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5泌尿科
| 龜頭問題 | 1月有1次在外面亂來2月初跟太太親蜜之後隔天龜頭上長小粒紅疹去看唐鈺泌尿說是疱疹沒驗血吃15天的抗生素還有碘酒藥膏整個龜頭都腫了我心急用沙威隆洗龜頭天ㄚ 拖了1層皮龜頭陰莖一直處於腫的狀態後來2月10日去看書田.及性防所都說龜頭炎也吃了很多抗生素都抽血.尿液檢查都沒有事可是在2月十幾號時在右尿道口長了一個小紅皰.然後順著又尿道口長成1條線.左邊漲了2顆.期間下體常發燙龜頭都快燒起來了.皮也沒長出來1直紅紅的.龜頭.胯下一直溼溼的.4月中又抽血驗尿也沒事.4月中也看了直腸科.有肛裂.吃了抗炎藥不燙了.皮正常很多.103天了還會有併發症嗎龜頭胯下有一點悶濕.會是濕疣的前兆嗎救命ㄚ我再也不敢了我每天都睡不好.每天5點多就驚醒了.怎懡辦.103天了 | 對嘛你看得很仔細沒問題別想太多介紹你看一本書”about Sex”天下出版的. | [
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7耳鼻喉科
| 看哪一科 | 醫生你好，最近（1）呼吸有一點不順，位置大概是鼻子跟喉嚨交叉的地方，感覺卡卡的，但沒有東西在那邊；另外有時會伴隨著（2）乾嘔然後沒有胃口，請問我該看哪一科.耳鼻喉科，胸腔，還是肝膽腸胃？ | 鼻子跟喉嚨交叉的地方是鼻咽 建議至醫療院所進行鼻咽內視鏡或耳鼻喉科理學檢查 乾嘔然後沒有胃口亦建議進行腸胃道檢查 祝平安 | [
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| 會懷孕嗎？ | 女友１０月２５來月經，共七天。平均週期２８天。 １１月１９號，２７號都有性行為。體外射精。 １９號時候生活壓力變大，常常失眠，淺眠，情緒低落，常常哭。 １１月３０號、１２月２號分別吃了事後避孕，不同牌子。 請問１情緒可能造成月經這麼嚴重延遲嗎？ 這期間斷斷續續都有經期徵兆，但查資料說有些人經期徵兆跟懷孕徵兆一樣？該如何判斷徵兆？ ２懷孕機率大嗎？我們哪一天可以測比較準？ | 您好 懷孕機會不大，一般驗孕要受孕12天以上才驗的出，情緒可能造成月經延遲，任何時候最好要做事前的避孕措施，不能相信安全期，如果月經再超過1星期仍沒來，建議看婦產科。祝健康 | [
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5泌尿科
| 陰莖問題 | 醫生我想問我的陰莖未勃起時只有3公分.但是我勃起時有16公分.這樣是正常的嗎.但是我沒次去上廁所.或是去游泳時老是被同學笑.有的更惡劣的說我是怪胎.我真不知該如何是好.但是我發現那些陰莖未勃起時就有10公分勃起也沒有我長丫我是有病嗎.害我都不敢交女友.因為有一次在學校上游泳課時有同學把我的泳褲拖下來.之後就.我該如何.ˋ謝 | ㄚ奇您好 建議您最好至泌尿科門診檢查. 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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| 呼吸困難 | 我多年來都會覺得胸口悶 呼吸需要特別用力 幾次呼吸都要伴隨著一次深呼吸才會覺得氧氣足夠 無特定時間發生 睡覺時亦然 我甚至有時還會半夜每小時醒來一次 是那種用力深呼吸 坐起來的醒來。很不舒服 我很多胸腔相關的檢查（X光及超音波心電圖，或是肺功能相關的）都做過 都是正常 血氧也都在97∼99間 感覺任何應該能查出我呼吸不順的檢查我都做過了 卻都正常. 難道我需要做支氣管鏡嗎.那看起來很痛苦 我幼年時曾有氣喘，還有可能是嗎？ 幾年前斷斷續續試了一些氣喘藥 不管是吃的還是吸的 都無明顯改善 （那時醫生說 檢查數值都正常 但還是讓我吃藥看看 但就是沒用） 已經不知道怎麼辦了. 好無助. 先謝謝醫生了 | 您好 支氣管鏡檢查沒有幫助可以考慮看神經內科或身心科改善睡眠狀態肺功能正常且用過氣喘藥沒有改善氣喘也不像調整生活步調不要太忙錄或適度排解生活壓力可能有幫助 | [
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0婦產科
| 會懷孕嗎？ | 醫師您好請問如果小心被射到一點點精液之後馬上去了廁所的話會有懷孕的機率嗎？ | 類似的問題已經太多，可參考本站常見問答 提問者您好 依您描述的情況，會懷孕的機會並不，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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5泌尿科
| 尿道炎 | 看醫生過程中醫生說我尿道發炎，然後又說前列腺炎（病情是當天早上起床第一炮尿原本尿的很順利突然灼熱感和刺痛感上來，但沒有分泌物）。我想請問這兩個是一樣的東西嗎？多久可以性行爲？治療期間可以自慰呢？想請問可以抽菸嗎？最擔心的就是會不會再復發，上網查說機率蠻大，要如何才能確保不會再復發呢？以上問題當下看醫生都沒有問清楚，現在才又迫不及待想知道答案。 麻煩醫師了 | 尿道發炎如果影響到前列腺那就會變成前列腺發炎，治療上就需要將近一個月的時間，必須在泌尿科好好追蹤治療。 急性期要避免性行為，就算自慰也不舒服。詳情還是要與醫生當面討論才行，因為如果你是前列腺炎，這是必須回診的。 抽菸對發炎也是有負面的效果這要自行斟酌。 確實有可能復發，這與身體的健康情形以及體質有關係。也只能盡量保持身體健康來避免復發。 | [
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2牙科
| 補牙 | 醫生，我門牙有小蛀牙，補完牙齒後痛3個月了（喝冷熱水），只有痛，沒有酸，通常喝到水的當下痛，喝完就不會，這是對樹酯不適嗎？要改自費嗎？ 另外，我因為有生病，其他醫生有開消炎藥給我，請問吃消炎藥對補牙齒有影響嗎？因為現在痛的牙齒補牙當天有吃消炎藥，不知道是不是這個原因，所以還沒預約牙齒，謝謝醫生。 | 您好 1. 建議拍攝X光片確認補牙的狀況，若真的一喝水就痛，影響到日常生活，可以考慮進行根管治療 2. 吃消炎藥跟補牙沒有太直接的關聯，畢竟補牙是補在硬組織上，吃藥進到血液循環內，最多影響到牙髓跟牙齦軟組織的部分。 | [
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| 懷孕機率 | 你好 想詢問我的月經週期在27-211號 在215號發生性行為並且意外內射 約一小時左右吃了事後避孕藥（安立婷）216又發生性行為（有戴套） 這樣成功避孕的機率高嗎 還有想詢問事後避孕藥會影響子宮肌瘤嗎！謝謝麻煩了！ | 提問者您好 事後避孕藥的避孕效果並不是百分之百，失敗率有3左右，影響肌瘤的機率不大。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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18放射線科
| 電腦斷層輻射 | 王醫師您好，有幾個問題想請問您，我於一月初有照胸部X光一次，二月中旬有做一次腹部電腦斷層含顯影劑，四月初有照低劑量肺部電腦斷層，但是因為閉氣問題，榮總重複幫我照了四次才說照好，也就是說我三個月內總共做了1次胸部X光、1次電腦斷層含顯影劑、4次低劑量肺部電腦斷層，想詢問您三個問題 1.我這三個月內接受的輻射總劑量會很多嗎 2.低劑量肺部電腦斷層一天內連續照四次對身體影響大嗎，可以這樣連續拍嗎 3.我這三個月所接受的這些檢查所接收的輻射對我日後身體影響大嗎 再麻煩您幫我解惑了，感激不盡。 | 張先生您好 1.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。您提到的這些檢查輻射劑量不會超過100毫西弗，故對您不會造成臨床上的功能損害。 2.有關低劑量肺部電腦斷層重複照了4次，為了要達到診斷要求的影像品質，受檢者可能會不只接受1次X光照射，屬於合理的情形。低劑量肺部電腦斷層即使重複照射4次的輻射暴露量，仍屬於低劑量輻射。 3.輻射在醫療領域的利用越來越多，為達到檢查或治療的目的，並提供醫生診斷或治療必要的資訊，聽從醫生指示接受輻射相關的檢查或治療，是考量健康上的好處大於輻射的影響，如有疑慮，可與醫師多做溝通後再受診。 祝您平安健康。 | [
