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0婦產科
| 會懷孕嗎？ | 我和女友帶套性行為 最近一次在1120號 他上次月經好像是10月底來的 我們十一月初也有做過 今天1124號 他昨天跟我說頭暈 想吐 也可能是感冒 但他說他分泌的很少 那個也差不多該來了 我們沒次都有帶套 這樣還可能懷孕嗎？ | 您好 是否懷孕要等有機會，任何時候最好要做事前的避孕措施，不能相信安全期，如果月經該來沒來超過1星期仍沒來，建議看婦產科。祝健康 | [
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7耳鼻喉科
| 梅尼爾氏症 | 鄭醫師你好： 最近耳鳴跟耳塞去醫院檢察，說是有低頻聽損但是沒有頭暈，有可能是耳中風或者梅尼爾氏，一開始先吃兩週類固醇，回去檢查沒有改善，所以後來認定是梅尼爾氏改開利尿劑，現在吃了一個禮拜了，沒有明顯的改善。 請問鄭醫師吃一個禮拜沒有改善是不是有可能不是梅尼爾氏症呢？ 一般大概要吃多久的藥才會改善耳鳴跟聽損呢 | 你好 吃一個禮拜利尿劑沒有改善，不代表不是梅尼爾氏症，建議需加強限鹽飲食，並仍需持續回門診追蹤治療，至於藥物要使用多久並無一定。 | [
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0婦產科
| 會懷孕嗎？ | 以下為女友的經期 720-725 829-94 109-1015 1114-1120 1215-1220 122-128 126號的時候無套體外，22的時候有全插入性行為全程戴套避孕，事後清潔發現有血滴今天女友說胸部有不適感會疼痛。有可能是著床出血嗎懷孕了嗎 麻煩醫師解答了 謝謝 | 您好 應該是不會懷孕，暫時觀察即可。祝你健康 | [
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5泌尿科
| HPV | 我想請問醫師 如果觸碰到一位感染愛滋病毒的人 身上所刺完青（約4-5天前）的部位 然後皮膚表面有脫皮結痂（皮膚表層看起來就是有一些脫皮） 之後馬上摸到自己的臉上（臉上有幾個痘痘）跟揉了眼睛請問這種情況下會感染愛滋病毒嗎？ 還有如果是他是在（空窗期）時感染力會很強嗎？ 套用在以上情況下會感染到病毒嗎？ 謝謝醫師 | 您好： 一般如有體液接觸 或有傷口，較有機會感染，空窗期如果病毒到一定量，體液接觸也是有機會的，祝健康 | [
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| 月經 | 醫生你好 我女友上次月經228來 下次排卵日在319 下次月經預估在42 近3個月內週期大概是32、33天左右 女友時常喝冷飲、這4天也時常熬夜到3點左右才睡覺 然後我們312號做的時候套子破掉，沒有注意就內射在裡面 23號做的時候也是破掉，可是即時發現，馬上就換新的了 到了29號，女友覺得月經快來了，有在流的感覺 30號，根據她的說法是上廁所時流了一條乾掉月經而已 31號就沒有在流了 我擔心會不會是懷孕了 可是女友只有左手臂不知道是不是躺在床上划手機導致姿勢不良會痠痛 喝冷飲腹部會痛 不喝就不會痛以外都沒什麼異狀 我上網爬了許多文章，發現有人好像也是月經只來第13天就停了，以為沒事，結果過了1個月半後才驗出懷孕 請問醫生這可能是什麼狀況呢，謝謝。 | 提問者您好依您的描述而言，是有懷孕的機會，因為全程正確使用保險套的失敗率仍有5左右，一般避孕不建議單純使用保險套的方式。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。而經期外的出血原因很多（生殖器官的病灶、懷孕、荷爾蒙失調…）。建議您如果正式月經過期一星期沒來或不確定的話，還是需要請醫師檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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| 骨折 | 醫生您好： 奶奶（85歲）進醫院時跌倒 導致支撐的左肱骨中間斷裂 當時醫生建議不要開刀 因年紀大且復原能力不好 目前已照顧一年多 再照X光顯示好像有比較好 骨頭間好像有比較接近 奶奶也不會痛了 一年內以中醫喬骨方式 有比較順且不痛 但喬骨喬骨師傅說這只能慢慢接上 所以必須一直用硬材質的白套子 固定手臂且要綁白布繞脖子維持高度 但近期又去看另一位醫生 他表示肱骨中間斷裂 不可能再恢復成完好的一直線的肱骨 就會像中間多一個關節似的，之前都沒聽醫生這樣說過，也想和您確認是否真如此呢？ 目前不知奶奶左手是否可以正常動作？有需要一直固定手臂且綁帶嗎？ 還是應該讓他多活動點呢？ 奶奶因為一直綁著帶子，所以感覺都沒有力氣，也不願意多動，越來越懶散，覺得自己快死了.家人都不知道該怎麼辦了. 麻煩您幫忙解惑了！ | 您好 你講的那個現像在醫學上 叫做pseudoarthrosis 如果在骨折處一直沒有做好的完全癒合這是有可能的 至於您的 奶奶 目前可不可以做多少的活動我可能要看過他的一些基本影像後才能給你一些良心的建議 但基本上對於已經1年多的骨折 我良心的建議會不會 跳脫出現有的思考一切以你奶奶比較方便和舒適的方式先讓他找回生命的快樂是最重要的事情 先問你奶奶什麼樣的方式他比較喜歡，再和他的醫師做討論 可不可行，以人為本 是醫療的 主旨 謝謝祝早日康復 | [
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2牙科
| 根管治療 | 您好： 根管治療後至目前為止已7日， 但該顆牙齒的牙齦還是有腫大的狀況， 無痛，僅有咬合時會悶悶的感覺， 做完根管後牙醫Ｘ光片表示無陰影為完美， 那目前傷口是不是還是在癒合中， 一般來說需觀察多久、腫大正常多久會恢復正常 或者是建議更換診所，非常謝謝 | 您好 建議還是先原診所觀察13個月左右，若仍不適，再考慮往醫學中心牙髓病科諮詢第2意見。 | [
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0婦產科
| 避孕藥問題 | 醫生您好，我是第一次吃口服事前避孕藥愛斯麗安，月經第五天服用第一顆，但是有點脫到了隔天12.出頭也就是第六天凌晨初，晚了幾小時，會有影響嗎第六天當天有準時晚上9.多服藥，這樣會影響到避孕效果嗎 服用藥物，無漏吃的第16天有無套無內射性行為，可是當天是預計危險期預計排卵日後三天，懷孕機率高嗎 謝謝醫生幫忙解答 | 提問者您好 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。當忘記服藥時，想起時應盡快補吃，下一顆避孕藥仍按原時間服用。 若漏吃有效錠的時間超過12個小時以上，除了補吃外最好加上額外阻隔避孕七天。 謝謝！ 祝 平安 健康 張 醫師 回 | [
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9整型外科
| 胸部問題 | 羅醫師您好 我並不想隆乳但因為左胸部與右胸部相差了一個CUP 想藉由手術調整但並不想兩邊都放入鹽水袋使兩邊的胸部都變大 我知道現在自體脂肪隆乳已經被禁止 主因是因為隆乳通常需要大量脂肪 而太多的量會因無法吸收而產生鈣化 但是若像左右不對稱的情況所需脂肪量不多 若將一個CUP的脂肪量放入胸大肌下是否依然會產生鈣化 若為可行是否也要分成23次才可達成效果 謝謝羅醫師的解答. | 差一個cup 就差了幾十c.c.的量 加上有可能會有一半的量會被吸收 總量還是不少的 產生鈣化的機率還是蠻大的. 多次注射理論上結果應該較好 但相對的要經過多次的麻醉風險和擔心受怕的感覺. | [
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15復健科
| 腳痛問題 | 我的症狀是發生在右腳底板上半部靠近內側.約整個腳14的區塊 在我覺得腳怪怪的應該是再3天前 一開始只覺得大拇指那附近有點怪怪的 到昨天覺得整塊都有點痛 一直到今天早上起來後 只要移動一下 那一塊就會麻麻痛痛的感覺讓我很不舒服 連走路都有點難 而且感覺它比左腳腫一點 請問是為什麼阿 我需要馬上去醫院檢查嗎 | Allen 你好右腳底板上半部靠近內側.約整個腳14的區塊可能是腳底的神經被壓迫所引起可以到附近的醫院掛復健科或骨科作詳細的檢查目前先稍為休息不要過度地行走. 歡迎的的來信若有疑問請保持聯絡. 桃園醫院復健科主任 李偉強 | [
