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5泌尿科
| 龜頭問題 | 近日龜頭尿道旁約1公分處發現有數顆小白點 有時會感覺癢 頻尿 包皮有點長 請問是什麼病症？ 已持續一週左右 | 您好： 多半是發炎，保持清潔乾燥不要濕濕的，如果發出水泡或發紅要就醫。祝健康 | [
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1精神科
| 藥物問題 | 醫師您好 我是前陣子有來信的林同學，所幸關於ADHD的用藥已經過得解決。（醫生有願意開專思達讓我嘗試）。但是隨著服用Mirtazapine 30mg的時間增加，導致的睡眠影響似乎日漸明顯、都會導致我睡到中午。 先跟醫師您說明我的情況，我通常服藥時間在2330，也有嘗試過提早服藥（21點多），約00：30附近睡覺；早上9點多雖然有調鬧鐘、人醒得來，但卻因為極度想睡，導致我會在關閉鬧鐘後繼續睡回籠覺到11、12點。 在這樣的情況下，開始萌生了停藥的念頭，因為這樣的情況對於10月要去日本留學的我一定是沒辦法接受以及被接受的（日本似乎更重視守時、況且我還只是個新生又是外國人）。 其實從今年七月上旬我再次開始服用睡前30mg的Mirtazapine迄今已約一個月（上次服用是去年的2月至9月），且當時促成我開始服藥的因素目前已獲大部分的解決；不知道醫生在這樣的前提下（考量到焦慮原因已緩解、並患者恐難以接受睡眠時間過長），我僅服用一個多月可不可以停藥呢？又或是醫生會建議我實驗看看，若改成早上吃藥、再影響生活的話再停藥呢？ | 林同學您好： 看見您很仔細地針對藥物諮詢意見，是很努力研究的人。 Mirtazapine一般在服用後，身體多會適應藥效而維持穩定的效果。較少如您所說，開始讓睡眠時間拉長。因此您有這樣的表現，應考慮其他因素，比如同時服用專思達。Mirtazapine通常建議睡前服用，不建議白天服用。 因線上無法看診，所以是否停藥，還是麻煩您諮詢您的看診醫師，整體評估後再決定如何調整，會更適合。謝謝您！ | [
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2牙科
| 牙齦流血 | 醫師您好 我上排牙齦長了一顆 很像痘痘 白色的很小 上個月就開始有出現 之前是一個禮拜出現一次 但現在越來越頻繁 每天都冒出來 然後過一下子又不見了 都長在同一個位置 我每個月都有去看牙 會是什麼原因呢 | 您好： 上排牙齦長了一顆白色痘痘，出現沒多久會自己不見，可能是口腔黏膜小的潰腐，如果在精神壓力大，生活作息不正常，免疫系統受干擾，則容易反覆發生，但多會自行痊癒，建議找牙科醫師做進一步診治。 敬祝 健康 | [
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1精神科
| 強迫症 | 一開始上班公司狗都會放出來地上有時很多狗屎、但有一天大概幾個月踩到2次踩到狗屎、回家都會去以前家裡公廠洗腳有一天因為沒去洗腳結果回家踩門前的水泥地板、那天起我每天回家都要去工廠洗腳洗車鞋的外觀鞋內鞋帶都不敢碰、家人的鞋凡事都踩過門前地板踩了進門我都馬上拿拖把擦地板、只要回來家或外出我都用腳的外側走路進來、我也有洗過門前的地板但家人從我之前常去的公廠會來家又從同個地方踩回來讓我覺得地板有糞屎菌很髒沒辦法碰也沒辦法東西掉下去也拿去洗、進客廳要穿拖鞋才能進入客廳！ | 網友好 如果已嚴重困擾生活的話確實有可能是強迫症，建議宜至就近精神醫療院所做進一步的評估。 吳恩亮醫師 | [
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15復健科
| 家醫科問題 | 請教陳主任： 右腳膝蓋最近莫名其妙痛到無法讓腳板著地、走路，請告知可能原因及如何解決？如何保養？謝謝！ jui.snow | 1可能是髕骨肌腱發炎或韌帶發炎的急性狀態 224小時內可冰敷.以後再熱敷及止痛藥膏休息勿走動 3等不痛後加強肌力訓練 | [
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| 脊椎 | 我大概在小學四.五年級時約10.11歲摔傷 屁股著地.當時很痛.但是都不以為意.不管它 從此之後一旦靠牆屈膝坐著”股椎”就會很痛. 這幾天更為嚴重 坐椅子坐一陣子就會感到”股椎”痠痛 連站著也會有點痛.然後就又會想坐著 惟獨趴著才不會痛.還會覺得很舒服. 最近偶爾膝蓋及腳踝會強烈痠痛不像肌肉痠痛 看過許多文章都說可能是因為劇烈運動導致 但是我並沒有比平常多做任何運動一樣只有走路上課 還有偶爾會覺得自己背部痠痛 只有在”伸懶腰”這個動作時才會覺得舒服 不知是否是平常姿勢不正所引起 或是其他原因 還有我該不該去醫院做檢查該看哪科 謝謝醫師的回答 | 1.可能是尾椎骨折，應照X光檢查，若有尾椎骨折向內彎曲的話，可能會影響自然生產。 2.太少運動也會痛 3.腰肌疲憊，姿勢不良會引起脊椎彎曲 建議該到醫院檢查，看骨科或復健科均可 | [
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| 黴菌感染 | 近年來常被黴菌困擾外陰部紅腫有異味尤其是天悶熱時西醫婦科常開塞劑治療 請問周醫師中醫對這方面有沒有解決的方法謝謝 | 傳統中醫歷來把這種感染性白帶，統稱為「下焦濕熱」，在治療上，重用清熱利濕： 有黃色分泌物的，加重清肝瀉火的藥物，如：龍膽草、山梔子、車前子…等，常用龍膽瀉肝湯加減； 以白色質稠的分泌物為主的，認定係濕毒垢濁，加重利濕解毒的藥物，如：土茯苓、白蘚皮、蒼朮…等，常用萆薢滲濕湯加減。 平時可以多食白果仁、生薏仁、銀花、綠豆等煮湯搠飲之。白果仁，味甘苦澀平，有小毒，因此要久煮，可除濕收斂止帶，薏仁則可健脾利濕。銀花、綠豆具有清熱利濕及止帶效果，適用於濕熱帶下，皮膚易生瘡瘍。 這種感染性白帶，會透過不乾淨的公共廁所、浴室、澡盆、游泳池、性行為、或消毒不澈底的醫療器械等途徑傳播，所以做好個人衛生，講究環境清潔是有必要的防護措施。 | [
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| 頻尿問題 | 醫生你好 從高一有一次有尿意但是憋住了也沒去尿 結果回家之後發現尿不出來 只能用滴的 後來就會有頻尿感 很急只尿一點點，尿很多次 後來過了2個禮拜之後才去掛泌尿科門診 跟醫生講完症狀之後，也驗過尿 但膀胱好像沒事 醫生只跟我說可能是壓力太大引起的頻尿 開了一些藥 後來一直持續到現在已經2年多 情況有比較好轉，但只要站著或跳跳繩就會有尿意 膀胱會覺得脹脹的想尿尿的感覺 這是因為膀胱受過傷之後造成的後遺症嗎？ 有什麼方法可以解決頻尿的問題 最近有在工作所以需要久站 頻尿感常常讓我很不舒服 Ps.我常常有手淫的習慣，這是其中的原因嗎？ 謝謝醫生的回答 | 先生您好 頻尿的原因有很多 從您提供的資訊並無法判定 建議泌尿科門診檢查與追蹤 新營醫院泌尿科 陳建升 | [
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2牙科
| 牙齒問題 | 醫師您好，我的牙齒從正面及上面看的話，可以很明顯的看見裡面有透出部分黑黑的 之前牙齒表面裂痕補過的地方經歷幾年後掉了，所以今天重新去補了一次，但是補完後發現 內部黑色的地方還在，想請問有可能是內部蛀牙然後幫我補的醫師沒有注意到嗎 因為從表面看，黑色的部分就在補的地方上面，所以想說是不是其他原因，所以牙醫師認為不用處理 | 您好 有可能是牙齒之前受過傷，導致牙髓壞死或曾經進行過根管治療而導致牙齒變色。顏色太深的話，一般樹脂也很難遮蓋，若很介意黑色部分，建議可請原醫師看看是否有其他方式能夠積極處理。 | [
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1精神科
| 負面想法 | 您好 想要請問一下 本人在思考，想法方面 一直覺得很奇怪 比如 講到車，我就會想到車禍 船，我會想到撞到東西而沉 飛機，自然而然想到的是墜落 或者在過馬路時，遇到迎面而來的車子，想到的都是車子要過來撞我了.我要被車子撞死了. 這些問題存在有一陣子了 似乎什麼事情都會往最壞處想像 對自己而言造成一些困擾 想要請教是什麼原因 | 您好.若未有合併有憂鬱焦慮等情緒.來信的例舉平常什麼事情都會往最壞處想的情況個人認為應屬一般個性.性格的範疇.就好比有些人比較樂觀或悲觀.若對自己造成困擾或本身想求改善.建議您可看一些情緒EQ管理的資訊.應有助益. | [
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0婦產科
