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5泌尿科
| 排尿問題 | 醫生您好，最近因為想減脂，所以開始補充大量水分，以前水分補充不足、甚至很少一天大概2000c.c，是我的體重該攝取的量，但排尿的部分卻沒有增加，飲食有控制且有在運動，運動的部分排汗量也沒有到那麼多，且體重不減反增，所以有點擔心，想問醫生這樣是腎臟出問題還是只是身體還沒適應？ | 其實，2000cc的水份並不算很多。 只要沒有隨便去吃減肥藥，應該是沒問題。 若有擔心，還是要去醫院抽血檢查，再與醫師討論。 | [
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6骨科
| 鎖骨 | 小兒20歲騎車車禍致鎖骨粉碎性骨折手術的鋼板是採自費的鈦質鎖骨板動完手術的五天後傷口持續有滲血現象瘀血 因為非門診時間所以掛急診急診醫師說不知道原因就換藥 隔天又有滲血所以掛門診就醫門診醫師非執刀醫師也說不出所以然.因為執刀醫師的門診要到三天後 所以在此先向施醫師請教 | 傷口有瘀血出來必須換藥 保持乾淨以免發生感染 通常七到十四天傷口就會好的 | [
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0婦產科
| 多囊性卵巢 | 醫生您好： 我長期經期不順，只要沒有來月經，我就會去看醫生，這樣的情況已經發生2年多，125去看完婦產科做了內診發現我有多囊性卵巢，醫生也開了藥“普維拉伊使蒙”讓我服用完畢（5天）之後，月經來的前5天要回診，然後醫生說“調半年或是一年看看”這句話的意思是讓我服用避孕藥嗎？ 多囊性卵巢可以完全根治嗎？ 假設我回診後，醫生開的不是避孕藥，那麼我可以自行購買避孕藥長期使用與治療嗎？ 我有偏頭痛，要使用口服避孕藥可以嗎？我爬文查詢避孕藥相關資料的時候，裡面文章寫道禁忌偏頭痛患者，還是只要我有吃偏頭痛的藥就可以服用避孕藥來調我的經期呢？ 當日我有另外掛家醫科拿偏頭痛的藥（易克痛）據說是抑制血管的藥，那如果跟上述的藥同時吃可以嗎？ 我有爬文章，多囊性卵巢的患者可以使用口服避孕藥或是安裝避孕器來治療但是不會對我體內的雄性荷爾蒙造成影響請問這是正確的嗎以及真的可以這樣治療嗎？ 謝謝您！ | 提問者您好 多囊性卵巢症的治療簡述如下對於不想懷孕的患者的治療： 定期投予黃體素（每隔4560天），使月經來潮，以減少子宮內膜癌的發生。或口服避孕藥，口服避孕藥可抑制性腺激素的分泌，可抑制卵巢分泌雄性荷爾蒙，並可維持每月月經來潮。如果男性化比較厲害，可服用抗男性荷爾蒙較強的避孕藥。多囊性卵巢症的發生，主要是因為身體細胞對胰島素的利用不好所導致。所以可以治療成人型糖尿病的藥物metformin來治療多囊性卵巢症。而肌醇目前屬健康食品，非正規的治療方式。 對於想懷孕的多囊性卵巢症患者： 多囊性卵巢症患者不懷孕主要是不排卵引起。最常用的藥物為口服排卵藥Clomifene Citrate。對口服排卵藥無效者，可考慮使用HMG、FSH及r-FSH等針劑型排卵藥。 如果您有偏頭痛的問題，如以請神經內科醫師與婦產科醫師評估是否適合服用避孕藥，如果不適合服用的話，可以用上述的其他方法治療，謝謝 祝 平安 健康 張 醫師 回 | [
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| 懷孕 | 醫師你好，女友74號月經來，我們在720號有稍微做了一下，我稍微放進去，不到3秒就拔出，沒有射精，我很肯定這樣會懷孕嗎？ 84號驗孕，顯示陰性可是沒有用晨尿，也沒憋到4小時，頂多3小時 810又驗孕，一樣顯示陰性沒有用晨尿，憋3小時50分 815她月經來，她說量正常，顏色第一天酒紅，接下來幾天是鮮紅，天數大概67天，沒有血塊。 可是到現在我還是會擔心，怕來月經還是會懷孕，網路上有看到月經來三個月，才發現懷孕。 而且她最近會腰痠，胃口變好體重變胖---家事也做的比以前多很多上做健身運動 請問這樣我還要擔心嗎？真的很緊張，希望能得到答案 順便問問胃口變好真的是懷孕症兆嗎 女友本身吃很少的人，但最近她說吃得下一個人份的量了以前不行 感謝醫師的幫忙 | 提問者您好 依您的描述而言，如果8-15來的正常月經的話，懷孕的機會並不高。您所提到的有來月經卻懷孕是因為有些人把早期懷孕出血誤認為是月經，而有無懷孕並無法由主觀的症狀來判斷，建議如果不確定自己的出血是否為正式月經或擔心主觀症狀有可能是懷孕的話，須請醫師作超音波、尿液、血液…等檢查以確認有無懷孕。，謝謝 祝 平安 健康 張 醫師 回 | [
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| 勃起 | 想請問一下切除男性女乳症後發生勃起較不容易 。切除以前都是正常 切除後就發生了這個狀況 有問過其他醫生大部分是說沒有關係 只有一位說因切除乳腺 會影響勃起 。想請問這部分手術是否有相關連 滿焦慮的 搞不清楚 不知道怎麼辦 | 建議您接受抽血檢查荷爾蒙，併接受泌尿科專業諮詢。 | [
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| 自慰 | 醫師你好，目前25歲，身高165，體重60左右。一直單身，所以都是看A片用手自慰的方式，現在不像年輕時受到視覺之類的刺激就會迅速充血勃起，要用手硬起來。平常睡眠品質好的話是都有晨勃，但感覺只要醒來，沒去刺激他或做收縮pc肌的動作就會軟掉的感覺。以下一些疑問 1.常看A片打手槍，是不是會導致性刺激的習慣改變？戒掉A片，單純用手或飛機杯訓練能改善嗎？ 2.因為我有包皮過長，但沒有包莖，所以沒有割包皮。不知道是不是這樣所以龜頭和冠狀溝很敏感，用仿真人飛機杯時太刺激到會軟掉，持續用飛機杯訓練有用嗎？ 3.有晨勃，硬度也ok，是不是就代表器官上沒有問題？如果出現勃起障礙，就是心理上或操作焦慮等等的問題？ | 調整自己最好的方式，飛機杯模擬訓練也可，可到門診詢問 | [
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| 菜花 | 您好！媽媽讓我來補充… 1.內褲洗淨後吊室內可以嗎 【因為外有蜘蛛風沙等等，媽媽衣物都吊室內，但採光充足，夏天站著也會熱】 2.檢查確定前不知道是菜花，和媽媽有共用香皂，並和家人共洗內衣褲，這樣他們被傳染機會大嗎（他們現在無表徵） 謝謝您的回覆 | 您好 內褲洗淨後吊室內可以，傳染機會不大，平常心即可。祝健康 | [
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| 陰莖問題 | 許醫師您好 我想請問我現在25歲了 也服完兵役了 才剛割完包皮 這樣我的陰莖還會有成長的空間嗎 因為我之前有包莖的情形 所以看網路上說 割完陰莖會長大 請問這是真的嗎 長大的範圍是否包括長度 粗度及龜頭呢 謝謝 | 好煩： 你好 理論上，不會再發育了。已經固定了。 註：每個人，每次勃起時的長度、大小等，與刺激與興奮程度有關，並不是每次都是一樣大的。 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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0婦產科
| 驗孕 | 醫師您好 上一次月經週期是118-1113，1114性行為有全程戴保險套但一開始套子帶反後反過來戴，當天不安心有吃事後藥，1119-1124有出血（不確定是否為月經），血量及天數皆與月經量差不多，1128、125、1211有性行為但皆全程戴套，且事後有灌水檢查無漏水，1211發現胸部稍微開始脹痛因為擔心有驗孕一條線，1216晨尿驗孕也一條線 因為原本我的月經週期大約為24-28天，且通常很準時，很擔心這樣是否有懷孕的可能性？這樣的有驗孕結果是否準確？胸部開始稍微脹痛有明顯結節是經前症候群還是懷孕脹奶呢？ 謝謝醫師 | 提問者您好事後避孕藥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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6骨科
| 髖關節問題 | 周醫師您好 我公公今年78歲他住澎湖早年是補魚的約在40歲左右髖關骨已開刀過一次結果在去年初又一不小心跌跤倒置舊傷的人工髖關骨移位又再次的開刀但術後恢復不是很好下半身天天抽痛而且也已無法行走無法行走之苦尚可心情調適但抽痛之苦幾乎讓他生不如死因為無法行走所以術後的復健皆無法進行想請教醫師 1. 抽痛難耐為何一直無法消除 2. 為何會有這狀況產生 3. 可以藉由何種治療減輕疼痛亦或以開刀方式舒緩痛且日後可因開刀後可復健行走但 心的是有肺喘年紀又很大. 3. 公公因已無法行走所以要來高雄就醫是個大工程因老家皆無年輕人所以非常高興尋找到此網站可先參考醫師的意見再決定是否要帶公公至醫院再次做診療 期待您的回覆感恩 | 您好 回覆台端的問題 就像置車一樣也得做定期保養，有任何問題就得進廠最好是原廠檢查維修，既然妳公公已經接受手術請先回原手術醫院找主治醫師，因為相關病歷資料、X光片都比較方便取得，而如果仍不滿意的話，建議再找另一個專家聽聽第二意見second opinion。 澎湖的確就醫比較不方便，但是這樣的情形不是髖關節的問題就是腰椎的問題，還是得本人就醫醫師才能做理學檢查配合X光片檢查，才能針對問題對症下藥。請盡快帶妳公公就醫吧！ | [
