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0婦產科
| 避孕藥 | 醫師您好： 本人有多囊性卵巢症，所以有時候會吃避孕藥，但是前陣子我停了幾個月沒吃，之後因為月經亂了，所以又買了黛莉安來吃，剛吃的前幾天，我忘了提醒男友，結果就內射了，之後又有漏吃，雖然想到後又馬上補吃了，可是等我吃完整包後，我的月經過12天才來，流的血也是都ㄧ點點，大概是衛生棉基本上只有一點點血，上廁所擦時才會有，所以我想問醫師，我這是月經嗎？要接著吃下一包避孕藥嗎？ | 有多囊性卵巢症，所以有時候會吃避孕藥，但是前陣子我停了幾個月沒吃，之後因為月經亂了，所以又買了黛莉安來吃，剛吃的前幾天，我忘了提醒男友，結果就內射了，之後又有漏吃，雖然想到後又馬上補吃了，可是等我吃完整包後，我的月經過12天才來，流的血也是都ㄧ點點，大概是衛生棉基本上只有一點點血，上廁所擦時才會有，所以我想問醫師，我這是月經嗎？要接著吃下一包避孕藥嗎？ Ans 先驗孕看看 | [
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6骨科
| 骨折 | 請問癒合後左肩和左臂有時候會有一陣痛像拉傷又像肌肉痛或是折到台語發音筋骨痛這會慢慢恢復嗎這種痛是什麼痛 謝謝 | 通常骨折之後大約三個月到半年就會癒合 疼痛也會慢慢減緩的 如果還不好就得去看醫師了 | [
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| 懷孕嗎？ | 我月經424來 在429我跟男友左性行為 結果內射 但在430 24小時之內我有去買事後避孕丸來吃 但如果沒吃就會懷孕嗎 但我還是有吃 但吃了比較不會懷孕嗎 我月經週期約28 29天 不知道會不會. | 提問者您好 事後避孕物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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| 靜脈曲張 | 醫生你好 我又有問題了 我知道靜脈是用來使血液回流的 可是做了結紮手術後把靜脈全紮了不就無就無法回流了嗎 還有這手術會因結紮完後血液不流通使睪丸壞死嗎 感謝你的解答 | 想太多了靜脈會從其他不會造成”曲張”的小靜脈回流睪丸不會壞死啦 | [
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| 流產 | 醫生您好 我1219做完人流手術後出血約6天醫生表示約119-22月經會來。我大約在113左右有出血 是咖啡色的到117呈現粉紅色 買了兩隻驗孕棒 驗孕過後呈現未懷孕。我想詢問的是這樣算是什麼情況 ？月經大概什麼時候會來？ | 親愛的茹您好： 做完人工流產再驗孕顯示未懷孕，代表人工流產的成功的，異常出血的部分有可能是先前未排乾淨的部分，也有可能是經期提前，或荷爾蒙失調，所以建議至婦產科進行詳細的檢查，再與看診醫師討論月經的狀況。 南投醫院婦產科 黃子菲醫師 | [
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| 減重 | 我覺得我很受阿可是大家都說我是胖子我一天一起來喝一杯牛奶和配吐司下午吃午餐晚上吃白飯配肉或是配菜 | 您好！ 來函中並未說明您的身高與體重，因此無法以較客觀的評量方法來判斷您的體位是否在標準範圍內。依您的年齡，首要在於養成良好飲食習慣與規律的運動，如此，才能有健康的身體，對於長高也有助益。文中提到，早餐喝牛奶配土司，這是不錯的搭配，而牛奶您可選擇低脂奶，可減少動物油脂的攝取；至於午晚餐吃飯配肉或是配菜，這部分需調整，因為，吃飯除了配肉類外，還需多吃蔬菜，不能只配肉類不配蔬菜，也不可以只配蔬菜不配肉類；午晚餐飯後，記得各吃1份水果每份約拳頭大小，另外，不要吃零食與飲料。 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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| 懷孕 | 我的月經不規則，通常都是3天或67天就就結束了，711來，716月經好像結束了，沒有紅色和咖啡色的分泌物，716男友有內射，但精液有流出來不知道是流出全部還是一些，這樣會懷孕嗎 | 月經不規則，通常都是3天或67天就就結束了，711來，716月經好像結束了，沒有紅色和咖啡色的分泌物，716男友有內射，但精液有流出來不知道是流出全部還是一些，這樣會懷孕嗎 Ans 月經711來，716月經好像結束了，716男友有內射，這樣不大會懷孕 | [
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9整型外科
| 男性女乳症 | 醫生您好 想詢問您關於男性女乳的症狀 我的胸部明顯有點突起尤其是乳頭的附近肌肉當兵時曾被弟兄笑稱有a罩杯平常如果穿合身的衣服乳頭部位就顯得特別明顯不過如果天氣冷或者去游泳因為溫度較低 乳頭較硬則無此問題因此想詢問我是否有男性女乳的症狀假如有如果我家居南部該至何處醫院掛診又該掛何科呢 另從其他醫療資訊處得知此症狀可能因為肝有問題本人曾經至醫院驗血液檢查肝及腎並無問題惟睪丸及陰蘘略小不知是否真的肝出了問題企盼您的解惑 | 答 所謂男性女乳症是因乳腺組織或周圍的脂肪組織過度增生所致，而不是肌肉 肥厚所致。所以如果是因為肌肉訓練造成的胸大肌肥大，並不是女乳症。 至於可造成男性女乳症的原因，如果是單側發生的話，往往是沒有特別原因的， 如果是兩側發生的話，有可能是荷爾蒙過度刺激乳腺組織的結果，如服用某些 藥物，肝硬化造成女性荷爾蒙過度生成等原因，更可能是找不出特別原因的。 所以女乳症的發生並不等於肝臟發生了什麼問題。整形外科和乳房外科的醫師 都可以針對你的問題給你意見，只要稍具規模的醫院都有這兩科的醫師，可提 供諮詢。 | [
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1精神科
| 焦慮 | 醫生您好，我本身容易想太多而焦慮，常常因為此影響心情，而我在昨天去做美甲，美甲師不小心把我弄破皮了，有流血，我後來很擔心器具會不會因為消毒不完全而導致留有上個客人受傷的血液等， 請問這樣有可能回感染愛滋病之類的嗎⋯⋯我不知道是不是我杞人憂天了但是好擔心，更怕我如果真的中了然後跟家人共用食物之類的傳染給別人⋯希望您替我解答！謝謝您！辛苦了！ | 網友好： 感染機會是微手其微。但如果還是很擔心，建議可到醫院掛內科、家醫科抽血檢查就知道了。此外，愛滋病是不會透過飲食傳染的，只會透過血液和性行為傳染，請不用擔心。 吳恩亮醫師 | [
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6骨科
| 手腳麻痺 | 我想請問一下，之前就有感覺坐機車後座時腰部的地方感到疼痛沒有理它之後，因為本人在9月工作時腰椎會疼痛有去看中醫看民間療法都沒有效果，之後有到骨科檢查有坐骨神經痛在腰椎３∼５節及腰椎下面那一節去復健３次效果也沒很好又再去中醫診所找中醫師治療第一周扎了十針有比較好但還是會疼痛坐在機車後座有比較不會疼痛，第二週扎了六針感覺好很多，最近躺下時腰部的地方感到非常的酸痛必須要側躺灣膝才比較好，腳會麻． 再國中時手有幾次的無力，走樓梯時膝蓋突然間的彎曲無力 | 有坐骨神經痛的現象初期以保守治療為主 包括藥物復健及牽引休息 如果還沒有改善就必須進一步做影像檢查 看看是否真的壓到神經根 如果是才決定是否手術治療 | [
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6骨科
| 脛骨 | 李醫生您好： 我兒子6歲於813小腿脛骨骨裂，兩週後回診，骨頭沒有移位，928再次回診，原本x光片裂縫處已較霧化，主治醫生說已逐漸癒合，但卻發現有一條新的骨裂，新的這一條在裂縫處兩側長出骨膜，整條裂縫再x光片是空洞的 新骨裂再舊骨裂的右下方 請問李醫生，我有一下幾點疑問 1、829女兒15kg有不小心踩到兒子的腳是否造成新的裂痕？ 2、兒子包著石膏上下樓梯是否影響？ 3、兒子包著石膏坐在地上移動是否也影響呢？ 4、上述各項原因，那個影響最為嚴重呢？ | 1. 確有可能 2. 應無影響 3. 應無影響 4. 第一項較為嚴重 | [
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0婦產科
| 懷孕嗎？ | 醫生您好 我的月經在27來的，9號結束，我在225左右有跟我老公愛愛，無戴套，發現有輕微的破皮感，可能是處女膜破掉 有射精，沒有吃避孕藥，在今天228中午12點-13點左右也有一次，也是沒有吃避孕藥，從225-28這幾天一直反覆的想吐，沒吃東西不會，一吃東西就開始想吐，想知道會不會懷孕什麼時候驗孕是最好的最近吃飽就想吐，喝飲料喝水都不會，這跟懷孕有關係嗎？朋友說的處女膜破掉容易懷孕是真的嗎？ | 提問者您好 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，再檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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| 支氣管擴張症 | 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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10兒科
