Physical fitness, excercises, health issues- health education-calories

Your exercise program should be balanced, just as diet should be balanced. You need one or more activities to exercise the heart and lungs and to build endurance. Brisk walking, jogging, and swimming relatively long distances are good for this. Other parts of the program should be aimed at improving strength, agility, flexibility, and muscle tone. Suggestions for a home exercise program to achieve these objectives can be found in such publications as these: Adult Physical Fitness. 

President's Council on Physical Fitness

Washing- ton, D.C., Supt, of Documents, U.S. Government Printing Office

Physical Fitness

Department of Health Education, American Medical Association, 535 N. Dearborn, Chicago, Ill. Seven Paths to Fitness.

Department of Health Education, American Medical Association, 535 N. Dearborn, Chicago, Ill Most people understand how. Specific exercises for various muscles and parts of the body can develop strength. These are certainly worthwhile. For some reason, one particular area of relative neglect is the abdominal muscle area. 

Another is the muscles of the back. Both are important in terms of good posture; both are important, too, as aids in avoiding sagging waistlines and backaches. We give exercises for these in this chapter along with another exercise for the muscles of the buttocks; and the four exercises, in addition to their general value, are helpful in restoring muscle tone in these areas in people who are slimming down.

But we think it important to go on at once to emphasize here the activities that exercise the heart and lungs and build endurance. 

When you are at rest, all the muscles in your body use only about one thirtieth of the oxygen they can use during maximum effort. The more oxygen they use, the more the heart will respond, pumping harder to get more oxygen- Physical Activity I 87 carrying blood into circulation. Over a period of time, as a result of this, heart pumping efficiency will increase. 

The heart will become able to pump much more blood with each stroke. At the same time, lung capacity, much of it never used in sedentary living, will increase to absorb and feed more oxygen into the bloodstream. 

Fever : Temperature to measurement and prevention of diseases

 If there is a severe chill or a rash, then no matter how mild the temperature elevation, medical help is needed. A stiff neck, even if the fever is slight, may be an early indication of meningitis. A fever that develops after an accidental cut or other injury which could have become infected may mean blood poisoning (septicemia). 

When a fever, even mild, is accompanied by nausea and pain in the abdomen, especially in the lower right part of the abdomen, the problem could be appendicitis. Appendicitis often progresses rapidly, and whereas it can be treated effectively early in its course, it may become a major problem if neglected for even a few hours. One final note about slight fever: If you have a chronic disorder such as rheumatic heart disease, asthma, diabetes, or nephritis, your physician may warn you to let him know the minute you discover a fever or even a common cold coming on.

PAIN

All of us have occasional headaches. And there are mild and fleeting aches and pains from unaccustomed exertion and even family arguments and business or other anxieties. These are certainly no medical emergencies. But any new or unusually acute pain in the chest or abdomen should call for medical consultation. Pain in the chest accompanying exertion may be due to heart trouble-but not invariably. Pain at its worst when you take a deepbreath may be due to pleurisy. Chest pain that develops upon bending over after eating may be due to a hernia of the diaphragm. Many relatively mild abdominal pains are associated with gas in the bowel; some stem from constipation; some are associated with fatigue, depression, or anxiety. 

Sometimes, aches and pains that appear to be originating inside the abdomen or chest are actually coming from the abdominal or chestwall as the result of fibrositis of muscles. Peptic ulcer pain usually comes with hunger and is relieved by food or an acid- neutralizing agent. Gallbladderpain often starts under the lowest right ribs in front and runs up under theright shoulder blade. 

How Blood tests helps in finding Urinary problems

Today there are sensitive blood tests for this; they measure the amounts in the blood of certain chemicals, called enzymes, released when the heart is damaged. Urine tests are helpful in detecting kidney disease and other urinary tract disorders and may provide clues to problems elsewhere in the body, such as diabetes. Today, radioactive isotope scanning is a sophisticated and vast new area of testing, useful for the detection of disorders in many different organs. Such scanning is based on the fact that certain chemical elements tend to be deposited in specific organs, and these elements can be made slightly and briefly radioactive; then their distribution in the body can be established with scanning instruments that can pick up their radio-activity and record it on film or paper.

Abnormalities become visible as areas of increased or decreased radioactivity. Scanning now can be used to pick up thyroid problems; brain tumors and abscesses; liver cancer, cysts, and abscesses; lung clots; bone tumors; kidney tumors, cysts, and abscesses; and many more abnormalities including those of the pancreas, spleen, parathyroid glands, and the heart as well. Judicious use of tests has always distinguished the best physicians. It would be a simple matter, of course, for the physician to just order, indiscriminately, a whole battery of tests-at considerable cost of time and money for the patient.

Rather than this, physicians have been selective, using the patient's case history and their personal examinations as guides, determining, from them what problems if any the patient might be likely to have, and, when justified, using supplementary tests to explore these problems. 

Patient History and Physical Examination can be Physician’s tool to Prevent Diseases

Patient History and Physical Examination can be Physician’s tool to Prevent Diseases

One patient who experienced a slight change in urination-dribbling a little during the night- passed it off as a joke, kidding with his wife that somehow, though he was still a young and vigorous man, he had entered second childhood. He had actually developed an enlargement of the prostate gland. A year of delay made the operation he needed more difficult and led to a complication, kidney infection, caused by backing up of urine. In reporting symptoms to the doctor, don't grope for medical words; use simple English. Many diseases have strong psychological aspects, and symptoms may recede the moment you are in the doctor's office. Still, tell the doctor you have the symptoms even though it may seem silly to talk about them when they are not immediately present. You can be certain the doctor will understand the phenomenon.

