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5泌尿科
| 腎臟問題 | 請問醫生 最近身體檢查時照腹部超音波時發現腎有一顆水泡.當時檢查人員說那個沒影 只需定期追蹤.但那個水泡到底是什麼真的沒有影 嗎 | 小子： 你好 腎臟水泡（囊腫）一般大約每20人會有一個人會有（5％），算是蠻常見的，一輩子會跟著你。 一般大於5公分以上，或者懷疑有其他問題（比如說惡性腫瘤、感染、出血等）才需要進一步治療。 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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| 腋下硬塊 | 前一、兩個月發現左手腋下有硬塊，大概長寬大概3cmx4cm，然後有時會從那塊位置腫塊的位置開始有抽筋的痛楚，還會蔓延到整個左半身，然後痛個15-20分鐘才有所減緩，可是平常是完全沒有感覺，也是洗澡時才突然發現的，爬了一些文也不確定是什麼症狀，到最近開始隱隱作痛才打算去處理的。 1.請問這些症狀能初步判斷有可能是什麼類型的問題或疾病嗎 2.我應該要看哪一科 3.我應該做哪些檢查去確認是否是腫瘤或癌症 | 金／23歲／男 你好 1.請問這些症狀能初步判斷有可能是什麼類型的問題或疾病嗎 A：良性瘤或惡性瘤 2.我應該要看哪一科 A：一般外科 3.我應該做哪些檢查去確認是否是腫瘤或癌症 A：醫師觸診、超音波、電腦斷層 祝身心愉悅 桃園醫院 陳斯榮 | [
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| 營養諮詢 | 如果有低血壓的症狀 那飲食上該如何做調整 應該多吃些哪一類的食物是可以減輕血壓低的症狀呢 期待您的解答喔 | 您好！ 低血壓的原因有很多，建議您先讓醫師確定原因，另外，因您是年輕女孩，建議您也需留意自己的經血量是否過多，若有過多情形，最好先讓婦科醫師診治，至於飲食上，請先檢視，每日是否均衡攝取六大類食物奶類、主食類、肉魚蛋豆類、油脂類、蔬菜類及水果類，生活作息要正常、不要攝取含咖啡因食物如咖啡、茶、可樂--- ，若仍有不清楚之處，歡迎再來函討論。 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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| 月經 | 醫師您好 本身月經週期不規律月經來常有經痛及頭痛情形但吃止痛藥可改善週期方面27-40天都有過較常落在31-35天平均週期34天這次月經提早10天來44週期僅22天顏色一開始為咖啡色後為鮮紅色量少都只用日用連晚上睡覺都用日用但血量都不多有時睡覺起來衛生棉沒有血有時流有時不流但每天皆還是會有血流出之前沒有發生過狀況目前412情況持續曾有懷疑是排卵期出血但因天數有點長或是因考試壓力而亂經 ps.最近3個月都無性行為下腹通常不會痛但是覺得悶悶的有時抽痛情形 | 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…等，建議您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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| 月經 | 醫師好，我因停用荷爾蒙藥物（norina撤退性出血量大於月經第四天至大醫院婦產科檢查卻都沒有問題，但已經是第七天了不但還沒走而且上廁所有濃稠經血。我每天量多的時間都是下午至傍晚，夜間至隔天早上則幾乎沒有血，想請問應該如何處理 我於第四天領七天份的藥，但吃完就第11天了是不是來太久？測量時血色素13是否因為月經多好幾天而要擔心貧血問題？ | 提問者您好 影響月經週期或經期外出血的因素有很多，例如年齡、環境、生活作息、壓力、情緒不穩、體重變化、藥物、事後避孕藥、飲食、多囊性卵巢症候群、子宮或子宮頸病灶、感染、排卵、懷孕、哺餵母乳…等，建議您如果症狀持續或加劇需請婦產科醫師檢查是荷爾蒙失調或是其他原因，才能依病因治療，謝謝 祝 平安 健康 張 醫師 回 | [
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| 懷孕機率 | 您好，我在5／27和女友有親密接觸，過程中沒有性交我有穿內褲和運動褲，女友有穿內褲和安全褲，但是我內褲上有透一些我的分泌物擔心會不會一層透過一層導致懷孕，後來自己有去廁所自慰，有用泡泡洗手洗了兩次。擔心手上是否還會有殘留的精液 在6／2女友來月經顏色天數都正常 1.想請問我自慰完雖然有洗手，但會不會手上還會有殘留的精液，然後碰到女友的安全褲，透進去導致她懷孕？ 2.洗完手，精液還會有活性嗎？還是死了？ 3.女生有來月經如果顏色正常就代表沒懷孕嗎？ 4.精液能穿透褲子導致懷孕嗎？ 5.我雖然有穿內褲和外褲，但是外褲也有透一點但不確定是精液還是我的前列線液，女友的手有碰到，如果碰到之後手再去摸到陰蒂附近會懷孕嗎？（女友當時有穿內褲和安全褲） 6.精液乾掉再碰到水還會有讓人懷孕的能力嗎？ | 1. 基本上是不容易遺留具有存活力的精蟲，因此懷孕機會不高。 2. 離開體外，精子是不容易存活的。 3. 如果是月經來，當然不可能懷孕。 4. 很難。 5. 機會不大。 6.不會。 | [
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0婦產科
| 乳房 | 醫師您好： 我今年25歲，上個月我發現左邊乳房有移動的硬塊，去醫院作超音波檢查，結果是一塊水瘤。醫生用針頭幫我抽出那塊裡的液體，然後拿去作檢查。報告結果是正常的，他們說這是良性腫瘤，常見於這個年齡的女性。但過了一個月，我又在乳房原處摸到一樣的東西，一樣的位置，一樣的狀態。 請問醫師，這樣是什麼現象，要去醫院嗎？ 謝謝您的解答！ 陳小姐 敬上 | 良性腫瘤一般只需定期追蹤即可，謝謝。 | [
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13肝膽腸胃科
| 肝纖維化問題 | 請問肝纖維化表示一定曾經有過脂肪肝嗎 | 不一定。肝纖維化可能是由多種疾病或因素引起的，包括脂肪肝、酗酒、病毒感染、自身免疫疾病等。脂肪肝是造成肝纖維化的常見原因之一，但肝纖維化也可能是由其他原因引起的。因此，肝纖維化不一定表示曾經有過脂肪肝。 | [
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4心臟血管專科
| 電燒相關問題 | 醫師您好，大概在去年八月因為醫師說每天有多跳兩萬多下，建議電燒，手術完監測24小時，有回到每天多五千多下而已，但是三個月後回診，又回到兩萬多下，最近再次回診，更是飆到三萬多下，也從每日一顆律諾，變成每日兩顆，有跟診治醫師說我大約十月有確診新冠肺炎，說是可能影響期約三個月，下次回診再看看。 想問醫師有可能需要第二次電燒嗎？以前只有睡覺翻左邊胸悶比較不舒服，現在不管翻哪邊都不太舒服，想請問建議提早回診，還是如診治醫師所說三個月後再檢查呢 | 您好 需要第二次電燒嗎？可能須和原主治醫師討論 兩萬多下飆到三萬多下 是同一種波形嗎 才知道再做一次有沒有意義 先多吃藥吧 三個月後再檢查 確診的影響看會不會少些 平安 彰化醫院關心您 | [
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4心臟血管專科
| 心臟問題 | 醫師您好： 最近學校幫我們學校教師做X光檢查。今天護士小組跑來跟我說，我有「心臟肥大」的問題。 請問導致「心臟肥大」的原因為何？又會引起什麼嚴重的病症呢？ 這會不會因為過於疲勞、太久沒運動、或者飲食方面的問題。 是不是可以請醫師建議我讓怎麼調適？ | 你好 心臟肥大的原因很多 最常見是高血壓或是先天性的心臟病變 不過 門診常有各地因為X光診斷心臟肥厚的病人來診 經過超音波檢查後都沒有問題 原因主要是以X光來評估心臟的大小 準確度是很差的 所以 如果擔心的話 建議你至心臟科即可確立是否有心臟肥厚 祝 一切順心 | [