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| 牙痛 | 醫生好 想跟您請教 我右下裡面第二顆牙齒會痛 有到A牙醫就診 A牙醫說是牙周病 需要做牙周病治療 有幫我做清潔把濃引出 開了抗生素跟止痛藥給我 後來我又到B牙醫看診 B牙醫說 是我差不多十年前做的牙根已經長濃發炎了 跟牙周病比較沒關係 這顆牙齒可能比想像的還嚴重 需要拔除 拔除後要做牙橋 想請問醫生 那這樣我該去A治療牙周病還是B拔除牙齒呢…. 但我吃完抗生素跟止痛藥後 到現在已經差不多一個月都不會痛了 請問如果都不會痛了 還需要拔牙嗎 如果真的是之前做的牙根爛掉了 那目前都不會痛了 可以不理他嗎 請問會有什麼影響呢 | 謝小姐您好： 如果牙周缺損嚴重，可考慮洗牙後服用抗生素、止痛藥改善發炎疼痛，但如果發炎疼痛無法完全改善，建議可考慮拔除該牙。 南投醫院牙科 曾光暉主任 | [
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4心臟血管專科
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5泌尿科
| 濾過性病毒 | 您好我會頻尿有看醫生吃藥我也會做凱格爾運動但越做就越有尿意就開始頻尿為什麼會這樣呢著做凱格爾運動之前都上過廁所 | 小愛： 你好 建議做進一步檢查，像是尿流動學檢查，看頻尿的原因，有些疾病無法用凱格爾運動改善。 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
| 退化性關節炎 | 請問退化性關節炎的老年人， 可以游泳嗎？ 平常該怎樣保養？ 謝謝！ | 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.退化關節炎除了年齡因素外多係關節長期使用過度承重或受力造 成. 2.因此游泳是理想的運動因為在水中承重少可利用浮力及阻力來訓 練肌力.關節活動度及肺活動等. 3.食物方面多吃點膠質如筋.腱類但要注意膽固醇或固勒沙敏作等 長及等張之肌力訓練.關節活動度訓練. | [
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| 藥物諮詢 | １。有乾燥症的人目前用藥只有吃半顆舒樂津，如要吃保健食品有禁忌嗎？因上班時數長，飲食無法均衡，如真要吃：請問：維他命Ｄ，魚油，葉黃素，ｑ１０，綜合維他命，以上的保健品有不能吃的嗎？？？ ２。如之後吃免疫藥物跟保健品會有衝突有交互作用嗎？？？ | 您好 1.舒樂津Pilocarpine與某些特定藥品有交互作用，但目前並無與保健食品包括維他命D，魚油，葉黃素，Q10，綜合維他命交互作用資料。 2.交互作用包括了藥品與藥品或藥品與食品等彼此作用，證據及等級須依個別藥品討論，故大部分皆較難以一類藥品例如免疫藥物涵蓋論之。 祝：健康快樂！ | [
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4心臟血管專科
| 血壓用藥問題 | 何主任您好， 我奶奶今年87歲，本身有高血壓，早晨會去運動，長期有在吃藥控制，收縮壓大多落在130左右、脈搏60左右。 但最近兩周以來奶奶的血壓變成收縮壓天天都低於100，甚至有時會低到80幾，脈搏變成每天量都是70幾，雖然我有詢問奶奶是否會頭暈，奶奶說並沒有身體不適，不過血壓突然跟往常相比有點異樣，讓我有點擔憂，因為六月底才要回診，想詢問是否需要提前帶奶奶回去看醫生呢不曉得是否是我過於擔憂，想詢問何主任這樣的情況我該如何做比較適當 奶奶目前服用藥物為 Concor 康肯 5mgtab 每天一次 每次1粒 Co-Diovan 可得安穩 16012.5mg 每天一次 每次1粒 Vytorin 維妥力錠 1020 每兩日一次 每次0.5粒 煩請您回覆 感謝您 | 您好 血壓太低是體內Concor Co-Diovan 藥物濃度太高了 建議先停藥一天待血壓回穩後再繼續 平安 彰化醫院關心您 | [
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2牙科
| 假牙 | 醫師您好 已裝完裝完固定假牙一兩年了，最近摸他覺得會搖晃，有時會痛有時又不會，請問會是什麼情況呢？ | 您好 固定假牙每半年都要再照一張X光片確認其內狀況，若已經有在搖晃，建議趕緊回原診所追蹤觀察，以免誤食。 衛福部臺中醫院牙科林佳詠敬覆。 | [
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3藥物
| 藥物副作用 | 醫生您好我有服用避孕藥物的習慣稍微會覺得噁心脹氣已經選擇劑量較低的藥物了請問有改善的方法嗎另外服用口服避孕藥是否要在額外補充什麼營養呢原因是在哪呢謝謝 | 使用藥物來使女性的身體經常保持在懷孕中的狀態，就是口服避孕藥的避孕原理。常見的短期副作用包括：如噁心嘔吐感、乳房腫痛、水腫、頭痛、血壓升高、血糖上升、青春痘、神經質是成分中的雌激素（estrogen）所造成的。故當妳在服用避孕藥時出現以上現象，如果只是短暫的還好，但若已困擾到妳的生活，可能必須換其他的方式避孕。經研究發現，長期服用避孕藥，會造成體內缺乏鐵質。可由食物攝取，如：加鐵麵包、嫩豌豆、扁豆、魚子醬、南瓜子、腰果、全穀製品、核桃及麥胚、蚌類蛋黃、豬肝、乾酪、牛腎、牡蠣等。另美國已核准新一代的「避孕貼布」，經由皮膚將避孕藥滲入體內，這種「避孕貼布」與一般的口服避孕藥成份、劑量都相同，好處是直接貼在手臂、腹部或臀部上或可減低口服避孕藥最常發生的副作用—噁心、嘔吐情形。 | [
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| 陰部搔癢 | 醫師您好，因突然發現老公半前有買春行為，而且似乎不只一次，可能更早就有.（我也不確定有沒有戴套），而我先前在不知情的情況下也跟他有不只一次無安全措施的性行為。。 剛好這兩天外陰部一直有點搔癢，分泌物偏尿液的濃稠黃色（目前非排卵期），因年假還沒去檢查.請問這樣的症狀陰道發炎或是傳染性病的可能高嗎？ 若是性病的話，有可能先生沒症狀而只有我有嗎？或是有沒有可能他在外面亂來結果得的是我.有點不安 謝謝您 | 您好 建議到婦產科檢查，有可能只是發炎。祝健康 | [
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5泌尿科
| 尿道感染 | 最近和女友發生性關係，但事後，女友尿尿會痛，一直不知去那詢問，她不喜歡戴套說比較沒感覺，請問是不是生殖器不乾淨的關係 | 尿路感染是除了感冒外最常見的感染症，每兩個女性有一人終其一生至少會得到一次尿路感染。尿路感染與性行為也有關係，由於女性的尿道較短，而外陰部又潮溼、溫暖，利於細菌滋生，而且因尿道口與陰道口位置很接近，性交時，陰莖在陰道內衝剌，摩擦陰道，可將陰道口的細菌帶到尿道口，而引起尿路感染。此種膀胱炎也是性行為所引起的疾病，但不能算是一種性病，因為病源體並不是由男性傳給女性。患者會感覺時常想解小便，但真正上廁所卻只能解一點小便，且有疼痛或灼熱感，下腹部也會疼痛，或解血尿。藥物處理是使用抗生素治療的時間要夠長，不可在症狀消失後就停止用藥。避免的方法有行房前宜先沐浴、解尿，同時先喝些水，以增加行房後尿量。行房後也須清洗及解尿。要盡量多喝水，要避免憋尿。女性尿後，應用衛生紙擦外陰，而且必須由前往後擦拭，才不會增加細菌感染機會。不過即使反覆地因性行為而引起尿路感染，也不須因此而不敢性交，只要在性行為之前先服用一點抗生素即可。 | [
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| 減重 | 我現在180公分 120公斤 平常都不喝飲料 也不吃甜食 也有在運動 但還是瘦不下來 怎麼辦 謝謝 | 兩隻布丁魚： 您好 建議您還是就近找營養師評估您的飲食熱量攝取及運動消耗是否平衡，一般要減肥每日需減少500大卡熱量，了解熱量攝取是否超量再進行調整。 惠敏 94.11.29 | [
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5泌尿科
| 菜花(尖性濕疣) | 請問我朋友肛門有長菜花，他來我家睡覺洗澡，有穿褲子睡覺，廁所我也有用清潔劑清洗，床單有拿去洗衣機清洗，他有穿褲子坐過的沙發椅子，有用吸塵器吸過，請問我還會有傳染到到機率嗎？ | 您好 就您所述，感染菜花的機率並不高，但是無法完全排除。若是仍有疑問，請至泌尿科門診評估。 | [
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6骨科
