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0婦產科
| 流產 | 想請問一下 現在真空吸引流產手術的費用範圍大概是多少到多少呢 一般婦產科診所有此設備嗎 | 請先至門診檢查確定週數，與了解墮胎法規。可先電話諮詢診所或醫院是否有執行此項手術。 | [
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22戒菸
| 戒菸門診 | 醫生您好 小弟菸齡11年一天一包近4年嘗試戒菸4次戒必適、貼片、口嚼定、吸入劑 卻都屢屢失敗.最長時間維持3個月. 讓我對自己好失望也很挫折.本身也有憂鬱症纏身 上個禮拜又去嘗試戒菸到了藥局拿了戒菸貼片 但不知是否劑量不夠我發現效果好像沒有很好 抽菸的慾望扔然很大還是每天5-10根. 我知道這樣不行可是我就是敵不過心中的壓力與慾望 真的對自己好失望也讓太太對我好失望 醫生想請問你.還有什麼方法 真的很無助. | R先生您好 憂鬱症容易讓人感覺悲觀和無助，產生消極的想法，您可與您的醫師討論透過有效有效的憂鬱症治療可以讓你用更積極的態度來面對戒菸，過去我們也發現，很多時候當情緒改善時，通常菸癮也會大幅下降，戒菸只要有心一定都能成功。 至於戒菸藥物只是一種輔助方法，戒菸的方式很多元，包含靠自己的意志力、周圍親友支持、醫療團隊建議與鼓勵或甚至是戒菸專線的支持也都有幫助，另外您可以就近找適合您的門診戒菸和醫師討論，找出最適合您的戒菸方式，感謝您的來信，祝您戒菸成功。 | [
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| 龜頭繫帶問題 | 十天前去割了包皮，醫生順便幫我割了繫帶，到現在我的繫帶依然紅腫，還會有一些些分泌物，醫生叫我把紗布拆開保持乾燥，但到現在傷口也還沒結痂，我有吃藥也有擦藥但沒有見效，請問繫帶這樣該怎麼處理會好嗎因為感覺大家都一個禮拜就好了 | 您好 包皮手術後 繫帶處或是其他位置發生紅腫分泌物多是仍有小傷口 注意勿弄到水 保持清潔乾燥 萬一有弄到水一定要消毒傷口很快就會好了 祝健康 | [
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0婦產科
| 是否懷孕 | 醫生你好！我的月經大概是19-113這幾天來，但我的經期大概來三天左右而已第四第五天都只剩一點點，我有在119-121發生性行為都是內射，大概沒幾天後就開始漲奶，前期是非常漲很敏感乳頭也會痛，然後在126又有一次發生關係也是內射，我的胸部還是脹痛但是沒有一開始那麼敏感，我的下腹部左右都有隱隱的抽痛，我在127、29都驗不到，但我漲奶已經漲很久了，下腹部也是一直抽痛，想問我這樣是否有懷孕，懷孕機率大嗎？ | 您好 是否懷孕要觀察，一般驗孕要等到月經該來的時候再驗，因此要到28號驗。祝健康 | [
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2牙科
| 牙縫清潔 | 感謝醫師於上個問題的回應 不好意思這邊想再補充提問 上次有提到我一天刷牙頻率為兩次 但我是睡前 還有剛起床的時候刷牙 因此整天下來 每次餐後都是只有清水漱口 沒有刷牙的 以及有時候像出門玩的時候會整天斷斷續續的吃喝 或者買一杯手搖飲 沒辦法一次性短時間內喝完 所以會一直等到整體食用完畢才一次性的以清水漱口 以我這樣吃東西咀嚼和喝飲料都會伴隨"使用食物本身漱口"的行為 這樣子的清潔模式是否足以讓我的飲食習慣不會對牙齒造成危害呢 非常感謝 辛苦了 | 您好 因為也不可能每天都出門玩跟每天都整天吃喝，所以應是很好的清潔習慣了，無須過度憂心。 | [
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15復健科
| 關節 | 醫師你好，請問患有類風濕性關節的患者，請問可以健身及重力訓練？有查過資料適當的運動及肌力訓練是可以。那例如舉亞鈴，慢慢增加磅數，這樣會造成關節過度負荷嗎？會加速變型嗎？ | Hi Rita 您好： 類風濕性關節炎仍可以健身，注意的要點是不要造成小關節的負荷，如手指關節，不要過度拉筋，易造成關節軟組織發炎，如肌腱炎、韌帶拉傷 中等程度的有氧運動，如游泳、騎腳踏車 祝您身心健康、平安喜樂 | [
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| 月經問題 | 醫師您好， 我在打完第一劑AZ以後，第一次出現經期延遲快一禮拜才來，而且兩次月經中間還有出現兩次橘紅色帶血分泌物，且容易有下腹壓痛，我本來想說應該是AZ副作用。 後來週期改變，打第二劑AZ這次突然提早一週來月經，來之前雖然沒有看到明顯帶血分泌物，但驗尿一直有血絲，後來也是正常來月經，但今天已經第八天了，還是多多少少有一點血，本來要結束的時候血都會是棕色的，我的經期大約6-7天結束，今天已經是第8天了，但上廁所還是有橘紅色或粉紅色的經血（但以量來看比較像是帶血分泌物，墊衛生棉一整天幾乎沒有幾滴，但上廁所擦會看到） 1.請問這可能是AZ副作用嗎？ 2.第一次遇到月經期過長，請問這有需要去看婦產科嗎？還是可以先觀察幾天？ 3.打疫苗前有因下腹痛照過腹部超音波與陰道超音波，醫師是說看起來沒問題，應該是排卵痛；第一劑AZ也諮詢過出血問題，說可能是排卵期出血，但這次是直接接在月經後面，應該沒這麼快排卵，請問這有可能是排卵期出血嗎？ 謝謝您 | 您好 出血時間有點長，有可能是打疫苗的關係，不過還是建議到婦產科看看。祝健康 | [
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| 陰部問題 | 醫生您好 偶爾會有陰部輕微搔癢的感覺但頻率很少 昨日自行檢查發現小陰唇靠近陰道處有白色類似粉刺的點點也不知道什麼時候有的 身體上並無任何不適請問這是何種症狀呢 | 你好 沒有親自診療，不宜給予診斷。但以妳表述的狀況，有特殊病變的機率不高，如你並無不適，可選你方便的時間婦產科就醫，可切實了解你的狀況，你的醫師應會與你解釋你所關心的問題。 謝謝 | [
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5泌尿科
| 自慰 | 請問醫生自慰是邪淫嗎比如過度自慰會適當自慰何謂過度自慰跟適當自慰為什麼有自慰就說是邪淫的文章一大堆好困惑謝謝醫師解釋 | 無論男性女性 有正常的生裡需求都是健康的表現 適度的自慰對身體甚至有可能正面的效果 例如目前有醫學文獻指出射精可能可以減少攝護腺癌或者對排除輸尿管結石有幫助。請不用擔心。 | [
