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0婦產科
| 產後問題 | 請問我的月經的量原本在生完第一胎後一兩年都還正常但在去年六月因有作流產手術後經血的量就很明顯的減少很多尤其是最近的半年我有點擔心如果要懷孕的話是否會有影響 | 做完流產手術後，有些人會有內膜粘連的現象致使月經量減少，少數人甚至沒有月經，可做子宮輸卵管攝影檢查可以知道有無粘連，也可以在月經的第二、三天左右檢查是否有何爾蒙異常。 | [
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13肝膽腸胃科
| 腹部問題 | 醫生您好： 我的小腹和胃的那個地方，一直很凸，很鼓，就算克制飲食、運動等，都沒有辦法讓它消下去，請問這是為什麼呢？有什麼辦法可以讓她消下去，不然，胃部的地方不但快跟我胸部齊平，而且那大大且鼓鼓的小腹還很像懷孕。 感謝您的回答 | 您好 建議至腸胃科照腹部X光或超音波，以進一步判定。 祝健康 衛生署桃園醫院 陳奇峰醫師 | [
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| B型肝炎 | 抱歉醫生 一直問您相同問題 我於2-4月有幾次不安全性行為 我不知道對方病史 現在也已無聯絡無法詢問 對方說曾出過車禍肝破裂 導致肝不好 但我發現他眼睛常乾澀，十分害怕他是不是有B肝 我於最後一次性行為的時間超過12周後檢驗 B型肝炎 HBsAg B肝表面抗原 0.399-0.9COI 陰性 Anti-HBs B肝表面抗體 2-10 陰性 C型肝炎 HCV-Antibody C型肝炎抗體 0.029- 0.9COI 陰性 我害怕 0.399大於0.029有點多 確定只要是小於0.9就安全嗎 有無可能我處於空窗期 病毒數量不夠多 導致驗出為陰性 實際上已感染的可能嗎 不好意思 一直詢問 因為突然想到 一些對方的症狀 可能真的肝有狀況 十分害怕對方真的有B肝 我又無抗體 會導致變為帶原者 才一直詢問 造成您的不便 很抱歉 | 您好 沒有被感染請不必擔心重複詢問， 每個人檢查數字都不會是零， 那是檢驗學理的學問，不另說明。 您是否要加打B肝疫苗， 可再與門診醫師討論， 並沒有一致的建議。 彰化醫院 關心您的健康 陳詩典 | [
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| 藥物諮詢 | 我上次去看醫生 因為去之前有看網路報導 說樂得美治療效果好又方便使用 所以指名要樂得美 但是醫師給我的雖然也是近三千元的藥 但卻不是樂得美而是化疣敵Wartec cream 請問這兩種藥的差別在哪 效果一樣嗎 謝謝 | 化疣敵是植物性抗病毒藥品，因有細胞毒性可能會致癌，所以此藥不可塗抹於正常皮膚，塗藥後應洗手。根據國內外臨床試驗資料顯示，可達到八十％左右的治癒率。開使治療的第二天或第三天當疣消失時會有刺痛•刺激及癢的感覺，不過症狀輕微很快就會恢復。 樂得美的作用在局部性誘發細胞激素與免疫系統，所以此療法是透過自體免疫功能提升來對抗病毒，至少需使用4週以上才會有效，此藥使用療程較化疣敵長，但使用後較無刺激感且不痛不傷害高清除低復發，價格較昂貴。 | [
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7耳鼻喉科
| 頭暈 | 醫生您好： 6月底一開始喉嚨卡痰（小孩傳染），後來全身無力、頭痛頭脹脹的、又突然頭暈，頭轉跟動作太大都會暈（不是旋轉），後來去診所看沒效果，轉而去奇美醫院開止暈藥跟安排作眩暈症檢查，報告說右耳失去平衡，但後續也沒作療程，真是一直再吃蒂芬妮朵止暈跟祛痰藥。等有好ㄧ點的時後，跑去看神經外科（因生病期間全身有出現麻麻的症狀）醫生拿了牙籤幫我刺激身體，說神經沒問題，然後叫我停止吃耳鼻喉科的藥，她開了睡前吃的服腦清。然後就有比較好點了。這期間快暈了一個月。然後729又被傳染卡痰、咳嗽身體無力，頭部頸部脹脹的，隔了兩天診所開藥吃了三天狀況沒好點，又突然轉頭會暈又回診，醫生幫我打針跟開蒂芬妮朵加睡前服腦清跟止咳嗽的藥。想請問醫生我是不是卡痰就會誘發頭暈？ 我在6月之前也長長會卡痰，不以為意，都是後來被傳染才變嚴重，我目前就是動作大轉頭，會暈。 | 您好， 暈眩有眾多可能 1若合併頭部會隱隱作痛-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 | [
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5泌尿科
| 性病 | 請問醫師性行為中 口腔沒有任何接觸 口腔是否就沒有感染問題？ 無套口交至今第七天 生殖器無異狀 可以做哪些事前檢查？ | 您好： 如無異狀，3個月檢，才能避免潛伏期的問題。如有皮膚異樣，尿道排尿痛或流膿要立刻就醫。 口腔沒接觸，是不會有感染問題，祝健康 | [
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| 外耳炎 | 前些日不小心把外耳內抓破有微小傷口在其間傷口會因流汗而有微量分泌物產生會其癢無比誘使手再度去抓癢這樣反覆一段時間了一開始只有單耳現在兩耳都是白天工作都滿身汗也難包紮都沒特意想去醫好這兩天很病態的是抓癢抓到天亮那癢起來真難受這沒較好的藥能治？？ | Hi： 您好， 有可是外耳道發炎，建議仍須就醫檢查使用藥物治療或加強局部治療。 祝平安健康 衛生福利部桃園醫院 耳鼻喉科主任 鄭爵儀醫師敬復 | [
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0婦產科
| 懷孕嗎？ | 醫師您好，1229及1230和男友發生性行為，如果男友摸了自己的下體再摸女生的下體，有沒有可能造成懷孕的機會（女生目前是排卵期，上次生理期1215，經期8天，平均週期為29天，性行為隔天會有透明分泌物） | 提問者您好 依您描述的情況，懷孕的機會不大但並非沒有，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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| 性病感染 | 醫生您好，請問如果在公廁使用水龍頭洗手，洗手時因為是自動出水，無法自己控制水流，所以水到處亂噴，有水噴上來，請問如果前一人有性病，例如菜花，淋病，梅毒等，那他洗手時一定水也亂噴，如果他上廁所時有碰到過分泌物，那他出來洗手，是不是表示洗手槽跟水槽旁的台面都是性病病毒，那我洗手時，明顯感受到有水噴到身上衣服跟其它露出來的皮膚，那是不是會感染性病？因為洗手槽跟旁邊的台面都是潮濕的，適合像菜花等性病病毒保持活性 | 菜花，淋病，梅毒很少透過間接接觸的方式傳染。 | [
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20中醫科
| 經期問題 | 醫師你好本人已產2胎.且於89年7月產後即做結紮手術.期間至今91年7月月經週期約為30天左右.但每次來經前都先出現咖啡色分泌物然後才有正常經血.而上月來經為7月7日.本月8月8日左右有咖啡色分泌物.確沒有正常來經.而後只覺透明分泌物增多.8月18日有至婦產科門診.就診結果未懷孕.也打ㄌ催經針.婦科醫師說是賀爾蒙失調.今8月20日仍未來經.想請教醫師就中醫對此症應如何 治療還有 四物湯.中將湯.之類ㄉ藥方該於何時使用又如何使用感謝妳ㄉ撥空看診. | 嗨，小靈： 多數婦科疾病在處理上必得合併其他生理證狀一起評估治療，建議您就近就醫。另在此提供四物湯及中將湯的基本用法，四物湯可補血養血並活血，建議體質平平之人服用，約月經乾淨後即可服用，一個月約二到四帖做一般調理即可；若兼有經痛，腸胃敏感症狀，經出不順，月經或前或後甚至見更年期症候，體質偏寒者建議平時用中將湯調理，經期中除痛經可用之外，請避免服用。重點是二者皆調理用，有病還是得看醫生的。 | [
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2牙科
| 牙痛 | 我左邊的牙齒上下都在痛，但是咬合的時候只有上面最後的智齒會痛，按臉頰時是下排牙齒下面的肉會痛，因為這是第二次我痛的睡不著，上次是315和這次症狀一樣，吃了消炎止痛完全沒改善，目前下面的智齒是長歪露出半面頭，目前下面智齒上覆蓋的肉及上面臼齒後面的肉都有腫漲的情形，想請問我的情況有可能是因為智齒長不出來導致的嗎？應該開刀拔除嗎？ | 您好 若是單純下方智齒發育問題，其疼痛發炎的不舒服應該都局限在下方智齒周圍區域，且疼痛的狀況，應該可靠藥物壓制。然而依您所述，是廣泛性的上下牙齒都不舒適且又無法靠藥物治療，建議還是應該至醫療院所做詳細檢查為佳否則貿然開刀拔了智齒，疼痛狀況也沒有敢善，等同無效治療 衛福部臺中醫院牙科林佳詠敬覆 | [