| 膝蓋問題 | 醫師您好 我在一個月前做完"大腿"的骨折手術有鎖鋼釘鋼板 在手術前打石膏兩個月 現在膝蓋還是腫腫的是正常的嗎？ 主治醫師跟我說能在床上試著彎膝蓋 可是彎的時候 緊緊痛痛的 我該強迫彎嗎？ 我不確定是腫脹的關係還是打石膏僵掉了 | 腫脹及石膏固定之後都會影響關節的活動度的 目前有點緊緊的還是要繼續做復健的 慢慢的彎才會改善的 通常去做復健的時候都會先熱敷之後 才開始慢慢的彎曲 每次增加一些度數可能可以恢復 | [
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| 懷孕機率 | 醫師您好，我和男友219發生性行為，途中保險套掉在裡面，不是很裡面，還沒有射精，也有檢查保險套沒有破掉。我的月經上次來是130-25差不多七天，前幾次的月經時間是91-97、929-105、1031-116、1129-125、11-17，週期分別是30、28、32、29、33、29天，大概210-213左右有明顯透明水水的應該是排卵期分泌物，214剩下一點點後面就沒有了，經期app顯示今天是懷孕機率中等的最後一天，想問這樣的懷孕機率大不大… | 您好 建議還是吃事後避孕藥以防萬一，事後避孕藥48小時內都有效。祝你健康 | [
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| 睪丸問題 | 醫師好 目前自慰的頻率大概在一天1-2次 但在幾天前發現睪丸有點痛痛的 1.請問過度射精會不會造成睪丸疼痛 我的右邊睪丸上方在射精後都會疼痛 而且會持續一天以上 2.要如何分辨是過度射精造成疼痛的還是發炎了呢 3.如果是發炎拖太久會不會有問題 | 您好：本園地回答供參考，無法取代醫師診查，檢查檢驗 1.請問過度射精會不會造成睪丸疼痛--》很難說，有的人可能會，也可能其他原因 我的右邊睪丸上方在射精後都會疼痛 而且會持續一天以上 2.要如何分辨是過度射精造成疼痛的還是發炎了呢--》暫停射精看會不會改善 或就醫診查 3.如果是發炎拖太久會不會有問題--》如果發炎，會腫痛，摸起來多半會腫起來 祝健康 | [
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7耳鼻喉科
| 舌頭問題 | 請問是什麼？會是腫瘤嗎？除了終結這個沒其他症狀！喉嚨也不會痛也沒有吞嚥困難！真的好害怕 但是不會痛 這幾天才發現的 我要去外面的耳鼻喉科看還是醫院呢？ | Hi： 您好， 若無明顯症狀，常見為舌根部的輪狀味蕾，若擔心可至耳鼻喉科就醫檢查確認。 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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15復健科
| 椎間盤突出 | 醫師您好 請教一下 九個月前因懷孕胎位不正而剖腹生產 生產後有一天突然發現左腳大拇指有麻麻的感覺 情況時好時壞但從不曾停止 請教一下會是因為開刀而造成的嗎 有可能是何種病因呢 謝謝您 | 你好： 依你的描述，很有可能左腳大拇指的麻感是腰椎的神經根壓迫的症狀。而在產後發生，最有可能是因為懷孕時產生椎間盤突出症。請就近找復健科安排檢查及治療，謝謝。 | [
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| 精液 | 最近打手槍精液都會出現黃色顆粒感 請問這是疾病嗎 我大概一個禮拜 23次 這情形已經連續出現3次了 剛射完左邊睪丸大概會小疼痛510分 這樣是正常嗎 感謝你 | 建議宜至泌尿科做一下精液檢查以排除是否有感染的可能性. 謝謝 | [
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| 生長發育 | 昨天發現兒子的舌頭中後段有個一塊黑點（大概比一元硬幣小） 兒子現在11個月，吃睡都正常，精神也很好 副食品最近除了黑芝麻粉跟海菜沒吃過深色的東西了 就是不知道舌頭怎麼了？有試過幫他刷但刷不掉 想請問醫師一下，謝謝 | 可能有幾種可能性1.因外傷造成的血腫幾星期後就會吸收恢復2.小的靜脈曲張顯現出來的就是深色的斑點屬正常變異不需治療3.黑色素沈積的黑痣在小朋友絕大部分是正常的但若範圍太大長大需小心有惡性化的變化。建議至小兒科或耳鼻喉科檢查諮詢。 | [
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6骨科
| 脊椎 | 施醫生您好： 脊椎側彎有十七度，去看醫生的時後只拿 肌劑肉鬆弛吃，本來腰的部份一直常酸痛，但吃 了就不痛，沒有吃就受不了，大概沒有兩天就受 不了，醫生也叫我一直吃，結果吃了快半年，那時 醫生也沒有說後遺症，但現在，卻身上沒有什肌肉 身上摸起來都軟軟的，運動一下就受不了，請問施 醫生，吃肌劑肉鬆弛功用何在？有可有治本嗎？ 現在我運動一下就受不了，身上肌肉還練的出來嗎？ 做什運動才好？現在在復建中謝謝 | 脊椎側彎的程度以四十度以上才考慮手術治療，通常再二十度以下如果還在青春期則只需要追蹤即可。脊椎側彎的病人通常不會有背痛的問題，背痛應該是其他原因造成的，如果找不出員那麼只好採取症狀治療。肌肉鬆弛劑的作用是在使肌肉攣收的症狀解除，您可以找其他醫師看診，或者做復健治療。 | [
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0婦產科
| 月經 | 上一次月經大約在7月4號，7月11，12號完。 7月30號和男友一起洗澡，有互相愛撫，他沒有插進來，就只是用手，也沒有碰自己的那個。後來他射了，在我手，我洗了後5分鐘再用洗澡液洗手和洗澡，碰了自己下面。 8月5號有腸胃炎，今天6號還沒有月經 沖身時精子會溜進去嗎？還是因為我病了才遲來月經？？？ | 提問者您好依您的描述而言，懷孕的機會並不高，不過如月經過期一星期以上還是需要檢查。除了懷孕以外，排卵不規則、多囊性卵巢、子宮或卵巢病灶、腦部病灶、生活作息、情緒、飲食、年齡…等，也都有可能造成月經慢來，謝謝 祝 平安 健康 張 醫師 回 | [
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20中醫科
| 子宮問題 | 顏醫師您好因婚後多年不孕上西醫肛診發現我有輕度到中度子宮內膜異位症在直腸處平時不曾痛經CA125檢查也都正常只有行房時若抬腳會痛而不適原以為是子宮後傾所致但後來看了多位西醫婦產科其中的某一位醫師診斷出我有子宮內膜異位症建議腹腔鏡但我不敢全麻去做所以還拖著而我朋友說我鳳梨不能吃因為子宮內膜異位會更嚴重是真的嗎 | 親愛的Koala 感謝您的提問在這邊先回復您的問題並提供建議如下 子宮內膜異位不能吃鳳梨很少聽人說， 若一定要說出個所以然，就是吃鳳梨引起過敏反應的人時有所聞。 鳳梨裏的 類對人的皮膚、口腔黏膜有一定刺激性，對皮膚有濕疹或瘡癤者，會加重病情。但對子宮內膜異位的部分未提到。 可能是，有人因為吃了鳳梨引起子宮內膜異位更加嚴重或復發而提出經驗談， 然後大家口耳相傳，所以有此一說。 科學上目前未有研究論文證實。 祝您事事順利！ 身體健康！ 署立南投醫院中醫科 顏素美敬上 | [
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| 是否懷孕 | 醫師您好 我在323有進行性行為無套無內射 後來發現前兩天應為排卵日，但事後並無吃事後藥，而44按照紀錄經期的app應為經期第一天但沒來，通常經期都蠻準時的，所以早上有使用驗孕盤但並無看出第二條線，請問這個時候驗孕會準確嗎，是否可能只是太擔心而導致經期延遲？ | 323有進行性行為無套無內射 後來發現前兩天應為排卵日，但事後並無吃事後藥，而44按照紀錄經期的app應為經期第一天但沒來，通常經期都蠻準時的，所以早上有使用驗孕盤但並無看出第二條線，請問這個時候驗孕會準確嗎，是否可能只是太擔心而導致經期延遲？ Ans 性行為無套無內射而前兩天為排卵日，44經期應來但沒來，可能是太擔心而導致經期延遲，也可能受孕 411再驗孕 | [
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5泌尿科