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| 懷孕 | 醫師你好： 我想問我的狀況是否是受孕了 我上個月月經是228-3434開始吃悅己的調經避孕藥 吃三天中斷一天後又吃三天⋯就因為吃藥會頭暈不吃中斷（中斷日期310 312月經就來了血色正常的（但前兩天的血量很少 第三四天最多後來就慢慢沒有了到316結束🔚 其實月經結束後都幾乎每天做功課但是沒有射 到331內射第一次 41 、42、43、45、46都有內射沒防護 然後44第一次流出咖啡色的分泌物只有一點點 從4號開始就覺得自己身體很熱 肚子脹痛 很累 加上自己有運動習慣就沒有往常來的給力 頭暈分常嚴重 胸部明顯變圓了 有點脹痛感 46號去看醫生 醫生說我子宮微微出血 給了我消炎藥跟抗菌藥和塞劑給我 當時候問醫生 他說現在看不出來 然後我46第一次自己驗孕 一條線 48號第二次驗孕 還是一條線 請問我這樣是真的懷孕了嗎 | 提問您好口服避孕藥必須每天規律每天同一時間的服用，才能達到效果，尤其是前12天的藥劑，不可遺漏，否則避孕效果不佳。每一種複合型口服避孕藥的顆數劑型不一樣，按照指示方向服用避孕藥。 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。如果漏掉天數超過24小時以上，停止目前服用的避孕藥，停藥七天包括你漏吃藥片的天數，然後繼續服用下一週期。當發生漏吃藥，於接續服用藥片不需服藥的中段期間如果沒有預期的消退性出血，就需懷疑有懷孕的可能。 因此建議如果月經期一週以上還沒來或是不確定的話，仍然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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5泌尿科
| 藥物交互作用 | 我裝有一支支架每天服用血壓藥 膽固醇藥抗凝血藥最近有勃起功能障礙以及夜間頻尿影響睡眠友人介紹每日服用犀利士5mg每日錠可同時改善勃起障礙以及夜間頻尿的問題我適合服用嗎 | 您好 個人不建議 因為有些心臟藥物會產生交互作用使其產生低血壓機會雖不大 但是確有可能發生的. 如果使用至少要有一個心臟科醫師1對您的用藥2心臟情形 作詳細的評估且要定期做評估因為人體情況會有改變評估也需定期 祝健康 | [
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13肝膽腸胃科
| 腸胃問題 | 妳好，我胃有問題以警很久一段時間了 我從小到現在就一直很瘦，想變胖都無法變胖 我的症狀是胃有時會痛，早上起來會想吐 吃完東西後或者其他時間有時也會嘔吐 胃那個地方用手去壓也會痛 有時把吃的東西都吐出來，我近幾年好像發現我越來越瘦 有時沒吃東西就吐一些胃酸出來 因為我本身吃素，從小到大都被人家說我是瘦皮猴 我一直想去檢查我到底哪裡出問題，但是我都沒有去 我只有去中醫，他們說是慢性胃炎，我已經24歲了 很瘦.真不知道該怎麼辦？ 有點想去照胃鏡，可是家裡人說不要 叫我吃中藥.不知道能不能改善 | 回覆： 您好 上腹痛、吃不胖、嘔吐，有可能是器質性的病變，如肝、膽、胃、十二指腸、小腸、胰臟，或內分泌的問題，如糖尿病、甲狀腺的問題、電解質不平衡，也有可能是神經或精神方面的問題，建議還是要就醫檢查判斷檢查判斷是那方面的問題才能對症下藥。 內科袁宏道醫師敬覆 | [
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| 鼻子問題 | 自從去年去月上次感冒後就.就長期左右輪流鼻塞.長期喉嚨有痰喉嚨癢.鼻水到流耳朵塞塞的偶而咳嗽.這樣讓我時常精神不記. 睡覺時常嘴巴積滿痰長起來吐痰起床時痰也很多睡覺時痰會特多 已經快一年多了.到現在都沒有好 看過很多間耳鼻喉科都沒有效治療很久了吃了一大推的藥. 都說是鼻子過敏引起的這是為啥看醫生也看不好. 我是否該去做什麼檢查 | 長期鼻塞鼻水倒流，首先要尋找發病原因，再對症下藥。由於引起鼻塞鼻水倒流有痰等的原因有很多，有些原因確實不易根治，如過敏性鼻炎等.，但仍要控制，以免產生併發症。 | [
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5泌尿科
| 尿道問題 | 我在三月時得到淋病 那時去一家私人泌尿科看 吃了四天的藥及打了兩針 之後壓繫帶下方 及捏尿道會一點點痛 尿尿要用手擠一下才會乾淨 麻煩醫師答覆了 謝謝 | 您好 淋病後尿道壓通且尿液有殘尿現象可能原因有1.慢性尿道炎2.尿道炎後引起尿道狹窄3.其它細菌性或非細菌性尿道炎請至泌尿科門診檢查. 行政院衛生署桃園醫院 泌尿科陳修義醫師敬覆 | [
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| 中耳炎 | 陳醫師您好 於3月6日曾問中耳炎問題，再請教 1.若醫師說已好但耳朵還有點紅是否須將抗生素整瓶吃完 2.容易感冒是否與體質有關，是否有可能為免疫球蛋白缺乏， 免疫球蛋白缺乏是否與遺傳有關，1歲是否可檢查免疫球蛋白 3.因小孩感冒曾得肺炎，請問肺炎球菌疫苗，是否須施打 痳煩陳醫師回答 | 如小姐： 中耳炎若已有改善，但耳朵（耳膜還有點紅），應是中耳腔的發炎情形未完全控制，因為若內有殘留的細菌尚未消滅，則再次罹患的機會將大增，所以建議妳再服用一至二個禮拜，以免產生抗藥性。 容易感冒並非一定是免疫球蛋白缺乏，可能是小孩子免疫系統尚未發育完全或天氣變化太大所致，而免疫球蛋白是可以檢查的。 至於肺炎疫苗，除非小孩子本身有其他潛在疾病，否則正常小孩是不建議施打的。 | [
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| 愛滋病 | 劉醫生您好，我曾在新聞報導中聽過有人在公共場所遭不明人士所放置的針頭所刺傷，而有可能因此得到愛滋病，請問這是真的嗎因為我聽說愛滋病毒在空氣中很脆弱，在空氣中五分鐘內就會死光光，所以如果有愛滋病患者真的把帶有病毒的針頭放在公共場所，等到下一個人被刺到時往往過了五分鐘以上，所以根本不用擔心傳染，不曉得哪種說法才是正確的，希望您能答覆一下，謝謝 | 嘿！真的有那種人那麼不小心剛好坐在針頭上？愛滋病的傳染大部份都是因為体液的接觸而傳染的，單單只是針頭應不會傳染，除非針頭裏有愛滋病帶原者的体液而且是新鮮的。基本上我們一旦因生病要打針一定要用新的針筒及針頭，絕對不能一針多人使用否則即使不會得愛滋病也容易受到其他的傳染病的感染，如肝炎、、等。想知道更多有關愛滋病的消息請到衛生署的網站查看。 | [
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| B肝抗体 | 陳醫師 1.沒打B肝預防針而有抗体是否表示感染過B肝 2.雖有抗体不再感染，此後有否可能發作B肝或肝癌 3.要注意什麼事項 謝謝 kazu敬上 | 網友您好 有表面抗體表示有感染過且有抵抗力，但不能完全保證不會發生肝癌机會很小。若無危險因子如家族肝癌則多不必擔心。 祝平安！ | [
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0婦產科
| 排卵期 | 曹醫師您好 請問排卵期後就出現胸脹按壓才會有感 是不是代表這個週期沒有懷孕的希望了 這個週期吃排卵藥，有3顆1.9的卵子，然後於8月5日打破卵針 因為我懷老大跟上一個沒心跳流產的二寶，都沒有出現胸脹， 有檢查泌乳激素為27.6， 不知是否會影響受孕？ 上次流產至今，也兩年了，真的很焦慮， 謝謝曹醫師，麻煩您了！ | 您好 胸脹、泌乳激素為27.6和沒心跳流產無關，觀察即可。祝早日受孕 | [
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5泌尿科
| 睪丸問題 | 您好醫生，蛋蛋有時坐著痛，或是躺著也會痛，在短時間內，是什麼問題呢？ | 您好： 如果合併腫大，有排尿症狀，請速就醫診查，如果完全沒有，可能是循環問題，多注意勿久坐久站，內褲鬆些，少辛辣刺激，觀察看看會不會變好。祝健康 | [
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5泌尿科
