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5泌尿科
| 精索靜脈曲張 | 生你好我想請問 精索靜脈曲張手術後兩個禮拜了 打球跑步要注意什麼，我跑步睪丸會墜痛. 請問跑步墜痛是屬於靜脈曲張的症狀嗎？ 會好嗎？ 我是運動員.不希望在這樣了 醫生可以建議應該要做什麼維護方法 | 建議術後休息一到三個月，方可運動較佳。 | [
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5泌尿科
| 尿尿問題 | 醫師您好， 我最近想尿尿的時候除了尿意之外還會覺得肚子有種很脹的感覺 如果是躺著的時候想尿尿的話有時候還會連平常尿急的感覺都不太有只有就是會覺得肚子不舒服 請問這是甚麼問題呢 | 您好 泌尿系統的感染、婦產科方面的問題（如骨盆腔感染或子宮肌瘤⋯）或是腸胃系統毛病都有可能。建議可以先至家醫科門診諮詢，祝安康 | [
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| 骨折術後 | 醫師您好 我在27發生車禍橈骨骨折靠近手腕隔天28手術植入鋼釘後，主治醫師看x光片說手術很成功，感恩。 我有幾點問題想請問您 1.術後多久要開始復健，我很怕不動會退化，動又怕會影響骨頭復原或鋼釘移位 2.如何把後遺症降至最低，容易造成風濕嗎？ 3.我手術後一個禮拜就沒固定了，但爬文其他患者醫師都建議骨折要固定不動，我是不是該固定回去因為大姆指剛好放在固定版的邊緣阻礙血液留通，大拇指放版子邊緣的地方長硬塊，我就自主把固定版拿下了 4.我現在手不能翻轉，也就是手掌無法朝上，這是正常嗎，靠意識要翻轉無痛感，但也翻不過去。 謝謝醫師解惑 | 如果植入的鋼釘固定的很好 1. 那麼手術後第二天就可以開始復健了 2. 骨折手術復位良好 發生創傷性關節炎的機會就會比較少 將來也比較不會痛 3. 不需要再用護木了 4. 剛開完刀手腕的活動度不夠是正常的 需要持續的復健才會改善的 | [
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8乳房甲狀腺科
| 胸部問題 | 我昨天躺著突然發現 右胸部 上方 有一塊硬硬的 用力壓捏會有點痛 月經也不太正常。上次月經經量少 顏色有點暗 只有上廁所時才會有鮮紅色，那請問我這是什麼症狀 | Dear Amy 不知與月經週期的關係為何，有時是局部乳腺、乳管增生或纖維腺所致在荷爾蒙平衡異常時若有變大、變小的情形，則為良性變化，所以注意有持續存在或持續變大，有時需至門診檢查。 | [
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13肝膽腸胃科
| 腹部問題 | 林醫師你好： 請問我最近常常在胃部肋骨中間那裏有時感覺會有針在刺的那種感覺，但不是痛的感覺'像是抽筋，但感覺不是一直持續的，有時是換動作時才會有這樣的感覺，我曾經去看過胸腔科，醫師說我是壓力大，所以會有神經痛的問題，但是我還是會有這樣的狀況發生，所以我很擔心我的腸胃或著肝是不是有什麼問題，還有這種感覺有時候會發生在剛剛說的部位的左右邊，大概是肝的部份，左邊應該算是胰臟的部位吧大概是胸腔跟腹腔的交接那裡，那邊的橫切三個點，並且有時吃東西後會覺得好像是消化不良、或著是吃太脹的感覺，腹部也會常發出咕嚕咕嚕的聲音，還有就是很會放屁的也很臭，不知道是不是我的飲食習慣的問題，最後一個問題就是，有時大便在擦屁股的時候會有血，那種感覺就像是我們皮膚擦傷用衛生紙擦過的感覺量不是很多，但是並不是每次上廁所都會有血跡，是有時有有時沒有，請問我是因為有痔瘡嗎？最後 我的身高是180公分，體重100公斤 職業是電腦維修所以整天都是坐著或著就是搬電腦，先感謝林醫師幫我解決問題。 | 您的三個問題： 1.有時大便有血，為直腸肛門的問題，常見為痔瘡、肛裂、腫瘤、息肉發炎，建議不要經常坐著，要適度運動，少吃辛辣、刺激性食物，可作直腸鏡或肛門鏡檢查。 2.肋骨中間、胃部左右邊常刺痛，有可能神經痛，因神經沿兩側肋線分部，但附近器官包括：胃、十二指腸、肝、膽道系統、胰等器官，器官功能性與器質性病變也會有疼痛感，如經常疼痛，建議就醫安排檢查。 3.吃完東西，消化不良、腹脹、腹鳴、放屁等，可能是腸胃機能障礙，與飲食、情緒有關，建議養成良好的飲食習慣，細嚼慢嚥，少吃油炸、辛辣食物及碳酸飲料。 祝健康 | [
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11營養教室
| 營養諮詢 | 請問鈉的下限攝取量是多少 食藥署只寫上限是2400mg 美國好像是上限不要超過2000mg 但不吃鈉也會出問題 太多太少都不好但都只寫上限沒有下限 建議量到底是多少呢 謝謝 | 您好 一般鹽的建議量6克，相當於2400mg鈉，一般天然食物不添加鹽，食物中含鈉量約有3克，故調味食物的鹽分攝取，建議大約最少為3克，能補足一日身體所需。 缺乏鈉，人可能會有無力情況，故長期管灌的患者也會建議需要適量補充。 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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6骨科
| 手指問題 | 傷口好了，但碰到就要痛，己經一個多月了 | 您好， 如果一個月還痛建議X光追蹤檢查， 此類頓挫傷，有時須二至三個月才會轉不痛。 彰化醫院 關心您的健康 王守吉 | [
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5泌尿科
| 精液 | 請問一下，我近幾個月，diy射出來的精液是黃色的 請問這是原因造成的。謝謝 | 如多次嘗試射精精液仍持續為黃色 且有合併射精疼痛不舒服之情形 宜至泌尿科做一下精液分析 以排除感染的可能性. | [
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0婦產科
| 避孕藥 | 月經24天 715與男友愛愛 有戴保險套 拔出來好像有漏出一些 男友去買艾伊樂 在一小時內吃了 吃完到現在 都沒有出血 會不會懷孕了 我作息都不正常 晚睡 也有些壓力 會不會有關係 月經週期也不太穩定 吃事後藥月經也會晚來嗎？ | 您好 事後避孕藥有些時候會造成亂經，最好要做事前的避孕措施，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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23麻醉科
| 麻醉 | 醫生我想請問一下， 我在12月1日下午在右腹部動脫腸手術（下半身麻醉）， 從我出院至今已經快20天了，我傷口下方鼠蹊部還是一點感覺都沒有， 請問這樣是正常的嗎？如果是正常的，那為什麼會這樣呢？ | 您好 下半身麻醉 有時會有暫時性神經症候群 通常在下肢 ㄧ星期到一月 會好轉 您的情形可以直接請教叫手術醫生 相信手術醫生會回覆. | [
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5泌尿科
