👨‍⚕️ Dr. BOSS 的聊天室｜Episode 20：什麼時候該看內科？內科與外科的差別

👨‍⚕️ Dr. BOSS 的聊天室｜Episode 20：什麼時候該看內科？內科與外科的差別 BOSS Doctor’s Chatroom｜Episode 20: When to See Internal Medicine? Internal vs Surgical Care 副標 / Subtitle 👨‍⚕️ Dr. BOSS × 🐨 Koala | 胃不舒服該找誰？ 👨‍⚕️ Dr. BOSS × 🐨 Koala | Who Should You See for Stomach Issues? --- 🟦 對話稿 Dialogue（中英對照） Koala： BOSS醫生，如果我胃不舒服，我應該看內科還是外科？ Doctor BOSS, if I have stomach discomfort, should I see internal medicine or surgery? BOSS 醫生： 大部分胃的問題，第一步都是看內科，特別是腸胃內科。 Most stomach problems should first be evaluated by internal medicine, especially gastroenterology. Koala： 那什麼情況才需要看外科呢？ When would surgery be necessary? BOSS 醫生： 當出現嚴重問題，例如穿孔、出血、腫瘤或需要手術處理時，才會轉介外科。 When there are serious conditions like perforation, bleeding, or tumors requiring surgery, then surgical care is needed. --- 🟦 結構篇 Structure（中英對照） BOSS 醫生： 內科與外科的差別可以這樣理解： The difference between internal medicine and surgery can be understood as follows: 1. 內科 Internal Medicine 以診斷、藥物治療為主 Focus on diagnosis and medication 處理胃炎、胃潰瘍、消化不良 Treat gastritis, ulcers, indigestion 可安排胃鏡檢查 Can arrange endoscopy --- 2. 外科 Surgical Care 以手術治療為主 Focus on surgical treatment 處理出血、穿孔、腫瘤等嚴重問題 Treat bleeding, perforation, tumors 通常由內科轉診 Usually referred from internal medicine --- 🟦 日常使用 Daily Use（中英對照） Koala： 那我怎麼判斷自己該先去哪一科？ How do I know which department to visit first? BOSS 醫生： 一句話：先內科，再評估是否需要外科 In short: Start with internal medicine, then evaluate if surgery is needed 舉例 Examples: 胃脹、胃痛、消化不良 → 內科 Bloating, pain, indigestion → Internal medicine 長期不適、反覆發作 → 內科檢查 Persistent symptoms → Internal evaluation 嚴重疼痛、嘔血、黑便 → 立即就醫（可能需外科） Severe pain, vomiting blood, black stool → urgent care (may need surgery) --- 🟦 習慣與保養 Habits & Care（中英對照） BOSS 醫生： 避免拖延就醫是最重要的： The most important thing is not delaying medical care: 症狀持續超過幾天要就醫 Seek care if symptoms persist 避免自行亂吃藥 Avoid self-medicating blindly 定期檢查 Regular checkups 依醫師建議追蹤 Follow medical advice --- 🟦 小知識 Mini Note（中英對照） Koala： 胃不舒服忍一下會自己好嗎？ Will stomach discomfort go away if I just wait it out? BOSS 醫生： 有些輕微症狀會改善，但如果反覆或加重，應盡早就醫，避免延誤治療。 Some mild symptoms may improve, but if they recur or worsen, seek medical care early to avoid delays in treatment.