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1精神科
| 憂鬱症 | 丁醫生晚安 在診間其實我不太問醫生自己病情， 因為我不知道怎麼開口，就醫生問什麼我就回答這樣。 所以也不知道到底是變嚴重還是好轉， 甫就醫時，是睡前離憂10mg一顆，艾斯樂一顆。 後來換成史蒂諾斯。 但上次回診完後，藥全部變了。 早上千憂解30mg 一顆，三餐各一顆景安寧0.5mg 睡前安保舒眠7.5mg一顆，腦樂靜25mg兩顆。 不知道這樣藥量會不會是變重 是不是我變嚴重了. 如果是這樣的藥量，那我是輕中重哪級啊… - 常常夜裡就會很失落，情緒會低到有自殘行為，甚至有自殺念頭跟動作。 看了一年了，感覺沒有任何起色，我到底還有沒有救. 做任何事完全提不起勁，完全失去動力。 其實也找不到活著的意義，根本是賴活。 這樣的我還有活著的價值嗎？ | 您好 憂鬱症很常見，在精神科也是算是比較好治療的病，如果有配合醫師處方治療，大部分的人可以在幾個月內有非常明顯的進展。 通常憂鬱症狀持續，最主要的原因是病人沒有規則按照醫師處方服藥，包括漏服或者挑藥吃，或者根本就是只吃有感覺的助眠藥，而把好像有吃沒吃當下沒感覺的抗憂鬱藥自行停藥。 其次症狀持續的原因是對於目前用藥的反應不佳。這時候醫師判斷在有規則服藥的狀況下，會考慮更換抗憂鬱劑，您的情形大概就是這樣。有時候不是變嚴重，而是好的不夠好，進步停在那裡。 藥量多少不見得跟憂鬱的症狀嚴重度有關係，這倒不用想太多。 憂鬱症是會好的，就像做一場惡夢，但是這場夢終究會醒來，就代表我們會從中康復。自殺的念頭在憂鬱症會出現，但是自殺絕對是一個錯誤的選項，就像我覺得重感冒的人不該自殺一樣，只要好好治療，等待時間，病情改善就好了。活不下去的念頭最強的時候就那幾分鐘，轉移注意力去做點別的事，打電話給可以信任幫助的人，這樣也可以度過那個難熬的時刻。 敬祝 一切順心 丁碩彥 醫師 敬上 | [
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11營養教室
| 營養諮詢 | 嗨施營養師您好想請教妳一個問題就是2歲多快3歲的幼兒體重17公斤會不會太胖因為她只喜歡吃肉不喜歡吃青菜會便祕這樣須要帶她去看醫生嗎 她現在看起來有點胖胖的會不會以後長大會是胖子. 一個不知道如何是好的媽媽. | 您好！要評估胖瘦，除了年齡、性別、體重的資料外，最重要的是還要有身高的資料，因不知其身高，所以無法評估您家小寶貝是否太胖，但若以3歲的生長曲線圖評估，她的體重約在90百分位，也就是以100個女娃由瘦到胖排名，她排在大約第90位。當然小時後胖，以後長大會是胖子的機率當然較高 因為脂肪細胞的數目比別人多。有很多小朋友不喜歡質地太粗糙或太硬或有渣的蔬菜，您可選用瓜類蔬菜如冬瓜、大黃瓜、小黃瓜、胡瓜--等、莖類蔬菜如胡蘿蔔、白蘿蔔--等或嫩葉，同樣可達到攝取纖維 的目的，同時要注意多喝開水，才能促進排便，若目前便秘嚴重，須先由小兒科醫師處理較好，另外，平時多讓小朋友在安全環境下跑跑跳跳，可促進排便，同時較會長高，如此就不怕會是小胖子了！希望以上答覆能讓您不再是一個不知如何是好的媽媽！ 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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15復健科
| 人工韌帶 | 醫師您好： 我奶奶在6月初做了人工關節， 已經快2個月了， 她的膝蓋還是紅紅腫腫的， 回診時，開刀的醫師都說沒關係， 腳不是他的，當然沒關係， 奶奶自己在家冰敷較舒服， 請問人工關節紅腫的地方可以冰敷嗎？ 以後會影響走路嗎？ 可以復健嗎？謝謝您！ | 您好 先回覆您的問題在提供建議如下 1.開刀後若膝部仍紅腫可冰敷約十分鐘即可不要如熱敷那麼長至二十分 鐘反而會反射性血管擴張反效果. 2.回診時需仔細檢查有無蜂窩性組織炎可給予消炎止痛藥. 3.應盡快消種避免關節僵硬角度不足影響走路. | [
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15復健科
| 腳痛問題 | 大概7個星期前參加瑜珈課程時一時站不穩左腳第2指踢了地板一下當下很痛本以為只是淤青沒想到過了1個月還是沒好期間也去照過X光骨科醫師說骨頭沒事.可是我的腳指外觀還是腫腫的而且受傷腳指關節彎曲的幅度特別大碰到還是會痛.實在是不知道該怎麼辦拜託指點迷津吧 | 先生您好 感謝您的提問在這邊先回覆您的問題並提供建議如下 1.腳趾的x光需仔細看清楚一般有可能是"線裂"Linear Fracline 很容易被忽略因為未有位移現象第二要注意關節面仍不平整若 產生模糊非X光照不好表示關節面受傷. 2.可多作冷熱交替浴一桶冷水-溫度大約10度及一池熱水-溫度大約 40度以熱五分鐘冷一分鐘交互泡澡最後停於冷水中. 3.可按腳趾的"十風穴"位於指縫端輕揉即可. 以上均不行建議立即至復健科治療. 最後 祝您 平安快樂 | [
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| 腸胃肝膽科 | 請問袁醫師 1. 診斷胰臟疾病尤其是慢性胰臟炎什麼檢查能提供最準確的診斷 MRI造影可靠嗎 2. 什麼是小腸鏡 小腸鏡是否就是所謂的膠囊內視鏡 3. 診斷小腸疾病什麼檢查能提供最準確的診斷 謝謝 | 您好 1.慢性胰臟炎最敏感的檢查應該是外分泌功能的檢查如secretin test，但因為檢查費時麻煩需要的病人又少幾乎所有的醫院都沒有做包括台北榮總但不知台大有沒有做其它像是內視鏡超音波及逆行性胰管攝影也有幫助但早期的慢性胰臟炎仍可能不易診斷。MRI隨科技進步解析度已快和逆行性胰管攝影差不多但還是沒有傳統的逆行性胰管攝影好。 2.小腸鏡類似胃鏡有一根管子從嘴巴或肛門放入消化道內觀察小腸必要時可做切片檢查。 膠囊內視鏡是吞一個像膠囊的東西到腸子裏面它本身有光源.鏡頭.無線發送晶片把影像傳到体外和小腸鏡是不同的檢查方式。 3.一般來說小腸鏡應該是診斷小腸黏膜病變最準確的檢查，但檢查時間長較不舒服產生併發症的機會也較高能做小腸鏡的醫院也很少。 內科袁宏道醫師敬覆 | [
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| 避孕 | 我在4／22月經來也在當天開始吃事前（薇己）結果到5／6月經才結束不知道是不是正常的？然後在5／7有無套但沒有內射 服藥期間時間最遲大概2小時 不知道有沒有因為延遲吃達到避孕效果？已在5／12服用完畢 如果後面沒有規劃要性行為可以直接不繼續吃事前嗎還是要在吃一個月？ 還有想問一下吃完事前會不會發生月經延遲的問題？謝謝 | 提問者您好 口服避孕藥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。若不需避孕可在服用完一包後停藥，但有可能經期暫時不規則，謝謝 祝 平安 健康 張 醫師 回 | [
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| 內診問題 | 請問看婦產科時問的有無性經驗定義是手指放入陰道還是性器官放入才算？沒有性經驗是否需要注射HPV疫苗及抹片檢查？另外，因跟男伴親密時放入半個指節就非常疼痛，想請問內診時使用鴨嘴大約會撐多開？大約幾根手指寬？謝謝 | 您好 一般是以性器官為主，沒有性行為，一般是不做抹片檢查，至於HPV 則是可以打，內診每人感受不同，無法明確告之。祝健康 | [
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| 基礎體溫 | 醫師您好： 我的基礎體溫沒有高低溫的情形，量了3個月多體溫都是低溫而且溫度都差不多﹙35.8936.19﹚，而我的月經常常23個月來一次，這樣情形已經2年左右了，我3月8日請婦產科醫師幫我用催經針讓月經來，3月13日月經就來了，醫師開了排卵藥給我吃，從月經第2天開始吃5天。請問醫師吃排卵藥會有體溫高低溫的變化嗎？如果吃排卵藥體溫依舊都維持在低溫沒有高溫，這種情形我該怎麼辦？因為我要懷孕但找不到我的排卵日期。 | 回覆如下 吃排卵藥體溫依舊都維持在低溫沒有高溫，這種情形我該怎麼辦？ 請先到醫院 根據病史 荷爾蒙檢查結果 超音波檢查結果 等等 先找出不易排卵的原因 再對症下藥 呂理政敬上 | [