| 輸尿管問題 | 醫生您好，兒子目前2歲10個月，在出生15天時發高燒住院確診出尿道感染並檢查發現有輸尿管逆流的問題，開始每天吃預防性抗生素到現在已經快三年了。之前每半年照一次超音波，右腎因為第一次感染時有發炎結痂，目前比左腎小一點，兩側均已沒有水腎。每年也做一次尿道顯影檢查，第一次是4級，第二次跟最近做的第三次都是3級。醫生開始問我們有沒有考慮開刀。我們非常猶豫，因為2年多來吃抗生素沒有復發感染，但是級數沒有再降讓我們很疑惑抗生素繼續吃下去這麼多年好嗎？雖然醫學臨床上好像可以觀察到6歲，但每天吃抗生素實在是很驚人，而且每年的尿道顯影檢查對小孩也是種折磨。但輸尿道逆流又可能長大後自行痊癒的。請問醫生根據以上的狀況建議繼續吃藥觀察還是開刀呢？適合注射玻尿酸還是微創手術呢？ | 您好 輸尿道逆流差異性很大有些自已改善的很好有的不如理想所以要由家屬及主治醫師依病情做決定後續治療 玻尿酸及微創手術都有人在做成功率不是百分之百 但是因為是小朋友要慎重 且要有經驗的主治詳細討論才能決定. 如果不能決定建議找醫學中心小兒泌尿科診查尋求第2意見. | [
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| 牙周病 | 看文章說牙周病是會傳染的，想請問如果家人有滿嚴重的牙周病，偶爾共食，沒用公筷母匙約2週一次，或是很偶爾共喝一杯飲料，會因此被傳染牙周病嗎謝謝 | 引起牙周病的細菌一般是壓氣菌式螺旋菌，如果家人有嚴重的牙周病，盡量還是公筷母匙，少共用餐具，減少相互感染的機會 | [
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4心臟血管專科
| 貧血 | 我有一位9歲的外甥女，香港人，現因罹患重度地中海型貧血，每月需至醫院換血，香港醫師建議骨髓移植，但香港醫界規定僅能由血親捐贈才能動手術，對我堂姐一家人而言有實際上的困難，故想請問，在台灣進行骨髓移植手術要有那些準備及申請？大約需要多少錢？之前我已去一些大醫院請教，但無人能回答。 我手中有小朋友的病歷，要如何才能請醫師看？而醫師看了是否能建議要如何得到上述問題的答案？請提供我一些詢問的管道，謝謝。 | IRIS 女士妳好： 重度海洋性貧血 以前稱做地中海貧血 的確是很麻煩的疾病，小孩子通常要一輩子輸血才能長大，但後來又因鐵質沈積破壞多種器官而需進行去鐵治療，光是去鐵療每年估計要花40萬以上台幣。 骨髓移植是目前最好的選擇，但是捐贈者的骨髓跟病人必須能配合，所以一般是以血親比較容易找到合適的捐贈者，無親屬關係者要找到合適的機會只有幾萬分之一。 然妳先別失望，台灣的花蓮慈濟醫院有全世界最完整的骨髓資料庫，建議妳與該院聯絡。今年二月慈濟醫院的新聞稿指出該院剛完成一例重度海洋性貧血患者的骨髓移植，妳可以與他們聯繫。 | [
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| 避孕藥 | 醫生你好，我有爬文也有去問過拿事前避孕藥的婦產科醫生，但還是不太明白一些問題，自己本身有在吃21天溫不妊事前避孕藥好幾個月了，但因為與男友本身遠距離，這次見面時間剛好是碰上吃新的一包藥內的第五顆藥，想請問： 1.很多人說，吃藥需滿七天以上基本才有足夠的避孕效果，但我不明白是指吃第一次吃的第一包頭七天還是每個月新的一包頭七天皆需雙重避孕措施（保險套）？還是說吃完第一包後的第二包、三包的第一顆就已產生避孕效果？ 2.如果吃避孕藥，有使用人生浣腸通便，會影響藥效嗎？因為我隨然知道腸道腹瀉、嘔吐可能會影響，但若是人生浣腸這類通便的不知道會不影響。 謝謝醫生。 | 1.很多人說，吃藥需滿七天以上基本才有足夠的避孕效果，但我不明白是指吃第一次吃的第一包頭七天還是每個月新的一包頭七天皆需雙重避孕措施（保險套）？還是說吃完第一包後的第二包、三包的第一顆就已產生避孕效果？ Ans 第一次吃的第一包滿七天以上才有足夠的避孕效果 2.如果吃避孕藥，有使用人生浣腸通便，會影響藥效嗎？因為我隨然知道腸道腹瀉、嘔吐可能會影響，但若是人生浣腸這類通便的不知道會不影響。 Ans 人生浣腸通便不會影響藥效 | [
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| 流產 | 呂醫生您好 我因胚胎沒心跳8週，上週進行流產手術 術後兩天幾乎沒出血但後來就出現咖啡色或鮮紅色少量出血偶有大腿痠的感覺 今日回診醫生照腹超說子宮內都排乾凈了且內膜也退回0.30.4一切正常 但奇怪的是今日血量突然變多且是鮮紅的色 所以醫生有加開五天子宮收縮藥給我 我想請教 1.血比前幾天多是正常嗎 2.醫生都說出血不要像月經那麼多就沒事但這是指跟月經第2.3天血量最多時作比較嗎 3.如果超過兩週還繼續出血是否應該回診照陰超比較詳細 | 回覆如下 雖然出血增加，如果沒有超過月經最多時的出血量，仍然可以先觀察，隔幾天有變少就可以。 如果持續大量或是出血太久10天以上）或是明顯腹痛，就要回診。 桃園醫院 呂理政敬上 | [
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10兒科
| 喝奶問題 | 醫生您好，請問5個多月快6個月的寶寶喝奶喝到睡著會突然全身顫抖、抖動，但是奶還是繼續喝叫他、摸他都還是會顫抖、抖動，一直到喝完奶才停止。 一個月內已經出現過3次，寶寶的症狀需要帶他去做檢查嗎？還是要在觀察？ | 感覺是較不尋常的動作，建議還是到大醫院小兒神經科評估有沒有需要排一些檢查，例如腦波檢查。 | [
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0婦產科
| 多囊性卵巢 | 醫師您好， 距離檢測出多囊性卵巢症以有半年，半年期間也服用避孕藥來調整經期，吃藥期間經期也都很規律，之後回診超音波發現卵巢旁的卵泡已消失，因此主治醫師建議可以停藥觀察看月經會不會順，可是停藥後的這個月月經已遲來10天左右，下次回診是6月底的事，想請問有需要去診所打催經針或提早回診之類的嗎，還是應該繼續觀察等到回診時在跟主治醫師討論？我擔心又會產生不成熟的卵泡留在身體裡。最近也因常吃外食體重有稍過重，還是應先控制體重觀察等下個月看會不會來？ | 您好 可以先回婦產科看診，可以先吃催經藥，等月經來時再吃排卵藥調經。祝健康 | [
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| 鼻子流血 | 三個月前因為挖鼻孔流血看過醫生照過鼻咽內視鏡沒有問題，但醫生跟我說其實可以不用挖鼻孔，所以我都一直很小心，偶爾才挖，且都是在洗澡時水氣比較重時挖。 這幾天天氣變冷開了暖氣，今天洗澡挖鼻孔時有一點點血，鼻內有乾燥感，因為不想動不動就小題大作去看醫生浪費資源，想請問鼻血究竟是要怎樣的程度才需要注意，一般挖鼻孔若鼻屎有一點點血其實不用在意嗎 因為我母親曾經一周流好幾次鼻血，都是那種喉嚨會吞到鼻血的流法，之後有去榮總開刀雷射止血，造成我心理陰影特別擔心鼻血。但我本身的鼻血都是挖鼻孔時偶然一點點血，或者拿衛生紙塞鼻孔時磨破皮一點點血這樣，想這樣的情況是否自我觀察即可，若大量流才需就醫 謝謝，祝醫生平安 | Hi： 您好， 若是挖鼻孔時才看到的少量出血，且不會持續出血，可先自我觀察如果不碰觸鼻子也會反覆出血，或持續鼻涕或痰中有血絲，就需就醫檢查確認。 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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| 避孕藥問題 | 我吃事前避孕藥第二個星期了，但漏了一顆，也忘了補吃，這樣還有避孕效果嗎？很急 | 提問您好 每一種複合型口服避孕藥的顆數劑型不一樣，按照指示方向服用避孕藥。 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。 如果漏掉天數超過24小時以上，停止目前服用的避孕藥，停藥七天包括你漏吃藥片的天數，然後繼續服用下一週期。當發生漏吃藥，於接續服用藥片不需服藥的中段期間如果沒有預期的消退性出血，就需懷疑有懷孕的可能，謝謝 祝 平安 健康 張 醫師 回 | [