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| 幽門桿菌 | 我上禮拜胃鏡檢查檢查結果是胃出血，因而醫生開藥給我吃一個禮拜，這一個禮拜雖然也有拉西但感覺可能是吃太多地瓜的關西，今天我去診所複診，醫生說我有幽門桿菌，我看牆上說可能得胃癌，我很怕就問說怎麼治，醫生說開殺菌藥自費2000，後來他說要等我胃好一點才開殺菌藥，我想問的是幽門桿菌發現後不是越早殺菌越好嗎，這樣等胃好會不會來不及，因為他之前說胃出血要吃兩個月的藥。所以我想請問這樣會不會來不及。謝謝醫生 | 您好 幽門桿菌的藥是抗生素＋胃藥，有藥物的副作用（但是，因人而異），包括腹瀉的症狀，如果您現象還有不適症狀，太早投藥，可能會加重您現在的症狀。不會因為慢治療就來不及。 彰化醫院關心您的健康 蔡安順醫師 | [
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| 懷孕嗎？ | 我想一下 如月經果已經第五天不小心內射 . 請問這樣㑹懷孕嗎？ | 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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0婦產科
| 懷孕嗎？ | 女友12月29日月經來1月3日結束1月6日做愛未戴保險套用體外射精不知是否還是安全期懷孕機會大嗎 | 您好 根據您所提供的日期計算.懷孕的機會應不大 還在安全期內 建議衝動男與女 更應該注意安全性行為 以免事後.後悔 | [
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| 子宮內膜異位症 | 你好 之前我老婆檢查出有107cm的子宮肌瘤在子宮後方向後長當時有些醫生認為手術革除之後再懷孕也有些醫生認為手術有沾黏的危險應先懷孕之後在處理肌瘤.後來我們選擇後者並目前已順利懷孕5週但由於肌瘤緣故小腹已隆起約20週大小.醫生說懷孕後期會很辛苦. 要我們自己決定是否要拿掉.我們實在很徬徨.想請教醫生 1.懷孕過程中肌瘤會有什麼改變.會一直變大嗎目前小腹隆起似乎較明顯 2.懷孕過程中會對母親及胎兒的影響母親是否有生命危險 3.造成流產或早產的機率為何 4.過程中的痛苦是否可用藥改善或控制 | 您好 1.有13的機會會變大13的機會大小不變13的機會會變小. 2.生命危險是不至於大部分也皆可自然產少部分若足月後研判肌瘤的位置可能阻礙產道才需剖腹產. 3.機會不大 4.有13-12的機率肌瘤會在孕中產生一種良性的變化RED DEGENERATION而造成疼痛適當的用一些止痛藥即可緩解. 結論千萬不要只因肌瘤而決定把孩子拿掉. 署立新竹醫院婦產科 | [
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2牙科
| 智齒 | 最近在家附近的診所定期回診時發現第二大臼齒有蛀牙 智齒那邊也有些許蛀牙 那邊醫生是建議我拔掉智齒 畢竟那顆智齒長歪了而且跟第二大臼齒之間也難以清潔 只是我那時還是有點怕拔牙而且剛好快畢業了還有一些事情所以我當下不太希望拔牙 所以我要求醫生先暫時處理 醫生處理完之後說半年回診即可 只是近日我智齒那附近又些微的痛起來了 自己拿鏡子照發現智齒又蛀牙了 想了一想還是決定要去拔 所以我想請問一下 如果是已經完全生長出來 但大約歪45度的智齒 這顆如果要拔掉復原期以一般來說要多久才可以像過去一樣正常刷牙以及進食不用特別注意傷口的程度 我想參考一下 方便畢業後安排時間去處理 麻煩醫生了 | 您好 初步傷口的癒合約需1週左右的時間，要正常刷牙及進食應該在一個月內即可，若要全部完全無異物感，則需約半年的時間。謝謝 | [
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| 適應障礙 | 離婚後的我，不知道如何調適自己的心理及應有什麼態度面對以後的人生，可不可以給一些意見？ | 離婚婦女所面對的問題很多， 包括生活上的巨大改變， 情緒低落， 經濟負擔， 來自親友的壓力， 子女撫養權的問題等. 每個離婚婦女面臨的抉擇均有所不同， 調適的方式自然也有差異. 基本上來說， 越有獨立生活能力， 親友越能給予支持的， 在調適的困難度上會較低些. 其實， 每個人在結婚前都是獨立的個體， ”沒有他就活不下去”或”失去家庭就失去人生的意義” 等想法在衝擊及激情過後終將逐漸沉澱而回歸到最原始的問題， 也就是”生命”及”存在”的意涵. 每個人的生命都是特殊的， 無可取代的， 對離婚婦女而言， 如何安排自己往後的生活相對而言其實有較大的空間. 當然， 每個人都會有其限制及困難， 你可以尋求心理諮商人員或精神科醫師協助幫你釐清問題並尋求解決之道. | [
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13肝膽腸胃科
| 胃腸問題 | E師您好 我不久前曾到中國醫藥學院去照胃鏡 醫師在看完報告後告訴我是有點破皮 我並不瞭解意思 因為從胃鏡拍出來的照片上我只有看到幾個白點 後來也沒有開藥就這麼不了了之 胃痛的情形仍然不斷 是屬於絞痛的那種 近日還有胃痛完轉移到子宮痛的情形 大便的顏色都正常 不知您是否會建議再照一次胃鏡或是超音波檢查 謝謝您 | 您好一般胃鏡檢查指的胃破皮，為表淺性的胃潰瘍。一部份的人，不必吃藥也可痊癒，但大多數的人，仍需吃藥才可改善症狀。但您的症狀，比較像腸胃道功能性的問題胃痙癵或腸乳蠕動功能不佳。可找腸胃科專科醫師複診。如果您最近才做過胃鏡，大便的顏色也正常，並不需再重複檢查。至於超音波檢查，請您與您的醫師討論過您的病情後，再由您的醫師決定有無需要安排此一檢查。 | [
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0婦產科
| 事後避孕藥 | 醫生您好 我上次經期是122-127 週期約38天 1230、14、17都有戴套發生性行為 17男友保險套帶反而且有破掉 在性行為後半小時內吃了事後（莉潔婷） 吃完後只有隔天早上腹部微微疼痛而已 目前月經都還沒有來 分泌物很少 想請問這樣是正常的嗎 會有可能懷孕嗎 | 您好 應該不會懷孕，再等一星期，如果還是沒有來，建議看婦產科。祝你健康 | [
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| 懷孕 | 前幾個禮拜 我女朋友用手幫我打手槍 結果我擦的時候手有碰到精液 後來他也要我用手幫他 我在幫他之前有先去洗手 後來再幫他 那時應該是在危險期 這樣中獎的機會高嗎 我女朋友這個月的月經到現在還沒來 他上個月是15號來的 他說月經來的前兆都有 不過已經慢了 他這一兩天有吃感冒藥 這會影響嗎 可以幫我回答一下嗎 謝謝 我現在真的很緊張 | 回覆如下 在幫他之前有先去洗手應該不會有精子不會懷孕 月經到現在還沒來 可以自己去驗孕看看. 吃感冒藥不會影響. 呂理政敬上 | [
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20中醫科
| 中藥問題 | 這陣子聽了平時習慣的中醫師建議服用「加味逍遙」這一方藥一天兩次，一次兩匙，才吃了兩三次四肢出現很多的小紅疹，微微突起，大多數不痛不癢，這些疹子要緊嗎因為平常習慣的醫師門診實在非常不容易掛號，想先在這裡了解大概可能的情形，麻煩醫師了。 | 親愛的網友ㄹ 服用「加味逍遙」，出現很多的小紅疹。依照您的描述，您是覺得，這小紅疹是因為服用「加味逍遙」 所引起的，是嗎 經驗上，服用「加味逍遙」出現小紅疹或過敏現象非常少見，但體質是有個別差異的，所以您還是先停藥，觀察是否真如您的判斷，是「加味逍遙」所引起的，若藥停了，小紅疹就消失，服用「加味逍遙」，小紅疹就出現，那麼「加味逍遙」就是您的過敏原，以後要敬而遠之了。 敬祝 健康平安 南投醫院 中醫科 顏素美敬上 | [
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11營養教室