| 鵝口瘡 | 請問我的小孩鵝口瘡一直沒好，醫師開立擦的抗生素mycostatin如果一直擦會有什麼副作用，如果沒擦藥的話，那鵝口瘡會好嗎 | 長期服用mycostatin不常發生明顯副作用。鵝口瘡除了用藥治療，也要消毒所有接觸口腔的東西，包括奶瓶、奶嘴等。定期就醫，視需要檢查免疫機能也是很重要的喲。 祝您寶寶健康！花蓮醫院小兒科關心您！ | [
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| 尖性濕疣 | 最近一二年 那邊陸續長了共五痣本來不以為意 可是有一天在奇摩的新聞看到說那邊長痣有可能是陰莖癌 其中一個在歸頭的頭上有一個痣 真的很擔心 到目前並沒有什麼異樣的分泌物可是心中總是有些擔心 請問那邊長痣是正常的嗎 由其是歸頭長的那個黑痣 請醫生能否給予詳細的解說 多謝多謝 | 你好！ 長在陰莖上的痣確實不多。聽你的描述，他們一顆一顆的長出來，不太像痣。我倒是認為比較有可能是濕疣（一種病毒感染）。實際的情形，還需要到門診才知道。 至於陰莖癌，通常發生在中老年人，以你的情形，機率不高，不必太擔心。 關於濕疣的治療，相當簡單，你到門診，用液態氮（就是最近很紅，用來殺紅火蟻的東東）或者使用電灼都可以完全根除。當然，假如有性行為，那有可能會傳染給對方（或由對方來的），需要雙方都就醫。 行政院衛生署台東醫院 關心您 泌尿科 主任 許維愷 答覆 | [
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6骨科
| 關節 | 施醫師您好！ 想請問一下： 老人家的身體各個關節部分.偶而會有疼痛或腫脹的情況！ 可以請問施醫師何種藥物可以快速的止關節疼、消除發炎的情形呢？ PS.患者沒有對藥物過敏的現象！ 麻煩施醫師了！在此先謝謝您 | 關節有時候會腫痛可能是關節炎或是滑漠囊炎 可以使用的藥物大多數屬於非類固醇的抗發炎藥品英文簡稱NSAIDS 但是這些藥是醫師處方藥 必須醫師看過開立處方才可以使用 所以必須請妳去醫院看一下才可以 | [
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0婦產科
| 小陰唇問題 | 醫生您好： 上個星期行房過，前4天姨媽報到，現在是月經尾巴。但這兩天突然小陰唇兩邊都腫脹，一邊更為明顯另一邊些許，且小陰唇兩側外圍邊緣按壓會有輕微酸痛感，內外均無異物無特殊氣味也無異樣的分泌物。走路時或是坐下，上廁所使用衛生紙擦拭，只要摩擦均會疼痛。過幾天會自然消腫嗎？ 請問是發炎了嗎？可以塗抹抗生素藥膏或是可用冰敷還是溫水舒緩嗎？ | 提問者您好 依您症狀的描述較可能是接觸性皮膚炎或毛囊炎，建議注意飲食清淡、生活作息規律、維持會陰部的乾淨清爽，勿著緊身衣褲，洗澡時可泡盆以舒緩症狀，若症狀持續需請醫師診斷治療，謝謝 祝 平安 健康 張 醫師 回 | [
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5泌尿科
| 腎結石問題 | 醫生您好： 我一年前有草酸腎結石問題，大概在體內待了快半年才慢慢出來，期間有ESWT治療一次。最近幾天感覺同一側腰部有點脹脹的，大約在前一個月尿有時候會濁濁的，但大約只出現一兩次，想請問醫生，因為腎結石容易復發，所以尿濁有可能是細小的沉積物排出嗎？最近幾天腰脹脹的是因為沉積物準備排出所造成的脹痛嗎？需要吃buscopan幫助排除，還是多喝水多運動就好？ | 您好：1有些小結石排出，沒有症狀或是輕微症狀，尿濃尿濁有很多原因，建議先多喝水，重點是要驗尿才能判斷，如果確認是結石，buscopan 有幫助。祝健康。 | [
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| 中藥諮詢 | 為啥很多西醫工作人員.還有醫生感冒都給中醫看. 她們自己都不敢吃西藥為啥會這樣呢. 中醫跟西醫治療到底差到哪裡. 中醫的藥真的吃多也不會有是事情嗎. | 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 其實中藥跟西藥是不同的西藥大多使用的化學合成的方法製成 對人體的作用較強且較厲較強指的是療效較好也較快較厲指的是 說肝腎胃中的損傷也較大中藥則是由動植物或礦物去熬煮濃縮而成 吃到人體就像每天所吃的五穀雜糧一樣效果上較西藥慢但傷害性相 對較小感冒不是會致人於死地因此大多數的人喜歡用中藥治療較 較不傷胃.肝及腎若能治療好不是很棒 最後 祝您 平安快樂 | [
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| 懷孕 | 我mc於7月10日 我想問以下三種情況會否懷孕機會有多大於7月17日發生 1.幫男友打手槍後曾用紙巾清理陰莖其後他磨擦我陰部但沒射精 2.清理陰莖時若手指不小心有少量精液並插入陰道約1吋 3.清理陰莖後曾頂著陰道外短時間但沒射精和插入 P.S我想盡快知有否懷孕應於何時先可驗孕若7月30日驗孕會否太早準確嗎 我十分擔心希望能抽空解決我疑慮.謝謝 | Danielle小姐您好 1.這些情況的受孕率不高但並非沒有可能因此請你於7月27日至8月10日之間檢測懷孕試驗請到醫院看診受檢 祝 平安 | [
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| 藥物諮詢 | 謝藥師： 一事想請教 聽說針對灰指甲之最新藥物：一週服用一次，一次一粒，連續12週，用藥前可不用抽血檢查肝指數是否符合規定，因為不會造成肝指數上升簡言之是不會傷肝的意思但健保尚未給付。請問可知是何藥？自費價約為多少？ | 您好： 回覆您的問題。 經過多日查詢，無法查到您所描述之藥品，敬請可否提供進一步資料（藥物之學名和商品名），便利更精確之查詢，辨別訊息之真偽。另外您可詢問本院皮膚科陳怡穎主任，相信陳主任會有很滿意的答案。 | [
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1精神科
| 亞斯伯格症 | 其實從小我就發現我與他人不太一樣 最近用"亞斯伯格症的成人量表"滿分50，我得了33分 或許也是我小題大作 但從小我在人際方面就有很大的障礙 我很渴望友誼，總是盡我最大的力量對對方好 但不知道為甚麼常常以失敗為終 其他人感興趣的話題我也沒興趣 但我還是希望融入他們 後來發現了有個自閉症叫"亞斯伯格症" 我用兒童的測，發現我小時候有很多項都完全相符 其他的我沒有印象所以我不知道 我把我的發現告訴父母 他跟我說沒空陪我玩這個"遊戲" 還說自閉症無法痊癒，所以就算我真的有 那幹嘛去看醫生，又不會好 而我也怕其實我沒得 一切都是我的幻想 我想自己去看醫生 但看身心科好像都要家長陪 他們又不想陪我 而我要是真的得的 估計會被全家人嘲笑 我媽也只會說我給他造成困擾 但我又想要外界的幫助 但不知道如何是好 請醫生給我一些協助，拜託 | 敬啟者您好 從您的來信 可以明顯感受到您的不適和困擾 建議您至本院門診進行評估測驗以確定相關問題 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 身心愉快 | [
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17眼科
| 視力問題 | 醫師您好： 我是無預警地發生視網膜剝離，沒有外力、近視及高血壓，已於月初進行手術治療，目前視力從術前0.3至術後（兩周後）0.5，有進步。請問醫生： 1.食補有效幫助我的視力恢復嗎？ 2.視力的恢復有可參考的黃金時期嗎？ 3.視網膜剝離的視差配戴眼鏡可改善嗎 以上，謝謝醫師回覆🙏 | 林小姐您好： 1.食補方面非眼科專長，無法提供適切建議。 2.其實發生後盡快手術，恢復得會比較理想至於恢復的時程因人而異，且變異也大，無絕對統一標準。 3.視差配眼鏡能否改善要看兩眼的視差到底有多大，如果超過四百度的視差，眼睛配戴起來可能會非常難以適應。 南投醫院眼科 何建賢主任 | [
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6骨科
| 人工膝關節術後 | 術後快1年了 離上班日剩沒多久 用的是健保膝關節 醫生說上班建議做文書類工作 但我上班性質要走走跳跳 請問如果用自費最耐磨的 是不是就能跑跳？ 建議再次開刀用自費的嗎？ 第2個問題 跟家人去逛老街 一次走2小時多會太久嗎？ 天氣變冷了 關節處會痛 有辦法用食品或藥品改善嗎？ 熱敷試過了效果不大 問題有點多不好意思 | 您好 人工膝關節是有使用期限的 一般而言 體重癒重 活動力癒旺盛 年紀癒輕的 使用期限癒短 這是因為膝關節中的墊片會磨損的緣故 所以才有耐磨型的墊片問世 如果手術後一年 我建議不要為了改墊片而再次手術 因為軟組織的傷害 會讓膝關節的功能變差 反而得不償失 活動的時間 以您肌耐力能承受為限 不須要為了怕磨損而限制自己的活動 那不值得 關節的疼痛 可以熱敷減輕 另外 也請仔細壓壓看疼痛的地方 一般而言是韌帶發炎所致 這可以用熱敷及按摩緩解 必要時可以使用止痛藥 如果必要 請到骨科門診進一步檢查 謝謝 | [
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7耳鼻喉科