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0婦產科
| 事前避孕藥 | 因為今天是月經第一天且沒吃過事前避孕藥，想了解以下兩個問題： 1.在吃事前避孕藥期間，能喝四物湯嗎？會不會降低避孕效果？ 2.吃事前避孕藥，如果想停藥的話，是直接不吃藥即可嗎？身體會有什麼影響？ | 您好 和吃東西ㄧ般是無關係，建議最好把藥吃完，否則有可能亂經。祝你健康 | [
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1精神科
| 憂鬱 | 您好， 由於我最近才發現朋友長期患有憂鬱症，醫生開給他的藥有以下幾種： 贊安諾xanax xr 艾斯樂ESILGAN 舒復寧sulpin 速悅efexor-xr 不確定是否有打錯，但有在網路上查詢到贊安諾和艾斯樂，這兩種藥 發現它都有強調，若長期服用，則不可輕易中斷服用 我朋友已經服用二、三年了，所以，想請問一下： 一、這些藥合在一起吃，適宜嗎？ 二、是否可以逐漸減量服用，若要減量的話，可以從那種藥開始減少 三、若已經長期服用了，是否就代表，以後都得一直服用，不可中斷？除了，搭配心理治療外，在藥物治療上面，能否盡量避免服用藥物 最後，希望，藥師您，能提供服用這些藥，該注意的事項。 若不方便的話，能幫忙回答我以上三點疑問，已非常感激您了。 以上皆出自於：服藥即有副作用的疑憂的前提，向您請教這些問題。 若這點觀念有錯的話，也希望您能糾正我， | 你好 幾乎絕大部分的憂鬱症都合併焦慮 所以醫生在開處方的時候 往往會合併一些解除焦慮的藥物 最常見的就是BZD 這些藥物基本上都有成癮性 是可以解除焦慮 甚至於對憂鬱也有些幫忙 但如果停藥的話 都有類似的戒斷症狀產生 有可能使你的病情惡化 反之 現在所用的抗憂鬱藥物 如SSRI SNRI 這種狀況則極為少見 但不幸的 其藥效開始作用甚慢 所以必須合併前述藥物使用 若你需要降低如xanax這種藥 那麼我建議你請精神科的專科醫師幫你擬定減藥的計畫 | [
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5泌尿科
| 頻尿問題 | 醫生你好，我在2013年9月時在ㄧ次射精過程中感覺尿道ㄧ陣刺痛，接著就開始有頻尿、腹脹脹、尿完尿後沒半小時又有尿意，甚至過5-10鐘就想尿尿，還有尿道和尿道口灼熱等現象，去醫院檢查尿液也都正常，醫生幫我按摩前列腺後再驗一次尿也正常.後來均診斷為無菌前列腺炎.吃藥ㄧ陣子，但頻尿感覺ㄧ直存在，2014年幾乎每月往泌尿科報到，但檢查結果都正常，前列腺液檢查也都正常，ㄧ直持續服藥約ㄧ年多，症狀都無改善.反而覺得胃吃藥吃到很不舒服。後來因為工作忙錄至今約半年都沒再回診.目前還是有頻尿、尿完尿後感覺殘尿感及腹脹，甚至腹部ㄧ施力或ㄧ受壓.尿道口就有尿感很像尿要出來的感覺，而且ㄧ直想排便。大便時ㄧ出力就會有灰白色液體留出。我真的很困擾，也不知到底哪個器官出問題。。我真的很怕會影響生育能力.麻煩醫生給我個方向求診.謝謝！ | 建議可以至泌尿科做一下精液檢測. 可排除生殖系統感染及評估生育力的情形. | [
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| 避孕 | 醫師你好，我一直有服用YAZ事前避孕藥，上個月的月經是1020-1024。在1028-1029（兩天）漏服藥，1030有輕微出血並於當天晚上馬上補吃，連續兩天都補吃了2顆。1031有親熱和內射，111服用了事後避孕藥，同日已停服YAZ。114-118期間再次出血，這次的量很多，像以前開始服用YAZ前的血流量。 1. 正常來說我應該是1116來新一週期的月經，但是到現在還沒有來。那這個週期應該由1028開始算，還是按114的來算？ 2. 那我應該重新服用YAZ，還是等待月經來的第一天再服用？ 3. 這一週間歇性會出現輕微腹痛，像平常來月經前一兩天會出現的感覺。最近有用驗孕棒驗過是一條線。那還有懷孕的可能嗎？ 感謝回應。 | 您好 應該是114算月經的第一天，這周期吃避孕藥已來不及了，等12月的月經來的第五天開始吃避孕藥。應該是不會懷孕。祝健保 | [
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6骨科
| 骨折 | 李醫師您好： 本人車禍已４個月，於下頜骨骨折、右腳踝骨折、右脛骨開放性骨折，目前骨折瘉合程度已達95，但走路時腳盤、踝關節及骨折處皆會疼痛，由於腳踝目前活動受限，下樓梯時無法正常彎曲，以致雙膝有時會有灼熱感，是否會對膝蓋造成傷害？煩請解答以下疑問，謝謝！ 1.一年後拆鋼條需多久方可正常行走？ 2.拆完鋼條後需休養多久為宜？本人工作性質需久站且經常來回走動 3.膝蓋目前無法採跪姿，是否鋼條取出後即可？ 4.下頜骨有放置鋼板，醫生說不用取出，是否會有後遺症？ 5.若下頜骨鋼板不取出，有哪些注意事項？ | 您好： 回覆您的問題。 拆鋼條後恢復很快，一般而言，第一週得依賴拐杖，但仍可正常行走，第二週應可以不用枴杖，但活動範圍有少許受限，一個月後應可完全正常，所以術後建議休息壹個月。另手術後大多數的病例應可恢復到術前的情況，所以現在要好好做復健，現在不能恢復到可以跪，取出鋼條後也不會進步太多，所以把握現在最重要。 下頜骨骨折術後鋼板得每年追蹤，如果沒有鬆脫、移位，或者感染，並不一定要移除，能夠不移除表示它存在下頜骨並不會有什麼後遺症，但每年回門診追蹤是必要的，也是患者該盡的本份。 | [
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0婦產科
| 避孕藥 | 醫師您好：我想請問，我服用悅姿已經超過兩年時間，期間無停藥，這次是兩包接著吃（無服用第一包的四顆白色無效錠），第二包剩最後二錠時發現分泌物呈粉紅色，已持續兩天，血絲不多但有，故有些擔心，目前已服完最後二錠悅姿，我該等這次經期過後再觀察出血的狀況有無停止嗎？需要停藥嗎？謝謝 | 您好 如果一點點，那就把藥吃完，如果像月經，就停藥。祝健康 | [
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| 自律神經 | 陳醫師你好 我想請問幾個問題. 1.自律神經病變就是自律神經失調嗎 2.醫生透過肌電圖檢查說我有自律神經病變而我從貴網站文章中發現我也有憂鬱症的一些症狀自律神經失調跟憂鬱症有什麼關聯性好像兩者治療方式一樣會因為憂鬱症而引起自律神經失調嗎 3.我住高雄市苓雅區漢昌街上想請問附近哪裡有精神科的醫院或診所 4.網路上是否可找的到有關自律神經失調和憂鬱症更多的相關資訊 | 彥你好： 很抱歉 收到你的問題已經是93.1.2了 有關於你的問題我不是完全清楚你的問題 不過我會試著回答希望仍對你有幫助. 首先問到自律神經病變就是自律神經失調嗎 從你提及醫生透過肌電圖檢查說你有自律神經病變 這一點基本上有些奇怪的 肌電圖若有異常的發現 一般而言是屬於神經的病變 不是俗稱的自律神經失調（其實是所謂的焦慮症） 許多疾病會有所謂的共病性（就是當有其中一種疾病時很常會出現另一種疾病）而焦慮症與憂鬱症就是會經常合併出現或是互相影響 進一步產生許多負面的情緒以及過度的焦慮不安. 網路上其實有許多這一類的網站 你不妨打入主要的字”焦慮症” 或是醫院 進去醫院的系統找精神科就很容易找到你藥的資訊了 高雄其實有許多不錯的精神科醫院以及診所 比如說市立療養院 或是高雄總醫院 至於說你家附近有沒有 很抱歉 我對高雄的地理環境實在不熟悉www.kcg.gov.twksph（凱旋醫院）802.org.tw國軍高雄總醫院. 祝身體健康 陳文科醫師93.1.2 | [
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| 割包皮 | 已經割完包皮兩個月了 水腫還是沒有完全消掉 請問有什麼辦法讓他改善嗎 抽電子菸是否會影響水腫好的速度？ 水腫期間可以自衛或是跟女友做愛嗎？ | 您好 一般看手術後的水腫如果漸漸有進步 就仍會再消腫 包皮手術因為是整圈 所以好的會慢 另外因為水腫就是循環不好 抽煙就會影響循環 水腫期如果嚴重 要暫停diy 或做愛至少減次. 平時不要久坐久站 內褲不要太緊. 幫助血循好些. 祝健康. | [
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| 懷孕時 | 醫生你好我有以下問題是否可解決我的疑問謝謝 1.我懷孕近17週照超音波胎兒比書籍寫的小3-5cm會不會有問題 2.有輕微痔瘡於是在藥房買痔瘡用藥會不會影響胎兒健康 3.可吃蜂王乳或蘆薈的食品嗎 | 1.17週超音波比標準少3-5公分，不曉得是哪裡小3-5公分，頭圍？腹圍？還是身長？可能的原因除了週數錯誤之外，還要注意是否有對稱性的過小，如果是後者，常常伴隨有胎兒異常。 2.一般而言，除非是經皮吸收賀爾蒙治劑，一般外用藥對胎兒沒有什麼影響，只不過痔瘡藥膏只能暫時治標。 3.以屬性而言，蜂王乳屬熱性而蘆薈屬涼性，如果併隨妊娠高血壓、糖尿病、甲狀腺異常，體重過胖則不適合使用蜂王乳，反之如果身材瘦小，常常感冒則不適合使用蘆薈。 | [