| 皰疹問題 | 主任您好 我想請問 我現在目前的狀況 是這樣的 昨天男友來找我 看他嘴角有白白的 詢問後 他回答是泡疹 有看醫生擦藥 醫生說 免疫力下降 睡眠不足引起 晚上關燈準備就寢 幫他口交 發現他剃陰毛？！ 開電燈 一看 他的陰莖分為二分之一 一半呈現紅腫狀態 另一半 正常 問他這是怎麼回事 他說 醫生說他是包皮過長 陰莖發炎 醫生建議割包皮 但不是啊！ 我覺得很奇怪 包皮過長導致陰莖發炎 有必要剃陰毛嗎？我不懂 好啦∼ 就這樣被他唬一唬 我也就這麼被帶過了 也發生了性關係 （全程戴套） 我想發問的問題是 1我吃東西有咬到舌頭 嘴巴有傷口的狀況下 跟有泡疹的嘴唇舌吻 還幫跟疑似有陰莖炎的下體口交 我鐵定中了吧？？！！ 我嘴巴是中泡疹還是陰莖炎的病毒？！ 2他的下體 沒有像泡疹那樣的疹狀 只有紅腫 所以那到底是什麼？他跟別人亂來的機率很高吧？！哪這麼巧 嘴巴中皰疹 下體又這麼剛好紅腫發炎 | 體液交換的確是有可能感染泡疹 但是嘴角的泡疹很多人都可能得過盛行率很高 是不是陰莖炎就不清楚了 因為沒有看到病兆 發炎 過敏 藥物反應 感染 局部充血 .都可能 | [
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10兒科
| 小兒腎臟 | 張醫生您好 我女兒現在己11個月大了她在4月個時有一天我發現她整天沒啥尿尿那天她食慾也不好沒喝什麼牛奶第二天我帶她去醫院做腎臟超音波醫生告訴我她左邊腎臟有輕微水腎尚是可接受範圍半年後再複檢今天我又帶她去複檢左邊依舊有水腎現象以後每半年檢查一次看到3歲會不會有改善再決定如何治療何謂水腎為何會有水腎1至3歲有水腎對我女兒會有何影嚮若有影嚮這段期間我要如何降低影嚮會影嚮她以後的生活嗎我要注意什麼若到3歲沒改善要如何治療對她最好謝謝回答 一個擔心的媽媽94.10.07 | 您好 擔心的媽媽您好 水腎是指腎臟的腎盂部分擴大。腎盂是腎臟製造出來的尿液經由集尿系統滙入輸尿管膀胱的這段路程中在腎臟內的狹窄或是完全的阻塞時腎盂就會被堆積的尿液撐大即是所謂的水腎原理就像河流某處若被大石頭塞住上方就會產生個小水塘一樣。 最常見發生狹窄的地方是在腎盂和輸尿管的交接處，若只是輕微或部分的狹窄基本上整個通路仍是暢通的這時只會有程度輕微的水腎水腎也不會有太大變化對腎臟功能也不會有影響對健康也沒有防礙唯一考慮的是因會尿液會先蓄積在腎盂一段時間才排出泌尿道感染的機會會稍微高一點點。但是若狹窄的情形很嚴重或者為完全阻塞水腎就會在小朋友剛出生不久數日到數週出現而且在腎臟超音波下水腎會愈來愈大程度嚴重這時則需要密切追蹤並安排更進一步的核醫檢查及外科照會。 單純的輕微水腎對小朋友的生長及健康不會有影響也不太需要進步的核醫檢查生活上要注意的是若小朋友有不明原因發燒多日要帶到醫院驗尿作細菌培養以排除泌尿道感染的可能性。 其它的就是要繼續追蹤腎臟超音波約半年到一年一次輕微的水腎常會隨小朋友年紀增長而自然消失。 小兒科張培鑫醫師敬覆 | [
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1精神科
| 焦慮 | 醫師您好，想請問 約莫於去年20169月某天起床發生了一次大暈眩，嚇了一跳，趕緊再躺下休息一會兒就好了。 但那天之後我好像中邪一般，開始覺得每天都在暈眩，但實際上並沒有，應該說那股"暈眩感覺"一直縈繞在腦中揮散不去。出外都會覺得害怕，很怕又再發生。 有去神經內科.耳鼻喉科及心臟內科檢查，除了有輕微二尖瓣脫垂外皆無問題。之後輾轉至身心科，醫師診斷是焦慮症及"接近"恐慌症，開了樂穩lowen給我，也就這樣吃到現在，情況沒惡化但也沒改善，出外還是會害怕但運動不會，之後醫生便覺得或許我血清素不太夠，有傾向開抗憂鬱藥物給我，但我很確定自己無憂鬱傾向。 想請問醫師如何面對這樣的問題，不太像實際恐慌症，但也沒憂鬱症，有點苦惱，請醫師撥空解答謝謝 | 阿維你好 血清素回收抑制劑對於治療恐慌、焦慮、憂鬱都有效，焦慮有可能會產生類似的症狀。不過此類藥物通常要持續服用三到六週之後效果才會穩定，建議可以耐心配合治療，同時盡量如常的活動。若還有什麼疑問，建議可在回診時與醫師當面討論。 祝福你早日復原 | [
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| 避孕藥 | 醫生你好 目前我已經服用婦產科醫生開給我的事前藥（nordiol estradiol ）3個月了，因為副作用影響，所以想改成吃別的牌子試試看，我原本的藥都是在月經來的第五天開始服用第一顆，如果想要改成服用市面上賣的事前藥‘玫麗安’、那我該在什麼時候開始服用呢？且請問如果是這樣換牌子吃會影響避孕效果嗎？ | 您好 一樣是從月經的第五天開始吃藥，不影響避孕效果。祝健康 | [
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| 懷孕嗎？ | 我這個月的月經是43號來的，排卵期是416來的，我和朋友做愛他有內射，但我有在24小時內吃事後避孕藥會有效果嗎？ 我很怕會懷孕，有解決方法嗎？ | 親愛的阿鄧您好： 事後避孕藥在性行為72小時內服用，離性行為越近效果越好，但避孕效果不是100，你該做的處理已完成，不過你的月經如果延遲一周以上，還是建議驗孕，之後還是建議你使用事前避孕藥加上保險套使用，效果較好，對身體影響也較少，有其他疑問再麻煩至婦產科就診。 南投醫院婦產科 黃子菲醫師 | [
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5泌尿科
| 菜花(尖性濕疣) | 我在懷孕38週時被醫生診斷出有菜花，但我和我先生在外面都沒有亂來，只是先生會在外面坐公廁，也不是每天洗澡。為了寶寶的健康我選擇剖腹生產並做了電燒治療，15天後追蹤無復發狀況。想要請問 1.因為生產後有惡露，雖然我都穿免洗內褲，但有次不小心惡露流到床單上，也擔心先生應該也有只是沒發病，我很害怕床單上有病毒也不敢把寶寶放在床上，也覺得自已的衣物都很髒，都要換過衣服才敢抱寶寶。請問我該怎麼清潔我的衣服床單才能殺死這病毒 2.平常要怎麼注意清潔才能避免傳染給寶寶 3.先生部份是不是也該去做檢查 4.我的惡露會有病毒嗎 5.此病毒離開人體後能存活多久呢 6.與家人的衣物是不是要分開清洗 | nana 你好 1.可以用漂白水作消毒。 2.多洗手。貼身衣物都用熱水泡過，方便的話，再使用漂白水。 3.建議夫妻雙方都檢查 4.惡露是否有病毒？不知道。 5.看環境，若乾燥環境，大約數小時到24小時。潮濕環境可能更久。 6.當然可以這樣作，不過，經由衣物傳染的機會不高。建議，小孩子的衣服分開洗就可以了。 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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| 事後避孕丸 | 詹醫師您好： 請問服用事後避孕藥之後，到等待月經來到前的這一段時間，如果持續有性行為且無使用保險套，是否仍有一定的避孕效果，而無懷孕之慮其仍有可能受孕的機率大約為何呢 謝謝您撥空回答 | 還是有效但至於機會多少則無統計資料可查。 如果是性行為後72小時內馬上服用的話則大約是九成有效。 | [
