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5泌尿科
| 尿道問題 | 最近跟男友有性行為，但過程中他一直愛輔我的尿道那，是不是因為這樣，我才得了尿道感染，因為我以前從來沒得過，醫生說很容易復發。我本來就有慢性骨盆腔炎，這樣以後尿道感染好了，是不是會更容易復發 | 您好 1.您可能發炎，應驗尿檢查。 2.尿道感染好了後是不容易復發。 行政院衛生署新竹醫院泌尿科主治醫師張成業敬覆 | [
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5泌尿科
| 膿瘍 | 醫師你好 我的陰囊上長一顆凸起物，平常不理他是不會痛，但入果想擠他就會非常痛，可是擠又擠不破，請問這是長甚麼東西看起來也沒有白白的粉刺物，該如何處理 謝謝。 | 阿祥： 你好 建議增加清潔工作。 若一直不會好，建議就醫。 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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| 懷孕嗎？ | 醫生您好，年初12號那天做完有吃一顆事後藥（無帶套也沒內射） 但是經期都正常 319號行房後2個小時內也有吃一顆事後藥（無帶套 無內射） 326-331有來月經 411-417也有來 但是5月11該來的月經到現在還沒來 會是事後避孕藥造成的嗎？ 還是作息造成的？ 如果真的是懷孕的話我的肚子到現在還是平坦的，也沒有懷孕初期的症狀，會是亂經嗎？ 不好意思麻煩醫生了 | 您好 411以後如果沒有性行為，應該是不會懷孕，再等一星期，如果還是沒有，建議看婦產科。祝健康 | [
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12胸腔內科
| 肺結核 | 楊醫師你好我是一位患有肺結核ㄉ病人大概再六個月前因為莫名ㄉ長期咳嗽而前往中國醫藥學院照射x光片才發現自己患有結核病但不明白傳攬來源及途徑也不曉得究竟是多久ㄉ事ㄌ吃ㄌ半年多ㄉ抗結核藥物依然是陽性反應究竟是為捨麼ㄋ是因為醫生開錯藥物還是他根本不擅長這一科ㄋ在前幾天我改至貴醫院就診但不曉得胸腔科李瑞源醫師是否擅長.想請教你幾個問題 1.肺結核並患有何忌口ㄉ食物該多攝取哪些營養食品2.我可以吃其他藥物ㄇ例如治療青春痘ㄉ藥或感冒藥或避孕藥.等 3.我ㄉ皮膚越來越黃跟吃抗結核藥物有關ㄇ臉上不斷長出許多ㄉ青春痘跟吃藥有關ㄇ請回答這些疑問.非常感謝你 | ellen 您好 針對您的問題簡單回答如下 1.肺結核病人建議多攝取高蛋白食物不疑多吃刺激性食物如油炸.辛辣溫補或加酒料理的食物. 2.抗結核藥物可與一般感冒藥或青春痘藥物併用但可能影響避孕藥效果可能不小心懷孕 3.青春痘可能是抗結核藥物藥物引起的短暫副作用停用藥物後會逐漸改善 4.皮膚變黃要注意是否有黃疸情形服用抗結核藥物六個月痰液結核菌檢驗仍為陽性較令人擔心需進一步至本院檢查 | [
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22戒菸
| 戒菸問題 | 林醫師 家父因是ㄧ家公司的小員工他吸煙以有十幾年了而我們全家都拼命勸他戒菸 但是他總是以他沒辦法戒來敷衍我們而近來幾年他已經有咳嗽的情形了.我真 的很擔心他的身體狀況而他公司的同事也有煙不離口的所以可否請林醫師給 我ㄧ些可給家父遠離香菸的明確建議. 請快速回信.謝謝. | Angle您好： 一般而言對菸成癮者都有很多不戒菸的理由，簡單的說就是沒有戒菸動機，在沒有戒菸動機情形下談戒菸辦法是沒有用的，因此第一步是要如引起您父親的戒菸動機，不外乎以下幾方面： 1.收集有關菸造成之危害：包括個人身體，二手菸對家人之影響…. 2.針對抽菸者已造成之個人危害：身體健康，家人關係，與同事之關係…… 3.不時的提醒您父親以上情形，使其產生戒菸動機 ※詳細資料可上國民健康局有關菸的網站查詢。 | [
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5泌尿科
| 愛滋病問題 | 杜主任醫師 您好 請問如果有戴套的情況下 保險套在最後射精完 才拔出 假如保險套有破掉 感染愛滋的機率高嗎 請問苗栗醫院是用第四代Elisa combo嗎 | 您好 因為有體液接觸 是有機會 但是機會小. 至於醫院檢驗 正確性是可以說明. 是否用 ELISA COMBO 第四代可詢問醫院檢驗室. | [
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17眼科
| 黃斑 | 請問 就一般而言進行黃斑部牽引症手術時如果沒有裂孔產生需要注入氣體並配合趴姿嗎 謝謝 | 您好： 如果沒有視網膜剝離的話，可能可以不用這種方式。 不過還是需要臨床上的檢查才能決定。 台灣e院 朴子醫院眼科： 星期一至五早上 8：00∼12：00 星期三下午 13：00∼16：30 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 希望有機會能為您服務。 高丕霖 | [
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5泌尿科
| 頻尿問題 | 醫師您好 約兩周前某天，忽然感覺有想頻繁尿尿的感覺，上完廁所後仍有尿意（但不會痛亦無血尿），會覺得陰莖口酸酸緊緊的，去泌尿科就醫後，第一周醫師以急性膀胱尿道炎處理，但吃了一禮拜的藥仍沒有明顯改善，第二周以輕微膀胱過動處理，吃藥一禮拜後仍覺得改善有限，醫生又推論可能是慢性膀胱炎。想請問問題如下 1 不知可能的病因為何？除了膀胱問題以外，會跟包皮或龜頭有關嗎？ 2 這兩天尿尿會覺得要慢個幾秒才尿出來，尿完後陰莖會有一點酸酸的感覺，跟病情會有相關嗎？ 3 通常可能的療程需要多久？ 謝謝 | 小蔡： 你好 應該還是膀胱發炎的機會比較高。另外，可能是膀胱發炎後，即使細菌都殺光了，可是所造成的損傷仍然還沒有復原。因此，需要依段時間來做修補。 若頻尿嚴重，可以用熱毛巾或熱敷墊，熱敷肚臍下面的的膀胱，應該會有效果。 另外，陰莖也可以用熱毛巾熱敷，改善循環，這些，都可以促進組織的修復。 若持續超過一個月，可以考慮是否是因為尿路結石引起，可以做超音波檢查以及相關X光攝影。 整個療程，因病因人而異。有的人3天就好了。有的人，數個月甚至數年也不見效。當然，要看到底是什麼病因所造成的。 | [
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| 會懷孕嗎？ | 黃醫師您好 1.我跟女友曾經在7月21號發生親密行為 14天後用驗孕棒驗孕結果是一條線 請問這樣能判定是沒有懷孕嗎？ 2.請問若是女友用手沾到我分泌的透明尿道球腺液（確定沒射精），隔了幾分鐘再碰自己的陰部（有伸進去一點） 這樣有可能會懷孕嗎？ 麻煩醫師解答了感謝！ | 1.跟女友曾經在7月21號發生親密行為14天後用驗孕棒驗孕結果是一條線 請問這樣能判定是沒有懷孕嗎？ A 這樣不能判定是沒有懷孕 2.請問若是女友用手沾到我分泌的透明尿道球腺液（確定沒射精），隔了幾分鐘再碰自己的陰部（有伸進去一點） 這樣有可能會懷孕嗎？ Ans 不大可能會懷孕 | [
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| 事前避孕藥 | 您好 女友已經連續吃了兩個月的28粒事前避孕藥 吃完前21顆再吃後7顆中的前2顆 因為回家忘記帶剩下的5顆回來 在要吃後7顆中的第三顆時月經來（忘記吃的第一天） 今天是月經來的第二天 也是後7顆忘記吃的第二天 請問 要再吃新一盒要等到月經來的第五天開始吃新的？ | 女友已經連續吃了兩個月的28粒事前避孕藥 吃完前21顆再吃後7顆中的前2顆 因為回家忘記帶剩下的5顆回來 在要吃後7顆中的第三顆時月經來（忘記吃的第一天） 今天是月經來的第二天 也是後7顆忘記吃的第二天 請問 要再吃新一盒要等到月經來的第五天開始吃新的？ Ans 等到月經來的第五天開始吃新的 | [
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0婦產科