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16腫瘤科
| 淋巴 | 曾醫師您好： 我是黑色素細胞癌患者，去年手指指甲下經整型外科診斷為黑色素細胞癌因而切除一小截，也定期回去追綜，上月份發現淋巴腺腫，經穿刺為發炎，但該顆並未消失，是否有可能為轉移，若是轉移其進展程度為何黑色素細胞癌化療及放射素治療效果不好，若是不治療存活多久，煩請解答，謝謝 | 您好 經穿刺檢查只是發炎應繼續觀察即可若仍不放心則可考慮整顆拿出來作切片檢查。現未證實轉移不必擔心存活問題如實在很擔心天天睡不著經濟許可的話可自費作PET scan檢查費用約5萬多元台北地區榮總.台大.新光醫院均有此檢查中部地區有中山醫學附設醫院有此設備。 行政院衛生署桃園醫院敬祝安康 腫瘤科曾玉華醫師敬啟 | [
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| 卵巢 | 我有多曩性卵巢已經2年了.月經每月都要打催經ㄉ才來.2年來看了3家婦產科每一次都連續看半年多也看自費ㄉ拿藥都沒有效.曾看過一篇可用開刀ㄉ方式.請問開刀好ㄇ會有後遺症ㄇ這2年來我一直胖起來胖20公斤也一直長腳毛以前沒有腳毛 頭也越來越少了.請盡快告訴我 謝謝 | 發胖長腳毛及月經異常這些確實是多囊性卵巢的症狀，去醫學中心詳細檢查較妥。 | [
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5泌尿科
| 輸尿管鏡碎石術 | 醫生你好 想問做完輸尿管鏡取石術及碎石術有用雙Ｊ型輸尿管導管 術後第五天 進行DIY 排出時出血 想問這樣是直接要回診自療嗎 會有什麼影響嗎 謝謝. 像這種裝況下什麼時候才能行房跟DIY 謝謝 醫生您好因輸尿管之前檢查出結石因此做了碎石手術但是已經三次了我自己也沒感覺到石頭明顯排出且回診還是有腎積水問題醫生推薦我直接做輸尿管鏡碎石術此手術有無健保呢？還是需要自費當下我有詢問醫生他回答有健保無需自費但是我在網路上查詢幾乎都是需要自費. 杜醫師您好！請問您 我有輸尿管結石，卡在輸尿管內，目前裝有雙J導流管。我的輸尿管太窄，而結石太大、太硬，曾經嚐試傳統的尿道內視鏡手術，但無法對準結石，也夾不出來！ 請問您：在這種情況下，可以使用自費的軟管輸尿管鏡碎石手術嗎？如果可以！大約需要多少自付額呢？感謝您的解惑！謝謝您！！ 昨日進行輸尿管碎石術，一開始有腹痛，嘔吐，服用止痛劑後舒緩許多， 然今日用完餐後又突然腹痛不已，請問是否為術後正常反應？ | 您好： 雙 J管有時會造成腹痛，出血，腰痛，情形不嚴重多半合理，建議注意有無排尿痛，發燒等嚴重感染的情形，多喝水，如果會排尿痛，發燒畏寒程度嚴重，建議就醫，因為您有出血情形，建議10天-2星期才有性行為，或是拔除了再性行為。祝健康 您好 基本手術是健保給付個人交的是部份負擔 但是如果術中有些特材 因為健保不給付會先給患者填自費同意書 一般大醫院都很有制度依健保法規收費 術前也會說明填同意書 您網路看到的應是一些個案醫院也先會填自費同意書 您可先和醫師討論 祝健康. 您好： 個人意見，很大的因素在醫師判斷，有沒有辦法解決硬式鏡不能完成的結石。另外費用各醫院不同，但應經公家核定，可至手術醫院網站自費公告網頁查詢。祝健康 您好 輸尿管鏡碎石後 多半會有排結石的現象 如果體內有暫存導管 也會有些症狀 如果沒有發燒多半服藥多喝水 依時回診就可以 祝健康. | [
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1精神科
| 壓力 | 嗨嗨林醫師： 最近好幾個月覺得自己讀書壓力很大 一休息就會覺得自己在浪費時間 一直覺得自己很糟不夠努力 有點像惡性循環 讀書的時候覺得自己還不夠專心會一直檢討自己 休息的時候（正常休息時間）覺得自己很爛應該要更把握時間讀書 導致我讀書時及讀書結束後完全感覺不到快樂（僅限讀書放假時都很快樂） 甚至壓力大到不會大便 但跟自己說今天完全休息不碰書的時候 會突然感覺到放鬆心情很好也會想大便 甚至因為這樣看了腸胃科 想請您先給我一些心態上的調適建議∼∼ 我覺得我現在心態很不好 非常需要一些幫助我改變心態的建議 謝謝🙏辛苦了 --------- 之前問過醫生好幾次問題您真ㄉ很用心很暖XDD真的很感謝 希望這是最後一次打擾您ㄌ 感覺已經好很多剩下這個問題也自己停藥快一年ㄌXDD | 嗨妳好： 妳可能要先想想自己讀書是為了什麼，如果是為了準備考試的話，那麼除了讀書以外，休息也是很重要的，因為唯有適度的休息，才能夠提升妳讀書的效率，如此才能夠在考試時有好成績。否則只顧著唸書而沒有休息，容易造成過度疲累而精神不濟，這樣子讀書的效率不會好，也不容易在考試中有好表現。就像職業的籃球員一樣，他們不可能每天都上場比賽，並且每場比賽都打滿全場，這樣一定會造成運動傷害的。所以妳休息是為了讓自己更有效率地唸書，這絕對不是浪費時間或偷懶喔！加油！ | [
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| 月經 | 醫生你好 我的月經大概都來五天 這個月7月7號來 今天12號中午時就沒什麼血了 之後上廁所也沒血了 就沒墊任何衛生棉之類的 然後有喝冰飲 結果晚上差不多9點時感覺有漏什麼馬上到廁所看 內褲有血還透到褲子上 擦拭時還有像月經內膜的血塊 稍微用力還是有血流出來 流了一些後就沒有了 請問是因為喝冰的所以又收縮嗎 還是什麼原因呢 | 回覆如下 可能性很多，可能是冰飲的影響，也可能是亂經，也可能是很早期流產誤以為是月經。請再觀察，如果沒有持續出血，沒有腹痛，應該沒關係；如果持續出血，或是腹痛，就要到醫院檢查。 桃園醫院 呂理政敬上 | [
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| 小兒生殖器官 | 醫生您好 我在幫小孩檢查尿布是否該換時當時好像才10個月因為是可重複使用的布尿布貼著屁屁很緊手指伸進尿布時確誤壓到小孩的睪丸一天之內3次當時小孩張大眼看著我我沒特別想什麼但現在小孩己經一歲8個月我注意到小孩的睪丸有一大一小的狀況我很擔心是不是造成睪丸受傷影響未來生育問題 | 男性陰囊內的兩粒睪丸形狀、大小、高低完全相同的人，其實不多，所以睪丸一高一低、形狀不同或一邊大一邊小的人也不少。睪丸一大一小不會影響未來生育問題。單純手指誤壓到睪丸應也不致影響睪丸發育。 | [
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15復健科
| 背痛 | 李醫師您好，我約20年前大學時，由於該時電腦螢幕都是體積龐大的CRT螢幕，只能斜放在右手邊以節省桌面空間，故造成我約有一學期的時間，每天都是採頭部歪向右邊而身體未完全同步右旋轉的方式使用電腦，自該時之後至今，一旦身體維持同一個姿勢過久如騎較長途機車，就會感到左肩膀靠近脖子下方處的背部肌肉應為上斜方肌疼痛不已，要放鬆姿勢後才能緩解，想請問此一問題會是我當初姿勢不良為期數個月所造成的後遺症嗎是否未來也難以痊癒了呢謝謝醫師的回覆。 | 建議於復健科門診接受超音波及X光檢查，確定是否有神經壓迫情形 | [