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4心臟血管專科
| 心臟問題 | 我朋友的家人為糖尿病患者因為控制不好且近來走路會喘下肢水腫但不會胸悶或胸痛經人介紹到某醫院治療據了解其心臟擴大說什麼 E.F. 值小於20必須做氣球擴張術結果向健保報十幾萬費用回家不到一天就因胸痛住進加護病房醫師說是急性心肌梗塞我朋友一直想了解 心臟衰竭一定要做氣球擴張術 有必要急著做嗎 此次心肌梗塞跟做心導管有關嗎 | 陳老師 營養心臟的血管稱為冠狀動脈此動脈若發生狹窄或阻塞會引起心絞痛甚至心肌梗塞或心衰竭治療方法包括藥物治療心導管診斷及介入性治療包括氣球擴張或支架置放術引起心衰竭的原因很多各種心臟病皆會引起應針對原因治療. 其他的問題視各個病例而定應由病人的主治醫師回答 鍾鈺壎醫師 | [
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0婦產科
| 會懷孕嗎？ | 我女朋友上次月經來時為1121日，只要有吃減肥藥月經就會提早10天.所以應是1211日會來.因至今1222還沒來所以今天1222去買驗孕劑結果呈現懷孕.我最近一次和他做愛是1215日.但他1215號以前也有和別人發生關係. 所以我想請問是我ㄉ機會多少.我都有戴保險套. | 回覆如下 如果你很確定都有戴保險套懷孕的機會不高也可以等生產後再抽血驗染色體確認親子關係. 呂理政敬上 | [
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] |
7耳鼻喉科
| 扁桃腺 | 上星期五因為感冒去看了耳鼻喉科，醫生說有點扁桃腺發炎，吃完若還會痛再來回診，我星期一又有回診拿藥醫生說吃完這次就好了。 剛剛吃晚餐時鱈魚配著飯吃的時候感覺好像突然有卡卡的感覺在扁桃腺，就吐掉而已，之後喝水沒什麼感覺疼痛。 只是自己張嘴看鏡子的時候發現扁桃腺左右好像不太一樣大雖然沒有差很多而且上面有點小洞.旁邊的黏膜也看起來有點白好像看得到細細的血管不知道是手電筒還是張嘴用力的關係，自己看不到魚刺了，也一直吵男友幫我看.男友說我太緊張而已😢鱈魚的刺不小應該看得到要是卡在下面食道我應該也會很痛，只是現在疫情關係想先詢問若不是魚刺那我吞東西經過扁桃腺會有感覺是正常的嗎還是因為還在發炎比較敏感，也有在想是不是因為我煮的白飯裡面有穀物比較硬我以為是魚刺。 以及扁桃腺大小有點不同跟有小洞，附近黏膜有點充血白色是不是還在發炎雖然不會痛了，我只剩三包的藥。 謝謝您。 | Hi： 您好， 若吞嚥時無明顯疼痛，一般異物卡住的機會較小，可先自我觀察，若喉嚨越來越痛或有發燒，建議就需檢查確認，至於扁桃腺大小有點不同跟有小洞一般多是正常現象，若無明顯潰瘍可先觀察。 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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2牙科
| 牙齦流血 | 醫生您好 這幾個星期牙齦長了個膿包，消了又腫，腫了又消。 看了第一個醫生，他測試過，神經還有活性，開了消炎藥，如果好了就沒關係，如果依然長就要根管治療了。 過了二、三個星期，膿包依然反覆，因為時間關係換了一間牙科看。 牙醫幫我做了不同的X光片，也做了測試，他說應該是牙齒有裂，以外觀來說沒有蛀牙，神經仍有活性，牙周也沒有甚麼問題，所以比較有可能的就是有裂縫，但現在還不明顯，所以不確定。 他建議根管治療，裝牙套，但仍有風險性，如果真的裂開了，就只能拔掉了。 想請問，是否選擇根管治療、裝牙套是最好的選擇呢？ 謝謝您。 | 上述情形可能是牙齒有裂縫造成牙髓發炎，建議如果裂縫範圍沒有很大，未擴及牙齦，可以接受根管治療，然後用牙套恢復咀唅功能。 | [
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| 痔瘡 | 林醫師您好： 不好意思打擾您！ 想請教有關痔瘡手術方面的資訊 我之前有去台北醫院檢查有內痔，診斷已無法自已縮回去必需要開刀才能根治， 因我聽說手術後會很麻煩，而且很痛，所以遲遲沒去重視這問題。 但最近每次解便都有大量出血的情況即使軟便也一樣，還有小血塊像粘膜狀， 肛門並不會有疼痛感，但我的肚臍左上方有時會痛痛的，不知是否有其他病變。 最近我想去開刀治瘵，是否請林醫師抽空儘速回答我以下的問題謝謝！ 1.動手術是否要住院大約幾天？ 2.回復到可以正常上班時間大約是多久？ 3.我想做最新的環狀切除術在台北縣市那些醫院已有這方面的醫瘵。 4.大腸癌與內痔的分別與症狀，我現這情況有沒有可能是？ 5.所有費用從手術至後序醫瘵大約要花費多少錢？ | 回覆： 您好 1.住院大約23天。 2.手術完肛門附近會疼痛約2星期，回復到正常上班時間因人而異，工作性質係是否常走動也有關係，有的人要3、4週後才恢復。 3.大型的私人醫院如馬階醫院，本院直腸外科王琪超醫師有作此手術。 4.大腸癌的症狀，從大便習慣改變、貧血、腹痛、腸阻塞、便血、肛門、直腸、乙狀結腸腫瘤症狀與內痔很類似，要作鏡檢或下消化道攝影以分別。 5.作痔瘡環狀切除術，包含自費器械、健保床，花費約2萬2千元，每家醫院收費有點差異，詳細情形，請至直腸外科詢問。 內科林明慧醫師敬覆 | [
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| 會懷孕嗎？ | 521第一次開始吃事前，63發生性行為，有戴保險套但是事後發現有破掉，請問現在的我還會排卵嗎？會有懷孕的可能嗎？ | 提問您好 第一次服用避孕藥，建議於月經週期第一天開始服用。 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。複合型口服避孕藥COC必須要每天同一時段服用，正確服用可以達到99的避孕效果。如果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，需請醫師檢查，謝謝 祝 平安 健康 張 醫師 回 | [
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| 避孕器 | 想問醫生如果職業是要輪班的，我在4月是16-00班，5月是00-08班，我在47凌晨2點置入，預計428凌晨2點移除，預計55凌晨2點要再置入，那如我上述所說的若55要上班沒辦法2點置入可以等下班後在置入嗎？置入還是同一天，會有影響嗎？ | 您好 可以延後一點不影響。祝你健康 | [
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| 抹片檢查 | 近日拿到抹片檢查報告為（2）發炎，其他良性反應。可能的感染：無。回診看報告時，有發炎的反應，可以選擇塞劑治療，也可以不用。後續再追蹤即可？（半年到一年再做一次）這樣是正確的嗎？ 另外就是當時在做抹片檢查時，處於排卵期間，有白帶分泌物，請問這樣的採樣狀態，是否會影響結果判讀？ 回診時醫生有問是否有不舒服或分泌物多的狀態，我都沒有這些問題。但報告看到發炎很焦慮。。。（前兩年都是檢查結果都是正常，且單一性伴侶，有防護措施） | 「陰道感染」會造成異常分泌物、會陰部搔癢、異味、排尿灼熱感尿、頻尿、出血.等，更嚴重會腹痛或發燒。 「治療方式」依症狀而有所不同，還需要配合正確的衛教，建議至門診由婦産科專科醫師檢查與評估。 | [
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3藥物
| 健康食品 | 請問一下月見草由和葉黃素可以一起服用嗎 那麼食用月見草由和葉黃素會有副作用嗎 謝謝 | 小雪：您好！葉黃素Lutein是存在於天然蔬果中的一種天然類胡蘿蔔素，消除因紫外線造成的自由基，可預防老年性眼球視網膜黃斑退化引起的視力下降與失明，並可防止肌體衰老引發的心血管硬化、冠心病和腫瘤疾病。目前尚無明顯副作用發生之報告。月見草油含有豐富的次亞麻油酸Gamma Linolenic Acid在體內可以參與合成前列腺素PG，並進一步轉變成重要的荷爾蒙物質，以調節生理機能。具有（1）改善經前症候群：可以緩解經前症候群的不適。（2）滋潤皮膚並緩解發炎及改善皮膚紅腫乾燥的症狀。（3）緩解自體免疫方面的症狀：像類風濕性關節炎、氣喘及過敏症狀等。（4）保護肝臟並預防脂肪肝形成。（5）改善高血脂。（6）調解血糖：協助糖尿病患者控制血糖。（7）舒緩偏頭痛、改善異位性皮膚炎、減肥作用以及降血壓等。值得注意的是A、乳癌患者或有家族性乳癌遺傳因子的婦女，絕對不可以服用。B、正在服用癲癇藥物（特別是Phenothiazines）的病患或是孕婦，最好與醫師討論用量，小心使用。副作用是輕微胃腸不適、頭痛。二者同時服用，不會產生交互作用。不知此回答，是否消除了您心中的困擾。 | [
