September 23, 2023

By Mayo Clinic Information Community (TNS)

DEAR MAYO CLINIC: My husband just lately celebrated his forty ninth birthday. He’s usually wholesome, and we comply with a Mediterranean weight loss plan and train collectively a number of instances per week. However he hasn’t been to the physician in years, as we moved simply previous to the COVID-19 pandemic. Do you assume it’s mandatory for him to have an annual well being verify at the moment or wait till his milestone birthday subsequent yr?

ANSWER: As males age, even these accustomed to good well being could encounter signs that have an effect on their high quality of life. I’m an enormous proponent of building care with a basic well being specialist and sustaining annual visits to make sure sufferers can stay as wholesome as attainable.

Having a well-check go to may also help establish your husband’s danger for particular situations and whether or not there are screenings or assessments that could possibly be worthwhile to make sure he stays wholesome. Additionally, it might present the chance to debate any early signs or areas of concern that your husband — like many males — may not be comfy discussing together with his partner.

These are the most typical signs or points affecting a person’s well being.

Urological signs and sexual well being

The necessity to urinate typically can sign prostate or bladder issues and/or diabetes. Painful or in any other case tough urination additionally needs to be adopted up on.

Erectile dysfunction, which is problem getting or sustaining an erection, is treatable and motive to have a cardiac screening. It could be an early signal of coronary heart bother, as sometimes, if there are points with blood vessels in a single a part of the physique, there are possible points elsewhere.

A testicular examination is important to search for lumps and is a good suggestion for males who’ve by no means had one. As many males could not have had anybody apart from their companions take a look at their sexual organs, making certain there are not any abnormalities is invaluable.

Musculoskeletal well being

Train may also help relieve stress, but when being lively is extra painful than regular resulting from musculoskeletal situations, this can be a signal that there could also be one thing else occurring.

Are there extra aches and pains than regular? Is it taking longer to get better from accidents? A lower in capability for train typically is expounded to musculoskeletal points, equivalent to muscle losing, and inflammatory points.

Screening for osteoarthritis and rheumatic illnesses, equivalent to gout, psoriatic arthritis and rheumatoid arthritis, could also be referred to as for, particularly if there’s a household historical past of those.

Respiratory well being and sleep

In case your husband finds himself changing into fatigued and/or out of breath when exercising or simply strolling round, or if he has a continual cough, it’s time to get screened. Respiratory situations, equivalent to adult-onset bronchial asthma and COVID-related issues, are among the many potentialities that needs to be reviewed.

Loud night breathing and/or stopping respiratory at instances throughout the night time could be a signal of sleep apnea and different respiratory issues. A scarcity of high quality sleep is linked to a number of well being issues, equivalent to larger blood stress, elevated stroke danger, reminiscence points, nervousness, melancholy, and elevated urge for food that may result in diabetes and weight acquire.

Ear, nostril and throat well being

Tinnitus, which is ringing and different noises within the ears; listening to higher in a single ear than the opposite; and ear ache have gotten extra frequent as folks do business from home and use headphones.

Males with continual sore throats, particularly people who smoke, and/or these with white lesions of their mouths needs to be checked for throat cancers. With early detection, therapy for head and neck cancers might be profitable.

These with unexplained continual congestion needs to be screened for nasal polyps. Typically, a sense that one nostril is tougher to breathe out of than the opposite could be a symptom.

A sense of continually needing to clear the throat or one thing “caught within the throat” could be a signal of gastroesophageal reflux illness.

Psychological well being

Psychological well being is a delicate topic for most individuals, however it typically is ignored, notably for males. Whether or not your husband is in a high-stress career or not, the present setting is such that it is very important tackle one’s psychological well being along with bodily well being.

Extra concerns

Different situations that I counsel reviewing at an annual checkup embrace diabetes and ldl cholesterol. Prostate and colon most cancers screening could also be worthwhile relying on household historical past of cancers. I all the time encourage males to convey up something that’s new or completely different. Typically, it might be nothing, however being proactive to stay in optimum well being is worth it. Dr. Vikas Mehta , Basic Medication, Mayo Clinic Healthcare , London

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