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5泌尿科
| 睪丸問題 | 請問醫生 我的睪丸有一條筋，顏色特別深 是紫色的，一個禮拜了還沒好轉這是怎麼回事呢 還有陰莖之前友一小塊紅色的像是流血又不像，現在不見了，這正常嗎手淫過後 以及陰莖上有一顆顆黃色的顆粒，那是什麼呢 不好意思一次問太多了. | 匿名： 你好 實在無法判定。 可能是出血造成色素沈積，還是要看一下醫師。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 行政院衛生署 台東醫院 關心您 以上由 泌尿科 主任 許維愷 答覆 | [
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1精神科
| 緊張 | 這個問題已經困擾我大約4個月了 近期越明顯 我的工作必須跟顧客接觸互動 但只要我稍微緊張或感覺我稍微做錯了什麼我的腦袋就會一片空白 旁邊有同事或主管我會更緊張的不知所錯 最近主管教我一些跟顧客解說的用語 她先說一次然後我再重複一次 但是不管她說的多簡單她說完後一秒我幾乎就忘了 我覺得我很專注的去聽她說 但是過了一秒馬上腦袋一片空白 這讓我覺得我越害怕與人接觸，怕自己說錯話讓對方不開心 最近也很莫名其妙的容易想哭 也很容易胡思亂想 我會一直擔憂還沒發生的事，事情還沒發生就想到最壞的結果 開車出去玩會在腦海中想像出車禍，或是任和意外 會想我要是受傷了就好，這樣就有理由不用去上班了 | 蔡小姐妳好 依您的敘述，您目前很緊繃，心情低落，想法悲觀，您可能有焦慮及憂鬱的症狀，若已持續四個多月且越來越嚴重，建議可以就醫尋求協助。 祝福您 | [
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0婦產科
| 事前避孕藥 | 醫生您好 我在之前有吃事前避孕藥 吃了一年在上個月停藥了一個月 然而在這次月經來的第五天繼續吃 請問吃了事前還沒滿一個禮拜就無套 且 有體內射精 請問這樣懷孕機率大嗎？謝謝 | 提問者您好 若在月經第二天後才開始服用避孕藥，建議開始服藥的七天內要額外做好避孕預防措施。可再事後避孕藥補救，若於接續服用藥片不需服藥的中段期間如果沒有預期的消退性出血，就需懷疑有懷孕的可能，謝謝 祝 平安 健康 張 醫師 回 | [
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| 胸部問題 | 右胸摸到一個硬塊 然後很痛 最近發現的 請問是怎麼了？？ | Dear 匿名： 可能是小瘤類的變化，等月經乾淨後3-5天再觀察有無變化，沒有變小或變大則門診檢查。 | [
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1精神科
| 憂鬱症 | 柯醫師您好 會信任這園地是因為我對醫師的信任之前提過其實我已經恢復的差不多生活都很正常也跟一般人一樣了但是我總覺得自己的感覺不真實譬如說當我意識自己有點難過的時候我又會懷疑自己不是真的難過而是裝的我自己其實也分辨不清這種感覺我其實很討厭自己討厭自己想太多的個性討厭自己的感覺討厭自己生病過討厭自己很多很多事情對於生病帶給我很多負面的影響我實在恨透了一方面我也很害怕自己的感覺因為我並不確定那是真實或是幻覺那種不真實不確定感讓我覺得可怕我一直長期處在不安的狀態不管有沒有什麼事覺得自己不太舒服不是很輕鬆渾身不對勁就是而且還會胸痛和心悸對於情緒方面的感覺我很懷疑是假的.在署南治療的.見過醫師您 | 行政院衛生署台南醫院精神科醫師敬覆 mimi您好： 首先還是先恭喜妳已經康復許多了，生病確實是一種很難受的經驗，這種不舒服，是外界的人很難體會的，長期處於這樣的狀態，即使有很大的勇氣，還是會覺得辛苦而且寂寞。 或許可以試試將目光移到其它的地方，多關注生活中的樂趣的地方例如畫畫、看小說.，少一些時間聚隻在生病的部份，加油喔！ 台南醫院祝您身體健康•萬事如意！！ | [
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| 骨頭問題 | 你好，因為我母親大約53歲左右，平時就有喝紐力活飲品保健，近來因工作因素粗活，骨頭酸痛，我大約上網查了一下，像維骨力，紐力活等等保健飲品，好像有點不太健康，功效也有差別，想問一下有沒有類似的保健食品，比較適合爸爸，媽媽們的，謝謝 | 敬覆 均衡飲食即可不需攝取過多的保健食品。因工作而產生的酸痛應用輔具改善如護膝、護腕.等等。 | [
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5泌尿科
| 感染性病 | 如題 有2個問題請教醫生 這是我之前的問題對方手指頭如有流血 被抓睪丸 雞雞碰觸到尿道口 與手指頭指甲劃傷腹股溝睪丸與大腿中間的溝 會得到性病與HIV 嗎 醫生您回覆說前提是對方有性病，如果有就有機會，因為有血液的接觸 那我想再問1.如果對方手指頭的流血量只有一點呢 流血量的多寡會影響得病的機率嗎 2.不確定對方有沒有性病 但有看對方手指頭 並無明顯流血 如果有流血 也是非常小的傷口 這樣有必要去驗HIV或性病嗎 如果要驗 建議驗甚麼項目就好 非常不好意思 再麻煩醫生回復了 感謝 | 您好： 1.如果對方手指頭的流血量只有一點呢 流血量的多寡會影響得病的機率嗎-- 如果對方有性病，才有傳梁機會，血量的多寡會影響機會 2.不確定對方有沒有性病 但有看對方手指頭 並無明顯流血 如果有流血 也是非常小的傷口 這樣有必要去驗HIV或性病嗎 如果要驗 建議驗甚麼項目就好--如果有不安全性行為，建議要定期檢查。祝健康 | [
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7耳鼻喉科
| 扁桃腺 | 因扁桃腺之前反覆感染.造成扁桃腺上有多數”凹窩”的形成.而有類似淡黃色的異物會卡在凹窩內.使我覺的有口腔異味及吞嚥困難的感覺.有時我會自行用棉花棒清除.且本身也有扁桃腺肥大.是否行切除手術可改善呢 | 您好： 扁桃腺本身表面就有許多的“隱窩”，這些隱窩因食物殘渣存留或本身上皮細胞分泌，會有淡黃或白的異物卡在其中，通常對於扁桃腺肥大的患者，更容易發生。若造成不適或影響生活品質，作完相關的檢查後，可行切除手術來改善。祝福您！ 衛生署桃園醫院耳鼻喉科主任 胡克信 2003.7.21 | [
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11營養教室
| 糖尿病 | 您好：日前看到一種書，專門在介紹硫辛酸這東西，其中針對糖尿病患能夠提供一定的幫助，不知道營養師對這類東西是否能提供說明？如果我想服用這類的東西是否需要注意什麼？另外，我本身有經痛的問題，以前看醫生都只能吃止痛藥，而我大都選擇能忍的就不吃藥，現在有朋友介紹可以食月見草油，而我自己也有參看一本外國作者所寫的營養素書籍，裡面載明，一天早晨和黃昏各食用４顆（計８顆），我這種用量是否可以，保健食品是否也有分脂溶性和水溶性？我讓要怎樣攝取，煩請釋疑，謝謝。 | 您好 1.妳問的硫辛酸是一種類似維生素的物質體內腸道吸收後會進入細胞防止葡萄糖附著在肌膚的膠原蛋白上導致膠原蛋白失去彈性可稍降低血糖之濃度但是否可視為藥物來治療糖尿病則需由醫師來評估和開處方較適合. 2.妳有經痛問題應看婦產科醫師可能不是只吃止痛藥而可能需增加其他藥物來治療較能對症下藥 3.月見草油的建議攝取量為3000-6000mgd故您需吃幾顆應是此含量多寡而定最好依照保健食品外包裝之指示量來攝取最適當至於是否有分脂溶性或水溶性則是此產品是否單純為維生素若是則可分脂溶性維生素或水溶性維生素但若兩種皆含或另含有礦物質則不會區分為脂溶性或水溶性. 4.最後建議您有關醫療方面的問題可請教醫師.而保健食品則可帶去請教營養師會有更正確資訊. 祝您 元宵節快樂 苗栗醫院營養師 祁明華 | [