| 耳悶塞 | 差不多今年2月開始，家父約53歲的右耳起床的感到悶塞，照他描述應該像是感冒耳塞的那種感 覺，大概到了中午之後會緩解，中間也去過幾次耳鼻喉科，據醫生描述都是耳咽管較短啊 之類的，不過過了一個月，依他的描述是整天都塞，早上起床特別嚴重，也去過新竹馬偕 檢查，確認不是鼻咽癌，做聽力檢測也是基本正常有些衰退。 家父喜歡啃瓜子，有段時間懷疑是顳顎關節炎，提供醫生參考，也吃了肌肉鬆弛劑，但感 覺改善效果有限，前幾天感冒去診所，也有請醫生看一下耳內，有看見一根頭髮，但吸不 出來，父親認為那可能較低 有沒有其他可能呢比如牙齒，臉骨之類的問題 | Hi ： 您好， 若已做過內視鏡排除鼻咽癌，聽力檢查無明顯異常可排除內耳積水等問題，常見耳朵悶塞可能與耳咽管功能異常有關，建議若持續未改善可回耳鼻喉科持續追蹤。 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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13肝膽腸胃科
| 下腹痛 | 已經一個月左下腹靠近卵巢的地方刺痛，像被電到的感覺，每天都會痛，一天可能痛個2、3次，痛的時候持續1.2秒，最近2週開始排軟便，排出來成形（黃色沒血）有些長有些一塊一塊，但沖水後就散掉，還會看到沒消化的東西，但有時候會突然出現比較成形硬一點的長條便（黃色），排便是早上很順暢，但到中午有便意去上都只排一點點，大概1天會上個2、3次。 去婦產科檢查2次醫生說都沒問題，腸胃科也檢查做過x光跟超音波都只說胃跟腸子脹氣，都只開腸躁症的藥物、解脹氣藥物。 想問一下醫生刺痛的原因是什麼？為什麼會排軟便？ | Hi： 您好， 左下腹疼痛腹痛要排除腹內感染，如腸炎、尿道發炎、骨盆腔發炎、排卵痛等。腹痛排除上述原因排便情形排便順暢後改善常見原因腸燥症，腸燥症跟體質有關，腸子神經系統敏感，大腦與腸道之間不協調的訊號使身體對消化過程中的變化反應過度而導致疼痛，腹瀉，便秘。壓力飲食會誘發狀況。排便鬆軟與腸燥症、消化不良、腸道菌叢有關。 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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20中醫科
| 手腕受傷 | 呂醫師您好： 去年三月多的時候因騎車跌倒導致手腕受傷，九月時有去照核磁共振檢查出是三角纖維軟骨撕裂傷，想請問呂醫師該去中醫針灸還是去西醫復健呢？謝謝🙏🏼。 | 您於去年三月多因騎車跌倒導致手腕受傷，九月照核磁共振檢查出是三角纖維軟骨撕裂傷。 個人建議儘早接受治療，不論是中醫針灸還是西醫復健，只要可方便持續就醫治療，對病情改善都能有所幫助。 | [
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13肝膽腸胃科
| 腹部問題 | 想請教醫師： 是最近才有的症狀 自行判斷約是劍突以下五公分的左肋骨旁邊右邊按壓會痛 且按壓同一個位置時，坐著的痛感較站著時明顯 平時有熬夜習慣最近約3.4.睡 若就診的話要先去看家醫科嗎？還是該看什麼科別呢 不好意思麻煩了！ 謝謝醫師 | 您好 那位置可能是胃部，可以注意一下飲食，或坐姿不要鴕背。若沒有改善，可以就診胃腸科。 彰化醫院關心您的健康 蔡安順醫師 | [
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0婦產科
| 懷孕 | 您好 我想請問一下.愛斯麗安膜衣錠是避孕藥嗎 我去婦產科.有跟醫生說計畫想要懷孕生寶寶 不過因為我的經期從以前就不規律.所以要調經 醫生開了愛斯麗安膜衣錠給我吃說是要調經的 已經連吃三個月了.上網查閱才知道這藥是避孕藥 可是我是想要懷孕.但醫生怎麼會開避孕藥給我吃 到底這藥是避孕藥還是 | 提問者您好 愛斯麗安膜衣錠是一種常用於調經同時治療青春痘的避孕藥 ，如果您是計劃懷孕，建議您和醫師討論是否調經後才開始 進行懷孕的計劃，謝謝 祝 平安 健康 張醫師 回 | [
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5泌尿科
| 菜花(尖性濕疣) 術後 | 1.兩年前私密處外陰部得到尖銳濕疣已做電燒治療，後續回診幾次沒有復發，但不知是否體內還有病毒量，這樣是還有菜花嗎？ 2.兩年後的最近有跟喜歡的男生法式熱吻（伸舌頭接吻）及親吻胸部，是會透過接吻傳染尖銳濕疣給對方嗎？ 3.沒有口交，也沒有實際性行為，但是雙方的手有隔著褲子撫摸私密處，彼此也穿著外褲私密處摩擦，會傳染尖銳濕疣嗎？ 4.電燒後，沒有復發後多久可以正常安全性行為？治療後沒復發多久雙方能口交嗎，男生還能幫對方口交嗎？ 還是都不要？ 5.除了每年的子宮頸抹片檢查，HPV病毒檢查也是需每一年做嗎？ 6.為什麼有的人沒病灶，HPV卻有病毒量？ 7.那麼曾經有尖銳濕疣病灶治療後但沒復發，HPV卻還有病毒量？是不是一輩子都不能無套性愛跟生小孩？ 8.未來生孩子過程回傳染嗎？ 自律的私生活，卻因為前男友很困擾，真的想要完全痊癒。 請醫師撥空詳答，感謝。 | 您好： 1.兩年前私密處外陰部得到尖銳濕疣已做電燒治療，後續回診幾次沒有復發，但不知是否體內還有病毒量，這樣是還有菜花嗎？--》一般半年未復發，相對安全多了，只是有沒有病毒量很難說 2.兩年後的最近有跟喜歡的男生法式熱吻（伸舌頭接吻）及親吻胸部，是會透過接吻傳染尖銳濕疣給對方嗎？--》有接觸病毒量足夠本身抵抗力不夠又有病毒較易感染的皮膚，性病就有可能傳染 3.沒有口交，也沒有實際性行為，但是雙方的手有隔著褲子撫摸私密處，彼此也穿著外褲私密處摩擦，會傳染尖銳濕疣嗎？--》不會 4.電燒後，沒有復發後多久可以正常安全性行為？治療後沒復發多久雙方能口交嗎，男生還能幫對方口交嗎？--》至少半年以上經檢查無復發 因只要有感染後，就多少有風險，個人建議短時間不要口交 5.除了每年的子宮頸抹片檢查，HPV病毒檢查也是需每一年做嗎？--》不需要，抹片要 6.為什麼有的人沒病灶，HPV卻有病毒量？--》體質 7.那麼曾經有尖銳濕疣病灶治療後但沒復發，HPV卻還有病毒量？是不是一輩子都不能無套性愛跟生小孩？--》建議追蹤一段時間。 8.未來生孩子過程回傳染嗎？-- 少見 ，但是如果足量病毒是有機會，可以和產科醫師討論 祝健康 | [
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5泌尿科
| 醫療諮詢 | 醫生你好 如果雙方都沒有性病即使單方面有傷口而進行無套性交是否都不會有感染各種性病的可能性 如果有可能的話會是那種原因 | 匿名： 你好 是 雙方都沒有任何感染，當然不會互相傳染。 註：身體表皮、口腔等或多或少都會有一些細菌、黴菌的存在，若有傷口，還是可能經由傷口造成感染。 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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| 藥物諮詢 | 醫生開了克癲平的0.5毫克 七天份給我服用，因為最近失眠到早上蠻嚴重。這克癲平的副作用是否能用在睡覺有打呼或有點呼吸不順的人身上？ 看到網上副作用有點擔心，說會唾液增加造成呼吸困難之類的。 | 網友 妳好： 如果妳的睡覺時有打呼不是呼吸止息症造成的，應該是沒有關係，建議先吃看看，如果反而睡的更糟，那應該就不適合，下次回診時要和醫師討論。 吳恩亮醫師 | [
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4心臟血管專科
| 瓣膜閉鎖不全 | 醫生您好： 家父73歲，本身有「輕度心臟辦膜鈣化」導致閉鎖不全血液逆流，及「第一度房室傳導阻滯」 平常無不適，不會喘，能種田，體力算還行，請問如果要出國，例如短程的日本，搭飛機，對於艙壓有沒有安全疑慮？ 是否有要注意的地方呢？ 謝謝醫生解惑喔，感恩 陳小姐 | 您好 輕度閉鎖不全 第一度傳導阻滯 小事 不用擔心 好好去玩吧 平安 彰化醫院關心您 | [
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| 喉嚨問題 | 妳好.醫生 我之前有得到淋病 現在再治療當中.之前泌尿科醫生給我打一針.給我吃DOXYMYCIN吃了5天 之後她叫我吃BACCIDAL 100MG TAB現在有好多摟 不過之前我有口交過.怕有得到淋菌性咽喉炎 請問一下BACCIDAL 100MG TAB有治療淋菌性咽喉炎的功效嗎 我有點不放心 我現在慢慢開始好轉.可是擔心有淋菌性咽喉炎 請醫生為我解答一下.好讓我安心 拜託你摟.醫生 | 你好 建議你先尋求專科醫師的檢查 以確立自己的疾病並儘早接受診治. 胡克信 | [
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7耳鼻喉科
| 口腔問題 | 鄭醫師 好 今天睡覺到時候發現有金屬物品插進嘴唇裡，嚇了一大跳，結果是口腔吃到棉被拉鏈，請問鄭醫師 1.棉被拉鏈插進嘴唇裡，算是吃到，這樣口腔會不會感染什麼細菌或病毒呢 2.目前口腔尚無異狀，需要做任何預防性處置嗎如立即就醫之類 以上，感謝鄭醫師回覆。 | Hi： 您好， 人體有自然的防禦機制，大多不會因此而感染，可以先觀察看看，如果有紅腫熱痛，就需要就醫治療。 祝平安健康 衛生福利部桃園醫院 耳鼻喉科主任 鄭爵儀敬復 | [
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13肝膽腸胃科
| 幽門螺旋桿菌 | 醫生您好 非常抱歉我早些時候有發問過了但是目前又碰上一些問題還望醫生幫忙解惑 1.今天去醫院拿殺幽門螺旋桿菌的抗生素本來應該是今天開始吃得，但是因為某些原因我可能要到禮拜二早上才能夠正常的按時吃藥，我知道抗生素一定要按時吃不能一下吃一下不吃，所以禮拜二早上在開始吃然後複診的時候再告知我的醫生是否可以？ 2.請問幽門螺旋桿菌有辦法在75度的酒精中存活嗎？ 3.用75度酒精加衛生紙擦拭被幽門螺旋桿菌污染的物體是否能殺菌，直接噴有辦法殺菌嗎，若是這樣無法殺菌請問應該如何清潔物體比較適當？ 4.幽門螺旋桿菌在水中存活的時間比較長嗎？ 5.幽門螺旋桿菌在水中和不是水中最多都只能活三天嗎？ 不好意思醫生問題很多還望幫忙解惑 | 原則上連續·吃完抗生素即可。平時注意衛生清潔即可，不必過度擔心過度消毒。 | [
