生活也要注意快些治好他 以要可參考 httpwww.shutien.org.twdrdocdetail.aspxbookid801 | [
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4心臟血管專科
| 心室早期收縮 | 醫生您好，我在311號晚上突然心跳很快去醫院急診後4月多去心臟科檢查，超音波正常，24小時心電圖有200下左右的VPC，醫生說可以不用用藥，可是我會不舒服有在諮詢一次醫生開了得原緒（自律神經藥）吃三天後有比較沒有心悸的感覺，但第四天又有出現心悸的感覺醫生加開一顆百適歐5mg 14顆，開始沒有心機的感覺，可是會有點暈眩，後停藥5天，心室早期收縮的感覺又出現了，醫生換成壓平樂50mg半顆，可是看了壓平樂的副作用，與停藥會產生的胸痛、心悸的副作用等.讓我有點不敢服用，感覺此藥比百適歐危險的感覺，想請問醫生會建議得原緒百適歐14還是壓平樂半顆，用藥會不會需要用一輩子，會不會越來越嚴重.心室早期收縮這幾個月突然出現真的很無助請求醫生幫忙，謝謝您！ | 您好 24小時心電圖有200下左右的VPC屬正常範圍 可以不用藥 偶而心悸亦屬正常 有症狀會不舒服但無生命危險 可以不用藥 不會需要藥用一輩子 不會越來越嚴重 別擔心 建議得原緒百適歐14但若不適就別用了 或改成inderal 10mg 平安 彰化醫院關心您 | [
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| 懷孕嗎？ | 醫生你好 我124∼129月經 1211與男友做愛無套也沒有內射 1218app顯示排卵日與男友做愛有戴套沒有射 1226覺得有漲奶嗜睡的情形發生 想請問醫生這樣是懷孕了嗎？ 謝謝醫生 | 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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| 藥物交互作用 | 醫生您好，女朋友與這禮拜尿道炎復發就醫，看診時未告知使用避孕藥，醫生開了兩種藥如下：Panamax學名：AcetamionphenDolc FC學名：Pipemidic Acid 請問這兩種藥與女友所吃之事前避孕藥（黛麗安）有無交互作用？避孕效果是否打折扣？ 感謝醫師抽空回答 | 林先生你好： 三種藥理論上沒有明顯的交互作用，但是最好還是間隔服藥半小時以上比較妥當。 | [
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5泌尿科
| 早洩 | 醫生您好 很高興看到您的回答 且回答的都滿仔細的 但我想在請問一下 就是我有看到報導說 如果有早洩的狀況 可以在洗澡時 使用毛巾搓洗龜頭 以減少敏感的狀態 請問真的可以這樣作嗎 毛巾有分要使用哪種嗎 這樣會傷及龜頭嗎 還有最近滿多人提起陰莖背神經截斷手術 這可以治療男人所面臨的早洩情形 而且可以延遲射精3分鐘 他的3分鐘是怎麼算的 還有陰莖的背神經在哪裡呢 這手術做完真的就不會有早洩的狀況嗎 手術會有哪些風險性呢 謝謝醫生您 | 小南： 你好 關於早洩的治療，最簡單的方法，就是全程帶保險套，可以降低龜頭的敏感性。 至於其他一些輔助的方法，像是你提到的，用毛巾來搓洗龜頭，也可以讓龜頭變得比較不敏感，自然可以延長勃起時間。至於使用哪種毛巾，我覺得無所謂，只要不受傷就可以了。 另外，你提到的手術，很少人會建議使用，因為不小心，會傷到勃起的神經、血管等，有可能造成不舉。最好找有這方面專長的醫師。 註：1.我個人不做這類手術，經驗不多。 2.一般的醫學報告，會將手術前的平均數據與手術後的數據作比較。3分鐘，是手術前後的比較，至於計算方式，可以查一下原始的文件，會有詳細的測量方式。 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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6骨科
| 骨折 | 請問醫師.偶發生車禍.對方剛開始去醫院.醫師說肋骨有擦傷.在下次去醫院 竟然變成肋骨骨折 .肋骨骨折.醫師說要灌骨水泥.請問醫師 肋骨骨折有灌骨水泥這種療法嗎. .感謝醫師 | 你好，肋骨骨折沒有灌骨水泥這種療法。灌骨水泥僅適用於脊椎骨骨折。且大多數的脊椎骨骨折穿背架固定即可，也不一定需要灌骨水泥。 | [
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13肝膽腸胃科