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| 前置胎盤 | 4 月下旬至平常產檢醫院滿24週， 醫生照超音波時， 說了 胎盤過低， 請問什麼是.需要注意些什麼請問有沒有危險性 | 1.胎盤的位置太靠近子宮頸口叫胎盤過低，它有好幾種型態，如果胎盤太低蓋住子宮頸口那就叫前置胎盤了。前置胎盤易造成出血，通常要剖腹生產。2.不知妳的是屬於那一種如果光是稍低一點那就不太要緊，下次產檢時記得跟妳的醫師問清楚一點。 | [
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| 關節 | 葉醫生你好， 我目前剛生完小孩三個月，前兩個月都餵母乳，從生完開始就時常覺得手腕會疼痛，這一個月連膝蓋都會痛彎曲以後再伸直就會出現像抽筋一樣的痛，這兩個禮拜起床時發現手無法握緊，手指關節會有緊繃的感覺，要等到一兩個小時後才會改善，因目前婚後定居於香港，有去看過醫生，但是他是一般的家庭醫生，只開了止痛藥給我，請問我的這些徵狀到底是什麼疾病？有什麼藥物或者治療可以改善的嗎？因為吃了止痛藥只是暫時不痛而已，無法根治，謝謝您的答覆。 | 生產後常常抱小孩，會造成手腕疼痛及大拇指運動疼痛，是因肌腱發炎造成，建議多休息少抱小孩及吃止痛劑，如仍無法改善，建議局部注射。 | [
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| 陰莖問題 | 我的陰莖右側最近有一根血管特別粗 明顯浮起來清晰可見的樣子 有點微痛 想問是不是陰莖靜脈曲張？以及該怎麼處理？有需要處理嗎？發生原因與過度自慰或性行為有關係嗎？ （我有精索靜脈曲張 約會當天晚上偶爾會發作酸痛 平常還好 不知道陰莖上的血管跟精索的有沒有關聯 陰莖上的血管當我躺著把下半身往上抬的時候會消失） | 您好： 請先就醫，注意循環，DIY 和性行為 關係不大。祝健康 | [
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| 尖性濕疣 | 不好意思想請問以前有得尖性濕疣後來電燒掉了！ 但是最近又長出來了！好幾顆目前還小小的有去藥局買疣汰凝擦剛擦2天了！可是目前沒什麼感覺好像還有稍微變大了一點點那我應該繼續擦藥再觀察嗎？謝謝 | 您好 擦藥既然沒有改善，請儘速至泌尿科回診。 | [
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0婦產科
| 會懷孕嗎？ | 醫師你好 真的很擔心也很焦慮爬文了很久 才選擇來提問 我上個月的經期是825∼31號 在9月中的時候因為感冒所以去看了醫生開了三天的藥 就是想請問和男友94性行為然後內射因為很擔心24小時內吃了事後避孕藥，我的經期比較不會準時來，但有在做紀錄，這個月經期預計的時間是924號，但和男友923.24都有發生性行為（無套）在923號內射了兩次924號是體外射 知道好像一個月內不可以吃兩次以上的事後避孕藥所以我很糾結要不要去吃事後避孕藥 想請問這樣受孕機率很大嗎？ 我應該要吃事後避孕藥還是等月經來呢？ 還是因為有吃感冒藥和事後藥的關係所以月經遲來？ 謝謝醫師，希望能幫忙解答 辛苦了 | 提問者您好 事後避孕物的避孕效果也不是百分之百，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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10兒科
| 注射疫苗 | 小孩目前一歲二個月，九個月大時未注射麻疹疫苗，日前去看醫生，醫生說不用打了，下個月再來打MMR就行了。請問是這樣嗎？麻疹疫苗的效力有多久呢？水痘疫苗與日本腦炎疫苗可同時打嗎？ | 您好： 麻疹疫苗屬於活性疫苗，因為活性疫苗在一歲以下的寶寶所引起的免疫力並不夠，所以一般是在一歲以上才施打，原則上施打一次即可，但因為在民國77年曾發生一次一歲以下小朋友的流行，所以目前是九個月打一次，一歲三個月再打一次，您的小朋友若已經滿一歲，施打一次MMR即可產生足夠的免疫力，不需再補打九個月的麻疹；日本腦炎可與水痘同時施打。 | [
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| 牙齦炎 | 林醫師您好， 我四月底的時候因右下最後一顆牙齒的牙齦有繞著一圈看起來像破皮去看醫生，初診的時候醫生說是牙齦泡疹，第二次去看的時候醫師說變牙齦炎了，然後有個看起來就凹下去的傷口，後續一直治療到六月中那傷口才消失，但取而代之的是那顆牙齒的牙齦像繞著一圈黑黑的紅紅的如附圖。想請教一下林醫師，這狀況有可能是牙齦炎還沒完全好嗎，還是其實是牙周囊袋呢我有請人幫我用手電筒照著看，那人說用手電筒照那邊的時候顏色跟旁邊牙齦一樣，但看起來像一條縫 還是有可能是牙齦癌呢我網路上查，都說兩個禮拜沒好就可能是牙齦癌 最後想請教林醫師，如果這狀況要去看醫生的話，是掛牙周專科比較好，還是口腔外科呢？ 非常感謝林醫師用心看完我的問題及回答，謝謝您 附圖：httpsi.imgur.comM0NSouV.jpg | 您好 照片看起來不像牙齦炎，建議掛牙周專科處理囊袋問題即可。 衛福部臺中醫院牙科林佳詠敬覆 | [
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13肝膽腸胃科
| 腹部問題 | 陳醫師您好 我今天莫名右側腹部大約肚臍右斜上方5指的地方偶爾會痛痛的，甚至到更右上側邊但那邊摸起來感覺是骨頭了不知道是不是神經的錯覺而已，不太像肚子不舒服的感覺，排便早上也很正常。比較明顯的是用腹部呼吸吸氣時都會有一處區域痛的感覺可是沒有刻意腹部吸氣或用力就感覺還好。家人是說我可能只是拉傷或是睡的姿勢造成的，因為我想到剛好昨天睡的姿勢是壓右側的。 想請問醫生拉傷或是姿勢不當會造成這種疼痛感嗎？以及若真的是因為姿勢的問題有什麼建議除去不適嗎？ 雖然以往也有這樣類似過不過是運動的時候比較常而且這個位置害我很擔心不知道會不會是盲腸炎，因為盲腸好像就剛好在右邊.所以致信詢問陳醫師的意見，謝謝您的回覆。 | 若與姿勢動作呼吸帶動有關，可能是肌肉拉傷，可局部熱敷，注意姿勢，大動作咳嗽大笑時局部按壓保護。 | [
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9整型外科
| 重建手術 | 周醫師您好， 因家人一年作前工作手受傷，進行了手部血管、韌帶、骨頭、植皮、補肉等重建手術，並且原本血糖偏高有服藥控制，回復能力比正常人慢一些。 但近期有出國的需求，不知道這樣的情況，搭飛機會不會有影響？ 謝謝您！ | 1. 1年前的重建手術，理論上疤痕或組織應該已經成熟，應可以搭飛機了 2. 不過，詳細情形還是應該回去諮詢妳當初的主治醫師，才可以有正確的答案 | [
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| 避孕 | 醫生您好 我在95時停藥，98月經來潮，912原本應該要開始吃藥，但因為確診，吃了很多藥所以停了一個月 我在928、29都有性行為，全程戴套後續也有灌水檢查 昨天因為有一點血，我以為是我月經來，但好像只是月經快來的樣子 都是留那種咖啡色分泌物，但我認為是第一天就吃了事前第一顆了 請問這樣的情況，今天要繼續吃下去還是要停掉呢 吃這一顆會有甚麼影響嗎 這是懷孕的徵兆嗎 謝謝醫生 | 您好 暫時不要吃，等月經來的第五天開始吃藥，暫時觀望。祝你健康 | [
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0婦產科