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0婦產科
| 避孕藥 | 醫生你好 我想請問713經期第一天，第一次吃事前避孕藥，在717（服藥第四天）跟男友無套外射，請問這樣懷孕機率高嗎？是要服藥到第七天才有避孕效果嗎？需要去買事後避孕藥嗎？我都有準時吃事前避孕藥 那吃事後會跟事前藥有衝突嗎？ | 您好 避孕藥有按時吃就有效果。祝健康 | [
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5泌尿科
| 精索靜脈曲張 | 醫師您好我四個月前開了兩側的傳統高位結紮精索靜脈曲張手術，左邊已經不太痛了，但是右邊因位小時候開過疝氣，所以感覺復原比較差，傷口約五公分表面皆以癒合，但是右側內部只要運動或走路時間過長約半小時即會感到刺痛，痛到連走路都不太方便，用手觸摸右邊的硬塊明顯大很多，想請問一下這樣正常嗎會不會跟傷口沾黏有關，我要先不運動還是持續保持運動比較好因為已經多次找原開刀醫師複診，但他都說傷口外表看起來沒事叫我再等等，在開刀當時醫師即表示因為小時候開過疝氣所以讓他右側找靜脈找很久，在開刀時雖有打麻藥但右側再開時就感到疼痛，如果疼痛持原醫師又無法解決能找其他科醫師看診嗎例如疼痛科或是神經外科 | 小白： 你好 可能根局部傷口沾粘有關，可以局部熱敷來改善循環，應該可以有效改善。 另外，若有腫脹，可能有線頭過敏的現象，嚴重時，需要開刀將裡面的線移除。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 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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9整型外科
| 眼皮抽脂 | 醫生您好 我今年暑假因睫毛倒插到整形外科做了割雙眼皮的手術手術方法是用割的，而我本來就是雙眼皮， 至今也快五個月了，但上眼皮仍然呈現明顯的厚腫，而且有眼皮無法完全閉合的情況，這令我懷疑手術是否失敗了， 但上次回診醫生卻說只是還沒恢復所以眼皮還太腫、閉不起來，久了就會改善， 我上網查了很多，術後就算還沒恢復也不應該有閉不起來的現象， 請問醫生我這是失敗了嗎有方法復原嗎這讓我現在很害怕別人看到我閉眼. 請問醫生建議我去原醫院在問一次還是到別家醫院呢 另外，眼皮無法閉合是不是會造成甚麼眼睛的問題呢 不好意思文有點長，謝謝醫生的協助。 | 1. 在這種情形下，真的很少有眼皮無法閉合的問題 2. 一般而言，如果經過了幾個月，消腫後 約8-12 個月，仍無法閉合，才需要手術 3. 可以去一家信任的醫院，或是詢問第二種諮詢 4. 眼皮長期無法閉合，會造成角膜磨損，乾澀。最好在這一段時間內，睡前塗抹眼藥膏，以防乾澀致角膜損傷。 | [
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16腫瘤科
| 鼻咽癌 | 我爸爸本身鼻咽癌確診時已經是4期，但是沒有遠處轉移，有到頭頸的淋巴部位，左眼視神經。 一開始先進行了9周的化療，化療後做了核磁的結果顯示癌細胞大約減少60，目前在做為期7周的放療1周5天化療1周1天，已經完成3周，但是因為照射範圍比較大的關係，他開始有出現視力衰退，虛弱吃不下東西，左邊牙齒牙齦裝假牙的部位有出血，不太能咀嚼，買了流質營養補充品也喝不下，體重有下滑原本越70.9，這週掉到69.5，他開始產生抗拒放療的想法。 醫生說目前大約剩下20左右癌細胞，想瞭解一下如果這時候停止放療，會造成什麼後果呢？ 如果剩下4周的放療減少每週次數，延長成6周之類的，會改善副作用嗎？ 而他一直認為西醫治療方式將好壞細胞一起殺死，想要用中醫調理，請問在這段放療化療期間是適當的嗎？ | 艾傑／29歲／男 1. 停止放療，會造成什麼後果呢？ A：腫瘤長大壓迫視神經 左眼會瞎 在侵犯腦部、鼻子、 脖子淋巴結復發長大會吃穿皮膚流血流膿 也可能轉移到肝臟 肺臟 骨頭 而引起種種不舒服的症狀 2. 如果剩下4周的放療減少每週次數，延長成6周之類的，會改善副作用嗎？ A 效果變差 無法完全殺死癌症 就是在自己身上放定時炸膽 3. 想要用中醫調理，請問在這段放療化療期間是適當的嗎？ A：調理不是治療癌症 二者並行 堅持放射治療最重要 可以每天嗎啡止痛 吊點滴補充營養 也可以考慮住院治療 祝早日康復 桃園醫院 陳斯榮 | [
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| 陰莖問題 | 許醫師您好： 我一年前有做陰莖彎曲矯正手術，現在我的陰莖下部位碰觸到時，會有刺痛感．而我前幾天有回診詢問醫師，醫師說當初動手術時，並沒有動到那地方，而現在的刺痛感可能是神經方面上的痛覺，我想請問一下許醫師，為何會有這種狀況呢？謝謝許醫師． | 小羅： 你好 不知道，或許真的是因為神經的問題。 局部熱敷或許可以改善。 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。 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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5泌尿科
| 副睪丸炎 | 醫師您好 我於819開始 左邊腹股溝處 按壓及走路時都會疼痛 本以為是拉傷或疝氣 但先看過一次醫師說不是疝氣 之後過了兩週 開始感覺左邊睪丸有點垂墜感 悶痛 脹尿時 悶痛感較明顯 但沒有腫大 也沒有分泌物 沒有發燒 但食慾不加 於94 因爲登山 水喝很少 流很多汗 於上大號時 有滴出四五滴血 於95至大醫院就醫 醫師安排了腎超 膀胱超 驗尿 但沒做陰囊超 報告結果顯示皆正常 於是醫師臨床診斷為急性副睪丸炎 先開了抗生素兩週 想問的是 1.副睪丸炎 有可能不腫嗎？ 2.症狀開始後 有時睡覺會被尿意叫醒 但尿出不多 每晚約一次 是疾病關係嗎？ 3.那樣滴血 （偏深色） 只是因為運動量大沒喝水造成的可能嗎？因為驗尿說正常 再麻煩醫師了 謝謝 | 您好：1.副睪丸炎 有可能不腫嗎？可能只副睪略腫，睪丸不腫 2.症狀開始後 有時睡覺會被尿意叫醒 但尿出不多 每晚約一次 是疾病關係嗎？--〉關係不大 3.那樣滴血 （偏深色） 只是因為運動量大沒喝水造成的可能嗎？因為驗尿說正常--》如果驗尿正常就是其中無血，如果常常尿色偏深，除了水份要夠，可能要查肝功能。祝健康。 | [
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16腫瘤科
| 大腿內側硬塊 | 醫生你好 今年3月我在左大腿內側 鼠蹊部下方兩公分的位置 摸到一個大小約1公分的腫塊 位置：大腿動脈旁邊。 時間：發現3個月 實際不明。 活動度：不能移動。 質地：硬中稍軟。 生長速度：自發現以來 無明顯增長。 其他身體症狀：無疼痛 發炎 盜汗等跡象。 請問醫生這會是什麼？ 淋巴感覺不太像 脂肪瘤摸起來是軟軟的 看起來是惡性還是良性的？ 打算7月等彰基耳鼻喉科回診時再順便掛腫瘤科 但我很怕如果是惡性的拖到7月會延誤治療 請問有需要立刻掛診嗎？ 感謝醫生解惑🙏 | 博士小男孩／18歲／男 你好： 1. 請問醫生這會是什麼？ A 可能無法網路線上確診 2. 看起來是惡性還是良性的？ A 2.1 不能移動 2.2 硬 這兩點還是有惡性的可能 3. 打算7月等彰基耳鼻喉科回診時再順便掛腫瘤科 A 如果有變大變更硬變色等等 應立刻就醫 4. 但我很怕如果是惡性的拖到7月會延誤治療 請問有需要立刻掛診嗎？ A 沒有醫師可以線上問診斷定說你是良性的七月再看，或，你是惡性的立刻就醫 如果擔心，我建議立刻就醫， 如果像確診，只能就醫 感謝博士男孩你的來信 桃園醫院 陳斯榮 醫師 | [