| 胃脹氣 | 去年9月十月左右我開始一天要跑三次大號，都是有點成形又會散開，有點要拉不拉的，去過附近的小醫院看了一次吃藥一週以後有所好轉，12月搬家換工作，腸胃不適的症狀突然加劇，從小到大就有脹氣的狀況，從12月開始突然變的很嚴重，完全影響睡眠工作，於是到大醫院檢查，包含心臟超音波、心電圖因為有心悸症狀，抽血糞便尿液檢查全做，除了血糖稍微高出一點點沒有任何異常，然後胃鏡說有胃發炎，兩三個醫生都是是壓力心裡方面引起的，開始調養作息飲食，因為每次半夜都會腸胃不舒服白天都沒事，所以晚上很難睡一般睡到中午一天吃兩餐二月到五月受了約3∼4公斤不知道是否正常，現在症狀沒有前幾個月這麼嚴重，可是排便還是無法恢復到以前一天一次，只要會脹氣就同時伴隨跑廁所大號，打嗝放屁肚子痛排完氣上完廁所肚子痛就會緩解白天通常都正常沒事，就是半夜常常反覆，請問我需要多去做什麼檢查嗎？例如大腸鏡，腹部超音波之類的 | 應是腸燥症，可檢查排除其他可能，並耐心配合醫師治療，生活調理。 | [
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| 其他 | 女兒目前5個月大今天發現右乳頭出血沾到衣服我用手去擠壓時仍會出血於是就近至小兒科診所就診醫師建議再觀察並說如果陰道若同時也分汾密物多則建議掛徐主任您的門診想請問徐醫師小baby怎會這樣謝謝您. 左乳正常 | 需檢查觸診 有無賀爾蒙的作用 或發炎長腫瘤 抱歉未看到或檢查 無法答覆. 徐山靜 | [
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| 經期問題 | 醫生您好： 我想請問因我這個月的MC怪怪的，讓我懷疑不知是否懷孕了？因我同事說搞不好懷孕了，所以我想了解一下，我62 MC來一點點紅幾乎是沒有，然後63來了但量不是以往第一天的量多，到了晚上漸漸沒有了，6467有一點點就沒ㄌ，這樣是懷孕的現象嗎？ | 回覆如下 因為來的量都不多要考慮懷孕的可能必要時驗孕試試看. 呂理政敬上 | [
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16腫瘤科
| 硬塊 | 醫師您好： 我目前20歲，男性。大約一個月前我的左胸突然抽痛，像是抽經那種痛，但是10分鐘過去就好了，也就沒特別在意。直到昨天又開始痛，一樣是10分鐘左右就不痛了。今天早上觸摸了疼痛的地方發現有硬塊且腫腫的，壓了會痛，硬塊的範圍大概有一個手掌大，但是壓痛的地方只有1.5公分左右。目前表面並無異樣（除了腫之外），腋下也沒有腫塊，乳頭也沒有奇怪的分泌物，因此想請問一下： 1.這樣的狀況可能是乳癌嗎？ 2.良性腫瘤和惡性腫瘤都會痛嗎？ 3.本身比較晚睡（大約130）、會抽煙喝酒，請問這些因子會是乳癌的風險嗎？ 4.最近時常有劇烈的疲憊感，這和癌症有關係嗎？ 再麻煩醫生回答了，謝謝！ | 您好 1. 你說的情況不見得是乳癌，如果很擔心，可以去掛一般外科門診檢查看看 2. 不論是良性或惡性腫瘤都不會乳房疼痛 3. 是的，煙酒對任何癌來說都是加重風險 4. 這到不一定，除非癌症已是末期，才容易見到癌因性疲憊。勞累的原因太多種了。 以上回答，謝謝 | [
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5泌尿科
| 自慰 | 醫生您好： 請教幾個問題 1.我在上廁所的時候如果附近有很多人就會變的無法順利排尿平常沒人時或是早上起床排尿都蠻有力道的在心理上應該要怎麼克服呢生理方面有什麼可以改善的方法服藥OR手術嗎 我的身高168CM 體重85公斤應該算胖啦會不會是攝護腺還是坐太久的問題呢 2.有時候排尿時在會陰的部位大概是陰囊跟肛門中間往前面一點的地方快尿完時會出現刺痛的感覺沒有常常大概12月出現一次也不一定那是什麼情況阿 3.我自己DIY的次數還蠻頻繁結束後他自己又站起來了 不過在射精的時候會強迫不讓他出來這樣會不會有不好的影響 4.睪丸會不會一大一小輕輕碰到睪丸上面會痛應該是副睪吧是不正常嗎 總之性功能會影響到排尿的部分嗎 在這裡先謝過醫生您了 | 您好 上廁所的時候如果附近有很多人就會變的無法順利排尿，應是緊張造成膀胱頸痙攣，可考慮給神經阻斷劑治療。自慰祇要不會影響日常生活應無大礙.，睪丸大小兩邊不會一樣大，但不會相差很多。輕輕碰到睪丸上面會痛。最常見的是副睪炎最好就醫。 泌尿科陳修義醫師敬覆 | [
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2牙科