| 調經 | 醫生您好，我上個月因為月經沒有來去看醫生吃了催經藥，之後醫生跟我說要吃調經藥，有兩次，一次是白色藥丸一次是藍色藥丸，但是我藍色藥丸有兩天忘記吃，結果我的月經來了，跟上次月經來的第一天差距23天，量也有點多，請問需要去看醫生嗎？ | 您好： 調經藥忘記吃，出血是withdraw bleeding，非月經，請繼續吃2-3天就會停止，若不停，請看婦產科醫師。 | [
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6骨科
| 骨折 | 醫師您好！我於今年3月10日發生車禍造成右小腿脛骨粉碎性骨折，於隔天進行骨內釘搭配骨粉進行內固定手術；後來出院返家到拆線後過了近三週，不明原因感染，導致拆線後的傷口爆開流出大量組織液，回診檢查，於4月1日醫師為我進行清創手術，並同時拆除了原先內固定的骨內釘，之後改以副木外固定方式住院休養，並進行抗生素療程，前後約二十日後出院返家；我想請教醫師： 1. 這樣的情況需多久才能不需靠柺杖走路？ 2. 粉碎性骨折不做內固定，是否要花費更長時間復原？ 3. 副木要戴多久呢？ 我5月10日回診看片子，我的醫師說骨頭開始長了！要我在家裏可以拿掉副木，要我拄柺杖一分力兩分力練習踩地試試，但我這幾天嚐試後發現，偶爾傷腳在某些姿勢時，好像感覺骨頭有在動，且小腿內部有些痛的感覺，這樣是否有問題，不該再繼續練習踩地了呢？ 謝謝您！ | 1. 骨折復原 至少6週 粉碎厲害的 有感染的 會延遲 2. 內固定可以提供骨折支撐 當然骨折容易生長 但是 感染就必須取出 否則無法控制感染 3. 請詢問主治醫師為好 謝謝 | [
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11營養教室
| 其他 | 請問牛奶跟蜂蜜可以加在一起一用嗎 如果不可以 那是為何呢 | 小兵您好 蜂蜜可以當甜味劑加入牛奶沒有問題唯對於一歲以下的小孩因腸胃免疫系統尚未成熟可能催熟大腸肝菌孢子所以不適用. | [
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6骨科
| 脊椎 | 您好， 我本身有脊椎S型問題，但長久以來一直困擾我的是， 在我背面的脊椎皮膚表皮上，有局部的看似黑青的現象， 原本還不以為異，但很久了也不曾消失，而且好像也愈來愈黑， 請問這個是因為脊椎S型所造成的嗎還是另有其它原因 需要就醫治療嗎 | 脊椎側彎與皮膚的黑青應該沒有直接的關連，黑青有可能是皮下出血或者其它的原因，像是凝血功能障或微血管的問題等等，可以去找血液科醫師看看。 | [
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0婦產科
| 神經管缺陷 | 你好： 我目前16週預產期210 我被檢查出來神經管破損值偏高1518 在827產檢照超音波檢查發現小朋友大腿骨發育不良、 ㄧ隻腳1.2、ㄧ隻0.9 我該怎麼做？可以用什麼方式補充讓小朋友正常發育？ 真的很想要小孩.也希望他是健康寶寶 | 你好： 感覺你的胎兒好像有點問題，建議至醫學中心進一步檢查。祝健康 | [
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| 牙痛 | 您好前幾天我右側下排的臼齒突然對冰水特別敏感，半夜時還被牙痛痛醒，後來牙齦稍微發炎，但看牙醫照了x光後牙醫說牙齒沒有問題，這幾天牙齒還是很痛用舌頭舔也會痛而且周圍牙齦持續發炎，另一位醫師檢查說是神經管的問題要抽神經才能根治，我想知道這個情形是為什麼要怎麼處置比較好 | 上述情形，可能是牙齒本身有裂縫，導致細菌從裂縫延到牙齒神經引起發炎感染，如果是這樣可能還是抽神經才能根治。 | [
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| 生殖器官 | 醫生， 您好 我想請問我先生的龜頭於做愛後，會起紅疹，是否和我之前陰道的黴菌感染有關呢 我先生堅持不用保險套， 是否導致我無法根治我陰道的黴菌感染呢 而如果我們沒做愛， 我先生龜頭的紅疹又會自動消掉， 但一做愛， 紅疹又冒出來. 請問我先生是否該至醫院治療呢 我先生左下腹靠近腹股溝處， 鼓出來是否是疝氣或者不要緊呢 謝謝 | A：女性陰道的分泌物過多或陰道感染，的確容易造成男性性伴侶在做愛後的龜頭感染，尤其如果男性性伴侶的包皮過長時更易如此。有的人會在幾天後自行恢復，但是只要再一次性接觸就會再發。所以妳先生如現在有這樣的龜頭包皮感染情形，是應該找泌尿科醫師治療。同時也建議妳要盡量改善妳的陰道感染情形，否則妳先生的龜頭包皮感染還是會再復發。至於腹股溝的鼓出物，的確很可能是疝氣問題，可一併請泌尿科醫師處理。 | [
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| 孕婦問題 | 你好 就是之前我太太一直有吃不下的狀況 然後我有帶我太太去看婦產科有比較好一點不過我想問謝營養師的問題是孕婦可以服用益生菌嗎謝謝益生菌吃了之後有什麼好處 | 奕德您好 夫人在懷孕前期吃不下，著實讓我們擔心，也請作為先生的您多費心了，針對益生菌的問題來回覆，功效為 1.增加好菌、抑制壞菌功能 2.調整腸胃道功能 不過很多市面上有很多的產品，應先行請教醫生或營養師，再行購買，確認對於媽媽及寶寶是安全的。 敬祝闔家平安 旗醫營養室 | [
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20中醫科
| 減肥 | 請問 聽說早餐吃 香蕉 配開水 其他2餐正常吃這樣可以減肥 這種方法對身體好嗎 不吃香蕉 吃芭蕉這樣可以嗎 謝謝 | 你好 如果有身體容易會酸痛 不適宜過度服用香蕉 或容易脹氣則不適宜服用 香蕉 或 芭蕉皆可 | [
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13肝膽腸胃科
| 胃腸問題 | 請問三天前因胃痛而吃藥隔天後已經不痛但連續兩天胃都持續脹氣排氣也正常請問這是什麼原因阿 | 您好 可能腸胃炎所致，建議飲食清淡，若維持胃脹、胃痛，則需要更進一步檢查是否有無潰瘍惡性變化。 內科林明慧醫師敬覆 | [
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15復健科
| 椎間盤突出 | 蘇主任好！ 椎間盤突出在復健已3個月， 請問可以做甚麼運動？ 可以游泳嗎？謝謝！ | 患者平日除了藥物與物理治療，可進行一些溫和的伸展運動，或是水療復健，運動前一定要暖身，避免籃球網球等劇烈運動，也要避免搬運重物及旋轉，連起床時，最好都側身由手肘支撐，減低腰椎的壓力。在抬動物品時最好是屈膝，而非彎腰。居家和工作的場所要保持明亮，地板應避免溼滑，以防止跌倒。在梳洗時可將一隻腳踏在小板凳上，以避免過度彎腰所造成的背痛。睡眠時床墊以硬實為宜。若是需要長期坐著，則必須要坐有靠背的椅子，在腰椎彎曲的地方墊一個腰墊，來維持坐姿的穩定。坐立時雙腳下也可墊一腳凳，使雙膝關節略高於髖關節。約半小時至45分鐘起來走一走，以減輕腰椎的壓力。久站時須要常常變換姿勢，使重心轉移。女性應避免長時間穿著高跟鞋，以防止腰部過度受力。背痛的患者，在做健身運動時，應選擇以徒步，游泳為主，避免腰部過度旋轉，如網球及籃球等劇烈運動。 敬祝健康 | [
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0婦產科
| 避孕藥 | 本來應該上禮拜日就停藥，但是沒有注意到多吃了5天，今天才發現，請問會怎麼樣嗎？P.S MC還沒有來。 | 建議先停藥，等候月經到來，這段期間請以其它方式避孕。 | [
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11營養教室