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5泌尿科
| 陰莖問題 | 謝謝醫師解答. 但我還是有疑問. 不易射精除了比較不容易受孕外. 在性行為時若是男方達到高潮會因為精液無法正常射出. 而造成生理上ㄉ病變嗎 再則在性行為時是否會因無法射精而異於常人ㄉ持久呢 此種病例在台灣佔約多少ㄉ比例.抱歉因我也有小孩.所以還蠻擔心ㄉ 此種病例是否會影響夫妻間ㄉ生活呢 還煩請醫師解答謝謝 | BIBI 你好 射精障礙，通常是因為神經傳導物質或傳導路徑有問題，一般需要到很專門的泌尿科醫師才有辦法辨別，像是：台大謝汝敦教授、北醫江漢聲教授等這類的專家，經過詳細診斷，才可能有結果，也才可以治療。 勃起時間，一般都非常久，甚至造成女方的抱怨。至於會不會因此造成生理上的問題，我想，以西醫的觀點，應該不至於吧。 台灣的比率，我不清楚，截至目前，我個人行醫超過10年泌尿科，只接觸過2個病例，都轉介到專門醫師接受治療。 註：大多數的患者，都會集中到上述的專門醫師做治療。 夫妻生活，看雙方如何配合了，不一定會有關係，但是，假如要生育，那確實會造成困擾。 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
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2牙科
| 口腔 | 醫生你好 之前已經詢問醫生意見，本人已經在國外找地方做了切片檢查，說那潰瘍的一點沒有惡性變化，但是口腔臉頰的位置，後牙齦跟咬合位置一帶都感覺不舒服，還是會覺得有點腫脹輕微痛，不知道跟拔牙後有沒有關係（拔牙時間一個半月，位置左上第二大臼齒），也有在國外的牙醫診所檢查過，也有照過全口x光，都說傷口沒問題，其他牙齒也看不出有什麼問題，也有做鼻咽內視鏡也沒問題，實在不知道會不會是口腔黏膜的問題，還是拔牙後，咬合不習慣的原因 現在想請教醫生，現階段有什麼提議，可以再檢查的 請問醫生，口腔黏膜（紅班，白班）是否要很有經驗的牙醫或專科才會看得出病變 還是等回台再找醫生檢查請問要找那一科的醫生檢查謝謝 | 你好 若國內與國外之醫師皆告知你沒有問題，建議無需過份擔心，請定期檢查即可。你所提及之口腔黏膜的病變，已有牙科、口腔外科、耳鼻喉科醫師幫你檢查過，若還是很擔心，建議你回台灣後至較大之醫學中心檢查，謝謝 衛福部臺中醫院牙科林佳詠 | [
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5泌尿科
| 勃起障礙 | 醫師你好，我感覺我自己有勃起障礙，但是又不確定是不是，因為我每天晨勃都很硬，而且也維持很久才軟掉。 我的狀況是這樣，一般時候看A片不會勃起，或者只有微微勃起，如果要自慰就必須靠手刺激陰莖才有辦法完全勃起，硬度可以到最大，但是一沒有給予刺激就會馬上軟掉。跟女朋友做愛也是，擁抱或者前戲會勃起，但一脫掉褲子少了內褲壓著刺激陰莖就很難再自然勃起，需要靠手刺激變硬才能做愛，變硬之後如過沒有馬上插入給予刺激，又會馬上軟掉，每次換動作都要很快，不然軟掉就很難再硬起來繼續到射精。 以前國高中時看A片都能自然勃起達到最高硬度，而且能維持好一段時間，現在看A片幾乎沒反應了，不知道是否是因為看太多大腦對刺激沒反應了呢？印象中這個情況好像維持了3年以上了，因為都能完成自慰所以沒有特別留意，直到後來交了女朋友才意識到嚴重性，最近有去泌尿科看診，醫生說只要刺激能達到最大硬度就算正常，而且我不熬夜、不抽煙、不喝酒、飲食正常、有運動習慣，每天早上晨勃也都很硬，我的狀況算是心因性勃起障礙嗎？ 如果禁慾能不能改善？ | 您好 大部份情形是屬於心因性的 尤其您可以勃起 但是可能無法太專注 造成充血無法持久 以您的情形 可能要先就醫 有些醫學中心有性功能專長的醫師 重點在重拾信心 祝健康. | [
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5泌尿科
| 尿道下裂 | 你好 問題如下： 平常上完大號之後，會一直想尿尿，會尿個45次，尿道不會很痛，會癢（平常也會想上，感覺沒尿乾淨），但是尿得很順暢。還有稍微壓陰莖下面會刺痛，其他地方不會，做愛的時候越來越快射精，想請問是尿道發炎嘛？ | 有可能，建議至泌尿科驗尿檢查以確認 | [
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0婦產科
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7耳鼻喉科
| 鼻子問題 | 醫生您好， 我最近如果躺下睡覺時，鼻子呼吸會有像吹口哨的聲音跑出來，很困擾我，大約兩個月了。而且伴隨有點鼻塞。我偶爾使用噴鼻劑就會好些。由於疫情關係無法去看醫生。可以請問醫生是怎麼了？另外我是設計學校的學生，我常需要戴像防毒面具的口罩在工作室裡噴漆或打磨我的設計品，有很多灰塵。不知是否有關連？謝謝醫生。 | Hi： 您好， 鼻子發出哨音主要可能因鼻腔空間狹窄，造成氣流通過發出聲音，常見與鼻中膈彎曲或下鼻甲組織肥厚有關，若長期鼻塞困擾建議就醫檢查確認。 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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] |
10兒科
| 腸胃問題 | 醫師您好 一兒子最近一個禮拜多一直在脹氣 擦了脹氣膏也沒什麼改善 請問如果一直這樣是不是就是消化不良呢 平常要如何預防呢 二現在小孩2歲5個多月講話方面有時會支支吾吾的 就像口吃一樣但小時這種情形並沒有 有可能是人家在說的"吊舌筋"嗎 平常也能重複大人講的話也能講很長的句子對答也還ok 只是有時會這樣如果要檢查要看哪一科呢 麻煩醫師了謝謝 | Dear 小旻 您好 一腹脹的情形尤其在兒童吃飽後會較明顯，這是因為腹壁的肌肉較薄的關係，一般要到5歲之後才會改善。 不過也要小心以下疾病 腹肌無力。 消化道內有大量氣體。 腹腔內有過多的氣體或液體。 腹腔內器官腫大或有腫瘤。 腹肌無力 嬰幼兒腸道內的肌肉層及彈性纖維較不發達，再加上肌肉較薄，所以食量比較小而且容易腹脹。所以常見寶寶在大餐一頓後，肚子鼓得像青蛙肚般，但若寶寶沒有不舒服，其實家長不必特別在意，等他們長大就會改善。若真的擔心，可以讓寶寶少量多餐，肚子也就不會鼓得那麼明顯了。 消化道內有大量氣體 嬰幼兒腹脹多以「脹氣」為主。對於容易脹氣的嬰幼兒，除了解決根本的原因之外，當因為脹氣而引起不舒服時，可利用薄荷油以掌心塗抹於肚臍周圍，順時針方向按摩腹部以促進排氣。 至於哪些原因能引起腹部脹氣？ 吸入空氣 嬰兒喝奶時，因為奶嘴的洞太大、吸吮乳頭或奶嘴的方法不正確、哭了很久才餵或喝奶時又急又快，以致於吸入大量的空氣造成胃脹氣。較大的幼兒，則可能因為邊吃邊說話，或緊張不自覺地一直吞嚥口水，連帶著空氣進入胃中，造成脹氣。 食物發酵 食物進入小腸後，來自胃中的胃酸會與小腸內的鹼性消化液混和，酸鹼中和的結果，因而產生氣體，所以常在吃完大餐後，會覺得特別容易脹氣；若平時喜歡吃一些產氣食物（如下表），更容易造成腹脹的情形。 易引起脹氣的食物一覽表 水果類：蘋果、葡萄、瓜類（西瓜、香瓜）柚子 蔬菜類：洋蔥、高麗菜、花椰菜、韭菜 飲食類：養樂多、汽水、牛奶 豆 類：豆漿、豆腐干、豆腐、紅豆、綠豆 主食類：玉米、洋芋、地瓜、芋頭 哺育母奶時，如果限制一邊乳房餵奶的時間，沒有等到寶寶自己鬆口就將他抱離乳房換邊餵，寶寶因而吃到的是脂肪含量較少的前奶，前奶在寶寶的胃裡停留的時間較短，以致於含有較多乳糖的母奶很快的進入小腸中，而產生較多的氣體，造成寶寶的脹氣，同時寶寶也比較容易餓而愛哭鬧。 胃腸道蠕動異常 當因為感染性胃腸炎、敗血症、腸道阻塞，造成胃腸蠕動比較慢的時候，腸道內的氣體無法正常排出，或因食物在腸道的時間太久，在細菌的作用下，引起食物發酵，產生大量的氣體，引起腹脹。 腹腔內有過多的氣體或液體 當氣體出現在消化道和腹部器官外時，即為「腹腔積氣」，常見的原因為感染性大腸炎後造成腸穿孔，或腹部創傷後引起。大部分發生腹腔積氣的小朋友必須接受手術治療。 當液體出現在腹腔內（消化道和腹部器官外）時，就是「腹水」。少量的腹水可能沒什麼感覺，但大量的腹水就可以引起腹脹、噁心、食慾不振、胸口灼熱甚至呼吸窘迫。「腹水」的原因可分為： 1.與腹膜有關：像是腹膜炎時，滲出液增多而腹膜的再吸收能力降低，因而造成腹水。 2.與腹膜無關：因營養不良、肝臟無法製造蛋白質、由腎臟或由腸胃道流失蛋白質等，造成血中低蛋白血，血液中的滲透壓降低，使得大量的液體進入腹腔形成腹水，或因肝實質病變如肝炎、腫瘤、肝硬化、使血液或淋巴液回流發生困難，造成門靜脈高壓，水分因而由血管壁滲出，造成腹水，或因心肺疾病造成水腫和腹水。 輕微的腹水一般無法察覺，即使有經驗的醫師有時也必須靠精密的儀器如超音波才能得知。腹水只是眾多疾病的併發症之一，知道有腹水之後，必須進一步尋找腹水的原因來給予適當治療。 腹腔內器官腫大或有腫瘤 正常的情況下，對前幾週大的新生兒，在其左邊肋骨下緣1公分可摸到脾臟，對學齡前兒童，則可以在其左肋下摸到脾臟的邊緣。前4個月的嬰兒，在右邊肋骨下緣2公分可摸到肝臟，大一點的孩子，則很少超過右肋1公分以上還摸得到他的肝臟，除非是在深呼吸的時候。 