| 牙齦萎縮 | 醫師您好，最近發現牙齦有缺一塊。幾天前在牙齦上出現潰瘍，本來以為幾天後就會好，但是潰瘍的傷口擴大到牙齒和牙齦的交界面了，昨天刷牙時發現牙齦少一塊，看起來像是萎縮，平時刷牙也會比較大力，請問會因為潰瘍的擴大而讓牙齦萎縮嗎，還是是因為刷牙力道控制的問題，那麼因為刷牙力道造成的萎縮會自然好嗎？大概需要幾天呢？有什麼保健的食品或是習慣要注意嗎？ | 您好 考量到你的年齡，通常不會發生牙齦萎縮的狀況，比較常出現的是牙齦紅腫或發炎潰瘍的情況，若持續認為牙齦有少一塊，建議還是實際請醫師確認，或許是生長發育等等的正常狀況 | [
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13肝膽腸胃科
| B型肝炎 | 醫生您好，我覺得我個人的睡眠時間，要比一般人長才睡的飽，容易勞累，這跟B型肝炎有關嗎 | 您好 肝炎病患70以上都沒有症狀睡眠時間長容易疲累原因相當多是否與B型肝炎有關則必須抽血方可確 定.事實上既使有輕微的肝發炎也大多沒有症狀日常生活必須時常運動体力才會好也較不容易疲倦睡得愈久体力不一定會更好. 行政院衛生署桃園醫院肝膽腸胃內科主任楊培鎮醫師敬覆 | [
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3藥物
| 藥物分級 | 請問： 白色橢圓形藥物．上面刻有ｍｐ０５７字 請問藥是什麼藥？藥性有多強？ | 妮妮您好 Question： 白色橢圓形藥物，上面刻有MP057字的藥為何藥又其藥性有多強 Answer： 經查證其藥資訊如下 中文商品名：康速龍錠 5 毫克 英文商品名：Souriree Compesolon 成分及含量：Prednisolone 5 mg 屬於副腎皮質荷爾蒙，為人類維持生命所必須之內分泌物。 適用於：氣管氣喘及過敏性疾病，風濕性關節炎，風濕炎， Still氏病，風濕性心炎，乾癬，恥骨炎，強直性脊髓炎，骨關節炎，風濕性脊髓炎，痛風性關節炎，急慢性痛風及其它各種炎症性皮膚疾患。 用 法：本劑一日之服用量為食後及睡前4次或早晚2次服用，症狀好轉後每隔23天，服用量1日各減量0.51錠2.55mg做維持療法。初期服用量抑制量：重症1日6錠 30mg，其他一日4錠。 詳細如圖下 | [
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0婦產科
| 事後避孕丸 | 93吃藥 99出血 之後913又吃藥 917出血 請問出血是月經嗎？ 921沒血又內射會懷孕嗎？ 需不需要再吃藥 | 您好 事後避孕藥有些時候會造成亂經，921沒血又內射，應該需要再吃藥，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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0婦產科
| 驗孕 | 醫師你好我在1019有性行為後發現套子有滑落一半但沒有破掉 因為擔心當天就有吃事後避孕藥 連續吃3天事後完 在1026有出血狀況3天量約平常月經來的第三天那樣 原本正常經期時間是129 但到現在月經還沒來 也驗很多次驗孕棒 都是一條線陰性的 這星期一1121去婦產科驗也是陰性的 照超音波醫師說我子宮內膜夠厚了 然後也有開催經藥給我 一天2顆間隔12小時吃 目前我吃到剩一顆 我想請問是因為我壓力大太緊張才使月經延遲嗎 這樣應該已經撇除懷孕機率了吧 另外想請問醫師如果手有碰到精液但有洗手然後擦乾 之後我上廁所手拿衛生紙 衛生紙擦拭陰部 這樣應該不會有懷孕的可能性吧 謝謝醫師 麻煩你解答了 | 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，一般吃完催經藥3-7天才會有月經，如果月經超過1星期仍沒來，建議看婦產科。祝健康 | [
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| 藥物交互作用 | 您好： 我已服用事前避孕藥（悅姿）5個月了，在服用第6包前感冒，吃了9天的感冒藥，內含抗生素，請問會影響避孕效果嗎？ 藥物： COMBICILLIN CAMPSULES TNYH TABLES 10mg AMSOL TABLES 30mg DIPROPHYLLIN TABLES MEQAZINE TABLES 5mg 謝謝你撥空回覆 | 已服用事前避孕藥（悅姿）5個月了，在服用第6包前感冒，吃了9天的感冒藥，內含抗生素，請問會影響避孕效果嗎？ Ans 大致上不會影響避孕效果 藥物： COMBICILLIN CAMPSULES TNYH TABLES 10mg AMSOL TABLES 30mg DIPROPHYLLIN TABLES MEQAZINE TABLES 5mg | [