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| 驗孕 | 醫生您好，想請問一下 228在排卵期前一天性行為無帶戴套，有射精，隔天應該是25小時左右又吃事後藥，無任何不舒服副作用反應。 312有驗孕，結果是一條線，請問這個結果準確嗎？ 月經應該是315左右要來，經期一直都很穩定，但還是會怕怕的⋯ 謝謝 | 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，如果月經該來沒來再超過1星期仍沒來，建議看婦產科。祝健康 | [
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16腫瘤科
| 淋巴組織癌 | 請問以上的病作化療一般要多久時間大概幾個禮拜為一週期發生位置是在頸部若表皮的腫瘤已消只剩內部還有硬塊痊癒的機率有多大會不會再復發復發的機率有多大 | 您好 1.根據您提供的資料難以判斷是 a.頸部淋巴結的未分化惡化腫瘤原發部位不明但懷疑是頭頸部癌症併發頸部淋巴結. b.淋巴癌發作於頸部. 2.請提供病理報告以作更進一步的建議. 3.一般化療3個月為一療程每周一次或3-4周一次. 4.若治療後3個月還剩頸部腫瘤可手術切除以減少再發機率也可考慮放射治療請與您的醫師商量. 5.若化療後還有存在腫瘤則100會再發若切除乾淨後再做放射治療則復發機率降低非常多但必須看您的病理報告才知道. 腫瘤科陳斯榮醫師敬覆 | [
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4心臟血管專科
| 自律神經失調 | 醫師您好 我一年半前曾於貴院做過心臟超音波，經診斷為二尖瓣閉鎖不全是否也有脫垂我忘了，容易心悸、胸悶、左邊胸部下方常抽痛。 而在大概一年前，有時運動心跳加速時如爬樓梯，假如其跳動規律本來因該為砰砰砰砰，但有時就會突然變成砰砰砰，或是變成砰砰砰砰砰，突然少了一下 或是多了一下，且多出來或少的那一下會特別大力，感覺心臟要從胸口跳出來一樣。 於最近幾個月這個狀況越來越頻繁，由於本身抽煙已經10年，且作息也不怎麼規律，不知是否因此而產生心率不整，所以想向醫師請教 並請問心臟病是否容易引起精神疾病呢又或是泌尿系統疾病如頻尿，本身也有這個問題，但做過尿液檢查及細菌檢查，都不是膀胱的問題。 | 你好 聽你的描述確實為心律不整 不過一般正常的人也可能偶而有心律不整的狀況 特別是容易發生在生活壓力增加，吃具刺激性的飲食的人身上 建議改善生活習慣看看 另外，心臟的問題似乎和精神疾病及頻尿的問題無關 祝早日康復 | [
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4心臟血管專科
| 心跳問題 | 今年18歲，我的心跳平均一分鐘50下，年輕人心跳這麼慢有關係嗎？（媽媽那邊的家族有心臟病史） 另外，常常感覺心跳大力到整個身體都會晃，這樣是沒關係的嗎？ | 您好 天然的最好 如果您一直以來心跳都是如此 年輕人心跳這麼慢沒有關係 和平相處即可 無需緊張 平安 彰化醫院關心您 | [
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0婦產科
| 驗孕問題 | 和男友在525有性行為 有戴套但精液有點多 不確定有沒有從後面漏出 在62驗孕為一條線 結果是可以放心的嗎？ | 您好 再等一星期，再驗一次才準。祝健康 | [
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| 懷孕機率 | 六月生理期都沒有來，因為出門所以在 619 - 623有吃延經藥，622 有性行為 ，有戴套無內射 在630 - 75。有生理期，顏色是深紅前幾天量較多， 可以確定是月經嗎？ 如果確定月底是月經，那22號就根本無懷孕可能嗎？ 還是要在下一次有沒有月經才知道這次22號的行為有沒有懷孕？ 22號行為，如果有懷孕是不是630號就不會有生理期？ | 六月生理期都沒有來，因為出門所以在 619 - 623有吃延經藥，622 有性行為 ，有戴套無內射 在630 - 75。有生理期，顏色是深紅前幾天量較多， 可以確定是月經嗎？ Ans 可以 如果確定月底是月經，那22號就根本無懷孕可能嗎？ Ans 是 還是要在下一次有沒有月經才知道這次22號的行為有沒有懷孕？ Ans 不需要 22號行為，如果有懷孕是不是630號就不會有生理期？ Ans 是 | [
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0婦產科
| 避孕 | 請問醫生，我是於1016mc第一天來，1018開始口服悅姿避孕藥，每天都正常服藥。先生於1027有性交內射，他已於9月份有做結紮，到1027前為止結紮後射精有達30次。但為了結育，還是擔心自己懷孕，請問壞孕機會應該不大對吧。事前口服避孕藥是否有效果。麻煩指點迷津。謝謝 | 您好 避孕藥從月經來的第五天開始吃，不必很準時，大約時間即可，有按時吃就有避孕效果，而且先生結紮，懷孕機會不大請放心。祝健康 | [
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| 大腿骨折 | 我大腿中斷粉粹性骨折已經1年半了還沒完全恢復是正常嗎 中間是沒有縫隙了只是形狀是類似橄欖球的形狀 能正常走路 這樣我去工作會礙到嗎 還是不建議工作 現在做保全 有嘗試要做水電. 會不會有第二次斷掉的風險 我裝的鐵是自費的比較牢固！ | 阿翔你好，股骨骨折是嚴重骨折，若已一年半覺得還未恢復請至骨科門診！ | [
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6骨科
| 膝蓋問題 | 請比較開不開刀的利弊 | 膝蓋軟骨瘤開刀的原則為有影響膝關節運動功能或腫瘤愈來愈大或疼痛影響生活品質但詳細情況請您仍請教骨科醫師並確立診斷.謝謝您的來函. | [
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| 月經問題 | 您好， 我五月生完小孩後，七月開始來生理期，七月八月生理期都量很多，但到了九月的每個月後量到結束都一點點。 11月初有去長庚照超音波，但醫師照完後說沒問題。 這個月12月生理期血一樣只有一點點。 我的身高是152cm，體重38公斤，試否也跟體重太輕有關？ 目前都沒有和先生行房。 以後打算還想懷孕，會不會對下次懷孕有影響？ | 您好 體重太瘦或太重，有可能造成月經失調，如果月經還規律，應該是可以觀察，一般是不影響受孕。祝健康 | [
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6骨科
| 關節 | 醫生您好，我最近被診斷出僵直性脊椎炎（X光骶髂關節雙側2級、HLA-B27 陽性），但我已經 52 歲了，我的年紀EX：膝蓋、髖部、腳踝等關節如有不適，即使沒有受傷史，也很有可能因為退化、運動傷害或是長期姿勢不良等原因造成。請問若遇到關節不舒服，如何判斷是僵直性脊椎炎發作造成，還是其他因素造成？應該到哪個科別就診？謝謝 | 應該看骨科 先照X光片看看 如果關節已經破壞掉了就可能是退化或僵直性脊椎炎造成了 這兩種疾病的X光變化是不同的 可以請專科醫師來判斷 通常髖關節比較常見有關節炎 其次為膝關節 如果非常嚴重可以考慮手術治療 | [
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0婦產科