| 檢驗 | 請問一下.我在今年2月4號時去了一趟特種場所.當時在不清醒狀況下被無套口交.之後一直保持恐懼的心.因為那是我第一次去酒店.很怕會得病.大概十天後.咳嗽.發燒.腹瀉.毛囊炎.肌骨酸痛.大概一個月後這些症狀才消失.之後我在4月13號去一間【聯合醫事檢驗】的檢驗所抽血檢查.間隔68天檢查是陰性.之後就沒有症狀.到6月底開始毛囊炎又開始了.長了胸口跟肋骨處.蠻多的口腔有一處潰瘍.一個圈圈周圍白白的.好了沒幾天就又復發.已經持續一個多月了.請問我是不是該在去抽一次血.因為這些症狀好像就跟hiv一樣.那我該去哪個地方會比較準確呢 | 恐懼不斷： 你好 一般愛滋病，會在感染後6-8週以後，在寫清理檢查出來，當然，有的人會出現慢一些。我建議你可以再重新做一次，最好找大間一點的醫院，準確度會比較高。（不方便的話，建議找有認證的檢驗所來檢查）。 你的症狀，很多疾病都會有，不一定是ＡＩＤＳ，因為ＡＩＤＳ的症狀並不特別，而且，愛滋病也不是由臨床症狀來診斷。 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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| 懷孕機率 | 1122號，我穿著內褲而男友穿著運動束褲和長褲，生殖器有互相碰到兩三次，那請問這樣會懷孕嗎？（男友沒有射精） （男友也說他龜頭沒有濕濕的感覺） ex.我的月經是129會來 | 提問者您好 依您描述的情況，懷孕的機會不大但並非沒有。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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1精神科
| 戀物癖 | 陳醫師 您好 這個問題存在心中己好一段時日，只是遲遲未確定這是否為所謂的”戀物”。 從高中開始便一直偏愛著一種味道，這味道便是”爽身粉痱子粉”的味道， 當洗完澡便會習慣性的將全身擦滿爽身粉，而此時卻也會有生理反應，大概是因為偏愛這味道使然的。也會在自慰時將爽身粉擦在私處上來自慰；在聞到身旁的女性友人身上也有這味道時，便也產生衝動，但慶幸的是理性仍勝過慾望上的衝動。 這偏好一直持續到現在自己踏入職場了，卻仍沒改變，不過卻也收集了各種的爽身粉。想要擦不同的香味時，就有不同的可以選擇。 曾聽過一個心理學家說，這是在青少年時所留下的一個戀物習慣，而醫師又是主治青少年精神的，因而尋求陳醫師的協助。謝謝 | 小羽你好： 每一個人對某些物品總會有一些特殊的偏好與收集，只要這嗜好不要引起生活、職業或社會適應障礙，都在可接受範圍也不需特殊的矯正。但若因過度偏好某些物品而引起強烈的生理反應並造成你的不安、情緒不穩或造成對他人的傷害、干擾，則就應及時就醫治療。由信中看來收集各種香味痱子粉並無對錯，只是痱子粉香味連結性衝動，則要小心衝動控制，若無法控制衝動行為則要就醫治療。 祝好！ | [
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| 事後避孕藥 | 我127吃事後然後23月經來了月經後還有發生性行為但都沒有內射然後現在已經37號了這個月月經還是沒來是因為事後會影響這個月的經期嗎？ | 提問者您好 事後避孕藥對月經的影響不一定是提早或延後，它的避孕效果也不是百分之百，失敗率有3左右。建議如果月經過期一星期以上的話，仍然要檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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| 憂鬱症 | 請教 zoloft 50mg此藥要在何時服用 而這種藥的成份特性是啥麼 和平常的抗憂鬱藥有何差別 常見嗎 謝謝 | zoloftSertraline屬於新一代的抗憂鬱劑─選擇性血清素再吸收抑制劑 （SSRI） 適用症包括：憂鬱症、強迫症、恐慌症、、、等。 一般由每天一顆（50mg）開始服用，視其效果可調增劑量至每天200mg 有些人服用會有腸胃不適、噁心、想吐或腹瀉等副作用；又因可能造成鎮靜作用，故建議夜間服用（但也有人吃了會失眠）；例外這類的藥物亦有部分的人吃了會有性功能方面的問題。不管如何，這些副作用的問題因每人體質的不同而有差異。 大致而言，新一代的抗憂鬱劑比起過去傳統的三環（或四環）類抗憂鬱劑，副作用減少很多，病患對其耐受性也較好。 使用這些藥物應該都要經過精神科醫師的診視及醫囑開立，更詳細的細節建議可和你的醫師進一步討論，謝謝。 | [
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| 延經藥 | 醫生您好 我預估月經來的日子是728上次來後28天，但在731有期待已久的泛舟行程（時間也改不了錢也付了） 想問 1.要吃延經藥比較好還是用衛生棉條泛舟水比較不乾淨會不會不建議使用容易感染 2.上次5月底已經吃過一次5天份成功延經，現在短期間再吃是否很傷身不適合 3.假如要吃延經藥的話，建議哪時候開始吃（5天前、3天前等等，是否吃越多天越傷身） 謝謝您 麻煩您的幫忙了😁 | 您好 可以再吃延經藥，5天前較好。祝健康 | [
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| 懷孕時 | 請問懷孕中的孕婦可以坐飛機嗎那在機場內通關時所做的檢查如紅外線掃瞄等 會不會影響肚裡的胎兒ㄋ | 回覆如下 請問懷孕中的孕婦可以坐飛機嗎 可以 有病的孕婦要先問過醫師. 那在機場內通關時所做的檢查如紅外線掃瞄等會不會影響肚裡的胎兒ㄋ 不會 呂理政敬上 | [
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16腫瘤科
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2牙科
| 智齒 | 超過35歲為什麼還有牙齒在牙齦的肉裡面長不要出來？ | caiwen您好： 可能是牙齒最後一棵大臼齒俗稱智齒，因為空間不夠因此埋在牙肉長不出來，建議可找牙醫師檢查。 南投醫院 曾光暉醫師 | [
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| 鼠蹊硬塊 | 醫生我想請問一下 大前天我在我的鼠蹊部發現 一塊腫腫而且軟軟的大約1.5∼2公分的一塊 用手去碰他 就感覺痛痛的 最近剛好月經也來 這次第一天非常不舒服之後就還好 我也沒有細菌感染 感冒的症狀 或是有傷口 我想請問一下這大概是什麼情況 是單純的淋巴結腫大還是有其他特別狀況呢 還是有腫瘤的可能 謝謝醫生的回答 | 葉小姐／18／1 1. 單純的淋巴結腫大通常還是因為某個地方發炎感染，只是因為身體的免疫力的關係，通常會自癒，如果有任何地方發生紅腫熱痛，還是要看醫生。 2. 腫瘤的可能有可能了啊，只是機會應該不大吧，可以觀察1-2周，如果變硬，變大，則必須看醫生 謝謝你的來信 祝你早日恢復健康 桃醫 陳斯榮 | [
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4心臟血管專科
| 心肌炎 | 我是四年前曾投稿之Alex 我當時心肌炎癒後因變成房室傳導完全阻滯以致於心跳變慢 約兩年半前聽醫師健議裝了心律調節器至最近. 然而術後疤痕最近感染發炎 回診時醫師緊張的說快住院切開檢查內部是否感染以免順著導線感染至心臟 於是上週懷著忐忑不安的心情住院於上週五先將植於皮下的節律器取出並清傷口 當時發現電池及發電部並未受污染 然而醫師很小心說最好換右胸重新裝 故左胸先不縫 暫時性節律器不拆 等三天做傷口消炎點滴確定沒感染後 再上手術台將其縫合 並打算作右胸植入手術之當下 竟發現我的自己心跳可唯持於7080下. 經進一步心電圖檢查 醫師刀下留人並告訴我 不需裝了 你的傳導阻滯由三級改善為一級了 且今天出院前的心超音波檢查時 也發現確實心臟變小了之前有擴大 我的問題是經過這樣久約四年多 據醫師說一般心肌炎造成得傳導問題都會在半年左右恢復 否則就不會恢復了 像我這樣已四年了才慢慢恢復是很少見的 請教醫師是否臨床上是否有此案例呢 | 心肌炎之後是有可能再恢復的如果目前已經恢復應是不用裝置節律器你的醫師也會幫你追 情況的醫學上的狀況變化很大變異性也很大統計數字通常只是統計數字對於個人的個別情況沒有太大的意義這也是溝通上複雜的地方。 | [
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5泌尿科
| 睪丸問題 | 醫生您好 近日因為睪丸右後方的微微疼痛 已經有去醫院檢查 超音波檢查出副睪丸有一個水腫 尿液檢查沒有細菌 所以醫生沒有開藥 不過我忘記問醫生大概要多久才會好？因為現在還是有點不舒服。 謝謝醫生 | Justin您好 副睪丸水腫一般都是追蹤即可 通常是發炎或受傷後所產生 不太會自然消失 如果很大或處於發炎狀態可能會造成疼痛不適 這時就需要一些藥物的輔助治療了 新營醫院泌尿科 陳建升 | [