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10兒科
| 寶寶生長發育 | 您好 寶寶睡覺睡著時嘴巴都開開好像在用嘴呼吸，有人告訴我可能有過敏體質是這樣嗎 如是請問要看一般門診即可嗎 寶寶目前身高100公分體重12公斤是在正常範圍內嗎 謝謝您 不知如何的媽媽留。 | 署立竹東醫院小兒科主任張國珍回覆如下 1.睡覺時張口呼吸和過敏體質並無絕對相關 2.寶寶的頭圍身高體重是否正常和其實際年齡有關， 欲知寶寶的頭圍身高體重是否正常，可參考兒童健康手冊 第6-9頁的生長曲線圖，只要是落在90-3百分位間都算是正常 敬祝 平安 | [
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| 菜花感染問題 | 1.菜花是透由生殖器跟被感染生殖器接觸才會有較大的感染率對嗎？或者說，菜花他經由直接接觸後，到底是怎麼樣才會感染上呢？ 2.對方生殖器菜花治療已2年以上未復發，對方用手摸過他的生殖器，在摸我的生殖器幫我打手槍（只打了幾下未射），之後馬上用肥皂清洗了，請問我會被感染嗎？ 3.對方肛門菜花已治療並已1年以上未復發，此時手指帶指險套輕輕摸幾下對方肛門但手指未進入，這樣會被感染嗎？ 4.如果可以檢驗是否有被感染？有篩檢紙之類的嗎？大約要過多久檢測會比較準確 | 您好 1 菜花感染是看病毒量及抵抗力 極大多數的病例都是直接接觸 且被感染者也不是所有皮膚都會被感染 會陰生殖器的皮較易當然也有少少數的追不到直接接觸史的 那是少之又少. 2 重點是菜花者被接觸的皮膚有沒有病毒 如果有 多少量 接觸後到您的皮膚量有多少 是不是易感染的皮膚 不是不可能 但機會極少 要完全避免 就要安全性行為 3. 同上題 機會是少的 4. 目前有的只是參考 個人覺得可能安全性行為比較重要 可以較全面的保護自已. 祝健康. | [
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2牙科
| 智齒 | 牙醫您好！ 最近剛拔了一顆智齒，也拆線了，牙醫說可以正常進食，但我還是擔心怕正常吃飯的話，食物卡在傷口會造成感染發炎，想請問醫師，真的可以正常大口大口吃飯嗎？ 請問拆完線是需要熱敷嗎？ 那智齒傷口真正復原大概要多久時間？ 另外還有一個問題 就是我左下還有一顆智齒是水平生長，但沒長出來，牙醫是跟我說不急著拔，等它長出來再說，但網路上的資訊都是說長不出來的水平智齒要拔，所以有些困惑，但目前為止是都不會痛！ | 一般拔完智齒，約一星期後拆線，雖然拔牙洞口骨頭組織未完全填滿，但已有軟組織填充在洞口，只是不要吃太硬或太黏的食物，不太會卡在傷口造成感染、發炎，而拔牙的洞口要骨組織完全填滿大約1-2月時間。 左下水平生長的智齒，一般而言不太容易長出，容易被第二大臼齒擋住，但如果18歲，而智齒沒有急性發炎的症狀，可以暫時觀察看看是否有機會完全長出來。 | [
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| 排卵期出血 | 醫生您好： 想請問以下就是我月經這個月來的時間是11151121月經結束後1128中午流一坨的咖啡色分泌物但後來就沒有了，這是正常的現象嗎？有需要讓醫生檢查嗎？ | Alice 您好 假如月經週期是28天，1128剛好是排卵期，在排卵期若有點壯出血或咖啡色分泌物2-3天是正常的生理現象。 | [
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| 生長發育 | 醫生您好 我的女兒現在2.5 Year，但是體重卻只有13kg，但是飲食、發展都很正常。 這樣有沒有關係？要怎麼增加她的體重？ 謝謝。 | 您好 您的女兒現在2.5 Year，體重有13kg，且飲食、發展都很正常。 對照起來是50百分位，是中等的體重，不需太擔心。 要增加體重就是多吃，三餐要增加量，另外配方奶一天約500cc就足夠了 健康的中等體重也很好呀 衛生署桃園醫院 小兒科主任裴仁生 敬上 | [
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6骨科
| 脛骨骨折 | 醫師您好，我1026發生車禍右小腿被機車撞擊，我為行人，警察友陪我到醫院照X光，醫師說只有扭傷，並沒有骨折，韌帶部分因為小腿腫脹看不清楚，所以無法確定，1028經朋友介紹到住家附近的診所再照1次X光，醫師說因為小腿太腫了，所以看不清楚，只說有踝部壓砸傷及足部壓砸傷，另外幫我預約114再到診所照1次X光，這次醫師說我是脛骨內踝移位性骨折及足部壓砸傷，然後讓我穿石膏鞋，因為一開始醫院說沒有骨折，後來診所說有骨折大概經過89天，這種情況應該是有可能的吧因為保險公司針對這問題在質疑我，我很不服氣，所以想請教醫師，謝謝您 | 妳好， 的確有可能在受傷的當下照X光沒有呈现骨折，但經過一段時間通常是7-10天重照而發現骨折的情形。 因此可以再向保險公司溝通及爭取。 | [
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13肝膽腸胃科
| 下腹部問題 | 下腹接近膀胱的位置悶痛了大概半年了，伴隨著多屁，且味道難聞，有點裏急後重的感覺。有糞便潛血檢查，大腸鏡，腹部電腦斷層，背部腎超音波，X光，尿液檢查，都沒問題，還是持續不舒服。想請問醫生這狀況我還可以看哪一科？腸胃科 泌尿科都看了。實在困擾不知道該怎麼辦。謝謝 | 沒有另外建議了，清淡飲食，保持運動，再觀察 | [
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| 門牙 | 我的門牙兩顆都有補過，補完過了好久，突然，右邊的門牙，接近牙齦的地方，出現了差不多有0.3mm長度的黑黑的，怎樣刷，怎樣摳他，都不會掉，牙齒也沒有疼痛的現象，為什麼會這樣咧，是不是補牙的東東漏了出來 ps我喝冰水的時候，門牙都會好難過，說不出的怪感覺，why | 屏東醫院牙科鄭松筠醫師回答 1.門牙補完後接近牙齦的地方出現黑黑的，可能是填補物跟牙齒接觸的地方有微裂縫，久後食物殘渣殘留在此染色所致，建議重新填補. 2.喝冰水，門牙會難過，可能是門牙有齲齒，或門牙靠牙齦處有磨損所致，這種磨損大部分是刷牙時牙刷磨損，依您的情況，黑黑的地方可能已成齲齒了. | [
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7耳鼻喉科
| 中耳炎 | 醫生你好： 我女兒今年八歲，今天突然告訴我他耳鳴，帶去看醫生，醫生說他的中耳有積水，通常吃藥會好嗎？中耳積水是很嚴重的病嗎？要不要轉到大醫院去看？ 但是我很小聲的在有積水的耳朵邊講話，他聽的到，這種情形是不是沒有很嚴重啊！我該怎麼辦，懇請醫生詳細的告訴我，感激不盡 ｐｓ.中耳積水的小孩須要動手術的機率高嗎？還是吃藥就會痊愈呢？好了以後會常常又引起中耳積水嗎？我須要特別注意什麼事情？謝謝！謝謝！ | 中耳積水，表示中耳膜發炎。一般稱漿液性中耳炎。好好吃藥應該會痊癒。你可以到我的門診做檢查與治療。好了以後，好好保養可防止復發。謝謝。 | [
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6骨科
| 手腕問題 | 施醫生你好 我有個手腕疾病纏著我將近一個月。 症狀是左手腕順時針向外旋轉腕，尺側的地方會痠痛。或是手拖餐盤或拖書本手掌面向上，掌面施以一個重量這樣，手腕尺側的地方也會痠痛。 有到地方大醫院就診，醫生說是三角纖維軟骨群發炎，Ｘ光說硬骨的部份無異狀，照超音波是說肌腱發炎有纖維化現象。（聽到纖維化心裡感覺好嚴重） 已經有天天三餐飯後按時吃藥（消炎＋肌肉鬆弛劑）跟天天做復健（電療＋單點熱超音波寮）滿2週了 狀況遲遲無些許進步改善 想請問施醫生我現在這種病狀嚴重度是不是無法根治了？ 或是可以怎麼治療會比較有進步的改善？ 謝謝 | 這一類的症狀要消失通常須到六星期左右 所以須要繼續治療 還有不能對於這個關節太過用力 手腕的發炎不容易好 但是要有耐心的治療還是會改善的 | [
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6骨科
| 身高 | 自慰會長不高ㄇ 告訴我好ㄇ | 阿龍君 自慰並不影響身高的發展身高受遺傳、運動及營養等因素的影響。為多因素的互相因果關係。若您對身高還有任疑問請於居家附近的骨科看診。 骨科 | [
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5泌尿科
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1精神科