| 膽固醇 | 您好. 因為本人父親經過檢查膽固醇指數約300 並且還有高血壓.聽聞這是中風危險群 另外他也50多歲了還常熬夜打麻將 無奈本人父親卻硬是指250才是基準. 他說才高50不要緊 想藉由您的專業知識告訴我該如何 比如多少才是基準超過多少要注意 還有該如何降低膽固醇 謝謝您的告知. | 您好：您父親驗出之膽固醇指數約300，確實已超出標準植200，又加上有高血壓，的確更應注意健康保養。在文中雖未提及您父親的體型，在此還是要提醒應維持理想體重理想體重算法：22乘以身高的平方，身高以公尺計，如身高160公分，則理想體重為22乘以1.6再乘以1.6，若實際體重在理想體重上下10，則在理想範圍內，並應調整生活型態，例如生活規律、戒菸、運動等。在飲食上，則應注意少吃油炸、油煎或油酥的食物，以及避免豬皮、雞皮、鴨皮、魚皮等，另應少喝酒，多選用富含纖維質的食物，烹調用油以橄欖油、花生油、菜仔油等含單元不飽和脂肪酸較高之植物油為佳，並採用少油之烹調方式如清蒸、水煮、涼拌、燒、滷等，少吃內臟類，蛋黃以每週不超過23個為原則。以上是較理想之建議，若一下子無法完全遵循，可商討以漸進式的方式達成，不要因為太過於關心，反而造成不愉快。 | [
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12胸腔內科
| 肺阻塞 | 柯醫師好：慢性咳嗽、氣喘能否治愈，並有什好方法可治愈這咳嗽，人一咳起來，全身很不舒服，又難過。真恨自已為什身體這麼不爭氣，這一陣子，胸常常很悶，不知什麼原因？從18歲左右一次感冒就開始咳嗽，到現從未好過。兩位寶貝兒子也常常咳嗽，真擔心以後會像我活得這麼不快樂。請問柯醫師「咳嗽」我們該怎治療，才能過得舒服的人生。終身感激謝 | 慢性咳嗽及氣喘必須做胸部x光及肺功能之詳細 評估同時居家及工作環境要避免吸入二手煙及 過敏原不要養小動物如貓.狗建議至胸腔科門 診作檢查及治療相信會有明顯的改善. 感謝您的問題 | [
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| 出血 | 醫師您好 我昨天和今天陰道都有微量出血 要用擦的才有 想問醫生 因為手機app上顯示在六月十五日到六月二十四日是排卵期的範圍 我在23號時有微量出血 顏色是淡淡的紅色 在六月十日有性行為 但月經在當天還有一些些 月經是在六月三號來的 請問醫師 1.是排卵期出血嗎 2.需要驗孕嗎 3.如果還是持續出血的話要擔心是懷孕嗎 | 您好 有可能是排卵性出血，應該是沒懷孕，再觀察看看，如果還有出血，再考慮要不要看婦產科。祝健康 | [
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13肝膽腸胃科
| 排便問題 | 醫師您好 我每天都會排便也無便秘情況，大便呈現條狀顏色也正常 但這兩天擦屁股有鮮紅色的血，最後排出的大便後端表面也沾有血 肛門口附近會感到灼熱感，痛的感覺倒是還好 後來小號時用衛生紙輕輕按壓擦拭肛門口還是有點滲血 平均半個月到一個月發生一次，一次2-3天 請問這種情況是內痔肛裂還是直腸方面的疾病呢 需要去醫院檢查嗎 比較擔心直腸癌方面的疾病. 謝謝您 | 小姐您好 都有可能，可至腸胃科門診檢查直腸鏡一下即可了解。 彰化醫院關心您的健康 陳詩典 | [
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5泌尿科
| 陰莖問題 | 自己以前有清洗上的困擾，現在解決了只是有些疑問還是留在腦子裡 想問醫生溫水洗有大概的溫度範圍是2040度之間 因為我都直接泡水洗，所以是不是泡起來感覺舒適就行了 現在搓洗到最後的擦乾都有做到位，天氣好時不開熱水器就洗清水，覺得洗的很順利 以前老是卡垢，當時我就將水加熱一些，當時搓一搓就跑出很多垢，就覺得是不是加熱效果好 但控制不好就覺得太熱了點，冬天水冰洗的時候都沒啥垢，搓起來感覺不順，所以才會好奇溫度會不會有影響 不過現在我懷疑是當時搓的方式不夠全面才會導致如此還是包皮垢卡久了需要泡水再泡久一點我都是浸下去就開搓了。 感謝醫生撥空幫我解惑。 | 您好： 沒有特定溫度，不過個人不建議太熱，另外清潔不用太大力，如果洗完有些紅是不建議的，要擦乾，祝健康。 | [
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13肝膽腸胃科
| 下腹痛 | 就在一個月前就發生右下腹部一陣一陣抽痛，發生時間都是在早上上完便便跟晚上11點多，便便都是水便，胃漲氣，這一個多月看了好幾家醫院，都沒有改善，大都開消漲氣藥跟軟便，吃到現在還是症狀一樣沒改變，想問到底是什麼問題造成的？ 醫生有去指壓，壓下去會痛放開不會 有抽血過沒發炎也沒貧血 有照過X光說沒有大腸沒有塞住 有超音波過沒有看出什麼東西 大腸鏡3年前做過1次醫生都說正常 | 建議局部熱敷並持續觀察追蹤。 | [
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4心臟血管專科
| 心悸 | 醫生你好，我因為體重過重所以免役，最近幾周都靠慢跑減肥，這禮拜二，我也不知道是不是慢跑完後，我感到心悸，連續好幾天，有時會短暫的輕微疼痛，每次睡覺醒來，剛睡醒，心悸還不會發作，久了又發作了，家裡有糖尿病史，請問醫生這是怎麼回事，還有什麼時候會停止 | 您好 應該是您最近生活作息和以前不同 身體還沒有適應造成自律神經失調引起 如仍不適 建議至心臟科門診近一步檢查治療為宜 平安 彰化醫院關心您 | [
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| 懷孕 | 醫生你好，29跟女友親熱，全程女友幫我手淫，全程沒有插入，最後射精射在肚子和胸部那附近，沒有到陰毛以下，想請問這樣會懷孕嗎？事後抱抱的時候有穿褲子，可是生殖器官還是有反應，想問說精蟲會隔著內褲跑進陰道導致懷孕嗎？（事後有用衛生紙和濕紙巾把自己的生殖器官擦乾淨） | 1. 29跟女友親熱，全程女友幫我手淫，全程沒有插入，最後射精射在肚子和胸部那附近，沒有到陰毛以下，想請問這樣會懷孕嗎？ Ans 不會 2. 事後抱抱的時候有穿褲子，可是生殖器官還是有反應，想問說精蟲會隔著內褲跑進陰道導致懷孕嗎？ Ans 不會 | [
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0婦產科
| 會懷孕嗎？ | 上次女友經期是517來 昨天611跟女友發生關係 有戴套 事後有灌水進去沒破 我是快射時拔出來在外面射在套子裡 請問這樣會懷孕嗎. 有點擔心 請各位專業人士解答. 另外補充一下我女友有一次517那個來 我在月經第二天有性關係 也是有戴套 也灌水沒破 兩次前戲都是穿著內褲的 戴套前也都沒碰觸到 也都是快射時拔到體外射在保險套的 女友是第一第二次 都很痛 會影響經期嗎？ 請問這樣會有懷孕可能嗎. 我還在服兵役 沒有經濟能力 所以都很小心 都有做安全措施 然後我女友現在胸部會痛 比之前痛 是經期快來了嗎？ 然後他說子宮會收縮 這幾天說胸部會漲痛 肚子也有悶痛現象 昨晚613還痛到要熱敷 請問會懷孕嗎.？ | 您好 懷孕機會不大，任何時候最好要做事前的避孕措施，不能相信安全期，如果月經該來沒來再超過1星期仍沒來，建議看婦產科。祝健康 | [
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13肝膽腸胃科
| 排便問題 | 您好： 現在國三，最近一直便秘好幾個禮拜也有去看醫生有吃藥但是還是沒有每天大便而且也有說過我腸胃不好最近肚子一直脹氣常常放屁肚子痛但大出來都只有一條短短的就大不出來了，喉嚨一直感覺有異物大便特別乾，但沒有血，有口臭不知道有沒有大腸癌或其他症狀？ | Dear Meggy： 您好， 便秘與先天構造、新陳代謝內分泌、飲食習慣、藥物、心情、藥物有關。年輕人多為大腸急躁症。 建議功課壓力中也要注意飲食，少吃油炸物、多喝水、攝取蔬菜水果、適度運動、養成排便好習慣，維持心情愉快。 如果持續有排便異常，體重減輕，有血便，貧血則盡速就醫。 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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| 鋼釘問題 | 醫生您好，我的狀況是左髖關節巨大細胞瘤，因為有復發過，手術前後相差4年多，距離我最近一次手術大概是1年前，由於我的醫生建議我的鋼釘不要拔，所以鋼釘也都是一直放著。 我的鋼釘是從髖關節到快膝蓋的地方，我到現在還是時常感覺到酸疼甚至會痛，問我的醫生也沒有一個確切答案，因為X光都正常，也打過六次的癌骨瓦，我想請問的是裝著鋼釘長久下來會有哪些症狀？我這樣酸疼是否可能是復發的跡象？還有我的飲食上生活上需要注意什麼？因為我的醫生是說目前沒有研究報告證明跟我的狀況有直接關係，謝謝您。 | 1.骨釘在體內如果沒有特別的問題可以不必取出來 2.痠痛與復發有時候會有關係 需要與原先幫你手術的醫師在討論 3.需繼續門診追蹤 . | [
