EXTENDING AGE: MEDICAL TESTING FOR TWENTIES
The problem with guys in their twenties, says Dr. Goldberg, is that they’re invincible. “Or at least they think they are,” he says. While it’s true that you’re less likely to have serious health problems at this younger stage in life, now is a great time to map out a lifestyle plan to help you prevent diseases in the future. You can also catch any potential problems, such as high blood pressure, in their infancy and stop them there, says Dr. Goldberg.
To head off future health woes, doctors recommend getting the following tests starting when you’re in your twenties.
History and physical: See your doctor for a history and physical every three years until you turn 40, suggests Dr. Goldberg. Then switch to every two years until you are 50, when you should start getting them annually. It’s here that your physician learns all about you and your family history: health problems dating back to childhood; any current medical conditions such as allergies, diseases, or medications; lifestyle factors, such as whether you drink or smoke; and any other pertinent information.
Blood pressure: Have your blood pressure checked every three years until you turn 40; then switch to every two years, says John Coulehan, M.D., professor of medicine and preventive medicine at the State University of New York at Stony Brook School of Medicine. “This might be one of the most important screenings you can have done,” Dr. Coulehan says. “There are absolutely no symptoms to high blood pressure. Untreated, it can lead to heart attack, stroke, kidney failure, and many other problems.” To refresh your memory, blood pressure is read in two numbers, the top number being systolic; the bottom, diastolic. Systolic pressure measures the force of blood flow at its peak. Diastolic measures blood pressure at its lowest point. A normal reading is around 120/80 millimeters of mercury. Consistent readings above 140/90 are high.
Blood count: Have your blood count done every three years, until you reach 40; then have it tested every two years, suggests Dr. Coulehan. This test measures the quality of your blood and the levels of three types of blood cells needed for optimum health: red cells, which carry oxygen; white cells, which fight infection; and platelets, which help with blood clotting. Low levels of red blood cells can be a sign of anemia, a major cause of fatigue.
Urinalysis: Have a urine test done every three years until you reach 40; then switch to every two years, says Dr. Goldberg. Give your doctor a paper cup with a small urine sample, and he can tell you how well your kidneys function, whether you’re drinking enough water, whether you have any kidney stones or prostate or urinary tract infections, and even if you have diabetes or some cancers.
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