| 妄想 | 前天，男友的姊姊發現弟弟三更半夜躲在陽台，詢問他在做什麼，他居然說他在聽樓下的人討論他ps.我們住6樓，還說都是我男友將他負債的消息傳出去，才會害他被同事、路人討論。還說我們不是在房間睡覺，是在房間內密謀要害他，還將耳朵貼在我們的門上偷聽房內的聲音。 昨天，男友正在房間玩線上遊戲，男友的弟弟，突然拿著2把菜刀衝進我們房間，要砍我男友，還好男友的姐姐第一時間擋在前面阻止，搶下他的菜刀。原來姊姊自前天聽到他的話後，就不敢睡覺，一直觀察他的舉動 他的理由是說我男友一直用網路視訊、討論區發文毀謗他，導致外面所有的人都在說他的壞話，還說我們要密謀害死他. 但是.事實上，並非如此。 我們懷疑他有被害妄想症，也很害怕哪天在睡夢中被他殺死，但是，我們不知道現在該怎麼處理。 如果他不願意去看醫生，我們該怎麼辦 若要強行帶他去就醫，家人都是老弱婦孺，也拖不動他，我們該怎麼辦 有需要先報警備案嗎 如果看了醫生，拿了藥，同住屋簷下的我們，安全嗎 如果住院，住院費會很高昂嗎 他沒健保 | A1如果勸不動，有自傷傷人危險的病人在發生狀況時一定要報警處理 A2警察會協助處理 A3有需要 A4安不安全並非醫療問題，請警察協助處理 A5每家醫院不一樣 | [
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4心臟血管專科
| 地中海型貧血 | 湯醫師您好 前一陣子做過體檢體檢的結果確定是地中海型貧血hb11.3mcv65.6 因為在發表文章之前有去看過和地中海型貧血相關的問題很多文章都說 輕型的地中海型貧血和一般人並沒有兩樣並不影響日常生活但有一個 問題始終都找不到就是想請問醫生如果患有地中海型貧血的人血紅素 一定比一般人低嗎還有如果真的比較低那就完全沒有辦法可以改善嗎 謝謝湯醫師的回答 | 小偉你好： 海洋性貧血 舊稱地中海型貧血 的問題是出在紅血球的大小比較小 即 MCV80。但在輕型的患者而言，血紅素 HgB 之數量、功能均與一般人無異。 以你的驗血報告而言，你還可以捐血耶！不用耽心的。記得結婚生孩子前，你的配偶也要確認一下是否有海洋性貧血即可。 謝謝你的問題。 | [
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7耳鼻喉科
| 扁桃腺 | 從4月中傷風感冒喉嚨痛，沒吃藥等自性痊癒，症狀解除後，感覺喉嚨一直卡卡有時還會感覺灼熱感。有看了耳鼻喉科，第一位醫生說可能是胃酸倒流給了藥但吃完後症狀還是有。去看了第二個，照了ct scan鼻咽，說有一側腫大但沒不好的東西。醫生開了藥，持續吃到現在。這幾天發現，有時喉嚨感覺卡卡好像有飯粒卡在扁桃體（左邊），自行照了發現扁桃體雙側不一，感覺右邊比較大？請問這樣是正常嗎？謝謝 httpsibb.coVjsD5Qv httpsibb.coBqh8WqG | Hi： 您好， 初步看起來雙側扁桃腺差異不大，若無明顯疼痛或分泌物，喉嚨卡卡常與慢性扁桃腺發炎或胃食道逆流有關，建議可多喝水、多漱口、減少辛辣食物或飲料攝取，如果持續未改善，建議再次回診檢查。 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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0婦產科
| 藥物諮詢 | 醫生您好： 目前我吃美適儂連續吃了兩年多了，想請問需要停藥休息嗎？另外有需要去醫院抽血檢查嗎？在網路上看到有人說需要定期抽血檢查，再麻煩醫生解答。謝謝 | 您好 可以停一個月再重新開始服用，應該是不用抽血。祝你健康 | [
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| 睪丸問題 | 泌尿系統已經有問題一陣子了，從去年開始，就發現自己精液越來越稀，量也越來越少，到台北醫院檢查之後，他們說量是正常，數量也剛好在正常範圍，但是比起兩年前的量真的差非常多，數量也差了一倍以上（在這之前也曾經檢查過精蟲的數量），而在今年三四月的時候有去診所檢查，那時候照超音波他說睪丸在正常範圍3公分 兩邊，但我在網路上查正常大小大概是5公分，但最近每天都會摸著檢查，這幾天卻又感覺到又比前一陣子又更小了，連另一半也說我的睪丸跟陰莖都有變小，導致我現在好憂鬱，不知道該怎麼辦 | 建議抽血檢查男性荷爾蒙。 | [
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| 經期問題 | 422∼26月經來潮、428與男友隔著內褲磨蹭（他未穿內褲）不確定過程中有沒有流出前列腺液，程式算出來515∼20爲經期，但月經沒來，516、19各驗孕一次，皆為乾淨的一條線，最近有腹部悶痛的情形，月經卻遲遲不來（遲到7天），壓力甚大。想問醫師428的行為有可能懷孕嗎？還有需要在驗孕嗎？需要的話是何時呢？最近腹悶是月經要來了嗎？遲到這麼多天是正常的嗎？如果什麼時候再不來就該就醫呢？ 謝謝醫師！ | 422∼26月經來潮、428與男友隔著內褲磨蹭（他未穿內褲）不確定過程中有沒有流出前列腺液，程式算出來515∼20爲經期，但月經沒來，516、19各驗孕一次，皆為乾淨的一條線，最近有腹部悶痛的情形，月經卻遲遲不來（遲到7天），壓力甚大。想問醫師428的行為有可能懷孕嗎？ Ans 428與男友隔著內褲磨蹭的行為 沒有可能懷孕 還有需要在驗孕嗎？需要的話是何時呢？ Ans 不需要 最近腹悶是月經要來了嗎？ Ans 是 遲到這麼多天是正常的嗎？ Ans 再觀察 如果什麼時候再不來就該就醫呢？ Ans 722再不來就該就醫 | [
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11營養教室
| 手術後飲食 | 我想請問我有第一型糖尿病及甲狀腺機能亢進症目前以注射胰島素治療中在電視上看到介紹一些營養果汁五心級艾偉廚房其中有一道蔬果汁中有加入軟璘脂及啤酒酵母我想知道的是那些所謂的營養補充品對糖尿病患者是否可以食用ㄋ | 目前市面上充斥著許多的所謂的營養補充品，而您能注意到這些營養品是否對本身的健康狀況有害，這是非常好的。 您提到的營養果汁有加入卵磷脂及啤酒酵母，是否還有其他食物成分未提到，否則看不出來它是一道蔬果汁。 其實您只要掌握住六大類食物分類（即奶類、五穀根莖類、油脂類、蔬菜類、水果類及魚肉蛋類），再依據本身狀況所需，熱量之飲食設計（您可以和您的營養師訂定一個可以執行之飲食計畫表）加以代換變化即可。 對於市面上之營養補充品若未能完全瞭解其成分及含量，最好還是不要冒然食用，另外，您可以將這些產品之外包裝拿給您的營養師為您分析，亦歡迎您將詳細之成分說明在來信告知，已便給您較確切的答覆。 | [
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| 備孕問題 | 醫生您好 前兩天有問過正在備孕中的我吃藥及營養片有無影響，感謝您的回覆，讓我安心許多。 但因為備孕關係個性較緊張，想問我上個月的抹片結果發炎是Reactive changes inflammation repair radiation and others，醫生說發炎吃藥塞劑即可，沒提下次何時抹片，請問應半年抹片，還是一年再抹片即可，若遇到真的懷孕時，也需抹片嗎 謝謝 | 您好 如果沒有不適，一年做一次抹片即可，懷孕也可以做抹片。祝健康 | [
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| 藥物諮詢 | 您好 請問這些藥的用途 biotase kascoal uropyrin mauropyrin formax Cefadroxil 我的胃超爛的這麼多藥胃好漲又痛 請您同情我吃那多藥真是謝謝您 | 您好Biotase的用途是： 強力綜合消化酵素劑，當中有30多種酵素。可迅速地促進食物中碳水化 合物、蛋白質、脂肪三大營養素的消化，並增快吸收速度消化不良、胃腸疾患、消化機能減退。 Gascon的用途是漲氣. uropyrin藥物作用： 本藥為一種尿道的止痛劑，適用一般原因的尿道疼痛及燒灼感治療： 急慢性淋病、膀胱炎、前列腺肥大症之尿道疾患、尿道炎、尿路 感染併發症、尿意頻數、婦人膀胱尿道炎、前列腺炎、龜頭炎、 軟性下疳、腎孟炎、尿道結石等引致之尿道障礙、排尿灼熱、排尿疼痛、小兒夜尿症、尿意迫促等。 formax藥物作用： 主要的作用是能阻止「前列腺素」的產生，因此能解除關節疼痛及發炎的症狀。 治療： 適用於改善慢性關節風濕、僂麻質斯變形性關節症、變形性脊椎症、 腰痛症、骨盤內炎症、末梢神經病變、腰部椎間突出症等。 cefadroxil本劑為「頭苞子菌」類的抗生素，它最主要的作用是，以破壞細胞壁 的方式，達到使細菌因無法增生而死亡的作用。因此它能抑制呼吸道 感染如：支氣管炎、肺炎、咽炎、生殖泌尿道感染、產科及婦科感 染、耳鼻喉科感染等。但是對濾過性病毒及黴菌染就無效。 治療： 葡萄球菌、鏈球菌、肺炎雙球菌、腦膜炎球菌及其他具有感受性引起之感染症。 Mauropyrin和 uropyrin是否同一藥品.如此回答可以嗎謝謝您Bye | [
