李宁

[{"body":{"content":"尊敬的PLUS会员您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049820341},{"body":{"content":"疼不疼痒不痒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049825634},{"body":{"content":"疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049830392},{"body":{"content":"开始是*****有疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049867819},{"body":{"content":"这样的情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049868128},{"body":{"content":"三四天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049871999},{"body":{"content":"有没有衣服摩擦痛，牵扯到其他部位的疼痛感？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049886390},{"body":{"content":"不碰就疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049900463},{"body":{"content":"请问是分布于身体的单侧吗？都在左边或者右边","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049920582},{"body":{"content":"右边胳膊上边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020483},{"body":{"content":"据您的情况考虑带状疱疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050026380},{"body":{"content":"俗称蛇盘疮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050033204},{"body":{"content":"这个有一定传染性的.病毒感染导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050052323},{"body":{"content":"出现这种情况的原因是上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050056221},{"body":{"content":"目前有在用药治疗吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056412},{"body":{"content":"传染导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063164},{"body":{"content":"没有 因为疫情没法出去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050072093},{"body":{"content":"治疗的话需要怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050082294},{"body":{"content":"下面给您针对性的用药建议。为了安全用药，请问既往是否有药物过敏史？肝肾功能正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050148131},{"body":{"content":"没有过敏史 肝肾功能正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050160093},{"body":{"content":"目前疼痛是否明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182239},{"body":{"content":"明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050213049},{"body":{"content":"好的稍等，我这边给您发送药物链接，使用前请您仔细阅读说明书中禁忌，注意事项，如无禁忌可使用，若期间出现任何不适及时复诊或线下医院进一步就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050282003},{"body":{"content":"处方上边开具好了，可以直接购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501618},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050513593},{"body":{"content":"***吃完 另外一个口服药使用7-10天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524129},{"body":{"content":"确定是这个病症是吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050540896},{"body":{"content":"据我的临床经验是要考虑的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050553914},{"body":{"content":"如果需要明确诊断的话需要到线下医院皮肤科做检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050564993},{"body":{"content":"建议您保持患部清洁卫生，避免摩擦刺激，清淡饮食，避免辛辣刺激食物，避免饮酒，避免熬夜及劳累。期间要和老人小孩隔离，避免传染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050627651},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050661085},{"body":{"content":"希望我的建议能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050718704},{"body":{"content":"请问您是否还有其他问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050719819},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050726597},{"body":{"content":"如果您对我的服务满意，可以点击手机右上角“表扬医生”给我五星好评，您的好评是对我工作最好的肯定和鼓励。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732248}]

男55岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049947159},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049949098},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038060},{"body":{"content":"很长时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050058454},{"body":{"content":"好几年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050061952},{"body":{"content":"腿上也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050073335},{"body":{"content":"至少十年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050089095},{"body":{"content":"下胳膊最近有点一扣就烂上胳膊十年多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050126336},{"body":{"content":"看照片考虑毛周角化症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050173144},{"body":{"content":"不用管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177713},{"body":{"content":"但是胳膊腿上都是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050200854},{"body":{"content":"没法去除吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050206137},{"body":{"content":"用药无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050219417},{"body":{"content":"其他的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231147},{"body":{"content":"没有什么了，不用管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050246931},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050254375},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258397},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267966}]

男18岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049639164},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049647673},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652407},{"body":{"content":"尿频 / 尿急 / 尿不尽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049686434},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049689814},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694504},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049697555},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049702785},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049706923},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049717311},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721005},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049726512},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049729514},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732828},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049736919},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742290},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049753165},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎。可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824357},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、骑车、骑马、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049826372},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049828244},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049888699},{"body":{"content":"开点药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944598},{"body":{"content":"针对您的情况，建议您可以使用************+******治疗一下，可以先使用1周的看看效果，1周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049948591},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049970685},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077740},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051079804}]