| 避孕 | 醫師您好，想請問如果性行為全程都帶保險套，要射的時候拔出來射在保險套裡面，假設說沒有破，應是不可能懷孕吧？保險套搭配事前避孕藥避孕效果夠好嗎？ | 1. 性行為全程都帶保險套，要射的時候拔出來射在保險套裡面，假設說沒有破，應是不可能懷孕吧？ Ans 是不可能懷孕 2. 保險套搭配事前避孕藥避孕效果夠好嗎？ Ans 避孕效果夠好 | [
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5泌尿科
| 龜頭問題 | 不好意思 我是之前問包皮龜頭不好分開的 還有問題想問醫生 我的龜頭上沒有黏液 純粹就是包皮跟龜頭有點貼住 但還是可以分開 分開時也沒有甚麼不適的感覺 所以就只是清洗過度嗎 我想我應該沒有其他發炎症狀吧 因為最近那裏也沒有痛或癢 小便時也沒有感覺灼熱或痛 也沒有甚麼分泌物 我昨天有擦一些乳液 今天狀況似乎有好一點 請問是不是多擦幾天就會好了 | 阿魯： 你好 是的，我認為是清潔過度，造成表皮輕微受損，不斷做修補的結果。比較敏感的人，會覺得局部很癢，這些都是修復的症狀。 一般保養2週，大概就完全復原了。 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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5泌尿科
| 包皮問題 | 醫生你好 我這幾天有到大醫院看醫生 我的包皮是黏在冠狀溝上 醫生說我不需要開刀 也有給我一個是擦眼睛的藥膏 看可不可以讓我退下去 請問這要怎麼擦比較好 用藥膏褪的了包皮嗎 我已經19了 | 您好 早上清水沖洗 擦乾 藥膏擦在黏住的皮上 晚上可泡溫水15分鐘再試分開由2側拉開 如果會有傷口很痛就暫停記得此時再擦藥膏因為可能有小的傷口 2天重覆 . 如果1個月都分不開 可能要去醫院. 看後續如何處理. 祝健康. | [
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10兒科
| 寶寶生長發育 | 您好 我想請教一個問題 朋友的小孩，出生大概一個月，一個小動作就很容易臉紅 因為已經有問過醫生，醫生說應該不會有什麼問題 不過他跟一般的小孩不太一樣 有時候一個哈欠、掙扎一下或者皺一下臉就整個臉都紅的 有時候更誇張還會有點紫紫的 請問一下，不知道這樣是不是正常的 謝謝您 | 小兒科張國珍醫師回覆如下 小baby有問題的確需要格外的小心注意 網友所提的這個問題其實需要臨床醫師 當面的小心評估才好回答 但聽起來應該是沒太大問題才對 因為小baby有問題時也常常會有 活力變差及食量減少的情形 若有這兩個問題出現就真的要小心注意 若只是”一動作就很容易臉紅”應屬正常 再觀察即可 敬祝平安 | [
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7耳鼻喉科
| 喉嚨問題 | 醫生好 我過去感冒都是靠自癒和成藥 最近一次感冒是在二月，我吃了成藥就讓自己慢慢好 都沒有去看醫生 平常早晚有時會有鼻塞，喉嚨偶爾會有卡痰 ，平常也有鼻涕 但今早我感覺喉嚨有異物，不知道是從喉嚨跑上來的 還是從鼻腔 吐出來之後長這樣 httpsibb.cozrfydQN 我摸了一下 他感覺不像液體，更像是一個固體， 反而用手可以去撥弄，圖片中就是我折起來的樣子 感覺像是一個薄膜 周圍帶著像痰的物體， 味道無臭， 是一般的鼻涕 痰 那種味道 最近一週的作息偏晚睡，偶爾飲酒 約一個月一次，無抽煙習慣，無下廚房 網路上的案例都是液態痰 第一次遇到這種情況 還挺擔心的 想請問醫生的看法 謝謝醫師 | 通常這是乾掉的鼻膿或痰 若是鼻膿則您可能有急慢性鼻竇炎 若是痰可能要請您去胸腔科門診 祝平安 | [
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19神經內科
| 運動後問題 | 醫師您好，我前天上武術課程頭部有受到輕微撞擊，當日完全沒有任何不適。昨日起床頭部有極度輕微的壓迫感（幾乎沒感覺），整體有一種飄飄的感覺，精神也不太好。沒有頭痛、頭暈或走路不穩症狀。今早起床好很多，但低頭拿東西時瞬間有暈眩感，起身就隨即消失了。 因當日有背、肩、頸部的高強度訓練，所以到現在脖子肌肉也很痠痛。想請問醫生這是腦震盪還是頸因性眩暈？是否需要就醫或再觀察？非常謝謝您。 | 您好 我覺得您的症狀可以再觀察即可 若有出現新的頭痛、頭暈、嘔吐、意識改變等症狀則須立刻就醫 謝謝您的提問 | [
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3藥物
| 藥物治療 | 請問1、腸病毒可不可以用類固醇來治療？為什麼？ 2、有diabetes的病人可用steroids來治療媽？為什麼 3、什麼是蠶豆症？可以治療痊癒？如何治療？ 4、胃潰瘍的病患為何不可吃稀飯？ | 一、腸病毒可不可以用類固醇來治療？為什麼？ 答：類固醇治療乃針對克沙奇病毒性心肌炎感染患者。但嬰幼兒若以類固醇治療，會有嚴重之副作用，嚴重將導致死亡。 二、有diabetes的病人可用steroids來治療嗎？為什麼 答：糖尿病應使用降血糖藥物治療，並非使用類固醇，反倒是有嚴重糖尿病的患者禁止使用類固醇。因為類固醇會增加糖質新生作用及增加血漿中葡萄糖的濃度，而致血糖濃度上升，反而會誘發糖尿病，您不得不謹慎。糖尿病患者若有其他疾患如腎上腺功能不足、關節炎、結締組織病、先天性腎皮質增生等，若必須每天使用類固醇時，則每天之胰島素或口服降糖藥劑量宜增加，類固醇為隔日給藥時，則只須在用類固醇之日增加糖尿病藥量，不過在您增加劑量時，應先洽詢醫師。 三、什麼是蠶豆症？可以治療痊癒？如何治療？ 答：G-6-PD缺乏症全名稱為「葡萄糖六磷酸鹽脫氫酵素缺乏症」，俗稱為「蠶豆症」，葡萄糖六磷酸鹽脫氫酵素（即G-6-PD）是一種酵素，它在人體內協助葡萄糖進行新陳代謝，而在此過程中產生一種保護紅血球的物質，以對抗某些特別的氧化物，患此症的人，因缺乏這種酵素，使紅血球容易受到某些特定物質的破壞而發生溶血，如程度嚴重即發生急性溶血性貧血。 由於這種先天代謝的疾病是染色體基因異常，致紅血球內葡萄糖六磷酸鹽脫氫酵素缺乏所致。輕微的新生兒黃疸只需照光治療，而輕微的急性溶血通常為自限性疾病，只需要給予支持性的治療。但是新生兒黃疸或是溶血厲害時有時會需要輸血及換血。當溶血厲害引起血紅素尿時，則需要注意水分的補充，以免造成腎臟的傷害。不管新生兒黃疸或是急性溶血，只要給予適當的治療，通常很快就會恢復健康，不會留下後遺症。但蠶豆症由於是基因缺陷所致，所以，目前沒有治癒的方法。但只要日常生活中注意下列事項即可避免發生溶血現象： 1.不隨意服藥，所有藥物均需經由醫師處方。 2.避免吃蠶豆或蠶豆製品。 3.衣櫥廁所不可放臭丸。 4.不要使用龍膽紫（紫藥水）。 5.假若發現有黃疸或臉色蒼白或尿液呈暗紅色或茶色現象，速帶往醫院診治 6.看病時，應主動告訴醫護人員小孩患有此症，並出示G-6-PD缺乏症備忘卡。 四、胃潰瘍的病患為何不可吃稀飯？ 答：因為吃一堆含水多的稀飯，會造成胃部膨脹及脹氣感，反而會造成胃疼痛感。 | [
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5泌尿科