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8乳房甲狀腺科
| 乳暈問題 | 袁醫師 您好 我是男性。近期我的左乳暈有些情況想請教您，症狀簡述如下 一、左乳暈及其周圍有疼痛感。 二、左乳暈下方前幾天摸的到硬塊，現在已消失摸不到。 三、左乳暈明顯大於右乳暈。 四、左乳暈周圍有深紫色的血管浮現；右乳暈周圍則無。 以下請教袁醫師 Q1.請教袁醫師，依上述症狀來綜合判斷，您認為我的情況是「男性女乳症」嗎又或為其它的乳房問題呢 Q2.依上述，我的左乳暈周圍有深紫色的血管浮現；右乳暈周圍則無。請教袁醫師，為什麼我的左乳暈周圍會有這些深紫色的血管浮現，但右側就沒有呢浮現的深紫色血管跟「男性女乳症」有關聯嗎 Q3.請教袁醫師，常熬夜會導致「男性女乳症」嗎若是，其原因是什麼呢 Q4.請教袁醫師，發現有「男性女乳症」需要積極就醫處理嗎若不處理，是否會對身體造成什麼危害或不良影響呢 以上，感謝袁醫師。 | 回答這些問題可能還是要以臨床觀察到的狀況以及超音波的情形所以建議你去乳房外科的門診處理 | [
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0婦產科
| 會懷孕嗎？ | 醫師你好 我前面有先爬文了，只是還是我不確定我的情況是怎麼樣，所以決定還是問看看好了， 我是吃悦姿一年多了，在1111號的時候有停藥差不多快兩個禮拜，1124這天才又開始接著吃，28號這天有發生性行為（內射），我12月的月經本該在5號來的，可是到現在有點要來的感覺都沒有，而且我停藥前的那一盒才吃了三顆而已，沒有換新的一盒。想請問：1.月經沒有準時來是因為突然停藥嗎？ 2.在剛開始恢復吃藥那麼短的時間內有性行為還會懷孕嗎？ | 您好 你停藥就沒有避孕效果，還是有可能懷孕，是否懷孕要觀察，再等一星期，如果還是沒有來，建議看婦產科。祝健康 | [
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5泌尿科
| 睪丸問題 | 您好，在洗澡自我檢查睪丸時，發現右睪丸連結上副睪的附近有一個大概1mm到2mm不大，但摸起來像沙粒硬硬的凸起物，其他地方都是平滑的，左睪丸同個位置我檢查也沒那種凸起物，不知道是否是正常的，因為擔心查過網路上睪丸癌的圖片，發現有些不是一顆大顆的，而是一粒粒很多小小顆組成的，目前睪丸沒有變硬或變大的情形，但前陣子右胸部會悶悶痛痛的，有點擔心會是睪丸癌，那有可能是睪丸癌剛發生的過程嗎？不好意思勞煩麻煩醫生解答了 | 您好 回答供參考 睪丸癌不多見 目前睪丸上有摸到東西多半是良性的但是仍要建議您就醫檢查尤其是會變大的 祝健康 | [
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13肝膽腸胃科
| 大便相關問題 | 醫生你好，想請問你 今天早上大便前 馬桶裡沒有任何異物 而大便後，看到馬桶的水中浮著一坨白色的異物，異物不是在大便上，異物長得很像衛生紙，但應該不可能是衛生紙，因為我個人沒有丟衛生紙進去，大便是有可能會排出一坨白色異物的嗎？想請問醫生這個是哪裡有問題呢？ | Cindy小姐您好： 您詢問大便後，看到馬桶的水中浮著一坨白色的異物。大便含有為消化後或未消化的食物、或是腸道內的細菌或寄生蟲，建議您先拍照，並前往醫院胃腸肝膽科就診，做進一步的檢查。 感謝您的詢問。 | [
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| 呼吸窘迫症 | 上週我開始頭暈頭痛去醫院醫生說可能初步感冒 感染病毒當時發燒37.5度 吃完藥後有比較緩和 一直到昨天又開始痛在到醫院去 醫生說我是睡眠不足 但我大概都10多就就寢了 昨晚半夜開始會睡到一半呼吸不順醒來感覺胸口很緊悶悶的 換個方向睡沒多久又開始了 整晚就一直反反覆覆這樣 今天整個早上就一直呼吸不順胸口很緊喉嚨也是頭也持續在痛 我到底怎麼了 該看哪一科呢 | 您好 您若有呼吸不順，胸口不適，請先至胸腔內科進一步診療。 以上回覆，謝謝。 行政院衛生署胸腔病院 肺功能科主任 周梓光醫師 敬覆 | [
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5泌尿科
| 結紮 | 醫師您好 我在去年10月做了無刀口的結紮手術有幾個問題想請教.因為在"常見問題"中有提到無刀口的結紮手術是不需要縫合的這是一定的嗎因為當初醫生有做縫合的動作. 另外第一次手術後做了"兩次驗精共"近40的"清槍動作"後醫生跟我說沒成功要再手術一次還提到行醫20年還是第一次遇到沒成功的.今年3月做了第二次.前陣子第一次驗精醫生說"精蟲還是很多"我現在真的很擔心很怕又來一次.請問有遇過兩次都沒過的病患嗎 | 您好： 這種情形的確少見 建議您再與該醫師聯絡看診討論。 加油唷！ | [