男31岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653007325552},{"body":{"content":"肾结石什么问题?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653007337165},{"body":{"content":"肾结石0.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653007375241},{"body":{"content":"可以服药**试试看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653007410506}]

男32岁

2022.05.20

[{"body":{"content":"您好，我是儿科副主任医师石莉医生，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":1653050391072},{"body":{"content":"医生你好这个是我小孩最近化验单我看不明白有什么问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422667},{"body":{"content":"上面有上传的九张照片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050449626},{"body":{"content":"稍等，我给您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050512692},{"body":{"content":"麻烦你了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050519171},{"body":{"content":"缺维生素d","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581539},{"body":{"content":"过敏体质","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050585165},{"body":{"content":"主要是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050588813},{"body":{"content":"有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705872},{"body":{"content":"没有太大问题吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051846786},{"body":{"content":"是的小孩脸上长东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051857288},{"body":{"content":"孩子的情况主要是需要及时的补充维生素D，然后针对症状做必要的抗过敏治疗，增强免疫力。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051865618},{"body":{"content":"比如用******，然后规避容易过敏的食物和接触物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051881759},{"body":{"content":"需要去医院找出过敏源吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051890871},{"body":{"content":"他比较挑食不怎么吃肉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051902441},{"body":{"content":"上面那个就是过敏原，但是过敏原好多指标不是太高，但是总的过敏的指标高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051916532},{"body":{"content":"医生我有点不明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051933090},{"body":{"content":"一般来说就是牛奶鸡蛋，海鲜，牛**，这些高蛋白的要控制量，然后就是少接触这些螨虫啊，或者是一些植物类的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051945639},{"body":{"content":"好的谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051962316},{"body":{"content":"麻烦你了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051966312},{"body":{"content":"就是有一点过敏，有一点维生素D缺乏，然后上面我给您讲的就是注意事项。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051967103},{"body":{"content":"您别太着急，可以参考上面给您的指导，结束后麻烦您可以给我一个评价，如果后续还有问题，欢迎您随时找我咨询，后期可以直接平台搜索我的名字：**,如果期间有过敏等不良反应，症状持续加重等，建议尽快去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051971356},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052012185},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052023205}]

男9岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师周继峰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049652754},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655447},{"body":{"content":"你好，这里是京东医生，主要提供该商品的医学相关问题的咨询服务。请问你有什么需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049657144},{"body":{"content":"不好意思点错了，还以为是客服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049703243},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049712430},{"body":{"content":"你可以从我的--客服--找到京东客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049714222},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049911967},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928266}]