| 包皮問題 | 醫師好，前幾天我和女朋友一起洗澡的時候，她幫我清洗龜頭和包皮，然後我感覺到很敏感不太舒服。過後我們就帶套進行性行為。完事過後這幾天洗澡發現龜頭沒有完全被包皮包著，導致龜頭外露（但露出的部分是在冠狀溝以上）。這幾天穿褲碰到都會有些疼痛和很敏感，這幾天下來有比較好了，可是有露出來，而且龜頭有脫很薄的皮。請問醫師我該怎麼辦 | 聽起來似乎沒有問題.只是稍微發炎 . 如有問題建議還是要去泌尿科檢查才知道. | [
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| 陰莖問題 | 醫生你好 我長久以來都有瀕尿問題約１９歲至今 另人覺得很煩 .期間也看了不少中醫或西醫 但都沒啥進展 .每次上廁所但要尿很久 但量都不多且需用力 1. 請問醫生我需要去照膀胱鏡嗎 .照膀胱鏡會很痛嗎 是要怎樣執行的ㄚ 2. 我有在網路上看到有一種新的超精準攝頻療法 不知是否適合我 感謝醫生回答 . lyss | LYSS： 你好 我想，最有可能的疾病，應該是尿道狹窄。其他像是膀胱的功能障礙、神經問題等，都有可能。 膀胱鏡，可以檢查尿道、攝護腺、膀胱以及兩側的輸尿管排出的尿液顏色等。是一個很簡單，效果很好的項目。 當然，檢查的時間，大約5分鐘左右，一般只要局部塗抹麻醉就可以了，需要的話，可以請麻醉醫師，作適當的麻醉。 超精準射頻療法？我不知道，（可能是翻譯的問題）無法給你建議。 真的是尿道狹窄的話，手術很簡單，只要利用膀胱鏡，加上適當的切開器具組，切開後，很快就恢復，住院大約3-5天，手術時間大約10-20分鐘左右。 註：以上給你參考 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
| 性病 | 醫師好 最近上網赫然發現性病有些可以透過接觸感染而不是性行為（菜花之類的） 例如接觸公廁的東西或是患者個人的衛浴東西 只是少數而已 我現在住在員工宿舍 因為冷氣24小時開著 基本上我們衣服洗好都晾在床邊很快就乾 那我對面床的室友習慣把他的浴巾也掛著 因為空間不大有時候他洗完澡要晾浴巾的時候 浴巾會碰觸到我掛著的衣服還有內褲 先假設他有菜花或是性病的話 那他擦過的浴巾可能沾有病原體結果碰到我的內褲衣物 這樣我再拿去穿的時候會不會也被傳染到？ | 您好 前提是對方有菜花 且接觸也以皮膚對皮膚傳染為主 如您所說的間接又間接的機會不太可能. 祝健康 | [
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0婦產科
| 懷孕機率 | 月經平均週期24天 一次來6天左右 預計排卵日在1224 這個月月經1216來 我跟男友在1217有嘗試破處（無套 大概只有進去一個龜頭多一點點 抽插不到1分鐘 而在這之前的半小時到一小時之內 我有幫男友口 並有射精 這樣懷孕機率很大嗎？ 今天1222經期已結束 肚子還是悶悶的有刺痛感 且腰痠 胸部刺痛 請問這是心理作用嗎？還是懷孕徵兆？ 需要驗孕嗎？如需要，什麼時候該驗孕呢？ 我真的好緊張 感謝醫生抽空回答 | 您好 應該是不會懷孕。祝你健康 | [
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5泌尿科
| 泌尿道感染 | 醫生你好 我是昨天發問的那個疑似尿道炎患者 昨天發問完以後 晚上有點害怕 就跑去看醫生 但是因為昨天晚上我這邊的泌尿科幾乎都沒看 所以我媽就帶我去看一個她認識的醫生 聽我媽說 那個醫生應該會看 那個醫生聽完我的病症 還叫我脫下褲子 給他看龜頭前端那個紅圈 他也是說應該是尿道發炎 給我打了一針消炎針 跟 藥 他的藥量給到禮拜一 他說這樣應該就可以好了 今天不放心 又跑去掛號泌尿科 那個醫生檢驗尿液結果 說沒問題 應該是輕微發炎 我給他看昨天那個醫生所開的藥 他看了 說沒問題 就吃那個藥就好 我想問一下 大概多久會好 真的到禮拜一就好了嗎 如果好了 龜頭前端那紅腫處 會消失吧 目前打了針 吃了4次藥 感覺有好一點了 但是有時候會有很輕微的痛覺 這正常嗎 感謝醫生的回答 | 1111： 你好 一般尿道炎，治療期間從3天到14天甚至更久都有可能。但是大多數只要7-10天又可以了。 可以看培養報告決定使用抗生素的期間。 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
| 膝蓋問題 | 先前因車禍，而膝蓋有受傷，有照過X光，急診醫師表示沒有傷到骨頭，三個多月了，膝蓋有壓覺、痛覺但感受不到冷熱變化，請問這該如何是好呢？ | 膝關節挫傷之後可能傷到了皮膚表淺的神經 這就會造成皮膚的感覺異常 可以繼續觀察看看 有時候在半年或一年左右會慢慢恢復的 也可以吃一些促進血液循環的藥物 或者吃活性維他命B12可以幫助神經的修復 這些都可能有一點點幫助的 可以試試看 | [
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| 懷孕 | 想請問醫生 我的上一次月經是7月27晚上來的 最少要5天 長至7天才會來乾淨 在8月6日早上11點左右和男友性接觸 他用陰莖抵著我的陰部外面磨蹭 無套 陰莖前端有分泌物 事後有排尿和沖澡 想請問懷孕機率大不大 如果驗孕正常也有來月經 可以確定完全沒懷孕嗎 | 翎小姐你好： 不大可能懷孕。何況你驗孕也沒有懷孕，也來月經。可以完全確定沒有懷孕。 | [
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5泌尿科
| 尿道感染 | 前正子跟女友發生性行為，隔兩天女友告知我，身體不舒服，她說莫名發燒，全身沒力，全身長疹子，很癢，到了醫院去做檢查，有抽血跟驗尿，醫生診斷是泌尿道感染，尿道有細菌的反應，我在網路上卻沒有看到泌尿道感染會長疹子的案例，女友也說，從來沒有皮膚過敏，跟長過疹子，回診的時候我問醫生，醫生跟我說可能是體質改變，後來在網路上看到愛滋病的症狀，以上幾點都符合愛滋潛伏期的症狀，我懷疑女友有愛滋病，我想請問醫生，泌尿道感染會長疹子嗎？細菌培養出來有細菌，就是泌尿道感染嗎？，因為醫生沒說是什麼細菌，只說出現細菌反應，那這細菌會是hiv病毒嗎？ | 您好 1泌尿道感染不會起疹子 但是有可能同時有2個疾病一個是泌尿道感染一個是過敏起疹子.2細菌培養出來有細菌就屬泌尿道感染了 除非在留尿時很不小心接觸其他的多量細菌 3 hiv 病毒非培養診斷 要靠抽血 所以建議真有懷疑要就醫抽血檢查. 祝健康. | [
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7耳鼻喉科
| 打鼾 | 請問醫生 聽說打鼾-無線電電波短波的治療 需自費 請問費用約多少ㄋ 那兒可治療ㄋ | 您好 本院有無線電波的治療 費用約1萬多元. 建議您仍須與醫師討論 才決定治療的方式. 胡克信醫師敬覆 | [
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5泌尿科
| 肛交 | 醫師您好 病史：男性肛交過程中沒使用潤滑（有用過一次口水）但全程使用保險套，事後有流血且過幾天後開始疼痛、大便上有白色黏液、微出血。 想請問 使用口水潤滑是否會傳染性病？ 上述病史是否是性病或是肛裂導致？ | 您好：只要有體液接觸就有可能，要小心，祝健康 | [
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0婦產科