| 會懷孕嗎？ | 醫生您好 前幾天與女友愛撫（雙方裸體）當時是女友安全期 想問醫生幾個問題 1.當時愛撫時我的龜頭不小心插入了女友的陰道（1∼2公分）但立即收回 當時龜頭上有透明的液體 請問這樣會懷孕嗎 2.那個透明的液體是尿道球腺液還是前列腺液 兩者的差距又差在哪？ 麻煩醫生解答了 | 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。尿道的物質大多混合一起難以分辦，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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| 睪丸問題 | 李醫師您好，最近冬天一到天氣容易變冷，早起時，上廁所時腹部一用力，睪丸就會往上抬昇到膀胱的位置，要用推的才下的去。我想請問這樣有沒有需要就醫處理？ | 聽你的描述應該是沒有問題。先不要用力去推，身體暖和一點看他是否自行下降。如果有問題，還是要去泌尿科檢查，再與醫師討論才行。 | [
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| 懷孕嗎？ | 問題跟題目依樣.我發生完性行為後.2天候.發現我常想尿尿.但都尿一點點.且尿裡有血.且我ㄉ月經還沒來.我好怕我懷孕.可是做愛時我能有有使用保險套.請醫生為我指點迷津吧.謝謝你 | 性行為後尿尿會痛，應該是膀胱炎，或尿道炎 請婦科醫生驗尿治療即可！ | [
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| 經期問題 | 您好，我是這個月8號月經來.以前我大約5天就結束了. 經期的時候.我有自慰.後來小腹有點痛.我嚇到了.可是就打算不理它. 可是.今天都已經17號了.我的分泌物還是有帶血.我好擔心. 我的外陰部長了一顆像痘痘的東西.陰部會長痘痘ㄇ？ 請醫生回覆.謝謝. | 親愛的網友您好 異常女性生殖道內出血俗稱月經異常請求診於婦產科門診讓婦產科專科醫師經由詳細問診及專業檢查給您正確診斷及治療為宜外陰部長了一顆像痘痘的東西可能是外陰的毛囊發炎也須要醫師診視確定因此請您就近婦產科門診就醫 | [
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| 膝蓋問題 | 因為想控制體重所以每天都會踩上40分鐘的踏步機速度中下不快也不慢這樣膝蓋長期下來會不會受傷呢我都沒習慣戴護膝覺得好像會卡卡的謝謝醫生 | 您好： 回覆您的問題。 踏步機對膝關節的確不好，個人建議如果要控制體重，可以選擇游泳或散步，或者跑步機（但是只能慢走，而且不可以調高傾斜度），這樣比較不傷膝蓋，如果有問題，可以就近請教骨科醫師。 祝 事事如意！ 署立基隆醫院 骨科 李文琳醫師 | [
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| 強迫症 | 1. 醫生您好，不好意思打擾您，從上個禮拜開始我就突然會把注意力一直放在呼吸上，雖然明知道人的身體會自然的呼吸，不需要刻意去控制，但就是管不住自己，一直刻意想去操作呼吸的一吸一吐，搞的自己胸悶不舒服又心情煩燥，有試著去轉移注意力，例如看電視、聽音樂、做家事，但還是沒多久又開始注意起自己的呼吸了，這樣的情況已影響了我的生活，上網查了一下，說這可能是種強迫症的行為，所以我這樣算是強迫症嗎？應該如何處理？ 2. 您有遇過其他的病人有這樣的症狀嗎？ 謝謝您 | 網友你好： 1. 醫生您好，不好意思打擾您，從上個禮拜開始我就突然會把注意力一直放在呼吸上，雖然明知道人的身體會自然的呼吸，不需要刻意去控制，但就是管不住自己，一直刻意想去操作呼吸的一吸一吐，搞的自己胸悶不舒服又心情煩燥，有試著去轉移注意力，例如看電視、聽音樂、做家事，但還是沒多久又開始注意起自己的呼吸了，這樣的情況已影響了我的生活，上網查了一下，說這可能是種強迫症的行為，所以我這樣算是強迫症嗎？應該如何處理？ A如果只有一周，可能還說不上是強迫症。不知最近是有比較大的生活壓力造成焦慮 2. 您有遇過其他的病人有這樣的症狀嗎？ A有的。 吳恩亮醫師 | [
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4心臟血管專科
| 藥物副作用 | 請問一般人誤用整瓶會如何，先前誤用昏倒了，昏迷很久清醒了，請問會有什麼副作用嗎 | 硝化甘油會引發低血壓，如果過量易發生休克。但因其代謝很快，藥效過後，不會有什麼副作用。 | [
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0婦產科
| 性行為 | 醫生您好，晚上性行為的時候有使用潤滑液，用的時候會覺得灼熱感，過程中有用玩具並深入，但並沒有使用保險套以及性器官的結合 隔天發現大腿根部及腹部大面積出現紅紅一點一點不養不痛，但晚上性行為結束後到隔天陰蒂陰唇卻出現疼痛腫脹感，陰道內部並沒有不適感，請問這樣是潤滑液過敏嗎 | 類似過敏現象，但原因需至醫院檢查才有機會確定。 | [
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| 避孕藥 | 醫生你好 我這幾次都有在使用是後壁避孕藥愉婷碇 但是最近腹部很脹感覺像孕婦 但是驗孕又沒有懷孕 感覺就是比較凸 是因為吃藥的關係嗎 不過最近頻尿有點嚴重 上完廁所沒多久又想上 是膀胱發炎嗎還是什麼 我作息有些不正常都比較晚睡 會因為這樣有影響嗎 最近的一次月經 我在之前也有吃事後避孕藥 但是來的量比平常少耶 這是不正常的現象嗎 請問一下 現在是不是有注射的避孕針 可以維持五年 如果打了會造成之後不孕嗎 會有副作用嗎 還是說現在有更好的避孕方式 常吃事後避孕藥也會不孕嗎 謝謝你∼那就麻煩妳幫我解答一下我的問題 PS 腹部脹已經有點時間了 快兩個月吧 | 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.腹脹可能的原因包含肥胖.腸.膀胱子宮或卵巢等問題須經查檢查 後才能確認. 2.有避孕效果長達五年的針劑嗎或許是皮下注射"諾普蘭"可有五年 之避孕效果但使用上並不普遍. 3.頻繁使用事後丸會干擾荷爾蒙的正常分泌曲線也會造成經血較少 之現象. 最後 祝您 平安快樂 | [
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| 藥物治療 | 請問醫師所開的藥品是不是應該有什麼藥就於藥袋上寫幾種 因為我半年前懷孕一個月看婦產科 到第2禮拜胎兒心跳停止才發現醫師開的要有4種但藥袋上只寫2種 後來有打電話去問醫師他的回答是胃藥的一種 這樣是OK的嗎 | 醫師法、藥師法、全民健保醫療辦法及優良藥品調劑作業規範等法規中對於藥品包裝容器應標示的項目均有明文規定，例如醫師法第十四條規定，醫師在交付藥劑時，應於容器或包裝上載明病人姓名、性別、藥名、劑量、數量、用法、執業醫療機構名稱與地點及交付年、月、日等項目；藥師法第十九條規定，藥師於藥劑的容器包裝上應記明處方上病人姓名、性別、藥品之用法、藥局地點、名稱、調劑者姓名、調劑年、月、日等項目；全民健康保險醫療辦法第四十五條規定：「為保障保險對象用藥安全，藥劑之容器或包裝上應載明保險對象姓名、性別、藥品名稱、數量、天數、劑量、服用方法、藥局地點、名稱、調劑者姓名及調劑年、月、日等資料」；優良藥品調劑作業規範第四十四點規定：藥事人員應依藥師法規定，於藥品容器包裝上記明下列事項：「一藥局之名稱、地址、電話號碼。二處方編號及調劑日期。三病患姓名、性別。四藥品商品名。 五藥品單位含量與數量。六清楚的劑量、頻次、途徑與簡短的用藥指示。七藥品使用期限。八調劑者姓名。」 衛生署業已訂定藥品容器包裝上必須標示的十三個項目包括病患姓名、性別、藥品商品名、藥品單位含量與數量、用法與用量、調劑地點的名稱、地址、電話號碼、調劑者姓名、調劑日期與警語；三項建議標示項目為主要適應症、主要副作用及其他用藥指示〈例如部分藥品有特殊保存方式、服用抗組織胺藥物不適合開車等事項），可標示於藥品容器包裝上，或列為醫師、藥師人員諮詢事項。 這十三項藥袋上必須標示項目中有部分是上述法規原本就規定要標示的，若醫療院所不確實標示，將可依違反醫師法或藥師法處罰，但有些項目是法規中未規定要標示的〈如警語等〉，這些就屬於勸說式的標示項目，未來必須修法強制規定標示才有處罰的依據。 因此，不僅有什麼藥就要於藥袋上寫幾種，而且應該是「一藥一袋」！ 行政院衛生署花蓮醫院藥師黃奕誠敬復 | [
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3藥物