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| 胃酸逆流 | 我有咽喉胃酸逆流症狀.現在只吃一般制酸劑.去看中醫OK再請教中西醫健保幾附有什麼不同.我還要幾付哪些費用開藥天數 自費的有哪些 謝謝 | Dear 小子／30歲 網友您好 1.您有咽喉胃酸逆流症狀.現在只吃一般制酸劑.是可去看中醫的. 但應找合格中醫師. 2.如果胃酸逆流單純開藥中西醫健保幾附略有不同.中醫慢性病開藥天可 14中醫掛號費及部份負擔需由患者自負.高貴藥材及水煎藥需自費. 3.最後 祝 安好 豐原醫院 中醫科主任 林慶鐘博士 助理教授上 | [
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| 尿道感染 | 醫生您好，我最近因泌尿道反覆發炎感到困擾無伴侶且不約，只有有時會自己DIY，最近康復後有問題想詢問： 1除了發生性行為之外的其他可能原因 2有效預防的方式目前我想到的是服用蔓越莓錠、益生菌、多喝水多上廁所等 3會建議康復後多久可以自慰呢 還麻煩您解惑，謝謝。 | 您好： 一般年輕男性如果沒有性行為又反覆發炎要檢查原因，治療後要回診驗尿，看是否確認好，不是沒有症狀就不回診，生活方面也要注意。祝健康 您提的預防方法都可以，驗尿正常後就可 diy 了，祝健康 | [
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2牙科
| 智齒 | 我在511有去拔左下的智齒 醫生說是因為牙齒長得比較深 所以要靠旁邊的臼齒才可以用力把那根智齒拔出來 後來回家才發現那根臼齒有點搖晃 醫生這樣很正常 沒什麼問題. 結果到現在已經快一個月了 臼齒一樣還是有點搖晃 而且還變得很敏感 吃冰的 還是用那邊咬東西都特別不舒服 | 您好 這是拔智齒常見的後遺症，目前也只能先觀察，靜待傷口癒合後，看看是否前方的臼齒就會比較穩定。 | [
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18放射線科
| 電腦斷層檢查 | 本人於健檢時有做低劑量胸部斷層掃描發現肺部有受損（肺葉有洞、疑似支氣管擴張），持續追蹤半年，又再做了一次低劑量胸部斷層，情況仍未改善，於是醫生說4個月後再排一次低劑量斷層（加打顯影劑）。但因肺部受損原因未找出，本人實為焦慮，如果馬上就做低劑量斷層（加打顯影劑），是否對身體會有不良影響 | 除非病情需要，一般並不建議於三個月內重複接受電腦斷層檢查。 電腦斷層的輻射量雖不至於會對身體造成立即性重大不良影響，但若追蹤間隔的時間過短，有可能會將可疑病灶誤認為良性。 另外，有少數人會對靜脈注射顯影劑過敏，或是引起顯影劑腎病變。 因每個人的身體狀況並不同，病灶型態亦不同，建議您依照為您看診的醫師之建議來做後續追蹤及處置即可。 | [
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3藥物
| 類固醇 | 醫師您好 我弟弟因為肺積水檢察一個禮拜多現在初步的判定未開放肺結核醫生說要長期吃藥半年以上請問長期吃下來會有什麼後遺症或者負作用嗎還有是吃抗生素嗎 謝謝柯醫師指導 | 阿哲先生您好： 針對您的詢問，目前肺結核的治療仍以抗生素為主，並依據病人對藥物的反應所需療程約6-9個月。由於肺結核需多種抗生素合併使用，因此可能產生的副作用包含藥物過敏反應，如皮疹、搔癢等，此外也有可能造成腸胃不適、視力模糊、肝炎、周邊神經炎或高尿酸血症等情形。 一般而言，抗結核藥物的副作用對身體影響不大，大多於停藥後皆可恢復，但也有個別情況可能出現較嚴重之症狀，因此在藥物使用過程中，應與醫師密切配合並及時反應身體的狀況，遵照醫囑切勿自行停藥，以確保完成治療。 | [
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| 懷孕嗎？ | 醫師妳好，女友上個月月經時間是313號，然後411號跟女友有同房，有戴套但發現套子破掉，當下有發現陰部有流出白白的分泌物 當下有馬上去沖水 有立即去買事後避孕藥吃 ，女友睡一下子 起床後 說要舒服 被我婉拒 就幫我口交 過程中不小心太深進去 導致嘔吐一些 類似口水 （當下都沒有注意時間 也沒有在補吃的動作 女友有事先說她月經來是413號前後，但到目前為止都沒有流血 只有胸部刺痛而已 在411前有流白帶 量沒說 行房完到現在都沒流了 請問醫師，如果下個月月經來是413前後 這樣內射會懷孕嗎？ 請問醫師，這樣藥物有用嗎？ 請問醫師，白白的分泌物會是白帶嗎？ | 女友上個月月經時間是313號，然後411號跟女友有同房，有戴套但發現套子破掉，當下有發現陰部有流出白白的分泌物 當下有馬上去沖水 有立即去買事後避孕藥吃 ，女友睡一下子 起床後 說要舒服 被我婉拒 就幫我口交 過程中不小心太深進去 導致嘔吐一些 類似口水 （當下都沒有注意時間 也沒有在補吃的動作 女友有事先說她月經來是413號前後，但到目前為止都沒有流血 只有胸部刺痛而已 在411前有流白帶 量沒說 行房完到現在都沒流了 請問醫師，如果下個月月經來是413前後 這樣內射會懷孕嗎？ Ans 月經是413前後來 現在內射是不會懷孕 請問醫師，這樣藥物有用嗎？ Ans 吃事後避孕藥嘔吐一些類似口水，這樣藥物還有用 請問醫師，白白的分泌物會是白帶嗎？ Ans 射精 | [
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13肝膽腸胃科
| 腹部問題 | 不小心吃到跳蚤的話會怎樣我好像不小心吃到了吃完飯過後沒多久肚子就開始異常的疼痛原本以為只是普通肚子痛後來我想可能是不是因為我真的把跳蚤吃到肚子裡了條蟲已經開始生長了 | 不小心吃進跳蚤，其實身體有防禦機制，如胃酸作用中和、消化排出體外，通常不會留在體內。吃完飯後腹痛的原因有可能消化不良，腸胃炎，腸燥症，膽囊胰臟疾病等，需鑑別診斷。建議要注意飲食衞生及習慣，不要吃太快、不要吃刺激性食物及生食。如果對吃入跳蚤仍有疑慮或擔心有寄生蟲感染，經常腹痛及貧血現象，建議就醫檢查治療。祝 健康！ | [
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| 大便相關問題 | 因為兩個月來作息不太穩定加上吃刺激性食物又習慣吃太撐一個多月都是便秘在前兩個多禮拜上廁所排出疑似黑黑的水便沉澱在下面有一些黏液和咖啡色偏紅的水有去做大腸鏡跟胃鏡大腸鏡沒什麼問題但胃鏡上面有勾幽門桿菌檢測 過後這陣子因為覺得狀況有好轉又開始吃辣的喝咖啡吃壽司這兩天又開始沒什麼上廁所突然早上上出固態便時有很像香蕉狀的白色黏液晚上上三次廁所都是黑黑咖啡偏紅的稀便一直腹脹請問是有胃出血嗎 | 按照您的陳述，應該是大便顏色跟狀況有異，已接受過胃腸鏡檢是正常，但最近又再次出現。腸胃道出血可以有黑色或血色大便，但不見得所有黑便都一定是出血，食物，藥物等因素也會影響，如情況持請直接就醫 | [
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| 避孕藥問題 | 想請問醫生目前吃祈麗安21錠 已經吃了半年左右 原本730要開始吃新的一盒 但到88都沒有再繼續吃了 請問在73088停藥的一星期里内射 會有懷孕的可能嗎 有需要吃事後藥嗎 如果要吃事後藥 那下個月還能正常吃事前避孕嗎 也是在經期第五天嗎 停藥一個月後重新吃事前 也是藥吃7天后事前才會有效嗎 | YAYA 您好，根據您的問題，回覆如下 1.有。 2.這要自行決定。 3.可以，也在月經第5天。 4.常規避孕藥是以週期計，每天規律服用，週期避孕率99.99，無所謂藥後7天有效之論。 衛生福利部花蓮醫院關心您的健康 | [
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1精神科
| 精神疾病 | 梁醫師您好： 請問父親如果有吸毒且誘發精神疾病未來生出來的小孩產生身體疾病機率有多高？易造成那方面的疾病？差不多在幾歲較易發病？吸毒造成的精神病會遺傳到小孩嗎 | 您好 一般人罹患精神病的機率約是百分之一，若父親有精神病，母親是健康的，孩子未來罹患精神病的機率約為百分之八。以您提到的狀況而言，孩子未來有精神病的機會約為百分之一到百分之八之間。有些人吸毒誘發精神病，是因為原本就有易犯精神病的體質，而吸毒剛好誘發體質發病，若是這種情形，就約有百分之八的機會會遺傳到。一般精神疾病的發病，通常是在十八歲到四十歲之間，初期的症狀較常出現的是退縮、憂鬱、失眠。若有初期症狀，建議提早就醫。此外，健康規律的生活習慣，家庭的溫暖支持，避免藥物或物質濫用，都可以促進身心健康，減少疾病發生。 祝福您 | [
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0婦產科
| 墮胎 | 您好 我女朋友在7.9號吃了墮胎藥事後有去看醫生醫生說相當成功 之後就有如排月經般的正常到了7.21中午去給醫生檢查醫生說幾乎 排完了量也機乎沒有了結果我們下午就做了這樣會懷孕嗎 還有有些男生是否會因為戴了保險套就會無法勃起 懇請回答謝謝 | Shadow您好： 一般服用墮胎藥，出血的時間應在服藥後的第三天；也算是月經週期的開始。您文中表示七月二十一日還有經血（微量）因此無法確認您女友的安全期，建議您請教當時看診的醫師以確認您的問題。至於您男士的問題請向泌尿科醫師求診為佳。 | [