| 懷孕 | 上次月經來是528-61 週期大約27天 63有發生性行為 有戴套 64沒有戴套有放入但沒有射 618、619兩次 沒有戴套有放入但沒有射 放入前有先清洗 請問這樣會懷孕嗎？ | 上次月經來是528-61 週期大約27天 63有發生性行為 有戴套 64沒有戴套有放入但沒有射 618、619兩次 沒有戴套有放入但沒有射 放入前有先清洗 請問這樣會懷孕嗎？ Ans 上次月經來是528-61 618、619兩次沒有戴套有放入但沒有射 沒有射應該是不會懷孕 有沒有漏一點 | [
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12胸腔內科
| 胸口刺痛 | 您好 我今日起床後，發現深呼吸時胸口會疼痛。 深呼吸時胸口中間會先有點痛然後再偏向兩胸上側 請問是什麼狀況呢 是否需要就診照X光片 | 您好 有可能是熟睡時姿勢太久沒有改變造成如有持續胸痛或合併呼吸喘建議看胸腔科照一張X光評估看看 | [
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5泌尿科
| 腎臟問題 | 賴醫生 您好 我1天前被診斷出有腎結石也看過泌尿科醫生醫生告知結石已經跑到膀胱但我隔天腰跟膀胱還是覺得不舒適且小便又見血尿腎絞痛時沒有血尿隔一天服藥以後才血尿的請問這是正常的嗎還是我還要再去看醫生因為醫生告知2週後再去照X光看結石有無排出. | 您好 相信您的主治醫師先觀察幾天若身體感覺不適請回泌尿科門診就診 | [
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22戒菸
| 戒菸門診 | 您好 我的父親以抽菸許久 由於最近中風加上本身有高血壓與糖尿病 我們想要幫助他戒菸 但是買了戒菸貼片後發現心血管疾病與糖尿病患者並不適用 想請教是否有其他的戒菸用藥或方式 感謝您回答 | 劉小姐您好 尼古丁戒菸貼片是一種有效用來協助戒菸的藥物，目前仍是戒菸的第一線藥物，至於戒菸貼片對於心血管與糖尿病患者不適用，其實並不一定正確。 尼古丁貼片仍可以推薦於目前正在抽菸的心血管患者，因為使用戒菸貼片比持續抽菸相對安全多了，另外若對於使用戒菸貼片仍有疑慮，目前戒菸門診尚有提供兩種認可的戒菸藥物Zyban 耐煙盼 及 Champix 戒必適 可以使用，唯此兩種戒菸藥物國健局並不提供補助，需要自費購買，仍建議您與令尊可以找合格的戒菸認證醫師，於門診中討論適合令尊的戒菸方法，最後，想要成功戒菸，戒菸藥物只是一部分，還需要有改變動機與持續為改變而努力的行動配合，謝謝。 | [
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13肝膽腸胃科
| 排便問題 | 今天6月底開始因爲喉嚨一直感覺有東西加上開始拉黃水便前前後後看了3次醫生 也有排照胃鏡 醫師說是有輕微胃食道逆流跟胃發炎 開了藥吃有好轉 不過糞便一樣都是黃水便居多每天1-2次一直到現在排便也幾乎都是不成形的黃水便但是肚子都不會痛 另外會一直想吞口水因為喉嚨一直有異物感的關係困擾好久 這樣排便突然異常有需要照腸鏡嗎 公司每年體檢也都有糞便潛血也都是正常的 | 小紅您好，如經用藥治療症狀未改善，建議回診諮詢原主治醫師或改至大腸直腸外科就醫，謝謝您。 | [
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5泌尿科
| 割包皮 | 醫師您好， 我在一個月前接受包皮環切術，到現在約一個月，龜頭下方仍非常腫脹，而且腫脹的部分主要在右側縫線處與繫帶兩側。 右側縫線處腫脹地方有點波浪形狀，應該是縫線的影響嗎 縫線處看的到一點結痂，觸碰按壓會疼痛。但左側沒有腫脹區碰觸縫線處不會痛。 如圖 httpsimgur.comd0ha797 httpsimgur.comSySHP03 httpsimgur.comZgx8QY6 想要請問醫師4個問題 1. 這個腫脹是水腫嗎需要怎麼護理才可以加速消退呢 2. 網路上有看到局部熱敷或是把陰莖樹立貼在腹側，這樣有效嗎 3. 另外，我的龜頭部分有時候會沒有血色，顏色較為深有一點點偏紫，且用手觸碰感覺有點涼涼的，這樣是正常的嗎 4. 最後，龜頭後緣凸起和冠狀溝交界處的凸起部分，及尿道口龜頭尖端，觸碰會有點刺痛刺激的感覺，如果有黏起的話刺痛感會加劇。這樣是有問題嗎要怎麼處理會比較好呢 謝謝醫師 | 您好：1 開完包皮一般都會有幾星期的水腫，只是腫多少的問題，體質與生活習慣都有關 注意清潔，乾燥，少勃起，適度的運動，內褲不要太緊 2 熱敷對此種傷口效果不大。3 那都是開包皮常見的現象，血管恢復中 4 手術後也會發生此類問題，因為生殖器敏感，可能位於傷口周圍神經敏感，傷口偏紅要注意清潔，乾燥。可多用些維生素b的食物，另外勃起時看看傷口是否有問題，如此情形常發生要回診診查，看需不需要用藥膏治療。祝健康。 | [
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8乳房甲狀腺科
| 乳頭和乳暈癢 | 醫生您好： 想詢問上週六跟老公親密時，有發現右邊乳頭有白色分泌物像痘痘那種白色透明 這兩天觀察，用手捏擠都有稍微的分泌物擠了23下就沒有了，此為正常現象嗎 | Dear 鴨子 還算正常，但若有出血樣分泌物或惡臭之分泌物則需門診檢查。 | [
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| 藥物問題 | 醫師您好： 先前有掉髮困擾，皮膚科醫師直接判定雄性禿，目前已服用柔沛二年多。 外表看起來並沒有特別禿的感覺，所以後來有別科的醫生 建議我去泌尿科驗男性荷爾蒙，以確定是否真的是荷爾蒙過多引起的掉髮。 才不會錯誤的長期服藥。 因為目前我服用柔沛會抑制男性荷爾蒙，我想這樣去驗血大概會不準。 為了避免驗出來的結果不準， 請問我要去就診驗血之前，幾天前就必須開始停止服用柔沛呢？以求較準確的結果。 | 你好 一般建議1周以上的停藥物，會比較準確。 | [
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| 懷孕時 | 注射德國痲疹疫苗兩個月內，結果懷孕了，請問生下來寶寶會畸形嗎是否要考慮墮胎 | 巫小姐您好 如果孕婦在懷孕前三個月受到德國麻疹病毒侵犯，其病毒可經由胎盤給胎兒，造成許多的先天缺陷例如心臟.眼睛.腦部病變 疫苗副作用相當少，許多的研究均指出，婦女再懷孕前三個月期間接種德國麻疹疫苗，並不會出現嬰兒畸形風險增高的情形. 敬祝 健康 | [
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| 陰莖問題 | 醫師我有2個問題 第1個我上廁所時會刺痛.生殖器會癢.晚上特別癢.以前1.2年前有撞到腳踏車墊. 懷疑是淋病.但我不敢跟爸媽講.有什麼偏方媽 第2個我的陰莖和包皮的連接處會有一點一點白白的東西.擠壓會痛.排列不整齊. 把包皮割掉會好媽 | 淋病主要傳染途徑為性行為 撞到腳踏車墊應不致發生淋病 建議還是應就醫請醫師做詳細評估較為合適 不要聽信任何偏方. 陰莖冠狀溝內白白的可能是包皮垢或良性珍珠瘤. 是否需要割包皮或割包皮是否會改善 建議還是就醫請醫師做詳細評估較為合適. 謝謝 | [
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| 藥物副作用 | 您好 日前71910歲兒子額頭擦傷脫了一層皮.於是用藥用酒精9510c.c加水稀釋為100c.c用來擦拭傷口.722晚間先生說那是工業酒精應該含有甲醇試問若是如此 那兒子是否會因此而甲醇中毒 p.s大概擦傷口2-3次. | 藥用酒精成分是乙醇一般加水稀釋13倍使用於消毒在藥局可買到藥用酒精一般傷口可用優碘藥水或生理食鹽水消毒而工業酒精因含甲醇甲醇在肝臟中因酒精去氫酵素的催化作用，經由甲醛變成蟻酸，但速度較慢，約為乙醇之五分之一。急性中毒乃是經由此二種代謝產物而非甲醇本身引起.甲醇中毒的早期臨床症狀，是眼底特殊的變化與視力變差外，明顯的陰離子間隙增加的代謝性酸中毒，包括了心跳加速、腹痛、 嘔吐、腹瀉、食慾不振、頭痛、暈眩、全身虛弱、步態 不穩、深肌腱反射增強；嚴重者則可能神智昏亂、木僵甲醇對於神經眼睛方面的影響，為其中毒主要且特別的表現 甲醇中毒量的範圍差異很大，服用絕對甲醇4c.c.可導致失明，服用40的甲醇15c.c.可以致死，可用血中濃度來監測您的小朋友用擦的酒精不曉得是酒精或甲醇我想應該沒關係擦在皮膚上吸收不大如果有中毒應該有如上的症狀您只要注意應該不會有問題的.工業用酒精一般是用於假酒和工業用很少在藥局會買得到.這是我給你的答案不曉得您滿意嗎 . | [