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7耳鼻喉科
| 耳鳴 | 請教醫師，耳鳴已兩年多時好時壞有輕微過但不曾間斷，當時在教學醫院做基本聽力檢查都正常後，遵循醫師要我好好跟耳鳴相處不要排斥抗拒。 最近突然變得兩耳都嚴重耳鳴外加聽覺敏感，馬路摩托車聲、冷氣壓縮機聲、電視開大聲點.甚至沖馬桶聲音都覺得有刺耳感。 原本打算跟耳鳴好好相處一輩子，現在突然變嚴重了。不知這情況該如何改善 有機會嗎 網路上看到比我更嚴重的聽覺敏感患者，甚至到最後連自殺傾向都出現了，令人發麻。 我希望能控制住我的狀況，我需要做什麼檢查 有專精的醫師推薦嗎 謝謝 | Hi： 您好， 聽覺敏感若功能無明顯異常可能與情緒有關，若症狀持續加劇，建議可至醫學中心耳鼻喉科找耳科醫師接受檢查，若有失眠或焦慮等問題，可同時諮詢精神科醫師協助。 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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| 食品安全與營養 | 醫生您好 我想問一下請問剛剛熱過的食物是否可以馬上以冷水冷卻？ 像是用熱水煮過的高麗菜馬上倒入冷水冷卻 這樣會有營養上的問題嗎？ 比方說會有毒素等等的 | 朱先生您好： 1.這樣做可能比較會造成蔬菜的營養素流失的問題。 2.是否會有毒素產生可能與盛裝容器的材質比較有關聯。 祝 平安順心 | [
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7耳鼻喉科
| 鼻咽檢查 | 醫師您好： 請問 1. 醫師用口腔的反射鏡檢查喉嚨、口腔、以及鼻咽，請問這樣的效果與伸進鼻孔內的內視鏡相比，差異大嗎？ 2. 請問不到1公分的頸部淋巴結，是否基本上都還算是在正常範圍內？ 謝謝 | Hi： 您好， 1. 有經驗的醫師用反射鏡檢查鼻咽及下咽部亦可清楚檢查，一般若不確定，會在以內視鏡檢查確認。 2. 一般小於1公分的頸部淋巴結，可先自我觀查，若大小持續變大或變多，建議仍需就醫檢查確認。 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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| 過動兒 | 醫生你好： 我是從小就有這個問題，就是注意力不集中，人家座下來幾半小時可完的東西，我要花好幾小時，甚至幾小時都做不完。我座下來就只會對著發呆不知道腦在想什麼，有什麼方法可以使我能集中一下謝謝，麻煩你了 | 您好： 注意力無法集中，有時是一種習慣，有時的確是一種疾病 在兒童精神醫學有一個診斷叫注意力不足過動症，即俗稱 過動兒，除坐不住，好動之外就是注意力無法集中，您小 時候是否很好動呢？若沒有，應是很少培養集中精神的活 動，如打坐，冥想，有時候人易分心有可能雜事太多先釐 清時間管理原則，有些事訂期完成，有時間壓力自然不敢 分心，然後常做些讓自己必需無法分心的事，久而久之， 應可養成集中精神習慣，否則只好找醫師仔細探討原因處 理了 | [
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5泌尿科
| 勃起障礙 | 醫生您好：最近一個多月來在自慰的時候突然無法郣起4次中有3次一樣的狀況以前每星期一次，從來沒有發生這樣經驗）。其中一次雖有郣起射出來但很快就消掉了！早上有晨郣每星期也很規律的運動和作習是否身體出狀況呢？ | 您好： 如果沒有壓力的問題，可能是血管或是藥物（很多藥都有可能）造成勃起困難，因為生殖器的血管比較其他器官，算細的，所以有可能先發生血管阻塞造成勃起困難。建議醫學中心泌尿科就醫。祝健康。 | [
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13肝膽腸胃科
| 大便相關問題 | 醫生好，我在今日下午的時候屎意來襲，大出來時發現味道不同以往有股焦油味的感覺，起身時看到大部分都是黑色的且有些稀爛漂浮於表層以布里斯托排便分類法為準，未經專業訓練自行判斷，約為第六型以及少部分的啡色的大便約為第五型被黏濁在黑色大便的下方，頓感似乎有些不妙，所以上來詢問；在排出黑便前後身體方面沒什麼特殊異常，平常每日都會排便一次，昨日因輕微腸胃不適於下午有排過一次便而後在晚間洗澡前也有排便，顏色型態均為正常，不過最近會有尾椎痛的情形我不曉得跟這有沒有關聯，大抵是我坐姿不正，另外我平常每日裡也都會泡一杯維生素發泡碇來喝，於今日中午時有去早午餐店喝鮮奶茶，我認為這可能是主因但還是不安所以想上來諮詢一下。 | 稀便宜注意少油奶，再觀察。若黑便如黑髮色請即就醫。 | [
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| 避孕 | 醫生你好！ 10月20本人做了人工流產的手術，當天就馬上吃了避孕藥，是28天為期的避孕藥，當中有7顆提醒藥，想問一下如果藥吃完了，但月經還沒來的話，我要等到月經來的時候再吃藥嗎？還是直接接著吃藥？ 再想問一下，月經來了以後，是不是照著那個說明上說，在月經來的第一天吃那個提醒藥，再開始吃避孕藥？ 我避孕藥的牌子是Levlen ED 上面寫著： Levonorgestrel 150mg Ethinyloestradoil 30mg 這請問我上面服用的方面對嗎？ | 回覆如下 1 藥吃完後，通常月經會來。偶爾月經沒來，也吃完七天的提醒藥仍然沒來，確定沒有懷孕後，即可接著吃下一包。 2 請照説明指示服藥。 桃園醫院 呂理政敬上 | [
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| 骨盆腔 | 醫師你好 我過去幾個月常陰道發炎會到當地醫院就診治燎而每次只要月經過後就又復發然而在8月中時在去看診醫師內診後被醫師診斷我骨盆腔發炎但吃的藥也是沒變當時醫師也沒多做說明或要我回診等 所以我想說因該不嚴重 但回去後上網查些資料資料寫的似乎滿嚴重的 以有關敗血症或會造成死亡率等等 所以想請問醫師 這病真的算嚴重嗎 該做後續治療或檢查嗎及聽友人說 夫妻得一起接受治療 但我每次跟丈夫性行為都會帶保險套為何會感染真有必要雙方一同治療嗎以及我生活上飲食等該注意些什麼嗎 感謝醫師百忙 抽空回答 謝謝你 | 提問者您好：骨盆腔發炎的原因大多是經陰道之上行性感染，而造成之因素 不見的只有性行為而已，包含本身的免疫力、內科疾病、接觸 之菌種等均會影響。 通常只要接受治療，絕大部分可以控制並恢復，極少會變 成您提的嚴重狀況。如果擔心病況，可以在吃完藥物後請婦產 科醫師再檢查即可。 平常預防的方法有：單純性行為、使用保險套或避孕藥、 提昇自己免疫力， 再加上適時檢查與治療，應可避免嚴重之併 發症。 謝謝！ 祝 平安健康 張醫師 寄 | [
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| 膽結石 | 我祖母在二年前因膽結石而開刀摘除膽囊，更早之前曾抽過肝臟的膿，卻在日前因為胃部劇痛住院檢查後，發現是膽管口有結石阻塞，我想請問您的問題是膽管結石是否因開刀的困難度稍高，所以不予採行？可否藉由膽管口與小腸口相連接的部份，使結石經由此通道經過小腸再排出體外？謝謝您撥空回答我的問題！ | 網友好 膽管結石阻塞可試由胃鏡取出 但技術困難及危險性仍不低如腸破裂或出血 需具經驗醫師為之 失敗則需手術 祝平安 | [