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20中醫科
| 嘴破 | 醫生您好 我有長期易疲累問題起床及午休後3小時會開始上班或假日都會. 一開始覺得疲累想休息，此時若不休息或睡覺，會開始有點餓或許是正常，舌頭舌面開始有灼熱感，越疲累越灼熱，此時就算去睡，沒多久舌或口腔會有潰痬破嘴巴，速度很快。 個人生活很正常，三餐吃的好，也不失眠，不煙酒，肝功能驗血都正常，吃維他命B群也沒用，生活工作壓力不大。 當然看過某些科，只是說不要太勞累，壓力要疏解，但是我實在想不出有什麼勞累或精神壓力太大的地方，真不知是什麼問題。 | Dear LL／37／0 網友 您好 1.你長期易疲累問題起床及午休後3小時會開始，上班或假日都會覺得疲累想休息，此時若不休息或睡覺，舌頭開始有灼熱感，越疲累越灼熱，此時就算去睡，沒多久破嘴巴，速度很快，可能跟你的免疫系統有有關，另外可能你的交感神經作用過度，中醫講的陰火；虛火大，引起嘴巴破。 2.建議注意口腔衛生可能原因是口腔不乾淨；如有蛀牙問題必需勤於飯後刷牙及必需整治蛀牙外，平時必需注意口腔衛生問題。 2.另外注意大小便；如小便黃赤、便秘等，小便黃赤心火大會引發引起嘴巴破。不消化食物堆積在腸子內，也會有造成嘴巴破的問題。必需用退心火中藥，引火下行及保持大便通暢，給予潤腸通便的中藥大部份皆可獲得改善。 3.嘴巴破的問題，中醫認為臟腑有熱，臨床透過中醫的辯症論治，給予退心火及清胃熱中藥，或口含清熱解毒中藥可改善。 4.另外過飲食調理，要多喝水，多吃蔬菜含維它命B、 C， 及運動及看診等配合可改善嘴巴破。 5.平日需少吃熱性食物，舒緩壓力可以調整身體體質改善嘴巴破。上述如未改善，可考慮到我門診中醫辨症給藥改善病情 最後 祝 安好 豐原醫院中醫科主任 中台科技大學副教授 林慶鐘博士上 | [
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1精神科
| 藥物諮詢 | 醫生您好，這些問題對我來說很重要，希望醫生可以幫我解答，感謝醫師 之前有在服用樂康75mg 兩顆，和舒必朗50mg 兩顆， 還有心康樂10mg 兩顆， 醫生說治療半年，但 因為不了解藥物，所以沒有照實服藥，導致服藥斷斷續續的，但也差不多有一年了，想問一下醫生這些藥的效果分別是什麼？ 對焦慮症有什麼幫助呢？ 雖然我的藥沒有完整的吃，但加起來也超過半年的藥量了，這些藥效在我體內會留存嗎？不會白吃吧？ 這些藥的療程結束了，真的就不會復發了嗎？ 我的療程斷斷續續也有一年了， 為什麼症狀還是有？就算這些藥停藥，效果還會存在嗎？ 然後我的藥已經停一陣子了，之前猜測藥物讓我整天沒精神， 但停藥之後我的精神也不好， 想問一下停藥之後副作用應該不會留存那麼久吧？還有 什麼原因導致沒精神呢？ | 您好. 1.樂康75mg 應該是悅康.有抗憂鬱.焦慮.恐慌等作用成分，舒必朗50mg 可當胃藥， 心康樂10mg 可降低心跳有抗焦慮效用. 2.藥物每天都會代謝.不會留存太久.否則就不用天天吃藥了.停藥後不久藥物代謝完後就沒效果了 3.沒精神也可能是病況還沒改善.請持續回診.配合診療以利改善.若要停藥也要與醫師討論才是. | [
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4心臟血管專科
| 新冠疫苗 | 醫生好，2天前我施打了第三劑Bnt疫苗，起初沒什麼副作用，但到了施打過後約24小時，體溫有略升高至37度，並且有明顯感覺到心跳很快，昨夜睡覺時，心跳也都介於75∼95之間，但並沒有呼吸困難或是胸痛等症狀，想請問醫生這樣可能是疫苗引起的心肌炎嗎？怎麼樣的情況需要去醫院檢查？謝謝 | 如果有持續且加劇的胸悶不適及呼吸困難，才需考慮心肌炎的可能。 | [
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4心臟血管專科
| 自律神經失調 | 主任不好意思一直佔用您時間，我之前VPC症狀說真的已經習慣一點了，因為也有比較好過的時候，但這3天有時候突然睡覺的時候會感覺有點像漏拍，但是心臟麻麻的感覺，會有點慌，有時候左胸口麻麻癢癢又抓不到會突然感覺心臟停掉一樣，但就是突然，心跳比較慢的時候出現，像是開車、睡覺，請問這算是什麼心律不整可能的症狀，還是是心臟有其他的問題，之前心超有點二尖瓣、三尖瓣逆流但是是輕微的，請問這也會有影響嗎？那個麻麻癢癢伴隨著一點冷冷的感覺真的蠻可怕的，請問主任這可能會是什麼問題… 不好意思謝謝您，主任平安健康 | 您好 這是自律神經失調症狀啦 輕微二尖瓣、三尖瓣逆流不會有影響 心律不整是漏拍的感覺 不適任何不舒服都是心臟引起 就會死掉 不會喔 平安 彰化醫院關心您 | [
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| 肋骨問題 | 近日發現右上腹看起來比左上腹還凸（約一年半到一年前有變胖4∼5公斤，那時開始到現在上腹有較下腹凸一些），平躺放鬆時可以看見肋骨下緣的輪廓有一點浮現出來（超出身體外），平躺吸氣縮小腹的時候，自己看肋骨有覺得右邊好像比較高。另外因為我胸部右邊有比左邊小一點，但是自然的站立時乳頭在我看來卻是在一樣的高度。我主觀的覺得我站著的時候上半身有稍微往逆時針方向轉一點點。 （2年前學校健康檢查說我脊椎側彎，但我不太相信，因為當時醫師叫我蹲下，但我不知道他要幹嘛，只知道他要看我背後，所以我是側面面向他蹲下但是背有往他那邊轉，所以我不知道是真的，還是因為我誤會了所以故意蹲歪歪的導致這個診斷的） 想請問： 1. 兩邊肋骨不等高這個問題會是造成我左右上腹高度不同的原因嗎？ 2. 依照我很主觀的觀察（因為我真的不確定是我自己以為還是真的）這會是什麼問題呢，有辦法矯正嗎？ | 可以去醫院檢查看看 先照一張胸部X光片 看看有沒有胸部或肋骨的變形 另外如果要診斷是不是脊椎側彎 可以照X光看背部脊椎的角度即可 | [
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| 多囊性卵巢 | 我想請問醫生，我前幾天聽到廣播有提到，有一種是治糖尿病的藥，也可以拿來治多囊性卵巢，叫作美服明（不知正確的寫法），想問醫生，這種藥對治多囊性卵巢的成效是如何？謝謝！！ | 妳說的藥，英文學名叫metformin商標有很多個，有的藥廠出的叫glucophage有的叫glucomin等。 它是利用metformin能增加血中胰島素的敏感度及減少胰島素的血中濃度來治療多囊性卵囊腫的胰島素阻抗。 它的功效是： 1.86的患者月經會恢復正常 2.可以減輕體重9個月平均減重10.7 3.減少流產 4.減少妊娠糖尿病的機會 5.30-40的多囊性卵巢患者因而懷孕 | [
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| 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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| 鎖骨問題 | 今早（20）起床左鎖骨尾部上凸（原無凸起），右鎖骨無上凸，請問這樣是正常的嗎？ 需就醫嗎？ | 如果有疼痛的症狀就必須就醫 如果沒有症狀而且肩關節可以很容易地舉起 就可以先觀察看看 | [
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| 懷孕嗎？ | 醫生 你好 我上次月經大概是716723 到現在也沒有過性行為 然後我跟男友在85的時候有親密行為 男友沒有穿外褲以及內褲 但我有隔著外褲 然後他在外褲有摩擦我的下體 但沒有射 是等到離遠一點後才打出來 當天他也有隔著我的內褲 但應該沒有對準到陰道口 請問這樣有可能會懷孕嗎. 這幾天也不知道是不是因為月經快要來的關係 有腹脹.悶痛.以及有點想吐 如果有懷孕 請問症狀大概都是多久才會出現？ | 上次月經大概是716723 到現在也沒有過性行為 然後我跟男友在85的時候有親密行為 男友沒有穿外褲以及內褲 但我有隔著外褲 然後他在外褲有摩擦我的下體 但沒有射 是等到離遠一點後才打出來 當天他也有隔著我的內褲 但應該沒有對準到陰道口 請問這樣有可能會懷孕嗎. Ans 這樣沒有可能會懷孕 這幾天也不知道是不是因為月經快要來的關係 有腹脹.悶痛.以及有點想吐 如果有懷孕 請問症狀大概都是多久才會出現？ Ans 沒有可能懷孕 | [