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| 巴氏腺囊腫 | 醫生你好 我前天小便後 用衛生紙時有疼痛感 洗澡時發現 在我大陰唇側下方（靠陰道的地方） 長了一個不到一公分球狀的異物 輕輕按時有點痛 而且軟軟的 卻不會癢 請問這就是巴氏腺囊腫嗎？ 還有 我常常 （十次裡三次） 兩次月經的正中間時 有少量的出血 （大部分是白帶帶血） 這又為何？ 謝謝 | 提問者您好 依您的描述實在無法確定，一般巴氏腺囊腫大小不只如此，也有可能是毛囊炎或皮脂腺炎，建議由婦產科醫師視診才能確認。另外，經期間隔中間出血有可能是排卵性出血或荷爾蒙失調出血或卵巢與子宮的病灶所致，因為您所給的資料有限且未作超音波或抽血檢查，因此都有可能，謝謝 祝 平安 健康 張 醫師 回 | [
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12胸腔內科
| 胸口鬱悶 | 醫生您好 這是我去年問您的問題 我的問題已經有2個月了，在這之前我常做伏地挺身跟慢跑 而以我的角度來看的話是正中間偏左邊會痛 之前是側躺以及要躺下床睡覺都會很疼痛，但過兩三天就有比較不痛了 現在的話是抬頭挺胸的話會有點悶悶痛痛的，有時候胸口太用力會聽到類似骨頭ㄅㄧㄤ ㄅㄧㄤ的聲音 我看過兩家骨科診所加上一間高雄某知名大醫院 他們都說我沒有撞擊不會有骨折，因此不需要照Ｘ光，應該是骨頭和肌肉之間發炎，休息一陣子就會好 距離上次看病已經兩個禮拜了，當時醫生有開止痛藥給我，現在已經沒再吃了，可是我現在如果擴胸太大力還是會痛 但是到現在都還是會有點疼痛 有時一點疼痛 有時疼痛比較劇烈 想請問這是這常的嗎 之前有照過X光沒問題 現在晚上側躺或動作大一點就會疼痛 因為這症狀已經一年多了 還需要再照一次嗎 因此在此請教醫生 謝謝 | 阿暴您好 您的問題比較像是肋軟骨或肌肉陳舊性可能某次激烈擴胸如伏地挺身拉傷胸部X光檢查幫忙不大建議慢慢運動暖身在尚未完全復原前避免過度擴胸或般重物局部熱敷或塗抹止痛或改善血液循環的藥膏或貼布應該也有幫忙 祝 好 | [
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17眼科
| 玻璃鏡片顏色 | 王醫師，您好 一向視力極佳，也不曾出現眼睛不舒服現象。但於12月3日晚左眼突出現閃電及滿滿的紅色血絲狀物體罩在眼前，視力沒受影響。次日至醫院門診，醫生判定為玻璃體拉扯視網膜所引起，立即門診雷射處理。雷射後閃電現象有改善，但罩在眼前滿滿的紅色血絲狀物體沒有減少，從原本一個平面變成多個平面，心理極為擔憂。想請教王醫師的是 1.我看資料說閃電現象等到玻璃體已經脫離視網膜症狀就會改善，但罩在眼前滿滿的紅色血絲狀物體是否會慢慢減少或消失 2.我的狀況是否視網膜已有裂孔或破洞？醫院門診醫師均未告知。 感恩王醫師的盡速解答，謝謝 | 如果是玻璃體出血的話，數週後會慢慢吸收滅少。 有可能是裂孔，下次復診時再訽問醫師。 | [
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| 月經 | 想請問醫生我女友在18時有做藥物流產的動作，之後她的月經在213217，但他之前的月經都是集中在月底那個時候，想請問她之後的月經是以13號那邊還是以月底那邊呢 想在請問如果311時我們有套無射、312無套無射的話，這樣機率會很大嗎 | 女友在18時有做藥物流產的動作，之後她的月經在213217，但他之前的月經都是集中在月底那個時候，想請問她之後的月經是以13號那邊還是以月底那邊呢 Ans 以13號那邊 想在請問如果311時我們有套無射、312無套無射的話，這樣機率會很大嗎 Ans 有套無射、無套無射，這樣機率都很小 | [
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6骨科
| 大腿骨折 | 我在今年5月25號車禍右大腿閉鎖性骨折在5月26號動好手術 這是第一張手術剛好的照片，左邊是剛骨折的x光照 fileUsershuangpinxuanDesktopE5899BE6898BE8A193E5A5BDjpg.jpg 第二張是6月15號的x光照那時候進行拆線 fileUsershuangpinxuanDesktop615.jpg 第三張是前幾天7月13日去複診照的x光那時大概術後1個月半 fileUsershuangpinxuanDesktop2006753517198001047050521955952029n.jpg 醫生說骨頭有長出來是正常的速度 但還不能放一支拐杖，只能用兩根受傷的腳可出一半的力 想問醫生依照這樣的速度我下一次回診8月10號可能放一支拐杖嗎 那放一支拐杖後大概還有多久可以全放拐杖？ 因為我在8月底時就要上班了很怕上班搭公車走路不方便 謝謝！！！！！！！ （上班只是坐在辦公室工作，煩惱的是搭公車和走小路約510分鐘的問題） 感謝醫生！！！ | 建議您仍需配合主治醫師的建議，以免發生合併症。至於8月10日回診時，主治醫師會再拍一次X光片。看完X光片後，主治醫師會告知您可不可以放一支拐杖。通常大腿骨骨折，3個月應可全放拐杖但當然仍以您看診主治醫師的醫囑為準。祝福您早日康復。 | [
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6骨科
| 膝蓋問題 | 四月中的時候，睡醒要下床的時候右腳突然沒力導致右膝蓋跪地，到現在彎曲伸直都會不舒服，看過醫生他說一個月就會好了可是到現在都還是走久站久坐久就不舒服，早上起床的時候會特別痛這還需要看醫生嗎？我只要坐下或蹲下就會發出喀的聲音很大聲這是哪裡不好嗎？ | 您好： 有任何關節不適影響活動都應了解為何如此，如果經過休養都仍未痊癒，須了解內部結構有無異常。關節有異音，若不痛，多半是關節內不囊膜皺摺肥厚造成。不見得需要處理。謝謝！ | [
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| 性病 | 想請教李醫師一個小問題 就以「女性用"口部"幫男性服務陰莖且"無其它性交"」的男性觀點來看 假設男性全程戴保險套，且男性無性病相關疾病的前提而言 若會被女性感染淋病、梅毒或愛滋，是否要具備以下「全部」條件 1.保險套有破損 2.女性本身有帶原 3.女性口腔有傷口或流血 3.男性陰莖有傷口或流血 以上條件是否「缺乏一項」即無法構成傳染途徑 感謝李醫師 | 每一種性病都不ㄧ樣，要自己先去了解後，針對有疑問的部份再詢問。 | [
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| 是否懷孕 | 醫生您好：想請問您，上次月經是822至827日，本身月經週期並不是很固定，有時15.19.25天左右。 上月831於96日發生性行為，6號當天及9.10.3.14 自行購買不同產牌驗孕棒驗孕共5次，其中有2次驗出一條線，其餘都呈現一深一淡。 95至15期間，胸部變大、想吐感覺、食慾不佳、子宮收縮刺痛，但，916號月經到來，想請問這是否會懷孕，還是子宮出現病狀 | 您好 驗孕棒驗孕呈現一深一淡，有可能是懷孕，建議看婦產科。祝健康 | [
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0婦產科
