Are you one of those guys that ranks going to the doctor right up there with an IRS audit? You might be happy to know that the yearly checkup is now a thing of the past. But you should still see your doctor from time to time to make sure you’re healthy. During a well-visit, you'll get tests to screen for problems that are common for guys your age. If everything under the hood is normal, you'll check back in every couple years to make sure you're in good running order. These are the tests you can expect to have during your 40s, 50s, and 60s.
BLOOD PRESSURE CHECK: The cuff squeezing your arm measures the blood flow
in your arteries during and between heartbeats. If your reading is 120/80 or
lower, you're in the normal range. If
repeat checks are 140/90 or more, your pressure is high. That means you’re more
likely to have a heart attack or stroke. You can lower your numbers with meds or by eating more healthy
food and exercising. Get It Done: Every year.
CHOLESTEROL TEST: Your doctor takes a small sample of your blood to
check levels of this gunk in your system. It’s a prime cause of heart disease. What’s
normal? A total score below 200. That means your “good” (HDL) cholesterol is 60
or above and the “bad” (LDL) cholesterol is below 100. What’s not so great? A total score above 240 or a “good” reading
below 40 and a “bad” of 160 or higher. Your doctor will talk to you about treatment. You may need
meds, or you might be able to change your numbers with better food and more
physical activity. Get It Done: Every 5 years.
BLOOD SUGAR TEST: This reads the amount of sugar in your body after
you haven’t eaten for 8 hours. It’s called your fasting blood sugar. A score of
100 or lower is normal. A reading of 126 or
higher means diabetes. The middle ground is prediabetes. If you catch and treat high blood sugar at this stage, you may
not get the disease. Get It Done: Every 3 years beginning at age 45.
COLON CANCER SCREENING: This often catches growths called polyps in your
colon before they become cancer. A colonoscopy looks at the inside of your
large intestine, where cancer forms. If you can't have that test, you might
have a fecal occult blood test, which checks for blood in your stool. Another
option is a sigmoidoscopy, which looks at part of your large intestine. Get It Done: In your 40s: Only if you have a family history of colon cancer. In your 50s and 60s: Every
10 years (colonoscopy), yearly (fecal occult), or every 5 years (sigmoidoscopy).
BODY MASS INDEX (BMI): This isn’t a test, but your doctor will get the
number based on your height and weight. If it's between 18.5 and 24.9, you're in
the normal range. If it's between 25 and
29.9, you're overweight. A score of 30 or more means you're obese. Those extra pounds can lead to heart problems and nasty
diseases like diabetes, so your doctor will probably talk to you about losing
some weight if your BMI is 25 or higher. Get It Done: Every time you see
the doctor.
LUNG CANCER SCREENING: You're at high risk for lung cancer if you're a
heavy smoker (or you were but you’ve quit within the last 15 years) and you're
55 or older. The doctor may start with a low-dose CT scan of your chest. This
test creates an image of the inside of your body. It can spot lung cancer early
when it's easier to treat. Get It Done: Every year starting at age 55 if you smoke heavily or did
anytime in the last 15 years.
HIV TEST: About 20% of people with HIV don't know they have it. IV drug users, people who don't practice safe sex, and men who
have sex with men are most likely to get it. The test is simple. A doctor will
take your blood or swab your mouth for saliva and send it to a lab. Get It Done: Once at least. You
can have it again if think you’ve been exposed to the virus.
HEPATITIS
C TEST: The CDC says everyone born between 1945 and
1965 should get a blood test to check for the hep C virus. It’s spread by
contact with the blood of someone who has it. Most people get it from a dirty
needle, either in a health care setting or from injecting street drugs. It can
cause a liver infection and, if left untreated, liver cancer. You can have it
for years and not know it. Get
It Done: Once. You can repeat it
if you think you’ve been exposed to the disease.
MEDICALLY REVIEWED
BY: Michael Dansinger, MD, WebMD on June 22,
2021
SOURCES:
Robert L. Wergin, MD,
president, American Academy of Family Physicians, Milford, NE.
U.S. Preventive Services Task
Force: “Screening for High Blood Pressure in Adults.”
American Heart Association:
“Understanding Blood Pressure Readings.”
U.S. Preventive Services Task
Force: “Final Recommendation Statement: Lipid Disorders in Adults (Cholesterol,
Dyslipidemia): Screening, June 2008.”
National Heart, Lung and Blood
Institute: “How is High Blood Cholesterol Diagnosed?”
American Diabetes Association:
“Diagnosing Diabetes and Learning About Prediabetes,” “Routine Diabetes
Screening, Early Intervention Needed.”
Mayo Clinic: “Fecal Occult
Blood Test.”
American Cancer Society:
“Signs and Symptoms of Colon Cancer.”
U.S. Preventive Services Task
Force: “Final Recommendation Statement: Colorectal cancer: Screening, October
2008,” “Lung Cancer Screening.”
Mayo Clinic: “CT Scan: What to
Expect,” “HIV/AIDS: Tests and Diagnosis.”
U.S. Preventive Services Task
Force: “"Final Recommendation Statement: Human Immunodeficiency Virus
(HIV) Infection: Screening, April 2013."
CDC: “Hepatitis C FAQs for the
Public,” “Testing Recommendations for Hepatitis C Virus Infection,” “About BMI
for Adults.”
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