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| 排便問題 | 醫生您好，我今年29歲，想請問，我有痔瘡病史，那天看報導說糞便變細是腸癌前兆，記得以前高中時有便祕大便粗硬會流血，然後內痔做過結紮手術， 近年來調整飲食作息後排便狀況改善，現在每天早上起床都會上一次，有時候會一天兩次，形狀也都算是成行條狀，顏色也大致正常，沒有血便，可粗細一直都22.5公分左右，有時候一天的第二次都會再細一點點. 然後偶爾吃壞肚子或MC來會腹瀉，想請問醫生我這樣會是腸癌前兆嗎到底糞便要多粗才算正常呢 | 小姐您好 這只是輕度的排便異常，不是大腸癌 。排便一天三次或3天一次的範圍內都還算正常，不必擔心。 彰化醫院關心您的健康 陳詩典 | [
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5泌尿科
| 龜頭外露 | 醫生你好，DIY之後就去洗澡，可是洗澡時發現龜頭上出現了一顆小黑點，印象以前好像沒有出現過，請問是因為DIY早成的原因嗎，他會自己好嗎 | 阿文： 你好 小黑點，看是什麼因素造成。 可能是血管瘤，色素沈積等，那屬於良性，沒有關係，可以不理會。 比較怕的是黑色素瘤，非常危險的惡性腫瘤。 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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| 驗孕問題 | 醫師你好 距離最後一次性行為今天是第25天 有使用市售統一驗孕筆檢測晨尿 結果是乾淨的一條線 我想問醫生的是 1. 距離最後一次性行為25天在家使用市售統一驗孕筆檢測晨尿 結果為乾淨的一條線 可以排除懷孕的可能嗎？ 2.一般經前漲奶大概多久月經會來？ 7-14天之間嗎？ 3.經前的症狀 會有多一兩個症狀的狀況嗎？ 女友這次多了容易生氣 會是懷孕初期的症狀嗎？還是不太可能？ 希望醫生能針對我的問題盡快幫我解達困惑 謝謝 辛苦你了😢🙏❤️ | 您好 1.是的。 2.經前症候群，大概經前7天左右。 3.生氣的原因很多，必須去面對及好好溝通。 | [
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0婦產科
| 避孕 | 醫師您好， 由於我人在義大利不方便就醫，所以想請問我的狀況是否應該在當地就醫，因為沒有保險所以會花費甚高，想要諮詢是否有必要。 我上次經期是8月10日，月經一般來大約七天，週期大約28天。 8月18日和男友有性行為，保險套破裂，因為接近排卵期因此決定吃事後避孕藥，吃的品牌叫EzinelleEach tablet contains 1.5 mg of levonorgestrel 大約在4天後8月23日我開始出血，剛開始出血像是月經第四五天的咖啡色出血，但是連續出血兩天後8月25日開始大出血像是月經第三天鮮紅色出血，持續了兩天後，8月27日到昨天9月6日，一直都持續斷斷續續的咖啡色有時伴隨血塊出血，9月6日一度有感覺快停了因為血量漸少幾乎快沒有了。 今天9月7日，突然又開始大出血，鮮紅色量多像是第三天月經，伴隨像是經痛的不舒服。 我不知道這樣是否正常，若沒有吃事後藥，今天的確是我週期來月經的日子，只是在這之前我已經出血了超過兩週了，突然又大量出血讓我非常擔心，不知是否有子宮感染併發症之類的，希望醫生您可以給我一些建議。如需要就醫我必須趕快預約。 非常非常感謝您！ | 在義大利不方便就醫，所以想請問我的狀況是否應該在當地就醫，因為沒有保險所以會花費甚高，想要諮詢是否有必要。 我上次經期是8月10日，月經一般來大約七天，週期大約28天。 8月18日和男友有性行為，保險套破裂，因為接近排卵期因此決定吃事後避孕藥，吃的品牌叫EzinelleEach tablet contains 1.5 mg of levonorgestrel 大約在4天後8月23日我開始出血，剛開始出血像是月經第四五天的咖啡色出血，但是連續出血兩天後8月25日開始大出血像是月經第三天鮮紅色出血，持續了兩天後，8月27日到昨天9月6日，一直都持續斷斷續續的咖啡色有時伴隨血塊出血，9月6日一度有感覺快停了因為血量漸少幾乎快沒有了。 今天9月7日，突然又開始大出血，鮮紅色量多像是第三天月經，伴隨像是經痛的不舒服。 我不知道這樣是否正常，若沒有吃事後藥，今天的確是我週期來月經的日子，只是在這之前我已經出血了超過兩週了，突然又大量出血讓我非常擔心，不知是否有子宮感染併發症之類的，希望醫生您可以給我一些建議。如需要就醫我必須趕快預約。 Ans 需要就醫 | [
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2牙科
| 門牙 | 是這樣的 我左邊的門牙蛀了 因為他比右邊的門牙高之前是一樣高 我大概是1.2個月前發現 之後一直都很努力刷牙 也戒掉往日很喜歡的甜食現在偶爾吃 在家的話 幾乎是一吃完東西就馬上刷牙 目前吃冰的或熱的都不會痛 可是我擔心他會一直蛀下去 這樣會很醜 我很害怕. 請問我該去看牙醫嗎 又 去哪一家補牙比較好呢 像是填補材料比較好之類的 因為我怕補之後牙齒會是2個顏色 如果是後面的牙齒還好 可是門牙的話真的很明顯 還有也順便請問 吃標榜”中和口中酸性 有益牙齒健康”的某牌口香糖 真的會減少蛀牙發生率嗎 謝謝 | 左邊門牙蛀牙，雖然戒掉甜食，且努力做好口腔清潔工作，但原來蛀牙還是存在，仍需要接受治療，以防止蛀牙病灶繼續惡化，導致進一步的牙齦炎。而前牙的蛀牙可考慮用複合樹脂作填補，可達到較好的美觀，但如果要達到更好的美觀效果，尚可以考慮用瓷塊透明度接近原本牙齒作填補，建議找牙醫師接受治療。 | [
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11營養教室
| 中風飲食 | 家母中風多年雖努力復健但效果有限平常腳會發麻 肚子幾乎天天脹氣活的很痛苦 今年情況加重已經三次腦部放電 像是羊巔風 醫生說是缺鉀離子請問該如何調配食物 謝謝. | 您好 您母親中風多年活動量少故腸胃道蠕動較慢新陳代謝率也會因此下降若再加上攝取易產氣食物如豆製品豆腐.豆干.豆絲.洋蔥.番薯.紅豆.綠豆.就易脹氣至於富含鉀離子的食物有水果類柳丁.香蕉.釋迦.枇杷.蕃石榴.桃子蔬菜類香菇乾.紅莧菜.空心菜.菠菜.芥藍菜.等可讓你母親多吃會減緩缺鉀之症狀另外也可在多讓母親翻身或復健可減緩不適. 敬祝您母親早日康復. 苗栗醫院營養師 祁明華 | [
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6骨科
| 韌帶 | 你好 之前車禍，造成腳踝內側三角韌帶斷裂合併腓骨閉鎖性骨折，醫生說骨折部份，可以不開刀，但韌帶一定要開，請問韌帶是不是可以不開刀，不開的話會有何種後果，如果要開的話，以三角韌帶修補手術採取何種方式效果是最好，而後遺症也最少的，是直接開刀縫合，還是需要韌帶重建手術呢？以哪一種最常見。謝謝 | 您好： 回覆您的問題。 基本上腳踝內外側都有強韌的韌帶，一般的扭傷就最外側前方的韌帶受了傷，一般只需要多休息、少走、或石膏固定，它自己會修補回來，但也常容易因休息不夠造成韌帶鬆弛，但即便如此外側韌帶受傷甚少需要手術的。 相反內側三角韌帶就不容易斷裂，因為它其實很強壯，而且可以分深、淺二層，一旦它完全斷裂，臨床上會有足踝脫臼的現象，治療的方法，手術修補最好，大多的病例可以直接縫合，除了很少的很嚴重的病例或陳舊性病例，不必要拿其他的韌帶做重建手術。至於何種重建手術最常見、最好，得視病例情況而定，建議您與主治醫師好好溝通，主治醫師最拿手的治療方式應該是最佳治療。祝 早日康復！ | [
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18放射線科
| 輻射問題 | 王醫師您好，我由於右邊後下背痛去大醫院看骨科照了正面或背面？）胸椎及右方腰椎x光。 同一天因爲想至家附近診所方便之後復健，也照了兩個相同位置的x光。當時沒有想到輻射過量的問題事後自己也感到很後悔。 想請問您 1.同一天內重複照射相同位置的x光是否會有大問題（有查詢照腰椎爲1.5毫西弗，胸椎爲1毫西弗，不曉得是否正確呢） 2.加上自己同時因爲皮膚問題早晚會吃類固醇的藥不知道是否影響很多？ 3.另外當天晚上回到家時覺得頭有點暈且沒食慾、想吐，是否與一次接收太多輻射量有關呢？謝謝醫師！ | 您好 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。您提到的檢查輻射劑量屬合理範圍。另外，您描述的藥物或症狀與X光檢查無相關。如果異常症狀沒有改善，建議至相關專科由醫師看診評估可能原因。 如果想對輻射有更多的知識，可參考行政院原子能委員會便民專區，連結網址 httpswww.aec.gov.tw 以上請參考，祝您平安健康 | [