| 懷孕嗎？ | 醫師您好，請問無套沒內射，但不確定有沒有前列腺液跑進去，男友第一次太緊張了最後也沒射出來，但他自己來的時候有一點點前列腺液流到他的手指頭上，過兩三分鐘他用了那根手指頭放進去陰道裡面，想請問這樣子會懷孕嗎？ 想請問避孕藥會很傷身嗎？ 有需要每次做都吃嗎？還是說戴套就夠了 | 您好 懷孕機會應該是不大，至少要戴套較安全，如果能吃事事避孕藥更好。祝健康 | [
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1精神科
| 壓力問題 | 不知道從哪時開始 如果我晚上有生氣 那天晚上就會失眠 幾乎會一直持續到隔天接近中午才會開始有睡意 而且當我生氣的時候理智是清楚的 我也知道自己很不開心 我也知道不能隨便發脾氣或打人發泄脾氣 不知道是不是太過壓抑 只要怒氣來了 我就會開始思考 甚至越想越生氣越想越亂 我幾乎所有脾氣都是強壓下來的 希望能有些解答 | 所有的人都會有此現象，就是在有情緒時會睡不好，在有脾氣時可以控制住自己的行為，是很好的事。 但是，也要找出自己的問題在哪裡為何自己會如此生氣有需要的話，可以考慮找精神科醫師或心理師評估看看。 | [
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| 驗孕 | 張醫師您好 我女友前兩年多開始使用事前避孕藥中間並無停藥 直到半年前左右停止服用但是月經卻很晚才來時間長至快兩個月 之後每次月經都間隔了快4050天這樣維持了三次直到現在 第一次與第二次流血量都比平常的少第三次量卻變得很多 我想先請問這樣子是正常的嗎 再來這半年期間我們性行為均有使用保險套 但是最近這一次月經還沒來距上次還未超過50天 最近一次性行為約10天之前或更長至1314天 但是三天前卻開始分泌咖啡色疑似血跡的分泌物量並沒有很多 昨天擔心之餘買了兩支不同品牌的驗孕盤 第一支美國製-奎克快知下午時候測量出現一深一淺兩條 淺的很淺但肉眼可見 據女友說法使用時似乎有將尿液灑至顯示窗這樣會影響結果嗎 第二支統一藥品製於半夜11點左右測試只出現一條深色 另一邊等了很久直到今天也都無出現任何痕跡 想請問張醫師這是什麼情況有什麼特殊情況會引發這種檢驗結果 謝謝 | 不正常，但先觀察看只要量不多到造成頭暈或貧血，幾次月經後 會逐漸恢復正常若沒恢復再調經 您口服避孕藥 該是使用固定劑量組合吧它的機制之一是抑制排卵，特別是抑制月經中期促性腺激素的劇增gouadotropin surge俟服避孕藥 即無此抑制作用，接著影響到其他荷爾蒙，諸如：黃體素 下視丘之GnRH.等等，終致影響到子宮內膜剝落（或出血）之不規則 請您再驗一次，驗孕步驟錯誤，或是驗孕盤過期（品質問題）都會造成這種結果 | [
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| 懷孕嗎？ | 請問醫生 我女朋友上個月跟上上個月的月經來的時間都是在26號左右 320我們有進行一次無套 快射時拔出來射在外面 本來預測是在326號會來 在325我女朋友的下體流了咖啡色和透明黏稠的液體 之後就沒有了 一直到今天都還沒有來 請問這樣是懷孕前兆嗎？ 會容易懷孕嗎？ | 女朋友上個月跟上上個月的月經來的時間都是在26號左右 320我們有進行一次無套 快射時拔出來射在外面 本來預測是在326號會來 在325我女朋友的下體流了咖啡色和透明黏稠的液體 之後就沒有了 一直到今天都還沒有來 請問這樣是懷孕前兆嗎？ Ans 驗孕看看 會容易懷孕嗎？ Ans 無套快射時拔出來射 是會容易懷孕 | [
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1精神科
| 睡眠 | 醫師您好 我本身有焦慮症強迫症的問題 但十幾年來不需要服藥.一直能與症狀共存.不至於影響日常生活. 但這幾個月因為額外的壓力.有些精神上不堪負荷. 以前焦慮時.只是很緊張.想很多.無法冷靜思考面對問題. 但這兩個月曾出現失眠.胸悶.無法呼吸.心跳過快的症狀 就醫多次已排除各器官上的問題 急診醫師給予鎮定劑.每次症狀出現.服用半顆鎮定劑後就會好轉. 失眠時也是.服用一顆就能入睡到天亮. 甚至現在靠舒眠音樂就能入睡.但就是睡眠很淺.容易醒來. 想請教醫師 胸悶.無法呼吸.心跳過快的症狀也算是焦慮症的症狀嗎 還是我有恐慌症了呢 因為這幾次經驗讓我產生害怕的心理.每次出門都擔心自己會不會發作. 理智上知道自己很健康.每天還維持運動習慣.心跳血壓都正常. 但一出門人就會很緊張. 以及我現在有排除了壓力來源.焦慮的症狀好轉許多. 偶爾感到焦慮時.我還能轉移情緒. 但睡眠有時還是很淺.常半夜醒來一兩次.或是早早醒來就睡不著了. 這樣算失眠嗎這程度需要就醫嗎 有什麼方法可以改善睡眠的品質呢 謝謝醫師回覆 | 網友你好 如果已排除是身體其他問題造成，很多焦慮症的病患確實都有這些症狀。恐慌症也是焦慮症的一種。 . 偶爾感到焦慮時.我還能轉移情緒. 但睡眠有時還是很淺.常半夜醒來一兩次.或是早早醒來就睡不著了. 這樣算失眠嗎這程度需要就醫嗎 有什麼方法可以改善睡眠的品質呢 睡眠品質不佳，影響到白天的生活，就算是失眠。這確實需要就醫。 改善睡眠品質的方法不外乎就是注意睡眠衛生。httpswww1.cgmh.org.twintrintr2c3360ESleepHuang1.htm 吳恩亮醫師 | [
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10兒科
| 誤食 | 醫生 您好，我家寶寶4個月，今天才知道上週末家人有幫寶寶擦了點使皮新軟膏在鼻梁（近眼睛）及手指一處傷口處，由於我家寶寶很愛摸臉吃手，估計都吃下去了⋯⋯請問會不會對健康有害或有什麼副作用呢？ 寶寶今天比較有煩躁哭鬧狀況（滿三個月後滿少發生），因此在想原因，或者只是單純脹氣、心情不好。 另外，平時寶寶若有傷口，我主要是給寶寶擦羊脂膏，是否是較為推薦的解決方法？ 謝謝醫生 | 塗抹於小傷口的抗生素藥膏，塗抹的量應該不會太多只有一點點，而且腸胃道對藥膏的藥性吸收程度很低，所以我想不至於對嬰兒的健康有影響。如果只是很表淺的輕微傷口，應該保持傷口乾淨預防感染即可，不一定要擦藥膏，但若較明顯的傷口，建議還是塗抹抗生素藥膏預防二度感染，但藥膏只要塗抹薄薄一層和一天兩次即可，不需要塗滿一大坨和次數太多，這樣如果稍微吃進去也不至於對健康有影響。 | [
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1精神科
| 身心症 | 嗯.最近不知怎麼回事，內心總是愛亂想一堆. 把自己給帶入社會事件裡. 明明不該想的一些犯人畜生對待親人的手法、心理想法等事情，但就是會一直有那想法在. 之前新聞好像都有常出現對自己親人之類的犯罪. 有時候就完全不會想，有時候居然就會給他想如果做了會怎樣之類的. 但睡覺時就完全很好睡不會給他想或作夢，醒來不知怎麼的就無聊恍神or看到某些東西就會去想了 明明以前就算看什麼犯案新聞看到都會笑，但現在都完全不敢看了像是柯南之類. 請問這些奇怪的精神狀況是否是因為長期的胃悶胃不舒服沒有好的原因呢 因為以前都完全沒有這些想法和憂愁等. 好像是自從胃不好一段時間後才開始這樣 目前我的胃依舊是悶悶不舒服當中. 好煩啊 想請問醫生我怎麼了 是否需要找精神科吃藥 但我才23歲多而已啊 麻煩醫生的幫忙和判斷了 感謝您 | GER 你好 長期的胃不舒服，多少會造成心理上的壓力；反過來說，心情的改善，也可能會降低身體的不舒服，身體與心理的症狀，時常相互影響。 每個人多少都會有些自己不喜歡的想法冒出來，多數的時候，一下子就過去了，不再想起。但是當壓力比較大，或者出現憂鬱，焦慮或強迫症等症狀時，這些想法出現的頻率可能會增加，也比較揮之不去。 睡眠正常是個好現象，對於這些冒出來的不愉快想法，可試圖先作理性的批判，之後再予以忽略。例如 告訴自己，想到不好的想法並不等於做了不好的事，想通了之後，再有類似的想法出現時，就忽略它，繼續去做自己原本應該作的事。有了幾次的成功的克服經驗之後，焦慮度就可能會下降。 是否需要就醫，主要是看這些症狀持續的時間，嚴重程度和對生活的影響。若症狀持續時間超過兩個月以上或是症狀越來越嚴重，而且已經對日常生活造成困擾，則建議就醫。精神科的就醫並不等於表示自己有疾病，或是得吃藥，有些時候就診後發現是壓力下的正常反應，只需做些生活上的調整即可。 | [
