Men’s preventive health knowledge

The core of men's preventive health care has never been to follow the trend of taking folk prescriptions to strengthen yang and nourish kidneys and pay IQ taxes. It is essentially three things: "targeted correction of daily bad habits, key screening according to age groups, and not ignoring emotional signals." There is no "magic prescription" that applies to everyone, and the priorities of people of different age groups and different living habits vary greatly.

It's interesting to say that I just met a 32-year-old Internet programmer in the clinic last week. When he came in, he took out half a box of Lubian Pills bought online. He said that he had a sore back, hair loss, and bad sexual intercourse recently. He concluded that he had kidney deficiency and asked me to prescribe him some more powerful tonics. The result of the blood test was that the LDL level was twice as high and the testosterone level was 28% lower than the normal value for men of the same age. After asking, I found out that he stayed up until 2 o'clock every day for three months to change the code, ate takeout every day, and didn't even go out on weekends. This was not a weakness, it was simply that his body was made to be unable to bear it.

Speaking of which, we cannot avoid the most controversial topic of "kidney replenishing". At present, Chinese and Western medicine do have different judgment logics on this issue. There is no need to say who is right and who is wrong: kidney deficiency in the traditional Chinese medicine system is a syndrome differentiation concept, including reproductive, urinary, endocrine and other systems. Functional performance, symptomatic Chinese medicine conditioning is indeed effective, but the premise is to find a doctor in a regular Chinese medicine hospital to diagnose the syndrome. Most of the Sanwu supplements I bought secretly added androgen precursors or sildenafil ingredients, which will instead inhibit the secretion of testosterone and put a burden on the liver and kidneys.； Modern medicine believes that most problems such as fatigue and decreased sexual desire in young and middle-aged men are related to metabolic abnormalities and insufficient testosterone secretion caused by staying up late, sitting for long periods of time, and eating a high-fat and high-sugar diet. Adjusting lifestyle is much more effective than taking supplements. There is no absolute superiority between the two ideas. The one that suits you is the best. Just don’t blindly follow the trend.

Guys who have just graduated and are in their early 20s should really not rely on their youth to achieve success. Last year, I met a 27-year-old salesperson. In order to boost sales, he drank cold beer and ate seafood and barbecue with customers every day for half a month. His toes hurt so much that he rolled out of bed in the middle of the night. His uric acid test soared to 620 μmol/L, and there are already tiny tophi deposits in his joints. Now, let alone drinking, even if you eat a piece of tofu, you must first calculate the purine content. And boys at this age, don’t be shy about sexual health screening. HPV is not only infected by girls. Most men have no obvious symptoms after infection. However, long-term carrying may not only induce penile cancer, but also transmit it to your partner. Now many community hospitals can do free screening. There is nothing embarrassing about swiping a medical insurance card.

Most men between the ages of 30 and 40 are older and younger, and the most common mistake they make is to "carry on". Last year, there was a 38-year-old middle school teacher who suffered from chest tightness and fatigue for a week in a row. He always felt that he was tired from leading the graduating class, so he just got over it. As a result, he suffered a heart attack at home over the weekend and was sent to the emergency department. He needed two stents to save him. For physical examinations in this age group, don’t just choose the basic package issued by your workplace. Be sure to add two items: One is Prostate Specific Antigen (PSA). Don’t think that prostate hyperplasia is a disease only for the elderly. Nowadays, many office workers in their 30s are diagnosed with hyperplasia when they sit in the office every day and hold back their urine. ； The other is to test testosterone levels. Many people at this age are constantly tired, have bad tempers, and have decreased sexual desire. They always call themselves a "midlife crisis". In fact, it is a red light in hormone levels. It is not pretentious. Speaking of which, I take the initiative to add these two items to my annual physical examination. After all, I sit in the clinic every day and am a sedentary person. Last year, the PSA test was slightly higher. I adjusted my work and rest schedule. I got off the subway two stops earlier two days a week and rode a shared bicycle to work. I drank more water and did not hold my urine. After three months of reexamination, it returned to normal. It is really not that complicated.

Old men over the age of 60 should really not believe in the impotence-improving folk prescriptions sold in the community that "can be effective once you take them". There was an old man who bought a "kidney-tonifying magic medicine" for more than 300 yuan after listening to a lecture. After taking it, his blood pressure soared to 180 on the spot. He had a cerebral hemorrhage and was sent here. When I asked, I found out that he had been taking anti-hypertensive medicine. A large dose of sildenafil was secretly added to the folk prescription. Mixing it with anti-coagulants and anti-hypertensive medicines can easily lead to danger. If you really need erectile dysfunction, go to the men's department of a regular hospital to prescribe it. The doctor will adjust the dosage according to the medicine you usually take, which is much safer.

Oh, by the way, there is another point that many people ignore: men have been taught since childhood that "men don't shed tears easily" and hold back stress. Many emotional problems eventually turn into physical symptoms - such as inexplicable headaches, insomnia, and inability to eat. If no organic problems are found after a search, then there is a high probability that there is a problem with holding back emotions. Don't think that seeing a psychiatrist is a shameful thing. Several male surgeons around me will go to a psychiatrist to talk to them when they are stressed. It is better to unblock them than anything else.

In fact, to put it bluntly, men’s health care really doesn’t have that many bells and whistles. Believe less in soft articles that pop up on web pages, pay more attention to your body’s small signals, rest when you are tired, and check if you feel uncomfortable. It is much more effective than spending tens of thousands of dollars on supplements. Oh, and a final reminder: don’t wear underwear that is too tight, and stand up for 2 minutes every 40 minutes to get a glass of water after sitting for a long time. Many people can’t do such a simple thing.