Men’s preventive health knowledge content

The core of men's preventive health care has never been to follow the trend and buy kidney health care products or pursue so-called "special conditioning formulas". Instead, it combines the physiological characteristics of different age groups, avoids daily high-frequency health minefields, and then makes personalized adjustments based on one's own exercise habits and basic medical history. There is no need to go to extremes and it does not cost much.

I just met a 32-year-old Internet programmer at the outpatient clinic last week. He secretly took internet-famous kidney-tonifying pills for half a year. Recently, I went to check for fatigue and nausea. His transaminase was three times higher than the normal value. When I asked him, I found out that he usually stayed up late at night and sat for long periods of time and had backache. He had no organic problems at all. He took supplements indiscriminately and caused liver damage.

When it comes to the most controversial topic of kidney tonifying, the opinions in different fields are actually not unified. In the traditional Chinese medicine system, there are indeed classifications of "kidney deficiency", including kidney yin deficiency, kidney yang deficiency, and even yin and yang deficiency. The corresponding conditioning plans are completely On the contrary, for example, the commonly bought Liuwei Dihuang Pills are for replenishing yin deficiency and are only suitable for people who are usually afraid of heat, dry mouth, night sweats, and red tongue. If you usually have cold hands and feet, loose stools, and are afraid of cold, eating it will actually aggravate the symptoms. Modern medicine does not have the concept of "kidney deficiency" at all. The commonly mentioned symptoms of "kidney deficiency" such as backache, fatigue, and decreased sexual desire may correspond to fatigue syndrome, decreased androgen levels, prostate inflammation, or even simple muscle strain caused by sitting for a long time. If these problems really occur, it is more reliable to check the six items of liver and kidney function and sex hormones to rule out organic problems than to buy health care products blindly.

Don’t just take advantage of your youth. Last week, I picked up a 28-year-old boy who had just had a gout attack and was brought in. His feet were so swollen that he couldn’t even take off his sneakers. He said that he stayed up late with friends for a week drinking cold beer and eating barbecue. He had suffered pain twice before. He took some painkillers and got over it. This time the pain was so severe that he couldn’t get out of bed. Nowadays, gout is no longer a "senile disease". There are a lot of patients with high uric acid in their twenties. At this age, don't just work hard to build a career. Drink less high-sugar drinks and eat less animal offal and seafood. It is better than anything else. Oh, by the way, many people like to play ball for fitness at this stage, so don’t force yourself to deal with the injury. I have seen too many young men in their twenties with ruptured cruciate ligaments and worn meniscus. They thought they were young and could handle it when they were playing. In the end, they had to have surgery, which affected their future sports.

Many people in their thirties, old and young, are afraid that there will be something wrong with the physical examination, so they simply don't get it checked. This kind of mentality is really unacceptable. There is a 35-year-old colleague next to me who usually seems to be fine. However, the physical examination showed that the systolic blood pressure has reached 160 and the left ventricle is already slightly hypertrophic. If it takes another two or three years, it will easily lead to major problems. There is actually no unified standard answer for the frequency of physical examinations. If you often stay up late, drink alcohol, or smoke, it is necessary to have a check-up once a year, focusing on prostate ultrasound and Helicobacter pylori screening. ； As long as you have a regular daily schedule, have a regular exercise routine every week, and have no underlying diseases, it is completely fine to get checked once every two years. You don’t have to be anxious about popular science on the Internet.

In their forties, many people will feel inexplicably weak, unmotivated, irritable, and even have a decreased sexual desire. Don’t label yourself as “deficient” at first. It may be delayed hypogonadism, which simply means a decrease in androgen levels. The solution of modern medicine is to first check the serum testosterone level. If it is indeed low, you can supplement exogenous androgens under the guidance of a doctor. The side effects are much less than taking unknown supplements.； Traditional Chinese medicine can also rely on dietary adjustments. For example, eating chestnut stewed chicken twice a week and eating some nuts appropriately are enough. Mild conditioning is enough. There is no need to use tonic medicinal wine, deer penis, etc., which may easily increase blood pressure.

There are also some small daily details that may seem inconspicuous, but their impact is really huge. For example, don't wear tight jeans or tight underwear every day. The normal temperature of the scrotum is 1-2°C lower than the body temperature. Not only is it easy to develop eczema for a long time, but it can also affect sperm activity. Men who are preparing for pregnancy should pay special attention to this. Also, don’t hold back your urine. Many people hold their urine for a long time while playing games or in meetings. In the long run, it will not only damage the bladder sphincter, but also cause urinary reflux and damage the kidneys. Two years ago, I actually met a young man who suffered from acute pyelonephritis by holding back his urine. His fever reached over 39 degrees, which was not worth the gain.

Oh, by the way, there is another question that has been debated for a long time: Will smoking affect sexual function? At present, evidence-based medicine has clearly concluded that smoking will damage the endothelial function of blood vessels and increase the probability of erectile dysfunction. Of course, you can certainly cite the example of "my relative smoked all his life and lived to be over 90 with no problems." But that is an individual genetic difference. In terms of probability, the rate of problems among smokers is several times higher than that of non-smokers. How you choose depends on you.

In fact, when it comes down to it, men’s health care is really not that mysterious. What I usually tell my patients the most is that every 40 minutes of sitting, stand up and take two steps for two minutes. Drink less ice and stay up late. If you feel uncomfortable, go to a regular hospital. Don’t believe in roadside advertisements and Internet celebrities’ “magic medicines.” That’s it. Seriously, don’t complicate a simple problem.