Gift for Mother’s Day

Novosalus

 

8 May 2015

Gift for Mother’s Day

The health checkup your Mom needs

Mother’s day is right round the corner and you must be thinking about what the best gift your mom deserves and how you can make her day or even better make her year better.  Most of us spend the day celebrating having some un-healthy food from some un-healthy place.  The best gift for her is to keep her fit. In our Indian culture our mom never thinks about herself as she is busy doing and caring for her husband and her children. She cares little about her comfort or her health. Right from eating to grooming she priorities her family and now at her age when she has done enough for her family, its time for us do something in return (not that she expects it).

So where do we start? Here are some basic checkpoints to keep in mind or to monitor every year.

BLOOD PRESSURE SCREENING

A Doctor’s visit or even an electronic BP Machine bought form the market can measure the blood pressure for you.  If the top number (Systolic BP) is greater than 140, or the bottom number (Diastolic BP) is greater than 90, immediately see a physician.  If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to have your blood pressure checked more often.

BLOOD SCREENING

Following basic parameters should be checked.  Additional tests may be required if any derangements noticed in these tests.

  • Complete Blood Count – This will check your HB, red blood cells count, white blood cells (required for immunity) count, Platelet count (required for clotting of blood and preventing blood loss in injury).
  • Urine Examination – Urinary tract infection is more common in females than men and hence this screening is necessary.
  • Blood Sugar Level – Normal range is between 80-140. Higher sugar indicates Diabetes.  However HBA1C (Glycoslated HB) is a better marker to determine diabetes and sugar control.
  • Liver Function Tests – Determines the condition of your liver.
  • Renal Function Tests – (Urea and Creatinine) Determines condition of Kidneys – especially if a person has been having pain killers for extended lengths of time.
  • Thyroid Function Tests – (T3, T4, TSH levels) High levels of T3 and/or T4 and/or low TSH levels indicate Hyperthyroidism. Low levels of T3 and/or T4 and/or High TSH levels indicate Hypothyroidism.  Both require medications.

PHYSICAL EXAM

Your mom should have a physical exam every year.  Her height, weight, and body mass index (BMI) should be checked at each exam.

BREAST EXAM

Women can do a self-examination after understanding how to do it from a Gynecologist.  A yearly examination is required.

MAMMOGRAM

Mammogram is another good test to detect early Breast Cancers.

OSTEOPOROSIS SCREENING

All postmenopausal women with fractures should have a bone density test (DEXA scan).

PELVIC EXAM AND PAP SMEAR

Every woman should have a Pap smear every 3 years. HPV is the virus that causes genital warts and cervical cancer.  If she has had her uterus and cervix removed (total hysterectomy), she does NOT need to have Pap smears.

COLON CANCER SCREENING

Women under age 50 should be screened only if she has a strong family history of colon cancer or polyps, or has a history of inflammatory bowel disease or polyps.

•A stool test done every year

•Flexible sigmoidoscopy every 5 – 10 years

•Colonoscopy every 10 years

You may need a colonoscopy more often if you have risk factors for colon cancer, such as:

•Ulcerative colitis

•A personal or family history of colorectal cancer

•A history of large colorectal adenomas

DENTAL EXAM

Go to the dentist every year for an exam and cleaning.

EYE EXAM

Have an eye exam every 1 – 3 years if you have vision problems or glaucoma risk.

IMMUNIZATIONS

You should get a swine flu shot every year, as the strain changes every year.

 

 

 

 

References

American College of Obstetricians and Gynecologists. Committee opinion no. 463: Cervical cancer in adolescents: screening, evaluation, and management.Obstet Gynecol.

American College of Obstetricians and Gynecologists. Practice bulletin no.122: Breast cancer screening.Obstet Gynecol.

American College of Obstetricians and Gynecologists. Practice Bulletin No. 99: Management of abnormal cervical cytology and histology.Obstet Gynecol.

American College of Obstetricians and Gynecologists. Practice bulletin no. 131: Screening for cervical cancer.Obstet Gynecol.

American Diabetes Association. Standards of medical care in diabetes — 2014.Diabetes Care.

Atkins D, Barton M. The periodic health examination. In: Goldman L, Schafer AI, eds.Goldman’s Cecil Medicine.

Centers for Disease Control and Prevention. Recommended Immunization Schedule for Adults, United States, 2014. Available at http://www.cdc.gov/vaccines/schedules/downloads/adult/adult-schedule.pdf.Accessed July 24, 2014.

Gaziano M, Ridker PM, Libby P. Primary and secondary prevention of coronary heart disease. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds.Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine.

Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8).JAMA

Helfand M, Carson S. Screening for Lipid Disorders in Adults: Selective Update of 2001 US Preventive Services Task Force Review. Rockville, MD: Agency for Healthcare Research and Quality (US); 2008 Jun.

Mosca L, Benjamin EJ, Berra K, Bezanson JL, Dolor RJ, Lloyd-Jones DM, et al. Effectiveness-based guidelines for the prevention of cardiovascular disease in women–2011 update: A guideline from the American Heart Association.Circulation.

Peterson ED, Gaziano JM, Greenland P. Recommendations for treating hypertension: what are the right goals and purposes?JAMA.

Saslow D, Solomon D, Lawson HW, et al. American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. CACancer J Clin.

Screening for Breast Cancer. U.S. Preventive Services Task Force. Available at http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm.Accessed July 24, 2014.

Screening for Cervical Cancer. U.S. Preventive Services Task Force. Available at http://www.uspreventiveservicestaskforce.org/uspstf/uspscerv.htm.Accessed July 24, 2014.

Smith RA, Cokkinides V, Brooks D, Saslow D, Brawley OW. Cancer screening in the United States, 2010. A review of current American Cancer Society guidelines and issues in cancer screening.CA Cancer J Clin.

Stone NJ, Robinson J, Lichtenstein AH, Bairey Merz N, Blum CB, et al. 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults.Circulation.

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