女

2022.05.20

[{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050225474},{"body":{"content":"在么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258498},{"body":{"content":"您好，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050281191},{"body":{"content":"最近这段时间尿完之后总会流一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307864},{"body":{"content":"就是**尿完了，但是提上裤子之后，他就会给内裤上滴点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346867},{"body":{"content":"尿不尽对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384915},{"body":{"content":"就是尿完之后啊，他总会有那么一点残留，过一会儿再滴几滴出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414380},{"body":{"content":"还就是有时候尿黄且有点浑浊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050484069},{"body":{"content":"请问是否还有以下症状：○1尿频○2尿急○3尿痛○5排尿困难○6小腹胀痛○7会阴胀痛○8睾丸胀痛○9尿道口滴白。回复序号即可，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501811},{"body":{"content":"9","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533277},{"body":{"content":"就是偶尔一年可能就出现这么一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569584},{"body":{"content":"尿的时候有点白色的，干了之后就跟淀粉干了之后一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582133},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605037},{"body":{"content":"有几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618089},{"body":{"content":"半年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630874},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎可能性大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700599},{"body":{"content":"可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050703759},{"body":{"content":"你给推荐一下治疗药物吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722158},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050729915},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740719},{"body":{"content":"您还有早泄是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746002},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050749879},{"body":{"content":"对于射精时间或控制射精能力是您不满意，还是伴侣不满意，还是您们两人都不满意呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754053},{"body":{"content":"一般多久射精呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761228},{"body":{"content":"不带**套的情况下，进去动几下就想射","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765047},{"body":{"content":"带套的情况下，3到5分钟吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779567},{"body":{"content":"是否有使用什么药物治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050781180},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788488},{"body":{"content":"对于射精的时间和控制射精的能力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050815653},{"body":{"content":"有过几年的手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050839513},{"body":{"content":"嗯，现在很少手淫了对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050853069},{"body":{"content":"戒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050893675},{"body":{"content":"现在有5，6年没有手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050917408},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920911},{"body":{"content":"根据**男科疾病诊断治疗指南，****** 对早泄这个疾病是有治疗作用的，且目前为一线治疗药物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050926498},{"body":{"content":"****\n可以降低精囊内压，降低球海绵体肌的爆发性收缩，降低阴茎背神经敏感性而增加控精能力延长性生活时间，虽然不是每天用药，但是其实是具有治疗作用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930861},{"body":{"content":"******：口服。药片应完整片吞下。建议至少用一满杯水送服药物。推荐的首次剂量为30mg（1片），需要在性生活之前约1至3小时服用。推荐的最大用药剂量使用频率为每24小时一次。推荐使用频率为1周1-2次，服药当天避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050950312},{"body":{"content":"这个是属于根治的还是辅助的药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036275},{"body":{"content":"只是这个疾病没有根治一说，除非像阑尾炎做完手术切除了，就不会再有阑尾发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051048342},{"body":{"content":"治疗作用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053853},{"body":{"content":"为用药安全，既往有药物过敏及肝肾损伤、慢性病史吗？请问您是否有严重心血管病史？是否在使用***、****、***、****；****；****、****、****、等药物。是否在备孕？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051064359},{"body":{"content":"没有使用这些药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051078684},{"body":{"content":"您这个情况是在泌尿外科非常常见的，也不用过于担心，是可以通过药物治疗的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147511},{"body":{"content":"针对您的情况，建议您可以使用：****+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176272},{"body":{"content":"这两个是治疗早泄和尿不尽的，是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200674},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205317},{"body":{"content":"****是一种选择性5-羟色胺再吸收抑制剂。早泄可能是大脑性欲中心存在着5-羟色胺和***之类的化学物质，它们传导强烈的射精冲动，而****能干扰上述化学物质，达到延时射精的目的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051211277},{"body":{"content":"他们经常给我推荐那个*****那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051215428},{"body":{"content":"******适应症: **利湿，****。用于慢性前列腺炎属湿热挟瘀证，症见：小便频急、尿后余沥、尿后滴白、尿道涩痛、少腹疼痛、会阴不适、腰骶疼痛、阴囊潮湿、睾丸疼痛。一天2次 一次4粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217532},{"body":{"content":"*****诊断早泄会有帮助的，但是一般建议中医辩证论治指导会更好些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268539},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284809},{"body":{"content":"上面给您推荐的药物为处方药，我可以给您开一张电子处方，以供线上购买使用，或者作为线下购买及用药参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291284},{"body":{"content":"还有就是每到夏天晚上的话，就是脚心发热，心悸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297159},{"body":{"content":"脚心发热等中医症状，建议中医科望闻问切，辩证论治，会更准确些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366288},{"body":{"content":"咱们京东有中医吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389742},{"body":{"content":"我给您一个医院临床治疗反馈效果好的一线用药方案，您可以参考下，比较适合您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392015},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419092},{"body":{"content":"处方供您开好了，供您参考","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463686},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468230},{"body":{"content":"好的，到时候怎么联系您？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051577323},{"body":{"content":"您可以按照上图的这个流程找到我，建议用药一段时间后及时复诊，相对于埋头吃药来说，医生的指导更重要，减量和停药都要在医生的指导下进行；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594542},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051735069},{"body":{"content":"这个****一盒够吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051749960},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051780137},{"body":{"content":"4周6片1疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792604},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051807720},{"body":{"content":"给您开一盒3片的****先试试，效果明显的话，没有啥不适症状，再继续按需服用，性生活时间达到满意度以后再停药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051821655},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051865666},{"body":{"content":"目前很多患者除了在口服药物治疗以外，都在用***，提高性功能，连续服用效果还是非常不错的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051904967},{"body":{"content":"***是**，**，**，**，还有**混合在一起泡出来的茶。可以起到调理身体的作用，功效有：**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051921229}]

