Essential medical examinations prior to engaging on a long-term physical exercises


The laboratory examination of urine is called urinalysis. It is one of the cheapest laboratory examinations, but a lot of important information could be derived from the results. Normally, you do not find many white blood cells (WBCs) in the urine; but if there are more than 5 in one microscopic field, it is possible that you have urinary tract infection (UTI). Sometimes, it is accompanied by the presence of red blood cells, which could also be more than 5 in one microscopic field. UTIs can be classified into upper or lower infection. If the presence of significant WBCs is accompanied by the presence of protein in the urine, then it is upper urinary tract infection, which means that the kidneys are involved.If there is no protein in the urine, but there are lot of WBCs, then it is lower infection, which means that the urinary bladder and/or urethra is/are the one(s) involved.

UTIs which are not treated, or attended to, for a long time could lead to end-stage kidney diseases that could lead to hypertension and long standing medical problem. It is advisable that before you embark on a long-term physical exercises, that you need to ensure that your kidneys and urinary bladder are free from infections so that you will be spared from developing hypertension which, most of the time, prevents would-be gym enthusiasts to engage in physical exercises, especially those requiring high intensity.

Another important thing that should be looked at in the results of urinalysis is the presence or absence of sugar. If sugar, or glucose, is positive in the urine, it is possible that you are suffering from diabetes mellitus (DM), which could lead to debilitating medical problem—if untreated for a long time—and that could eventually restrict your participation in any gym activities.If you want to confirm whether you have DM or not, you can request for fasting blood sugar (FBS)! If FBS is elevated, then you probably have DM, and you need to see a medical doctor to correct it!

Chest X-ray (Postero-anterior view)

The chest x-ray helps you evaluate your lungs and your heart.It will help you find out if you are suffering from any infection, such as tuberculosis or pneumonia. If, indeed, you have tuberculosis, then medications should be started with dispatch, because treatment takes some time—from 3 to 6 months! Aside from safeguarding your health, there is also a need to protect the health of those around you—at home and in the gym! Tuberculosis is classified as infectious disease; therefore, it could be transmitted from one person to another, threatening public health! Preventing the spread starts from you! If you have it, do not report to the gym, unless you have been taking your anti-tuberculosis drug(s) for at least 2 weeks! Although medical literatures claim that a tuberculous patient ceases to be infectious after taking anti-tuberculosis drug(s) for at least 2 weeks, you are advised to continue taking them for at least 3 or 6 months, depending on the types of medications prescribed to you by your medical doctor.

Aside from lung infections, the chest x-ray will reveal whether or not you have enlargement of the heart! If, indeed, you have heart enlargement, you are advised not to immediately join any physical exercises, especially those with high intensity; it could endanger your life; you need to see a medical doctor to find out the cause(s) of your heart enlargement. Possible causes of heart enlargement are long-standing hypertension, defects in the valve(s) of the heart, or lung problem. The cause should be pinpointed, and appropriate management needs to be started soonest. If your medical doctor has given you the go-signal to proceed with your gym sessions, then you can start it any time.

Chest x-ray will also reveal any carcinomatous process, or cancer, in your lungs! Although it may not have an immediate adverse effects on your gym activities, in the long run, it will drain your health and your capacity to have gym sessions. Therefore, once you have learned that you have cancer, see a medical doctor!

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