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Date Posted: 21:37:21 08/15/07 Wed
Author: Vancomycin
Subject: Re: 好擔心,唔知點算...
In reply to: KMT 's message, "好擔心,唔知點算..." on 12:59:41 08/10/07 Fri

1)胃潰瘍/cancer有其特定病徵。如果醫生有懷疑會幫你照胃鏡/barium swallow/必要時照胃鏡抽取樣本化驗。15歲有胃cancer我未聽過﹐倘若有胃潰瘍亦多屬H.Pylori infection(幽門螺旋菌感染)有藥食唔需要怕。

2)真正需要詳細檢驗﹐錄取病歷﹐做化驗(包括抽血)睇你血糖､電解質､血液成份等有否異常﹐照X-光甚至CTPA等等﹐就咁好難答你。因為呼吸快慢有好多調節機製(腦､血液酸鹼度､有否受感染等)就咁好難答你。

3)可能有﹐要排除當日你有sepsis/intracranial pathology/epilepsy等﹐亦需要詳細病歷同臨床檢驗+照X光/CT等程序。

4)只要根據醫生指示服用唔會有問題﹐毒藥=如果服用過量對身體有害。

5)有可能。白血球高亦有好多原因(最普遍係感染)。所以當日醫生懷疑你有盲腸炎亦非全無道理(醫生做guarding/rebound tenderness兩個tests)

6)是乎情況﹐如果係同習慣有關試試唔好食得太多､太急､太飽。食後唔好立刻訓要坐直最少兩個小時等胃有時間消化﹐唔好著太緊衣服(尤其皮帶唔好綁太緊)﹐過肥要減磅等。如果冇改善就一定要求醫。食藥可能有段時間但一般唔係一世。

7)冇﹐聽醫生同護士指示。可能要放顯影劑入你身體但唔會有副作用。

8)冇依足醫生指示服藥就唔會有問題﹐醫生年中開好多類似處方唔會有錯﹐真係有問題可以問醫生/藥劑師(有身體方面問題要問﹐唔好怕﹐亦係你作為病人權利之一)

9)建議你去你家庭醫生度check下。因為就咁好難答你。

Good luck!

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