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6骨科
| 骨折 | 施醫師 您好 我於 2018 年 8 月不小心車禍導致左小腿粉碎性骨折，當時於台北榮總開刀治療 小腿置入 22 公分的鈦合金鋼板以及 12 隻的鋼釘，還有一小塊別人捐贈的骨頭 我的主治醫師建議我，痊癒後不須再次開刀取出鈦合金鋼版 2019 年 1 月時回診，主治醫師說我已痊癒，之後半年至一年再回診追蹤狀況即可 但我人長期在泰國工作，由於新冠肺炎影響，無法回國也不知什麼時候才能回國 所以到現在我已一年半尚未回診，想請問醫師，沒有如期回診的話 OK 嗎 目前骨折復原後的小腿感覺上是正常並沒有什麼異狀 再另外請教您，由於近日牙痛，會在泰國看牙醫，可能會吃抗生素或消炎藥 在我的小腿內還有鈦合金鋼板的狀況下，請問在用藥上是否有什麼禁忌呢 再麻煩施醫師您有空時解答我的疑惑，感謝您！ | 1.沒有如期回診暫時沒有多大關係 2.體內有金屬物 如果要看牙科還是吃一點抗生素預防 3.用藥沒有禁忌的 | [
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| 出血 | 醫生你好 請問我的經期都不固定時間來 有時候月底 有時候月中有時候月初 這樣是什麼狀況？ 像我222月經來 然後今天38號又來一次 這次來的剛開始是咖啡色然後就轉成暗紅色 有一點鮮紅色 這樣是有什麼問題嗎 | 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、流產、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，謝謝 祝 平安 健康 張 醫師 回 | [
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| 懷孕 | 主任你好：請問我今年45歲了，我跟我老公想要有個小孩，我有機會懷孕嗎 | 您好 只要有月經來，就有機會，只是機率少了些，還是鼓勵你們多試試。祝健康 | [
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7耳鼻喉科
| 鼻子問題 | 血管運動性鼻炎的起因為情緒、氣候等因素，如為情緒所引起，會因情緒1-2天內恢復平穩，而鼻炎於1個星期內好轉嗎？感謝 | 您好 情緒1-2天內恢復平穩，鼻炎於1個星期內會好轉嗎？ 可能會好 新竹醫院耳鼻喉科主任葉大偉 | [
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7耳鼻喉科
| 聽神經受損 | 醫生您好 日前健康檢查發現耳朵聽力有問題至醫院做聽力測驗後醫生告訴我神經受損而造成的耳鳴無法治療因現在情況不會影響生活作習只能日後定期追蹤看聽力是否有惡化. 但我怕現在知道不去理會情況會變得更嚴重.聽說可服用高單位維他命B1可以預防聽神經的損傷加重. 但我不知道要服用哪一種的維他命B1及至哪裡購買所以希望醫生能給我建議. 那有沒有保健用藥來防止聽力惡化呢 | 您好： 回覆您的問題。 只要合格的Vit B1均可以。 | [
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| 月經 | 我113來月經（肚子不會痛），121月經快停的時候（咖啡色一點點）有性行為，過兩天124又來月經（肚子不會痛），有去看醫生，醫生說我荷爾蒙失調因此開藥。128停了之後，再去復診（因為藥吃完了），醫生有再開藥給我 129發生性行，吃到一半但以為調好了因此擅自停藥，24又來月經（腹部不會痛），醫生開我益斯得叫我28後每天吃一顆，之後我都有乖乖吃藥，210停經（我還有繼續吃藥），但是藥還沒吃完，216又來月經了（有咖啡色少量然後伴隨著咖啡色一點一點像乾掉的血剝落下來且有一點點生理期來的時候肚子悶悶的） 請問這是為什麼？ 這是正常的嗎？ 需要看醫生嗎？ 我該怎麼辦？ 醫生有說一個禮拜過要再去拿藥，但我在異地讀書，無法回去，可以去藥局自己買藥嗎？ | 1. 生理週期受各種心理及生理因素影響。正常月經週期 21 42 天，正常經期依年紀不同約 3 10 天，若長期不在正常範圍，建議至婦產科專科醫師門診檢查與評估。 2. 建議可換一位婦產科醫師，重新檢查評估與詢求第二醫療意見。 | [
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| 副睪丸炎 | 許醫師您好 幾天前給醫師看過後發現可能有附睪炎的情況 並且有做尿液檢查 也指出並不是衣原體所導致 但是醫師卻沒有開任何藥物治療 只要求我休息 多喝水就好。 最近痛的感覺是有比較少 是否需要使用藥物治療呢 外國醫師所指示的 謝謝 | 匿名： 你好 若非感染造成，可能只是局部發炎，像是受傷皮膚的疤痕一樣，需要時間才能夠全部修復完成。 至於是否需要用藥物，則看個人與病情，若持續疼痛，可以給予一些止痛、循環的藥物。 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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| 陰莖問題 | 請問：16歲的陰莖長的像10歲的陰莖一樣！ 為什麼會這樣！ 是太早把包皮推下來嗎！ 勃起13而已沒勃起5而已 太小讓我很自卑 | 陰莖大小如身高一般，每個人都不同，若擔心發育問題可至門診檢查，不需感到自卑。 線上諮詢並不能取代醫師親自問診及理學檢查，有疾病時仍建議至醫療院所就醫。 | [
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| 手術後飲食 | 我是乳癌病人已做手術及痊癒請問可否吃靈芝粉呢 香港朋友. 謝謝 | 胡玉卿營養師回答： 參照衛生署已核准的健康食品的相關產品： 一： 許可證字號 衛署健食字第A00003號 中文品名 雙鶴極品靈芝 原料及保健功效成分 靈芝抽出物（三帖類、多醣體） 保健功效 根據動物及體外試驗結果顯示具有下列功效： 1. 可促進抗體生成。 2. 可促進免疫細胞增生能力。 3. 可調節T細胞功能。 4. 可促進自然殺手細胞活性。 5. 可促進吞噬細胞活性。 核可日期 890724 申請商號 勇健工業股份有限公司 二： 衛署健食字 第A00015號 雙鶴極品靈芝 靈芝抽出物（三帖類、多醣體） 根據動物試驗結果，對四氯化碳誘發大鼠肝臟的損傷有下列功效： 1可降低血清GOP、GPT值。 2可增加肝臟蛋白質含量。 900420 勇健工業股份有限公司 三： 衛署健食字 第A00023號 如新華茂超級靈芝 1.靈芝萃取粉末 （菌種名：Ganodermalucidum） 2. 靈芝孢子粉硬膠囊成分： 3.明膠Gelatin4.水分Moisture 根據動物及體外試驗結果顯示具有下列功效： （1）可促進抗體生成。 （2）可促進免疫細胞增生能力。 （3）可調節T細胞功能。 910408 美商如新華茂股份有限公司台灣分公司 靈芝是可用的 但靈芝粉則未必，因內容物不詳， 或可選擇如衛生署已核准的健康食品； 希望有回答妳的問題。祝健康。Thanks.910813 | [