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13肝膽腸胃科
| 排便問題 | 我有聽過很多明星說睡前喝小杯的紅酒或白酒還有葡萄酒隔天就可以很順利的排便 這真的有效嗎？ 還有晚上肚子餓大家都說吃水果．．． 難道水果吃多了也不會胖嗎？ 水果有碳水化合物嗎？ | 回覆： 您好 關於喝紅酒助排便的說法，個人並未聽說，不知其效果如何？ 水果也有醣份，也是碳水化合物，但含量較少，不像麵包、泡麵等澱粉質熱量高，同時含有纖維質、維他命等，應可多攝取。 內科陳治平醫師敬覆 | [
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5泌尿科
| 陰莖問題 | 今年19歲，陰莖背面中間下方擠壓到細細像管子的東西會痛，而且晨勃也變少，勃起硬度也變差，但勃起時跟上廁所時都不會痛，只有擠壓的時候會痛，請問這是什麼症狀？ | 聽起來像是小的淋巴管發炎， 一般停機 1週應該會慢慢回復。 | [
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| 陰部問題 | 醫師您好 大概是陰脣和陰道的地方癢了兩個多禮拜，從月經前一個禮拜開始，一直到經期期間都很癢，沒去抓還過的去，一抓就會一直抓下去，以前從來沒有這樣過，但經期結束後兩三天後好轉，只是稍微碰觸到，或是洗澡時手指伸進去陰道想知道是不是長什麼東西的時候也會有一點點癢，但已經不會對我的生活造成不便。這個狀況需要再去看醫生檢查嗎？（這個月有發生過性行為，且因為吃避孕藥的關係經期有點亂） | 提問者您好 依您症狀的描述較可能是接觸性皮膚炎或陰部發炎，建議注意會陰部的乾淨清爽，勿著緊身衣褲，洗澡時可泡盆以舒緩症狀，若症狀持續再請醫師診斷治療，謝謝 祝 平安 健康 張 醫師 回 | [
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12胸腔內科
| 氣管 | 楊主任你好 是這樣的前幾天 喝手搖飲的時候 突然喉嚨不舒服卡卡 咳嗽 剛好珍珠溜下去 但目前沒呼吸不順爬兩次9樓梯都沒事 沒感覺胸悶胸痛 只有喉嚨輕微乾咳 我這樣算有跑到氣管還是溜到食道了 | 您好 如沒有呼吸道症狀應該是進到食道內而不是氣管再注意有無呼吸道症狀就可以了 | [
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| 月經問題 | 醫生請問118有打催經針22號來月經但2月的還沒來請問是因為上次打催經針，週期亂掉了嗎？還是因為什麼原因 | 您好 還算正常，再等一至兩星期看看，如果還是沒有來，建議看婦產科。祝你健康 | [
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0婦產科
| 月經 | 上個禮拜天我男朋友喝醉酒無套硬上我 那時候我在月經剛走兩天 １２３０－０１０５ 那時候有拔出來射在我的嘴裡 也因為怕懷孕吃了事後藥 但是今天我突然來了 經血從非常大量的咖啡轉一點點幾乎沒有的粉紅 在轉深紅且濃稠但量不多 但是沒有異味 這樣是不是懷孕了 我這樣是不是亂經了 | 您好 事後避孕藥有些時候會造成亂經，懷孕機會不大，最好要做事前的避孕措施，如果還有不適，建議看婦產科。祝健康 | [
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4心臟血管專科
| 地中海型貧血 | 請問醫師 地中海貧血可以每天喝檸檬汁嗎？ 每天約600ml | 您好 不影響 可以每天喝檸檬汁 彰化醫院關心您 | [
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4心臟血管專科
| 心臟超音波 | 您好醫生，想請您幫我看一下這心臟超音波有無問題，謝謝。 Result TAPE NO. ＜ EPIQ2 ＞ BEGINS ＜ ＞ ENDS ＜ ＞ WT ＜ ＞ KG TAPE NO. ＜ ＞ BEGINS ＜ ＞ ENDS ＜ ＞ BP＜ ＞＜ ＞ mmHG COMMENTS：NORMAL HEART SIZE AND LV SYSTOLIC WALL MOTION. LV 4.32.4 CM CHAMBER SIZE PROLAPSE OF ANTERIOR MITRAL LEAFLETS WITH MILD MR MILD TO MODERATE TR WITH PEAKMEAN SYSTOLIC PG -- 3319 MMHG MINIMAL AR MILD PR MV EA RATIO＞1 THE LV EJECTION FRACTION IS 68 MV EE’ SEPTAL — 8.0 MV EE’ LATERAL — 5.1 END | 您好： 檢查結果顯示有二尖瓣脫垂併輕度閉鎖不全，三尖瓣輕至中度閉鎖不全。如有胸悶，呼吸喘症狀請與您的醫師諮詢進一步治療。 | [
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| 多囊性卵巢 | 醫生您好，我已被診斷出多囊性卵巢約一年半 上一次自然來生理期已是一年半前 （中間有吃過避孕藥或催經藥讓它來） 最近一次吃黛莉安是9月吃一盒後來就沒再吃 1221突然自然的生理期來了 1月時沒來 217又自然來生理期 如果這時又開始吃避孕藥調經治療痘痘 會不會反而影響好不容易啟動的自然週期呢？ 謝謝您！ | 您好 吃避孕藥也是調這病的方法，想懷孕再用其他方法處理，不用擔心。祝健康 | [
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10兒科
| 腹部問題 | 女兒快滿三歲了常說肚子痛頻率約2天一次或一天一次有時是吃飯中有時是睡覺時不知是何原因也說不清是哪在痛通常都是說會痛安撫後就好了看醫師說可能是寄生蟲吃藥後還是沒改善不知是何原因要去醫院作檢查嗎 另外兒子8個月大身高的生長曲線常在20上下游走體重約在50除了奶粉.麥粉外.也添加其他副食品還需要作何種調整 | 1先照x光看有無便秘阻塞等問題，如無，則大部份是腸胃自律神經失調引起的疝痛。兩者吃一段時間的藥都會改善。 2.可服用維他命糖漿，一天一次。 | [
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1精神科
| 藥物諮詢 | 請問 由於我過幾天在早上健康檢查要抽血，但是我早上起床都固定吃一顆心康樂錠，那吃了會跟抽血有什麼衝突嗎？ | 凱文你好： 一般的藥物都含有賦形劑，也就是有效的主成分以外的物質，例如澱粉、糖類等。若你是需要空腹抽血的話，建議你抽完血再服藥，以避免藥物對血糖或血脂造成影響；但若你不需空腹抽血，那麼服藥是不會影響抽血結果的喔！祝健康平安！ | [
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5泌尿科
| 陰莖問題 | 醫師您好 續上次問題 1.性經驗缺乏，或者太緊張（比如婚前性行為、偷情、小三等）這些是不是習慣後狀況就會正常 2.經常手淫如果減少次數是否能獲得改善 3.再請問常看到網路有俗稱"透氣膠帶法"是真的有這種方法嗎謝謝 | shod 你好 1.理論上是這樣 2.理論上可以改善 3.不清楚 | [
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| 陰莖問題 | 醫生你好打擾你了 我今年17歲對陰莖發育有擔憂 陰莖勃起時有12cm長但疲憊狀態時長度不一由3cm至8cm緊張時猶短 問題一請問陰莖長度有問題嗎 問題二請問陰莖有沒有可能再發育 問題三現在我正面對公開考試壓力極大常出現沒食慾和睡眠質素差等情況請問這些對陰莖發育影響大嗎 考試過後有可能讓陰莖繼續發育嗎 | 不安： 你好 1.陰莖長度應該沒有問題。 2.要看每個人發育情形 3.心情會影響勃起時的硬度與長度。換句話說，每次勃起的長度，會有不同的長度與硬度。 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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0婦產科