| 藥品採購 | 您好 沒有特別包裝 藥粒形狀為圓型顆粒黃色中間有一條凹溝大小約0.5公分左右 最近回診復健科-林樞寰 醫生有另開"開恩達命"KENTAMIN膠曩狀一黃一虹交間家母反應藥效沒有紓緩四肢末梢會麻痛且膠曩造成吞嚥有點困難家母之前有氣切已痊癒顆粒狀比較好服吞. 謝謝醫師的回覆 | 您好： 您所說的黃色圓形藥粒藥品名應為Methycool，附上圖檔或衛生署藥政查詢網址httplicnquery.fda.gov.twDO8180A.asp可查到藥品外觀，確認是否為您母親所服用之藥品，若是的話本院沒有這藥品。 若服用膠囊有吞嚥困難的情況，kentamin可撥開服用，可解決吞嚥困難之問題；日後若有類似服用膠囊是否能撥開使用的問題，領藥時可順便請教藥師。 祝您及您母親安康 | [
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3藥物
| 藥物副作用 | 請問服用DOXYCYCLINE四個月後停藥 會對身體造成藥物的後遺症嗎會影響男性的生育能力或造成不孕嗎 C型肝炎GOT 129’’GPT 195’’T-Bilirubin 1056’’r-G.T 87.6. 服用 Ursodeoxychlic Acid 的功效及副作用為何 各類網路藥物查詢均無資料. 謝謝幫忙提供功效及副作用 醫師您好，想和您諮詢事前避孕藥的問題，伴侶最近開始吃悅姿這款事前避孕藥，在吃首個月後，出現頭會脹痛的狀況，另外還有私密處會留一點點咖啡色的液體，比較像出血，都要墊護墊，廁所後也會出現這個問題，偶爾會出現拉肚子的狀況，肚子也會痛，另外還有伴侶是個比較會喝酒的人偶爾喝不是天天，但現在喝酒都會出現頭痛所以現在不能喝那麼多的症狀。 如果晚上服用銀杏葉萃取物會引致尿量增多或夜尿嗎最近晚上尿量增多不知是否有關謝謝 | 小上先生您好 1.DOXYCYCLINE是抗生素抑制細菌蛋白質之合成，對多數革蘭氏陽性及陰性菌均有效。 2.副作用光敏感的病人在本藥治療期間應避免日光直射，如發現皮膚不適，則應立即停藥。使用本藥偶有噁心、嘔吐、腹瀉、皮膚炎、舌炎、胃炎、直腸炎發生。 育齡婦女中，可能導致視力問題。 3.在治療期間定期肝腎功能、白血球、紅血球檢查和紅血球。 4.DOXYCYCLINE四個月後停藥 會對身體造成藥物的後遺症嗎是還好，因為這是醫師處方一定你有症狀才會服用，至於影響男性的生育能力的抗生素我查你服用此藥是不會影響生育能力的，祝福您身體健康。 你所寫的成分是URSODEOXYCHOLIC ACID，商品名是Ligat 、URSO 本藥可以促進膽色素的排泄及肝糖的生成，及維生素B1、B2的吸收， 進而利膽並活化肝細胞及解毒作用。也是利膽劑，若有膽紅素增加及膽結石是可以用的，它可以促進膽汁分泌，還有它可以用在C型肝炎，對肝功能有幫助。一般 Got Gpt其正常值是15-40.，T-Bilirubin正常值是0.3-1.0. r-GT，正常值是5-40你的報告都偏高所以你要注意 治療項目： 本藥可以維護肝臟，並可用來治療膽囊炎、膽管炎、膽汁分泌不全、 及維他命B2吸收不全等病症。 副作用： 噁心、嘔吐、腹瀉、便秘、胃部不適、倦怠、胸悶等。 這副作用是因人而異、不一定每個人都有。 使用禁忌： 重症肝炎、完全膽道閉塞的患者不宜服用本藥。 交互作用： 本藥與口服糖尿病藥，如：Tolbutamide等，一起使用，會增強效果 。 王先生您好 1.事前避孕藥悅姿有些因人而異的副作用不一定每個人都有喔，像頭痛、月經過多或不規則出血、噁心、嘔吐、水腫、子宮頸粘液增加、體重增加、皮膚癢、青春痘、疲倦、沮喪、潮紅、感覺虛弱、乳房脹痛、念珠菌感染增加等等子宮頸粘液增加， 2.避孕藥可能增強酒的作用，減少它的代謝率，是不會影響藥效但我個人覺得吃任何藥還是少喝酒比較好 3.還有與葡萄柚汁會增加雌激素或黃體素或兩者在血 中的濃度。因對細胞色素P450 3A4 CYP3A4等特定酵素具誘導效果之藥物或中草藥 產品可能會降低口服避孕藥之藥效，或增加突破性出血，所以最好也不要吃葡萄柚汁和隨便吃不明來路的中草藥 4.我覺得您的伴侶吃了頭會脹痛的狀況，拉肚子另外還有私密處會留一點點咖啡色的液體我想不一定是副作用，最好還是給婦產醫師檢查看看還是比較好，也可以和醫師商量您的伴侶有服用悅姿有不適的症狀•是否需要調整，最後祝福您和您伴侶平安喜樂、身體健康，台中醫院關心您• 您好 1.銀杏葉能促進血液循環，預防心血管病，可擴張血管、增加血流量，改善心腦血管循環，消除血管壁上的沉積成分，改善血液流變化，銀杏不能同時服用aspirin。 2.手術前禁止服用：會造成出血反應，在手術前應禁止服用，也應主動告知醫師有服用此類藥物。 3.利尿效果很少，導致夜尿經查臨床是很少有此副作用。祝福你平安喜樂 | [
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0婦產科
| 是否懷孕 | 我女朋友上次月經來是529 我們有在上次月經來完（大概65）後發生關係 但都有做安全措施（戴） 還有在74發生關係 這次也有戴，但結束發現有流出來⋯ 她經期原本差不多都月底 但這次到現在還沒來⋯ 不知是否可能有懷孕？ | 提問者您好 依您的週期而言，行房的日期似乎不是排卵期，但是如果這次排是不規則的話還是很難說。因為目前月經已經過期一星期，建議還是驗尿檢查是否懷孕較好，謝謝 祝 平安 健康 張 醫師 回 | [
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6骨科
| 髖關節術後 | 我的阿公82歲，過年前跌倒，屁股瘀青一大塊，但診所照X光沒有傷到骨頭，但隨著隨著疼痛越加明顯，導致不能使力走路，後來去大醫院再照一次X光，才知道左邊髖關骨骨裂。 跌倒後，阿公原本對消炎藥沒有過敏，但跌倒後，只要吃到消炎藥，就雙腳水腫。目前狀況是在手術後，沒有吃消炎藥，但第四天開始，左腳水腫，第五天左腳水腫外，左膝蓋紅腫，發熱，第六天 出來水腫外連小腿都有點發熱紅腫。阿公說，他開刀的那隻腳的大腿，隱隱會抽痛，痠痛。阿公的主治醫生找不到原因，請問這狀況是？該如何？謝謝 | 髖關節附近的骨折手術後通常會有血液循環不佳的狀況 因此必須讓他的小腿抬高 另外膝關節以及踝關節也必須做些復健的動作 如果有紅腫熱痛就要懷疑是否有細菌感染必須做處理 另外也有可能是骨折之後的瘀血下垂到膝關節附近引起的 吃消炎藥之後會水腫與腎功能也有關係 可以選擇部會影響腎功能的藥物 | [
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2牙科
| 智齒術後問題 | 請問拔完智齒後，旁邊的肉有做縫線處理，線是可吸收的，但拔完兩天後，線好像斷掉了，旁邊的肉都會痛痛的還有滲血，這樣需要回診嗎？ | 您好 建議回診，看看是否需要再補縫線並順便擦藥消毒 | [
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5泌尿科
| 間質性膀胱炎 | 醫師好，我有間質性膀胱炎，頻尿疼痛愈兩年 近期便嚴重做水擴檢查 水擴照片如下 httpsibb.coHz0Nnc2 但在檢查時也有發現下列影像 httpsibb.coJvqK5Zf httpsibb.cozGMj4zd httpsibb.coJvqK5Zf 病理報告 httpsibb.cok4zPMNG 1.請問這是膀胱白斑嗎，還是叫甚麼東西呢會癌變嗎 2.請問要用甚麼方式治療呢電燒還是切除術呢可以清除掉嗎 3.請問病理報告大概是甚麼意思請問這個白斑很罕見嗎 因為我長白斑的地方剛好是我最痛最頻最不舒服的地方膀胱底部想治療這個地方，不知道對疼痛頻尿有沒有幫助 目前只有開抗黴菌藥物而已 非常謝謝李醫師。很想下去找李醫師治療。 | 您好： 1本園地未診查，不可進行診斷 2 治療方式應和主治醫師討論，治療方式應有多種。要詳細討論了解 3 慢性感染，經病理檢查，無惡性的部份 感染要確實控制，除藥物外 生活習慣，飲食飲水也都要注意。 | [
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17眼科
| 眼壓 | 高醫師您好，我是上個月 提問的眼睛下午看見彩虹與白霧的問題 原本確實眼壓在正常範圍，結果3月初回診量眼壓 居然到44， 醫師開舒露瞳點眼液劑、康皕庚、舒而坦三種藥水 一日三次點四周。昨日回診量眼壓依然48，醫師也納悶，詢問我有沒有做什麼 但我生活沒特別改變 目前是先開口服藥觀察一個禮拜，如果還是降不下來，醫師希望住院手術. 想請教高醫師： 1.我這狀況是青光眼嗎 2.您也會建議手術嗎 謝謝您 | 您好： 根據您描述的情況，您的眼壓數值持續升高，且在藥物治療下未見明顯改善，這可能是青光眼的一種症狀。青光眼是一種眼睛疾病，通常與眼壓升高相關，可能會導致視神經損傷及視野喪失。 至於是否建議手術，手術通常是在藥物治療無效或病情嚴重時考慮的選項。所以醫師建議再觀察一個禮拜，如果還是降不下來，就希望您住院手術。 您主治醫師給您的建議是正確的，如果藥物無法控制，就需要及早開刀，才不會造成更進一步視神經的永久傷害。 -- 台灣ｅ院僅提供醫療問題諮詢，不做診斷、不開立處方、不介入病人與原看診醫師關係； 本站提供的醫療諮詢，並不能取代醫師親自問診及理學檢查，有疾病時仍須親自就醫。 高丕霖 | [