| 懷孕 | 月經乾淨後第五天有性行為但全程有戴套 事後也有檢查沒有破掉 月經後我的作息不好 常遲睡也常吃快餐 兩個星期後感覺下腹有點脹痛 嗜睡 體溫偏高 但常反胃 請問這樣是否懷孕了？還是只是我心理作用？因為事後心理壓力一直很大怕懷孕 謝謝 | 您需要的不是醫療諮詢而是性知識學分的補修，此類問題建議參閱國民健康署「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 提問者您好 保險套的避孕效果並不是百分之百，失敗率有3左右。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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1精神科
| 睡眠 | 陳醫師你好我是第一次來信想請教於有關睡眠障礙的問題-- 這問題自從我國中3年級就開始會不自覺的在上課中睡著而因為害怕上課又睡著所以我就下課補眠但問題是乎沒有改善一直到高中大學問題持續著但不怎麼嚴重而到現在發現騎機車也會不自覺睡著偶而騎機車時可以感覺自己快睡著所以有想要控制自己不要睡但沒辦法而在家坐著看電視偶而也會不自覺睡著站著睡著的情況也有但是那種打瞌睡的情況不過次數很少有就醫過幾次是到奇美大醫院可是醫生卻說這不是嗜睡症因為狀況不嚴重不至於是嗜睡症但醫生又說不出來是什麼樣的病因只是開個憂鬱症的藥而已所以想請問我是不是患有嗜睡症呢如果有的話要到哪就醫呢我是台南人謝謝喔 | 恰豬你好： 造成白天嗜睡的病因很多，在此先稍做說明： 嗜睡最常見的「睡眠不足徵候群」（insufficient sleep syndrome），也就是夜間睡眠不足，導致白天容易打瞌睡。如果有這樣的情形，需積極改善夜間的睡眠品質與時數，晚上睡得好，白天才會有精神。 第二常見的原因是「睡眠呼吸中止症」（sleep apnea syndrome），這樣的病患在睡眠中會突然的呼吸停止，每次持續超過10秒鐘，造成缺氧。常見於身材肥胖或喉部有扁桃腺腫大病變的人。症狀有：大聲的打呼、睡到一半會嗆到或用力喘氣。病患自己常常不知道有呼吸中止的情況，只覺得白天很累，反而是室友或枕邊人被打呼聲吵醒才發現。睡眠呼吸中止症需要到睡眠實驗室進行完整的檢查。目前治療的主流為使用正壓呼吸器來減少呼吸中止的情況。 第三常見的原因是「猝睡症」（narcolepsy），患有這種疾病的人會突然間在不適當的場所睡著，例如工作中、或開車的時候。症狀表現為突然頸部無力低下頭或後仰而睡著、站立時突然腿部無力而睡著摔倒，甚至可能伴隨幻覺或睡眠癱瘓（俗稱鬼壓床）等症狀出現。因為症狀特別，常成為電影或新聞報導的材料。猝睡症也一樣需要到睡眠實驗室進行完整的檢查。如果確診是猝睡症的患者，治療的方法為服用中樞神經興奮劑、或三環抗憂鬱劑。 精神科方面，某些「憂鬱症」的病患也可能出現無緣無故睡眠過多、容易倦怠等症狀，同時會伴隨情緒、食慾等影響，這方面需要經過精神科醫師完整會談評估，再採取適當的治療策略。 除了上述原因之外，少見也有因為身體疾病（例如肝功能異常）而造成的疲累感而嗜睡，以你的年齡與描述症狀來說，可能性較低，如果有擔心還是可以接受全身健康檢查。 建議洽豬繼續與原來的醫師合作，與他討論你服用藥物後嗜睡的情形有無改善、或者是否需要到睡眠實驗室進行詳細的檢查（通常需大型醫院才有設置）。謝謝你的提問，祝早日康復。 | [
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6骨科
| 骨折 | 王醫師您好： 我前陣子因為車禍導致左手肘骨折，開刀有一條很長的疤痕覺得不美觀，想請教醫師手肘骨折有辦法做微創手術嗎？手肘復健結束之後是不是沒辦法恢復到百分之百？因為我現在伸不太直也沒辦法彎到最底。 | 手肘骨折，要看骨折部位及嚴重程度決定開刀方式，手伸不太直要趕快復健，越晚越難恢復。 | [
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13肝膽腸胃科
| 肝炎 | 醫師您好 前陣子有請教您B肝檢驗的問題您說我檢驗的結果是"得過B肝，已痊癒產生抗體，終身免疫"想在請問這樣是不是表示以後不需每3個月或半年追蹤肝功能及照腹部超音波了呢謝謝解惑感激不盡. | 是的 | [
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| 避孕藥 | 醫師您好，因為月經量過大，醫生建議我服用避孕藥，目前吃第三個月，前兩個月服用玫麗安，每天固定早上服用，我因為有多囊，醫生建議我改服用悅姿，藥袋上提示我睡前服用，說明書上建議晚餐後或睡前服用效果更好，但這樣與我之前服用的時間不同 請問 1.我需要依照藥袋上的時間更動我服藥的時間嗎 又或是我依然依照之前早上服用即可，會影響藥效嗎 2.若我想將早上服藥的時間730更改到晚上2000服用，我應該要如何變動才不會影響到藥效發揮 3.在品牌之間更改的時間，會影響避孕效果嗎 例如在玫麗安改服悅姿後性行為時需要額外做避孕措施，等完全服藥7天以上才可無套 謝謝回覆 | 提問者您好 依您的描述，可以直接更改服用時間，不要間隔超過一天即可。因並非第一個週期服用避孕藥，僅更改廠牌其前七天的避孕效果不變，謝謝 祝 平安 健康 張 醫師 回 | [
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5泌尿科
| 梅毒感染 | 李醫師您好， 我於今年 78 去找了性工作者提供手淫的服務，過程大概是無套的按摩油手淫、及乳交， 我的生殖器並無接觸到對方的口腔、跟下體 對方連褲子都沒有脫， 但回想起這段情境我對方好像有舔我的乳頭 因為時間大約一分鐘，我是努力回想才有印象的。 事後對於性病的議題感到十分的可怕，我在 711、719 到了亞東醫院進行抽血、驗尿的檢查 結果大約如下： TPPA Negative RPR Non-reactive 尿常規、培養結果均無菌且正常。 而我本人也在兩年前打完了三劑的九價疫苗。 所以情境中我排除了大部分的性病 愛滋、淋病等.， 現在最感到害怕的是梅毒 特別是被舔乳頭的部分。 雖然門診醫師、網路上的衛教網站等資訊幾乎全世界都在表示 我得到梅毒的機會小到幾乎不可能， 門診醫師是這麼說的 "你的乳頭沒有大的開放性傷口，梅毒幾乎不可能感染到你"， 但我還是非常的恐懼，煩請李醫師能不能針對我個人的情境、條件， 給我一點諮詢呢，非常感謝 | 沒有人可以給你打包票說沒問題，但是你的情況真的不像感染了梅毒，可以確定的是你太過擔心了，原因是什麼可能自己才知道。真的太擔心，就是3個月後再驗一次了。 | [
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| 家醫科問題 | 想請問一下. 媽媽已經過50歲了. 媽媽說她的經期量也變的很少且來的時間也變短. 正常來說是快進入更年期了. 而很多人都說更年期的女性健康容易發生問題 要好好保養才可以. 想請問. 我這時候買一些綜合維他命.或是銀寶善存之類的給媽媽吃可以嗎. 還是要等真的進入更年期之後再補充呢. 我需要以哪一類的維他命為主呢. | 您好 平日保健即可吃綜合維他命與更年期前或更年期後無關.持續一年未來月經才定義為更年期近年研究顯示補充荷爾蒙還是有風險存在如乳癌中風心臟病機率會些許上升故目前的觀念是有需要的人才補充如骨質疏鬆或熱潮紅嚴重者.等 署立新竹醫院婦產科 | [
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| 人工關節 | 施醫師您好： 本人的父親自三十歲起，骻骨便出現軟骨退化、關結嚴重磨損的情形， 但因逃避手術、拖延就醫的關係，如今五十八歲的他已有些不良於行，因此 想在此詢問醫師，胯骨關結磨損到最後可會發生刺穿皮膚的情形？又因父親 認為植入人工關結須動刀二次，又是大手術，以他年近六十的身體，適將無 法負荷，故想再請問醫生，植入人工關結的復原情況為何？手術可有危險性 ？會否有其他後遺症呢？謝謝醫生的撥冗答覆。 | 您所謂的骻骨可能就是俗稱的髖關節，髖關節嚴重磨損通常只會造成疼痛及關節僵硬行動不便很少會穿出皮膚，倒是有可能令股骨頭穿入髖臼到骨盆腔。身體健康而無其他慢性病的人接受人工關節手術大抵可以承受。手術的合併症通常在百分之一左右，約三到六個月可以復原。每一個案的情況都有些不同，應該找較資深的專科醫師診治。 | [