| 腎病飲食 | 請問腎病病人要怎麼吃才健康還有可以吃些什麼不可以吃些什麼如果要食療的話有什麼食譜方子 | Jill 您好！腎臟病人要怎麼吃，要根據病患的基本資料（年齡、身高、體重…）、病況（腎臟殘餘功能）、進食情況…，才能開立飲食處方與食譜，建議您至合格醫療院所經醫師確定診斷，再轉介營養師做個別營養諮詢。祝新年快樂！ 新竹醫院黃淑俐營養師回答 | [
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2牙科
| 根管治療 | 醫師您好：我在兩天前去看牙醫，被醫生告知第一大臼齒需要做根管治療，但由於位子太後面，目前只清理了兩個牙根，如果要再處理另外兩個牙根必須使用顯微鏡治療，目前只清理完兩個牙根後填補起來，但這幾天牙齒都隱隱作痛，一抽一抽的感覺，偶爾會有類似神經在抽滿強烈的疼痛，止痛藥也沒什麼效果，想問醫生這樣的狀況只能等到顯微治療才可以痊癒嗎？還是痛的情況和另外未處理的兩個牙根沒有太大的關係？ | 您好 若根管治療尚未結束，疼痛都屬正常，建議繼續依約回診治療後續的兩個根管 | [
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| 口服避孕藥 | 醫生您好： 我有多囊性卵巢症候群，但醫生有照超音波說是單側卵巢比較嚴重。 之前在三月、四月、五月都有吃「美適濃」調經，這也是第一間婦產科醫生開給我的事前。後來我在六月停藥，上次月經週期是612-617，想當然七月月經就沒有來，目前在813有一點血，到今天815血量還是非常非常少，而且顏色偏咖啡色濃稠（有點像是之前月經快結束的樣子），不像之前幾個月都是鮮血而且量多（有服事前藥的3-5月，血量都正常）。 今天有去看婦產科醫生，他有照超音波說沒事，並且開了「妮娜膜衣錠」但我實在不太敢吃？因為我已經吃很久的「美適濃」了，因此我想詢問醫生您，「妮娜膜衣錠」是會比「美適濃」好嗎？謝謝您！ | 您好 兩個都是避孕藥，大同小異，都可以，以你吃了之後沒有不適為主。祝你健康 | [
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| 懷孕嗎？ | 張醫生您好，我幫女友問，她經期大概31天，但她之前就有經前不順的狀況（最長達59天），她原本（124）應該要來但到現在都還沒來，我們有性行為（最後一次在兩週前），但僅限於隔著內褲摩擦性器，中間也做過很多次驗孕都為陰性（最後一次在1219去診所驗），醫生沒明確講原因，只說疑似卵一顆一顆排列不正常，並給3天的催經藥說最快星期四來。請問： 1.有可能是懷孕嗎？ 2.她看醫生前會一直下腹一陣一陣的痛是否正常？ 3.有可能是多囊嗎（女友容易長青春痘，肥胖） | 提問者您好 依您描述的情況，會懷孕的機會不大，以往也未曾有經証實的報導。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。 而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、…等。腹痛或多囊性卵巢須請醫師作超音波、尿液、血液…等檢查以確認，謝謝 祝 平安 健康 張 醫師 回 | [
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15復健科
| 家醫科問題 | 醫生 你好 最近在廣播有聽到有一種儀器利用雷射可治療膝關節酸痛 退化這種儀器是買回來自己用的原理和針灸類似活化膝關節的細胞促使分泌一種物質潤滑關節據說原始針灸的方法效用只能達到40百分比利用這儀器可達到80百分比的效用我想請問一聲勢法有聽說過市面上這種商品這原理真的有這的有這種療效嗎 麻煩您了謝謝 | 回復您的問題： 目前醫學上有「雷射治療儀」針對特定關節肌肉疾病予以治療 但僅限於醫療單位使用，若操作不慎可能產生危險； 因此建議勿輕信廣播所言，宜至復健科詳細檢查評估， 給予適當處理。 | [
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5泌尿科
| 陰莖問題 | 不好意思請問一下醫生 我上次發現我龜頭出現三個小紅點 勃起時龜頭表面會有疙瘩 摸起來有點粗糙 還有射精完龜頭會變紅色 我去泌尿科檢查 他說是因包皮過長而引起的龜頭炎 說要吃藥擦藥AB要一起擦 還叫我要割包皮 請問醫生 龜頭炎是怎樣的問題呢 一定要割包皮才會治好嗎 煩請醫生替我解答 謝謝 | Alen 你好 龜頭炎，可能是包皮垢、藥物、清潔劑、細菌或黴菌感染等引起。 至於是否需要割包皮，需要與臨床醫師討論。 龜頭炎，不一定需要割包皮。只要加強局部清潔即可。 包皮手術後，仍然需要清潔，否則還是會有龜頭炎。 | [
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6骨科
| 膝蓋問題 | 醫師您好 我的膝蓋自從一次運動受傷後 就會在伸直或是站立的時候覺得緊緊的 不是很舒服偶爾會疼痛 但是膝蓋彎曲的時候就不會有不舒服的感覺 也有斷斷續續在針灸推拿 情況沒有特別改善但是也沒有惡化 請問我可能會是什麼問題呢會是肌肉強度不夠還是太緊繃 或是關節已經有問題 請問這樣我還可以繼續從事運動嗎？ | 首先要問受傷多久了 如果很久了疼痛還在可能就是有問題 如果才幾個星期那就沒有到恢復期而已 肌肉強度不足可以做訓練的 練習彎曲以及申直再觀察看看 如果不會痛就可以運動了 | [
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| 藥物諮詢 | 醫生你好： 我因為要出去玩所以今天去看婦產科拿延經藥，醫生給我 SHITON S.C. TABLET TAB 然後叫我一天吃兩次，想請問 1.這個藥有什麼副作用？ 2.這個藥跟有沒有過性行為有關係嗎？因為醫生有問我有沒有性行為，我回答沒有，因為我已經很久沒有性行為了但是有過性行為。 3.如果有關係是不是要重新去找醫生拿藥？ 4.如果吃這個藥需要特別注意什麼？ 謝謝醫生 | 因為要出去玩所以今天去看婦產科拿延經藥，醫生給我 SHITON S.C. TABLET TAB 然後叫我一天吃兩次，想請問 1.這個藥有什麼副作用？ Ans 沒有什麼副作用 2.這個藥跟有沒有過性行為有關係嗎？ Ans 沒有關係 因為醫生有問我有沒有性行為，我回答沒有，因為我已經很久沒有性行為了但是有過性行為。 3.如果有關係是不是要重新去找醫生拿藥？ Ans 不需要 4.如果吃這個藥需要特別注意什麼？ Ans 沒有需要特別注意什麼 | [
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| 眼球 | 黃醫師您好 請問我們做眼部指壓時是否可直接壓於眼球上 且訪間有一些眼部指壓按摩器是以震動方式，這樣對眼 經有傷害嗎 謝謝您的幫忙 祝安 | 主旨：指壓眼球。 說明：眼球不要常常壓，當然也不贊成用指壓、按摩器，只要多戶外活動，眼球自然會得到最好的運動，其餘之按摩、指壓皆可省。至於有無傷害到，無文獻之報告。 | [
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| 靜脈曲張 | 醫生您好 本人患有明顯的精索靜脈曲張數年 但因不會疼痛 睪丸也沒變小 所以ㄧ直沒有去看醫生 驗過精液品質 因此想請問醫生 精索靜脈曲張的手術成效會不會隨著罹病時間愈長而導致術後效果降低？還是隨時開都能夠有一定的恢復成效？ 如果我在當兵前才去做處理會不會太遲了？ | 有證據的結論其實並不多 就你的情況而言 只能說 如果你有症狀的話 或是精液品質不好 精索靜脈曲張的手術 會對你有幫助 手術成效會不會隨著罹病時間愈長而導致術後效果降低？理論上可能是這樣沒錯 但卻沒有證據顯示如此喔 | [
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17眼科
| 角膜問題 | 我的眼睛會怕光，使我在和人聊天時無法和別人直視，上次有去醫院，但因為我的眼睛小，且又很會眨眼睛，so只有量出視力沒問題600度，醫生開了眼藥水給我，我點了有比較好，但後來就沒去了，現在還是會怕光，請問這是什麼問題。 | Dear 網友您好 眼睛會畏光常見原因多為角膜問題角膜炎或角膜受傷及前葡萄膜炎。較不常見的原因為結膜炎.後葡萄膜炎.白化症.全色盲及無虹彩症。您曾接受眼科醫師的檢查，結果都沒問題，則有可能是偏頭痛.腦膜炎應該不會吧球後神經炎.三叉神經痛等較嚴重的問題﹔或只是單純的虹彩色素較少的關係，也可能只是眼睛較小，睫毛稍微碰到角膜，造成常眨眼及畏光的症狀。講了這麼多，還是建議您至醫院再做詳細檢查，確定原因再做治療。 旗山醫院眼科醫師 張宇華 ９１０４２２ | [