| 是否懷孕 | 醫生您好：請問 我最後月經好像是1026（不確定）但這期間1031至116.7號11月中旬也有做功課 一向月經大約28天就會來 但到現在也都還沒來這幾天肚子一直悶悶漲漲的而且也容易比平常勞累聞到煙味也會想吐 還有明明才剛吃飽 但肚子就很想找東西吃 想說是不是懷孕了 所以1125有買驗孕棒自己驗了“沒懷孕”但肚子還是持續悶悶漲漲的且有留一點咖啡色的血 所以1127號有去婦產科看 本人是有裝避孕器 驗了醫生說沒有懷孕檢查了也說避孕器沒易位 所以那天醫生打了摧經針 可是1129肚子開始劇痛且也流了點粉色稠稠的血 但只有了那一點就沒流了 本人以前是有過子宮外孕過且也擔心是不是太早驗了還驗不出來… （因為有上網看即便裝避孕器還是有懷孕的可能） | 回覆如下 1 裝避孕器可以避免99的懷孕但是仍然有些微懷孕可能也有可能子宮外孕. 2 要確定懷孕建議在最後一次性行為之後18天驗孕就比較確定是否懷孕.建議12月初再驗孕一次. 3 如果想早點確定可以到大醫院抽血驗絨毛膜指數可以比驗尿早點知道是否懷孕. 桃園醫院 呂理政敬上 | [
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| 菜花 | 醫生您好， 我女友的前庭長有米粒狀，軟軟的東西，且對稱，跟網路上說的前庭乳突狀瘤病一樣。 但是看了兩間東部的婦科，都說是一種病毒，並開 藥膏及塞劑。 我知道這個無害，但我又不是醫生，我也怕過度治療，而且我女友很擔心是不是菜花。 請問我要帶我女友到外縣市的大醫院看診讓她安心嗎 | 提問者您好 依您的描述，並無法得到確認的診斷，菜花的認定是靠病灶外形，以及感染部位，及病灶的切片確認。建議至婦產科門診安排檢查確認，謝謝 祝 平安 健康 張 醫師 回 | [
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| 纖維腺瘤 | 謝醫師您好 想請教一下去年因乳房漲痛去外科檢查有纖維性囊腫及纖維腺瘤0.5cm醫生是說只要定期半年檢查一次即可.現在因為月經量變少想吃月見草油來調理生理期但不知道是否恰當因為在網路上得到的資訊是吃月見草油會把纖維腺瘤養大再麻煩您回覆了謝謝 | 纖維腺瘤與纖維囊腫通常為良性，甚少會轉變為惡性。 依你的腫瘤大小僅0.5公分，是可以追蹤檢查。 至於月見草的相關問題可能要你請教中醫師有關於草藥的功效與副作用，我個人不太清楚，抱歉。 謝謝來信。 | [
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| 排卵藥 | 醫師您好 本人月經規則28-30天，近半年歷經三次人工受孕皆未成功，11月之週期已無再使用排卵藥物，但此週期第18-19天才排卵，請問之前的排卵藥物會使我排卵延後嗎若延後排卵，卵子品質會較不佳嗎 謝謝 | 您好 每個人排卵不一，一般不影響。祝你健康 | [
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| 威而剛 | 請問一下，最近據說有幾種新的性功能的藥物上市，請問他們與威而剛的效果、副作用等的比較，誰優誰劣？台灣何時可以買到，價格大概多少？ | 目前，台灣衛生署已經核准上市的PDE5抑制劑共有三種：由最早的威而剛上市4年多，到今年二種新藥物核准上市：禮萊的犀利士以及拜耳的Levitra，可以說是目前對於性功能障礙最有效的藥物。新的藥物由於專一性更高，因此少了視力障礙方面的副作用，與食物的交互作用低，可以說幾乎不受食物影響，另外，作用時間也比較長；據原開發廠商的資料，犀利士最長可以到36小時。但是，對於威而剛沒有效的患者，很抱歉，新的藥物效果也同樣不佳，這點是必須瞭解。坊間目前台灣可以拿到的都是水貨，偽藥也不少，聽說犀力士賣一顆600-800元左右。 | [
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| 是否懷孕 | 請問月經有來就表示沒懷孕嗎？ 在網路上看到有人分享自己的經驗，說自己月經有來但是去完醫院後，醫生卻說他懷孕了 那這樣哪個是正確的呢？ 謝謝。 | 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 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，而有無懷孕並無法由主觀的症狀來判斷，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，須請醫師作超音波、尿液、血液…等檢查以確認有無懷孕。，謝謝 祝 平安 健康 張 醫師 回 | [
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2牙科
| 假牙 | 一個多月前裝了假牙套未抽神經剛裝好的一個禮拜不會感到疼痛但是變得敏感最近這一兩個禮拜開始痛的受不了有去另一間牙醫診所檢查說可能是假牙套金屬不適合或太緊導致牙齦炎之後回去原本的牙醫診所牙醫說我還不適應這個假牙套拿了止痛藥及牙齦炎的藥膏給我擦然後說再適應看看請問如果是這種情況會有適應的可能嗎謝謝 | 親愛的網友您好 依照網友的描述，網友的牙齒一個多月前裝了假牙套，最近一至二週覺得疼痛 。建議網友可以觀察牙齒不舒服的症狀，是否有改善，或者敏感及疼痛的症狀更 加明顯，或是有其他疼痛的情形發生。如果疼痛的症狀一直持續，也可以請牙醫 師為您檢查該牙套及牙齒是否合適，是否需要其他的調整，個別牙齒是否有其他 的問題，須要治療及處理。謝謝您的提問。 | [
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0婦產科
| 避孕藥 | 醫生您好 我已經服用事前避孕藥兩年多了 我310的避孕藥忘記吃311補吃了兩顆，這包避孕藥現在只剩四顆就會吃完315 最後一顆 前兩周沒有性行為，所以沒有擔心懷孕的風險 但是想請問，我現在該吃完這包停藥，隔七天再吃下一包，還是不要隔七天直接吃下一包 想知道，如果照正常吃，停藥七天，下個月的避孕效果如何 323開始第一顆藥，會有避孕效果嗎 如果我想在323有避孕效果，我該怎麼吃比較好 因為我查網路，說要連續吃七天才有避孕效果，但是加我311補吃的，也只能連續五天 謝謝您 | 提問者您好 若服用21顆包裝者，停藥7天後繼續服用新一包避孕藥；服用28顆包裝者，直接服用下一包。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。 如果您已經服用避孕藥兩年且只有漏掉一天也補吃，則避孕效果影響不大，謝謝 祝 平安 健康 張 醫師 回 | [
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20中醫科
| 腸胃不適 | 醫師您好： 本人日前經胃鏡診斷有十二指腸潰瘍的問題，而且也化驗出幽門螺旋桿菌的存在，但由於擔心長期服用抗生素的副作用，所以選擇了中醫治療，但是服用中藥也將近兩個月了，這幾天卻又再度出現十二指腸潰瘍的症狀，想請問醫師在這種情形下是該改服西藥呢還有中藥是否可確實治療因幽門螺旋桿菌所引起的十二指腸潰瘍，請醫師給我建議該怎麼做，謝謝。 附上我所服用的中藥配方給您參考，謝謝 1.香砂六君子湯 2.安中散 3.牡蠣 4.川楝子 5.延胡索 6.三七 | 親愛 Chung網友您好 1.十二指腸潰瘍，西醫在診斷病因很多，包括壓力，日久不癒，但近幾年來，推論為胃中的幽門螺旋桿菌的存在，是造成十二指腸潰瘍的原因之一（少量是正常，大量存在則是不正常），因此西醫經常給抗生素治療十二指腸潰瘍。 2.中醫治療必需使用時間較長，還有飲食及生活情緒必需調控減少辣椒刺激性的食物及服用。 3.你服用的中藥處方是中醫常開的處方箋其中安中散已含有牡蠣及延胡索，可以考慮再加上中藥中焦的清熱藥及疏肝理氣藥，共同使用。 4.十二指腸潰瘍治療，無論中西藥都必須長期服藥，以免復發，及情緒生活必需調理，避免壓力緊張。 祝 安好 豐原醫院中醫科主任 林慶鐘 醫師上 | [