男32岁

2022.05.20

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049755331},{"body":{"content":"您好，今天刚刚做的检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049766323},{"body":{"content":"昨天的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049772927},{"body":{"content":"这个结果提示是怀孕了的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049774188},{"body":{"content":"您月经推迟几天了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049779666},{"body":{"content":"末次月经4.14号开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783326},{"body":{"content":"好的，您是有生育要求的是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049801808},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049805615},{"body":{"content":"好的，目前有腹痛出血吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813459},{"body":{"content":"腰有些酸痛，偶有腹痛，躺一会儿就能好，没有出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049833174},{"body":{"content":"好的，那可以再复查看看的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049838371},{"body":{"content":"早孕一般血hcg隔天翻倍一般考虑胚胎发育良好、宫内孕的几率高，一般血hcg大于3500可以查超声，是否宫内孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852937},{"body":{"content":"应该是怀孕吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049865021},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049867699},{"body":{"content":"结果提示是怀孕了的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049872491},{"body":{"content":"我的症状不是宫外孕的典型症状吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895146},{"body":{"content":"因为是二胎，比较担心炎症会导致宫外孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924550},{"body":{"content":"宫内孕以及宫外孕的区分只能是做B超宫内看到孕囊，根据症状没有办法区分","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930518},{"body":{"content":"理解您的心情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049936372},{"body":{"content":"B超6周去做合理吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049959240},{"body":{"content":"太早怕什么都看不到，太晚怕宫外孕危险","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049984333},{"body":{"content":"也可以的，主要是看血HCG的情况，血HCG大于*****般可以做B超看到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049987461},{"body":{"content":"好的，那我明白了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050049669},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056730},{"body":{"content":"有吃**吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050228063},{"body":{"content":"昨天开始吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050252387},{"body":{"content":"好的，整个孕期都是可以吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277266},{"body":{"content":"不是吃到三个月就行吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050300988},{"body":{"content":"整个孕期可以一直吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315836},{"body":{"content":"您吃的是单纯的**还是*****呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050333453},{"body":{"content":"哦哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335431},{"body":{"content":"单纯的**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050341137},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357369},{"body":{"content":"以上情况有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361380},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369750},{"body":{"content":"您可以吃********，含有**和孕期建议补充的多种***，一天一粒，可以吃到宝宝出生的，就不需要再吃单纯的**了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050421634},{"body":{"content":"可以参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425281},{"body":{"content":"好的，我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050442751},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050449940},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、孕妇及哺乳期妇女用药部分，如无禁忌可使用，用药过程中如有不适，或用药症状不缓解可上线咨询或线下就诊。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050450678},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452889},{"body":{"content":"好的，谢谢哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050473180},{"body":{"content":"拜拜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477944},{"body":{"content":"早孕建议您多休息，减少活动，注意保暖，避免碰冷水，适当加强营养如瘦肉、鱼、蛋、奶、水果蔬菜等，避免刺激乳房，前三个月禁止性生活及盆浴；定期医院检查，如有腹痛、阴道出血等情况随时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050483522},{"body":{"content":"不客气的，给您一些孕期的建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491700},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050599280},{"body":{"content":"谢谢您专业的建议，再见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674620},{"body":{"content":"不客气的，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695050}]

女31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":"您好，我是主治医师安利娟，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050219677},{"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":1653050222291},{"body":{"content":"您好，建议吃含糖量少的并且含有添加剂少的饼干。这个饼干可以吃，建议适量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050462145}]

女

2022.05.20