If you don't know these things during your physical examination, it's like doing nothing! Here's what people aged 20 to 50 should check!

Mr. Wang (pseudonym), who is in his 40s, had a busy day of socializing when he suddenly remembered that he had a physical examination scheduled for the next day. Although the dinner ended before 8 p.m., he was still a little worried: Would such a big meal and drink affect the results of the physical examination? At the same time, he was also a little worried about whether the physical examination items he chose were suitable for him, whether some important issues were missed or some unnecessary items were checked too much?

In fact, many people have similar doubts, not knowing what to pay attention to before a physical examination? Because they don’t know much, some people go to the hospital and find out that they can’t do blood tests without fasting, and women can’t do gynecological examinations because they are menstruating, etc.

Today, we are going to talk to you about “Things you must know before a physical examination”.

01

Eating too much oil before the physical examination

Blood lipid and liver function tests may be inaccurate

If you eat a lot of high-fat food three days before the physical examination, triglycerides will increase significantly . Some people's blood may even become milky. The accuracy of many biochemical indicators such as liver function will be affected.

suggestion:

Maintain your normal diet and lifestyle, and avoid eating greasy or indigestible food. If you drink alcohol and eat greasy food the day before the physical examination, the results of the physical examination may be inaccurate. It is recommended to reschedule the physical examination.

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02

Eating the "wrong" food before a physical examination

May cause false positive results

Fecal occult blood test is the most widely used method for colorectal cancer screening. If you eat foods such as pork liver, pig blood, spinach, etc. within three days before the physical examination, it may cause a false positive result.

suggestion:

Three days before the physical examination, avoid consuming blood products and dark-colored vegetables, and do not eat too much spicy food.

03

Wrong fasting time

Blood sugar levels are not accurate

It is advisable to fast for 10 to 12 hours , because the human body can be in the basal metabolic state only in the fasting state, and the fasting blood sugar level at this time can reflect the real situation.

suggestion:

Do not eat after 8 pm the night before, and do not drink any drinks such as juice, milk, tea, coffee, etc.

04

Drink plenty of water before the physical examination

Liver function, blood viscosity, etc. cannot be measured accurately

Drinking a lot of water will dilute the blood and affect the accuracy of blood test results.

suggestion:

Do not drink a lot of water the night before the physical examination, especially after 12 o'clock. You can drink a small amount of water on the morning of the physical examination, but it is best to control it within 50-100 ml, that is, one or two sips.

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05

Vigorous exercise or emotional excitement before the physical examination

Affects multiple indicators

Exercise can affect blood test results such as blood sugar, creatinine, and liver function, and emotional stress can affect blood pressure measurements.

suggestion:

Do not do strenuous exercise three days before the physical examination , but moderate exercise can be carried out as usual. If you feel nervous or your heart rate increases on the day of the physical examination, it is best to rest for 5 to 10 minutes before having your blood drawn. You also need to rest quietly for 5 to 10 minutes before measuring your blood pressure.

06

Can I take medicine before a physical examination?

Patients with chronic diseases such as hypertension and coronary heart disease should take medicine as usual in the morning; patients with diabetes should avoid taking medicine or using insulin on an empty stomach and can carry their regular hypoglycemic drugs with them. Some patients undergoing postoperative anticoagulant therapy should continue to take medicine as usual, with a small amount of water, and be sure to inform their doctor.

suggestion:

If you are not sure whether you need to stop taking your medication, consult your doctor in advance .

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07

Preparing for a medical examination

Are there any particular requirements for clothing and makeup?

Physical examinations require you to expose certain parts of your body. Inappropriate clothing will cause you a lot of inconvenience. Many diseases need to be diagnosed by the state of your face, and makeup will change the true state of your face and affect the doctor's observation of you.

suggestion:

Wear comfortable, loose-fitting two-piece clothing and shoes that are easy to put on and take off. Underwear cannot have metal decorations , and women should not wear dresses or pantyhose. People with myopia can wear glasses, but not contact lenses. Women should not wear heavy makeup, and people who need to undergo painless gastrointestinal endoscopy should not wear nail polish.

08

Female physical examination

Is there anything else that requires special attention?

Women who are planning to get pregnant or are already pregnant , please inform the medical staff in advance. Radioactive items such as DR radiography, CT scan, bone density, carbon-14 testing, etc. are prohibited. Avoid gynecological examinations , urine and stool routine examinations, and transvaginal color Doppler ultrasound during menstruation. Examinations can be performed two days after the end of menstruation. Women with no sexual history should not undergo gynecological examinations or transvaginal color Doppler ultrasound.

09

People of different ages

Are all the physical examination items the same?

Physical examination is actually a very personalized thing. Everyone has different occupations and ages, so the examination items should also be different. Only by choosing a screening plan that suits you can the physical examination play the greatest role.

Let’s look at some of the items that each age group needs to focus on in addition to the regular items.

suggestion:

For those aged 20 to 30, pay special attention to infectious diseases, skin diseases, and reproductive system diseases.

People in the 30 to 40 age group generally have high work pressure and many social engagements, and the incidence of diabetes is significantly increased. Therefore, during physical examinations, special attention should be paid to postprandial blood sugar, glycosylated hemoglobin, etc.

The age group of 40 to 50 years old is a high-risk period for health, with an increased incidence of cardiovascular disease and cancer. Echocardiogram, dynamic electrocardiogram, etc. can be performed.

The incidence of cancer increases gradually in people in their 40s and 50s. In terms of cancer screening, women should focus on breast and gynecological diseases (breast ultrasound or mammography screening for breast cancer, HPV + cervical cytology screening for cervical cancer). Men should pay more attention to gastrointestinal diseases. Gastroenteroscopy can screen for gastric cancer, colorectal cancer, etc.

In addition, lung CT scans can screen for lung cancer.

People over 50 years old begin to decline in body functions, especially women are more susceptible to osteoporosis and need to have their bone density screened.

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10

Different groups of people need

What physical examination items should be paid extra attention to?

People with three highs, namely hyperlipidemia, hypertension and hyperglycemia , need to pay attention to carotid artery ultrasound, electrocardiogram, cardiac ultrasound, urine microalbumin, fundus examination, homocysteine, thyroid hormone levels and other items.

People with a family history of genetic diseases should inform their doctors in detail and undergo targeted examinations of relevant items.

Source: Run Run Shaw Hospital

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