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| 月經 | 我平常月經周期都很準 上個月月初結束之後 每天一支冰 大概持續兩周吃冰沒間斷 在我原本預計會來月經的那週我才開始胸部脹痛跟長痘痘 現在已經遲了快一個禮拜 這算正常嗎 我個人是會手腳冰冷 還有嚴重痛經要吃止痛才會好點 最近一直很擔心 | 1.若有性行為，建議先驗孕，經期與生活作息與飲食有關聯。一般加減一星期為正常範圍。 2.痛經建議至門診檢查，以排除骨盆腔病變之可能。 | [
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| 輸精管問題 | 許醫師您好 對於附睪結核副睪丸發炎的問題想請教一下 1.我在約中6-7年前因某種原因沉迷上手淫不知會不會引發附睪結核 現在我的狀況患處並不會痛疼痛感偶爾發生在後方腰部及下腹部但不影響生活作息而我在一年多前無意間在兩邊睪丸係摸到兩粒軟軟的有點硬的結核就在近日上網查看後才知道這可能是附睪結核 你認為機會大嗎.因為時間有點長了 有點擔心.也一直不解後方腰部及下腹部是來自那裡這病會影響腎和肝嗎 現在這三星期我以停止手淫手淫射精會不會讓副睪發炎附睪結核更嚴重 準備去求診的年輕爸爸上. 感謝醫生解答 | 你好 1.手淫，不會引發結核菌感染 2.若真的是結核感染，需要治療。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 衛生福利部 台東醫院 關心您 以上由 本院泌尿科 主任 許維愷 答覆 | [
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| 藥物諮詢 | Dear 陳Sir 想請問目前我老婆懷孕約17週預產期1024號平常她也沒在吃什補品但前天產檢目前嬰兒狀況身高約108mm體重185g參考網路資料和媽媽手冊17週是否應該身高110120mm體重105g左右而嬰兒目前體重是否有點超重且身高有稍微不足呢還是算ok | 阿豐： 您好！針對您所提問的一些問題，可區分為胎兒與母體兩部份； 胎兒部份： 新生兒體重 Weight of the Newborn 足月嬰兒出生時平均體重約3000至3600公克，視種族、經濟狀態、雙親的身材、和母親的經產狀態 Parity 而定；男孩約比女孩重100公克。在臨床應用上胎兒頭至踝 Crown to heel 長度的公分數，在頭五個月可將妊娠已達的陰曆月數平方而得到大約值；在妊娠後半，則可將此月數乘5。在妊娠後半段胎兒體重與時間成線狀增加，直到約妊娠的第三十七週為止，然後速率以不等的程度緩慢下來。 此圖表是胎兒期估計年齡的準則 年 齡 週 月經 受孕 CR長 足長 胎兒體重 主要外部特徵 11 9 50 7 8 眼睛正閉合或已閉合 外生殖器能無法辨出男女。腸子臍帶內。 12 10 61 9 14 腸子在腹內。早期指甲發育。 14 12 87 14 45 性別可由外部辨出。頸子輪廓分明。 16 14 120 20 110 頭直立。下肢發育完全。 18 16 140 27 200 耳朵由頭部突出。 20 18 160 33 320 胎垢出現。早期趾甲發育。 22 20 190 39 460 頭和身體胎毛的毛髮可見。 24 22 210 45 630 皮膚起皺紅色。 26 24 230 50 820 指甲出現。體瘦。 28 26 250 55 1000 眼睛部分打開。睫毛出現。 30 28 270 59 1300 眼睛睜開。頭髮生長良好。皮膚稍皺。 32 30 280 63 1700 指甲出現。身體膨脹。睪丸下降。 34 32 300 68 2100 指甲到達指尖。皮膚 粉紅、光滑。 38 36 340 79 2900 通常身體豐滿。胎毛幾乎消失。趾甲到達指尖。 40 38 360 83 3400 胸部隆起；乳房突出。睪丸在陰束內可在腹股溝管內摸到。指甲超過指尖。 CR長及足長單位均為毫米 胎兒體重單位為（公克） 這些量度乃平均值故無法用於特殊的個案；量度的差異隨年齡增加。 這些體重是指已在10Formalin中固定約二週的胎兒。新鮮標本的體重約少5。 圖片出處 Williams Obstetrics Sixteenth Edition 而依據行政院衛生署國民健康局所編印的孕婦健康手冊中，亦可提供給您參考。 １３∼１６週寶寶生長狀況： ◎寶寶已完全成形，可區分性別，皮膚呈透明帶粉紅色，寶寶開始會動。 ◎寶寶身長約１５∼１８公分，體重約１００∼１１５公克。 １７∼２０週寶寶生長狀況： ◎胎動較明顯，頭部約佔總體長的１／３，骨骼快速發育，手臂與腳成比例，有胎便出現。胎兒身長約２５公分，體重約２２５∼３００公克。 ２１∼２４週寶寶生長狀況： ◎寶寶鼻孔會打開，開始練習呼吸。也會聽聲音了。可以跟他說話。 ◎寶寶大概約３０∼３２公分高、體重約６００∼７５０公克。 ２５∼２８週寶寶生長狀況： ◎皮膚呈紅色皺摺，皮下脂肪開始沉積，有睡眠與活動交替現象，對外界聲音有反應。若在此時生產，因身體發育上未成熟，故不容易照料。 ◎寶寶身長約３０∼４０公分，體重約１０００∼１２００公克。 ２９∼３２週寶寶生長狀況： ◎皮膚較少皺摺，長出指甲。眼瞼可張開，寶寶的活動力更強。 ◎寶寶身長約４２公分，體重約１８００∼２３００公克。 寶寶生長狀況： ◎八個月大的寶寶手腳更有力了，時常會在媽媽的肚子裡拳打腳踢。此外，寶寶大致已是頭部朝下的姿勢。３３∼３６週寶寶生長狀況： ◎體重增加速率大於身長，胎毛逐漸消失，寶寶的循環、呼吸、消化等器官發育成熟。 ◎寶寶身長約４５∼５０公分，體重約２４００∼３２００公克。 寶寶生長狀況： ◎九個月大的寶寶頭髮已相當濃密，指甲也長至指尖，皮膚漸光滑圓潤。 ３７∼４０週寶寶生長狀況： ◎皮膚光滑圓潤，顱骨堅硬，手指腳趾有指甲發育完成，胎兒身長約５０公分，體重約２９００∼３４００公克。 寶寶生長狀況： ◎十個月大的寶寶變大，子宮內的空間越來越小，胎動會減少。寶寶的頭朝下，膝蓋緊挨著鼻子，大腿貼著身體。 異於上述所論述的，亦即所謂的生長遲緩。關於子宮內生長遲緩（IURG） Intrauterine growth restriction IURG 有兩種不同的生長遲緩方式 （１） 不對稱生長遲緩： 由於胎盤的血液缺乏，使胎兒無法達到他的生長潛力。此種情況與子癲前症、 胎盤剝離、母體疾病和母體抽菸有關。這種不對稱來自大腦保護效應，使大部分的血液供給給大腦，而不是供給肝臟。因此胎兒頭圍就落在生長曲線的同位百分比，而腹圍就落在較低的百分比。出生嬰兒顯得枯槁，通常是瘦長型。 （２） 對稱性子宮胎兒生長遲滯： 胎兒按比例生長，但能過小。一些嬰兒出生大小剛好落在正常範圍的低位點（例如亞洲人的寶寶），而其他可能因病毒感染或染色體異常而造成。 臨床上胎兒持續生長比預期的小（應該會看到羊水減少或Doppler血液異常）。 母體部分： 通常懷孕前的體重在標準體重範圍內者，孕程期間體重增加建議 孕 期 時 間 體 重 增 加 初期 13個月 12 公斤 中期 46個月 5 公斤 晚期 7 個月出生 56 公斤 總體重 10 15公斤為宜 孕婦理想的體重： 如果出生胎兒的體重是三．二公斤、胎盤重約O．九公斤、羊水重約一公斤、 乳房增加O．九公斤、血液增加兩公斤，以及其他體液增加一．五公斤，總合起來最基本的重量就增加九．五公斤，所以孕婦體重增加十到十五公斤之間都屬正常。 國內外的研究指出，每週平均增加的體重約在O．三 O．五公斤之間。前三個月共增加一．五公斤；第四和第五個月共增加二．五公斤；第六個月到足月則每週增加O．五公斤。懷孕前體重標準的孕婦共約增加十一到十五公斤。 總之，奉勸您不必過度憂心，按時做產前檢查與篩檢，慎選可靠信任的婦產專科醫生，對於母親與胎兒有雙重保障。恭喜您，日後能作個標準好爸爸。 參考資料 行政院衛生署國民健康局－孕婦健康手冊 Williams Obstetrics Sixteenth Edition | [
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2牙科