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23麻醉科
| 麻醉 | 我在4月因小腿骨折 進行半身麻醉手術 麻醉期間 先是兩手晃動 後來麻醉醫師有幫我加藥 有壓下去 但是沒多久 又開始晃 然後又再次加藥壓下去 這個過程持續好多次 最後 我連頭都會左右搖擺 而且 我的心臟一很痛 術後 麻醉師跟我說 我會對麻醉藥物有反應 以後要小心 我想問的是 我還要在進行一次取出骨折時放入的鋼板跟鋼釘手術 像我這樣情形會不會有危險 以後要注意什麼 謝謝 | 患者所述情形其實很常見，通常麻醉醫師會打一些防止在麻醉期間，上半身不自主顫動的振顫的藥，接下來可能是加上一些安眠藥，以減輕患者振顫以及心痛的情況。每位患者對麻醉藥的反應均有程度上的差異，至於心臟方面，如果患者日常生活方面，沒有心臟血管方面的問題，如狹心症，高血壓、心肌梗塞…等，日常活動也不感覺氣喘心悸，一般說來是沒有甚麼危險的。 麻醉醫師會根據每次手術前的檢驗（如心電圖、血液查檢、生化檢查、x光檢驗），及患者實際理學檢查來決定用何種方式麻醉，患者下次要取出鋼板及鋼釘時，麻醉醫師也是會依當時情況加以評估，麻醉，所以不必擔心，平常注重身體保養即可。 | [
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15復健科
| 家醫科問題 | 每天散步的陡坡， 常常看到有人倒著走上山 也有倒著走下山， 我的膝蓋不是挺好， 請問醫師： 上下山怎樣走才能保護膝及腳踝？ 謝謝！ | 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 一.倒著走著眼點在使用不同的肌肉使原來的肌肉得以休息避免 過累. 二.上下山肌肉的使用較走平地為大平時應作大腿肌力運動及拉筋 運動. 三.上下山最好走"Z"字型路徑以減緩坡度之衝擊必要時在戴護膝 協助及使用登山手杖. 最後 祝您 平安快樂 | [
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16腫瘤科
| 血液檢查報告 | 請問我小腿下內側有一點一點的密集小小紅點不痛不癢 上網查有點像皮下出血 有點像圖片這個人這樣httpswww.dcard.twfgirlp235207040 只有這地方有這樣其他地方目前沒有 面積差不多3cmx1cm 發現到現在約2個多禮拜 確定沒有抓過或是撞到過這個地方 半年前體檢有檢查凝血功能血小板 那時候報告都是正常其他血液常規也都正常 上個月因其他檢查也有抽血液常規 血小板跟其他項目也正常但沒有檢查凝血功能 1.請問半年前的體檢凝血功能報告資料有參考的價值嗎有可能過半年就有問題嗎 2.這個問題要看血腫科嗎還是皮膚科 謝謝 | 1. 3個月內的檢驗報告較有參考價值 2.可以先看皮膚科排除是否為局部皮膚炎 若無異常且紅點範圍擴大與合併其他部位流血牙齦流血不容易止住 . 再去看血液科 | [
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4心臟血管專科
| 心跳快速 | 醫師您好，小兒現年十五，昨日校內體育測兩百米，他說衝刺到終點後，覺得心跳極快，頭暈，找地方休息十分鐘，回教室後還是覺得心跳快，大約半小時後，心跳規則，但仍有102，其餘沒有不舒服的感覺。 我家族有心肌肥厚問題，他兩年前曾經做過運動心電圖、超音波，都在正常範圍，沒有問題 昨天他反應後，我就帶去醫院找平常追蹤的醫生，醫生覺得沒有特別大礙，只排了下週的超音波與心電圖，感覺就是例行追蹤，兒子已經有一陣子沒有激烈運動，不過八月底開學後的體育課長跑、游泳或桌球，都不會有昨天的不適感。不知道需不需要特別擔心？需要請醫生追加運動心電圖嗎？麻煩醫生解惑，謝謝您 | 您好 應該是不用 看來像是兩百米衝刺運動過度引起不適 和水分流失過多導致心跳加快 應休息觀察即可 彰化醫院關心您 | [
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5泌尿科
| 頻尿 | 醫師您好 最近這三天睡眠品質不佳 會有頻尿感、尿量每次都不小尿液顏色很淺 早上時約每1-2.5小時就會想上廁所尿量約250-300C.C 晚上也會想上廁所 平時一天喝水量約1500C.C喝水量不算太大 右側腹部有一點脹脹酸酸的感覺 右後腰部有些疼痛壓的時候更強烈 伴隨頭痛有點噁心感 想詢問醫師 1.可能是何種原因膀胱腎臟還是心理壓力造成 2.感覺一整天尿量可能接近或超過3000C.C一些 有可能是尿崩症嗎體重約57-58KG 3.如果要去看診去看哪一科較為恰當 | 您好 1.可能是何種原因膀胱腎臟還是心理壓力造成 --》都有可能 或是多個原因建議至少檢查一下尿液 2.感覺一整天尿量可能接近或超過3000C.C一些 有可能是尿崩症嗎體重約57-58KG --》尿崩症不常見，如果擔心可內科檢查 3.如果要去看診去看哪一科較為恰當 泌尿科，內科 家醫科都可以 先做評估. 祝健康 | [
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| 分泌物 | 醫生你好，目前產後五個多月，因自然產時產道有破口大出血，轉診大醫院做血拴塞手術後無大礙。 產後做子宮頸抹片檢查發現有黴菌感染，醫生有開一週份塞劑，塞後分泌物有減少許多，但是上完廁所時還是有些許分泌物帶一點非常細微的血絲，沒塞之前沒有血絲的情況過，請問血絲跟塞塞劑有關嗎？ | 有可能是使用塞劑磨擦造成擦傷，亦有可能是當初的傷口是否產生肉芽組織，這必須臨床檢查才會知道。 | [
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| 避孕藥 | 醫師您好， 我想幫我女朋友問一下事前避孕藥的問題。 我女朋友已經吃事前避孕藥吃了一年多，每天都固定晚上1130吃。不過這次週期開始吃的第二天晚上1130吃完後，好像因為晚餐吃到比較不新鮮的東西，所以在凌晨200左右起來拉了肚子，而且拉了兩三次並沒有到像腸胃炎那樣水瀉，不過肚子很痛那種，想請問這樣會影響到避孕藥效果嗎？另外，因為拉肚子是兩天前的事了，當下也沒有補吃一顆，那這次這包避孕藥的週期內都需要配合其他避孕措施嗎？還是只要再繼續吃7天讓藥的濃度回復後即可不採取額外避孕措施？ 以上便是想問的問題，謝謝。 | 女朋友已經吃事前避孕藥吃了一年多，每天都固定晚上1130吃。不過這次週期開始吃的第二天晚上1130吃完後，好像因為晚餐吃到比較不新鮮的東西，所以在凌晨200左右起來拉了肚子，而且拉了兩三次並沒有到像腸胃炎那樣水瀉，不過肚子很痛那種，想請問這樣會影響到避孕藥效果嗎？ Ans 這樣會影響到避孕藥效果 另外，因為拉肚子是兩天前的事了，當下也沒有補吃一顆，那這次這包避孕藥的週期內都需要配合其他避孕措施嗎？還是只要再繼續吃7天讓藥的濃度回復後即可不採取額外避孕措施？ Ans 繼續吃即可 不採取額外避孕措施 | [
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| 子宮問題 | 醫師您好 想請問一下.如果子宮和子宮頸發炎. 一般治療時間約多久.醫生說不嚴重.但我已用塞劑10天 .之後月經來.現在又開始塞.還有服藥.每次藥都不同. 我擔心時間托久會骨盆腔發炎我有時會腰痠.因想快點生小孩. 我很怕發炎會沒辦法完全好.所以發炎一般治療需多久. 還有我如果發炎.那我的先生要一起治療嗎. 感謝醫師抽空答覆 | 1.療程一般為兩個星期做一次評估 2.子宮或子宮頸發炎當然有可能影響生育，如果一直不孕可以安排抽血驗披衣菌或作輸卵管子宮攝影，同時如果發炎也有較高的機會會子宮外孕。 3.除了陰道滴蟲之外除非先生有症狀，否則不需一起治療。 | [
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| 結紮後問題 | 您好 請問男性結紮後的精蟲檢查 一般都註明15次射精後或3個月後 這是並存條件嗎也就是15次射精後且滿3個月後方可回醫院做精蟲檢查嗎 如果滿15次射精後但未滿3個月 或滿3個月但未達15次射精 是否也符合回醫院檢查精蟲的條件 | 您好： 個人多半是建議是15次，如果沒有排空，驗出一點點，不是過一段時間仍要再驗一次，祝健康 | [