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1精神科
| 睡眠問題 | 之前有一次突然睡不著，然後之後就睡不著，然後我就去看醫生，看完醫生他給我抗焦慮和安眠藥。後來我去另一間他說我是可以睡著的，所以就叫我不要吃安眠藥。到現在我已經沒吃安眠藥一個禮拜然後吃抗焦慮的藥，吃完抗焦慮的藥後都有馬上睡著。我就覺得會不會是因為我心理問題才睡不著。（吃抗焦慮的藥是睡不著才吃，但都躺不到2小時就吃了）如果我有自己睡著的話都會1小時起來，而且會感覺有睡又感覺沒睡，我都會盡量讓自己啥都不想，然後我閉眼睛都要很久才睡著。我在想是不是因為我是吃藥安心才睡著的，如果是要怎麼戒掉，然後安心睡覺 | 敬啟者： 從您來信說明的情形，可以明顯感受到您的不適和焦慮 從您的描述 一時也無法斷定您的診斷為何 但很可能是焦慮合併失眠的相關疾病 目前的選擇是以心理治療為主 藥物使用也可避免有不合適或副作用的發生 所以定期地門診追蹤和討論是非常重要的 本院周一至周五上午與下午皆有門診建議您考慮來院讓醫師親自評估您的症狀共同討論出對您最好的決定。 敬祝 身心健康 一般精神科 張耿嘉醫師 上 | [
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| 經期問題 | 您好：我因經期應該要在2月初來臨，但遲遲未來，便於2月底看過醫生後服用催經藥7天，生理期於36-312來臨，血量和天數皆正常。 但於319開始感覺到胸部漲，下腹部痠且微刺痛感，請問這是有可能排卵嗎？或是有懷孕的可能呢？ 313、314皆有性行為 | 您好 應該是排卵的關係，觀察即可。祝你健康 | [
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| 菜花傳染問題 | 醫生您好因為自己比較不了解會不會感染到 然後因為有小傷口所以特別擔心會感染 所以才想要詢問醫生的意見在醫生的醫療經驗上覺得因為陰莖上的小破皮然後在公司廁所關水龍頭開廁所門把在摸到陰莖會不會感染到菜花呢？ 雖然知道間接的感染機率很小 可是因為剛好有傷口所以才會如此擔心害怕. 所以依照醫生的經驗覺得這樣的行為需要擔心嗎？ 本身非常確定自己沒有性行為發生，也已經過一個多月都沒有任何病兆所以詢問醫生意見希望醫生給我意見讓我放心感謝🙏 | 您好 觀察生殖器及周圍皮膚有異常突起要醫院泌尿科就醫 不用擔心菜花傳染至少要注意3個月. 祝健康 | [
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6骨科
| 腳趾骨折 | 醫生您好： 我於33發生車禍，右腳的第四個腳趾骨折，有斷裂到關節面、稍微錯位，去看了兩個醫生都告訴我可以開刀也可以不開，理由是第四個腳趾不太需要負重，影響不大，但如果開刀的話可以降低未來關節炎的風險（惟又表示即使開刀將來亦有關節炎之風險），我詢問不開刀外觀上或活動度上是否會有影響，醫生也表示應不會有影響，但不開刀該關節面就不會復位長得一樣（目前已經26天X光上看起來仍缺一角，骨折位置約在第四趾的左下角靠近指縫處，車禍以來僅以透氣膠帶將2、3、4趾固定，出行均穿著氣動式足踝護具），想詢問醫生這種情況下開刀與不開刀的利弊與建議？謝謝您！ | 第四趾骨骨折可以不必手術 通常會癒合的 | [
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1精神科
| 焦慮 | 您好 兩週前由於運動後突然有心悸，呼吸不過來，胸悶，平時休息時不會有這些症狀 是之前沒有過的情況 掛了心臟內科門診 做了24h心電圖，心臟超音波後確診出輕微的二尖瓣脫垂，也引發了自律神經失調 但由於狀況不算嚴重，醫生也暫且沒開藥給我，只叮囑我要有規律的作息等 之後我的身體似乎被開啟了甚麼開關一樣，對很多事物感到很敏感，像是之前我能喝茶類都沒問題，但現在一喝茶就會心悸，也不太能喝冰的，甚至連受到驚嚇也容易造成心悸，有時晚上還會莫名的被冷醒，在這八月份竟然要蓋厚棉被喝熱水才得以舒緩 我在上網找過類似的經驗談後大概得知這應該可能是自律神經失調在作祟 之後我就盡量生活作息規律，避免碰含咖啡因的飲料，少喝冰水，規律且量力而為的運動 真的，情況有好轉很多了 但唯一困擾我的就是晚上失眠這件事 不是說睡不著，是睡到一半胸悶，之前還會心悸但現在情況改善了，好像有東西壓在我胸口上，好像吸不到空氣然後就驚醒了，但一醒來狀況就好了，但只要一睡到將近要進入夢鄉的時候就會這樣，就這樣反反覆覆徹夜都沒睡好，這種情況已經連續好幾天了，但只有晚上有這症狀，白天怎麼睡都沒事 | 您好 依您的敘述，您的胸悶、失眠、心悸，可能和恐慌症有關， 除藥物治療外，放鬆訓練，轉移注意力，認知行為治療也都會有幫助， 若狀況持續沒有改善，建議您可至身心科或精神科門診就診，請醫師當面評估，並討論適合您的有效介入方式。 祝福您 | [
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| 人工流產 | 不好意思請教一下 如果懷孕了 在2週內進行人工流產 會不會有後遺症 那花費大約多少 會很痛嗎 如果是吃藥跟人公流產 哪個比較安全 乾淨 在座人工流產的話 需要住院嗎 要不要家長簽同意書 大約時間多久 做人公流產的話 大約多久恢復正常 麻煩你囉 謝謝 | 1.臨床上的懷孕週數是以最後一次月經的第一天算起。 2.人工流產一般的情形下是沒有什麼後遺症的，當然如果特殊體質就另當別論。 3.人工流產因為需要麻醉所以是不會痛的。 4.人工流產不需住院，未滿二十歲需家長同意。 5.吃藥的話，需妊娠週數在七週內，會腹痛、出血的時間較長，有時2-3週人工流產所需的時間只需一般只需數分鐘，因需麻醉，恢復的時間則因人而異。兩者的費用，如無特殊狀況，約各需四千多元視用藥的情形，因人而異。 | [
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| 避孕 | 1122（二）晚上要吃最後一顆藥的時候發現前一天的藥沒有吃，但是確定前一天有吃藥，所以是之前漏吃了一顆，然後（二）當天就一次吃了兩顆，但自己是覺得是最後的幾天忘記吃了，通常月經是吃完的第四天來，但第四天了他還沒有來，不是前一兩週漏吃的藥，應該是最後幾天……請問醫生這樣會有問題嗎？ 另外有在喝養身茶，成分有：茯苓、木瓜、大棗、麥芽、葛根、甘草等，喝跟吃藥的時間都有間隔幾個小時，請問這會影響藥效嗎？ | 您好 再等等看，如果超過一星期沒有來，建議看婦產科，如果有來，月經來的第五天開始吃避孕藥。祝你健康 | [
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0婦產科
| 避孕 | 請問我有在使用舞悠避孕環（陰道避孕環、（放在陰道釋放藥效）成分是etonogestrel、ethinylestradiol 我也有在吃 1 瑞倍適14mg semaglutide（人類類升糖素胜肽-1（glp-1 2戀多眠安眠藥BROTIZOLAM 請問這些藥會影響我的避孕效果嗎？ 謝謝🙏 | 提問者您好所提藥物影響不大，謝謝 祝 平安 健康 張 醫師 回 | [
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4心臟血管專科
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5泌尿科
| 菜花 | 醫師您好約莫3週前尿道口內發現一長約3mm肉芽疑似菜花到市立醫院就診，醫生開立樂得美治療，2週後回診因外觀看不出效果醫師建議電燒，因本身作息無法配合醫院開刀房時間，醫師建議可到泌尿專科診所治療，原想找一天到診所，不料3天後肉芽消失每天都有觀察，前一天還好好的，應該是自行脫落小便時沖掉了，目前在尿道口深處留下一暗紅色疑似蒂頭的東西，請問：1.還要去電燒嗎？2.留下疑似蒂頭的東西正常嗎？3.目前持續使用樂得美中，還要使用觀察多久？謝謝 | 您好： 1）建議 2）可能殘留菜花 3）如持續使用，不一定，但有傷口不建議用。祝健康 | [