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6骨科
| 脛骨 | 去年五月初脛骨骨折 裝了鈦合金鋼板與鋼釘 最近開始慢跑 只是小跨步的慢跑 跑大概56百公尺後 骨折鎖釘處會痠痛 無法繼續持續性的慢跑 只能用走的 請問這是正常的嗎 繼續慢跑 應該對骨折處沒有傷害吧 另外請問 以您的專業角度 鈦合金鋼板"建議"需要拔除嗎 謝謝 | 骨折之後必須確定癒合才可以運動 否則有再次斷裂的可能性 仍然必須小心謹慎 最好照過Ｘ光確定有無問題才好 鋼板在體內如果容易拔除 那拔除式比較好的 如果深埋在骨頭裡面有些是可以不用拔除的 鈦合金的骨板通常可以不必取出 但是如果你要拿掉也未嘗不可 | [
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0婦產科
| 懷孕 | 醫師麻煩了 本人於危險期跟男友隔衣服進行愛撫，有用排卵試紙，測到強陽，知道快排軟。 1.男友沒有插入，我幫男朋友打手槍到射精，不確定有沒有沾到自己手上，然後我有去用清水洗手沒有用肥皂，然後我幾分鐘後用清水洗過的手有碰到自己的內褲再穿上，小便也有用手拿衛生紙擦陰部，這樣有任何機會懷孕嗎？ 2.其實精液如果一點點不小心碰到陰部外圍沒插入有機會懷孕嗎 3. 精液在空氣中可以存活多久？ 4. 排卵試紙強陽後，再變成陽，是否在排卵？ 醫師謝謝你 | 危險期跟男友隔衣服進行愛撫，有用排卵試紙，測到強陽，知道快排軟。 1.男友沒有插入，我幫男朋友打手槍到射精，不確定有沒有沾到自己手上，然後我有去用清水洗手沒有用肥皂，然後我幾分鐘後用清水洗過的手有碰到自己的內褲再穿上，小便也有用手拿衛生紙擦陰部，這樣有任何機會懷孕嗎？ Ans 沒有 2.其實精液如果一點點不小心碰到陰部外圍沒插入有機會懷孕嗎 Ans 沒有 3. 精液在空氣中可以存活多久？ Ans 乾了就死了 4. 排卵試紙強陽後，再變成陽，是否在排卵？ Ans 是 | [
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11營養教室
| 食物諮詢 | 每天我都會喝三杯牛奶，是脫脂奶粉沖泡的，每杯是５００克，奶粉加三匙，奶粉的份量應不到１００克吧！並不會拉肚子。通常是照三餐來喝。 除了喝牛奶，約每１鐘頭就會喝杯開水，也是一杯５００克。約半個鐘頭會小號。 晚上過了７：００後，就幾乎沒喝任何水了，平時除了開水和牛奶外，並不會再喝別種飲料。 不知這樣喝會不會對身體不好，會不會造成腎臟的負擔，或是身體任何的負擔呢！？ | 您好 一般建議水份的攝取一日在2000-3000cc 不知您一日整天總計約多少開水 如您水份之代謝正常 仍要注意電解質是否平衡 是否有抽筋的狀況 有沒有胃部的其他問題 日常生活雖然要多喝開水 但水份的攝取也是適量就好 喝太多不但對身體沒好處 也可能會造成心臟腎臟的負擔 祝您健康 以上由衛生署南投醫院蔡秀雯營養師 | [
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10兒科
| 小兒科 | 醫師您好 我的小孩91年生從小每個月幾乎都會感冒二次每次都發燒近40度近二年來每月的感冒次數依舊但是每次幾乎都是喉嚨化膿都需使用抗生素他有塵 過敏中重度醫師交代的話能做的我都做了而且我還有加強他的運動溜冰籃球一週至少3次以上而且每次都一個小時以上並沒有馬唬飲食不偏食水果蔬菜儘量食用開水量也很大零食都有在控制吃的不多每日補充益生菌及B群對於小孩的症狀我實在很無力感為什麼我的努力依然無法讓他減少生病的機率是否有什麼更好的方式可以改善或者是冶療目前每月都有固定看過敏科吃欣流而且過敏冶療也持續二年半了我的小孩是不是身體有缺乏什麼不然為什麼會常常喉嚨化膿呢 | 您好 扁桃腺屬於淋巴組織，是人體捕殺細菌的第一道防線，能阻止病菌進入呼吸道。急性扁桃腺化膿的原因最常見的是病毒感染，細菌感染最常見的是A型鏈球菌。細菌性感染需要使用抗生素治療，大部分之病患感染病程過去便自然痊癒。 過敏的兒童因體內第二型免疫反應大於第一型免疫反應之原因，較容易反覆呼吸道感染。過敏性鼻炎的患者鼻咽部的腺體亦較易肥大，易伴隨呼吸聲較大，打鼾，甚至呼吸睡眠中止症。所以治療過敏性體質是很重要的。 彰化醫院關心您 | [
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5泌尿科
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10兒科
