What are the preventive health examination items for men

In fact, there is no unified physical examination checklist suitable for all men. The core logic is to add basic must-do items and personalized adjustments. There is no need to blindly buy "male exclusive physical examination packages" with dozens of items online. Only the ones that suit you will be useful.

Last week, I received a 32-year-old Internet programmer at the physical examination center. When he came, he was carrying a laptop to correct bugs. He said that he had frequent urination and knee pain recently. He had chosen the cheapest basic physical examination package for two consecutive years, and no problems were found. I see that he is 175cm tall and weighs almost 180cm. He eats takeout every day and drinks cold beer, and often holds back his urine to meet his needs. In addition to basic items such as routine hematuria, liver and kidney function, chest X-ray, and abdominal ultrasound, I asked him to add blood uric acid, prostate ultrasound, and pyloric snail Bacillus breath test, cervical vertebra and fundus examination, the results showed that the uric acid level was almost 600, which is the threshold of gout, and there are calcifications in the prostate. If the basic examination is still carried out as before, if it is delayed for another six months, the pain may be so severe that I can't walk.

The first thing many people ask when choosing a project is "Is there the best and most expensive one?" It is true that the more expensive the project, the more useful it is. The focus of different age groups is far different. A young man who has just started working in his early 20s, loves to exercise and has no underlying diseases. In addition to the basic items, it is enough to focus on checking for infectious diseases and skin problems. At most, he can add blood sugar and blood lipids to check for problems caused by takeaway food. If he can't make it, he will do a project like PET-CT, which costs several thousand. The unnecessary radiation will not be worth the gain.

By the way, the "complete set of male tumor markers" promoted by many institutions now has two different views in the industry. Some doctors think that the false positive rate for ordinary people's physical examinations is too high, and they will be scared to death if there is a slight fluctuation in the indicators. Others think that if there is a relevant family history of cancer, a targeted test of prostate specific antigen (PSA) and alpha-fetoprotein (AFP) is enough. There is no need to do a complete set of more than a dozen items, but it is a waste of money.

I went with my dad for a physical examination a while ago. He is 62 years old and has smoked for 30 years. He also has high blood pressure. I did not choose the "senior luxury physical examination package" for him on the market. In addition to the basic items, I only added low-dose spiral CT (which is more accurate than chest X-ray for detecting lung cancer and has less radiation), carotid artery ultrasound, PSA, bone density and postprandial blood. Regarding sugar, many middle-aged and elderly men only remember to check fasting blood sugar. In fact, the missed diagnosis rate of abnormal postprandial blood sugar is very high. My dad’s fasting blood sugar was normal, and his postprandial blood sugar had reached the critical value of prediabetes. When he came back, he quickly stopped all the sugar water and candied fruits he loved to drink. After two months of adjustment, the indicator has dropped back to a safe range.

There is another pitfall that many people step on. Don’t feel embarrassed and skip the digital rectal examination in the men’s department. Last year, I had a 40-year-old old customer who crossed out this item for three consecutive physical examinations. I was sorry, but he came back for blood in the stool last year and found out that he was already in the middle stage of rectal cancer. In fact, this examination is completed in a few seconds, can detect 80% of low-lying rectal cancers, and can also feel for any abnormalities in the prostate. It is really not a mistake to make a mistake.

After all, choosing physical examination items is really not that complicated. When you go to order, tell the doctor a few words about your usual discomforts, whether the elders in the family have any chronic diseases, and whether they have the habit of smoking, drinking and staying up late. Let the doctor help you adjust two or three items, which is much more useful than just making up the items from the online list. After all, the physical examination is to prevent the slightest change, and it is good to detect problems and intervene in advance.