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2牙科
| 補牙 | 我的右門牙內側裂掉所以有一個洞 洞變黒了 所以右門牙看起來黒黒的很醜 如果我想要把那個洞填補起來 不再黑黑的 要花多少錢 | 叮噹： 如果有蛀到神經，就須先做拔髓治療，再把黑黑的部分磨掉然後做填補。如果神經沒有受到影響，就直接磨掉黑黑的部分再填補。如此健保可給付您不用花錢。除非要做牙套（假牙）才要另外花錢。請先來門診檢查。謝謝！ | [
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5泌尿科
| 龜頭外露 | 醫生您好 前幾日我用剛買來的飛機杯自慰後 發覺龜頭有些刺痛外表也有些紅紅的 之後排尿時龜頭及尿道口有刺痛感 但第3次上廁所後就不再刺痛了 之後觀察了3天發現似乎沒有任何異狀 請問我可以放心了嗎 謝謝醫生 | 您好 若杯子是乾淨的，也許是過度刺激龜頭造成發炎而已，您觀察三天也沒有什麼問題。若是症狀再次出現，請至泌尿科門診評估。 | [
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6骨科
| 脫臼 | 打了石膏後還會再一次脫臼嗎我昨天車禍右手肘脫臼本來骨頭突出很大到馬偕醫生要我先照S光片因為照S光片手部有移動好像骨頭又歸位了可是到了門診後醫生說只有脫臼他幫我歸位然後打了石膏可是回到家後睡覺時移動手臂既然有喀嚓的聲音好像頭又裂開了而且痛到冷汗直流整個手都沒辦法再移動了第二天手關節裡面好像有水在流動馬上去掛急診看看位子是不是有跑掉S光片出來後沒有移動骨頭可是已經打了石膏為什麼會有卡卡的像骨頭又移動聲音而且只要手臂稍微動到就有八禁的疼痛請問這是正常的嗎謝謝醫師 | 您好 手肘脫臼 一般而言復位後用簡單的副木固定消腫即可 但是 若受傷嚴重 或合併韌帶損傷 是會造成肘關節不穩定 即使有石膏保護 也無法維持在復位狀態 有時 是須要手術的 | [
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| 避孕藥問題 | 醫生你好： 我有多囊性卵巢，醫生開悅己讓月經每月順利來，已經吃第二次了，但這次因為不見一顆所以只吃20天而已，在第20天時有極少量的咖啡色分泌物，持續了4天，請問在第5天時我要在吃新的一盒悅己嗎？還是繼續等月經是否會來？ | 是的，繼續服用即可。不用擔心，有問題請到婦產科門診。 | [
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| 子宮內膜異位症 | 陳醫師 您好： 我想請問一下，我女朋友今年１７歲，她時常跟我說她ｍｃ來的時候，會有劇烈的疼痛，今天我帶她去診所檢查，醫生說是“子宮虛弱”，說要吃藥調。我想請問一下醫師，這種方面的疾病的原因為何？那應該怎辦？藥會吃很久嗎？藥會有副作用嗎？ | 這可能性很多沒有親自看診無法給你回答，請向原看診醫師當面詢問。 | [
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5泌尿科
| 包皮問題 | 醫師您好，請問我包皮翻開後包皮內側上面（不在龜頭上）有兩、三個小紅點，非常小，其中一個像小紅疹稍微突起來，是我感染了性病嗎？它跟我旁邊的珍珠疹不太像，非常擔心. 還是清潔的不乾淨引起的，這幾天偏忙洗澡都隨便洗洗，沒有翻開洗。 | 您好 1如果有不安全性行為請就醫 2 如果沒有不安全性行為 保持清潔乾燥一天清水洗2次擦乾 如果有包皮不要尿後濕濕的. 祝健康. | [
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| 月經 | 上個月月經是22來，213有跟男友發生性行為，32月經沒來，34買驗孕棒測試沒有懷孕，以防萬一也去醫院做了檢查，醫生說沒有懷孕，吃了催經藥到310月經終於來了，但量比平常少，顏色是鮮紅色，用過驗孕棒測試沒有懷孕，請問這樣有可能會是假性月經嗎？ | 上個月月經是22來，213有跟男友發生性行為，32月經沒來，34買驗孕棒測試沒有懷孕，以防萬一也去醫院做了檢查，醫生說沒有懷孕，吃了催經藥到310月經終於來了，但量比平常少，顏色是鮮紅色，用過驗孕棒測試沒有懷孕，請問這樣有可能會是假性月經嗎？ Ans 是真月經 | [
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| 懷孕嗎？ | 上個月6月18號是月事時間，一般長達7天，週期是35天 ，7月8日破處，有全程戴套，破處後有出血但無深入，有頭暈頭痛，但沒有胸脹也沒有想吐，這個月還沒來。請問這樣會懷孕嗎？上個提問 沒有打清楚再補充。 | 上個月6月18號是月事時間，一般長達7天，週期是35天 ，7月8日破處，有全程戴套，破處後有出血但無深入，有頭暈頭痛，但沒有胸脹也沒有想吐，這個月還沒來。請問這樣會懷孕嗎？ Ans 7月8日破處，有全程戴套，這樣不會懷孕 | [
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| 避孕藥 | 有正常吃避孕藥1年了，月經也很正常來，但這個月月經只來一天比較多，但是是深紅色，其餘都是很少的咖啡色，到2天就沒了，停藥7天有感冒在吃消炎藥，這會影響月經嗎？如果吃事前避孕藥可以驗孕嗎？會有影響嗎？ | 正常吃避孕藥1年了，月經也很正常來，但這個月月經只來一天比較多，但是是深紅色，其餘都是很少的咖啡色，到2天就沒了，停藥7天有感冒在吃消炎藥，這會影響月經嗎？ Ans 感冒在吃消炎藥，或許會影響月經 如果吃事前避孕藥可以驗孕嗎？ Ans 可以驗孕 但需要嗎 會有影響嗎？ Ans 不會有影響 | [
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10兒科
| 小兒生殖器官 | 請問張醫師：我的小朋友二個月大，有陰囊積水的現象，請問平時該注意哪些照顧事宜，大哭會不會使情況更惡劣？另小兒從醫院回來後發現聲音啞啞的，醫生說是發音用力的方式及位置錯誤所致，請問該如何改善呢？會不會影響他將來學說話時的困難？謝謝您！ | 小梯子家長您問到 1.小朋友二個月大，有陰囊積水的現象，請問平時該注意哪些照顧事宜，大哭會不會使情況更惡劣？ 回答如下 陰囊積水在小男嬰的發生率約為12是液體聚積在陰囊中可在暗室中以手電筒照在陰囊部位可以看到像燈籠似的透亮樣. 小的陰囊積水不須特別的照顧治療通常可在1歲前吸收消失.大部分陰囊積水屬於此類. 大的陰囊積水或檢查時大小會改變的陰囊積水要懷疑是否有合併疝氣需要考慮外科治療. 目前健保對1歲以下的小Baby有4次健康檢查的福利在每次疫苗注射或健康檢查時可請就近學有專精的小兒科專科醫師作追蹤檢查若為單純小的陰囊積水只須追蹤.若要考慮外科治療可請您的小兒科專科醫師推薦醫師. 2.小兒從醫院回來後發現聲音啞啞的，醫生說是發音用力的方式及位置錯誤所致，請問該如何改善呢？會不會影響他將來學說話時的困難？ 回答如下 小baby發現聲音啞啞的沒有特別呼吸道問題需要考慮下列幾個常見原因 1.過度的聲音使用如哭的太久- 2.呼吸道感染造成的發炎反應- 3.外力造成的咽喉部受傷 4.單側的聲帶麻痺 5.急救插管後的聲帶受傷 6.其他原因如局部贅生物或外部腫瘤壓迫 其中1過度的聲音使用和2呼吸道感染造成的發炎反應-最為常見通常不需治療可自然痊癒可請就近學有專精的小兒科專科醫師作追蹤檢查若復原較慢通常需做喉鏡檢查. | [
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| 膝蓋問題 | 我之前踢足球摔倒，撞到鐵椅，碰一聲巨響，膝蓋當下不會痛，不過中央突起一塊，膝蓋明顯變形、無力，隔天膝蓋凸塊消失，但壓下會凹進去和有碎碎的感覺，後天極度劇痛，動不了，動了會超痛。我怕被罵，都沒跟父母講，不過膝蓋越來越腫，怎麼辦 | 可能因為挫傷造成膝關節的腫脹 如果持續腫脹不消 疼痛持續 或者會影響關節的活動就必續去看醫師 | [