THE PHYSICAL EXAMINATION 'Even as he shakes hands with you, an alert physician may pick up some clues. Are your hands warm and moist, with a fine tremor? These characteristics may suggest over activity of the thyroidgland. If the hands are cold and the skin is coarse and puffy, the thyroid could be under- active. Red fingertips may signal some abnormal flow of blood in the heart; flushing of the nail beds in time with the heartbeat may indicate another type of heart problem called aortic regurgitation. As he observes the body, the physician can learn a great deal. The color of lips and ears may indicate possible anemia.

The Promise and Nature of Preventive Medicine

 One leg is slightly shorter than the other-enough in some cases to account for a backache problem. He may note leg swellings traceable to a heart problem, and any enlarged glands, tumors, or abnormal pigmentation resulting from internal disease. In his examination, the physician will be looking to see if the body is symmetrical. Lack of symmetry is almost always a sign of some dis- ability or disease. If the left side of the neck looks different from the right, it may be because of a tumor which is pushing out on that side. If the thyroid is not symmetrical, it may be because of a benign tumor which has enlarged one lobe ofthe gland. In the retina at the back of the eyes, small blood vessels-arteries and veins-lie are almost naked, devoid of covering material.

And there, very quickly, with an instrument called the Ophthal-mo-scope, the physician by looking through the pupil of the eye can detect any blood vessel changes which may provide clues to diabetes or kidneydisease. Women need a breast examination for any tenderness, abnormal lump, or nipple discharge. During a vaginal examination, a smear of cells for the "Pap" test is usually taken; this is a test to detect early cancer in the area. Both men and women should have a rectal examination to detect any local disturbances. With an instrument, the Sigmoido-Scope, the physician can see and check the lower portion of the colon for any growths.

As a patient, you can help greatly by insisting that the physician do a thorough inspection, by reassuring him that you have no squeamishness. Some doctors feel that patients’ are resistant to rectal andgenital examination and omit these vitally important checks. 

How does a preventively minded physician function? Follow 1000 posts in the series

You can expect that in working with you he will get to know you thoroughly-past medical history, family medical history, job, working habits, living habits-so he can weigh any possibility that you-as a member of a specific group based on heredity, environment, age, sex, color, personal habits-may face certain specific health hazards.

In his regular periodic examinations, he will follow your health progress in general and will be alert for the slightest early indication of anything wrong in any area of special risk for you. He may, in fact, from time to time use special tests to make certain all is going well in a special risk area.

During your visits, he will be concerned, of course, with any physical complaints and also with any mental or emotional problems (job, marital, and others), since these can affect health.

He will be interested in any changes in your habits and their possible effects, for good or ill, on your health. From time to time, he may have suggestions for an alteration, perhaps minor, of diet, exercisepattern, sleep, relaxation, etc.

As he regularly checks you, alert for earliest indications, even pre-indications, of possible trouble, he will be prepared to intervene without delay. Rather than wait, say, for obvious symptoms of diabetes to develop-especially if you belong to the group with greater than average probability of developing the disease-he will intervene to try to correct, if they appear, the very first changes that could possibly lead to diabetes.

As medicine has been practiced generally to now, it has been the patient who, in effect, has turned up after making a self-diagnosis. It has been the patient who has decided, "I think I am or may be sick or becoming sick," and then has sought help.

How it will be the preventively minded physician who increasingly will be able to tell the patient, "You are about to become sick and we are going to take a few measures in advance so you won't actually develop the sickness." 

How to prevent Kidney failure? 1000 posts preventive medicare

Preventive medicare avoid side effects. To days medicines cannot be trusted completely that they are free from side effects. To avoid side effects, we need to take due care to prevent any diesease before it reaches us. Take control of your body and follow the suggestions in these posts and you can aovid the complications. Follow our all 1000 posts following to safeguard your body and mind. 

Promising work is being done in detecting people with pre-diabetes-those who have no symptoms of diabetes but do have changes in body chemistry that may forecast eventual onset of overt diabetes. Early results of treating such patients with anti-diabetic agents are regarded by some investigators as promising, suggesting it may be possible to prevent the development of diabetes and such complications as visual disturbances, circulatory disturbances, and increased risk of coronary heart disease.

As we have noted earlier, kidney machines can be lifesavers for patients with kidney failure-but it would be far 'better to prevent the failure. And there is growing hope now that in many cases failure maybe prevented by attention to asymptomatic bacteria. Asymptomatic bacteriuria simply means the presence of sizable numbers' of bacteria in the urine without causing symptoms. The condition may occur at any age and in either sex but is especially frequent in females, affecting 1.2 percent of schoolgirls and 6 percent of pregnantwomen. There is evidence that if left untreated bacteriuria may eventually cause the kidney disease pyelonephritis, which in turn may result in kidney failure.

Bacteriuria can be treated effectively once detected and newer tests now make its detection simpler and more practical. Today, as the next post will show, many testing procedures are available to make it possible for the physician increasingly to anticipate and prevent diseases rather than wait for it to appear.