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| 胰臟炎 | 您好 請教醫師一個問題 我的胰管狹窄，經常胰臟發炎本人不喝酒，是否適合做內視鏡胰管支架手術，治療後是否能夠緩解胰臟炎發作次數支架材質選擇塑膠或金屬 謝謝 | 請確認狹窄的原因 。若只是症狀治療 可先放塑膠性支架，但病人個別差異很大，需與主治醫師詳細討論。 | [
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| 外陰問題 | 陰蒂左邊的外陰皮膚（略靠近腹部）長了一顆腫塊，摸起來表層軟軟的，感覺有硬塊。昨天只是稍微突起，按壓才會痛。今天下午突然發現變大（半個指結大小），輕碰就痛，走路跟坐下都是一開始有些疼痛感，照鏡子開，紅紅的，沒有白頭。 外陰部皮膚有很多白色密集小顆粒 微微凸起，不會癢、痛，平時有脫毛習慣（拔毛，大概已經維持脫毛習慣兩年了），之前只有上面（三角區）會有白色微凸起比較大，感覺像皮膚裡的毛囊，大概是一年前就有這個情況了 最近幾個半年左右出現白色顆粒，感覺有慢慢往陰唇附近擴散，而且是較小、密集、為凸起，偶爾會擠出一點點白色顆粒 之前看網路上的建議有塗了一陣子的維A酸乳膏（大概一週）沒有改變 1這個情況（白色密集小顆粒）需要看醫生嗎？ 2有藥局的藥可以塗嗎？ 3正常的陰部皮膚狀態應該是？ 4脫毛後的皮膚的白點、微微凸起需要治療嗎？ 5我一看到毛，等他變長就會拔掉，是不是過於頻繁拔毛所造成？（白色小顆粒的地方拔毛頻率較少，上面三角區比較頻繁） | 您好 請盡速就醫檢查。 衛生福利部花蓮醫院關心您的健康 提問者您好 依您的描述，難以判斷是何種病灶，建議您最好還是請婦產科醫師檢查評估，謝謝 祝 平安 健康 張 醫師 回 | [
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| 氣管 | 想請教-我做過兩次健檢.兩次的報告都說我的氣管結痂.我做的只是一般業務工作.平常也沒騎車.都是開車.但是我有慢性鼻炎.但這2年症狀已減緩.想了解氣管結痂的形成原因及症狀和後遺症有無治療必要開看哪科 | 依問題內容無法得知「氣管結痂」之診斷依據及形成原因，請回原健檢醫療單位之胸腔科詢問。 | [
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| 射精後流血 | 醫生你好因為我割包皮的緣故所以都無法自衛傷口到第14天時已有好轉時就忍不住自衛了結果費盡千辛萬苦縱算達到高潮射精了但令我驚訝的是第一道噴出來的是精液接下來就是血了而且血量也很多怎半我會不會死阿有需要看醫生嗎 | 太可怕了！怎麼會這樣？可能攝護腺充血造成的，請找泌尿科醫師幫你檢查治療。 | [
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0婦產科
| 陰道問題 | 醫師： 我上個月月經來前因有數十個紅腫小疹丘隆起 赴醫就診 醫師說是HSV II並作血液檢驗 但是檢驗出來是陰性並非是陽性 我想知道： 1.我確定是得HSVII嗎 2.請教一下除了皰疹會讓陰部有紅腫的小疹丘外 什麼原因也會導致這種情形發生 謝謝 | 妳好： 1.既然陰性則可能性自然是很低。 不放心的話兩個月後再抽一次看看。 2.毛襄炎、濕疹、過敏、外陰炎等都會。 | [
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5泌尿科
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5泌尿科
| 攝護腺 | 醫生您好：一個月前因為血精就醫，驗出精液裡有細菌，經過2.3週的抗生素治療，近期檢驗精液已無細菌，再把療程約2週的抗生素吃完就不用回診，因為攝護腺炎，有自行添購萊萃美的南瓜籽油跟茄紅素保養品跟Webber naturals的蔓越莓濃縮膠囊，因為聽說血液循環好有益攝護腺炎復原又看到左旋精胺酸可以讓血液流通更順暢，想請問醫生如果已經吃上述兩種保養品了，再多吃左旋精胺酸會對腎臟產生不良影響嗎？每週有固定慢跑2-3次。感謝🙏 | 左旋精胺酸對腎臟的影響，建議詢問腎臟科醫師。以泌尿科觀點，左旋精胺酸對於血精沒有顯著的幫助。 | [
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| 事後避孕丸 | 您好 請問您吃事後避孕丸有沒有副作用 我和男朋友只有在週未才見面所以才會有性行為所以想請問 如果不用保險套有那一種避方式會比較好需要吃長期的避孕藥嗎 | 您好 1.有可能會噁心嘔吐陰道出血. 2.首先建議應儘量避免婚前性行為.若一定要發生則建議全程正確使用保險套因除了避孕外亦可預防性病. 署立新竹醫院婦產科 | [
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| 痔瘡 | 醫師您好因在網路上看到您有對這方面的資訊做回答所以想請教一下問題. 日前於某診所開刀痔瘡內痔.開刀前醫師說不會痛而且隔天就可正常上班 但是事實好像不是這樣.己經8天了.不但每天疼痛且持續出血.且出血量都沒因為天數而減量.工作請假也逾一週了.這樣是否是正常.需要懷疑自己的凝血功能有問題.還是因為開了12顆太多了.這出血的情形到底是不是痔瘡開刀之正常現象呢 感謝您 | 您好 建議您再回診請原主治醫師診治.因為這是外科手術由外科醫師且您的主治醫師為您詳細解說比較正確。 祝安康 | [
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1精神科
| 嗜睡 | 醫生您好 我睡時頭隱痛起床也是眼脹酸覺得沒睡飽約半小時後症狀加重至嗜睡疲累眼十分脹酸只想閉休息. 這有周期性近中午用餐下班前都會達到高峰此時也易肚子餓有點血糖低到手抖. 這疲累嚐睡嚴重到無法工作頭緊眼脹到難以思考. 先前有重度呼吸中止目前已手術降至輕度血氧有明顯提昇但尚不正常疲累由10分降為5分 但上述症狀沒有改善術後更加明顯. 只是看了眼神內耳X科都無法卻無所改善. e院有不少病人反應嗜睡問題有醫生回答如藥物精神生活作息但這些我都沒有問題. 內科基本檢查都OK所以才找到呼吸問題去手術 我沒失眠很少焦慮EQ不錯不會胡思亂想作息規律每天加午睡至少也7小時. 先前醫生開什麼抗焦慮放鬆.等藥沒有任何感覺只是更多嗜睡.老實說醫生都會說是否壓力大.等等但我自信不高決不會比正常人高這下病變成不治之症一樣. 我知道精神壓力會造成很多症狀但我除了周期性不會消失的眼脹酸疲累嗜睡之外其他一項也沒有.但是對工作的無力或許長期下來才真的會造成壓力. 醫生能建議未來方向嗎 | 你好首先歡迎你的來函身心症的壓力源有時是潛意識的患者本身並無自覺只感覺生理不適.但建議你仍須排除是否有生理因素造成不適尋求一些讓生命有點樂趣的方法或許有意想不到的改善哦祝你早日康復. | [
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6骨科
| 髕骨脫臼 | 醫師您好， 我3年前因為跌倒髕骨脫臼過一次，從那次之後到現在膝蓋時常每晚都會疼痛不止或是伸直睡醒後根本無法動彈，去看骨科他說我髕骨外翻，膝蓋軟骨退化蠻嚴重，因為我有長跑的習慣，他建議我不要長跑比較好，但我在網路上查詢的結果大部分都是跑步對膝蓋有幫助，請問醫師，長跑、衝刺跑、跳高這類的運動建議進行嗎？ 謝謝醫師。 | 您好 其實 適度的運動對關節是有好處的 可以加強肌耐力 但過量就不好 會增加關節的磨損 運動的項目 最好的是游泳 因為在水中有浮力的支持 可以減少重力對關節的壓力. 以此思考方式 跳高 跳遠這類暴發力強 衝擊力高的活動 其實不建議常做 至於長跑與衝刺 個人建議長跑 但請量力而為 不要過量 謝謝 | [
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6骨科
| 膝蓋問題 | 陳醫師您好 看到你的專長上有寫關節鏡韌帶重建，有此方面的問題想請教您，93年我曾因為內側半月板的問題開過關節鏡，檢查結果是內側半月板有裂傷，經過修補症狀以完全解除，大約三個月在醫師的同意下試跑結果痛，這個痛並非一直持續到現在，這八九年來，會因為某些運動除了跑步而疼痛，程度不一定，但緩解的時間卻一直在拉長，直到這次已經拉長至一年多了，疼痛的位置按照我的描述醫師是說都在關節外不在關節內，之前有醫師利用徒手檢查的方式跟我說過膝蓋外側後側半月板有受傷，還有我的ITB很緊，LCL是鬆的，因此之前醫師考慮過做release會好的機率有點小，而我現在生活中若小跑步會痛一天左右症狀才會緩解，疼痛的位置仍是在關節鏡外側傷口內以及往外延伸至膝蓋後側這個範圍都會感覺疼痛，有醫師也曾徒手檢查過外側韌帶，說應該有受傷。 想請教醫師，我是否需要再做一次膝關節鏡的檢查，我的醫師懷疑是外側韌帶受傷，而他對於縫補外側技術不夠，如果想開刀的話因為家住台中的關係，是否可以請陳醫師推薦台中的醫師讓我就近就診，謝謝陳醫師撥空看完我的提問 | 您好 就來信所提問題回答如下 膝關節的內側半月軟骨及外側側韌帶 因為生理構造的關係 常常會一起受傷 來信中提到曾有內側半月軟骨破損經修補手術後 會因為運動後而有疼痛的問題 但似乎疼痛的部位是在外側 所以我想 內側半月軟骨的治療應該是蠻成功的. 至於外側的疼痛 有可能是ITB 也有可能是 LCL 是該進一步檢查才知道 所以我想建議您去尋找骨科醫師 做進一步的理學檢查 應該會有答案才是. 台中的醫院及優良的醫師很多 請就近尋找值得信賴的醫師即可 謝謝 祝您早日康復 基隆醫院 骨科 陳永學 | [