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0婦產科
| 事後避孕丸 | 您好 想請問一下 我在815日的時候服用事後避孕藥 後來大量出血一周預估16or17日開始出血 我想請問這出血完後 一周過後跟月經一樣是危險期嗎 這樣危險期預估是幾號到幾號呢 謝謝 | 回覆如下 服用事後丸之後，月經提早到，很可能亂經。 下次的排卵期通常會延遲，但很難預測確定的時間。 桃園醫院 呂理政敬上 | [
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5泌尿科
| 龜頭外露 | 醫生您好 我今年20歲，在今年終於看見我整個龜頭，在以前因為包莖問題連沒有勃起都無法退，有買類固醇擦，加上自己洗澡用水慢慢地沖慢慢地退，尿尿也會退開在尿尿，真的改善許多，現在沒有勃起都能順利退下來，硬也可以了有一點點緊，還會擦藥常常退他，現在龜頭碰到很敏感，尤其是頭頂部分，有想說睡覺時退出來與內褲接觸降低敏感度，但是那感覺真的會受不了，不知道有沒有什麼方法能夠舒緩敏感度，或是有更好的方法呢還是就穿緊身四角褲或三角褲這樣固定住，不然寬鬆四角褲走路擺呀擺，走路起來像掰咖.龜頭露出來 因為不想動刀. 希望醫生能夠給我一些建議或是方法哦 感激不盡 | 韋恩： 你好 龜頭敏感，確實很困擾。 現在也沒有什麼可以改善，只能經常將龜頭清洗，露出來，刺激久了，慢慢會習慣，就比較不敏感了。 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 | [
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| 小兒生殖器官 | 大夫您好. 我當老爸已經17天了.在這17天中有歡喜也有疲憊. 小baby的急躁脾氣似乎遺傳到我.吸母奶沒有耐心.所以出生幾天候都吃奶粉了. 最近幾天小baby的便便次數變少了.原本一天24次.現在12天一次. 小媽咪很緊張.一直認為小baby便秘.猛讓小baby喝水或葡萄糖水. 但情況並無改善奶粉沖泡比例仍維持1小匙30c.c.. 請問大夫.小老爹跟小媽咪該如何呢 | 一般嬰兒出生後排便次數會較出生後二星期減少 便秘的定義為觀察大便的軟硬程度 若大便並不硬.次數減少.應為正常現象 若此時餵食開水或葡萄糖，相對母乳或牛奶的進食量會減少 在此建議小老爹與小媽咪可以觀察小baby大便形狀或量或硬度而決定 若仍然無法辨別時建議至兒科門診求診，以離清您的疑惑 | [
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| 下腹痛 | 不好意思，我想請問一下，我大概兩天前有吃了一顆減緩脹氣的藥，吃完之後到現在大概一天都會有五次的下腹部疼痛，排便都軟軟的，在更之前五天有腸胃炎，但吃一天清淡就開始正常吃了，不知有無影響，謝謝回答，感激不盡。 | 建議近日內，少油少奶清淡飲食，若未改善，可至腸胃科診治。 | [
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5泌尿科
| 性病 | 醫師您好： 約莫三周前，與人發生無套口交行為（我是被口交，有口爆舔奶無其他性行為） 之後有尿道以及包皮發癢的跡象，但起初不以為意認為只是對方力道比較大或者被褥 不乾淨，直到最近一次手淫射精時有灼熱感，當下就開始慌了，後來也不知道是否是 心理作用，開始覺得嘴巴與舌頭開始發麻，有時候也會感到頭痛，但除了發癢外目前 還無其他症狀，想請問我這樣是感染到性病了嗎，如果想要進行檢測，一定要等到三 個月後嗎？ 謝謝醫師 | 您好： 一般有不安全性行為之後， 出現症狀應就醫，且要和醫師說明有不安全性行為， 如無症狀，3個月檢查。祝健康 | [
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0婦產科
| 月經 | 醫生您好 已往經期都正常時間到時會直接來紅且很少延遲但最近三個月來月經前突然出現褐色分泌物帶著血絲大概會來2-3天月經就會來並且伴隨月經量減少來月經時間也縮短但無腹痛或是搔癢等其他症狀請問這是正常現象或是需要就醫呢謝謝醫生 | 您好 有可能是黃體素不足的關係，如果常常如此，建議看婦產科調經。祝健康 | [
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12胸腔內科
| 肺部問題 | 醫師您好 游泳時不小吸到水，若吸多了會不會肺積水呢 謝謝 | 小小小姐：您好 游泳時不小心吸到水，如吸多了不會得到肺積水。 請放心。 | [
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| 生理期問題 | 您好，家裡小女兒初經在去年11月下旬，已經來過9次，我們明白第一年的週期通常不規則，但仍然有做記錄，分別是29天、20天、24天、22天、28天、27天、26天、26天。前一次來的日期是65，這一次我們猜想預定是630來，不過孩子在628、629這兩天有下腹悶痛的感覺之後，到今天75就都沒有不釋的感覺，請問這可能是什麼狀況？謝謝您。 | 家裡小女兒初經在去年11月下旬，已經來過9次，我們明白第一年的週期通常不規則，但仍然有做記錄，分別是29天、20天、24天、22天、28天、27天、26天、26天。前一次來的日期是65，這一次我們猜想預定是630來，不過孩子在628、629這兩天有下腹悶痛的感覺之後，到今天75就都沒有不釋的感覺，請問這可能是什麼狀況？ Ans 需至醫院做超音波檢查 | [
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| 精液 | 劉醫師你好：又有問題想請教於你，不好意思又打擾你寶貴的時間。 續上回之問題，謝謝醫師指教，不勝感激！今想問的是：上回與女友辦事，現覺得睪丸內的內容物即精子變少了，怎麼辦？該如果治療？ 煩請醫師指導，謝謝。 | 真的嗎？你怎麼查覺到睪丸內的精子變少了？放心，正常男人的睪丸是不分日夜持續在製造精子的。以你的年紀大約心跳一次製造1000隻精子，如何？會不會太多？至於發現睪丸變小或變大請找泌尿科專科醫師幫你看看。 | [
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| 胃潰瘍 | 請問做完胃穿孔手術而且有胃潰瘍病史的68歲病人 出院後要注意的飲食 | 您好 胃穿孔手術後的病人，剛開始進食以流質溫和飲食為主，出院前應已改為軟質或稀飯。若消化清況不好，則持續乾質或稀飯一段時間，若消化清況尚可，則可改成普通飲食，只是避免咖啡、茶、刺激食物等即可。 祝健康 衛生署桃園醫院 陳奇 醫師敬上 | [
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0婦產科
| 避孕藥 | 醫師你好，想請問一下 我是第一次吃事前避孕藥悦姿28錠 如果吃完一盒了，但生理期還沒來是要等下一次生理期來再吃嗎？ 那如果還沒吃完一盒，但生理期來了是要吃新的一盒嗎？ 因為我有多囊性卵巢所以生理期有點不定時所以想了解一下，謝謝醫生 | 您好 吃完避孕藥，正常是一星期內月經會來，然後從月經來的第五天開始吃下一包的避孕藥。祝你健康 | [
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13肝膽腸胃科
| 腹部問題 | 您好 最近幾天早上起床都會下腹悶痛（還會一直想放屁），排完便還是會痛，要等過一段時間才好轉，不過左下腹還是一直悶悶的，只要晚上睡覺就又都不痛了，但隔天還是會一樣，是什麼原因？ | 左下腹早上反覆疼痛排便後過一段時間才改善 建議養成排便好習慣適當的水份纖維攝取及運動 下腹部疼痛包括腸胃道泌尿道婦科的問題. 如持續疼痛建議門診追蹤. | [
