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~你也喉嚨卡卡 : 那些卡神們該知道的事
~#咽喉逆流（LPR）
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‧吳醫師門診超過一半是因為咽喉逆流而來…
‧食道沒有發炎卻是嚴重的 #胃食道逆流…
‧當耳鼻喉科與腸胃科意見出現分歧時…
‧由於找不到的病因，最後只能放棄治療嗎…
#Laryngopharyngeal reflux ; #Reflux laryngitis
#吳文傑醫師的健康筆記#Dr.J健聲房
#跨科會診終結胃食道逆流
#方格子 #部落格#Instagram#加Line因為我值得信賴
#肝膽腸胃科 #台北中山醫院 #彰化員生醫院
#孕期免疫力
台北秀傳醫院執行院長 鄭丞傑教授
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女生懷孕期間身體會產生許多變化，
其中，#免疫力會下降，因此普通感冒或流行性感冒的機率都會比一般人高。多數媽媽們都很擔心自己懷孕感冒，吃藥會影響到胎兒生長。其實是不會的，孕婦有安全藥物可以使用，歸類為A,B,C級的藥物，皆是安全性相當高、用藥利多於弊的，別撐著不吃藥，否則身體無法休息反而可能會影響胎兒。
⠀
不過如果是 #流感 就不容小覷了。流感可能會引起併發症，例如肺炎Pneumonia、支氣管炎 Bronchitis、鼻竇炎 Sinusitis、喉炎 Laryngitis 等，除了身體非常不舒服外，也可能影響胎兒， 例如比預產期早出生，或是出生體重過輕等狀況。
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因此準媽媽平時的 #營養補充 對提升免疫力是必備的，也避免到人多、複雜的場所，更要盡量避免空氣中的有害物質、飛沫傳染，以及注意抗菌消毒。
提到抗菌消毒，身為外科系醫師的我，在門診經常使用75%酒精清潔手部，在手術室則使用強力刷手液來消毒雙手。此外，在我的辦公室、診間，以及家中的客廳和臥室，我都使用
#友信醫藥集團 進口、日本大幸藥品出產的 #加護靈，這是含有專利技術特別凝膠保存之二酸化鹽素，緩慢釋放到空氣中，它能主動抑制空氣中飄浮的有害物質，讓我呼吸得更安心自在。
對準媽咪而言，適當使用安全抗菌及抑菌類商品，做好衛生防護措施，能在無形中減輕了心理壓力，可以更安心地懷孕下去。
🙏🏻😷Sorry to friends whom I can’t reply all your text and messages. I’m still struggling a lil bit with the twitch n pain on my stomach. 😔 Felt like gastric though 😖
🤔To those who asked what GERD is..
Gastroesophageal reflux disease (GERD) occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus.
🤒How common is GERD?
Many people experience acid reflux from time to time. GERD is mild acid reflux that occurs at least twice a week, or moderate to severe acid reflux that occurs at least once a week.
⚠️What cause GERD?
Eating large meals or lying down right after a meal
Being overweight or obese
Eating a heavy meal and lying on your back or bending over at the waist
Snacking close to bedtime
Eating certain foods, such as citrus, tomato, chocolate, mint, garlic, onions, or spicy or fatty foods
Drinking certain beverages, such as alcohol, carbonated drinks, coffee, or tea
Smoking
Being pregnant
Taking aspirin, ibuprofen, certain muscle relaxers, or blood pressure medications
🦠What are the symptoms?
A burning sensation in your chest (heartburn), usually after eating, which might be worse at night
Chest pain
Difficulty swallowing
Regurgitation of food or sour liquid
Sensation of a lump in your throat
If you have nighttime acid reflux, you might also experience:
Chronic cough
Laryngitis
New or worsening asthma
Disrupted sleep
☝🏻🥺 BUT..
my recent condition DO NOT have most of the symptoms above. I do not have..
❌ anxiety or panic attack
❌ difficult in swallowing
❌ burning sensation or chest pain
❌ asthma
❌ sudden loss of weight
These are what I’m experiencing now..
✅ lost of appetite
✅ abdominal pain (twitching)
✅ felt like gastric
✅ nausea
✅ diarrhea
✅ insomnia
✅ constipation
✅ lots of gas (burping)
💁🏻♀️After further evaluation and assessment on my body condition, I am quite convinced that these are the side effects I get from my recent INTERMITTENCE FASTING.. 🙃
We've heard so much about the benefits of IF but beware, it is not so perfect as what we thought. The benefits I have gotten during my session were..
✅ loss of weights
✅ loss of food cravings
✅ minimal dependency on food
✅ no hunger within 16-20 hours
✅ energy level and mental sharpness are the same, if not better
But what I didn't expect were...
🆘 irregular bloating and constipation despite fruits/ greens intake
🆘 stomach discomfort that feels like gastric (eventhough I don't feel hungry at all)
🆘 completely unaware of feeling hungry
🆘 my feet do feel colder than usual
🥶So now I'm stuck at this indigestion/ guts/ stomach/ gastric/ GERD problem..
To those who wished to start IF, can I advise you something 🤣
❤️ Check with your doctor or someone who are more experienced in this but be aware of your 16:8 fasting. Set an alarm. ⚠️ Don't repeat my mistake, I didn't realize I should be eating and that subconsciously allow my fasting to continue to sometimes 20 hours, while I continue working in front of my laptop, so that's a big mistake to begin with. Down with digestion problem is a big disappointment to me.. bcs I don't get to enjoy food as much as I used to! Not until I finish my medication 😔 Speedy recovery to myself! 💪🏼
P/S: I’m taking more regular meals in smaller portion to boost back my appetite 🥰
#intermittencefasting #IF #16:8 #gerd #gastric #indigestion #fasting #awareness
Hoarse Voice - Dr. Hung Che Wai Terry@FindDoc.com
Source: https://www.finddoc.com/en
Background: Rosita is a singing teacher. Besides teaching singing, she practices her voices and breathing for three hours everyday. Her voice is becoming hoarse these days. She is diagnosed with polyps in her vocal cord and she has to take Steroid for one week.
(1) What causes Hoarse Voice? When should one seek medical advice should Hoarse Voice persists? 0:20
(2) How would doctors inspect our vocal cord? 1:38
(3) What treatments are available? Does it require surgery? 2:41
(4) Would polyps in vocal cord become cancer? Will it happen again after treatments? 4:09
(5) After recovery, can Rosita continue to sing the way she used to? 4:56
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https://www.finddoc.com/
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