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11營養教室
| 營養諮詢 | 我想要索取熱量表希望可以寄給我還有像麥當勞常有推出新產品你們有相關的資料嗎 | 不知妳要索取熱量表是要計算每日攝取多少熱量呢？還是要將體重控制在正常範圍IBW內若是後者則除了熱量表之外妳可能需要更多的營養諮詢無論如何熱量表可食物代換表可從苗栗醫院網站→營養諮詢→營養衛教→09糖尿病飲食→第三點之食物代換表得知網址httpwww.mil.tpg.gov.twdietetics09.htm 至於麥當勞的任何資訊妳皆可由麥當勞的網站中得知的。 | [
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| 懷孕嗎？ | 女友經期約28-29天 一次約6-7天 在月經結束後3天行房 未射精 有可能懷孕嗎 | 女友經期約28-29天 一次約6-7天 在月經結束後3天行房 未射精 有可能懷孕嗎 Ans有可能懷孕 | [
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2牙科
| 拔牙 | Dear 林醫生 醫生您好 我由於在31拔智齒 一路下來的時間軸為： 31 早上拔智齒 35 中午回診拆線 拔智齒的醫生也說我傷口表皮有點發炎 可以直接用消炎止痛藥壓住 可不用服抗生素。也因為我拔的那顆智齒有到齒槽骨神經 所以恢復期會長一點 但是當天傍晚智齒前面的前面那顆牙齒（第一大臼齒）卻非常疼痛 咬東西也有酸軟無力感 平常的話牙齒都有點脹痛感 通常用當天醫生開給我的消炎藥都能壓下去 消炎止痛藥為一天四次 飯後跟睡前 36早上起來 那顆牙齒平常就很正常了 但是按壓或是咬東西還是會有點痛感但還是可以忍受的 當天晚上我給牙醫師看 牙醫師看了我的X光還有敲過我的牙齒 他判定是要根管治療，因為下面的牙根尖有點開開的 他判斷細菌有可能在那邊導致發炎 到了目前為止（38 還是處於早上起床都沒感覺 可是到了吃飯時間不小心用到那顆牙齒還是會有酸軟感 但沒有35那麼強烈 吃完東西後 牙齒平常都開始會有腫脹感但不會痛 想請問醫生 我第一大臼齒的狀況 是不是真的要根管治療了呢……？還是是因為拔智齒的關係。 先謝謝醫生願意抽空解答我的問題∼ | 您好 建議還是先等智齒拔牙傷口復原完整後張口不會痛或擔心傷口撕裂傷，再做是否需進行前方臼齒根管治療的詳細檢查 | [
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0婦產科
| 懷孕嗎？ | 醫師您好，我射精在女友腳上，當下就擦掉了，後來大概2個小時後她到家有用酒精濕紙巾擦過，之後有碰到陰部，這樣有可能懷孕嗎？兩個小時殘留的精子死光了嗎？ | 射精在女友腳上，當下就擦掉了，後來大概2個小時後她到家有用酒精濕紙巾擦過，之後有碰到陰部，這樣有可能懷孕嗎？兩個小時殘留的精子死光了嗎？ Ans 精子應該死光了 | [
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13肝膽腸胃科
| 大便相關問題 | 醫生您好 最近幾天大概一個禮拜，早上都有大便大完還想在上的感覺，會再上ㄧ次、總共兩次就好了，但有時候晚上會在上一次並且都有排便，還有就是最近大出來的糞便都是一顆一顆的這情況有2.3個禮拜了，有一次還發現糞便上面有一絲絲血，請問這樣需不需要進一步檢查。備註半年前有胃食道逆流的情形有治療好，但後來好像又有輕微的狀況，還有那時候醫生有說我痔瘡，還有就是那時候大便從一天一次、變成早晚各一次。 | 您好 一顆一顆的糞便可能有便祕現象出現血絲或是要解二次以上都有可能為便祕所產生的症狀。可以多吃蔬果，補充水份，若沒有改善可以就診胃腸科。 彰化醫院關心您的健康 蔡安順醫師 | [
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5泌尿科
| 靜脈曲張 | 精索靜脈曲張能自慰嗎 會不會造成病情加重 精索靜脈曲張能打籃球或其他運動嗎 我是中度精索靜脈曲張，ㄧ定不孕嗎 精索靜脈曲張放著不管會怎樣 | 阿拉： 你好 增加腹部壓力，都可能影響疾病的嚴重程度。 懷疑不孕： 可以檢測荷爾蒙，精液分析。 若有疑慮，可以就近到醫療院所做相關檢測。 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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| 月經 | 你好，我一直都有用app紀錄經期的習慣，月經也一直都很規律，但這次已經遲了5天，我應該去婦科拿催經藥嗎？還是該怎麼辦？ 430是這次預計的第一天，但當天月經沒來，想說應該隔天就有了所以無套內射，但今天55還是沒有，從上次月經結束到430期間也沒有任何性交，請問這樣的懷孕機率大嗎？何時驗孕較準？ 曾在網絡上看過，一年1、2次月經沒來是正常的，請問是否屬實？ | 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，如果月經再超過1星期仍沒來，建議看婦產科。祝健康 | [
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11營養教室
| 營養諮詢 | 您好，我有朋友說飯後不能馬上吃水果， 對腸胃不好⋯ 而且空腹也不能吃水果⋯ 那這樣到底該如何掌握才是對的呢？ 或者什麼時候吃才是最好的時機呢？ | 您好 關於吃水果的時間其實要看個人狀況而定。 胃潰瘍的人，建議餐後吃水果，並且要少量多餐 糖尿病的患者可以兩餐當中吃水果，避免用完餐之後馬上吃水果當餐的血糖值會太高 減重的患者 可以在餐間吃點水果 避免正餐太餓 吃得太多 故個人的狀況問題不同，應該依照個別化作建議 沒有一定的答案喔 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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| 月經 | 醫生你好 我月經來前12天，會出血，下腹部會悶悶的不舒服，顏色是暗紅的，但是經期卻是正常時間來的，平時就有經痛的問題 還沒發生過性行為 請問為何會這樣？ | 提問者您好 影響月經週期或經期外出血的因素有很多，例如環境、生活作息、壓力、情緒不穩、飲食、年齡、子宮或子宮頸病灶、懷孕…等，建議您還是請婦產科醫師檢查是荷爾蒙失調或是早期懷孕較好，謝謝 祝 平安 健康 張 醫師 回 | [
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20中醫科
| 過敏性疾病 | 請問醫師 過敏性鼻炎可用用中藥治療嗎口服藥會不會太苦小朋友可不可以接受呢 | Selina你好 中醫藥對於過敏性鼻炎是有幫助的，但由於病因不同，有外感、有內因之別，有寒熱溫涼之差異，因此用藥也會不同，故須經中醫師的詳細診斷後才能對症下藥。至於藥物會不會太苦，如同上面所述，病因不同，用藥也不同，大多數的小朋友也都能接受。 彰化醫院 中醫科 馬易世醫師 | [
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0婦產科
| 避孕 | 醫師您好，我想請教關於事後避孕藥是否會造成經期延遲的情況 我本身經期不是非常穩定但平均約莫是24天來一次 上個月1102來過一次，1123又來 1216有發生過無套性行為但為體外射精不確定是否有沾到 因為怕懷孕所以在1218有吃事後避孕藥愛后定錠 月經本該在1216要來，但已經延遲4天還沒來 請問這樣懷孕的可能經期延遲的原因 | 找醫師檢查一下是否荷爾蒙紊亂 才能確定診斷. | [
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