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| 醫療諮詢 | 許醫師你好 突然想起八八水災之難.許醫師也身處台東災區.不知府上一切平安否特函問候.盼貴府及鄉里一切平安是幸抱歉遲來的問候. 另外稍提一下記得你曾告訴我只要每週服用2次鋅與硒就可以改善老化及防止攝護腺癌之發生.日前我才發現到市面上有專業藥房如維康.屈臣氏.等有賣"男性B群新硒.我決定買來服用.布過是否一週兩次即可.我也買了DHEA來補充睪固酮荷而盟.這食品說要連吃4個月才有效.我若採隔日服用不知是否效能會減退. LION | 漁翁： 你好 看到你的溫馨問候，覺得台灣人還是有人情味。目前，就是家中的樹倒了4棵，人都平安，謝謝您的關心。 您提到的補充健康食品，我個人認為由於台灣的飲食應該都是足夠的，稍微補充一下不均勻的部分應該就夠了，因此，我認為不管哪一種營養補充劑，只要建議劑量的13應該就足夠了，甚至，只要15應該也夠了。當然，這只是我個人的認知。 至於你說是否會因為劑量不足而影響到療效，我無法評估，因為這方面，基本上，都是健康食品，不是藥物，套用廣告詞：藥物才有療效。衛生署只為藥物做療效的背書，對於食品的規範怎比較鬆。 希望以上的回答對你有幫助。畢竟，營養食品的補充，我真的外行。 | [
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1精神科
| 精神醫療 | 這件事發生之前，我都還覺得我是個思考正向，是個開心享受生命的人，不過從去年有一次我就不知到為什麼突然幻想，想說世界是不是全部人都是沒有生命的，然後我就真的相信了我的幻想，之後的一段事間我就過的很痛苦感覺世界只剩自己感到超大的壓力，但是我還是過著一般人的生活我沒跟任何一個人說，那時覺得講什麼都沒用，差點承受不住壓力，有自殺的念頭，不過我靠著一點點希望又撐過來了，我後來就對自己說別想太多，就慢慢變好的，不過一直沒辦法根治，就是開始會去杞人憂天想有的沒的，一直都無法停止幻想感到很大的壓力，無法恢復以前的生活，例如現在又看到了一個電影叫楚門的世界我就會幻想我是不是也會變成那位主角，這種狀況持續一年半了，過程中有時候我也會想開一點就比叫放鬆了，但就是會一直復發，我該去看醫生嗎不敢和家人說怎麼辦怕被當成精神有問題的。 | 你的狀況可能只是一種焦慮的狀態，也可能是某種精神疾病的早期徵兆，建議您早一點至精神科就醫，做完整的評估，也早點放心。 | [
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| 避孕藥 | 醫生您好 我是吃244的避孕藥，目前吃的第23顆時發現有一點咖啡色的血 1.那這樣算是月經來嗎？ 2.那一包事情藥是需要吃完最後1顆粉色藥跟四顆安慰劑，還是可以直接吃下一包新的 | 提問者您好使用期間月經來潮或發生出血時，不須停藥，仍照時間規則服用。當身體適應避孕藥後，不正常出血情形會停止。但若不規則出血發生超過三個月，或大量出血，則需諮詢醫師建議，謝謝 祝 平安 健康 張 醫師 回 | [
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6骨科
| 鎖骨問題 | 我在一個月前因為打球撞到 照過X光後是鎖骨裂開 經過快一個月修養 手已經可以舉例和自由的動和拿一些沒有很重的東西 但還是很沒力 想請問一下。這樣還需要穿八字肩帶嗎 手現在有時候肩膀還是會酸酸的沒有力和手有時候會稍微腫起來是正常嗎 因為醫生都沒講的很清楚想請問您 | 您好： 依據你的年紀，一個月骨骼初步癒合，做些肩部活動，應無大礙，但不可負重，持續門診追蹤。謝謝！ | [
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6骨科
| 尾椎問題 | 醫生您好 昨日有發問 今日去看完骨科 醫師開了2種藥給我 舒您痛錠SULINTON TABLETS 美舒錠MEFNO TABLET 這2種藥是治療尾椎骨發炎嗎您所說的消炎藥是這2種還是一般的止痛藥 | 尾椎疼痛的藥物都差不多的 大多數都是消炎達到止痛的效果 | [
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1精神科
| 睡眠問題 | 這個症狀有兩年了。期間發生了四五次 就是睡眠夢見很平常的夢也不是恐怖的夢，但是會讓自己很害怕、焦慮、不真實，要一直轉移注意力才會慢慢消失這種感覺，後來發現都是熬夜隔天補眠才會發生。發生時間都在入眠後2-3個小時內，請問醫師這是睡眠不足才產生的恐慌症，還是是不由自主的發生呢？我這算什麼症狀。 | 網友好 應是熬夜隔天補眠睡的不安穩造成的。 吳恩亮醫師 | [
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| 藥物諮詢 | 醫師 請問efexor和xanax是否會造成便秘和排尿困難呢 還有artane會嗎服用此藥是解haldol所造成的四肢不自主運動 之前服用藥物一兩個月前都幾乎沒有什麼副作用 但是最近副作用越來越多頭暈.便秘.排尿困難.噁心嗜睡.四肢不自主運動 抗憂鬱劑已經換過好多種了可是副作用還是很多讓人受不了 難到全部的憂鬱藥物都這麼多副作用阿 | 行政院衛生署台南醫院精神科王崇仁醫師敬覆 妳好： Artane與許多抗憂鬱劑有便秘的副作用，若無法減低劑量，妳必須服用軟便劑，平常要多喝水，吃多纖維飲食較易排便，排尿困難如非泌尿系統問題，則可能是情緒壓力或藥物如：Artane和Haldul的副作用，請與妳的醫師討論。 署立台南醫院祝您身體健康•萬事如意！！ | [
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13肝膽腸胃科
| 排便問題 | 目前懷孕10w，懷孕前就容易便秘，大概5-7天一次，懷孕後10天都上不出來，請醫生開排便藥，綠綠的有藥草味道錠狀），第一次排出來變變上有多處白色黏膜，後面是拉肚子看不出來，之後每週吃一次排便藥排便，但每次第一次排便都會有白色黏膜，有時一叢一叢有時整條變變上面黏一長條，想請問有需要找腸胃科照大腸鏡嗎？ | 便祕及黏液基本上腸胃機能及消化不良有關 | [
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5泌尿科
| 生殖器官 | 醫師您好， 謝謝您上篇的及時回覆（生殖器有小破洞）。因為我上網查了資訊，也覺得我的症狀比較像泡疹（傷口的樣子也很像），因為我人多數時間不在台灣，想請家人幫我買藥，如果是泡疹的話，我是否能去藥局買藥膏擦呢？是不是有含Acyclovir 成份即可？有沒有推薦的藥呢？我回台灣還會再去給醫生檢查的，謝謝醫師！ | 您好 如果是小破洞擦藥膏或是抗生素藥膏都沒差反而是生活要注意也就是增強抵抗力啦 如果去有藥師的藥局 會有藥師指導. 謝謝您的詢問. | [
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3藥物
| 藥物諮詢 | 侯藥師您好： 謝謝您的回覆，我已知道我吃的感冒藥大多為C級，是不好的，請問您當初吃藥後對寶寶的心智上有任何影響嗎 我希望有健康寶寶，如果有些許影響，我可能考慮拿掉，不知您是否有接觸過像我這樣的案例，可否再給我ㄧ些意見，謝謝。 | 您好；到現在才給您回覆，因為我以為是原先的題目，真的很抱歉，我當時吃完也很焦慮，當時是吃peace，也是剛開始8週內•我也照常生，我的小孩智力也不錯還考上資優班呢，前陣子有一位媽媽也是吃了某種藥品是D級，也考慮要不要拿掉，我麻煩她去榮總產檢順便問她們婦產科醫師，也就是多幾家醫院參考，再做決定，我繼續有追蹤她，後來有生下一健康寶寶這是我做藥物諮詢幾年來的經驗，也不一定正確，最重要的是一定要跟醫師好好商量，多做幾樣檢查•我的電話是04-22294411-2128侯藥師，歡迎您有任何問題需要我幫忙，我很願意•祝福您當個平安快樂媽媽• | [
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| 舌頭的問題 | 最近我媽媽舌頭裂開非常嚴重，剛開始只有一點點龜裂，後來有去給醫生看診，醫生都說沒事，不過有給藥膏也擦不好，最近又開始了 而且比前23個月裂的還要大、明顯，舌頭而有時候會痛 有時卻不會痛，頭感覺重重的，有請專業醫師解答.這樣是甚麼狀況 或是要注意些什麼之類的 有推薦台北哪間醫院的醫師嗎 謝謝醫師的回答 感恩您 | 可能是免疫系統異常或情緒壓力大，睡眠品質不佳或口腔過於乾燥所引起，建議找台北醫學中心的口腔外科醫師做進一步檢查 | [
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15復健科
| 復健問題 | 1星期前從大樓地下室騎機車外出， 倒霉的是騎到斜坡突然絆倒， 機車壓住左腳， 送急診後，急診醫師看了X光 告訴我打石膏， 糊里糊塗的上了石膏， 隔幾天看了另一骨科醫師， 他認為並無骨折， 將石膏給拆掉， 我很疑惑，診斷落差很大 看看自己的左腳除了稍微紅腫 走路稍疼痛外，其他沒大礙， 請問如果看復健是否好得較快？ 謝謝！ | 小姐您好 感謝您的提問在這邊先回覆您的問題並提供建議如下 1.應先確定是否有骨折因為牽涉到復健運動及承重. 2.除熱療.電療外超音波及雷射可止痛及促進癒合並加強肌力訓練 可即早恢復. 3.以後若有打石膏狀況可請骨科醫師在石膏上留一空隙可先做光療 促進癒合. 最後 祝您 平安快樂 | [