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| 避孕藥 | 醫師好，月經在6／2∼6／6 app顯示受孕期在6／11∼6／17 。請問醫生6／14性行為後隔天有吃事後藥，過2小時又在次性行為內射，請問這樣還需要再次吃事後藥嗎？吃與不吃的懷孕機率呢？ 謝謝您 | 您好 不要再吃事後避孕藥，建議最好是做事前的避孕措施。祝你健康 | [
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2牙科
| 臉部腫 | 醫生您好： 我昨日拔完左側上下智齒，上智齒縫一針，下智齒縫四針有逢到臉頰，回家後發現上下牙齒沒辦法合起來會咬到肉，看一下發現下智齒前一顆牙有將近一半被肉蓋住，到現在臉頰還非常腫，請問是因為腫起來的關係嗎還是是因為縫合的關係有需要回診讓醫生檢查一下嗎 | 你好 都可能。先局部冰敷可以消腫。 最好還是回原來醫師看一下。 | [
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4心臟血管專科
| 心電圖 | 完全性右側束枝傳導阻滯 是否是先天性疾病 要如何就醫 應該如何注意事項 請回覆謝謝 | 完全性右側未枝傳導阻滯大部份是先天性，有些正常情況也會有此情形。 | [
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| 懷孕期局部麻醉 | 醫師你好 我目前懷孕17周 大約13周時清晨起床 口腔都是血 而且輕輕一碰牙齒就流血 牙齦腫痛有時牙齦肉還會跑出牙縫 或席肉等等困擾著我 但看過牙科他說我該把牙 婦科醫師說建議我先不要拔牙 現今我除了拔牙外 有何方法可改善這些牙病問題嗎 可是拔牙就可改善牙腫或流血問題嗎 我要多吃什麼來改善這些困擾 因我每天都有吃 新寶納多 跟蔬菜水果 但不見好轉 請醫師幫忙解惑一下 謝謝 | 貓： 你好 懷孕中期是可以安全的拔牙的。 一般不建議在懷孕前三個月內，因為胎兒不穩定，可能導致流產的問題。中期以後，胎兒比較穩定，是可以考慮拔牙。 另外，關於你的問題，在懷孕中，因為賀爾蒙的因素，會產生懷孕相關的牙週問題。若婦產科醫師認為胎兒不穩定，可以先加強口腔衛生：用牙線、漱口水等，大部分的懷孕造成的牙齒問題都可以得到解決。拔牙是最壞也是最後的考慮，也不一定可以解決所有的問題。 台東醫院牙科主任 莊素惠 答覆 | [
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| 懷孕嗎？ | 我平常是每個月19號月經來 但這個月有吃讓月經提早來的藥，所以變15號來 大概是20號經期快結束時內射，內射完後又馬上去沖水 這樣懷孕機率大嗎？ | 您好 懷孕機會不大，任何時候最好要做事前的避孕措施，不能相信安全期，如果月經該來沒來再超過1星期仍沒來，建議看婦產科。祝健康 | [
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| 陰莖問題 | 醫師您好. 想請問您幾各問題. 1.我跟女在做的時候都很順利.但有次去大陸玩一次.卻不是很順利.是內疚的心態作祟嗎有時跟其他女還子也是.好像那話兒不聽使喚.莫非是沒感情. 2.跟女友分了後.我快要天天自慰.不知會不會很傷身體 3.聽說自慰時.可按摩陰莖.由下往上拉.會變長.這是真的嗎會否越拉越細.有運動可變大變長嗎 先在這裡謝謝醫師您. | 哀愁仔： 你好 你的問題，我的意見如下： 1.可能是道德感或者是害怕得到XX病等心裡的障礙，雖然說生理上需要，但是心理上，或多或少會有罪惡感、不安全等負面的感受，做起來，當然不順，在某些比較感情豐富的案子，也常發生暫時性不舉的現象。 2.天天自慰，只要身體行，你要怎麼做都可以。但有時候，因為DIY的時間明顯較短，很容易就射精，因此，長期下來，有時在真正性行為時，會有早洩的現象發生。 註：中醫有所謂的禁忌，西醫倒是沒有這方面的說法，前一陣子，不是還在做網路上的投票，看哪一個國家最喜歡做愛做的事！ 3.我不知道這種作法的來源，我個人是不太相信。 目前，好像沒有增大的方法，不過網路上流傳著一個完全無副作用的秘方，而且立刻見效，我親身試過，真的變大了 那就是： 放大鏡（哈，開玩笑的） 註：假如可行的話，矮子可以每天用脖子或腳板吊起身體，應該會長高囉！ 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
| 睪丸炎 | 約在快3年前 有次性行為後 睪丸整個腫脹劇痛當時整個右邊睪丸整個腫脹一碰到就痛另外睪丸下方也摸到硬塊射精有血精水水的當時很緊張 去了醫院 尿液檢查照射超音波後來醫生說是副睪炎 吃了幾天的藥後發現好了不會痛了就斷藥但是我摸我的右睪丸下方 腫塊還是在的後來回診看報告醫生說我這個是副睪炎我再來也就放心了 想說只是發炎但過了那麼久一直覺得怪怪的 我去碰硬塊 硬塊也沒有變大 摸起來也不會痛表面也不算不規則狀 請問這個硬塊有可能是副睪炎後的所謂慢性副睪炎後遺症嗎中間都沒復發過還是說是睪丸癌 或是惡性腫瘤呢 | 發炎後，硬塊沒那麼快消，先沒有發燒和疼痛。可到門診追蹤 | [
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4心臟血管專科
| 心室早期收縮 | 從開始發生心悸及呼吸困難、胸痛的問題至今19天，看完醫生戴24小時檢測得知有心室早期收縮的問題 目前早晚吃藥13天，完全沒有改善的情況 且心跳忽快忽慢及呼吸困難的情況原只有晚上時間發生 現在幾乎全天都在不舒服 就算工作忙碌起來3-4小時也無法忽略 睡覺更會因為突然喘不過氣而醒來好幾次 目前是吃「生達心律錠」，這款藥是得長期吃才會有所改善嗎？ 吃完也沒有舒緩的感覺 | 生活中很多因素會造成此情況 ，例如：情緒、壓力、作息不正常或是攝取太多咖啡因的飲料。建議調整生活作息，並規律運動。但如果症狀持續，仍建議至醫院做進一步的檢查及藥物調整。 | [
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7耳鼻喉科
| 鼻中膈彎曲 | 醫師您好 日前剛作完鼻中膈手術，手術方式為微創 因還未到回診時間 所以想在這裡請問您幾個問題 請問術後多久可以省鼻涕呢 還有現在能否側睡，側睡會不會影響手術成果 謝謝 | Hi： 您好， 一般建議術後一週可擤鼻涕，較不會引起鼻部傷口出血；至於側睡一般不影響手術結果。 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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