| 身高問題 | 醫生我快要13歲了身高152有長喉結液毛陰毛我想問一下還會長高嗎？怎樣才能長高？ | 您好， 還會長高喔，包括充足睡眠盡量在晚上11點前入睡，至少睡足7小時、 補充適量蛋白質食物 少吃糖果或含糖的飲料，少喝含咖啡因及碳酸飲料，少吃巧克力類及加工食品等， 以及適當運動以不疲勞為主，最重要的是要持之以恆，都可幫助長高。 如果還有相關問題，可以請您的家人陪您到小兒科門診跟醫師討論喔。 臺南醫院 何宗憲醫師 敬上 | [
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26體適能
| 體適能 | 一’’我從小至今彎腰時兩手自然下垂連指尖都無法觸地縱使慢跑舒展筋骨後亦同這是否與扁平腳有關還是某些人也有同樣的徵狀 二’’因我住北投行義路山上所以對陽明大學學生有好感故在此多問一個有關戒菸問題我戒菸數次最長兩個月每次戒菸期間都會覺得反應力變慢無法思考記憶力退的離譜同時伴隨頭暈及想睡覺的情形最後都因要趕案子不能再拖只得再靠香煙維持思緒此時如不抽煙只知同事叫我白痴並告訴我我的思維靈敏度只剩三成. 其實我一天也只有一包的量目前已抽到尼古丁與焦油量最少的DUNHILL灰色等級如不告尼古丁貼片有無其他用藥可克服前述診狀. 三.另有一位孔繁鍾醫生是否您的兄弟 | 一.與扁平足無關很多人站姿體前彎指尖無法觸地像我一直都只能沾到腳背. 二.尼古丁為中樞神經興奮劑要克服戒菸初期戒斷症狀主要靠意志其次靠藥物.建議你到台北榮總看戒菸門診七月一日起健保已有給付. 三.孔繁”鐘”醫師是我哥哥. | [
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| 拔智齒 | 林醫生您好， 之前醫生是說左下顎臼齒有蛀牙前兆但位置在接智齒那邊，醫生是建議先拔那顆智齒是水平智齒，再處理。最近早上那顆牙咬到食物會痛，想是不是要快點去拔智齒好來處理蛀牙，但目前有1顆牙右下排小臼齒正在根管治療中剛開始，2個治療會不會衝突，有需要先根管到一定程度再拔嗎，還是可以同時進行 會不會拔之後剛好變成左右都暫時不能咬食物呢 謝謝。 | 您好 建議還是等根管治療結束後再拔較佳，除非有其他很緊急的狀況必須立即拔牙蜂窩性組織炎深頸部感染去除鼻竇炎感染源，否則還是勿再太多手術治療卡再一起較好 | [
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5泌尿科
| 排尿問題 | 您好 我之前曾經有一次在外面因為一直找不到廁所就一直憋尿，結果憋到後來就感覺有種尿液回流到腹部的感覺，然後還覺得很想吐 從那次之後我只要稍微憋一下就常常會有一樣的感覺 然後坐在馬桶上都會先尿一點出來然後過個幾秒才會正常尿出來 尿完之後還是會有一陣子感覺肚子脹脹的，不會痛就是那種脹氣想打嗝的感覺 但是平常不憋尿的話就是都很正常的排尿 請問這樣子是甚麼問題呢 | 您好 您已經敘述 不憋尿就會正常的排尿--就這樣做吧 憋尿會造成尿液自膀胱積到輸尿管，甚至是腎臟 造成腎盂腎炎或泌尿道感染引起妳說的症狀 建議多喝水及不要憋尿 | [
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11營養教室
| 維他命 | 巧雲醫師妳好 我想請問您一個問題 如果我都不吃澱粉那我可以吃什麼呢早餐吃二片吐司加蛋、火腿、起司午餐吃 菜不吃飯晚餐能吃什麼呢要不那麼快餓哦 因為我想採用不吃澱粉來減肥會成功嗎 有勞您了 Thank you very much apple | apple 您好 先要說一個小觀念 澱粉包括所有米跟麵粉的製品還有如地瓜.芋頭.玉米.馬鈴薯.蓮子.南瓜.菱角.毛豆.皇帝豆.等所以您說的兩片土司它是澱粉質ㄚ.這是吃肉減重法禁忌食品ㄟ.第二個小觀念是俗稱的吃肉減重法就是不吃澱粉質減重法是利用代謝路線的原理.但它有幾個限制如您的身體狀況最好請醫師評估一下若體重太重或有其他慢性病就不適合.另外它的期限不能太長因為代謝的廢物太多會傷害身體健康.總之它不是一個健康的減重方式我相信大多數的醫師與營養師不會建議您用這個方法的.如果您一定要試看看澱粉質就完全不要吃才會有效.蛋白質和脂肪並不限制.所以餓可以吃肉吃蛋.雞.鴨.魚.牛肉.葉類青菜千萬不要吃到澱粉質的根莖類.烹調方法可以用蒸.煮.炒.炸.就是不能加太白粉.地瓜粉.麵黺.所以鹽酥雞.香雞排只可以吃不沾粉炸的.其它蒸的烤的煮的炒的都沒關係不限量.湯不可喝勾欠就是稠稠糊糊的那種.清湯沒關係不限量. 體重下降後要記得恢復正常均衡飲食.少吃多動才能維持體重ㄛ 謝謝您的來信 祝 平安 健康 快樂 | [
