伴隨症狀英文：發燒、頭暈、噁心、麻木、呼吸困難

英語問診裡，主訴 (chief complaint) 之外，醫師一定會問：「Any other symptoms?」這個問題不是禮貌而已，而是要確認有沒有應該注意的伴隨警訊。本文教你怎麼把「順便還有 ___」用自然英文加進敘述裡，並列出最常見的幾種伴隨症狀名稱。

本文僅教英文溝通，不提供醫療診斷或治療建議；某些症狀組合（例如胸痛 + 呼吸困難、嚴重頭痛 + 視力改變、發燒 + 頸僵硬）需要立即就醫，請務必尋求當地急救協助。

核心單字表

English term	中文意思	例句
fever	發燒	I have a fever of 38.5°C.
chills	發冷、打寒顫	I had chills last night.
dizziness / dizzy	頭暈	I feel dizzy when I stand up.
lightheaded	頭輕飄飄、快暈倒	I feel a bit lightheaded.
nausea / nauseous	噁心	I feel nauseous.
vomiting	嘔吐	I vomited twice this morning.
numbness / numb	麻、沒感覺	My fingers feel numb.
tingling	刺刺麻麻	I have tingling in my left hand.
shortness of breath	呼吸困難	I have shortness of breath when I walk upstairs.
chest tightness	胸悶	I feel tightness in my chest.
fatigue	疲倦、無力	I've been very fatigued lately.
sweating	流汗（不正常的）	I've been sweating a lot, even resting.

必背句型

I also have [SYMPTOM].（我同時還有 ___。）
Along with the [PAIN / SYMPTOM], I'm feeling [SYMPTOM].（伴隨 ___，我還覺得 ___。）
In addition to that, I've noticed [SYMPTOM].（除此之外，我注意到 ___。）
I've been feeling [SYMPTOM] for [DURATION].（我已經 ___ 了 ___ 那麼久。）
I had a fever of [TEMPERATURE] last night.（昨晚發燒到 ___。）
I feel dizzy when I stand up.（我站起來會頭暈。）
I feel nauseous, but I haven't thrown up.（我覺得想吐，但還沒吐。）
I have numbness in my [BODY PART].（我的 ___ 有麻木感。）
I get short of breath when I [ACTION].（我 ___ 的時候會喘不過氣。）
I feel a tightness in my chest.（我胸口悶。）
I've been more tired than usual.（我比平常還累。）
No, I don't have any of those symptoms.（沒有，我沒有那些症狀。）— 也是合理回答

怎麼自然連接主訴和伴隨症狀

英文不太說「I have headache and also have fever and also have nausea.」這樣堆疊。比較自然的方式：

Along with the headache, I've also been feeling nauseous and dizzy.
In addition to the chest pain, I've had some shortness of breath.
The cough started three days ago, and yesterday I started running a fever.

警訊組合（red flag combinations）

下列組合在英語醫療溝通中常被視為需要馬上就醫的訊號。本文不下醫療判斷，但整理常見的英文表達讓你能快速說出來：

chest pain with shortness of breath, sweating, or pain spreading to the arm or jaw
sudden severe headache (the worst of your life) with vision changes, weakness, or trouble speaking
fever with stiff neck and confusion
abdominal pain with vomiting blood or black stools
shortness of breath at rest or that wakes you up

如果出現這類組合，建議直接說：「I think this might be an emergency. I have ___ and ___ at the same time.」並撥打當地急救電話或前往急診。

錯誤說法 vs 自然說法

不太自然	自然好用
I have fever 38, dizzy, vomit.	I have a fever of 38°C, and I also feel dizzy and nauseous.
My hand no feeling.	My hand feels numb.
I cannot breath good.	I'm short of breath. / I have trouble breathing.
Heart hurry hurry.	My heart is racing. / I feel my heart pounding.
I want vomit but no come out.	I feel nauseous, but I haven't thrown up.

情境對話

Doctor: Besides the headache, any other symptoms?（除了頭痛，還有別的症狀嗎？） Patient: Yes. Along with the headache, I've been feeling nauseous, and once this morning I felt very dizzy when I stood up.（有，伴隨頭痛，我覺得想吐，今天早上站起來時還暈了一下。） Doctor: Any fever or vision changes?（有發燒或視力變化嗎？） Patient: No vision changes, but I had a low fever last night, around 37.8°C.（沒有視力變化，但昨晚有低燒，大約 37.8°C。） Doctor: Any numbness or weakness?（有麻木或無力嗎？） Patient: No, none of that.（沒有。）

可替換句型模板

Along with [MAIN SYMPTOM], I've been feeling [ASSOCIATED SYMPTOM].
- Along with the cough, I've been feeling tired.
In addition to [MAIN SYMPTOM], I have [ASSOCIATED SYMPTOM] when I [ACTION].
- In addition to the chest pain, I have shortness of breath when I climb stairs.
No [SYMPTOM]. Just [SYMPTOM].
- No fever. Just the cough.
It started with [SYMPTOM A], and then [SYMPTOM B] showed up [TIME] later.
- It started with a sore throat, and then a fever showed up two days later.

小練習

用英文描述：「除了腰痛，我這兩天還覺得很累。」答： Along with the back pain, I've been feeling very tired for the last two days.
用英文描述：「我有一點頭暈、想吐，但沒發燒。」答： I feel a bit dizzy and nauseous, but I don't have a fever.
用英文描述：「胸口有點悶，爬樓梯會喘。」答： I feel some tightness in my chest, and I get short of breath when I climb stairs.

看診前可複製的英文整理表

Associated symptoms checklist (circle yes / no)

Fever: yes / no — temperature ___

Chills: yes / no

Dizziness or lightheadedness: yes / no

Nausea: yes / no

Vomiting: yes / no

Numbness or tingling: yes / no — where? ___

Shortness of breath: yes / no — when? ___

Chest tightness or pain: yes / no

Sweating not from heat or exercise: yes / no

Unusual fatigue: yes / no

Vision changes: yes / no

Trouble speaking or weakness on one side: yes / no