刘继帅

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044928},{"body":{"content":"什么部位有这种情况呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049461},{"body":{"content":"额头上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066774},{"body":{"content":"稍等，我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074368},{"body":{"content":"最初是外伤引起的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092791},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、是否有过敏史），如果没有则回复“无”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134400},{"body":{"content":"小时候摔跤磕到的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135783},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139399},{"body":{"content":"请问针对您的症状，最近是否使用过药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051152894},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165871},{"body":{"content":"好的，稍等帮您推荐一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174343},{"body":{"content":"您可以参考一下这个产品，对您说的情况比较合适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240844},{"body":{"content":"***，一天两次，外用看看的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051252801},{"body":{"content":"建议您平时少吃油腻、刺激性食物，近期不吃鱼虾蟹等发物，不要挤压患处，以免继发感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291611},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051297447},{"body":{"content":"要用多久才会有效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051373191},{"body":{"content":"一般一个月是一个疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051394504},{"body":{"content":"可以先用一个疗程，看一下改善的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051403430},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051481183},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051482788}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965317234},{"body":{"content":"您想预约什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965326892}]

男45岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878751835},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878757655},{"body":{"content":"您出现这些症状有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878777002},{"body":{"content":"胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878788382},{"body":{"content":"有没有做过什么检查 用过什么药物治疗过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878793740},{"body":{"content":"有一周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878803316},{"body":{"content":"检查和治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878824793},{"body":{"content":"吃了***和","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878902511},{"body":{"content":"****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878935338},{"body":{"content":"症状有没有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878950872},{"body":{"content":"头两天还行，可能昨天晚上吃了西瓜，今天觉得更不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878996604},{"body":{"content":"大便什么的都正常，也不拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879111150},{"body":{"content":"就是觉得胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879163995},{"body":{"content":"您现在的症状与胃食管反流病比较符合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879176323},{"body":{"content":"也不排除存在幽门螺杆菌感染可能 如果有可能最好可以先做个呼气试验看看有没有幽门螺杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879226217},{"body":{"content":"那能开点中药回来熬吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879313227},{"body":{"content":"也不胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879361188},{"body":{"content":"像您这种反酸比较厉害的 中药不太能解决问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879395349},{"body":{"content":"抑酸方面西药更有优势 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879463216},{"body":{"content":"反酸不厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879466808},{"body":{"content":"以胃胀为主是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879487322},{"body":{"content":"主要是胃胀，打嗝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879494210},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498226},{"body":{"content":"今天才有一点反酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879514619},{"body":{"content":"主要还是胃胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879555114},{"body":{"content":"您是希望自己熬中药 还是用现成的中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879560324},{"body":{"content":"现成的中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879707325},{"body":{"content":"明白了 您拍一张舌苔图给我看一下哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879775212},{"body":{"content":"您稍等片刻 我这就给您处方建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880064892},{"body":{"content":"好的，不急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880128078},{"body":{"content":" 平时不要吃的太饱 晚餐不要吃稀的 不要喝汤 流质半流质更容易反流 平时不要喝茶、咖啡、碳酸饮料 不能抽烟 会导致食管下括约肌的松弛 更易反流 不要吃红薯 糯米食等淀粉含量高的食物 容易产酸 还包括一些甜品 平时不要穿紧身的衣物 严重反流时床头需要抬高15-20°","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880454202},{"body":{"content":"您没有药物过敏史和特殊禁忌症吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880491500},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880499041},{"body":{"content":"不在备孕期妊娠期哺乳期吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880513147},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880520229},{"body":{"content":"处方已开具 另外生活方面需要注意的事项已经发给您了 请按照上面的做 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880592796},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880632462},{"body":{"content":"不客气的 祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880650916},{"body":{"content":"能再帮我开一份自己熬的中药处方吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880724824},{"body":{"content":"万一服药后症状缓解不明显 您停用****14天后需要去医院查个呼气试验 看看有么有幽门螺杆菌感染 或者做个胃镜 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880727121},{"body":{"content":"中药只有**剂 就是我按照处方开好每个成分的**剂 您回去自己放一起冲服 没有传统的那种中药饮片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880835746},{"body":{"content":"您看可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880854866},{"body":{"content":"比丸好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880862883},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880901761},{"body":{"content":"冲剂好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880913990},{"body":{"content":"谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880919406},{"body":{"content":" 丸剂起效慢 发挥作用持久 **剂作用快一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880931254},{"body":{"content":"那就麻烦帮我开冲剂，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881446891},{"body":{"content":"已经开过了 中药开方没有西药那么快 要一个个点击","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881489337},{"body":{"content":"没事，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881575533},{"body":{"content":"您在吃*****时就不要再吃这个**剂了 两个分开服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881711375},{"body":{"content":"有些成分有重合 功效也差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881732581},{"body":{"content":"只喝冲剂，不吃那个*****，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881778008},{"body":{"content":"可以的 您可以把冲剂吃完再吃***** *****效果挺好的 我平时在门诊经常开给嗳气 呃逆的患者用 患者反馈过来的信息效果都不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881875821},{"body":{"content":"您要是在不愿意用丸剂 我就把前面那个处方的*****撤回来了 要么开了也浪费了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881941121},{"body":{"content":"实在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881947172},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881970031},{"body":{"content":"好的 是撤回来吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881988422},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882003978},{"body":{"content":"我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882012304},{"body":{"content":"这个是小丸还是大丸？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882050781},{"body":{"content":"小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882068549},{"body":{"content":"就是一包里有好多小丸子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882089668},{"body":{"content":"怎么驳回了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882177331},{"body":{"content":"我刚又确认一下是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882270931},{"body":{"content":"是小丸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882281601},{"body":{"content":"既然这个不错，先试试这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882370713},{"body":{"content":"对胃胀效果好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882384944},{"body":{"content":"平台上出售*****的药房太多 不同厂家生产的有所区别 我刚特意点进去查了一下我开的这个是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882414140},{"body":{"content":"是的 对于脾胃虚弱引起的腹胀效果还是不错的 对嗳气也有明显效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882447873},{"body":{"content":"那好，我试试","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882462404},{"body":{"content":"马上下单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882471237},{"body":{"content":"您平时不适合吃生冷食物 舌苔白腻厚 脾胃虚弱 还有湿偏重 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882576232},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882587008},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882594502},{"body":{"content":"要21才拿到药，我能去药房买吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882625758},{"body":{"content":"今天是18号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882641731},{"body":{"content":"可以的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882644513},{"body":{"content":"您可以按照处方建议去购药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882662317},{"body":{"content":"药有没有指定厂家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882678275},{"body":{"content":"麻烦帮我看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882684987},{"body":{"content":"*****买****的或者***的都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882715882},{"body":{"content":"****随便哪个厂家 没有太大差异","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882745562},{"body":{"content":"*******制药的也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882768672},{"body":{"content":"这几个都是大厂 药材质量有保证","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882785288},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882801245},{"body":{"content":"不客气的啦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882818882},{"body":{"content":"我已经5星好评了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882972123},{"body":{"content":"谢谢您的好评","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882992756}]