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0婦產科
| 懷孕嗎？ | 醫生您好， 我上次月經來的時間是44-410 週期長度為31天，生理期為7日 414當天早上有發生性行為 第一次是用手愛撫，沒有進入陰道，有射精 第二次有進入陰道，沒有戴套，但有先用濕巾擦拭過兩次 只有抽插幾下，並沒有內射也無射精 第三次也有先用濕巾擦拭過龜頭，沒有戴套，抽插幾下而已，沒有射精 手機app紀錄當天為安全期，416開始為受孕期，421為排卵日 414下午用了統一自我檢測排卵卡 測出來是T線顏色淺於C線，非排卵期 請問這樣懷孕機率有多大？會懷孕嗎？現在吃事後來得及嗎？ 謝謝醫生 | 上次月經來的時間是44-410 週期長度為31天，生理期為7日 414當天早上有發生性行為 第一次是用手愛撫，沒有進入陰道，有射精 第二次有進入陰道，沒有戴套，但有先用濕巾擦拭過兩次 只有抽插幾下，並沒有內射也無射精 第三次也有先用濕巾擦拭過龜頭，沒有戴套，抽插幾下而已，沒有射精 手機app紀錄當天為安全期，416開始為受孕期，421為排卵日 414下午用了統一自我檢測排卵卡 測出來是T線顏色淺於C線，非排卵期 請問這樣懷孕機率有多大？會懷孕嗎？現在吃事後來得及嗎？ Ans 這樣懷孕機率不大 無須吃事後 | [
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11營養教室
| 其他 | 我看報導說到：鹼性環境會導致鈣的吸收受阻 那麼，我每日會照三餐喝杯牛奶脫脂奶粉沖泡240CC，用普通開水沖泡 除此之外喝的都是電解水3000CC，會阻礙嗎 另請教，懷孕期料能繼續喝電解水嗎 | NO.NO.你好 不知你所謂的「電解水」是什麼？營養學上並沒有稱作電解水。 影響Ca吸收的因素在附件940516Ca鈣ppt供參考。 祝君健康。胡玉卿營養師回答。940516monday. | [
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| 會懷孕嗎？ | 女友上次月經118到22號 26∼28時有性行為且內射 213號時（今天）性行為後有淡淡的粉色血在陰道口及龜頭上 最近女友食量偏大且容易想睡 想請問是月經要來了還是懷孕的著床出血或是性行為過大力 | 女友上次月經118到22號 26∼28時有性行為且內射 213號時（今天）性行為後有淡淡的粉色血在陰道口及龜頭上 最近女友食量偏大且容易想睡 想請問是月經要來了還是懷孕的著床出血或是性行為過大力 Ans 要檢查才知道 | [
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1精神科
| 單純畏懼症 | 你好 想請教我該怎麼辦 小孩快四歲在社區騎滑步車不小心撞到一位小姐穿著紅色衣服阿姨，對方大聲斥責，當時我在忙著二寶餵奶，沒看到過程，聽到聲音走出中庭了解，我們隔日也道歉，對方還提告到警察局對方說他膝蓋黑青，孩子現在在社區大廳中庭進出電梯會害怕，他說怕遇到紅色阿姨，重點孩子忘記紅色阿姨的臉，看到陌生阿姨都會疑神疑鬼問我是紅色阿姨嗎？進入大廳中庭孩子會主動和我牽手不放，搭電梯時候，如果電梯沒人他不會牽我的手，但電梯裡有小姐或有小姐後來進電梯，他會緊張的牽我手，然後小聲詢問那位阿姨是紅色阿姨嗎？ 我試著開導他，也說我們會保護他，阿姨不會對你如何，他說阿姨會牽他手帶他走或者阿姨會打他等等幻想。一直都有注意他的狀況，當他情緒緊張害怕就會注意盡量給他安全感，也會和他聊。孩子會說阿姨如果打我警察會抓走她嗎？如果阿姨真的打你，我們可以請警察保護我們，警察是抓壞人的。最近孩子經過大廳狀況好一點，不會那麼緊張。但近日他會說你壞壞開槍手勢。 不知道孩子目前心裡狀況如何是否需要看醫生 | 您好 很多孩子會在發生不愉快事件後產生恐懼反應，需要一段時間恐懼感才會慢慢地降低。 我們可以做的就是安撫、陪伴與保證，並提供多一點的愉快的經驗，來稀釋掉恐懼的回憶。 建議照顧者持續以溫暖平靜的態度面對孩子的恐懼情緒，孩子就有可能逐步安心下來。 若是狀況沒有改善，也可就醫尋求協助。 | [
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20中醫科
| 性功能障礙 | 醫生你好 我現在的狀況是看A片幾乎很少自然勃起 然後自己自慰時感覺也是有點軟 跟以前很硬的感覺不同 早上的時候會勃起 但也是感覺沒以前硬 且我從17歲開始便有自慰的習慣 一星期至少三次 又很愛看A片 現在變的好像沒啥性慾 這樣不知是不是算性冷感跟性功能障礙 我作息正常 不抽煙 不喝酒 常運動 也沒做愛過 這樣的話要吃啥中藥來補腎才能讓自己的身體好一點 謝謝醫生 | 中醫講究望、聞、問、切建議宜速至附有檢驗部門之中醫綜合醫院，由合格之中醫師進行辨證施治。謝謝。 | [
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0婦產科
| 懷孕嗎？ | 請問一下.昨天我跟我男友透過衣服愛愛.我ㄉ內褲有被精液滲透過去ㄉ情形.可是我從來都沒有真正的進行性行為.我的處女膜也沒破.這樣有可能懷孕嗎因為我很著急.而且加上我的月經通常31到35天來一次.上次是月初1號左右不是很記得確切的日期這ㄍ月還沒來.我好擔心.想要吃避孕藥.可是怕到時候月經不正常檢查會被媽媽發現.處女膜有沒有破跟會不會懷孕有關係嗎沒有破機率會比較小嗎謝謝醫生 | 也是有可能懷孕、如果是上個月1號來、那應該去驗孕看有無懷孕。 | [
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| 驗孕 | 醫生您好 女友上次月經來潮是417，上上次為314，周期為44天 最後一次性行為在513 63晚間進行驗孕，第一次為一深一淺 約莫過一小時又驗一次，這次使用了三個不同廠牌的驗孕棒 均為一條線 想請問醫生 這樣是否有懷孕呢 | 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 提問者您好尿液驗孕結果"顯示一深一淺的原因很多，早期懷孕、子宮外孕、流產、試劑不準確…等都有可能。各種檢驗都有其標準步驟，您或檢驗所都有可能操作錯誤，醫院檢驗室有一深一淺的結果會作再確認並與臨床醫師討論，而醫師也可配合尿液、抽血、超音波、病史…等各方面綜合判斷，這樣才能有正確的診斷，建議請醫師檢查清楚，謝謝 祝 平安 健康 張 醫師 回 | [
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| 自慰 | 醫生您好，我只要自慰時太快撸出來或射不盡興雖射出卻完全無紓壓感，射完就會感到陰莖不舒服，一直維持微硬的狀態消不下去，且會一直想尿，排尿時有尿道灼熱感且量都很少，排出來的尿都有點黏稠，似乎帶著精液的感覺。這種情況大概會持續半小時，不過只要自慰的時間夠長，有先讓前列腺液出來就不會發生這種情況。在網上看到有種說法是說精液殘留在尿道裡，尿液為了把殘留在尿道的精液沖洗乾淨於是會感到疼痛，請問醫生是真的有這種說法還是我有攝護腺炎呢那我這樣需要治療嗎還是只要記得先讓前列腺液先流出就可以了呢 補充這種情況持續很久了，並不是這陣子突然這樣，有時候不小心太快射出就會發生此狀況，每次發生時只能坐在馬桶上等狀況消去，非常困擾，煩請醫師解惑 | 您好 不至於是攝護腺炎 但是一般不會疼痛且半小時 至少應驗尿檢查 有空請醫院泌尿科就醫. 祝健康 | [
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| 毛囊炎 | 您好，最近在大陰唇靠近內側、前方，但仍有毛髮處，長了一顆有點像毛囊炎、大約一公分的東西。上面沒有長毛、紅腫且發亮，非常痛，很影響坐或走路。 前一陣子在相同的位置也長了，把它擠掉之後，膿液從毛髮根部滲出就結束了 不確定當時有沒有清乾淨，但中間大約一個月的時間恢復得很好，沒有繼續疼痛 最近不知為何又開始長，買了clindamycin成分的凝膠目前早晚各一次擦了兩日，想請問這是否有就醫的必要，以及如果要就醫應該要看婦產科還是皮膚科為佳。 謝謝。 | 提問者您好 依您症狀的描述，建議注意會陰部的乾淨清爽、勿著緊身衣褲、少用護墊、睡眠充足、飲清淡，避免壓力與久坐、洗澡時可泡盆以舒緩症狀，若症狀持續需請婦產科醫師診斷治療，謝謝 祝 平安 健康 張 醫師 回 | [