在一些特殊的情況下，像是EB 病毒感染、先天性代謝異常、門靜脈高壓或溶血性疾病則可能造成肝脾腫大，而引起腹脹。另外，水腎或因憋尿引起膀胱脹大也會引起腹脹。 腹脹小孩的父母最擔心小孩腹腔內有腫瘤，事實上腫瘤要大到一定的程度才會造成腹脹。早期的腫瘤，還是最多在父母為小朋友洗澡時，無意中摸到的。而且，如果腫瘤靠近腹腔表面才容易摸到，深層的腫瘤就必須借重有經驗的醫師或精密的儀器才可能發現。 目前最方便，最無傷害性的檢查就是「超音波」。可是超音波也有一些極限，例如小於1公分以下的腫瘤、同時合併很嚴重的脹氣，或小病人不合作等，則會增加超音波判讀的難度。 嬰幼兒腹脹是一個常見且大部分為正常的狀況，如果肚子摸起來軟軟的，且沒有硬塊，家長就不需要特別擔心。但如果寶寶腹脹合併腹痛、嘔吐、腹瀉、便秘、臉色蒼白、甚至體重減輕或活動力降低時，就應該帶去讓醫師做進一步的檢查。 二「舌繫帶過緊」發生率約千分之四，其中近九成都需要手術治療，以免造成哺育及餵食困難、語言發音異常、自尊心受打擊等問題。 所謂舌繫帶，是指位於舌頭下面、連結口腔底部的肌肉索狀薄膜，是兩個口腔繫帶的一個。口腔繫帶在胎兒第四周就有了，上、下各有一個，謂之唇繫帶及舌繫帶。繫帶（frenulum）原文是拉丁文馬韁的意思，也就是類似口腔組織發育的「指揮者」，在胎兒期很重要，隨著新生兒逐漸地長大，會慢慢退縮（尤其是唇繫帶），但在長牙時，仍具有引導牙齒就定位的功能。 如果舌繫帶較短，看起來會拉住舌頭無法靈活移動，醫學上叫做舌繫帶過短（tongue-tie）。事實上，新生兒幾乎都是如此，不過從文獻及經驗看，並不會造成餵奶的困難，即使較大的孩子，也未聽說過因此而無法吞嚥、影響發育。大部分專家都認為，至少在出生十個月後，才能好好判定舌繫帶是否不正常，在此之前，隨意動剪繫帶手術，雖很簡單，但很可能是白作了。 由於大腦語言中樞發展及學習方式各有不同，學講話的幼兒，往往有不一樣的進度。最讓家長緊張的莫過於發音不正確，也就是俗稱的「臭聹呆」或大舌頭，例如阿「公」叫阿「鐘」、毛毛「蟲」叫毛毛「鞏」。不過很多學者專家認為，這樣的發音不正確，跟舌繫帶過緊的關係很少，主要是因為學習方式錯誤，或是大腦語言中樞的發展較慢，而非舌頭的問題；有少數更是因為反覆性的中耳炎，甚至已有了中耳積水，影響到聽力，所以不能學到正確的發音。 據復健科兒童語言矯正醫師的經驗，發音不正確的小孩，罕有需要做舌繫帶手術來解決發音方式不對，即使剪了舌繫帶亦沒有什麼幫助。因為舌繫帶過緊，會影響的大約只是捲舌音而已（在英語是th音），而使用捲舌音，對四、五歲以前的小孩，並不重要，即使是成人，不使用標準北京捲舌音，對溝通及人際關係亦沒什麼阻礙。 實際上，成人社會中，講話口齒含糊不清的人，並不多見，除非是顎裂未開刀或智障者，但咬字不清的小孩卻很多。可見這些問題在長大後，多會自然改善，不需要剪舌繫帶才能解決，我們也可從以往醫學不發達，大家不可能去重視剪舌繫帶的狀況下，卻沒有那麼多人有發音障礙，證明舌繫帶手術不少是無必要的。 小孩舌繫帶緊一點，家長大多不必要擔心。咬音不正確，與其去看舌頭不如先檢查聽力，再從精神心理狀態評估，及作各種身心的發展測驗，進一步尋求語言矯正專家的幫助，而無必要貿然去做剪舌繫帶手術。 究竟什麼狀況才算真正的舌繫帶過短？其實很簡單，如果舌頭能伸出超過唇緣（口腔黏膜層與唇交界處）、或能超過牙齦，都屬正常。幼兒可用果醬沾舌尖，引誘其伸出舌頭來檢查。如果舌尖有凹陷，但仍能伸出，亦無問題。 總之，很多小兒科、語言矯正師、耳鼻喉科醫師都認為，真正需要動刀一剪的舌繫帶過短病例，實在少見。說話是跟腦部語言發展中樞或聽力有關，與舌繫帶關聯甚少，家長們宜小心帶孩子由專家診斷，不要急於做不必要的手術。 祝 健康快樂 衛生署桃園醫院 小兒科主任 裴仁生 敬上 | [
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0婦產科
| 乳房 | 醫師您好 請問 我的兩邊乳頭先前即發現乳暈上及附近會有小粉刺產生；這是正常的嗎 日前發現左邊乳頭隱約可感覺疼痛，且有白色分泌物 ，經用力擠壓出現白色類似癑及大粉刺夾雜著血水流出。 請問我的乳房是否產生病變 | 您好 乳頭或乳暈有不正常分泌物或血水宜立刻就醫科別為乳房外科. 署立新竹醫院婦產科 | [
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| 墮胎 | 我現年25歲，沒有生過小孩，曾於4年多前墮胎過，那時找了一家收費較便宜的診所，後來才知道幫我墮胎的一位女醫師是向人租執照營業，專門幫人墮胎賺錢。自從我拿過小孩後，月經開始有血塊，那時還曾發過高燒，燒到41度，也燒了兩三天退不下來，還一度昏厥，可是本身並沒有感冒或其他疾病，後來下了重藥才好轉。事後回想可能發炎造成，請問這樣是否會不孕？月經中有血塊是否代表子宮受創？現在的男友是獨子，很怕自己會不孕或習慣性流產而致不能生育，請問有何方式可以檢查？現在與男友行房時並沒有避孕而採體外射精，但卻仍沒懷孕過，請問體外射精的避孕方式好嗎？ | 因電腦故障延遲答覆，甚歉。 一般月經正常第二、三天可能會有血塊，子宮肌瘤亦可能月經來時有血塊，若骨盆炎造成輸卵管阻塞可能導致不孕，你目前採體外射精，當然受孕孕率會降低，但並不絕對能避孕，是否能懷孕可能要試著正常性行為﹝體內射精﹞，一段時間﹝6個月至一年﹞才能下定論，若急著想知道是否輸卵管阻塞，請找婦產科醫師診斷。 | [
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0婦產科
| 月經 | 醫生我月經大概在三天來，然後我前天跟男友突然想要，他就插進來一點點也只有一下下時間不到五秒，但沒戴套，也沒射精，我處女膜也沒破，可是隔天不知道是月經要來還是懷孕感覺肚子漲漲的有點噁心的感覺，而且頭痛，乳頭也痛痛的，這樣請問是懷孕前兆還是月經要來了？如果是懷孕前兆的話有可能那麼快就顯現出來嘛？ | 您好 懷孕機會不大，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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6骨科
| 鎖骨 | 醫師您好，我因騎機車摔車左肩鎖骨遠端骨折自費使用"鉤型鋼板" 固定，骨科醫生說鉤鉤卡進肩關節只能在不痛的小角度做簡單活動以免鋼板傷到肌鍵，目前術後7周，自行到復健科醫生則建議要開始做活動否則會沾黏，但我做完幾次復健左肩外側跟前側2個固定的點會很痛，不知道是否與鋼板有關，需要休息1-2天才好轉，這讓我不知道是否繼續做復健，或是應該等鋼板取出再做呢？謝謝。 | 復健請繼續 但鉤狀板是有可能引起局部不適 這在復健一段時間 大多能消除 復健可以降低沾黏的可能 請加強 | [
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6骨科
| 膝蓋問題 | 醫師您好 在年初時右側膝蓋內側曾因意外撞擊到地面導致瘀血及腫，看了復健科後已有消瘀，也有復健一段時間紅外線及電療一週三次，但平時仍會不適，復健科醫師也有使用超音波查看膝蓋內部狀況均表示無礙，唯獨撞擊處仍有點積水，開立思舒及益欣凝膠擦，但目前只要站久或是走較多一點的路就會覺得膝蓋有點腫腫的，彎曲時也會覺得脹脹的甚至有些麻，因工作性質需抱服務對象身障成人目前工作時也會戴上包覆性護膝，也避免蹲跪姿勢，但仍反反覆覆的不適與些微積水，有什麼方式可以改善呢 另一個問題是近期發現坐著一段時間後右腳會麻掉，且腰部會酸酸的，摸後腰時有發現右邊骨頭較為突出，會是因為這個原因導致膝蓋不適這麼久嗎小時候曾有從樓梯跌下有發現尾椎往左邊為偏，那陣子要坐下時會覺得很痛，但是在可忍耐的範圍內，沒多久就不會疼痛，所以並沒有就醫，且行走方面也沒有問題，唯獨做仰臥起坐時會壓到骨頭導致不適，與上述事件有關連嗎 不好意思麻煩您解答了，謝謝您 | 1. 膝蓋痛大致可以分為三種來源 發炎性、結構性、功能性 復健治療主要針對功能性 受傷本身會造成發炎性疼痛，這部份建議妳吃藥兩星期，會好轉許多 如果是結構性疼痛，需要照X光甚至核磁共振，一般醫師會建議妳治療好發炎性疼痛與功能性疼痛後再來考慮結構性問題 結構性疼痛處理方式輕者可以藉由鍛鍊加強功能來補足，嚴重者需要手術 2. 妳工作需要抱服務對象，請務必穿護腰，注意姿勢多靠臀部大腿出力少彎腰，愛惜自己身體才能工作做得長久 3. 仰臥起坐目前國際共識已不推薦做，建議妳多慢跑快走。 | [
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| 喉嚨問題 | 有時候會覺得喉嚨理由異物卡在裡面，但並無影響吞嚥 唱歌的時候高一點的音就有點吃力 | Dear 游小姐： 您好！ 常見與胃酸逆流或鼻涕倒流或空氣汙染等因起的慢性咽喉炎有關，若無改善建議就醫檢查。 祝 健康、愉快！ 衛生福利部桃園醫院 耳鼻喉科主任 鄭爵儀敬覆 | [
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| 復健問題 | 一般去看復健科做物理治療時. 所使用的器械.躺的床使用的床單.枕頭.甚至電療機. 每個病人使用後都會有消毒清潔或更換的處理嗎 還是當天結束後.再一次消毒全部呢 這樣夠安全衛生嗎 因為很多都會直接接觸不同部位的皮膚. 如果擔心衛生問題.病人可以自己做哪些防治 | 各院有各自的作業流程，本院復健器材於每日下班前專人負責清理。 | [
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6骨科