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17眼科
| 飛蚊症 | 謝謝醫生的回答，還有一個問題想請問如果生理性飛蚊症的玻璃體液化會影響讓玻璃體向赤道部的支撐力減弱嗎？還有就是有飛蚊症還可以做眼球運動嗎 | 椰菜 您好： 生理性飛蚊症的玻璃體液化對於赤道部的支撐力影響不大。還有就是有飛蚊症可以做眼球運動。但基本上眼球不需特別作運動。 朴子醫院眼科： 星期一至五早上8：00∼12：00 星期三下午13：00∼16：30 希望有機會能為您服務。 高丕霖 | [
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| 減重 | 醫師 您好 1.請問中醫減重若只靠藥物有用嗎 2.埋線減重是否會有副作用安全嗎 | 問題一： 對於一些水份代謝不良有水腫或便祕宿便的患者，由中藥調理可幫助代謝身體積留的廢料。 減重有些藥物是利用刺激交感神經或是腹瀉，這些藥物久用易有副作用。只靠藥物不配合飲食、生活習慣及規律的運動，停藥後容易經復胖，也易影響身體機能，藥物都是有偏性的，如果不是配合體質做調整，而是為了特定目的而服用，久了對身體都是一種負擔。 問題二： 埋線後注意衛教的要點，避免感染，是很安全的減重方式。 中醫師 林哲民 | [
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15復健科
| 膝蓋問題 | 醫師好 想詢問以前在運動時不管做平板支撐或是膝蓋跪地都不沒有問題，沒有運動幾年後只要是跪在地板上或是需要手肘撐地的動作舉例平板支撐，膝蓋或是手肘都會疼痛，幾乎是連10秒都沒辦法維持，雖不至於到刺痛，但就是痛，且容易瘀青，想詢問醫生這是為什麼，有什麼方法改善？ 另外因以前運動似乎關節都有些舊傷，天氣變化或是天冷下雨的時候關節會不舒服，要咔出聲音才會好受一點，有時是手肘，有時候是手腕或是膝蓋腳踝等，有什麼方法可以改善，謝謝醫生。 | 可能是關節不穩定導致的疼痛，若由以前到現在都有關節問題，可考慮至風濕免疫科排除自體免疫性的關節問題 | [
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0婦產科
| 陰部問題 | 這一兩個月陰部都會搔癢尤其洗完澡的時ㄧ開始注意到左邊陰唇上算內部吧長東西不是痘痘貌喔是長出肉有皺褶然後又可以捏它拉它都不會痛會不會是腫瘤顏色是暗紅色可是陰部就是在洗完澡時特別癢癢到我都抓破皮了這幾個禮拜又發現右邊的也長而且最近起床腹部會痠痛是不是子宮or卵巢出問題還是得性病已停經半年未有性行為過也沒就醫調經還是怎麼了如果就醫的話需要內診嗎我不敢阿希望醫師能給我答案謝謝 | 您好： 依您的描述，陰唇長出肉狀突出物，有可能是腫瘤性的東西，也有可能是病毒感染造成的像菜花。不管是何者，需儘快就醫診斷，甚至切下作病理切片檢查。 謝謝您的來信 | [
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4心臟血管專科
| 藥物諮詢 | 何醫生您好 我本身患有法洛氏四重症且有置換過人工瓣膜，在最近因太久沒去洗牙，而去牙醫診所洗牙 但自己因疏忽而忘記要跟牙醫師提起且自己也忘記要吃事前預防性抗生素 請問事後有辦法補救並降低心內膜炎的發生嗎 還是只能等到真的有生病發生了直接去大醫院就診觀察呢 謝謝您 | 您好 也不一定有問題 可以先觀察即可 如真的很不放心 才去藥房買預防性抗生素來用 平安 彰化醫院關心您 | [
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| 事後避孕丸 | 醫師您好， 我的經期45∼49， 417性行為後套子有滑掉，吃了事後避孕藥。 422月經又來了，請問這樣正常嗎？ 謝謝 | 提問者您好 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，不過仍算是不錯的補救方法。建議如果法確4-22是來正式月經的話，仍然要請醫師檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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0婦產科
| 懷孕 | 女友313月經結束，316安全期有無套內射 319早晨有咖啡色分泌物？ 是懷孕了嗎？ 還是單純排卵性出血？ 而如果是，那16號的精子活的到19號嗎？ 女友本身有多饢性卵巢 | 您好 是否懷孕要等，有可能是排卵性出血，最好要做事前的避孕措施，如果月經超過1星期仍沒來，可考慮看婦產科。祝健康 | [