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0婦產科
| 調經 | 我今天下午有去醫院拿調經的口服避孕藥， 晚上要拿第一顆吃的時候，不小心把它弄不見了。 然後我打電話去問藥物諮詢師怎辦 它是跟我說直接吃第二顆的囉我有吃了. 我是想問說因為漏了一顆且到一定時間吃的藥顏色也會不同。 那麼到時候對我的下次經期來潮有沒有影響呢 怕會有影響，考慮去醫院重拿一份補那一顆呢 還是說沒關係呢 還有月經來是吃完的那幾天後就來是吧 | 建議回原醫師處洽詢。 | [
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6骨科
| 頸椎問題 | 醫生您好，不好意思我有頸椎椎間盤凸出的問題第七椎所以左頸會痛，已經有持續左偏頭痛的問題了，有趣復健科拉頸椎感覺有比較好，但是因為我的鼻子很差每次復健群聚就會發炎，很困擾，但是有在網路上看到有自己操作的頸椎拉撐牽引器，請問效果會比較差嗎？其實當然是去復健機器拉一下鬆一下比較舒服，自己操作持續拉完頭都會有點暈，請問一下自己拉有什麼要特別注意呢？您支持自己來嗎？ | 自己做牽引要注意重量不能太重 還有坐的時間不可以太久 每次坐的時間與復健科做得差不多即可 坐太久也會有反作用的 | [
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| 腰椎問題 | 不好意思，想請教一下醫師，我因為長期背部疼痛的關係，就診後懷疑可能為僵直性脊椎炎，因此有做了X光檢查已經檢測基因，報告的結果是沒有B27基因，因此幾乎可以排除，但X光的照片卻發現在L2的下緣及L3的上緣都有一小塊的凹陷，請問這樣有可能是什麼問題呢？是否需要進一步的檢查呢？謝謝醫師 | 網友你好 下背部疼痛的原因很多 據統計百分之九十是屬於軟組織引起的 也就是所謂的"筋路"的問題 運動傷害 過度疲勞 姿勢不良或壓力過大 都可能引起疼痛不適 若困擾很大影養生活 適度服用消炎鎮痛藥或復健能幫助您 若是有神經壓迫的症狀 如腳趾或足背麻木 保守治療無法改善 則要考慮手術治療 您應該還沒有骨質或關節退化的問題 適度的運動保持肌肉和關節靈活性 祝 健康 沈栢銓 敬上 | [
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4心臟血管專科
| 心電圖 | 我幾天前做了健康檢查，報告中心電圖顯示有，完全性右側傳道阻塞，我平常左手指頭都很脹，覺得很麻，在拿東西時會覺得沒有觸摸的感覺，沒辦法握的很緊，無法拿起細小的東西，例如：牙籤、紙張。檢測報告中，其他數值皆以正常。請問這是哪一方面的狀況，如果到醫院看診是否是掛心臟內科呢？謝謝您寶貴的時間閱覽此封件。 | 心電圖之完全性右側未傳導障礙在正常人也可以出現建議先至神經科門診就醫. | [
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5泌尿科
| 龜頭炎 | 醫師您好： 大概半年前開始治療長期的龜頭包皮炎大約發炎半年，發炎的區域大概0.52cm是紅色亮亮的，應該是長期包覆在裡面沒有清理的關係。期間擦fusidic acid藥膏，有時候油亮的區域會變大變小，但發炎面積有慢慢收斂。 大概擦了四個月，改擦達來乳膏加上吃抗生素七天，傷口收斂得更快，只剩半個米粒大的區域還有小傷口，已經好的區域皮膚有點紅紅的，摸起來沒有傷口也不痛，請問是正常現象嗎？還有龜頭在洗完澡風乾時，更容易乾皺沒有皮屑，但用水輕抹就會恢復正常，請問這是龜頭長期包覆在裡面，康復後裸露出比較敏感的現象嗎？還是此藥膏的副作用呢？也想請問這種慢性的龜頭包皮炎，治療期通常都會這麼久嗎？沒有糖尿病 | 您好： 傷口好了應正常，但是要注意清潔乾燥，不要濕濕的，如仍會重覆發作，時好時壞的，要抽血檢查，至於乾皺，應是發炎，擦藥膏治療就有可能如此 ，不過不發炎一段時間幾個月，會漸改善，祝健康 | [
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6骨科
| 扁平足 | 請問一下： 一、如果檢驗扁平足，要多久的時間才能得知結果？且是否可以目測方式看出？ 二、因本身常常在打哈欠、或吃東西時、因嘴巴張開過大，導致下巴脫臼， 然後都以硬咬合方式或以手推方式將其推回，那如果要去醫院請求治療 該如果告知醫師，且有辦法治療習慣性下巴脫臼嗎？thx 不好意思，一次問了這麼多問題，真的是粉困擾，所以希望您能給予一點幫助。 萬分感謝！ | 扁平足要照X光片，再量其角度應立即可知道，習慣性下巴脫臼的治療應請問口腔外科醫師這是其專長，不是骨科。 | [
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| 抽神經 | 醫師！我想請問一下，我的牙齒自從抽了神經後就一直不能吃東西，已經3個月了！我換了兩家診所了，一直都一樣狀況，現在有比較好了，吃軟的東西都可以肉類也可以，可是要硬的東西例如雞排的殼會痛，而且碰到冰的會酸，可是我已經抽完三根神經了，怎麼會有感覺呢？是不是沒抽乾淨呢？要不要再抽呢？還是該怎麼辦？謝謝 | Hi 您好， 抽完神經後的牙，儘量避免咬太硬的東西，沒做牙套的情況，牙齒較易碎裂，因這牙已無養份供輸。請再觀察一陣子，治療後，復原速度不同，先保持牙周乾淨。 祝平安健康 衛生福利部桃園醫院 牙科主任 黃志成敬復 | [
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| 頭暈 | 洗澡時一直都低頭彎腰洗 兩天前開始 只要彎腰超過五分鐘 會出現嚴重暈眩 失去平衡感 站好後一分鐘又正常 再彎很低又會暈 此外無其它不適症狀 請問這有可能是耳石脫落嗎 還有最近睡覺沒用枕頭 只疊兩層毛巾在睡 跟這有關嗎 | 你好 有可能為姿勢性低血壓、耳石脫落或其他內耳問題，若持續未改善或反覆發作，建議至耳鼻喉科或神經內科就醫檢查。 | [
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6骨科
| 閉鎖性骨折 | 醫生你好 前兩天走路踢到硬物造成腳右大拇指閉鎖性骨折沒有移位骨頭中間有一條線這樣去馬偕醫院急診看了外科只做了簡易的石膏處理這禮拜5才能預約骨科看診 在那之前想請問一下醫師 A這需要打鋼釘或者開刀嘛 B打石膏一定要打到腳裸不能只打在骨折的大拇指位置就好 C復原時間多久 | 您好 大腳趾的骨折 如果證實沒移位而且是穩定的骨折 是可以簡易處理的 用石膏 鋁板或紙膠 視情況須要使用 但是 重點是病人自己必須要小心 在骨折長好之前 不要動到骨折處即可 骨折初步長起來 大約須四到六週。 | [
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5泌尿科
| 珍珠瘤 | 醫生你好我的龜頭靠近冠狀溝的邊緣有長珍珠丘疹而我在尿道口與龜頭的交界處發現也有長很像珍珠丘疹的東西.由於網路資料說珍珠丘疹常見於冠狀溝但我在尿道口的皮膚與龜頭交界的那個範圍長了一小排沿尿道口整齊排料約45顆.非常小.米黃色我確定不是包皮垢因為洗不掉我的疑惑是尿道口與龜頭的交界處有可能長珍珠丘疹這種良性的皮脂增生組織嗎目前也沒有過性經驗 感謝醫師解答 | 小Q： 你好 珍珠腺體一般位於冠狀溝。 建議就醫確定。 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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14罕見疾病
| 妥瑞症 | 我的弟弟從14歲開始全身不由自主的活動口帶髒話 父母跑遍中西醫，做過無數次電療，都不見病情好轉 這幾年才在親友介紹下去長庚王輝雄醫生看診後 確定他是患有妥瑞症 現在他24歲了，也過了黃金治療期，症狀雖有減輕但不能痊癒 造成他無法工作，沒有公司老闆肯雇用他 父母年老，也無法照顧他多久 為了他以後生活著想，父母想幫他辦身心障礙，但醫生以他無持續吃藥為由而拒開證明，無法順利申請 請問醫生幾個問題 妥瑞症可申請身心障礙手冊補助嗎 一定要二年的就醫紀錄才能申請嗎 妥瑞症為什麼不算是罕見疾病 患者能申請什麼生活補助 我父母生一女二男，一男患有妥瑞症，那我們生下的小孩，有可能遺傳嗎 謝謝醫生 | 由於問題點複雜 請打妥瑞症協會秘書電話 目前並沒有確定的遺傳基因 林光麟 Kuang-Lin Lin | [