| 髖關節問題 | 家父人工髖節術後二三個月就有自行做複健，應沒有不敢動的情形 如雙腳會麻麻的話是否要看神經科丫 我是台南人，煩請醫師推薦有經驗的主治醫師！！THANKS | 雙腳都會麻當然有可能是腰椎的問題造成的，可以看神經科但也可以看骨科脊椎專科。 在台南地區成大附設醫院的骨科部不錯，可以去看看，他的骨科部有髖關節與脊椎的專家，不妨一試。 | [
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| 避孕藥問題 | 停吃黛麗安兩個月之後，改吃祈麗安第一個月的第四、第五天忘記服藥，但第五天的時候出現量大的出血，第六、第七天的時候依然照說明書補吃藥，直到這包藥吃完，雖然有補吃，但漏吃的出血仍如一般月經的血量與週期，七天結束後依然有少量出血，這包藥也有服用到結束，想請問以下： 一、補吃藥完連續吃到藥剩四天時已連續服用滿七天以上，有無套性行為但無內射，原本以為少量出血已經消失，但性行為後又出現少量出血，請問這樣的狀況下會降低避孕效果嗎？少量出血可能是荷爾蒙失調的現象嗎？ 二、乘上下包藥必須緊接著這包藥結束時服用，才能保障此次性行為的避孕效果嗎？還是一樣停藥七天後繼續服用就好呢？ | 1 正常月經週期每日的荷爾蒙比例都不同 服用週期性藥物一旦漏服 即便即時補服或是錯服 都有可能造成意外出血的異常狀況 避孕效果也可能會打折扣 如果這樣的出血過多無法自然回復 仍需就醫為宜 2 下次服用仍應依原醫囑所建議的停頓時間之後再服 以免造成月經紊亂 以上 敬請參考 | [
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8乳房甲狀腺科
| 甲狀腺問題 | 您好，請教關於吞口水時脖子痛的問題。這陣子痰多，常要用力乾吞口水，而我在用力吞口水時，在脖子大約喉嚨左側靠近頸部下方附近有些痛。感覺像是肌肉痛，但不知跟甲狀腺有無關係。自我檢查外表看不出異樣，無腫大，手去按也模不到什麼硬塊之類。平時吃東西吞嚥或脖子轉動都不會痛，就只有吞口水時會痛（但頭稍微抬高時吞口水也不會痛）。至今大約有幾天了。這種情況需要去檢查嗎？謝謝您看完我的問題。 | 陳先生： 您好， 1.與甲狀腺應該沒有關係，甲狀腺疾病很少引起疼痛。 2.建議找耳鼻喉科醫師檢查咽喉方面問題可能有幫助，可檢查咽喉位置有無發炎、感染或其他可見之問題。 祝平安健康 衛生福利部桃園醫院 外科主任 周佳正敬復 | [
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9整型外科
| 割雙眼皮 | 割雙眼皮拆線後，兩天的時間眼皮上有一塊白色的疤痕，那個疤痕會恢復正常的膚色嗎？ | 雙眼皮拆線後毆1個月才會正常，請耐心等候。 | [
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0婦產科
| 陰道問題 | 我有一個女性朋友陰部感染上支原体與霉菌，就是這兩種病毒是什麼東東潛伏期是多久感染上這兩種病毒身體會有什麼症狀有根治方法嗎以後還會復發嗎大陸女性朋友治療大半年了，用了太多藥了都沒有改善皮膚變的不好人變廋了加上吃多了腰會痛請醫師幫忙回覆謝謝 | 吉祥虎您好 您的問題回覆如下 一、原蟲感染 前言： 為一種具鞭毛的原生蟲，在女性陰道或尿道均能生長 ， 會經由性行為或其他接觸傳染。 症狀： 1. 白帶增多，灰白或黃綠色。 2. 陰道酸痛、搔癢、解尿疼痛、同房後出血。 3. 骨盆下腹疼痛、外陰紅腫。 症狀嚴重程度差異極大，有些男女甚至毫無症狀，特別是年齡稍大 者。 診斷：依症狀之描述及內診時陰道分泌物顯微鏡檢或細菌培養。 治療：1. 口服抗生素 3-7天。 2. 性伴侶同時治療一週，以避免交叉感染。 3. 擦拭藥膏改善外陰部不適症狀。 4. 會陰沖洗。 二、陰部黴菌感染 前言： 在台灣地區婦女估計80％ 以上有感染過；其中約一半為反覆性感染。最常見的菌種為白色念珠菌，性行為並非主要之傳染途徑，氣候悶熱潮濕、陰道內環境之改變（如PH 值或正常寄生菌種）的改變是主因。好發族群為糖尿病、使用抗生素、懷孕、使用類固醇、穿著緊身衣褲、肥胖、氣候悶熱潮濕地區居民、停經婦女、免疫功能低下等。一般門診時依症狀之描述及內診時之發現 可判斷。 症狀： 陰部搔癢、乳酪狀分泌物、灼熱感、性交疼痛、解尿不 適、外陰紅腫、紅斑甚至破皮。 治療： 1. 藥膏及塞劑治療為主 2. 口服藥物雖方便，但可能有影響肝功能、藥物交叉反 應、腸胃不適之副作用且費用昂貴。目前多用於反覆 感染或免疫力不全之病人 3. 可在門診時配合陰道灌洗 預防之道：1. 穿著棉質、寬鬆之衣褲。 2. 少用衛生棉及護墊。 3. 外陰部之擦拭方向須由前往後。 4. 避免使用非必要之抗生素，糖尿病患者須控制血 糖。 5. 生活作息規律，適當休息，避免煙酒、壓力、熬 夜，飲食正常。 以上疾病均可治療，不過須注意預防並配合治療，亦須有耐心，否則容易復發造成困擾。謝謝 張 醫師 寄 | [
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1精神科
| 焦慮 | 醫生您好，我是一名26歲的男生，我的個性從小就比較內向害羞，但出了社會後，發覺我不喜歡我自己那麼畏畏縮縮的個性，所以上網查一下自己的症狀跟社交焦慮症很像，以下是我常有的症狀：害怕上台演講、討厭慶生目光焦點在我身上。 我知道自己的狀況並不是嚴重到跟陌生人聊天都會焦慮的那種，但每次只要有任何機會是面試場合、上台說話、慶生，我的臉就會不自覺紅了起來，然後開始語無倫次，講話沒有邏輯，最令我困擾的點是我的臉會抖，這點讓我相當困擾，我討厭被別人看到我這個樣子，但奇怪的是我面對一個人的時候就不會緊張，一旦面對多人時才會有社交焦慮症，而接下來我打算考空服員，空服員的面試更是讓我緊張不已，想請問醫生我到底是怎麼了？該如何救救我 | 你好 對演講的恐懼和焦慮，是可能經由逐步的練習而克服的。 目前一對一的對話沒有問題，可再練習在三個人的小團體中發言，沒問題了之後，再嘗試在大一點的團體中發言。 另外放鬆訓練應該也會有幫助。 如果依然還是很困擾，也可就醫尋求協助。 祝福你 | [
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7耳鼻喉科
| 頸部腫塊 | 你好季醫師 本人在四星期前發現血涕倒流，持續一星期後停止， 摸到左頸下巴對內頸部淋巴位置有腫塊，開始時無痛楚， 這期間我看了總共三位耳鼻喉科醫生，檢察了三次鼻腔醫生都說我鼻咽鼻腔都無異常 而最近這十天開始有耳嗚程況， 在加上頸部腫塊越來越大達至有三公分， 現在更感到陣陣痛楚，於是我又在去找耳鼻喉科醫生檢查， 醫生更說我一切正常，我現在人在德國非常滂茫，因當地醫生三位耳鼻喉醫生都說我一切正常，但我認為自己現時與鼻咽癌病徴十分相似，我十分擔心並向當地醫生堅持要檢查頸部腫張原因。最後醫生才建議我自費做磁力共振MRT 檢查頸部腫漲和鼻咽。 想請問季醫師 我這個情況是適合用什麼方法檢查？超聲波，CT 還是MRT 我感覺這邊的醫生對鼻咽癌的病徴不太敏感，可能是歐洲人少有這種病的關係。 我已經擔心了一個月，我看了三個耳鼻喉科醫生，他們看到我頸部的大腫塊都說沒事，連藥都沒開， 最後的醫生叫我食一種叫Ibuprofen的藥請問是合適嗎？ 在此感謝季醫師的幫忙，謝謝！ | 您好， 按照您的敘述 鼻咽癌通常是經由鼻咽內視鏡診察 若有需要進行鼻咽腫塊切片 然而若頸部腫瘤繼續進展 且用抗生素均無效用 可以考慮進行電腦斷層做進一步檢查 祝平安健康 衛生福利部台中醫院耳鼻喉科主任 季照芸 敬復 | [
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| 避孕 | 醫生您好 我已經吃了一年多的事前 每次都是禮拜五吃完，直到下禮拜六繼續服用下一包 這個月禮拜六忘記服用，禮拜日想起來後補吃禮拜六的 禮拜日的也會正常吃，請問這個月的事前還有避孕效果嘛？ | 提問您好 口服避孕藥如果有一天忘記服藥，最好再十二小時之內盡快補吃，當天原有藥丸仍應繼續按時服用當天吃二顆。若一連兩天忘記吃藥，應連續兩天每天服用兩顆，以後再每天服用一粒，直到整包藥服完為止。漏吃三天或以上，這個月份的避孕藥已經沒有避孕效果，剩下的藥劑停用，需等幾天讓月經來潮，從月經的第一天或第五天重新服用一包新的避孕藥，正確服用可以達到99的避孕效果，謝謝 祝 平安 健康 張 醫師 回 | [
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9整型外科
| 縮乳手術 | 請問你在新竹醫院哪間呢 那第一次縮乳是先繳縮乳的錢囉 是手術完付費還是手術錢 一天住院是多少錢. 還有要先門診之後再約時間嗎 | 你好 你不妨就近找間具整形外科醫師的醫院或診所 實際就診後再與醫師討論你問的那些問題 因為每個地方的付費方式不同 價錢也不同 而且當然是要先看診 再另外約手術時間. | [
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5泌尿科
| 包皮問題 | 小時候好像有點包皮過長但沒有割 以前是拉不下來的 現在19歲了沒勃起的時候可以用一點水或沐浴乳潤滑後拉下來 龜頭是粉紅色的也有定時拉下來清潔 但是拉下來之後勃起的話會感覺冠狀溝有點緊 很怕是嵌頓式包莖所以大概沒多久就又拉了回去 不知道這種情況有一定要進行治療嗎 | 您好 如果勃起久了有可能嵌頓式包莖 建議給醫師看看.祝健康 | [
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0婦產科
| 月經 | 請問月經每次第一天來都不會頭很暈和腹部痛，但喝完熱開水過後，休息一陣子就不痛了，這是出了什麼問題嘛，因為以前都沒這些症狀過！？跟事後避孕藥吃多有關係嘛。 | 您好： 月經來時，子宮會分泌前列腺素，主要是前列腺素F2a。其作用是造成子宮平滑肌收縮而讓經血排出。若前列腺素分泌過多，則會造成子宮肌肉抽筋而疼痛。另外，前列腺素可經血液循環到全身器官組織，有可能造成頭痛、胃腸不適及頭暈。事後避孕藥本身也有頭痛、噁心、腹痛的副作用，也會造成月經來時子宮疼痛，但機率不高。 感謝您的來信！ | [