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6骨科
| 身高 | 總之自己就是矮！ 父母也是不高，自己在工作上有時會因為身高問題，有些自卑。 | 生長激素的作用主要在生長板，青春期後生長板已癒合，自然就沒作用了，生產後還能長高，則少有所聞，目前骨科是有拉高的手術，但做此項手術須謹慎評估，了解其副作用，以免身心受創，健全身心，完美人際關係，我想遠比身高問題來得重要，生長激素是否有吃的，就我所知，好像都是用注射的 | [
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10兒科
| 寶寶生長發育 | 蔡醫師您好 1.看到很多人在說自己孩子多大就會抬頭了 再看到健兒手冊裡父母評量的頁次裡提到多大必須要抬頭多少度 我一直有個疑問 抬頭 有需要撐多久才算嗎 還是那一瞬間可抬到那麼高就算呢 小女目前是2個月又20幾天 對於抬頭這件費力的事非常不喜歡 有其他人建議可讓她趴著練習 但我試過幾次 都是12分鐘她就生氣了 她難得有好心情 我實在捨不得破壞 但是立著抱她時是有感覺到脖子比較穩定了 2.另外想問的是 出生時1分鐘5分鐘的分數有什麼樣的意義呢 我一直找不到相關的資料 分數越高越好嗎 總分又是幾分呢 3.最後是大陰唇內的胎脂 到底要不要努力把它清乾淨呢有人說要在洗澡時把它清掉 也有人說溫水坐浴會自然掉落 幫她洗澡時會稍微去碰一下 但她馬上就會把腳伸直闔上 趁她心情好較不會掙扎時換尿布順便用濕衛生紙稍微摳一下 她也都會有閃躲的反應 我也不敢再弄了 到現在 翻開大陰唇 還是會有一些白白的 我到底該怎麼辦 會有什麼影響嗎 感謝您撥空回答 | 署立台南醫院小兒科主治醫師蔡政憲敬覆細心的琳媽媽您好您一定是個細心觀察的媽媽以下依序為您一一解答 1.在嬰兒的神經學檢查中我常常須要評估寶寶的肌肉強度也須要評估他們的肌肉張力您提到抬頭的角度最高有沒有45-90度指的是肌肉強度只要有抬起的最高角度不須要持續時間.相對的爸媽把寶寶抱在懷裏寶寶的脖子可以穩穩的維持這是肌肉張力的評估就須要觀察是否可以持續4-5分鐘所以您的寶寶聽起來頸部肌肉張力和肌肉強度都很好符合2月大的嬰兒發展. 2.Apgar Score出生時候活力分數這是一位很有名的美國女教授Virginia Apgar所開創的每位新生兒活力評估表一共包含五項出生時候心跳有無100下呼吸是否規則或有規則哭聲肌肉張力是否良好全身膚色是否正常對口鼻部的抽吸反應是否皺眉或打噴嚏每項0-2分總共最低0分最高10分平均七分以上即為出生活力良好分別在出生第一分鍾和第五分鐘評估我想您的寶寶一定是個出生很有活力的寶寶 3.女嬰生殖器內的白色胎脂不須任何特別處理就會自行脫落胎脂是為了方便寶寶出生時候潤滑通過產道和保護新生兒減少皮膚感染的目的.署立台南醫院祝您與寶寶平安健康長大 | [
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5泌尿科
| 菜花(尖性濕疣) | 謝謝醫生上一次之回復 我又來了 想再請教醫師 那麼請問 在菜花潛伏期三個月之後 是不是就會有明顯的疣長出呢 那此種病毒是否可以透過驗血檢測出來 一般捐血前會檢測出來媽 謝謝醫生 非常感謝 | 神經質女友： 你好 菜花，一般在潛伏後6-8週左右會發病，有的人會延遲發病，但是很少超過3個月不發病。 因此，臨床上，只要超過3個月沒有發病，應該就是治療成功。 臨床上，不會用抽血來診斷。一般就是靠醫師的診斷，用看的就可以了。若不確定，一般會考慮切除，送病理科化驗。 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
| 睪丸問題 | 醫師你好 在你百忙之中還要一直打擾你 真是不好意思 因為我一直很困擾 需要你解惑 我於星期一時去看病 是副睪丸炎 看診醫生開藥給我吃 並叫我下星期一下去看一次 今天是星期五了 我已經吃了快一星期的藥了 可是睪丸上的硬塊似乎一點都沒有消 反而好像有點變大 這樣正常嗎 有可能是看診醫生用錯抗生素嗎 我怕下星期去他還是只是開藥給我吃 日復一日 不知何時會好 希望醫生能給我建議一下 我的左睪丸只有硬塊0.5公分左右 不痛睪丸也沒腫大 請問這樣的症狀大概要多久時間復原 硬塊變大是否代表沒在復原 硬塊大概要多久才能消阿 如果一直沒好轉 我應該怎麼辦 麻煩妳了 醫師 感激不盡 | 還是我： 你好 副睪丸炎，治療時間需要6-12週左右，視細菌種類以及藥物反應而定。 一般副睪丸炎，會非常腫脹，甚至比原來的睪丸還要大許多。你說只有0.5公分大小，或許只是精液囊腫等疾病，需要做陰囊的超音波檢查才能夠確定。 假如是精液囊腫，不需要吃藥，吃藥也不會好。一般是不管它，有的人會考慮動小手術予以切除。 泌尿科 主任 許維愷 答覆 行政院衛生署台東醫院 關心您 | [
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| 陰蝨 | 1. 請問全程使用保險套包含口交能有效避免性病嗎，但是無法避免感染陰蝨嗎？ 2.恥毛剔除可以有效避免陰蝨傳播嗎？？ 3.確診陰蝨請問要治療多久？？ 謝謝 | 您好： 1. 請問全程使用保險套包含口交能有效避免性病嗎，--》差不多，但是保險套未覆蓋的區城仍有可能，但是無法避免感染陰蝨嗎？--》--》無法 2.恥毛剔除可以有效避免陰蝨傳播嗎？？--》可以 3.確診陰蝨請問要治療多久？？適當的治療下 1-2星期 祝健康 | [
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12胸腔內科
| 胸痛 | 乳頭外側約2cm下方約2cm壓痛在兩根肋骨間有點類似瘀青時按壓的感覺，因為沒有印象外傷撞到，在想會不會無意識下壓到受傷，但觀察快一個月，還是一樣位置壓痛，沒有喘，運動也沒問題，範圍也沒有明顯擴大，除了骨頭摸不到什麼硬塊，但因為持續時間感覺超過瘀青該有的情況，是否應該檢查？要掛哪科醫師，謝謝 | 您好 可先至胸腔外科或骨科就診，由醫師診療。 | [
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2牙科
| 根管治療 | 我右上方倒數第二顆牙齒在515去抽神經.516抽第2次523醫生把洞補起來.結果524那顆牙根本沒法咬任何東西包含豆腐而且很痛.之前還能咬軟的.525去回診醫生把洞挖開再清.說530再回診. 右上倒數第一顆跟第二顆牙縫有蛀牙已經補了但還是會不舒服看了很多醫生都說看起來沒怎樣但琺瑯質被磨光了會敏感.說再觀察但如果還是不舒服.只能抽神經因為倒數第2顆蛀的比較大所以醫生抽這顆. 請問 1.醫生說那顆牙有3個根管有1個通了.另1個鈣化另1個找不到可能完全鈣化.說只能盡量清跟放藥再不舒服只能轉到醫學中心用特殊器材做根管.醫生說有沒有清乾淨他看不到只能憑我的感覺.我覺得很奇怪為什麼醫生看不到 2.如果這幾天有比較好那是不是不用轉診到醫學中心 聽說用特殊器材顯微鏡做根管是要自費的.如果有比較好好像要做牙套如果沒用顯微鏡治療光是醫生盲抽會不會清不乾淨沒多久又復發呢 3如果根管有清除乾淨是不是這顆牙對冷熱就不會敏感了 如果還是有些敏感或有時吃東西會感覺咬到異物的感覺是不是要去做顯微鏡的治療比較好 4.根管治療好的牙齿以後還會不舒服嗎 | dear candy小姐您好牙齒是很敏感的器官蛀牙太大或磨損嚴重.以致嚴重疼痛.就須根管治療.而跟管一般都很細.有肉眼看不清楚.此時就要靠顯微鏡治療.也是要請根管治療專科醫師大都在醫學中心處理基本上治療完全.就不會有徵狀除非牙齒有 牙周病或根管有破損.顯微鏡做根管是要自費的.根管治療後要做牙套保護 多保重祝一切平安順利 牙科 黃廷芳主任敬上 | [
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0婦產科
| 催經針 | 最近打了催經針 發現隔天即使有便意卻大不出來後來吃了一顆軟便劑才有排便 但下午5 6點又有便意有點腹瀉 但排便完有種沒乾淨的感覺 請問我該一直吃軟便劑 還是早上排便不順吃就好其他時間段不吃 | 1. 應該無此副作用。 2. 原則上不適時才吃即可。 | [