女43岁

2022.05.20

[{"body":{"content":"您好，宝宝这种情况多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883692362},{"body":{"content":"三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883716091},{"body":{"content":"目前一天大便几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883732879},{"body":{"content":"有时候正常的话一天一次，如果喝奶就拉的话一天三次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883777823},{"body":{"content":"体重增长好不好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883799553},{"body":{"content":"也不是每次喝奶**，就是经常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883800016},{"body":{"content":"目前九个月，75cm 10kg","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883830874},{"body":{"content":"九个半月了，不好意思，刚刚说错了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883847838},{"body":{"content":"体重还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883856013},{"body":{"content":"大便稀不稀","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883862892},{"body":{"content":"如果一天一次的话就不稀，喝奶拉那种就稀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883896837},{"body":{"content":"不爱吃辅食","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883909998},{"body":{"content":"吃两口就不张嘴了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883933382},{"body":{"content":"这种情况需要查查乳糖不耐受","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883949199},{"body":{"content":"或者蛋白过敏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883956387},{"body":{"content":"这检查需要怎么做的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652883979664},{"body":{"content":"乳糖不耐受化验大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652883995233},{"body":{"content":"过敏需要抽血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884001048},{"body":{"content":"先查乳糖不耐受吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884018602},{"body":{"content":"比较容易","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884022725},{"body":{"content":"好的。还有没有可能是奶粉不合适导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884025928},{"body":{"content":"奶粉不合适就是考虑过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884044963},{"body":{"content":"那我就先去做乳糖不耐受吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884068907},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884082997},{"body":{"content":"先查乳糖不耐受吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884087518},{"body":{"content":"刘医生，化验大便得去医院拿试管回来取大便吗，还是得带宝宝一起去医院呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884190364},{"body":{"content":"这需要咨询当地儿童医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884241519},{"body":{"content":"看如何开展","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884246959},{"body":{"content":"一般带标本即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884253326},{"body":{"content":"好的，非常感谢你！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884364001},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884376115}]

男9个月16天

2022.05.20

[{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280998},{"body":{"content":"孩子有不舒服么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288780},{"body":{"content":"昨天头晕，疼，吐了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050300593},{"body":{"content":"这个囊肿没有症状不不需要处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050307977},{"body":{"content":"吃了药，今天精神有所好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050313512},{"body":{"content":"这种严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050322514},{"body":{"content":"是什么原因引起的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343780},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050417102},{"body":{"content":"一般是先天性的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050422115},{"body":{"content":"看范围不大，应该不是这个囊肿引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050439891},{"body":{"content":"这种情况一般会不会长大呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497414},{"body":{"content":"这种吃药有效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563962},{"body":{"content":"定期复查，有长大的也有自己没的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050573449},{"body":{"content":"不需要口服，没啥效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050580570},{"body":{"content":"不长大的话。是不是就没啥影响呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050615656},{"body":{"content":"还有就是，这个囊肿引起的症状会头晕**，还有什么症状吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663615},{"body":{"content":"如果持续增大，有症状就处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698460},{"body":{"content":"手术治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050701905},{"body":{"content":"主要是**头晕恶心呕吐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050723533},{"body":{"content":"或者活动异常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732315},{"body":{"content":"这种是微创吗？还是传统的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858500},{"body":{"content":"有微创","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050873787},{"body":{"content":"目前一年复查一次行吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050933757},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051479520},{"body":{"content":"平时需要注意些什么呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051626785},{"body":{"content":"没啥特殊注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051658152}]

