Health screening - men age 65 and older
All adults should visit their health care provider regularly, even if they feel healthy. The purpose of these visits is to:
- Screen for diseases
- Assess risk of future medical problems
- Help develop a healthy lifestyle
- Update vaccinations
- Get to know your doctor in case of an illness
Health maintenance visit - men - over 65; Physical exam - men - over 65; Yearly exam - men - over 65; Checkup - men - over 65; Men's health - over 65
Even if you feel fine, you should still see your health care provider for regular checkups. These visits can avoid problems in the future. For example, the only way to find out if you have high blood pressure
is to have it checked regularly. High blood sugar and high cholesterol
levels also may not have any symptoms in the early stages.
There are certain times when you should see your health care provider.
ABDOMINAL AORTIC ANEURYSM
- Men ages 65 to 75 who have smoked should have an ultrasound done to screen for abdominal aortic aneurysms
- Other men should discuss this screening with their health care provider.
- Have your blood pressure checked every year.
- If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to be checked more often.
CHOLESTEROL AND HEART DISEASE
- Cholesterol should be rechecked every 5 years if levels are normal.
- If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to checked more often.
- Some men should consider taking aspirin to prevent heart attacks. Check with your doctor before starting.
- People from age 50 to 75 should be screened for colorectal cancer.
- A stool occult blood test should be done every year.
- Flexible sigmoidoscopy
every 5 years.
- Colonoscopy every 10 years.
- People with risk factors for colon cancer, such as ulcerative colitis, a family history of colorectal cancer, or a family history of large colorectal adenomas may need a colonoscopy more often.
- After age 75, you should discuss colon cancer screening with your doctor. The U.S. Preventive Services Task Force recommends stopping colon cancer screening after age 85.
- Go to the dentist every year for an exam and cleaning.
- Have an eye exam every 2 years if you have vision problems or glaucoma
- If you are age 65 or older, get a pneumococcal vaccine if you have never had one, or it has been more than 5 years since you had the vaccine.
- You should get a flu
shot each year.
- Get a tetanus-diphtheria booster every 10 years.
- You may get a shingles or herpes zoster vaccination after age 60.
- You may need to be screened for infections such as syphilis, chlamydia, and other infections. Screening will depend on your lifestyle and medical history.
- The U.S. Preventive Services Task Force recommends screening all adults up to age 65 for HIV infection unless the prevalence is known to be less than 1 in 1000 people.
- All men over age 65 with risk factors for osteoporosis
should check with their doctor about screening.
- All men age 50 or older should talk to their doctor about prostate cancer
- If screening is done, a PSA test
is the best method.
PREVENTIVE HEALTH VISITS
- Have yearly screenings.
- Your weight and height will be checked.
- You will be screened for alcohol and tobacco use and for depression.
- You will go over your medicines and risk of interactions.
- You will be checked for hearing loss.
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David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.