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| 陰莖問題 | 賴醫師您好 有一件事已困擾我好多年在此想請教一下賴醫師 小弟本人有陰莖彎曲幅度不大以及包皮過長勃起時可退制冠狀溝的問題 每次在與老婆性交時，我老婆都說會有性交疼痛的問題 因為聽我老婆說以前她和她前男友做時並沒有這種現象，只是和我做才會 因此她一直以為是我陰莖彎曲與包皮過長所導致 所以我想請教一下賴醫師，陰莖彎曲以及包皮過長是否也會引發性交疼痛的問題 能否請賴醫師幫我解答一下 補充說明：我每次在進入前都是會等到陰道濕潤後才進入；另我也嘗試使用過潤滑一 但改善效果有限 | 敬覆 包皮過長不致於產生性交疼痛陰莖彎曲是否會性交疼痛因人而異。若彎曲角度大於30度才必須矯正手術。 | [
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7耳鼻喉科
| 鼻涕倒流 | 醫師你好. 一月初開始鼻子就開始鼻塞鼻涕倒流一直吞口水症狀一直都沒改善，鼻涕都是透明的，鼻子以前從來沒有這情形，四月初去林口長庚鼻內視鏡檢查說是鼻竇炎還有喉嚨有肉芽腫，當中吃了三個禮拜抗生素鼻子症狀都沒改善，後來醫生驗血說是塵蹣過敏，碧適清噴了兩個月治敏樂也是吃了兩個月症狀，每天早晚都有洗鼻子都很多透明的鼻涕，環境整潔都有做塵蹣機除濕機空氣清淨機都有使用症狀完全沒改善 因為喉嚨有肉芽腫4月底做了胃鏡正常只有胃酸逆流，目前有吃制酸劑，經過一個半月回診耳鼻喉科醫生再用鼻內視鏡檢查肉芽腫沒消也沒變大醫生說這大多是良性，三個月後再回診除非有變大才需要切片，請教醫生肉芽腫他會消失嗎如果都沒消需要切片嗎鼻子問題有可能跟胃酸有關西嗎有一派說法胃酸往上竄會造成鼻炎這說法成立嗎 鼻涕太多倒流整天一直吞口水 有甚麼方法可以解決的 麻煩醫生解答感恩 | 您好， 鼻竇炎常見現象 有 鼻塞、黃濃鼻涕、發燒、臉頰疼痛、臭味、嗅覺變化等等 但不一定全部症狀都會出現 診斷方式有內視鏡以及影像學檢查等等 急性鼻竇炎若抗生素治療超過兩周 依然存在 建議可至耳鼻喉科做細菌培養 若是長"較毒"的細菌，有可能需要更換更強一點的抗生素 建議您可以繼續使用"洗鼻器"內含等滲透壓的生理食鹽水 每天進行1-2次清洗 可使鼻竇炎治療效果更好 同時避免熬夜、不要抽菸，有糖尿病者須控制血糖 若超過2-3個月以上治療，鼻竇炎仍未痊癒 極有可能是"慢性"鼻竇炎 須再進一步檢查，若有需要，須用手術加以處理 建議至耳鼻喉科進行評估 喉嚨有肉芽腫有可能是慢性咽喉炎 多和胃酸逆流、鼻水倒流相關 建議就醫喉內視鏡檢查排除腫塊的情形以及藥物治療 除了藥物治療外 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 大多腫塊確診需要靠切片獲取病理報告 建議若有需要，與醫師再做討論 祝平安健康 | [
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| 淋巴腺腫 | 蔡醫師你好 家父於9月中旬連續二個星期有發燒之情況但都只會發燒一天就退燒 後來發現耳下有腫塊產生 腫塊會紅.腫.痛.會變大 後來因為發現白血球指數達1萬9千多 到地方醫院住院一星期後 白血球指數未降但腫塊明顯變小 隨即因全身無力到台中榮總就醫只針對白血球指數控制 住院一星期白血球指數降至1萬3千多 院方即告知可以出院 返家吃藥控制不到一星期 發現耳下腫塊又變的大.紅.痛 且午後高燒都38度以持續三天 全身無力又送回榮總急診 住院打針吃藥一星期又控制住了 但醫師安排針對耳下腫塊做切片 切片結果為良性 但為何症狀不斷重覆 只要住院打點滴就好像可以控制 返家後也是持續吃和醫院相同的藥物 但不到一星期又高燒不退全身無力 這星期二還因高燒在院中嘔吐到昏厥 每次住院後返家 都看他老人家氣色愈來愈差 也愈來愈容易疲倦 十分不捨 懇請蔡醫師是否能提供就醫意見及病因解析 在此先向您致上萬分謝意. | 您好∼ １．因耳下腺內有淋巴結，故任何淋巴方面疾病皆要考慮 ２．理論上切片會決定一切治療的方向，若還是一樣高燒，別要考慮其他 的原因 ３．相信中榮吧他是醫學中心級的 | [
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| 射精 | 醫師您好，請問幾個問題： 一、精子射出體外後，如果是在衛生紙上能存活多久？如果是其它物品如馬桶蓋上能存活多久？如果是一般家庭用品呢？ 二、如果手沾到了精液，用一般肥皂 or 沐浴乳能完全清潔乾淨嗎？ 三、原本有自慰習慣的男生，戒除自慰對身體是好還是不好？而自慰容易戒嗎？ 四、性病有可能藉由坐式馬桶的坐墊傳染嗎？ 煩請醫生百忙之中抽空回答，謝謝。 | 您好 精子在陰道內可存活12天在其他物品上可能只有幾分鐘到數小時. 精液沾到手可以用清潔劑洗乾淨. 戒除自慰對身體比較好但不容易. 性病可能藉由坐馬桶傳染. 建議您若真有這方面的問題請您直接至門診詢問醫師會比較清楚. 行政院衛生署新竹醫院泌尿科主治醫師賴榮豪敬覆 | [
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| 懷孕時 | 您好 本人懷孕5個月了. 懷孕前我經常游泳. 但是懷孕後 我不好意思在公共場合游泳. 請問哪裡有專門為孕婦 開辦的游泳課程班. 麻煩您告知. 謝謝幫忙. 李麗華 上 | 您好 很抱歉我也不清楚。也許一些私人設立的健身中心如果有附設游泳池也許可以滿足您的需求。 行政院衛生署桃園醫院敬祝安康 婦產科呂理政醫師敬啟 | [
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1精神科
| 憂鬱 | 林醫師你好： 有個問題想請教於你。5月8日我在宜蘭醫院精神科給醫師治療，醫師診斷我為精神官能憂鬱症與之前聖母醫師診斷：恐慌併憂鬱症不同，宜醫的醫師也表示下次給他看診時他會讓我做一測驗，然後他有開藥給我，但藥效對症狀並無改善！於是我11日就冒著頭有些昏沈冒著雨前至聖母醫院診治，吃了那位醫師所開的藥有明顯的改善，診斷依是「憂慮症患者」五字，那位醫師並無向我做測驗或心理輔導治療，只是開藥給我調適並與他說些話如此 ，同時也告訴我我不用當兵因我告訴他我也煩惱兵役的問題。我覺得我有時必須靠藥物來控制，不然生理上會蠻難受的！ 想請教林醫師我應如何抉擇那位精神科醫師？ 希於不吝解答，謝謝。 | 小狗： 不好意思，本週去台北五天，回來才看到你的問題，希望沒有讓你等太久 有關你的診斷，有時因你描述問題的內容與強度不同，醫師有時重點放那裡就不一定，以憂鬱症狀為重---精神官能憂鬱症，以恐慌焦慮為主-- 恐慌併憂鬱。不管如何，兩者均需藥物及其它相關治療，至於那個醫師較好，我無法判定，你可以感覺那個醫師較願花時間與你討論病情，同時你也認為他的藥有改善，否則可以提出給醫師參考無所謂，不管如何，在我的經驗中，此症需有耐心，同時願意長期追縱，有克服問題的信心，慢慢進步，你會更好的。 林晏弘醫師 | [
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1精神科
| 兒童心理 | 大寶（2y2m）已經上幼稚園3個月了 大寶從妹妹的回來的第一天晚上開始就出現了突然哭鬧的狀況.原本大寶偶爾就會有這種情況.加上那天我與先生有些爭執有波及到大寶.先生有對大寶口氣兇了些.所以我想大寶半驚醒是被我們爭執的音量嚇到了.而且大寶半夜驚醒都會說”你出去“（我與先生爭執時有說的這句話）不安撫的話.他自己哭鬧完就會睡著.但是安撫的話他會約哭越大聲.甚至真的要我或先生出去房間才能不哭鬧. 還有現在只要不順他的想法.他也會說你出去 問他為什麼要這樣說他回回答因為我生氣呀！所以要叫他出去 請問這樣的狀況我該如何輔導.讓他半夜不要在驚醒.還有不要一直趕人出去 | 雙寶媽妳好 如果我們試著站在大寶的立場， 兩歲兩個月，剛上幼稚園三個月，家中多了一個妹妹競爭父母的時間， 父母陪伴他的時間相較過去減少許多，孩子多少會不適應， 孩子目睹雙親的爭執，心中應該是很害怕的，作惡夢、說夢話確實有可能是其情緒出口。 因為孩子還小，對環境變化的理解仍然有限，講道理孩子也不太能理解。 目前重要的是先改善家庭氣氛，營造溫暖安全的環境，避免在孩子面前爭吵，為了家庭和孩子，大人的情緒先調節好。 後期的經驗會蓋掉早期的經驗，父母先做個身教，情緒溫和穩定，並給予孩子足夠的關注，多營造愉快的親子互動時間，持續一段時間後，孩子的問題行為通常就會逐漸改善了。 教養孩子是很辛苦的，尤其要照顧好兩個孩子，請不要忘了先照顧好自己。 祝福妳 | [