女9岁

2022.05.20

[{"body":{"content":"您好，请问这种情况出现多久了？有哪些症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965495127},{"body":{"content":"男性的阴茎头有hpv病毒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534199},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965551730},{"body":{"content":"请问有过高危性行为吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965559609}]

男20岁

2022.05.20

[{"body":{"content":"您好，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419300},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051427973},{"body":{"content":"您是感觉大便次数增多，还是大便困难呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051448219},{"body":{"content":"大便次数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463653},{"body":{"content":"大便次数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051472188},{"body":{"content":"增多是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051477175},{"body":{"content":"不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051485533},{"body":{"content":"经常早餐吃完后就完啦，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051528036},{"body":{"content":"大便还是正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551682},{"body":{"content":"症状大致多久了？腹胀，腹痛，排气异常，肠道咕噜响有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556085},{"body":{"content":"很久了，没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051590175},{"body":{"content":"您查过肠镜吗？用过什么药物吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051625079},{"body":{"content":"还没去检查，也没有吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051650820},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051654511},{"body":{"content":"请问您有什么药物过敏史吗？既往有什么疾病史吗？肝肾功能正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051655583},{"body":{"content":"没有，正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051677905},{"body":{"content":"结合您描述的情况，考虑肠易激综合征可能性大一些，建议您可以服用****0.1g 3次/日口服+**********，每次2粒，每日3次。与其他药物分开2小时服用，联合使用一周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051682049},{"body":{"content":"用药症状改善不理想，医院消化科就诊，必要时查个肠镜检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695160},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051719784},{"body":{"content":"用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用药品。如在用药过程中出现不适，请及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051787948},{"body":{"content":"给您开个处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792678},{"body":{"content":"少食多餐，忌辛辣刺激饮食，忌浓茶咖啡，忌过多甜食，忌过饱饮食，少吃生冷食物，少吃海鲜、鱼，火锅类的食物，喝温热水，不喝饮料，保持***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051848752},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052108584}]

男34岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049657759},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725112},{"body":{"content":"您能帮我看看过敏源结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049743731},{"body":{"content":"总IGE浓度高是怎么回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049761513},{"body":{"content":"发下结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769640},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819142},{"body":{"content":"平时有什么过敏吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049826542},{"body":{"content":"前阵子去检查哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049899416},{"body":{"content":"IgE多与过敏性的反应有关，总IgE升高最常见于过敏体质的人，或者有过敏性疾病的患者。另外，寄生虫感染引起的变态免疫反应，也会引起总IgE升高，部分的血液系统疾病例如部分的骨髓瘤，还有霍奇金淋巴瘤等疾病，也可能会出现总IgE的升高。真菌感染、病毒感染或者结核病等少部分特异性的感染性疾病，患者也可能会出现总IgE的升高，与免疫功能相关的疾病包括类风湿性关节炎、格林-巴利综合征或者高IgE综合征、肾病综合征等疾病都有可能会出现总IgE的升高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935421},{"body":{"content":"血常规还有****检查都显示是过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944973},{"body":{"content":"建议进一步检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951764},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021673},{"body":{"content":"不客气，建议进一步检查。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103691}]

男39岁

2022.05.20

[{"body":{"content":"您好，我是住院医师任凯文，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049854489},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857603},{"body":{"content":"一岁半宝宝平时肚子胀可以吃这个***粉的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049871895},{"body":{"content":"1岁宝宝便秘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049880148},{"body":{"content":"胃口特别好就是不消化","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049894230},{"body":{"content":"食欲怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049894542},{"body":{"content":"可能是积食了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900187},{"body":{"content":"这个怎么改善呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049912600},{"body":{"content":"可以吃*****改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049931191},{"body":{"content":"平时吃的要不要注意呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049948977},{"body":{"content":"要少吃生冷油腻的食物，多吃一些生鲜蔬菜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049976253},{"body":{"content":"要少吃生冷油腻的食物，多吃一些新鲜蔬菜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985077},{"body":{"content":"饭量是不是要不要控制","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050005144},{"body":{"content":"可以少量多餐，但是不能一次吃得太饱。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050040859},{"body":{"content":"好 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050134156},{"body":{"content":"谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050140455},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149265}]

女

2022.05.20

[{"body":{"content":"现在睡着了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049663249},{"body":{"content":"摸着可以抹平的那种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049697752},{"body":{"content":"那可以总","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049718740},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049720064},{"body":{"content":"用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721144},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808641},{"body":{"content":"躺着好点，做起来就凸起来明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049853106},{"body":{"content":"嗯，符合脐疝。可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049872614},{"body":{"content":"这个有规格吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891620},{"body":{"content":"这个就需要咨询客服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049904914},{"body":{"content":"一般用多久能好呀长平点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049911246},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049954647},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984305}]

女

2022.05.20