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11營養教室
| 運動與減重 | 醫師您好，我平常也有在運動固定時間.（騎腳踏車）.週三晚上，跟星期日，等等 我也沒有刻意說什麼不吃，只不敢喝豆漿（小時候就不敢），蔬菜 澱粉 蛋白質等等都會攝取，我也不喝含糖飲料，喝水居多 那麼醫生，我想像您請教，我該怎麼吃，還有多做什麼運動，才能減重呢，謝謝醫生 | 你好 要減重須先看您的身高體重進而評估再者了解生活習慣飲食等 建議您至周邊醫療院所營養諮詢門診才可全方位為您建議 謝謝 | [
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2牙科
| 拔牙 | 您好： 我左上方靠近犬齒之門牙於十年前車禍受創有點鬆動，最近至牙醫診所看診，有醫師說該顆牙齒若不痛就不用管它，也有牙醫師說要拔掉否則會傷害到牙齦。請問要如何才好。 | 您好 牙齒在受創傷後有多種可能現象包括牙冠斷裂.牙髓壞死牙根吸收牙根斷裂牙齒脫位齒槽骨斷裂等您的描述無法推斷若附x光片則對診斷及建議較有幫助. 劉添財醫師敬覆 | [
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0婦產科
| 月經 | 您好： 我想請問一下，我的月經在五月初和五月底現在共來了兩次，這次的經血很奇怪，都是偏深褐色的，無紅色經血，且伴隨著黏黏稠稠的透明液體，量很少。請問可能的原因是什麼？ | 小鈴您好 依您的描述，有可能是黃體功能失調、月經初期、早期懷孕、 子宮頸病灶…等原因。如果持續異常出血或無正常來經，建議 請婦產科醫師作尿液、超音波、抽血等檢查。 祝 平安 健康 張醫師 寄 | [
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5泌尿科
| 性病 | 杜醫師您好 我（男性）與對方（男性）欲進行性行為時，對方直接將我壓制住並用他的陰莖在我肛門附近周旋摩擦，對方未戴套。雖然過程中對方無直接將陰莖插入我的肛門，但有來回一直摩擦，對方中途有用濕紙巾擦拭我的肛門後繼續來回摩擦有五分鐘左右，多方無射精，但事後有稍微感覺我的肛對因摩擦的關係有一點點的異物感。但本人也認為對方過程中只有摩蹭未直接無套放進去。在尚未確認對方有無流出前列腺液，以及對方是否有性病的情況下，請問這樣子算高風險的性行為嗎？也想請問這樣是否有機率會感染到性病呢？ 事後擦拭肛門無血跡或其他顏色的液體，只有點濕濕的透明液體。 以上再麻煩杜醫生協助回覆，謝謝您！ | 您好： 要看有沒有體液接觸，不過當然比性行為小的多。視健康 | [
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6骨科
| 手腕問題 | 您好請問我的小朋友因遊戲時拉扯因素造成現在只要碰到她右手腕就會痛的大哭請問這樣該如何處理謝謝 | 碰到丰腕就會疼，這最好去看骨科醫師門診做臨床檢查，確定是骨折，還是扭傷。 | [
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| 陽萎 | 關於持久度有幾個問題想請教 1.自慰比較頻繁的話會影響實際做愛的持久嗎 2.如果會的話減少自慰的頻率能不能改善 3.日常中注意哪些事或多吃什麼食物能增進性愛持久度 4.覺得持久度不佳的話就醫通常是用什麼方法治療 不就醫可以自行改善嗎 | pyro 你好 1.每個人體質不相同，影響也不一。 2.持久度要增加，需要性伴侶雙方配合，這也不屬於醫療範疇。 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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| 分泌物 | 醫生您好： 我想請教問題： 前兩天性行為後（戴套），右側卵巢附近有稍微疼痛（悶痛）的現象。 上廁所的時候似乎從陰道排出亮黃色的分泌物（有點類似螢光咖哩的顏色。量約半個小指指節）。 後續則有黃白色分泌物。 類似的狀況上個月也發生過一次（但是時間記不得了）。 不知道是什麼原因，需不需要進一步就醫？ 1. 年紀：34。 2. 月經週期：第18天。 3. 其他：右側卵巢疑似巧克力囊腫，1.5X1（前兩週才照過超音波，目前半年回診一次，沒有其他治療方式）。近期服用較多葉黃素營養品（仍在包裝建議量內）。 非常感謝您。 | 您好 有可能是發炎，建議到婦產科檢查較好。祝健康 | [
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