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| 膝蓋 | 請問 長期內八的情況下 會連帶膝蓋甚至腰部 不舒服嗎 | 小姐您好 感謝您的提問在這邊先回復您的問題並提供建議如下 1.大致上來說足部內八會使髖關節內轉及腰椎前彎加劇會造成 腰髖及膝都會不正常受力久了可能會造成變形. 2.建議應至復健科門診檢查如拉筋.肌力訓練.輔具使用及深部熱療 短波.超音波或是雷射及電療等. 最後 祝您 平安快樂 | [
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| 牙橋 | 曾醫師你好： 今年4月才裝上4顆連在一起的牙橋 （右上虎牙到第一大臼） 幫我裝牙橋的醫生說：由於新牙橋很密合，只要定時回診洗牙，暫時還不用使用超級牙線清潔牙橋下方。使用不當，反而會讓牙橋變得不密合！ 我有去別間診所諮詢另外一位醫生，他則建議我必須每天使用超級牙線來清潔牙橋。 想請教曾醫師 以目前情況，我需要每天都用超級牙線來清潔牙橋嗎？ 謝謝您的回覆 | 還是建議牙橋裝上之後，要每天使用超級牙線清潔牙橋，避免牙橋縫隙因堆積牙菌斑造成牙齦發炎甚至二度蛀牙。 南投醫院牙科 曾光輝主任 | [
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0婦產科
| 會懷孕嗎？ | 醫生你好，我想請問我經期119-123和218-223，這樣週期是幾天 安全期是3月的月經還沒有來 313有和男友無套只有一點點進入陰道後來馬上抽出來也沒有射精，313算安全期嗎？這樣會懷孕嗎 為何月經還沒來 | 您好 絕對不能相信安全期，是否懷孕要等，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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6骨科
| 髕骨 | 您好 請問髕骨外翻的疑惑 1.髕骨間隙不平均，間隙小的部份，就表示軟骨已磨損嗎？ 2.做腿肌力的訓練，會恢復髕骨正常間隙嗎？ 3.適合騎單車嗎？ 謝謝 | 有可能有點磨損，但如果還沒有骨刺形成，那就不嚴重。 做肌力訓練有可能會恢復。 不適合騎單車。 | [
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5泌尿科
| 醫療諮詢 | 不好意思 想請問一下 前天跟男友愛愛過後 隔天他說他包皮跟冠狀溝附近癢癢不舒服 我們以前用d牌正常版的保險套 他都沒事 這次還是使用d牌可是是輕薄型的他就覺得不舒服 請問是保險套引發的過敏問題嗎？？還是因為我的關係呢？？如果一直丟著不管他會好嗎？？麻煩請幫忙解答 謝謝你 | 你好 若全程都戴套子，應該是套子的問題。 若當中有體液接觸，而很不興，剛好你又有感染，像是白帶等，也可能造成他的不舒服。 一般輕微的感染，加強局部清潔即可。嚴重感染可能需要給予適當藥物。 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。 衛生福利部 台東醫院 關心您 | [
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| 性病 | 醫師你好 因為之前有雷射切片發現有軟疣 最近陰囊長出一小顆 醫師說應該也是軟疣 所以開給我一條克疣寧khoiou cream 擦完以後感覺沒多久 在工作或睡覺時就被內褲蹭掉 請問可以塗完藥貼人工皮嗎 謝謝 | TOT 你好 貼人工皮，會造成藥物作用時間增長，效果當然增加，腐蝕的效果也增強。但是，會造成過度腐蝕，甚至造成整個陰囊組織全層壞死。因此，一般不建議這樣使用。 這類藥物的安全使用方法是： 每日使用1次，使用3天。然後停藥4天。 若還有殘存的疣，再重複療程。最多一個月。 超過4周沒有好，必須就醫重新評估。 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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| 胃潰瘍 | 蔡醫師您好 不好意思又要請教您今天去腸胃科回診，醫師認為我已服用三個半月的耐適恩早.利爾錠晚，胃潰瘍症狀卻只有稍解由潰瘍變淺為破皮，抽血檢查ok，偶爾還是會胃痛，覺得我是壓力太大，建議我找身心科醫師協同治療，請問醫生您的看法如何 p.s.身體不適的症狀確實是因為家人重大手術後開始出現 | 您好 可以聽聽別的醫師的意見但是最重要的是調適自己的心情. 彰化醫院關心您的健康 蔡安順醫師 | [
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5泌尿科
| 出血 | 林主任您好. 打擾您寶貴時間.請您多包含. 我是一個無助的病患. 這個月在南部某醫學中心追蹤七年前在桃園敏盛醫院檢查出的尿潛血. 從一開始的.驗血.驗尿.到超音波.到腎盂攝影檢查.到尿路動態檢查. 一路下來.一開始驗結果也有尿潛血也就是七年以來一直都有. 七年前在桃園敏盛醫院驗出 後來醫生好像找不到尿潛血原因. 腎盂攝影檢查後發現有慢性膀胱炎.說我的膀胱攝影.邊緣模糊毛燥 才又安排做尿路動態攝影檢查. 今去看報告.醫生說.叫我半年後再追蹤檢查 我很疑惑.為何明明尿潛血驗出.慢性膀胱炎檢查出. 做了腎盂攝影.超音波. 但.最後找不到病因. 叫我半年後再追蹤. 半年後不就重來.我已經對這間醫學中心不信任了. 林主任.我該怎麼瓣. | 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 據您所言所謂的尿潛血這樣就需要耗費這麼多精神與健保花費是值得 商榷應該是要確定有血尿之後才需要進一步檢查一般而言血尿是定義 顯微鏡下看到5個以上的紅血球但肉眼看不出去血尿視為顯微性血尿 而顯微鏡下紅血球許多並且肉眼有看得出血尿即為眼觀巨觀血尿 期間所顯示的意義有不同. 對於血尿最需要去檢查出來的外科問題是泌尿科腫瘤及結石對於顯微 性血尿可檢查出有問題的情形較少而無痛性的眼觀血尿則出現問題的機 會多得很多一定不可以忽視. 有血尿需要進一步的檢查包括尿液細胞學檢查靜脈腎攝影檢查或超 因波檢查或進一步膀胱鏡檢查看每位病患的情況與醫師個人專業的判 斷執行之. 並不是每位血尿的病患接受檢查都會有特殊問題關於顯微性的血尿檢查 表示有意義的疾病在3.45.6而發現癌症的則是在026所以各方面的 報告的發生範圍很大與病患的年齡及性別有很多的關聯. 所以你還未發現有問題是非常可喜可賀的不過還是要定期追蹤檢查一 般建議每半年追蹤一次尿液分析及尿液細胞學檢查若有特殊發現在做 更進一步檢查. | [
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15復健科
| 關節 | 醫師您好： 自從93316右手肘全脫臼後至今，雖然無法完全內彎，但也不妨礙生活了，只是伸直差很多，我感覺是關節處有許多的增生物，使我伸不直。 看過不少醫生，都說我沒有骨折，但最後一個醫生說有鷹咀處有折後癒合現象，並且五成的病人會像我一樣無法恢復，也不建議我開刀，說是可能有反效果。而我的伸直矯具戴一個半小時就又麻又痛，根本不行戴整晚，戴完內彎反而更痛。 我才27，很多喜愛的運動都沒再做了，請問該找其他醫生開刀嗎？把增生物磨去或切除，現行醫學可行否？謝謝 | （1）建議去看〝運動醫學科〞醫師，醫學中心骨科部，下設〝運動醫學科；具這方面專長的骨科醫師，一般醫院可能沒有。 （2）有可能重新開刀，但要考慮黏合（adhesion）因素，手術後可增加多少角度？術後三天就可作復健（先用雷射照射，促進癒合）。 | [
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0婦產科
| 懷孕機率 | 醫生您好，星期日與女友發生關係，沒戴套沒內射，星期一有吃事後避孕藥（發生關係後36小時）女友月經本來就不規律，一兩個月才來一次的那種，懷孕機率高嗎？ | 親愛的祈您好： 如果事後避孕藥有在72小時內服用離性行為越近越好，懷孕機率不高，不過月經超過3個月沒來，還是建議去婦產科就診檢查跟驗孕。 南投醫院婦產科 黃子菲醫師 | [
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8乳房甲狀腺科
| 乳房問題 | 吳醫師您好： 摸到左乳房有硬塊約5-6年，右側乳房正常，因年輕不懂事，當時並沒有去看醫生，月經過後觸摸有壓痛感，硬塊沒有移動，沒有乳頭凹陷問題，如果壓擠乳房有白色分泌物、但無血水流出情形，〈雙側都有白色分泌物。右乳頭也比左乳頭大，不知道這個有沒有差？〉兩側乳房都有長毛〈長毛跟分泌物是印象中，一直就有的，至少有10 年〉。今年發現左側乳房的硬塊有變大的傾向，約4cm左右.左腋下感覺『好像』比右腋下微腫，左手近日常有酸酸的感覺，但近日並沒有做特別激烈的活動或提重的東西.請問有可能是乳癌嗎？如果有可能.有可能是有所謂的淋巴轉移導致左手有酸酸的感覺嗎？〈Ps.家族裡並沒有乳癌的病例過〉 麻煩吳醫師撥空幫我解答，我真的很害怕.最近害怕得常常以淚洗面，也睡不好覺。因為目前人在國外，不知道該怎麼去問這種事，所以才想先請教吳醫師.謝謝。 | Dear Miss 潔西 依妳的描述 的確需要勇敢的去給醫師看一下 以確定狀況 30 歲的女生無家族史而得乳癌的機率不高 乳腺瘤良性的可能性頗高 這是你可以先不必太緊張的理由不過它不是你不去就醫的藉口 人在國外 就醫可能不方便 不過初步的診療應該還好吧 真的不放心就回到台灣看一下 也順便看看家人朋友 真的 健康比一切重要 祝 寬心 吳醫師 | [
