Doctor insights on:
Female Physical Check Up
Age 40 but...: Thats if you have no strong family for heart disease , high blood pressure, diabetes, breast or colon cancer, non-smoker, normal bowel habits, no non-healing skin sores , maintain routine dental checkups, and have no long term / chronic complaints. As always , this decision should be made between you and your family doctor. ...Read more
What is involved for a full endocrinology work up for a 27 yr old male with ongoing body tremors and lightheadedness?
Only if tested: Chlamydia testing can be performed with the same swab as taking a pap smear. Usually it's recommended yearly for women age 26 and younger. It's also recommended with any change in sex partner, possibility of exposure or persistent symptoms of infections without other cause. ...Read more
37 yr-old male body builder came for annual exam for first time. Feels good, no complaints. But abnormal labs, improper diet, anabolic steroids.....?
High risk for MI.: The exceedingly low HDL of 5 identifies this patients high risk for MI.The hyperglycemia is contributing to the hypertriglyceridemia,which further lowers the HDL. The anabolic steroids must be stopped immediately and a low fat/carb diet started.His elevated liver numbers,glucose,and Trigs should all fall and be rechecked ,fasting, in two weeks.I would not stop Testosterone but reduce the dose & apply transdermally to maintain physiologic levels.Other interventions would be based on the repeat #'s in 2 weeks. ...Read moreSee 10 more doctor answers
44 yr male, yearly physical normally incl ekg, blood wk, testicular and prostate ck. New dr this yr did ekg, and basic blood work. Is that typical?
It's common: Don't fear, this is common when you change doctors. It may not be necessary, particularly the EKG in an otherwise young healthy man, but it's a holdover from prior primary care annual exam practices. Best of luck. ...Read more
55 year old white male, recent chest pain in sleep, and at work as an rn. Stress test done and P wave flattend out during exercise?
CP: P wave flattening out during exercise, does not indicate ischemia. You may want to do a nuclear stress test or a cardiac cath after discussing with your cardiologist for a definitive answer. It especially indicated if you are a smoker have other risk factors. ...Read moreSee 2 more doctor answers
Can spinal meningitis at age 3 cause infertility in men? My husband has 0 sperm count. Bloodwork normal and physical exam normal.
Probably not: This depends of course on the causative agent of the meninigitis (?Mumps, coxsackie virus?, etc.) and whether was accompanied by orchitis (inflammation of the testes). It would be, however, quite unusual to result in aspermia even if it had been present. Hubbie needs to see endocrinologist. ...Read more
Sure it is: Every person with a penis knows that it can have a mind of its own at times. Babies can get erections for no reason or at diaper changes. Boys in puberty get erections on and off during the day (can be embarrassing). Men can get erections with examinations by any sort of doctor and sometimes for no reason, even without an exam. The penis has nerve connections that can make it do things on its own. ...Read moreSee 2 more doctor answers
For what reasons might a doctor call someone back in after a routine annual blood, urine, and ECG test?
Doctor call back: It appears that some of the findings were not routine, or were not as expected and the doctor may want to discuss them with you. ...Read more
External for Sure: A vaginal exam is called for times. A proper exam should certainly do an external eaxm. ...Read more
No: Unless you have a deficiency, it shouldn't. And a true abscence would lead to non-formation of male genitalia. The presence of testosterone should be pretty clear with the deeper voice, facial hair, acne, sex drive. Let your body do it safely on its own. Low testosterone is typically diagnosed in older men, and people who previously used so many Anabolic steroids their body shut down production. ...Read moreSee 1 more doctor answer
Male, late 30's. Constant social anxiety and stress. Checkup coming up. Should i also get cortisol level checked? Anything else in CBC to test?
Thyroid, SMA panels: Your doctor will probably also want to order thyroid and metabolic panels. However, it's possible none of these labs will show anything abnormal . . . . In situations like yours, they often don't. You do need a history and physical, etc, though. You may also benefit from consulting with a psychiatrist or psychologist for help with social anxiety and stress. ...Read moreSee 1 more doctor answer
how many years one a persond should get health check up including complete blood test to avoid all diseases ?
Good luck!: (at avoiding all diseases). We all will get sick at some time, and there is no evidence that getting frequent physical exams or even lab tests will prevent diseases. At best you MIGHT catch them earlier, but actually, following good daily health habits and being very alert to changes in your body (and THEN getting checked) is more likely to keep you healthy. See checklists on healthy living. ...Read more