Summary of male preventive health knowledge content

[Core Conclusion] Men’s preventive care for all ages does not need to pursue complicated plans or sky-high-priced health products. The core is to avoid the three common misunderstandings of "bearing discomfort, blindly supplementing, and ignoring routine screening". Targeted adjustments based on one's own daily routine and dietary characteristics can cover more than 90% of common health risks and significantly reduce the incidence of chronic diseases after middle age.

I have been doing men's health management for almost 8 years, and the most common situation I encounter is when young men in their thirties come to me with physical examination reports. They say that they thought their backache, frequent urination, and occasional chest tightness were due to tiredness, and they just got over it. However, the physical examination revealed that they had prostate calcification and high blood lipids, and they panicked.

Let’s talk about prostate problems. Many people think that it is a disease only suffered by the elderly. Now clinically, the proportion of chronic prostatitis patients under 30 years old has reached almost 40%. Most of them are caused by sitting for a long time, holding back urine, and drinking cold beer. The intervention ideas of different medical systems on this problem are quite different: Western medicine generally recommends that if there is no obvious pain and only frequent urination occasionally, you do not need to take medicine, stand up and walk for 2 minutes every 40 minutes of sitting, and take a sitz bath with warm water for 5 minutes every day, which can usually be relieved in 2 weeks. ； Traditional Chinese medicine will distinguish between dampness and heat or kidney deficiency. You have to take a pulse and check the tongue coating before administering the medicine. Instead, I specially remind everyone not to buy Liuwei Dihuang Pills and eat them casually. Many people stay up late and suffer from yin deficiency and excessive fire. If you take supplements blindly, the more you supplement, the more the fire will increase.

I met a 29-year-old planner a while ago. He stayed up for a month to catch up on a project. He felt that his perineum was falling and swelling, but he didn't take it seriously. In the end, the pain was so bad that he couldn't sit still, so he came to the hospital. It turned into chronic pelvic pain syndrome. It took half a year of treatment to get better. Originally, he only had to go to bed early for a week in a row, stand up and walk for half an hour at a time, but he suffered from the same problem.

Oh, yes, don’t think that problems with the reproductive system are a trivial matter. What many people don’t take seriously is the signs of chronic metabolic diseases. Nowadays, young men in their twenties eat takeout and drink at least two heavy drinks a week. When physical examinations reveal high uric acid and high blood lipids, they wave it off and say it’s okay. They think young people have better metabolism and can adjust it when they get older. There are currently two opinions in the industry regarding the frequency of screening: one is the evidence-based medicine perspective, which believes that if there is no family history, a routine physical examination once a year before the age of 35 is enough. ； The other is our clinical frontline view. If you stay up late for more than 3 days a week, drink more than 2 times a week, and have a BMI over 26, it is best to check your blood lipids, uric acid, and blood pressure once every six months, or even do a carotid artery color ultrasound to detect signs of plaque early. Take medicine without having to start. Adjust your diet and rest for 2 months first, and most of them can be reduced.

Another hardest hit area is blind supplementation. Every day in the background, people ask me whether oyster slices, maca, and various kidney-tonifying pills are useful. They say that taking the supplements recommended by friends will cause nosebleeds and inability to sleep. To be honest, there is no concept of "kidney replenishing" in the Western medicine system. If you feel weak, lack of energy, or in poor condition in that area, first check whether it is due to lack of sleep recently, vitamin B deficiency, or iron deficiency. I have met several patients who took vitamin B supplements for half a month and then returned to normal. They spent thousands of dollars on supplements of unknown origin. If you really want to adjust your body constitution, go to a regular traditional Chinese medicine hospital to find a doctor to take a pulse. Take Jingui Shenqi Pills for yang deficiency, and Liuwei Dihuang Pills for yin deficiency. If you take the wrong medicine if it is not right, the more you supplement, the worse it will be.

Oh, by the way, there is another point that everyone is embarrassed to mention, that is, many people find that their sexual function has declined. Their first reaction is to buy folk remedies and illegal pleasure products, and do not dare to go to the hospital. In fact, nearly 60% of the temporary decline in sexual function is caused by stress, staying up late, and sitting for long periods of time. If you adjust your work and rest for half a month, take 20 minutes a day to run, and drink less ice, most of them can recover. If you really have organic problems, go to a regular tertiary hospital andrology department for examination, which is more reliable than anything else.

In fact, to put it bluntly, men’s health care is really not that flashy. Among the many cases I have come into contact with, few actually have congenital problems or serious diseases. Most of them are minor problems that are usually troublesome, forced to be carried out, and become big problems after a long time. You don’t need to go to the gym every day and take all kinds of extremely expensive health care products. Just remember one thing: don’t bear on anything that feels uncomfortable. Check it when you need it, and make adjustments when you need it. It’s better than anything else.