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| 靜脈曲張 | 杜醫師您好： 我現年24歲，在10年前就已經發現左側精索靜脈曲張，但沒人家人說明也沒治療 主訴是一站立就曲張，且久站不走動的話10分鐘內就會脹痛不適 最近剛好研究所畢業等待入伍，因此安排了檢查與手術 雖然精液品質很正常：6900萬ml、77活動率、GRADE 34共26 不過礙於一站立就會曲張而且非常明顯的一大坨，久站會痛 因此還是做了傳統式的精索靜脈高位結紮手術，術後曲張的程度似乎更嚴重 不過上網查詢後發現應該是正常的，只要等幾個月後結紮之靜脈萎縮後就好 但還是有一個問題，就是我術後腹外斜肌還有左側腹整個肌肉都非常痠痛，雖然都離傷口有約10公分以上的距離 想請問這是正常的現象嗎 多久才會好 有緩解的方法嗎 感謝回答，祝平安喜樂。 | 您好 高位結紮因為要拉開肌肉 術後多半會有此症狀 如果持續不舒服建議仍然使用止痛藥 另外就是短期內儘量避免久坐或久站 一定時間要活動一下 免得血管又曲張 另外如果會肌肉酸痛 暫時不要仰臥起坐 謝謝你的詢問. | [
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6骨科
| 骨折 | 醫生您好 31因跌倒受傷，32經骨科診斷為第五蹠骨基底骨折。 316回診時發現骨裂口變大，當時醫生建議開刀打鋼釘，我選擇保守治療二週，於330（距離受傷差不多快一個月了）回診時發現裂口已有80空間呈現灰白色，醫生表示有在長了可以脫掉拐杖並且穿護具鞋出門行走上班。 4月開始這個月我依舊在家辦公，每週僅有一天走路至超商買物品而已，在家有脫拐穿護具鞋於客廳，每天會有幾小時脫掉鞋子光腳稍微行走，腳步疼痛感跟地板筋骨僵硬都有極大改善，按壓骨折處也不太會感到疼痛了。 然而427回診時醫生說裂口又開了，要求我得動手術，並只說打鋼釘的好處和如果保守治療五月回診再開刀，只會增加困難度等等。從受傷到現在每次詢問醫生保守治療除了固定和較少活動，是否有其他治療方式增長骨頭癒合（例如營養補充，或是復健科的電療等治療）醫生都說完全沒有，只有開刀跟固定二擇一。 1. 想請問骨折滿二個月了，現在真的得只能開刀了嗎，因為醫生說很大機率不會再長，或是是否有其他非開刀的治療方式增長骨頭。 2. 這段時間是否不應出門走路，還是要繼續撐拐杖不讓基底著地以免裂口不癒合呢 | 一般來說，第五蹠骨基底骨折多半不用手術，只需約8至10週的石膏固定 石膏拆掉後，進行約4至6週的復健，就能恢復得不錯 少數病人因為骨折移位較嚴重或粉碎，無法以石膏固定達到良好的癒合 或是病人無法接受3個月的保守治療時，這時就可以考慮手術 建議可以門診諮詢其他醫師意見 謝謝 | [
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| 性病 | 醫師妳好我想請問一下 1.性病會自己在體內產生嗎梅毒.菜花.HPV.坡衣菌之類的任何性病病毒 2.請問口腔內，生殖器上也會產生性病病原體嗎 3.處男處女本身體內會有性病嗎 | 匿名： 你好 1.不會，一定是外來的。只是有些性病，感染後沒有症狀。 2.不會。只要沒有外來的感染，不會自己產生。 3.跟處男處女無關。有些性病沒有症狀，有些性病並非完全經由性接觸感染。 註：像是愛滋病，可以藉由體液接觸感染，像是血液、口水等。 菜花病毒，有報告可以經由間接接觸感染，像是滑鼠、浴巾等。 希望以上的回答對你有幫忙 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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15復健科
| 肌肉拉傷 | 醫生您好，我在踢腳想說要動一動的時候不知道是不是踢太大力感覺就右腳當時有頓一下，然後我在蹲下的時候大腿右側會有一個點會感覺痛痛的，按的時候也會有感覺。但是走路或是站著是沒有痛感，後來我去看復健科，醫生只有開一條叫思舒的藥膏給我說我是因為拉傷了，然後多休息就好，想問一下醫生這樣我這樣應該不會是骨折有必要去看到骨科做檢查嗎？還有就是因為當時的醫生也沒有要求我要去復健，只有要我擦藥，然後家人就叫我去針灸看看，想請問醫生如果是拉傷這樣針灸算在發炎嗎這樣會不會不太安全，還是沒有關係可以去治療看看，然後再配合當時醫生開的藥擦。 謝謝您。 | 您好，根據描述的確是大腿肌肉拉傷可能性較高，骨折機率不大，可考慮再度就醫做進一步檢查及治療，針灸可搭配做治療，但相關併發症應詢問當科醫師較為準確，因治療方式會有所差異，謝謝． | [
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1精神科
| 精神分裂症 | 我的媽媽以前很正常，食物都會吃不挑食，現在不吃肉，煮東西變得很奇怪，菜，肉，綠豆，什麼都要燙過燙到熟.再煮過一次，買東西就會失心瘋亂買，頭髮也自己亂剪衣服亂穿，我跟她溝通她都無法接受，覺得自己沒生病，不就醫，早期她有看過精神科，一開始她可以接受吃藥，後來就說藥很苦，吃不下去就都不吃藥。 生活作息也不正常，每天睡不飽，該睡的時候不睡，也不跟自己的丈夫同房，每天等自己的老公睡了，才睡一早早就起床，中午也不好好睡，就是不跟老公一起睡，我爸很愛她，每天包容她，飯煮的亂糟糕，零用錢亂花亂買，整個人沒精神，很憔悴又固執像孩子，有時候會無理取鬧，全家人都快受不了，還會把垃圾囤貨在家裡面. 我跟她出門都覺得很自卑，我不想要我的媽媽一直病下去.我也不知道她是什麼病 她的理解能力很差，記憶也不好.很會扭曲別人的意思，不能對她開玩笑，她不會分別是真話還是假話。 她不願意就醫，也不願意吃藥.健康食品她都覺得是藥.丸子類的藥她不吃，她連咬東西都懶的吃，只吃她愛吃，南瓜蒸熟沾糖粉.很奇怪，煮的東西很不美觀，都亂煮混合在一起煮，全家裡都快受不了，我不知道這樣子能改善她 | 可以先就睡眠問題，澄清你們的困擾，並且表示你們對她健康的關心，睡眠對健康影響，鼓勵她就近精神科門診處理睡眠問題，待到診所，醫師應該會就她的認知問題及知覺問題，會再評估有否異常，有否需要進一步處理。 | [
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7耳鼻喉科
| 慢性咽喉炎 | 咳嗽咳一年多了，看西醫每次都診斷為上呼吸道感染，比較嚴重時是支氣管炎 另外鼻腔內部有點腫所以醫生懷疑有點過敏 我自覺有喉嚨卡東西，腫腫的，有時睡前或睡醒會有鼻涕鼻塞 最近覺得可能是慢性咽喉炎 我自己覺得的 西醫吃藥時會好，但藥吃完後沒幾天又復發了 目前換成中醫做調理試試看 想請問有沒有藥品可以讓我含著比較不會喉嚨卡卡的感覺 上次西醫給的都吃完了，希望有平常藥局可以販售的 | 您好， 您所提的情形有可能是慢性咽喉炎或是其他疾病 建議就醫喉內視鏡檢查確診排除腫塊的情形以及藥物治療 除了藥物治療如化痰藥、胃藥等等外 日常生活注意事項為 -- 吃完食物兩小時不要平躺睡覺 請避免 咖啡、茶、香菸、酒、炸物、辣物等 皆會對症狀改善有幫助 祝平安健康 | [
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5泌尿科
| 梅毒 | 醫生你好！ 我的梅毒是在皮膚科檢查出來的 看醫生開的藥都只是口服 已經服用14天 早晚各一顆100毫克 看診的醫師說 叫我再服用14天以後再去驗血 現在醫院真的沒有 盤尼西林嗎？ 還是我要轉診到泌尿科 才好！ 我好延誤病情， 所以可以請醫師給個建議嗎？ 還有間接傳染的機率高不高我好怕傳染給家人 之前全家的內衣褲都一起洗 不知道會不會感染給他們，他們需要去做抽血檢查嗎？ | 恩恩： 你好 有的醫院有進盤尼西林，因為價格昂貴，很多醫院都不願意進。以前一支盤尼西林只要幾十塊新台幣，現在，要價進千元。 據我所知，目前所有的進口，都是醫院用專案跟衛生福利部申請，許可後，才可以使用盤尼西林。 轉到泌尿科也沒用，因為若沒有藥物就是沒有。 倒不如轉到有藥物的醫院治療。 家人，若不放心，可以全部抽血檢查。 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 本院泌尿科 主任 許維愷 答覆 | [
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| 感染問題 | 醫生妳好∼前兩天有去婦產科看過，醫生說是黴菌感染，吃了口服藥也擦了藥膏，搔癢症狀有舒緩一點，但今天發現白色豆腐狀的分泌物卻越來越多，甚至會沾上底褲，請問這是屬於用藥後的正常現象嗎？那是否沒有分泌物時就算是好了呢？ | 小姐 您好，念珠菌性陰道炎是一個比較頑強的發炎性疾病，建議再回診給醫師檢查為佳，勿自行判斷。 衛生福利部花蓮醫院關心您的健康 | [
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6骨科