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| 懷孕 | 前幾次月經來期是 0504 - 0510 530 - 0605 0628 - 0704 平均週期都是26 - 29天 在0704、0705這兩天有同房 沒有帶套 但也沒有內射 現在月經已經遲4天了. 有點擔心 這樣會懷孕嗎？ | 您好： 通常排卵期在月經來的第十二至十六天，但是文獻上也有在第七天、第八天就排卵的，7月4日、7月5日剛好在第七和第八天。所以若月經延遲，還是要先驗孕，如果沒有懷孕，可以用黃體素來催經。 感謝您的來信！ | [
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| 卵巢 | 6月9號因為左下方小腹有點不舒服有點脹痛感，還因為尿尿的時候也會不舒服，就照超音波檢查到左邊卵巢有一個不到2公分的水瘤，一開始不知道是這個問題會引起疼痛，以為是泌尿方面的問題，就還是看了一個多月的膀胱跟腎臟的醫生，7月23照了ct說我的身體都沒有問題，就是左邊卵巢有不到2公分的水瘤，就是這個引起的疼痛，請問醫生該怎麼注意，還有就是會疼痛要吃藥嗎？飲食煎的都不可以吃嗎？有點痛適合做運動嗎？月經的時候量少要怎麼辦？ | 一般2公分的小瘤不至於造成疼痛，因此可能要查一下原因。也許是子宮內膜的異位瘤，所以如果症狀持續，仍應就醫。 | [
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| 性病 | 1.女方不知有沒有病，有互舔奶頭、有無套口交、都有帶保險套、有肢體接觸且有用手摸進入過陰道的保險套外面、沒有接吻、沒有無套性交，請問這樣得病機率大嗎？後續我應該要注意觀察什麼？以及需要去診所檢查嗎？如果有得病 衣服褲子內褲是不是要分開洗呢？ | 聽你的描述還是有染病的可能， 若有擔心， 就算沒有明顯的症狀 ，還是要去看泌尿科檢查再與醫師討論， 內褲暫時分開洗也是好的。 | [
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0婦產科
| 懷孕機率 | 想請問前兩個月都有吃事前避孕藥。月經來第五天晚上有吃第一顆避孕藥。隔天早上有愛愛內射微量。這樣會懷孕嗎？ | 1. 懷孕問題，請於最近一次性行為的四週後，自行驗孕或至婦產科專科醫師門診檢查與評估。 2. 生理週期受各種心理及生理因素影響，若月經超過二個月未來，建議至婦產科專科醫師門診檢查與評估。 | [
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| 尿道問題 | 有喝很多水有上廁所可是很容易發生尿道炎是不是體質關係還是別種原因呢 你好 想請問你，我上完廁所，尿道那裡會有酸酸的還是反正怪怪的感覺，然後要過一下 下子才會消失，請問是啥咪原因呢然後反正會不舒服我該注意啥咪事.請你幫我 解答，要多吃啥咪東西.我的衛生也很好呀.鼻竇炎會有關係嗎還是感冒會有關係 嚴重會怎樣 | 水份足夠的確是避免尿道發炎的方法，但是仍應避免鱉尿 及排除其他泌尿系統疾病造成的併發症。您還是找一位泌尿科醫師 做個簡單的尿液分析 再做進一步的建議 你好 聽你的問題，應該是有點尿道發炎，除了局部衛生外，多喝水也很重要，不要憋尿，至於鼻竇炎及感冒應該沒有關係 | [
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0婦產科
| 藥物諮詢 | 請問悅己是否比黛麗安劑量低且安全呢 想從黛麗安換成悅己，是否一様停藥7天後開始吃悅己第一顆 這樣是否還要加其他避孕措施呢 謝謝 | 您好 避孕藥從月經來的第五天服用。 你46歲可以考慮保險套即可，因為懷孕機會不大而且避孕藥年齡越大副作用相對也多。祝健康 | [
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| 失眠 | 最近覺得沒什麼精神很容易精神恍惚 頭暈目眩 注意力不足 沒什麼目標 去看西醫醫生說我血壓偏高 我該怎麼正常作息 睡覺也很容易突然醒來睡不好 一直覺得任何事都很害怕 懷疑自己有沒有憂鬱症還是精神分裂 經常很容易忘記事情 上一秒講完馬上就忘記了 常常想太多擔心很多事 | 您好： 不知最近是否有特別大的壓力導致您產生這些症狀，既然有就醫經驗希望可以就診附近醫療院所身心精神科，才有助於病情的診療，相信很快會改善的。 | [
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| 懷孕嗎？ | 醫師您好 請問我114可能是排卵期當天，那男友內射，在12小時左右有吃了事後避孕藥，但卻沒有流血，那這樣有懷孕的機會嘛，那大概幾天後可以去婦產科驗孕呢 麻煩醫師了 | 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並不是百分之百，失敗率有3左右，不過仍算是補救的方法。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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11營養教室
| 身高 | 醫師妳好 我知道要長高要多運動多喝牛奶 但我有個疑問 因為有人說牛奶喝多反而不好 而我個人是 早上起床會喝12杯牛奶 下午在補充12杯牛奶 晚上則可能是1瓶優酪乳 而上述也可能會因飲食狀況互換調整 另外我飲用前都會先適量運動 讓腸胃好吸收 運動也是每天持續做 請問我降子對於牛奶的飲用量會太多嗎 會不會反而影響長高呢 謝謝 | Dear Kenny 關於牛奶的戰爭，現在仍方興未艾沒有定論，針對此只有一個建議就是不要過量，一般建議量一天為兩杯，毎杯240c.c.，美加的建議量為2-4杯，以你的描述為3-5杯，我建議2-3杯是OK的，喝太多是否會影響身高沒有聽過，但有可能影響體重，且油量也較高，若爲了攝取鈣質，許多食物鈣質含量也很高，如豆腐、小魚干、深色蔬菜等，另跳繩、打籃球、游泳都是很好的運動。 謝惠敏 | [
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5泌尿科
| 頻尿 | 醫師您好 想請問一下我目前狀況是否是頻尿或是其他哪方面出了問題了 我每天都會喝蠻多水的，可能還會外加一杯大杯的無糖茶飲料或是美式咖啡。 因為本人有抽菸習慣，所以每次抽菸都會習慣喝水， 所以不知不覺就會一直喝一直喝，尿尿的顏色己乎都是透明的， 很少會有缺水狀況的淡黃色或深黃色， 然而這樣有時在空腹的時候，我一小時都會跑二至三次的廁所，排尿量都蠻多的就是了。 我不知道這樣會不會對身體不好 還是我應該不要喝那茶或水呢 不一直喝我有測試過約兩個小時會想上一次，一般打報告時就旁邊喝著水約一小時一次， 但有時當天不知道怎樣，就會一直想跑廁所，一直尿，尿一樣都是透明的。 有時跑到讓我覺得好累阿，不知道是否需要看醫生 | 您好 如果小便問題已經造成你的困擾 請至醫院尋求協助 | [
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12胸腔內科
| 肺部問題 | 大概2月底那附近開始的偶而胸口附近會突然有悶痛感但沒有到非常不舒服的程度 就是微微的悶痛感每次痛的位子都不太一樣有時是左胸有時是右胸有時是正胸口 我現在是在家準備重考所以基本上每天都是睡醒就是坐在書桌前讀書不太會出門走動 不知道跟這樣的生活方式有沒有關連還是是真的可能真的怎麼了 補充本人的體態有點偏胖 | Even您好 胸痛原因很多由於您目前坐的時間較久活動時間太少且讀書壓力較大可能覺得胸腔不易開展比較像神經痛建議要先改變生活方式如每坐50分鐘起來活動10-15分鐘下午或早上稍做運動大於30分鐘設法將體重降低3-5公斤如症狀未改善再到胸腔科看診. 祝 好 | [
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5泌尿科