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12胸腔內科
| 肺結核 | 醫師您好 我弟弟在肺結核在家治療期間，有天早上咳嗽嚴重導致呼吸困難後送醫急救，醫生診斷為自發性氣胸，目前主要是靠著呼吸器，醫生會在弟弟較有體力時試著自己跟呼吸器配合練習呼吸，但昨天晚上突然發高燒，導致今早心跳極快非常不舒服，下午醫生幫弟弟打了肌肉鬆弛劑與鎮靜劑讓他放鬆，而且因為這樣所以沒辦法練習，但晚上探病看弟弟雖然心跳緩和但還是很不舒服的樣子，一直以為打了鎮靜劑能讓弟弟至少感覺是舒服的。 想請問醫生一般醫院處理也是以這種方式嗎 弟弟還是會感覺的不適是正常的嗎 一般治療同時有肺結核和氣胸的病人，能先把氣胸治好讓病人能不用插管自己呼吸的是需要多少時間呢 | 您好 氣胸至需使用呼吸器通常會放胸管，若仍未改善可考慮手術，但需評估手術的危險性，原結核病是否很嚴重請與他的醫師討論。 | [
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| 懷孕嗎？ | 醫生你好， 我於1119、20與男友發生親密關係，有外射沒有插入，中間有一段時間有戴保險套，當月月經有來，大概是在1128來的，接下來一個月負責學校一些活動，隔月月經卻遲到，到現在還沒有來，雖然還沒有一個禮拜但就是害怕，再麻煩醫生了 | 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。而如果無法確定1128來的是月經的話，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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| 術後問題 | 醫生你好，我今天是做完包皮槍手術的第三天剛滿72小時。 圖1：httpsppt.ccf2sEyx 圖2：httpsppt.ccfQyvwx 以上是我目前的情況，有些問題想詢問醫師您 1.圖1有一處有些微出血，請問這是正常的還是我的線脫落了？因為不清楚這是只有釘子還是醫生有手縫🥲 2.我這一圈水腫是正常的嗎？不太清楚如何判斷怎樣是較正常情況更紅或是更黑 3.圖2繫帶附近有很多線頭，想請問這樣是正常的嗎？我也不知道為什麼我用包皮槍但還是很多地方有縫線 | 您好：1.圖1有一處有些微出血，請問這是正常的還是我的線脫落了？因為不清楚這是只有釘子還是醫生有手縫🥲---》應是滲血，注意避免勃起 2.我這一圈水腫是正常的嗎？不太清楚如何判斷怎樣是較正常情況更紅或是更黑 ---》顏色屬正常 3.圖2繫帶附近有很多線頭，想請問這樣是正常的嗎？我也不知道為什麼我用包皮槍但還是很多地方有縫線 ---》易出血，醫師會補，請詢問醫師。 祝健康 | [
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| 輻射問題 | 醫師您好，因去年身體因素，需追蹤腦部及住院前檢查跟一些醫師安排的檢查故經常暴露在輻射下，做了如以下檢查 腹部X光4次，胸部X光10次，頭部電腦斷層2次，腹部電腦斷層1次，牙醫全口1次，局部4張（不知道這些總毫西弗量是多少呢？） 想詢問以上經常性的輻射檢查是否會增加罹癌機率？如果會的話比較容易造成什麼癌症的機率增加呢？因為當初不知道輻射量是會累積的，所以醫師安排檢查都沒有提出疑慮，目前有些擔憂。 另外想詢問如果之後都比較少做這些輻射檢查是否會降低罹癌風險呢？ 先謝謝醫師願意撥空閱讀及回覆！ 祝福醫師平安順心。 | 您好 依據美國放射技師學會網站httpswww.xrayrisk.comcalculatorcalculator-normal-studies.php 29歲女性，腹部X光4次輻射劑量約2.8毫西弗，胸部X光10次約1毫西弗，頭部電腦斷層2次約4毫西弗，腹部電腦斷層1次約8毫西弗，牙醫全口1次約0.01毫西弗，局部4張約0.02毫西弗，這些檢查的輻射劑量共約 15.83毫西弗。 您提到的這些檢查的輻射劑量低於100毫西弗。根據國際輻射防護委員會ICRP103號報告指出，100毫西弗以下的劑量（包括一次或多次）不會造成臨床上的功能損害。聽從醫生指示接受輻射相關的檢查，是考量健康上的好處大於輻射的影響。如有疑慮，建議與醫師多做溝通後再接受檢查。千萬不要因為害怕輻射而逃避檢查，從而錯失了疾病的治療時機。 以上請參考，祝您平安健康。 | [
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| 罕見疾病 | 陳醫生 您好謝謝您的快速回覆也讓我們燃起了一絲的希望想請教陳醫生 國內何時可使用這種治療方法 或者是否可請陳醫生幫忙我們到國外就診的可能性看過陳醫生發表的文章知道CJD從發病到往生約只有一年的時間現在我們全家好像被判死刑的在等待這天的來臨身為子女的我們願意做任何代價及嘗試來挽回我父親的生命謝謝您的幫忙萬分感謝您. | 首先需先把庫賈氏病列為罕見疾病 才可以不必經臨床試藥階段 直接進口用藥. 很遺憾連續兩年向衛生署申請皆未過 我們還需繼續努力. 要看MRI的變化 如果海綿樣病變已進行太厲害 用藥也幫忙不大. 先看最近MRI及EEG再決定就診的可能性. | [
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13肝膽腸胃科
| 便秘 | 醫生您好 我自小就常便秘 連續幾天無法排便很常見 但我的飲食原本相當正常 也不偏食 可是隨著年紀漸長 我的便秘問題越來越嚴重 吃過很多輔助藥物也不見效 就連開刀前的清腸藥都對我無效 緊急下 當時的護士才願意以水療方式幫我暫時處理 後來就醫時 醫生幫我照完腸片 才知道我的腸子特別長 又因為腹部空間有限 所以堆疊擠在一起 造成腸子彎角角度很不ok 當時他對我說 這個應該沒法處理 我感到很絕望 所以就沒再看過相關門診求助 又過了好幾年 近期的我 真的因為便秘問題 感到人生似乎快要結束了 因為腸道阻塞 肚子痛就算了 還時常嘔心想吐 但 又會餓 我這樣 是不是真的沒救了 想說 離之前的診斷巨腸已過好幾年了 現在醫療技術 是否有新的療法 能否請您撥空為我解答 以上 十分感謝您 謝謝 | 由於妳的問題是從小就有，隨著年齡增長有時腸胃道平滑功能衰退腸胃蠕動較無力。骨盆肌肉不協調也會影響排便。緊張壓力憂鬱也會影響傳導排便的神經而影響排便。這些都有可能讓便秘嚴重。平時維持良好生活習慣多攝取纖維、可補充益生菌、補充水分及多運動（有氧運動、伸展、提肛骨盆腔運動。建議妳至醫學中心找腸胃科或大腸直腸醫師諮詢是否有更新的療法並做相關檢查，以了解目前身體狀況。以上回覆。祝 健康！ | [
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| 懷孕嗎？ | 醫生您好，因為在戴套前有先用手打手槍用硬，但沒有洗手就直接戴上保險套（怕有前列腺液），全程都有戴套也確認沒有破洞，請問這樣子會懷孕嗎？ | 親愛的小華您好： 如果您沒有洗手有沾黏到你的前列腺液，再幫女方愛撫，的確有機會懷孕，如果太擔心的話可以在性行為後72小時內服用事後避孕藥，如果時間超過太久再麻煩注意女方月經時間，延遲一週請記得驗孕，還有其他問題，可以雙方一起掛婦產科跟醫師討論諮詢。 南投醫院婦產科 黃子菲醫師 | [
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5泌尿科
| 結石 | 陳醫師您好 最近早上起床時 都覺得腰很酸 嚴重時甚至沒法彎腰 去看骨科也沒問題 請問這是否為腎結石徵照 如果是請問該如何處理 感謝您的回答 | 您好 依你主訴之症狀起床時腰酸無法彎腰這些症狀與結石引起的腎絞痛.腰痛不同腎結石的可能性較低可以考慮至復健科或神經外科就診。 行政院衛生署桃園醫院敬祝安康 沁尿科主任陳修義醫師敬啟 | [
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| 肝的問題 | 医生你好我做腹部B超检查发现肝纤维化医生叫我验B型肝炎病毒表面抗原Negative0.00C型肝炎抗体Negative0.07这是否代表我没有B肝和C肝昨天医生又叫我验B型肝炎核心抗体和B型肝炎病毒表面抗体是不是这样就可以找到肝纤维化得原因还有就是肝纤维化没药可以医吗难道就只能追踪吗万分感谢 | 您好 1B型肝炎核心抗体是為了知道過去是否曾經感染過B型肝炎後來沒有變成帶原者. B型肝炎病毒表面抗体是為了知道目前對B型肝炎病毒是否有扺抗力. 2肝纖維化要看看是不是嚴重年紀增長也是其中原因之一重點是肝纖維化程度有沒有超過同年齡層的程度. 3肝纖維化不一定要服用藥物如果找得到原因就必須要針對原因治療. 彰化醫院關心您的健康 蔡安順醫師 | [
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