| 鎖骨 | 醫師你好： 我在上個月8月16日乘公路車時發生交通意外，左肩落地造成鎖骨骨折。當時左手非常疼痛舉不起來並且骨頭有突起。送往醫院後照了X光後發現鎖骨中段完全斷開並突起。當時醫生只簡單說明骨折情況及有可能要做手術和有變形的可能性。後來只幫我用三角巾固定並沒有做任何接骨等調正骨頭的動作。後天覆診時卻甚麼都沒說叫我回家休養便可以。1個月後進行第3次照X光發現骨頭位置基本上沒大變化讓我擔心是不是骨頭完全沒生長過。 之後把照片給了室友的骨科醫生看他說這情況必須進行手術不然骨頭只會生長不會癒合，最後有機會殘廢。並且說這錯位一開始應該要接骨調正這樣等於是白費1個月時間。讓我感到十分擔心因此立即預約其他醫院有沒有需要做手術。 因此想問一開始不進行接骨是不是醫療失誤。現在手是可以活動也能向上舉但骨頭突起跟先前沒甚麼區別。這種骨頭突起的左肩鎖骨骨折那是不是直接進行手術會比較好？謝謝 | 鎖骨骨折如果不開刀採保守療法也有可能癒合的 傳統上大部份的鎖骨骨折都不開刀的 最近因為骨板骨釘的進步所以有一些醫師就採取比較積極的做法 那就是開刀治療 兩種方法可以 有研究顯示後來的結都差不多 只是手術治療恢復快 但是就是得開刀 以後也許還需再手術一次把骨釘取出來 手術前與醫師溝通最重要 | [
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| 打嗝 | 已有ㄧ段時間，吃完東西（沒有吃很飽）後都會有一個隔打出來，間隔短時間內會斷斷續續再打第二個隔或第三個隔，有時候已離吃完飯一兩個小時，還會再打一個隔，有時候喝水後也會，如果吃完午飯趴下睡覺起來都會有一股很大的氣打隔出來，本身有輕微胃食道逆流，最近體重還變重，想請問醫生該去作胃鏡或是其他建議呢？ | 減重有助減輕逆流嗝氣。少量多餐，餐後活動助消化，餐中少言語吞入空氣也有幫忙。症狀若加劇可考慮胃鏡 | [
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4心臟血管專科
| 心律不整 | 醫師您好，近年來，深受心律不整的困擾。也多次進出醫院，也排了許多檢查。24小時心電圖、心臟超音波、抽血檢查等。檢查出來都無大礙，只是有輕微二尖瓣膜脱垂，其他都沒事。我有輕微焦慮症，自律神經失調，容易緊張、焦慮。近年來心臟 偶爾會漏拍（正常心跳，突然心跳跳到一半會突然沉ㄧ下再恢復正常。） 最近，為了改善焦慮的問題，有去運動。在運動中，會量自己30秒的心跳。再量的過程中，突然摸到心律不整。我的症狀是這樣（在運動中正常心跳會快，我摸脈搏時我的心跳跳到一半時，心臟會突然恪登沉了一下，再回到正常的心跳）。過程中也沒有不舒服的症狀，只是會被嚇到，很擔心會不會是心臟有問題。 請問醫師，我該在回醫院做更精密的檢查嗎？很擔心，不知道該怎麼辦才好，要持續運動嗎？ 這個心律不整是有危險的嗎？ 想請教醫師 謝謝 | 您好 24小時心電圖、心臟超音波無大礙 運動過程中沒有症狀就運動不要管心跳了啦 聽起來是良性心律不整 沒有生命危險 別擔心 可以持續運動 放輕鬆沒事 為您禱告 平安 彰化醫院關心您 | [
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] |
10兒科
| 皮膚問題 | 醫生您好： 我家小女於三個月大時，脖子長了很多小疹子，去醫院就診，醫生說是 黴菌感染，因為挺嚴重的，就開了口服抗黴菌藥物五天份及藥膏一條，因為我 知道皮膚藥膏常有類固醇，就請教了醫生，醫生特地強調此藥膏不含類固醇。 小女也吃了藥及擦了藥膏十二天之後，症狀已好。 近日小女六個月大左手手臂又長了一些疹子，又前往就診，醫生又開同 一條藥膏，處方簽上是開【Clotrimazole cream】，但我又細看藥膏上的成分是： 1. Clotrimazole 10mg 2. Betamethasone dipropionate 0.64mg 查了一下網路藥典，發現第二項是類固醇。 我知道適當的類固醇是好的，但現在讓我困擾的是： 1. 當初在小女三個月大時，我擦小女的患處擦了十二天，且有時並未薄抹 不知會不會有後遺症？ 2. 現今小女擦此藥膏，除了薄抹患處外，我應於幾日內停擦才不會產 生副作用呢？ 3. 醫師開的處方簽與藥膏上不同，這讓我無所適從，不知我以後該相信誰？ 問題描述冗長，謝謝醫師耐心回答！ | 新手媽媽您好： 1.類固醇藥膏的使用以薄擦為宜，一天兩次，次數比擦的厚來的有效。不過您也不用太擔心，類固醇經由皮膚的吸收其實還是很有限的，副作用是皮膚變的薄，血管看的比較清楚，12天的使用期是很短的，不用擔心。 2.使用方式是一天兩次，多擦無益，擦到完全好，薄擦。 3.這是因為很多皮膚用藥都是複方，你用的藥膏是含有中效的類固醇。 祝 安康 | [
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0婦產科
| 懷孕時 | 醫師您好如果把電腦螢幕換成LCD液晶螢幕是不是輻射對寶寶的傷害就會減少呢聽賣電腦的人說液晶螢幕無輻射到底有正確嗎謝謝 | 一般而言LCD液晶螢幕，輻射一定比一般螢幕少的多，至於是不是無輻射線就必須請教電腦專業的人員，不過輻射量越低，對寶寶傷害當然會減少。 | [
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| 其他 | 關於GI胰島素.我在網路上繞了一圈.大致看了一下. 簡單說就是吃低GI食物比較有飽足感 就不會吃進其他食物配合低熱量食物就能降低體重 也就是說就算我吃進高GI食物能不超過一天所需熱也不會胖. 相對的我吃進低GI食物但熱量攝取超過一天所需量的話還是會胖. 在簡單的說.就是”降低肚子餓減肥法”嘛. | 您好 所謂GI是指昇醣指數，是各類食物在被人體攝取後，對身體血糖反應的 一個指標，當血糖昇高，身體的胰島素會開始分泌，胰島素會使多餘的 熱量轉變成脂肪囤積，故減重者所使用的也叫『低胰島素減肥法』 但食物的昇糖指數只是影響肥胖次要的原因，食物的熱量的高低才是 重要的因素 | [
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5泌尿科
| 睪丸問題 | 最近幾天陰囊左邊有意點點感覺不確定是不是睪丸，感覺非常輕微，不到痛或者酸的等級，但是可以感覺到跟平常不一樣。打手槍的頻率是每天一次，打手槍的時候感覺比較明顯。請問這是發炎了嗎，是否需要就醫，還是調整生活作息就可以了平常都很晚睡，然後最近也因為感冒有在吃藥，不知道是否也有可能是吃藥影響的，謝謝 | 您好： 不用急著就醫，多活動活動，勿久坐久站，內褲寬鬆些。如有感冒就有可能酸痛，不一定是藥物影響。祝健康。 | [
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5泌尿科
| 菜花感染問題 | 有感染過擦過樂得美，病灶消去幾個月後，女友有用手接觸過生殖器，過了一週發現有很小的病灶（不確定女友接觸的時候有沒有），網路上有看到因接觸而手上也感染。 想請問這樣的機會比例高嗎？（女友未接種疫苗） 是沒有病灶就算安全嗎？ 如果有生子打算，都有打疫苗的情況下沒有病灶多久才算是安全？ | 您好： 菜花間接傳染也有可能，但多半是性器官接觸較長時間下才有可能傳播 想請問這樣的機會比例高嗎？（女友未接種疫苗）--》如果是復發，又沒有戴套性行為，女生應婦科檢查 是沒有病灶就算安全嗎？--》菜花不一定 如果有生子打算，都有打疫苗的情況下沒有病灶多久才算是安全？--》請詢問產科醫師。祝健康 | [
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2牙科
| 咬合關節會痛 | 醫生您好： 我今年大一，但咬合不正的問題一直困擾我。 吃東西的功能是還好，沒有什麼太大影響。 但外表很明顯能夠看出因咬合不正造成臉部的歪斜， 尤其從鏡子看時，更是明顯。 我想請問，如果等我畢業後有工作能力再做矯正， 會不會因為更嚴正而需要花更多時間矯正？ 醫生會比較建議我現在做還是以後也可以？ 矯正費用大概為多少？ 謝謝，辛苦了 | 你好， 您的情況應分兩種狀況考慮：若單純是牙齒的咬合不正，當然是愈快做矯正愈好，因為年輕牙周好，也易拉動糾正，費用十萬元左右，但若伴有顎骨發育偏差造成的歪斜則男孩等過二十歲後骨架已穩定，再行矯骨手術併牙齒矯正，情況就複雜，手術三十萬左右，但還要再請教口腔外科或整形外科醫師。 行政院衛生署桃園醫院 牙科主任 黃志成敬覆 | [
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| 懷孕機率 | 醫生不好意思打擾，我是 的提問者 想再詢問醫生 所以那樣的話還是會有機會懷孕嗎？ 如果不吃藥呢？ 那想驗孕的話比較好的時間分為哪些？ | 那樣的話還是會有機會懷孕嗎？ Ans 是 如果不吃藥呢？ Ans 可以 那想驗孕的話比較好的時間分為哪些？ Ans 316 | [
