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When are the important times in your life for a physical exam?


If you are in good health, and between the ages of:

18-40 years:
You should be seen every ten years and if needed for illness. The ten year visits could include testing for cholesterol, diabetes, and anemia. Family illnesses, bad health habits, and your past medical and surgery histories should be reviewed, followed by a decision of your risk factors for disease and premature death. For women, breast exams are recommended yearly throughout a woman's life, while pap smears are needed every one to two years.

40-50 years:
You should be seen two years. All of the things listed above are done with additional liver, kidney, and stool tests for hidden bleeding. Heart stress testing is first considered at 40 years old. For men, prostate blood tests and/or digital rectal exams are advised starting at 40. For women, mammograms every one to two years are recommended, with bone density tests first done with menopause.

50-65 years:
Once a year for everything above. Bone density tests can be started here for men. Colon exam by a scope is started at 50 years old if there is no family history of colon cancer.

65 +:
Every six to twelve months.

Other basic healthy behaviors

Tetanus / diphtheria shots every ten years. Flu shot yearly for most everyone. Pneumonia shot twice in five years for diabetics, asthma, and many other chronic conditions. Some type of exercise that makes you sweat least three times a week. Maintaining your weight within 10 per cent of your ideal body weight. Having healthy teeth and gums. Drinking a lot of water. Getting enough sleep. Laughing. Moderation in everything else.

Special Situations

If you have new diabetes, you should be seen every one to four weeks. Once your sugar levels are under good control with home monitoring, visits should be every three months.

If you have high blood pressure, a visit every one to three months until the disease is under good control with home measurements. A visit every six months will then supplement your home monitoring.

If the problem is high cholesterol, you should be seen every three months until the blood levels of fats become normal. Once normal levels of blood fats are reached, only a yearly visit is normally needed.

With moderate to severe allergies or asthma, a visit every seven to fourteen days is advised until most of the discomfort is rare. Once controlled, visits every two to six months are enough to keep control.

Treatments to remove warts, moles, and age spots are spaced two to three weeks apart, to allow the skin's reaction to the treatment to quiet down.

These suggested guidelines should be discussed with your health care provider, and do not replace their advice.


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