| 口腔問題 | 您好 口腔內長了一顆類示水泡的東西，可是裡面有點瘀血又有點透明狀直徑約3mm，昨天長今天又不見了，我曾於一年前長過一次在嘴唇裡，當時破了又長反覆好幾次之後有一次忽然流出類示濃液後就不在長了，可是這一次是長在右邊臉頰裡的口腔，想請問為什麼會長是不是不好的需不需要進一步檢查謝謝您 | 一般長在黏膜內類似小水泡的東西（突起物），有點瘀血又有點透明，有時會反覆出現，破了又長，有可能是創傷引起的口腔黏膜血腫，也有可能口腔黏膜內的唾液腺排出曾因某種原因阻塞，導致唾液存留在腺體本身而引起口腔黏膜腫脹，雖然上述情況都不是惡性腫瘤，但建議還是接受牙醫失進一步的診治，以找出阻塞原因，接受適當治療。 | [
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4心臟血管專科
| 檢查報告 | 主動脈的造影前和造影後增強 CT 檢查從下頸部到骨盆進行。胸部冠狀改造完成。影像學顯示： 肝S7區一處低密度病灶，直徑約9.9毫米，呈週邊逐漸強化，有利於血管瘤。 脂肪肝不均勻。 冠狀動脈鈣化。- 縱膈和其他可見區域未發現腫大淋巴結（短軸大於 10 毫米）。- 未發現心臟擴大或胸腔積水。- 脾臟、胰臟和雙腎外觀正常。- 雙側腎上腺在正常範圍內。- 沒有明確的溶骨性或骨硬化性骨病變證據。- 腹壁及胸壁無明顯病灶。印象： 1、肝S7處一肝血管瘤。2.不均勻的脂肪肝。3.冠狀動脈鈣化。建議臨床糾正和隨訪。醫師能麻煩你用白話文一點的方式告知我檢查的結果。感謝 | 您提供的報告顯示，冠狀動脈有鈣化，至於有沒有冠狀動脈狹窄，需要做其他的檢查。至於其他的器官問題，請問其他科的醫師。 | [
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| 藥物交互作用 | 之前抽血發現TC跟LDL-C高出正常值一點點，醫生開立了弗尼利脂寧以及暢力糖衣錠，近期又要去做拔牙補骨手術，又會開立抗生素跟止痛藥，平時就有吃B群維他命C鋅鈣片，保健食品能一次同時吃嗎還是分開分段比較好 保健食品加上醫生開藥，想知道這些會不會有交互作用，還是先暫時停止先吃哪些保健食品或是建議間隔時間 | 您好： 您服用的藥品弗尼利脂寧及暢力與保健食品無交互作用，若牙科開的抗生素和止痛藥成份分別是AmoxicillinAcetaminophen的話，與您服用之保健食品亦無交互作用，可放心一起服用。 | [
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5泌尿科
| 性病 | 醫生你好 我是23歲男性 前天與一位以前從事性工作者的16歲女性有性接觸 過程中有下列動作 舌吻5秒左右 陰莖帶一層保險套在陰道口或者深入一點沒有完全插入 有用手指完全插入陰道 因為女方之前從事性工作 因此在完事後我怕會有感染性病的風險AIDS.等 因此在事後我有稍微查了一下關於aids的資料 從我的行為上看來好像只有手指插入陰道是比較危險的 因為有接觸到女方陰道分泌的體液 事後我檢查了一下手指上是否有傷口 在手指完全深入陰道的部分看起來是沒傷口的 只是在手掌上深入的手指與手掌連接處的正下方2cm位置 有個看起來紅紅但直徑不到0.1公分的小紅點 那個紅點我沖水洗手時也不會有刺痛感 傷口好像不會很深入 想請問醫生 1.手掌上的那個紅點小傷口這樣子聽起來有感染到aids的機會嗎假設女方有aids的 話 2.我在網路上看資料說 目前世界還沒有因為唾液感染aids的案例 除非唾液達到8公升 或者嘴巴有傷口 但我現在感覺嘴巴是沒傷口的 那我那樣舌吻會感染到aids嗎 謝謝醫生回答 | 123 你好 其實，你擔心的問題，沒有辦法回答。 對於你而言，只有得到或沒有得到。 任何體液的接觸，理論上，都有可能得到aids。若有傷口，得到的機會更高。不過病毒本身，在體外，只要用肥皂水就可以消滅。 真的懷疑的話，可以到疾病管制局網站查詢，有一些匿名檢測性病的醫療院所名單，完全是免費的。 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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2牙科
| 補牙 | 醫師您好： 我在三月初的時候牙醫發現我右下排犬齒往後兩顆有一顆小小的蛀牙，所以幫我補了起來 補牙後和補牙前一樣有些痛，但是經過一周後慢慢好起來，已經恢復到沒有感覺 結果好個兩三天，突然又開始牙痛，後來檢查出應該是補牙有鬆脫 牙醫也有在三月底幫我重補了，補完後我比上次補牙還要更痛，痛到不能吃東西 但也是經過一星期後就慢慢的恢復到沒有感覺 結果剛好在這時候，我在家裡發現自己在右下排長智齒了！智齒剛冒出一點白頭 原本補牙已經沒感覺了，後來就又開始敏感，甚至連漱口都會酸 目前距離發現智齒已經一個星期，補牙也隨著時間越來越敏感 我母親之前也是因為長智齒導致剛補好的牙齒會不舒服 請問是不是智齒長完後補牙就會再慢慢好起來了呢？ 如果是的話，大概需要等候多久的時間呢？謝謝您！ | 您好 補牙敏感不適的狀況，最長文獻記載可到半年左右。智齒生長需要看齒槽骨的高度寬度等等，才能預估是否能正常完整生長，以及生長完成的時間。 | [
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3藥物
| 藥物諮詢 | 廖藥師妳好 我在不知懷孕的情形下當時是懷孕約2週時服用了耳鼻喉科診所開立的感冒藥藥名如下不知這些藥物對腹中的胎兒是否有影響呢 1.bromhexine tab 2.acetamol 3.orolisin 4.antimin 60mg 5.lycoze 6.ulcemin 擔心的準媽媽 小如89 | 您所問到的用藥中，除了antiminastemizole的安全性尚未確立之外，其他藥物都還算安全，既然已經服用這些藥物，則請勿過度擔心，定期接受產前檢查讓醫師幫您追蹤胎兒發育情況才是重要的。 | [
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4心臟血管專科
| 二尖瓣脫垂 | 醫生您好小弟之前心臟不舒服去檢查超音波醫生說很輕微的二尖瓣脫垂，到別間醫院的醫生說很輕微甚至可以說是沒有，爸媽爺爺奶奶外公外婆都沒有心臟病史只有姑姑有心臟有開過刀（更換瓣膜），我今年22歲沒有高血壓，有時候心藏會突然陣痛一和刺痛一下半夜4.5.沒睡的時候更明顯 請問是什麼狀況呢？ 對了之前超音波醫生有說心臟有稍微大顆一點（之前有在運動）長期沒在運動心臟會縮小嗎？ | 由於您年紀輕且無慢性疾病，罹患心臟病的風險低，且刺痛並非心臟疾病的典型症狀。生活中很多因素會造成此情況 ，例如：情緒、壓力、作息不正常或是攝取太多咖啡因的飲料。建議調整生活作息，並規律運動。但如果症狀持續，仍建議至醫院做心電圖檢查。另外，缺少運動並不會使心臟縮小。 | [
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1精神科
| 強迫症 | 事情如下：我26歲在海外當外交替代役，跟當地的老師上英文課，借老師用農藥，老師卻用食用的器具使用，我嚇壞了，一直去檢查她家的廚房的器具有洗乾淨嗎？之後更用租屋的食用器具裝農藥吃看看，看會不會把自己毒死？查了開根劑的農藥資料，成人60kg吃了21克的農藥才會有危險，小嬰兒3kg吃1克也有危險，我記得我洗乾淨了，但我還是會懷疑害死人，自己變殺人犯會被槍斃死刑！ 退伍回台吃了兩年的精神科藥，有從谷底到可以生活工作，目前在國外進修，已經停了五個月的藥，靠意志力撐過沒藥的日子，在五個月就回台灣，恐懼跟著我三年，有比較可以跟恐懼相處，為何會這樣，好像除了接受也沒有別的辦法，醫生會建議我繼續吃藥嗎？ | 您好 強迫思考的特性就是會自我強化。當我們注意到這個想法的那一瞬間，在還沒有加入好壞的價值判斷時，其實並沒有什麼恐懼的情緒附加在上面。直到我們閃過一個念頭，覺得這個想法很令人害怕或者很骯髒，嫌惡之感出現的時候，揮之不去如因魂不散的恐懼，反而就急遽上升。之後，我們越想擺脫這個強迫思考，就越想著它，反而越賦予它變大的力量。 如果您看過強迫症的人的強迫思考是怎麼好的，憂鬱症的人的負面思考是怎麼好的，就知道這都不是因為想通了，不再害怕了，而是因為他們慢慢覺得不需要再去想這些事情，管他原先擔心的事情會變成怎麼樣，然後他們就逐漸從中康復。 您現在在國外，開始會提出這個問題，可能處在自我強化的強迫思考的某個階段。如果您可以轉移注意力，投入日常生活的學習、休閒生活跟人際互動，這樣這個惡性循環就不會越滾越大。轉移注意力並不需要用力氣或者意志力，單純就是注意到了這個強迫思考，就輕輕的轉移注意力去現實世界此時此刻的各種感覺，有人轉移注意力到呼吸，有人轉移到身體的感覺或者肌肉運動，來打斷強迫思考的惡性循環。如果這樣還不行，吃藥也可以。 敬祝 一切順心 丁碩彥 醫師 敬上 | [
