Yearly Checkups for Seniors

Most of us know we should have an annual checkup, but do we actually do it? If we have one every year, do we actually know if it is complete? And do we understand the tests and examinations we are having done? Most of us will answer "no" to at least one of those questions.

However, there is no excuse for not having a thorough yearly exam. Medicare now covers many of the tests that should be done during your annual checkup.

There are some examinations that everyone should undergo on an annual basis. Depending on the specific markers and symptoms you may be exhibiting, having a year to year baseline to compare your numbers to can be of great benefit to getting to the root of any medical problems. The routine tests everyone should undergo include:

• Blood Pressure: Your blood pressure should be checked during every visit to your doctor. Checking it at your yearly checkup will set a baseline.
• Height: Significant loss of height can indicate the acceleration of osteoporosis. Height is lost as a result of compression of the spinal cord.
• Weight: Significant weight loss or gain without trying can signify serious health problems. Weight gain can mean fluid retention or perhaps heart, liver, or kidney disease. Weight loss could indicate infection or cancer.
• Blood Work: Yearly blood work should include a blood count to rule out any bleeding problems, glucose levels to detect diabetes, thyroid function tests to rule out any thyroid disorder, and blood electrolyte counts, which can detect kidney problems and early heart problems. Your doctor may also check some additional labs depending on your personal and family history.
• EKG: It is recommended that a baseline EKG be done for both men and women around age 50. It should then be done at least every two to three years, or more often if necessary.
• Fecal Occult Blood Test: This test should also be done yearly. Blood in the stool can be an early indication of colorectal cancer.
• Flexible Sigmoidoscopy/Colonoscopy: For the average patient, screening for colon cancer is every five years with flexible sigmoidoscopy, and every ten years with colonoscopy; it is now recommended that these screenings start at age 45 for the general population, but may be more frequent for those at higher risk. There is some question about whether screenings should continue after age 75 to 80.

Yearly screenings, even when you feel healthy are crucial to assessing our risk for future problems, can encourage a healthier lifestyle, allows you to build a relationship with your doctor, update any vaccinations and of course, screen for any health issues you may be having at the moment.

Depending on whether you are male or female, there may be additional tests that you should also undergo.

• Mammogram: Women over 50 should have regular screening, and many experts believe that routine mammograms should begin at age 40. Women between 40 and 50 should discuss the pros and cons of regular screening mammograms with their doctors. During the checkup, the doctor should perform a clinical breast exam. Monthly self breast exams should also be done, and you can be taught this technique during your yearly checkup.
• Pap Smear and Pelvic Exam: This test should be done every three years, or yearly if at higher risk for cervical or vaginal cancer.
• Measurement of Bone Mass: There is no standard for the frequency of this exam. Women with a family or personal history that puts them at higher risk for osteoporosis should have this test.

• Prostate Exam: Staring at age 50, a man should have a digital exam of his prostate. The physician uses a gloved finger in the rectum to determine if there is any enlargement of the prostate. Enlargement could indicate benign enlargement or even cancer.
• Prostate Specific Antigen (PSA): Prostate Specific Antigen is a blood test that can indicate prostate cancer. If the level is high, a biopsy of the prostate may be needed. Routine PSA screening is recommended by some doctors, but not by others. Men over the age of 50 should discuss the pros and cons of PSA screening with their doctors.

At a checkup, you should also review all medications with your doctor, even over-the-counter medications. You should discuss having a flu shot, too. If the flu vaccine is not yet available during your exam, make a follow-up for that.

If you are a diabetic, your doctor should examine your feet and order additional tests for your blood sugar. Your annual checkup is also the time to discuss any emotional problems you are having. If you feel sad or lack energy, tell your doctor. Your emotional health is just as important as your physical health.