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2牙科
| 智齒 | 您好，第一日去拔除右上與右下的智齒非水平智齒，因為清潔不易已有蛀牙並之前有疼痛過，所以醫生建議拔除。過程中嘴裡有打麻醉約二十分鐘拔除完畢無縫線，之後有開消炎與止痛藥也有服用，並冰敷雖然個人沒有腫痛，第一日夜晚偶爾會痛。 第二日繼續服藥與冰敷，用一點食鹽與水混合漱口與刷牙，食物目前為粥與水，想問問大概何時能恢復正常飲食？謝謝 偶爾張大口看情況有扯動到會有微微痛感，還有冰敷也會。 | dear 安安小姐您好其實正常第3天就可以 恢復正常飲食 | [
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5泌尿科
| 睪丸問題 | 不好意思 我想請問一下醫生 我從以前到現在都沒有和女生發生過性行為不過有自慰的行為 只要女生有和我有身體的接觸等等的我就會有勃起的現象不過我知道這是自然反應可是會流出透明的液體黏黏的是慢慢的流出來我知道那不是尿 想請問醫生為什麼會這樣子這是自然反應嗎 這次是女生跟我有身體上的接觸但沒有性行為我也是一直流出透明液體這一次不知道為什麼左邊睪丸上面好像叫做精索的摸起來感覺好像有血管和輸精管的會有疼痛的感覺再上面一點點那個精索靠近肚子那裡壓下去也會有疼痛的感覺睪丸也是這樣子 可以麻煩醫生幫我解答一下嗎 感謝謝謝你 真的是辛苦你們了 | 阿宏： 你好 你所描述的現象，應該都算是正常的。甚至有的人比較興奮時，整個陰囊都會疼痛。 但是，有的時候，可能合併有其他問題，需要進一步釐清診斷。無法在這裡給你正確的診斷。 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
| 性行為 | 醫生您好 寒假期間跟女友都比較有空 醫所以性行為比較頻繁一點 曾經延續七天都有性行為 今天突然覺得左邊下腹部跟睪丸有點不舒服的感覺 也沒有很痛 只是會有點脹脹的 這會跟太常做愛有關係嗎 我之前有過攝護腺發炎慢性的 有可能因此復發嗎 如果會的話有什麼我需要注意的嗎 因為已經一段時間了所以之前醫生跟我說的我也忘記了 請許醫師幫我解答 謝謝你的幫忙 | 翔翔： 你好 先檢查一下是否有攝護腺發炎或其他部位感染。 另外，也可能是神經疼痛或者肌肉酸痛造成。可以局部熱敷，看是否可以改善。若沒有改善，可能與感染有關，需要就醫。 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
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| 會懷孕嗎？ | 醫生對不起請問一下. 月經最後一天時和男朋友愛愛了因為怕懷孕所以男朋友全程都帶了兩層保險套體外射精這樣還會有可能懷孕嗎 如果每一次愛愛都有乖乖全程戴保險套體外射精這樣還會有可能懷孕嗎 如果固定吃事前避孕藥這樣會影響以後的受孕嗎 | 您好 照你們的方法，應該是不會懷孕。祝健康 | [
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| 分泌物 | 醫師您好： 要怎麼知道陰道是不是感染了黴菌呢？那如果真的感染了，可是因為不知道而一直沒去看醫生，那會不會怎樣啊？會不會變得更嚴重呢？ | Fanny小姐：您的問題回答如下： 1. 要診斷陰道是否有黴菌感染，只要取一些陰道分泌物，在顯微鏡下檢查，如果發現黴菌濬絲或念珠菌細胞，即可診斷。 2. 其實正常人的陰道，就像我們的皮膚表面一樣，隨時都會有一些細菌或黴菌的寄生，只要沒有症狀出現，並不會發生問題。 3. 當代菌者的抵抗力下降或陰道的環境適合黴菌生存時，黴菌便會大量繁殖或感染到會陰部皮膚，而有白帶增加，搔癢、紅腫朱症狀，此時就該前往婦產科問診檢查治療。 梁垠盤 | [
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| 珍珠疹問題 | 醫生您好 本身我的陰莖冠狀溝就有珍珠疹然後昨天發現有一顆珍珠疹發紅之後我就拿前一陣子有因為龜頭有紅點然後看醫生他說是龜頭炎然後有開一罐藥膏給我說如果有紅紅的就擦藥膏 所以昨天發現珍珠疹發紅我就也用那罐藥之後今天早上醒來那個珍珠疹發紅有明顯的沒有那麼紅想請問這樣也算是一般發炎而已嗎？ 因為只擦一天藥就有明顯的沒有那麼紅這樣有可能會是菜花嗎？ 本身沒有性行為只是擔心會間接感染到！ 所以珍珠疹也有可能會發炎嗎？ | 您好 應該是皮膚發炎不單是珍珠疹發炎 一天是有可能好 保持清潔乾燥 通風好些會好的快 擦藥也可以 菜花要就醫診斷未接觸菜花病人感染的機會不大可能 祝健康. | [
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1精神科
| 情緒問題 | 去年六月的時候幾乎每天哭，然後後來十、十一月就每天每天哭，但還是會一個禮拜哭幾次，就在這幾天，剛段考完，之前考的很好的數學突然考很差，老師就一直數落我，說我不努力，再加上平常同學一直叫我的綽號，就是因為我膚色比較黑，所以他們都叫我nigger、大猩猩之類的，這些綽號就真的讓我挺自卑的，然後我前天就又哭了很長時間，昨天也拿美工刀自殘，就也有點想說是不是活在這世界沒啥用，有我沒我都一樣。我還是不知道我這樣到底要不要去看醫生，看一次好貴，我又不敢跟我家人講。 | 網友好 辛苦了， 對於別人取綽號部分可以試著跟對方講，說我不喜歡這個稱號，不要再這樣叫我了！或是跟好朋友、親近的家人聊一聊！找出原因、試著去肯定自己！每個人都有自己的優點！ 也有存在在這世上的理由！ 另外可以先去輔導室尋求協助，聽聽輔導老師的建議！心情不好也可打1925依舊愛我24小時專線 其實就醫並不貴，身心科診所就醫一般應是150200元次不含藥品部分負擔。 吳恩亮醫師 | [
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| 會懷孕嗎？ | 1231跟男朋友磨蹭，但我有穿內褲男友沒穿內褲！我那時候是排卵期請問會懷孕嗎 | 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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0婦產科
| 避孕藥問題 | 曹醫師您好 以下幾個問題想請教 目前是第一次服用悅己，於月經第一天20240426開始服用，已經連續服用11天，有性行為，無套沒有內射，是固定伴侶，性行為前後都有做清潔 目前有出現服藥前未曾出現的狀況 1.在第11天時，出現比點狀出血再更多的血量，出血時有類似經痛的感覺 2.陰道發炎，不是很嚴重，有些微搔癢感，以及分泌物增加許多，偏黃綠色，但沒有明顯的異味 3.性行為時，分泌物跟往常比非透明無色，而是明顯的白色 想詢問 1.由於本身經期不是很穩定，週期都是4-5周這個區間在跑，所以服藥一方面也是想調經，想詢問如果下次經期不是526來，那這樣避孕藥是一樣要繼續服用，還是一樣要等到經期來的第一天再服用呢 2.想詢問陰道發炎是副作用之一嗎，因為之前性行為也沒有這樣的狀況出現，是服藥後大約第9天開始出現，如果是副作用，想詢問換別的牌子會比較改善嗎 3.副作用這樣的出血量是正常的嗎還有類似經痛的抽痛，因為換算日子的話，目前距離排卵期還有2-3天，但之前排卵期也沒有這樣的出血 再麻煩曹醫師了，謝謝您！ | 您好 正常吃完避孕藥後一個星期之內回來，月經有來的話，從第五天開始吃下一包避孕藥，至於內分泌的問題，如果有不適，建議看婦產科。祝你健康 | [
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5泌尿科
| 包皮垢 | 醫生你好，我想請問因為本人今年23歲，之前都不知道要把包皮翻下來進行清洗，直到近日才開始，翻的時候包皮跟龜頭就是有白白的東西黏著，所以導致只能翻到一半就有感覺到會痛，這種情況我應該繼續翻到最後面，還是應該慢慢一天一天翻下來比較好，另外因為龜頭太過敏感導致碰觸到就會痛這是正常的嗎，這種情況我應該要用什麼方式清洗比較好，還是有必要去掛泌尿科給醫生進行處理呢，謝謝。 | 您好： 每天一點一點就好，包皮垢如黏著用溫水泡後沖掉，龜頭太過敏感導致碰觸到就會痛--》會的，一般每天清理 2-3星期就正常了，如果有特別發紅，破皮，有分泌物要就醫。祝健康。 | [