| 菜花感染風險 | 昨天出遊用飯店毛巾，發現毛巾有破洞且有一點紅色固體，很怕前一個客人有性病，但飯店沒有清洗毛巾，擦澡擦到一半才發現，但似乎沒有擦到私密部位，這樣會得菜花嗎？如果有擦到私密部位這樣會得嗎？ | 您好 強調菜花傳染仍是以性行為為主. 如果沒有清洗 且有菜花部位的接觸沒有多久 接觸病灶的毛巾那一部位--- 接觸另一人的生殖器或會陰部位. 當然是有極小可能不過菜花病毒要由病灶經過如此途徑是很困難的. 多以性行為傳染為主 祝健康 | [
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0婦產科
| 月經 | 這個月 在正常的月經時間 月經有來 但是量很少 在正常經期結束後隔5天又有血 是肚子痛的出血 像一般月經的量 但是顏色稍嫌黑 有驗孕但都是一條線 請問是懷孕嗎 | 提問者您好 因為陰道出血不一定是月經，有些人把早期懷孕出血誤認為是月經，而太早檢查可能無法判斷，建議如果不確定自己的出血是否為正式月經或擔心主觀症狀有可能是懷孕的話，須請醫師作檢查以確認有無懷孕。，謝謝 祝 平安 健康 張 醫師 回 提問者您好 | [
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| 避孕藥 | 我的月經是83來的，週期差不多31天，在812晚上10點多發生性行為，全程戴套但中途套子破掉，無射精，也沒有在進去，隔天13號的早上11點多吃了愉婷錠事後避孕藥，我用手機app看安全期，顯示那天是安全期但過沒幾天是危險期，請問吃了有用嗎？ 我還想再問因為吃完事後避孕藥的當下我有點感冒所以去看了醫生，有開感冒藥，但我怕會與事後藥衝突所以我在14號的晚上才吃第一包感冒藥，有抗生素之類的藥，請問沒事吧？ 我還想再問一個問題，因為我這個感冒吃了幾天的藥都沒有漸漸好轉，是否吃了事後藥又吃感冒藥會整個大亂經？ 請問我懷孕機率大嗎？請問我是否不用那麼擔心？ 最近常常反胃是不是因為吃感冒藥的關係？本身我的胃對西藥比較敏感，所以吃感冒藥胃不太舒服沒什麼胃口 謝謝你 醫生 | 您好 812晚上10點多發生性行為，全程戴套但中途套子破掉，無射精，也沒有在進去，隔天13號的早上11點多吃了愉婷錠事後避孕藥，應該有效。感冒藥和事後避孕藥不衝突，懷孕機率不大，放心。因為休假之故，現在才回應，請見諒。祝健康 | [
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3藥物
| 藥物交互作用 | 您好： 請教一下，以下是其他醫院資訊，因關生命安全，可否幫忙確認是否真是如此謝謝您。 目前在服用保栓通Plavix、冠脂妥CRESTOR、伯基腸溶微粒膠囊Bokey "親愛的朋友，您好： 查詢現有文獻，柚子和葡萄柚內含有類黃酮（Flavonoids），會抑制肝臟酵素的代謝作用，使保栓通Plavix及冠脂妥CRESTOR的藥物濃度變高，增加副作用；花青素會影響冠脂妥CRESTOR代謝，至於紅麴和納豆之作用與冠脂妥CRESTOR藥效相近，保栓通Plavix和伯基腸溶微粒膠囊Bokey為抗血小板劑，與魚油、銀杏、人蔘、當歸、納豆、魚油或黑木耳併服，有可能影響凝血功能，增加出血風險。 建議您在服藥期間，避免併服上述食物，此外燕麥可能會降低冠脂妥CRESTOR的吸收，如需併用，最好間隔2到4小時。 | 您好 食物中含有的特定成分確實會干擾藥品代謝，例如併用保栓通Plavix 和葡萄柚後使得Plavix活性代謝物降低、藥效降低，可能有血栓發生的風險。對於食物與藥物的交互作用，有些是確切有臨床案例報告，有些是依食物成分與藥品作用或代謝機轉推測，因此您可能會收到不同的解讀資訊。 藥品彼此併用有加成效果，副作用也有機會增加，例如併用保栓通Plavix和伯基腸溶微粒膠囊Bokey抗血小板劑即是。 由於對於研究與實證的資料必須配合病人本身生理與疾病才能考量風險性，故在治療上一定是依醫師建議，藥師協助說明用藥注意事項，並不是一份書面建議可以適用於每個病人，請安心依醫囑服藥。 祝：健康快樂！ | [
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6骨科
| 腳痛 | 從國中到現在快大學長期腳痛 體重是正常值 對生活不至於造成嚴重的障礙 但是每天走路都會覺得腳底板特別痛 曾經去看過骨科，醫生說從X光看來沒甚麼問題 但我真的被腳痛這個問題困擾很多年，我也不記得是從什麼時候開始只要走路和跑步就會腳底板很痛，尤其是腳底板靠內側中間軟軟的部分感覺很酸 ，還有後腳跟會覺得麻麻的。 如果不是骨科的問題那到底是怎麼回事？應該去找哪一科求助？哭 我真的希望能解決這個跟隨了我很久的痛苦 | 您好 依您的年紀跟症狀，足部畸型如扁平足， 或穿鞋問題須注意，建議少穿平底板鞋， 穿運動鞋含足弓支撐墊應會好些， 如症狀仍持續則須作足弓角檢查。 彰化醫院 關心您的健康 王守吉 | [
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| 備孕問題 | 請問一下，老婆屬於醫院人員可以打AZ疫苗，請問一下，如果打了AZ疫苗，大概多久才能夠懷孕呢 因為有人說打完必須半年才可以懷孕，可是老婆年齡已經35了，因為先前因為染色體問題，造成小產， 本來想說最近去問看看試管嬰兒PGS會不會安全一點，可是遇到疫情爆發，讓自己覺得老婆在醫院工作是該打 ，可是年齡問題自己也擔心，這樣一等前前後後可能要拖個半年到一年，自己也不知道該怎辦， 請問做試管嬰兒PGS的話是不是先該去醫院去諮詢打AZ之後是不是能做呢 可是現在疫情又不想 去醫院問這個，也不知道該問誰，再麻煩醫生解答一下了，真的建議打完二劑半年後再去做嗎. | 您好 大部份的疫苗一般是建議打完3個月後懷孕，AZ 疫苗，我不是這方面的專家，可能要再諮詢其他專家。祝健康 | [
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13肝膽腸胃科
| 下腹部問題 | 醫生您好 我本身有胃食道逆流，已看診吃藥一年多了，主要用中藥治療。 中醫師說我有腸胃發炎的現象，因為我會到處刺痛或鈍痛感，不會有按壓痛的感覺但最近有好多了。 但我下腹部會悶肚臍正下方長期悶悶的，我不是每一天都會，有時候一整天悶好久，也會有好幾天的不適感，悶悶的感覺應該也有半年以上一年以下了。 去年年底有因為恥骨刺痛去婦產科照過腹部超音波，醫生說沒有任何問題但當下沒有悶悶感，所以並沒有詢問到這部分 去年年中有去做全身健康檢查，有癌症抽血檢查，卵巢癌.腸癌都是沒有紅字。 四.五年前是有一陣子因為太過緊張，有被診斷出腸躁症過，但現在不曉得有沒有，因為我現在會有一直想放屁的感覺，右邊的肚子長期大面積的脹氣，容易出現羊便便，想請問一下這麼長期的腹部悶可能是什麼問題 | 若糞便潛血正常則仍可能是腸燥症。可就醫調理並生活節奏飲食習慣調整。 | [
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| 睡眠 | 平常大概都12點睡 最近有一次半夜，突然自己起來抓住我第 整個人起來，他在我旁邊 當時是有意識的知道自己在做什麼 我弟一被碰到就醒來了 我也忘了為什麼要抓他 ------------------------------------- 大概隔1、2個星期 又一次晚上我自己醒來 去找我妹他在隔壁間 當初也是意識模糊 記得那時的心情好像是有什麼事要找她 ，可是那時是半夜. 醒來時我也想不起來當初的目的是什麼了 ------------------------------------- 2次我都有感覺知道自己在做什麼 不過醒來只記得最後發生的 而且不知道原因 感覺有點像是把夢和現實混淆了 醒來把夢當成現實的樣子不知道那時有沒有作夢 --------------------------------------------------- 第一次睡前看了2部恐怖片. 之後就都不敢看了 ------------------------------------------ 請問這是夢遊嗎 為什麼我會有意識 | 你好 這樣的情形並不是夢遊，應該是睡眠品質不佳所導致。 | [
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