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| 解便問題 | 醫生您好，我從高中開始， 都有吃完正餐 ，就想解便的感覺，所以覺得沒怎麼樣，可是最近開始，肚子一直都不太舒服，感覺有點想解便，排完氣，就會好了，但這幾天肚子總感覺大便都解不乾淨，去廁所 也都解不出來，而且到了晚上都會有一點脹氣， 這期間有時有點便秘，有時又突然拉肚子（大便都沒有出血）請問這是腸燥症，還是其他更不好的問題⋯ | 症狀持續3個月以上，即可為腸燥症。 建議定時定量飲食，再觀察看看。 | [
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1精神科
| 藥物副作用 | 請教一下林醫師，安立復美達長效針劑會容易導致體重增加嗎？ | 您好： 安立復美達長效針劑算是第二代抗精神病藥物之長效針劑中，最不容易導致體重增加的，而第一代抗精神病藥物的長效針劑也比較不容易導致體重增加，但是會容易有錐體外徑症候群如肌肉僵硬、手抖、步態變慢等之副作用。建議您可以與醫師討論適合的藥物選擇喔！祝平安健康。 | [
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2牙科
| 臼齒 | 主任您好 最近在刷牙時偶然發現，我的第二大臼齒牙冠部分出現缺角大致的缺角情況示意圖為：httpsi.imgur.comAwNJvJO.jpg情況。雖然照鏡子看缺角面積大僅有2030左右，但從垂直角度看，缺角部分似乎比預期大。由於十分擔心情況惡化，因此我立即前往附近牙醫診所就診；但醫師卻認為這顆牙齒似乎已經無法透過傳統補牙方式加以治療，並建議將其拔除。 由於本人工作繁忙的緣故，因此恐怕沒有太多時間可以進行術後清潔與護理。再加上聽聞拔除上顎牙齒可能傷及鼻竇，且會有一段時間最好不要擤鼻涕但本人長期飽受過敏與鼻竇炎之苦，因此在一方面擔心可能傷及原本就不好的鼻竇、另一方面可能因為擤鼻涕與上述護理不佳而產生永久後遺症。因此基於上述考量之下，我並沒有接受拔牙建議。 想請教主任：我這種中深度的第二大臼齒牙冠斷裂真的無法透過補綴方法保住而只能將其拔除了嗎還是還有機會透過其他治療方式保住這顆情況不佳的牙齒呢我是否需要尋求其他牙醫次專科醫師的幫助呢 感謝您的寶貴建議 | 您好 若強烈單純希望將牙根保留下來，且沒有預期要讓該受損的牙齒日後行使咬合功能，建議可與牙髓病科與牙周病科醫師討論。 | [
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6骨科
| 膝蓋問題 | 醫師您好 我是在5年前發生車禍撞擊是雙膝直接著地那時候照X光一切正常 最近2年來發現我的右腿膝蓋無法彎曲到底大約彎曲到離臀部約30度時就會非常痠痛且關節會變得很緊再繼續下彎就會有一股反彈力將膝蓋彈起 有時候膝蓋彎曲過久比如說蹲著站起來時膝關節會非常酸痛無法立刻將膝蓋伸直.且常常會酸痛必須一直彎曲膝蓋刺激它讓它更酸痛才會紓緩些. 我已經看過3間醫院醫生也都有照X光不過都說骨頭很正常至於為什麼膝關節會這麼緊其中一位說不知道.另外的醫院只跟我說”可能”是發炎還跟我說不影響日常生活的行動就沒關係痛的話就吃醫院開的止痛藥. 這個問題已經讓我擔心很久了一直重複換醫院看診的情況都無法找出原因我有點沒信心希望醫師能幫我解答 非常感謝醫師 | 您好 膝蓋無法做大幅度彎曲的動作原因很多，從骨頭、軟骨、韌帶、半月板、滑膜滑囊等都有可能引起不適。發炎只是最籠統的講法。 如果一般X光無法檢查出問題，那就必須再做更詳細的檢查甚至做侵襲性的膝關節鏡手術來找原因。 骨科禇柏郡醫師敬覆 | [
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5泌尿科
| 尿道問題 | 1225本人單一性伴侶，在性行為口交時尿道口就有點摩擦到不舒服感覺以前沒有這樣這是第一次.結束之後尿道口摸到會刺痛，休息了3天緩解之後就DIY時發現龜頭有紅點，但沒勃起就不明顯，沒分泌物也不癢只是尿道口不舒服，隔天有去看醫生，醫生說沒事。 過2天在DIY一次一樣尿道口不舒服，紅點依然存在，我就休息5天並看另一間醫生看診，也吃5天抗生素也有驗尿都沒事，醫生說我可能是輕微尿道炎。 我有問醫生我這樣要多久才能DIY，他說可以 隔天DIY一次一樣只有尿道口不舒服.其他都沒問題也沒分泌物也不會癢.但不舒服感都是DIY結束喝水排尿就緩解，只是尿道口有異物感紅點也是勃起才明顯 這已經困擾我3禮拜 請問醫生我這什麼情況 有可能還在持續發炎嗎是龜頭炎嘛 還是我自己心理作用 但勃起時紅點依然存在 以前都沒發生過. | 聽起來是在尿道口處有一個小傷口 ，可以在傷口塗優碘做清潔消毒，一天兩到三次，請注意是 優碘 不是碘酒 或是到泌尿科開藥膏來 塗抹。 如果 一直碰觸傷口它就不容易好 。有發炎的傷口 經過適當的照顧 要恢復可能也要 一至兩週 。所以在DIY或是房事的時候 建議可以戴保險套保護 並且 不要去 碰到那個 傷口 。 若仍有問題，沒改善，還是要去看泌尿科檢查再與醫師討論。 | [
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| 事後避孕丸 | 我和女友在923有性關係 隔天吃了一顆事後丸 月經就來了 在930號也有一次 也是隔了一天吃事後丸 她106號月經又來 兩跟一般月經的量一樣 ，1010∼12號之間月經走了 到現在1108月經還沒來 會懷孕嗎？ 兩次全程都有帶保險套，拔出來才射得 | 回覆如下 月經有來，也有全程使用保險套，懷孕機率低。 可能是服用事後丸，造成亂經，所以月經失調。 可以自己驗孕確認沒有懷孕。 桃園醫院 呂理政敬上 | [
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| 鼻子問題 | 您好 有時候早上起床沒有打噴嚏就幾乎整天不會流 但如果早上不小心打噴嚏就會流一整天噴劑無多大效果 或是有時候騎車空氣也會讓我打噴嚏. 以上是我的症狀 而我的處理方式幾乎是藥物控制. 吃斯斯鼻炎膠囊之類的. 我想請問全使用藥物控制會不會有何副作用啊 大概一週會有12次鼻子過敏 還有.上次感冒去醫院看病有流鼻水症狀醫院開給我 ”Clarinase repetabs”康瑞斯抗組織胺藥物 本人覺得非常有效又不會像外面成藥想睡覺. 那我想請問在沒有處方籤的時候可以買到這種藥嗎 謝謝 | 1.建議改用鼻噴劑，多有效果 2.Clarinas不可到藥局買，一般可開一個月左右，不舒服再吃 | [
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0婦產科
| 懷孕嗎？ | 跟男友是在0512及0519時有發生關係 0512時是他的下體有接觸到我的下體外圍 但沒有射 只有少量前列腺液 0519時是他手上有沾過精液 洗完手後又觸摸我的下體 並伸進去 我上一次來月經時是0428 中間就一直都沒有整個人都很焦慮 0610時下體有很淡的粉色的黏稠分泌物 晚上時因為很焦慮不斷的搥打肚子 隔天也就是0611 大量的出血 並且跟平時月經來時的顏色及味道都不太一樣 想請問： 1.這樣有可能懷孕嗎 2.0611的出血是月經來還是流產 3.在大出血的情況下還可以用驗孕棒嗎，且這樣結果是否準確 | 你好 應該是沒有懷孕，可以驗孕看看就知道了。祝你健康 | [