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| 腹部問題 | 你好我最近腹部肚臍上方約67公分處有一小塊面積約直徑2cm處一壓下去就有疼痛感而且近幾個月來消化都不太好不知可能原因為何我約四年前有用大腸鏡切除息肉兩年多前胃部也出現息肉但病理檢查認為無虞.請教醫師這樣的狀況該如何處理謝謝. 另外我的家族有大腸癌病史祖父及母親都是因大腸癌往生. | 您好 腸胃道包括胃 小腸 大腸有息肉 且有家族大腸癌病史 建議每1-2年追蹤大腸鏡及胃鏡檢查並檢查腫瘤指數 CEA 癌胚胎抗原 CA19-9. 腹部局部疼痛請至醫院詳細檢查 | [
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5泌尿科
| 淋病 | 第一項說明：本人於49與他人有不潔性性為，415發現小便疼痛便看泌尿科， 由於尿道有流膿醫生判定為淋病，並打抗生素的針（替我看診的醫師說打一針就可以康復） 第二項說明：於4月13號與妻子無性交，僅口交並射精在口中（無吞），但妻子於416日至418發高燒都不退喉嚨也說很痛，看耳鼻喉科的醫生初步判定是腺病毒服用抗生素治療，後來我與我的泌尿科醫師討論他說先觀察看看，一方面他怕我家庭失和，不曉得下一步到底該怎麼做了，上網有查到沒有對症下藥淋病會產生抗藥性 | 您好： 口交也有傳染的可能，但也不能排除其他的感染如病毒，醫師在用藥時如果您沒有說前面這一段 （淋病--太太口交）醫師會用最常用的藥物，所以就沒有了針對性，最可能的辦法就是症狀持續未好，就去醫院耳鼻喉科，要說明發生的情形，才有效些。祝健康。 | [
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| 性交疼痛 | 醫師您好： 我是個同志 前幾天跟我的伴侶做愛後 這幾天發現有不正常出血 腹部會微微疼痛且頻尿 請問是否是感染的症狀 有沒有可能陰道已經受傷了 因為實在不知道去看診要如何向醫師描述原因 只好先來諮詢 謝謝您的幫忙 | 新婚後的妻子常有解尿疼痛與頻尿的症狀，這並不是陰道受傷，而只是感染而已，不過如果有使用情趣用品，陰道就有可能受傷，當然子宮頸發炎與子宮內膜不穩定也是出血原因之一。 | [
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0婦產科
| 會懷孕嗎？ | 醫生您好，我與女朋友在mc來的時候跟走的時候都有過關係，想請問醫生66號她mc來，然後於68號611號都有做過，也都有戴保險套，事後也都有檢查有無破洞，但還是很擔心會漏出來，所以想請問醫生這幾天懷孕的機率大嗎 | 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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13肝膽腸胃科
| 胃脹氣 | 醫師您好先謝謝您回答問題，本人19歲，是學生，從2019年12月初上腹脹經超音波 抽血 胃鏡等檢查，最後由胃鏡檢查出有胃出血且已結痂（無感染幽門桿菌），吃了醫生開的藥之後上腹脹氣是有一點點改善了，變成下腹腸子的部分有脹氣感，且有時候會壓痛，本人從以前都是放學洗澡順便排便，且排便順暢，變成現在一天可能吃一餐之後或是中午下午排便，且排除顆粒或是一條裂痕乾硬狀糞便（一天排1∼2次便）後來來到2月多的某一天時，突然大出紅磚色的大便，且衛生紙上有紅紅暗暗的黏液（請問是跟昨天晚上吃的食物有關嗎？大便前一天晚上有吃紅豆泥麵包）有照大腸鏡跟驗大便（沒看大腸鏡報告只知道大腸鏡醫生說正常，糞便潛血為陰性，看不出有什麼其他問題，到現在3月底了還是天天腸子脹氣，體重也從去年12月61kgw掉到現在55kgw，請問這是那裡出了問題了嗎？吃了兩週醫院開的益生菌回診還是腸氣非常多，於是今天看了醫生看了x光說可能是潰瘍性結腸炎，開了阿腸克錠，請問我的症狀可能是什麼呢？看了很多醫師都說是不同病，所以想請問醫生我的症狀會比較像什麼呢？有可能是很嚴重的大病嗎？謝謝醫生 | Ｈi： 您好， 建議腸胃科門診追蹤治療，大腸鏡檢查後要去看報告。潰瘍性大腸炎有可能腹痛，腹瀉，大便有血，營養不良，體重減輕，發燒等症狀，大腸鏡檢可評估大腸發炎嚴重程度。體重減輕，已使用阿腸克錠用藥，建議腸胃科門診續追蹤治療。 發炎性腸道疾病（潰瘍性大腸炎或克隆氏症）病因還不是很清楚，目前認為跟腸道內菌叢，環境，免疫，基因有關，這些因子不平衡而造成腸道長期發炎 祝 平安健康！ 衛生福利部桃園醫院 腸胃科主治醫師 林明慧敬復 | [
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11營養教室
| 營養諮詢 | 您好，我要回覆上一篇。我上網查了一下營養師您所說的脂肪瀉，發現症狀跟我的大便情況相當類似，有網友提到大便會有泡泡，這點我也有，而且也是相當常見，在大便的時候也可以感覺從屁股跑出來的不是糞便而是許多泡泡像螃蟹在吐泡泡一樣。請問如果真的是脂肪瀉，這算是很嚴重的疾病嗎？是不是吃下去的油質身體無法吸收又被排出來呢？如果到大醫院檢查，需要花很多天嗎？能否靠飲食習慣來改善呢？可以直接跟醫師說我有脂肪瀉的症狀要他直接針對這點來檢查嗎因為怕醫師會從頭檢查不僅花時間也可能無法對症下藥？非常感謝您的回覆，讓我學到了醫療知識。 | 小史您好 之前提到脂肪瀉與肝膽胰臟都可能有關係建議您還是去門診給醫師詳細檢查您可以與醫師討論您的症狀與查到的資料但是不要自己下診斷這樣可能會忽略了正確的病因畢竟醫師有醫師的專業 祝您健康 以上由衛生署南投醫院蔡秀雯營養師回覆 | [
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| 尿道下裂 | 醫生您好 約莫四天前發生性行為後發現龜頭上長了很多小紅疹不痛不癢後來去泌尿科給醫生檢查說是龜頭發炎不用擔心給了我下列的藥物以及藥膏 DEXAZONE 0.5gm 內服 VITAMIN B COMPLEX 內服 DELAMINE 2gm 內服 KMT 內服 CLOBETASOL 5gm 外用 過了兩天我的紅疹都沒了也沒出現其它的分泌物之類的但是發現尿道口開口處那條線長了兩三顆像針頭一樣的水泡像燙傷那種白白的很小很小只有在尿道口其它沒有怎麼辦是性病嗎我又去給醫生看他只說繼續擦藥不用擔心也都沒做別的檢查希望您幫幫我 | 陰莖發癢及龜頭起小紅疹 這可能是一些皮膚發炎之初期變化 也可能是生殖器皰疹 年輕男性龜頭包皮炎多與性行為相關 因此需先排除性傳染病的可能 且並非所有性傳染病都能透過檢查確認 臨床上尚需視診及觸診來確定皮膚變化的可能病因 其它病因可能與衛生習慣有關 皮膚炎或過敏皮膚體質 但不同病人病情不同 必需說明其實無法由您的簡單描述就判斷病情 醫師常需病史詢問視診觸診及檢查才能確定診斷與治療方式 您已就醫若有變化請直接詢問您的醫師 再者也建議宜固定性伴侶並全程使用保險套 以減少性病傳染的機會 預防勝於治療 | [
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| 經期問題 | 上週抹片檢查有發炎症狀，回診兩次有放塞劑，吃了六天 早晚的藥，810晚上吃完口服藥。 禮拜一如廁後擦拭有淡粉色，89有些微月經，如廁後擦拭才有看到，月經很濃稠 有流不下來的感覺。 晚上睡前換衛生棉到隔天起床都沒有沾到，都是如廁後擦拭才有看到一些濃稠的經血。 想請問醫師吃口服藥物會影響到經期嗎？ 這狀況需要回診檢查嗎？ 謝謝回覆 月經週期原本預計812會來 週二開始胸部非常脹痛 藥物如下： "永信"寧司泰定膠囊 """衛肯""好胃錠100毫克（雙羥鋁蘆薈生僉） "汎生"克催瑪汝陰道錠５００毫克（克催瑪汝） | Z 您好 若上次月經時間為712，89有月經為正常的範圍。 上述藥物為治療念珠菌陰道炎之藥物，可能會使月經量減少。 衛生福利部花蓮醫院關心您的健康 | [
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| 肛門異物 | 醫生 你好我想詢問一些問題我有發生過肛交性行為過，最近開始發現肛門會很癢有時候會有時候又不會，發現會有白色的物質類似皮膚代謝的產物，我都會每天清洗肛門，在這幾天都不斷做檢查，也有用手指頭自己對肛門內部做觸摸，但是都沒發現有硬物，但是肛門內部都出現紅腫狀態不會痛就只會癢癢。肛門內有很多皺摺所以我也不能明確判斷是否感染菜花或其他性病，我有詢過看診醫生，他說菜花要等到有明顯症狀才能判別，我也做過愛滋.梅毒. 疹的篩檢是沒有的。但是我的口腔跟陰莖並沒有奇怪的症狀，我疑慮我該如何確定，要去做大腸鏡檢嗎 麻煩醫生謝謝 | 您好： 您已看過醫生，大至上不用太擔心。但若仍有不適或疑問，則可至大腸直腸外科就診。 祝健康 衛生署桃園醫院 陳奇 醫師敬上 | [
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5泌尿科
| 自慰 | 發育期天天自慰會不會導致日後成為快槍手射精變快，不持久 | 會不會太辛苦了既然擔心會成為快槍俠，何不平時好好保養，定時操作。介紹你看一本書「天下」出版的”about sex”。 | [
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