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7耳鼻喉科
| 慢性咽炎 | 醫生你好：我本就常常有鼻塞的情形，但一直都沒有去注意。今年的二月底那，突然不知道為什麼發高燒，一天掛了二次的急診，醫生也給我抽血檢察，白血球正常。之後就開始覺的身體的感覺愈來愈不好睡覺的質不是很好，常常頭痛耳朵後脖子那三、四個月，耳鳴二個月多有。八月初那，我才去看神經內科，結果醫生看了X光照片後說骨頭很正常沒有問題。之後我就換看耳鼻喉科，醫生看診後說是慢性肥厚性鼻炎，要我先吃藥睡覺時再噴鼻劑，再來我就到小診所拿藥吃到現在，吃藥快二個月了，狀況是有好一點點，但真的有限。所以想請問醫生你：如果開刀的話有那些方式，那種比較好呢我去看醫生時該如何詢問醫生，可讓我更了解我的病況雷射手術健保有給付嗎。謝謝你。不好意思問了這麼多。 | 1.你的病最好做一個雷射手術使鼻塞改善，健保有給付。 2.開刀一般有三種電射、無線電波、以及下鼻甲微創減縮手術。 3.你的問題一個好的耳鼻喉科醫師應可解決，建議至大一點的醫院長期服藥或手術。 | [
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| 懷孕嗎？ | 醫生您好 202432下午有跟男友愛愛 我們有帶保險套但是男友拔出來射精的時候發現保險套破掉當時精子已經噴出來了 有不小心沾到外陰再加上我月經還沒來（月經不準） 男友很擔心我懷孕 最後我們有吃事後避孕藥 我想請問一下 （1）這樣會懷孕嗎？ （2）月經會來嗎？ | 提問者您好 全程使用保險套的避孕失敗率在5以上，較其他方法更不可靠。因此建議如果月經期一週以上還沒來的話，仍然要檢查是否懷孕。謝謝 祝 平安 健康 張 醫師 回 | [
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1精神科
| 憂鬱 | 醫生你好，本人在生活和工作方面遇到幾個狀況，不過我通常都是把這原因歸咎於經濟壓力方面，想待經濟狀況改善後，能降低或減低該症狀的發生。 想死的念頭不斷有，但是我沒有想到會去自殺，而是希望出了意外或者突然死亡這種，這樣家人也能得到保險金，我也能輕鬆的解脫。 興趣與愛好逐漸的失去，以前還能仰賴這些興趣與愛好支撐著生活，也支撐過我一段時間，但是漸漸的覺得這些沒甚麼意義，動力也越來越低，最後變成只能仰賴電玩和自慰來度過這種空虛時間，先前自我想做的事也一直在拖延，卻不知道如何改善。 工作上的受挫越來越多，本人比較不善於表達，事情也不善於討論，導致壞事一堆，也不斷地被罵，工作越來越不順心，有種想放棄的狀況，熱情逐漸被消彌，整天都覺得行屍走肉，過一天算一天。 回到家以後，看到家人東丟一塊西丟一塊，使用過的東西也不清潔，就會想破口大罵，更甚嚴重是吵架。 除此之外，個人的對自我的否定越來越嚴重，世界上消失一個人也不會差太多，反正一個人跟一個齒輪差不多 | 網友好 比較擔心是不是心情發燒患憂鬱症造成這些情緒困擾，恐怕無法自行克服，建議不要諱疾忌醫要儘快就醫。 吳恩亮醫師 | [
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| 鎖骨 | Dear醫生 我的鎖骨在一個半月前 骨折了 醫生看了X光片說說得做手術裝鋼板 現在我已經開始上班了 因為常用手部 所以時間久了會有一點點刺痛 請問這樣的話 繼續工作是否會有什麼後遺症嗎？ | 您好 一般鎖骨骨折手術後 仍然要避免負重 一般的日常工作 應該還可以，目前最重要的不是工作 是要盡量讓骨頭早點癒合 請按時回診 謝謝。 | [
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17眼科
| 單眼短暫失明 | 醫生你好 我"右眼"有突發性復視問題，除了復視以外還發生了視力衰減現象。本來眼睛視力經矯正過後都正常 在突然一兩天之內，我記得有一天晚上睡覺突然右邊頭痛了一下，驚醒又繼續睡，隔天右眼就開始有復視現象。 做了OCT、MRI、視野、眼光攝影檢查，但新竹馬偕、林口長庚眼科都說沒問題。 我上網查單眼復視現象很棘手 1.因為是單眼復視，排除了腦神經問題 2.MRI照出來沒白色髓鞘，而且神經厚度也沒問題，所以醫生說不是視神經發炎 3.眼部肌肉斷層掃描，他們也說沒發炎，我本身也沒眼臉或眼皮下垂，右眼球轉動也不會痛，所以也不是眼眶肌炎 4.我也沒糖尿病、高血壓等等問題，所以都排除了那些問題。 5.唯一我覺得有可能是 重肌無力症，因為有可能引起單眼復視。但是我並沒有哪邊肌肉無力或呼吸困難以及吞嚥問題，但我的右肩頸長期緊繃痠痛很久了。也有長時間服用抗焦慮以及抗憂鬱藥物，會是這可能性嗎 但竟然有焦慮症，理應乙醯膽鹼過高或是神經傳導物質過剩，不可能同時有焦慮症和重肌無力症八 已經看兩家醫院了 都說沒問題 想請問醫生說 你覺得 單眼復視 還有可能是甚麼原因 | 您好 單眼複視的原因包括屈光不正以及從眼皮到視網膜的問題都有可能. 還是讓醫師幫你找原因較好. 另外重肌無力症也有單純只在眼睛表現的可找眼神經科的醫師檢查看看. | [
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2牙科
| 補牙 | 醫師您好，兩天前洗牙的時候，原先補牙處有脫落一塊，於是醫生不再幫我補起來，也預約下禮拜要去抽神經，但今天早上起床後喝口水，補起來的地方又掉了，請問需要提前去補起來嗎？還是等下禮拜抽神經時再去看就可以？麻煩醫師回答了，非常感謝 | 洗牙後原本補牙處脫落，可能是蛀的很深影響到牙神經，所以約診去抽神經，而脫落的地方可能是暫時填補起來，並不會很牢固，建議如果脫落處很容易堆積食物渣，可以回診請醫師暫時重新填補。 | [
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13肝膽腸胃科
| 消化蠕動問題 | 我的早餐都是麵包配牛奶 不知道從什麼時候開始 變的很會放屁 讓我感到很困擾 有時在學校甚至一整天 回家後有好轉的情況 我該怎麼辦呢 優若乳我試是過了 似乎沒用 已經一段時間了 請醫生回答一下吧 謝謝 | 可先改變飲食習慣，避免在飲食過程中吸入太多空氣。亦可服用一些消脹氣的胃藥，來改善症狀。 | [
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| 神經壞死 | 醫師您好 我之前有顆牙蛀牙補起來，後來在受到化學刺激下超辣漱口水發炎然後給醫生看後確認牙髓壞死，想說觀察一陣子再決定要不要根管治療，到現在己經一年了，除了鼻子左側按壓會有點感覺外都沒有什麼明顯不適，請問如果是化學刺激造成牙髓壞死且一年都沒什麼狀況，這樣的情況下有做根管的必要嗎因為看到很多根管後出問題的例子，怕會不會不做還好做了反而更多問題，謝謝您 | 您好 若鼻子按壓會痛，建議還是要根管治療，否則細菌可能往上跑，在免疫力低下的病人，包括鼻竇蝶竇眼眶後緣，都有感染的機會。若只對單一醫師的判斷有疑問，建議可至醫學中心做進一步諮詢。及早治療為佳。 衛福部臺中醫院牙科林佳詠敬覆 | [
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0婦產科
| 月經問題 | 您好， 無套體外後第28天，第61天驗孕皆為一條線， 而在最後一次親密接觸後也非常準時來了三次月經， 但在第三次月經後兩個禮拜有微量咖啡色的血來了兩天， 請問這是什麼原因？ 而預計110會來第四次但今天還沒來， 請問有可能是懷孕嗎？ 因為平常月經都非常準時 | 無套體外後第28天，第61天驗孕皆為一條線， 而在最後一次親密接觸後也非常準時來了三次月經， 但在第三次月經後兩個禮拜有微量咖啡色的血來了兩天， 請問這是什麼原因？ Ans 排卵 而預計110會來第四次但今天還沒來， 請問有可能是懷孕嗎？ Ans 沒有可能是懷孕 PS 因為平常月經都非常準時 | [
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13肝膽腸胃科
| 肝炎 | 您好 我於去年3月因急性肝炎住三重醫院十天（那時驗血得知有B肝肝功能指數約3740已有黃膽的症狀服用肝安能於第十天肝指數約160才出院）接著就每月一次追蹤治療而肝安能服用到去年十月因沒有e抗元斷藥（但抗體只出現在五月一次爾後抗體又消失了）.直到今年一約抽血時又出現B肝的e抗元所以又繼續服用肝安能至今.但很不巧的事因sars的關係我治療的醫院是三重醫院就因此而停診了（主治醫師是楊仕山楊主任）因此從四月出到現在我一直都未去檢查抽血但都有服用肝安能所以我不知現在複元狀況怎樣是否請楊醫師介紹幾家台北地區有適合的醫院或醫師能讓我去檢查繼續追蹤治療.非常感謝 | 您好： 現在服用肝安能治療B型肝炎的原則如下；若是e抗原陽性，則服用至e抗原轉陰（連測兩次）後再服用三個月即可，但不超過一年，假如一年後e抗原仍無法轉陰，仍考慮停藥觀察，以避免造成病毒突變株的產生；若是e抗原陰性，但血中B型肝炎病毒（HBV-DNA）呈現陽性，則持續服用至血中HBV-DNA呈現陰性（連續兩次）後再服用三個月即可，即如血中HBV-DNA一直無法轉陰，則可考慮繼續服藥。假如服藥中肝指數不降反升，則必須考慮病毒已產生抗藥物性，此時則必須停藥。我給您的建議是先追蹤GPT、e抗原，假如仍是e抗原陽性，則可自費測病毒突變株（YMDD），然後決定是否停藥。台北的幾家大醫學中心的肝膽科都相當有經驗，可選擇其中一家就醫即可。 行政院衛生署桃園醫院敬祝安康 腸胃內科楊培鎮醫師敬啟 | [