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| 經期問題 | 醫生你好 我在619-623有吃延經藥 ，在622有性行為（戴套無內射） 630∼75 有深紅色血，量中等多（是月經吧？） 請問30號有月經，那22號還有可能懷孕嗎？可以排除懷孕可能性嗎？還是需要等下次生理期才可以排除？ 有沒有可能吃了延經藥而影響以後生理期的週期？ （以前有多囊性卵巢症候群） 722∼7∼28 一直有微量的咖啡色分泌物（無氣味，墊護墊即可），請問是生理期快到嗎？還是排卵期？還是22號懷孕？ 需要驗孕嗎？22號有懷孕的可能性大嗎？ 請問造成咖啡色分泌物的原因是什麼？ 持續一週不正常嗎？ | 11你好： 6月30號可能是正式的月經，如果是的話那麼22號懷孕的機率不高，但是還是要等下個月的週期到了才能百分之百確定。 延經藥有可能影響一兩次的月經週期，但是一般影響不會太久。 722-728 一直有微量的咖啡色分泌物有可能月經失調，但是如果自然地停止應該沒有什麼關係。你一直很擔心是不是懷孕，但是也要等到月經過期驗尿才會知道，但是你說有帶保險套又沒有射精在裡面，懷孕的機會微乎其微。 | [
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2牙科
| 刷牙 | 您好前些日子小女因為註牙問題看了兩位醫師都說她吃完東西就要刷牙因為要預防所以我要家中每個人三餐飯後都一定要刷牙甚至有吃喝甜食或氣泡飲料或牛奶養樂多時也要刷牙結果我原本的註牙好像更敏感也不知是喝雞精太補還是怎樣喝了一兩罐雞精竟牙齦發炎導致整個頭骨顎骨都痛.已有兩星期之久這中間也有去看牙醫.但他清一清抹藥後更痛使得我現在都不敢密合我的牙齒因為齒間稍微輕觸即痛 請問這是刷太多牙的關係還是火氣大還是牙齒的其他疾病 | 首先想請問您〝小女〞幾歲？ 吃完東西就刷牙是很好的習慣，但是吃完酸性東西時，由於琺瑯質會暫時軟化，建議先以清水漱口，30分鐘後再刷牙。刷牙太多不會導致顎骨痛，除非刷得太用力導致牙齦受傷。 火氣大時會牙齦發炎是因為牙齦本來就不健康的緣故，門牙蛀牙打麻醉並不會導致骨頭痛，牙齒浮浮的大多是因為牙周病的關係。 | [
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| 懷孕機率 | 醫師你好，我想請問一下，尻尻後去洗手，之後過5到10分鐘後用手幫女友插插， 我想問的是 1這樣就有可能懷孕嗎？2機率多少？3要吃避孕藥嗎4中了怎麼辦 | 提問者您好 依您描述的情況，因為不大會有活動的精蟲存留，所以會懷孕的機會不大，不過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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| 乳房 | 請問醫師，之前在做公司的健康檢查時檢查發現自己的右胸有纖維囊腫，不知該如何是好？會很嚴重嗎？需要去開刀切除嗎？若是良性的，置之不理會不會怎麼樣？ | 請您請教乳房科或外科醫師是否切除size有多大若不切除則要觀察 | [
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5泌尿科
| 陰囊問題 | 本人有股癬的問題 傍晚時因為感覺股溝附近癢 連帶睪丸皮也開始癢 就去抓 但不知道是不是抓太用力 還是怎樣 吃飽飯小睡一下起來發現右側睪丸超 痛 馬上擦了一下小護士軟膏 幾分鐘後有緩解 但過2 3個小時就又開始痛 又再去擦藥 請問到底要怎麼分是睪丸裡面痛還是外面痛？ 因為感覺這痛不像是被踢到那種感覺 但兩顆睪丸都有點紅 所以不確定有沒有傷口 | 您好 1 如果持續痛陰囊又無傷口要立刻就醫 2 如果有其他症狀 如尿方面的 也要就醫 3 如果痛的是陰囊上有傷口 可以保持清潔乾燥 內褲寬鬆些觀察看看. 祝健康. | [
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13肝膽腸胃科
| 腹部問題 | 你好醫師 之前飲食習慣不良及體重過重 自2月起突然左腹痛應該是痙攣痛 之後腸胃開始出現問題 先是左腹間歇痛，近一個月上下腹及右腹亦有間歇痛，只為輕痛及位置不定，臍周有但甚少感不適，按壓不會痛 然後有腹瀉及便秘，腹瀉時解黃褐軟便水樣黏液，更試過只有黏液，有排便不盡裡急後重，肛門亦感不適 近兩天便秘時大便呈乾顆粒及很深的墨綠色，亦夾雜小許黏液 大便目視只見黏液並不見血 也有感到消化不良，腸胃鳴叫，噯氣反酸及喉嚨不適 試過每天只吃白粥，體重下跌了20磅但腸胃問題依然 後來回復正常進食後體重基本不變 無其他身體問題 5月時經一位醫師腹部觸診及肛門指診無甚問題 6月1日作腹部超聲波檢查，除輕微脂肪肝外無異常 6月18日大便測試正常但除種菌外不清楚還進行了什麼測試 將於本月尾作大腸鏡檢查，下月胃鏡 請問醫師 小弟的情況可能會是什麼問題 另外小弟對自已最近排深墨綠色便有點擔心 小弟近2，3天特意吃得比較多蔬菜，會是原因嗎 謝謝醫師 | 您好 根據你所 述體重過重飲食習慣不良左腹不適若為左上腹則可能為胃部疾病腹內空間有限若多為腹部內脂肪所占據則會擠壓到胃部的正常運作造成胃食道逆流噯氣反酸及喉嚨不適消化不良. 至於腹痛位置不定則可能為排便不順宿便過多造成局部漲氣麻痺性阻塞便祕排便不順亦可能造成細菌過度增生而造成腹瀉. 另外腹瀉便秘交替出現，黏液便，裡急後重，肛門亦感不適可能要考慮腸躁症建議放鬆心情適度解除心理壓力多蔬果多補充水份. 等待內視鏡檢查排除器質性問題剩下的就可能要靠自己多運動控制理想體重不宜過速減重飲食亦應該注重均衡. 深墨綠色便若擔心胃腸道出血可能要驗潛血反應才能確定是否有出血. 但是若不是持續出現則可能受飲食所影響就不必過於擔心. 彰化醫院關心您的健康 蔡安順醫師 | [
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13肝膽腸胃科
| 嘔吐 | 我於日前在北榮食用院內的伙食一小時後，感覺頭痛並想嘔吐並想上排便，雖然沒有腹瀉，但卻真的開始吐了起來，而且頭痛劇烈，並且感覺頭昏，只要一移動頭的位置便暈得吐了出來，幾個小時之後只好到急診就醫，在急診時只IV打了止吐的針及IM打了一支抗過敏的針，並沒有作嘔吐物的檢驗，抽血的數值都還好，沒有特別的異常。後來拿了Buscopan， lederscon， Scanol， Novamine四種口服藥出院。 但離開急診至今已經三天出院，我每天必須服藥，否則便感到劇烈的頭痛及想吐，甚至真的嘔吐了起來，請問該如何是好？又是否是中毒的毒素沒有排出所致？ 以前我曾發生過幾次食物中毒，症狀都是頭痛想吐但不拉肚子，但只要吐得夠乾淨，睡一覺便可以恢復，不曾如次嚴重過。期待醫師您的指點與解惑，已解救我於痛苦之中。謝謝！ | 網友妳好： 抱歉較晚回信（全國消化系醫學會三天），希望妳己好轉。 若仍很嚴重請再就醫（可至神經內科）。 祝平安！ | [
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5泌尿科
| 包皮炎 | 醫生您好： 前陣子包皮炎康復就沒有繼續擦藥，但在三天後又出現復發狀況一小塊包皮皮膚偏紅偏亮，其他沒有紅的區域則是有黏的包皮白垢，因為包皮偏長的關係，所以平時都會包住龜頭34的區域，想請問醫生平常保持乾燥的話，需要把龜頭裸露在外面嗎，還是說因為從以前都包覆住的關係，包皮比較敏感，會比較容易造成傷口呢？ | 您好： 個人經驗，乾燥的話不管蓋不蓋住包皮都可以。以自然方式為主，祝健康 | [
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| 梅毒 | 醫生您好 1.請問扁平疣跟扁平濕疣的區別在哪裡？ 2.長在脖子上的是扁平疣還是扁平濕疣？ 3.一般的皮膚科醫生目視能區分扁平疣跟扁平濕疣嗎？ 4.還是扁平濕疣是長在生殖器或者肛門的一般脖子的是扁平疣？ 5.有可能在傷口與傷口接觸後一個多禮拜發生梅毒症狀脖子扁平濕疣嗎？ 6.如果有症狀後然後抽血檢查是陰性就是那個症狀不是梅毒引起的嗎？ 7.梅毒建議多久檢查可以確認？ | 您好：1扁平疣 flat Wart 是 hpv 感染，扁平濕疣condyloma latum 是梅毒感染 2 應由醫師診斷 3 應該可以，但是有時不一定很確定 4. condyloma latum 多半發生在黏膜 6 性行為後超過3個月抽血陰性較為確定，潛伏期 10至90天，通常約為3週 資料取自 httpswww.cdc.gov.twCategoryPagepzPKSi2S4zCt94DDnwqVNg 7 90天 祝健康 | [
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10兒科