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4心臟血管專科
| 新冠疫苗 | 醫師您好：我在727早上打完AZ疫苗，於今729晚上突然發現小腿腳踝附近出現些許的小紅點（約5∼6點），不確定是以前就有，還是臨時出現的，我上網查詢打AZ的注意事項包含：「皮下廣泛小出血點：血栓血小板低下 - 此非常罕見 （通常會合併全身倦怠、肚子痛等症狀）」，我目前除了一點點小紅點沒有其他不舒服的症狀，打算先觀察看看，想說提前詢問醫師有什麼需要觀察及注意的。 （1）出現什麼症狀需要馬上就醫檢查的？ （2）若後續（28天）沒問題，但紅點未消失，是否有需要去檢查，以及要掛哪一科？ | （1）請參考衛福部及疾病管制署網站資料 衛福部httpswww.mohw.gov.twcp-16-58978-1.html 疾病管制署httpswww.cdc.gov.twCategoryMPageepjWGimoqASwhAN8X-5Nlw （2）建議就醫，家醫科。 | [
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| 避孕藥 | 女友月經大約在811來 大約在818走 在820發生一次性行為有帶套但最後套子滑落了也不確定有沒有內射 821發生一次性行為無帶套最後內射然後過了半小時馬上服用事後避孕藥 在24小時內發生兩次性行為 大約在24小時內服用事後避孕藥1粒 829月經來到現在91月經還沒走 這4天的量的很少顏色有點深又稠稠的胸部也會脹痛 請問這是事後藥的副作用嗎 女友很愛吃冰塊 | 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，也有可能有相關的副作用。而且它的避孕效果也不是百分之百，失敗率有3左右。建議如果正式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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13肝膽腸胃科
| 家醫科問題 | 林醫師你好，由於我從六月以來，每次吃東西很快就會感到飽足，而且有時候稍微吃太多肚子就會很脹想吐，於七月初去醫院照過胃鏡和抽血檢查，醫生說胃只有輕微發炎，看起來沒怎樣，有拿了一些藥回來吃，吃藥吃到現在，早飽的現象似乎有改善一點，但有時常於飯後感到腹脹不管吃什麼都一樣，而且發作時間不固定，有時後連續兩三天有症狀，但有時候症狀突然又消失，肚子很餓而且胃口很好，當我以為有好一點而多吃時，腹脹感又來了，如此一直重複循環，令我感到很困擾，生活品質也受到了影響，時常要擔心這餐吃下去會不會肚子不舒服，因此想請教醫師，這是什麼病症，怎麼這麼難纏，我已經遵照醫生的吩咐吃些好消化的食物，我需要再去醫院檢查嗎 | 您好 吃完東西容易飽足易腹脹.嘔吐年青人最常見的原因為腸胃機能性障礙所以醫師會建議您從飲食習慣改善心情放輕鬆不要太緊張吃飯能定時吃喝不要狼貪虎嚥.辛辣.太甜.太酸.油炸食物少吃碳酸飲料含咖啡因飲料.酒少喝.少抽煙.睡前一小時不吃宵夜等。 腹脹的原因還包括腸胃疾病肝膽胰的疾病若仍不舒服再來醫院安排檢查。 內科林明慧醫師敬覆 | [
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17眼科
| 視力檢查 | 起初是因為覺得現在這副舊眼鏡戴不舒服，想換新的。之前聽到電台有打眼鏡行的廣告，也有請人專訪，覺得不錯。就去配了；第一次配好的新眼鏡，回來戴覺得不太舒服，也沒比較清楚，所以再配一次。這次請到老闆，講師來負責，當時我也覺得試鏡時就不太清楚，但我想可能是下午沒睡我是下午去配的，可能太累了，就算了，反正也看得到ㄚ。等了幾天，第二次去拿，戴起來不舒服感已大為降低，但我就覺得不太清楚，我想可能是戴新的不習慣吧，回家後，再比較，發現真的沒有比較清楚ㄚ。這是什麼情況。 註：第一次配時，服務人員覺得閃光太重了，就拿掉了，後來第二次由講師來配，又把閃光加上去了。 我這副舊的約650度，新的記不清楚，應該是675750間，我有個疑問，為何度數愈高的反而看不清楚ㄋ | 如果您的近視已經超過600度已是屬於高度近視視網膜可能有某些程度的病變就算度數再增加也沒有幫助建議您到門診檢查清楚造成視力不良的原因再尋求解決的方法。 行政院衛生署桃園醫院敬祝您闔家平安快樂 眼科王璋驥醫師敬啟 | [
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| 陰莖問題 | 1.陰莖彎曲的治療裡面醫生用可吸收的縫線拉直縫線經吸收後為什麼還可以使陰莖維持直的如下文 httpwww.edact.org.twissueissueinfo.aspissueid139 2.我剛動完手術 勃起時陰莖有被拉扯酸痛的感覺這種感覺會一直存在嗎 我很擔心 | Sunny 你好 你引用的資料室台大謝汝敦教授的資料。恰巧，我也剛好有榮幸曾經接受他的指導，也是他的學生。他發表的方法，就是將白膜用線縫合後，人體的組織會有沾黏的現象，將二層白膜固定在一起，就達到目的了。傳統的方法需要將白膜的一部份切除後再縫合，傷害性比較大。但是原理都一樣，都是藉由後續的組織反應來造成固定的效果。 可以局部熱敷，增加血液循環，感覺會慢慢消失。 衛生署台東醫院 泌尿科主任 許維愷 答覆 | [
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4心臟血管專科
| 心臟問題 | 主動脈辨閉鎖不全 是否為遺傳疾病如是那需要做何種檢查 | 馬凡耳氏症候群是遺傳疾病，會造成主動脈辨閉鎖不全，必須看心臟科門診，作心臟超音波檢查 | [
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5泌尿科
| 尖性濕疣 | 我得了肛門菜花，因為是國考生，天天都一定要進閱覽室唸書，很怕傳染給別人， 原因 1.醫生說分泌物包括糞便會傳染 1.我腸胃不好，大便擦了二十張衛生紙都"擦不乾淨"，我認為就算我穿了內褲外褲，我的大便都會遺留在我坐過的椅子， 2.且台北一直下雨，騎車到閱覽室內褲外褲都濕了，我沒擦乾淨的大便，經由水分更容易沾染在椅子上 基於三點理由，我很害怕下一個人坐上來會感染菜花，我現在都不敢出門唸書了，但我真的好需要唸書 " 各位醫生可以幫幫想很多的我嗎 感謝你們 另外，我現在是有病灶的狀況肛門附近有小突起，下下星期才要做電燒哀第二次了 | 我好害怕： 你好 理論上，不容易感染。 菜花，是可以治癒的。建議有耐心與醫師配合治療，可以很快治好。 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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| 懷孕機率 | 醫師您好我和男友27下午發生關係 我上個月因為吃了兩次事後避孕藥來了兩次月經 我不確定昨天是不是排卵期 沒有內射有戴套 但是前列腺液在套子裡 套子有脫落 變成一片像剛開的套子一樣 男友又戴回去 我害怕沾到前列腺液會懷孕 想問這樣未成年懷孕機率有多高 希望醫師可以抽空回答我 謝謝醫師 | 您好 機率應該不大，如果不放心，那就吃事後避孕藥以防萬一。祝你健康 | [
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