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12胸腔內科
| 胸痛 | 最近深呼吸或是笑比較用力，左胸就會刺痛，是痛在中間下緣的位置。有時候要伸展或是換個動作時也會突然間刺痛，一旦刺痛後，呼吸都不能太深，只能淺淺的換氣無法吸特別大口的氣，不然一樣會刺痛。 | Dear Joan 胸痛一般還是需要到醫院做實際鑑別診斷 您的描述要排除氣胸的可能 當然最可能還是姿勢不良引起的神經痛 彰化醫院關心您 | [
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| 會懷孕嗎？ | 1.我在經後5-6天還有微量深色分泌物時有性行為而不確定是否有精液殘留體內 可是至今mc已遲了7天多了而最近買了兩種用一次即丟的驗孕棒之測試器接顯示未懷孕 請問訪間驗孕的東西準不準 我到底有沒有懷孕 thanks | 回覆：（1）市面販售的驗孕棒，其準確性可以參考（準確性還是很高）如果還有疑問，請至婦產科醫院檢查 （2）一般而言，排卵期性行為才會懷孕，排卵期大概是月經來時算起第12-14天，月經規則的婦女可以依照排卵期避孕。 | [
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| 避孕藥 | 醫生您好，我在82進行性行為的過程中因男友的保險套滑落，所以當天就吃了事後避孕藥。88開始有出血的狀況發生，原以為會像普通月經的血量與天數，但至今約兩個禮拜都還是持續少量的流出，816已驗孕結果是沒有懷孕。比較奇怪的是第一個禮拜的出血跟平時的月經差不多，第二個禮拜大部分是排出深咖啡色血並夾帶一些殘渣，且上大號用力時會出現比較紅的血，想詢問是因為事後藥導致的原因或是有其他的因素產生。 謝謝您的耐心閱讀。 | 親愛的Helen您好： 大部分的事後避孕藥是高劑量的賀爾蒙，所以有的人會導致月經紊亂，再麻煩您觀察1-3個月，如果還是亂經，建議至婦產科就診。 南投醫院婦產科 黃子菲醫師 | [
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12胸腔內科
| 新冠肺炎 | 醫師您好，我在去年1219確診新冠，由於一開始以為是感冒，所以是看診完以後回家快篩確定陽性，當下立即告知剛看診後的診所，醫師說他有先開預防的藥物，只是都不是新冠會開的抗病毒藥物，我也沒有吃清冠一號。 當初確診只有微燒37.8左右，一天就退了，後慢慢出現咳嗽有痰，一直到現在也都還是會咳嗽且有痰，目前是以中醫為主，一周一次持續看診中。 今天早上半睡半醒間覺得呼吸時候胸口到喉嚨處有很像咻咻的聲音，吐氣的時候好像比較明顯，會在吐氣完後過三秒左右，胸口很像有氣泡在游移然後發出聲音這樣，起床以後我試著咳嗽把那種聲音跟感覺趕走，也確實咳了一下以後聲音消失了，但在確診這兩個月中間有時候咳得很嚴重時候會胸痛＋喉嚨有血腥味，想請教醫師： 1. 我查了些資料好像說有可能是喘鳴，但是我沒有持續性，請問是喘鳴的機率是否大呢 2. 若機率不大，醫師會建議掛號看診，還是持續觀察有沒有再出現呢出現頻率如何建議就診呢 主要現在看診我應該也沒有症狀 3. 假設前兩項皆不需要看診就醫，醫師會建議至少照個X光確認一下肺部是否有問題嗎 以上，感謝醫師的回覆 | Dear 林小姐 確實新冠之後會有妳說的這幾種狀況 可能和病毒感染後全身免疫系統改變引發喘鳴反應 所以您的問題1應該是有機會 2 仍以胸腔科為主 可以檢查X光和肺功能 還是可以檢查到的 另外我們也會抽一些血檢查喘鳴相關指標 所以還是找個時間來醫院檢查 彰化醫院關心您 | [
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24高年科
| 失智 | 醫師您好， 我爸今年62歲，在最近兩個禮拜我發現了幾件很令人擔憂的事，他試過兩次煮完菜之後忘記拿出來，還有一次他想打電話給我姊卻打給我了，但是暫時不影響日常生活，比如他還是每天會記得提醒我出口要鎖好門窗和正常上班，請問這是老人癡呆症的先兆嗎？因為我爸很容易就會焦慮，所以我不想貿然驚動他，平常我有甚麼方法可以偷偷測試他的能力？謝謝醫師 | 您好，感覺令尊在生活中有些對於事務記憶的變化，的確，這都可能是失智症徵兆的可能性，相信您也擔心此一現象對生活中的影響。 或許令尊尋求醫療協助或許有些困難，但醫療的評量與診斷或許是您可以努力的方向。 在此之前，對於生活中的事件，您與您的家人可多一些對於父親的關心與提醒，一方面可減少父親的焦慮與壓力，二方面可讓父親理解目前的狀況，也可以試著與父親討論生活中的事件，讓父親有些對己身狀況的覺察（非責備而是支持與協助）。 最後還是提醒您，透過專業的評量與診斷是必要的，透過醫療上的治療讓失智的徵狀妥善處理。 | [
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| 懷孕機率 | 我女友 我女友經期前兩個月 九月是7號來 十月是6號來 週期大概30左右 109號無套 體外射精 15.16號無套 體外射精 後來都是有帶套 1. 我想請問這樣 懷孕機會可能很大麻 2. 15號那天 無套體外射精 是不是在危險地方 18-24都是危險期範圍 21-22是排卵日 3 目前他第33天還沒來 但他說 有腰痠 跟腹痛是不是要來徵兆 以上 是我提問 希望能找到答案 是月經來徵兆 還是 懷孕徵兆 謝謝 辛苦了 | 您好 懷孕機會應該是不大，可以驗孕看看，就可以知道是否懷孕。祝健康 | [
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| 支氣管 | 男姓，現年32歲，體重60公斤，近期診斷為支氣管擴張症，期間半年。 請問： 1.支氣管擴張症病人一天痰量為多少cc至多少cc 2.痰黃色是否表細菌仍將感染肺部病情還在擴張，是否抗生素一定要吃要到黃痰變 淡或白痰呢 3.開刀一定只能單肺感染嗎如果左右兩肺都有輕微支氣管擴張是否可開刀開刀一定要整片肺葉切除嗎不可只切除擴張之支氣管嗎 4.支氣管擴張是否會隨時間增加而使肺功能受損大概幾年 5.該病好發於何年紀？發病於本人年紀的比例為多少？ | 回覆： 您好 1.支氣管擴張症病人之痰量因人而異，與支氣管擴張的範圍，位置，是否有感染等有關。 2.痰量變多或變黃多半代表感染，痰液需做染色及培養才能斷定是否是細菌感染，在留痰做檢查之後可以先投用經驗性抗生素，一般療程是10到14天，可視痰液培養結果調整療程及用藥。 3.目前並無證據顯示開刀可以治癒該病。若內科療法無法控制症狀或相關肺葉已無功能才建議開刀。 4.既使沒有該病，肺功能在25歲以後逐年下降，正常人大約在70歲下降至75，抽煙的病人合併慢性阻塞性肺病在50歲就有可能下降至75。目前並沒有資料顯示該病肺功能下降的幅度。 5.該病成因很多，有先天性和後天性之成因，依病因不同而定。一般中年男性診斷該病要考慮先天性病因，例如合併有鼻竇炎，精蟲運動不良，或特定酵素之缺乏，如果有懷疑，應該到醫學中心檢查，後天性病因，例如兒時曾經肺部感染，對霉菌過敏等都有可能。 6.參考資料：Murray and Nader’s Textbook of Respiratory Medicine 4th ed. Respiratory Medicine 3rd ed. 內科莊子儀醫師代覆 | [
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5泌尿科
| 睪丸問題 | 洗澡時發現左睪丸上摸到一小顆東西有點靠近副睪，大小很像小的青春痘，睪丸沒有不舒服也沒腫脹，輕壓那一小顆東西會有一點點酸感，想請問那一小粒東西是什麼？ | 您好： 如果無不安全性行為，且只有單一，多為皮脂腺問題，如果會變大，建議就醫，祝健康 | [
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10兒科
| 喝奶問題 | 小孩為2個多月大，喝牛奶時常會喝到途中就突然像喘不過氣來的搖頭及抽氣聲，請問這是正常情況，還是需給醫生看？ | 如果每次餵奶都出現此症狀 建議帶至小兒專科醫師 當場請醫師評估檢查 | [
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