| 肛門 | 醫師你好 我兒子一歲四個月，這幾天肛門口長一粒粉色肉球，大約有一週多，最近無便秘，便便都超粗大，軟便，大便時相當痛，會哭鬧，上網查是息肉，請問該如何照護，有需要動刀切除嗎？ | 可先至小兒外科確定是肛門息肉可能是大便較粗硬造成反覆肛裂使得黏膜纖維化形成的息肉或是肛門直腸脫垂或是感染的膿腫。處理的方法都不一樣。較小的肛門息肉也許可以生活習慣飲食習慣來改善便秘而改善較大的肛門息肉可能需要手術切除可以小兒外科醫師討論。 | [
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| 避孕 | 612為最近的一次月經，622有發生性行為，1小時內吃二代事後藥。 78、715、725驗孕結果為無懷孕 目前727月經尚未來，有出現過比之前還多的白色膏狀分泌物很像曼秀雷敦軟膏的膏狀，請問還需要驗孕嗎還是已經排除懷孕結果，請問是因為內分泌失調或是使用事後藥的關係沒來嗎謝謝。 請問需要吃催經藥嗎還是順其自然等月經到來即可謝謝。 | 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，建議您如果月經仍沒有來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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11營養教室
| 營養諮詢 | 醫師您好：由於回家肚子餓，父母親又還沒準備晚餐，最常前往家附近的便利商店買泡麵，買碗裝就用泡，買袋裝就用煮，最近看了報導說吃個泡麵，肝臟要花28天才能把泡麵的毒素分解完畢？又報導吃太多會掉頭髮？因為這類麵食吃起來很香，吃多了又不大好，請您建議怎麼個吃泡麵法，是個比較安全的食用方法呢？要間隔多久？謝謝您。 | 大飛：你好！泡麵是應急的便利食物〈如：921地震、颱風…〉，不適合經常食用，無法在家準備食物，自助餐是不錯的選擇〈主食類、蛋豆魚肉類、蔬菜類，均可選擇〉，若是錯過進餐時間，儘量不要買碗裝泡麵，買袋裝的自己煮，加個茶葉蛋，加一把青菜，飲食要均衡，身體保健康！ ps我是營養師不是醫師。祝 萬事如意 新竹醫院黃淑俐營養師回答 | [
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5泌尿科
| 攝護腺 | 許醫生你好 攝護腺發炎有找到感染源也治療完也無感染源 但下體還是不適雖然疼痛也有慢慢在好轉但時好時壞 常常陰部會酸是因為破壞比較久需要更長的時間復原嗎 | 鈞： 你好 就是維持適量喝水與排尿習慣，慢慢等復原。 有時需要3-6個月。 若有不舒服，可以使用藥物做止痛等症狀治療。 註：可以使用蔓越莓製品，像是果汁、錠劑等。 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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17眼科
| 眼睛黑影 | 醫師您好，本身為高度近視，有定期半年散瞳檢查視網膜。就在前幾天我的左眼右眼沒有突然出現一個跟平常飛蚊症不同的黑影，是左眼球往最左邊看，再看回中間時那個黑影會突然瞬間閃一下就消失，不會飄來飄去的那種但沒有出現閃光、單純是瞬間出現一種黑色弧形裂痕的感覺），有時緩慢轉頭也會出現，而在暗處跟一般飛蚊症一樣就完全看不到，但在有光或白牆處看的話很明顯。我今天有提早去眼科檢查視網膜，醫師說視網膜穩定，黑色裂痕他猜測應該還是飛蚊症的一種，半年追蹤一次就好，但心裡還是有點擔心⋯ 請問醫師飛蚊症有這種不會飄來飄去，瞬間出現又消失的弧狀裂痕型態嗎？謝謝您 | 您好： 因您已經去眼科檢查，醫師認為你的視網膜穩定，並且這個黑色裂痕可能是一種飛蚊症。那麼您應該可以放心，持續觀察並定期追蹤即可。 -- 台灣ｅ院僅提供醫療問題諮詢，不做診斷、不開立處方、不介入病人與原看診醫師關係； 本站提供的醫療諮詢，並不能取代醫師親自問診及理學檢查，有疾病時仍須親自就醫。 高丕霖 | [
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| 生理期疼痛 | 你好 我想請問 生理期來會造成腸胃炎嗎 因為我已經有約莫45年的時間 只要是第一天 一定就會去掛急診 因為又是腸胃炎 而且都是急性腸胃炎 而經過超音波的檢查 子宮既沒長東西 也沒有子宮內膜異位症上個月才檢查 腸胃也是沒問題 而檢查到最後 醫生只告訴我可能是經血逆流 有可能嗎 還是 這是有其他原因 | 回覆如下 有幾種可能供您參考. 1 有可能是經血分解之後產生的前列腺素引起可以在月經剛來時馬上吃類似普拿疼的止痛藥有抑制前列腺素的效果. 2 可以考慮吃避孕藥不是為了避孕而是利用避孕藥中的成分產生調經的效果使經血量減少可以減少經血逆流的機會. 3 其他方法月經來時熱敷小腹平時多運動保持充足睡眠不要太緊張放鬆自己都可以試試看. 桃園醫院 呂理政敬上 | [
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| 事後避孕丸 | 我是526體內射精的 530才吃事後避孕還不到96小時。 請問這樣還有效嗎？如果沒有，那有沒有第四天吃藥成功避孕的例子呢？另外還有請問年齡會增加懷孕機率嗎？ | 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 事後避孕藥的避孕效果在三天內服用的效果約在97左右，超過三天以上的效果隨著時間愈久愈低，在加拿大的研究3-5天時有90左右，更久之後的效果目前沒有數據，也無法用人體作實驗。受孕能和很多因素有關，年齡僅是其中一個，謝謝 祝 平安 健康 張 醫師 回 | [
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5泌尿科
| 龜頭外露 | 許醫師您好 我從上禮拜日龜頭被內褲磨擦會痛 而且感覺包皮還是龜頭有時次痛 禮拜五去看了醫生、醫生觸診後 說是神經的痛、問我有無口交、 醫生說這種情行是感染泡疹、 我跟醫生說我還沒性行為過 因為表皮都正常、沒有破皮、水泡等 也不需要開什麼藥、叫我回家再觀察看看 許醫師、請問有沒有可能是氣候變化或抵抗力低下造成？ | dada 你好 無法判斷。 不過若臨床醫師診斷是因皰疹造成的神經痛，那應該沒有太大的關係，只要身體抵抗力增加，自然就痊癒了。目前沒有藥物可以根治。 可能是因為缺乏運動造成自律神經失調。 建議可以局部熱敷規律定期運動。 註：若有水泡，破皮等，可以買皰疹專用藥膏局部塗抹。 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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1精神科
| 焦慮 | 醫生你好 我很容易緊張，有時候在家裡可能在廚房洗個東西，突然有人從我後面走來，我就會嚇到尖叫。 上台表演之類，就會緊張到身體整個肌肉都很緊，情緒會很慌張。 有時候會控制不住情緒，會突然很想生氣（大概ㄧ兩個月一次）。 從小到現在有咬指甲習慣 | 妳好 每個人的個性特質都不相同，焦慮可能是其中的一種人格特質。 焦慮的特質幫助我們更注意環境的變化，可以幫助我們及早應變。 但是若過度的話，整體的身心就易顯疲累，因為一直處在警戒的狀態是很耗能量的。 咬指甲確實也有可能是內在焦慮的外顯症狀。 建議可以針對兩個方向來努力 一是找到自己的興趣、專長嗜好，讓自己多一些時間沉浸其中，通常在享受這些活動時身心是放鬆的，活動時可以讓緊繃的狀態得到緩解。 第二個方向是找出自己的焦慮源，究竟是擔心自己表現得不夠好而出醜，還是擔心不好的事情發生。並針對其中不合理的信念去自我辯駁，以比較理性合理信念去取代過去的悲觀信念。 如果靠自己實在不容易作到，建議可就醫尋求協助。 祝福妳 | [
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| 慢性咽炎 | 醫生你好，原本兩個月前只是輕微感冒有吃到辣的喉嚨整個沒聲音過，過大概一天喉嚨開始卡卡的一直想清痰的感覺，後面越來越嚴重早上甚至感覺喉嚨卡一堆痰，後來中間有喉嚨突然灼燒感驚醒，改去照胃鏡醫生說有胃食道逆流，去看耳鼻喉科醫生說可能是咽喉逆流，但是我已經控制飲食快一個月了雖然沒有像之前那樣一直清喉嚨但是就是感覺喉嚨有一口痰，吞口水都有感覺，睡覺時比較沒感覺，站起來就覺得喉嚨腫腫的卡卡的，醫生照內視鏡說食道喉嚨有點紅，想問醫生這真的是胃食道逆流嗎還是甚麼症狀 | Hi： 您好， 應該還是胃食道逆流合併慢性咽喉炎，建議持續藥物治療及飲食控制。 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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