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5泌尿科
| 頻尿問題 | 你好 我是16歲 男生 最近小便尿完後 都必須再等幾秒 甩幾下 尿才會乾淨 不然直接拉回拉鍊的話 常常會滴幾滴尿到褲子裡 請問為何會這樣呢 | 阿蔡： 你好 天氣冷會造成膀胱不自主縮。 另外，小便時，建議不要只將拉鍊拉下來，比較不會有殘尿。 有時，會卡住尿道，造成一些尿液卡在尿道裡面，穿褲子後，變流出來，滴在褲子裡面。可以尿完後，稍微甩一下，將尿道裡面的尿液甩乾淨。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 行政院衛生署 台東醫院 關心您 以上由 泌尿科 主任 許維愷 答覆 | [
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| 陰部搔癢 | 我是一個18歲的女生，沒發生過性行為，但有自慰的習慣 大概三四個月前，陰部左側近陰蒂處長出一顆肉芽，非常癢 似乎有變大的情形，幾乎每天都很癢，癢的時候我會隔著內褲去摳它來只癢，想問醫生這會不會是菜花之類的性病，但我沒發生性行為，怎麼還會發生這樣的事情 而且我也沒有像網路上的菜花症狀一樣，長很多顆小肉芽且會有奇怪的分泌物 我一直不敢跟家人說這件事情，怕他們覺得我很髒很噁心，也怕去婦產科檢查時，被醫生跟家人知道我會自慰，所以只能上來這個平台問看看醫生，我這樣的症狀大概是什麼病 | 提問者您好 依您症狀的描述較可能是接觸性皮膚炎或毛囊炎，建議注意飲食清淡、生活作息規律、維持會陰部的乾淨清爽，勿著緊身衣褲，若症狀持續需請醫師檢查才能確定診斷與治療，謝謝 祝 平安 健康 張 醫師 回 | [
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| 避孕藥 | 請問醫師 我在827日生理期第5天的時候因為有避孕的需求去婦產科諮詢並開始第一次服用溫不妊30膜衣錠但是7天後胸前起了紅疹擔心是溫不妊造成的所以回婦產科詢問醫生就幫我換成了愛斯麗安並跟我說可以直接從原本已服藥的7天繼續吃下去多出來的7顆不要吃就好 雖然醫生這樣說我也這樣做但還是有疑問畢竟是不同的藥這樣會不會有甚麼影響 後來看皮膚科似乎不是藥物的關係 如今我目前是已經吃完21顆後的第4天停藥期生理期還沒有來我的疑問是 網路上看過好多21顆吃完停藥7天不管月經停了沒或來了沒都接著吃下一盒但是我的醫生是跟我說21顆吃完之後等月經來的第5天在吃下一盒她的意思是不管第幾盒都是月經第5天吃如果照醫生的說法來吃我服用下一盒的時間就超過7天停藥期這樣是可以的嗎還是我照著大眾說法停7天後就吃下一盒 往後的第3盒第4盒如果也是同樣超過7天的情形那這個在這停藥7天加上等待生理期第5天的時間有性行為內射的話是否安全不知道停藥時間過長會不會又變成需要服藥7顆過後才有避孕的效果 另外如果超過7天生理期沒來是否需要回診 因為醫生的說法.網路文章.愛斯麗安說明書寫的都不太一樣我第一次吃有點一頭霧水問題頗多麻煩醫師了 | 在827日生理期第5天的時候因為有避孕的需求去婦產科諮詢並開始第一次服用溫不妊30膜衣錠但是7天後胸前起了紅疹擔心是溫不妊造成的所以回婦產科詢問醫生就幫我換成了愛斯麗安並跟我說可以直接從原本已服藥的7天繼續吃下去多出來的7顆不要吃就好 雖然醫生這樣說我也這樣做但還是有疑問畢竟是不同的藥這樣會不會有甚麼影響 後來看皮膚科似乎不是藥物的關係 Ans 影響不大 如今我目前是已經吃完21顆後的第4天停藥期生理期還沒有來我的疑問是 網路上看過好多21顆吃完停藥7天不管月經停了沒或來了沒都接著吃下一盒但是我的醫生是跟我說21顆吃完之後等月經來的第5天在吃下一盒她的意思是不管第幾盒都是月經第5天吃如果照醫生的說法來吃我服用下一盒的時間就超過7天停藥期這樣是可以的嗎還是我照著大眾說法停7天後就吃下一盒 Ans 醫生的說法和大眾說法都對 選擇合適自己的作法 往後的第3盒第4盒如果也是同樣超過7天的情形那這個在這停藥7天加上等待生理期第5天的時間有性行為內射的話是否安全不知道停藥時間過長會不會又變成需要服藥7顆過後才有避孕的效果 Ans 等待生理期的時間有性行為內射的話是安全 另外如果超過7天生理期沒來是否需要回診 Ans 是不需要回診 但醫生的說法麻煩正在此 | [
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16腫瘤科
| 硬塊 | 我想問一下 我胸部有個硬塊. 我去看醫生的話需要脫衣服嗎 我聽別人說還沒結婚的女人醫生不會這樣要求是嗎 | 您好 您已發現問題了是應該就醫觸診否則醫師如何知道您的症狀. 您如害怕應與母親前往或找人陪伴。 祝安康 | [
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| 麻醉 | 黃麻醉醫生你好，我本人要接受全身麻醉進行手術，但對全麻害怕不己，造成手術沒有進行，全麻造成嚴重生活心裡壓力好大，己看身心科，我真的不知如待是好，病情也一直放到現正，影響家庭，手術分大小，麻醉無大小，請黃醫生賜教，感謝 | 全身麻醉藥物及相關設備等目前非常進步，如果您本身沒有慢性疾病或身體狀況，麻醉造成之死亡率非常的低，基本上可以放心交給麻醉醫護。若您還是有疑慮，可以直接洽詢您要手術醫療院所的 "麻醉科醫師" 不是 "麻醉師"！，跟醫師直接面對面對談，講出您心裡擔心的點在哪裡，相信應該可以獲得滿意的解決！ | [
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1精神科
| 憂鬱 | 今年30歲 記得在高中的時期，我就有想要死的念頭，不以為意， 大概兩三年前，我忽然看身邊的人不順眼，情緒起伏非常大，暴躁易怒，想把身邊的人都趕走， 有一天家人感冒去看醫生，隨口問了我的症狀，醫生直接開了欣解給我，吃了一陣子之後情緒稍微好一點 但我現在時不時還是會有情緒低落，非常負面的想法，比如覺得自己活著沒有意義，不值得被愛，沒有價值. 甚至想輕生 並且我在一段關係中，有著非常強烈的控制欲，我想知道對方的一切，不允許對方有一點欺騙及隱瞞 若是結果不如預期，我會容易憤怒，歇斯底里，在憤怒的時候常常感到胸口不舒服，哭泣， 原先約定好的事情，若臨時更改，我也會因此生氣。 請問我這種情況是有憂鬱症嗎？ 控制狂的狀況是人格有問題嗎？可以治療嗎？ | 網友 妳好： 請問我這種情況是有憂鬱症嗎？ A確實有可能是憂鬱症，建議要持續和您的醫師討論是否藥物調整，以期達到症狀完全緩解。 控制狂的狀況是人格有問題嗎？可以治療嗎？ A每個人有每個人的個性，如果這樣的控制欲造成生活上很大的困難，就建議接受個別心理治療，請專業的心理治療師協助您。 吳恩亮醫師 | [
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5泌尿科
| 術後問題 | 醫師好 之前去做過割包皮手術 現在傷口完全癒合後覺得陰莖下方有點緊，感覺可能是割太短的關係 因此勃起後會有點不舒服，但是習慣一下就好一些了 想請問如果這樣除了對自己覺得不舒服外，還會有可能造成其他問題嗎包皮割太短的部分 感謝回復 | 您好：因為包皮有彈性，除非勃起真的差的很大（也就是說勃起變大很多）很難說有太短的問題，除非真的切很多包皮，此現象有時是疤痕比較嚴重造成的，可能要由醫師診查後才說如何改善。祝健康。 | [
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6骨科
| 骨折 | 醫師您好，我11月底打球翻船受傷導致第五蹠骨根部處骨裂，最近一次回診照X光片，裂縫之間有白色霧狀的骨痂，卻始終沒有補滿裂縫，骨裂痕的痕跡依然存在。 近期已經恢復簡單運動，走路跟慢跑已經沒有疼痛感 請問有什麼方法能加速骨痂的生長呢？ 或是已經來不及癒合了？ | 您好， 如果已無症狀只須定期X光追蹤即可， 多半半年骨裂症狀就會消失。 彰化醫院 關心您的健康 王守吉 | [
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| 避孕藥 | 張醫師您好， 我第一次吃事前避孕藥，吃的是洛依欣zoesyn、第二天第2顆。 想問：吃到第21天 （第21顆）如果無套的話這樣是否有懷孕的可能性？另外該吃滿幾天才能無套呢？還是我必須得再吃事後避孕藥？煩請醫師回覆了。 | 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。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。謝謝 祝 平安 健康 張 醫師 回 | [
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| 自慰 | 醫師您好，我今年27歲， 我自慰時勃起功能很正常， 平時自慰平均兩天一次。 最近交了女朋友發生關係時卻硬不起來， 之後相隔幾天試試也無法硬起來， 請問是不是陰莖習慣自慰的刺激，而無法硬起來呢？ 我試過兩個月不看情色片，只靠非限制級的圖片自慰， 但還是無法硬起來，所以應該不是情色片刺激的問題， 那麼想要改善是不是應該先不要自慰呢？謝謝。 | 您好 不知道您是否是第一次性行為，聽起來像是第一次表現不如預期，之後越要練習，但是壓力越大。感覺與過度自慰比較無關，建議放鬆心情幾天，若是仍有困擾，再至泌尿科門診諮詢或檢查。 | [
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