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| 出血 | 曹主任您好 2014.9月1520我的MC來了， 921日927又來一次。 接著103109日又來一次， 我108號有去家裡附近的婦產科就診 拿了3個禮拜的黃體素調經， 吃到1028日結束後， 1031日又來MC了1110日結束 但是1110晚上又不正常出血. 1111日我去大醫院照了子宮超音波有一條內膜少於0.5公分尚未剝離 所以打了40ml的黃體素兩針 1113日乾淨，14日又出血了量不大 1116日又乾淨了， 一直到現在17日早晨又有點微量的血 請問醫生 我該怎麼辦. 一直在流血. | 您好 如果一直持續不正常出血，用藥物治療都沒效，應該可考慮做子宮內膜的檢查，如果還有疑問，可請教常看的婦產科醫師。 | [
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0婦產科
| 月經 | 醫生你好 我與女友918有發生性行為 我沒有高潮 而她921月經有來了三天 然後他今天下體突然流血這樣是為什麼會流血 還有他有可能懷孕嗎 | 回覆如下 921月經有來了三天如果來的量夠多像以往月經的量那就應該沒有懷孕今天下體突然流血可能是亂經. 如果921的出血量少那就不一定是月經那就有懷孕的可能. 為了確定建議驗孕.也建議就醫檢查. 桃園醫院 呂理政敬上 | [
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| 懷孕機率 | 醫師你好 我月經期是1212到1219 在1223和男友發生關係 過程全程有戴套但是是戴套內射 1.這樣我的排卵期是否是在1227號 2.請問戴套內射懷孕機率大嗎 3.如果排卵期戴套做愛會很危險嗎 （如果醫師可以盡快回答的話希望可以盡快並且三個問題都回答到謝謝醫師） | 您好 任何事情沒有絕對的，理論上是安全的，應該是不會懷孕。排卵期也是預估的。祝你健康 | [
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| 拔智齒 | 一週前拔上方的智齒，消炎藥有吃完，雖然完全不會痛了，但原智齒處仍有異味，且牙肉長得跟旁邊臼齒一樣高，請問這是正常的狀況嗎？應該回診嗎？或是要做什麼處理呢？謝謝 | 您好 若味道不佳，甚或有膿或黃鼻涕，建議還是回診讓醫師確認是否有細菌感染，也可再拿消炎藥。 | [
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0婦產科
| 懷孕機率 | 醫生您好 我想請問一下 女友於929結束經期 我們於101號發生關係（無套 有用水性潤滑液加上射外面 事後直接洗澡跟泡澡 這樣會懷孕嗎？ 懷孕機率多大？ | 提問者您好 有行房雖未射精仍有受孕的機會，因為射精前的分泌物就可能有精蟲存在。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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4心臟血管專科
| 心律不整 | 林醫師：上次問題承蒙您解答。我想再補充詢問，這一，二天不知為何心律不整發作頻率越來越多，尤其休息安靜時約一分鐘發作一次，做事時反而比較不會發生，漸漸已影響到我生活作息。之前醫師幫我作的檢查，我拿到報告，心臟超音波結論是VHD 輕度瓣膜性心臟病，聽醫師 是二間瓣膜脫垂，尚不嚴重。運動心電圖為Negative for ischemia，24小時心電圖為，偶發性心室早發性收縮，少數心房早發性收縮。這一，二天開始覺得頭昏昏的，好像吸不到空氣，腦部缺氧似的，而且也感覺到心臟會頓一下，這是之前沒有的，不知是否症狀變嚴重了？還要就醫嗎？需要再作進一步何種檢查嗎？之前就診的醫師一直認為是自律神經失調造成的，請問林醫師自律神經失調會這麼嚴重心律不整嗎？我很擔心會不會有其他心臟問題未發現？麻煩林醫師為我解答 | 有心律不整病史的病人在自律神經失調的情況是容易誘發出心律不整的臨床症狀.如果最近感到發作的頻率明顯增加建議和心臟專科醫師討論. 行政院衛生署桃園醫院 林繼雄醫師敬覆 | [
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6骨科
| 脛骨 | 醫生您好 上次承蒙您細心回答，今天回診有些狀況想再請教您。 我在211發生車禍，造成左腿脛骨平台粉碎性骨折併膝關節脫臼， 212術行左側脛骨平台骨折復位及鋼板鋼釘內固定術，使用自費內鎖式鈦合金鋼板。 這個月過得小心翼翼，而且傷口大致癒合、骨折處也比較不痛了， 期待今天複診能聽到醫生說「恢復很好」的好消息 結果醫生看了Ｘ光，說平台有點塌陷，要再動手術調整一下 雖然醫生說只是把螺絲鬆開、調整位置，再把螺絲鎖回去而已 傷口也不會像第一次開刀那麼大 但其實還是很擔心. 想請教醫生 一、這類型骨折術後再進行二次手術是常見的嗎？ 二、上次回診（兩個禮拜前）沒有照Ｘ光，但醫生說我可以稍微練習彎曲， 因為我不知道骨頭復原情形所以還不敢太積極的彎曲（遠不到90度），請問膝蓋彎曲會是平台塌陷的原因嗎？ 三、雖然骨折才過了一個月，骨頭沒那麼快長好，但畢竟也是一個月的復原進度了。 我再進行二次手術後，是不是骨頭復原的進度又歸零重新開始呢？ | 1.不常見但是有時候會遇到 2.不是 骨折時可能就已經存在 之後慢慢的陷下去的 3.這個位置的補骨癒合很快的 因為它是疏鬆骨居多 cancellous bone 比 cortical bone長得快多了 | [
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| 氣管 | 今天去骨科照X光，醫生看到X光片詢問我是否常常咳嗽，我說平常不會，我請教醫生為何會這樣詢問？醫生說他看到X光片覺得支氣管有較粗大的感覺，進一步關心還是說我有過敏體質？我問醫生我有需要立即去看醫生嗎？醫生建議我說若有症狀時可以再去胸腔內科檢查！想詢問支氣管粗大是需要立即處理的嗎？ | Dear may 一般用這個形容詞比較少 可能是有些支氣管擴張症 會看來稍為粗大 但無法判斷是否為這樣的描述 仍請到胸腔科回診診視 彰化醫院關心您 | [
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0婦產科
| 懷孕機率 | 醫師您好 我月經830（量比以往少）、99（正常）、105（正常）。 在101、103、104有戴套、男友拿出來才射精，105月經有來，想詢問這樣懷孕機率高不高？還需要14天後驗孕嗎？ 謝謝醫師 | 提問者您好 全程使用保險套的避孕失敗率在5以上，如果不確定105是正式月經的話，仍然要檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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5泌尿科
| 包皮問題 | 今天洗澡時發現包皮有硬塊，有手賤去擠它，有擠出膿候再去擠的時候出來的都是血 這硬塊擠的時候不會痛不會癢，擠完也不痛不癢，有點害怕需要開刀所以不敢去看醫生，我想詢問這是否需要動手術？還是只是需要靠藥物治療呢？ | 您好 你可以把這個想像成長在包皮上的青春痘，建議至皮膚科或泌尿科門診看診，也許吃藥和抹藥就能解決，若是真的要手術，也應當門診手術即可，不要過度擔心。祝安康。 | [
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