Physical check-up for beginners…What is an annual physical check-up?
Paolo Hospital Phaholyothin
Many of you might question, why do we need to have a physical check-up every year even though our body feels normal and we don’t even have a cold. Is a physical check-up really necessary? What do we have to check?
The regular physical-checkup is an assessment of our physical condition.
Though appearances may look normal and strong, our insides may not be the same. Our protective armor, which used to be strong, may have partially deteriorated, creating the risk of developing a disease in the future. If we do not notice or receive an in-depth diagnosis, we won’t be aware of any potential problems. However, if we receive a diagnosis and find that some symptoms are risks of developing some diseases in their initial stages, we can be prepared and consult the doctor in order to take care of our health and avoid the diseases earlier. As a result, we can reduce the pain, reduce expenses, and increase the quality of life for the long term.

If the physical check-up is really essential, where should we begin?
When selecting a physical check-up, we can do so according to age, gender, and risk. The Checkup Center of Paolo Phaholyothin Hospital has arranged a physical check-up program that is suitable for all ages, genders, and stages of life to facilitate our customers. Customers can ask for more information about other specialized check-ups according to the risks and receive advice for post-treatment. If any abnormalities are found or lifestyle needs to be adjusted, suggestions will be provided to reduce the risk of developing a disease in order for you to have good health for a long time.
What is included in the basic physical check-up?
  • Complete Blood Count (CBC) to count the quantity of red blood cells and look at the shape of the red blood cells for indications of anemia. White blood cells are also counted to look for infections and to check the body’s immunity. Also included is a platelet count in order to determine the body’s blood clotting ability when wounds occur.
  • Blood Glucose Testing to screen for diabetes for those at risk, and assess the sugar control of diabetic patients.
  • Hemoglobin A1C to check the accumulated blood sugar level of the previous month to screen for diabetes and assess the sugar control of diabetic patients.
  • Total Cholesterol to check the lipid profile of the cholesterol in the blood, which is a risk factor of coronary artery disease, stroke, and hypertension, which can be divided into:
  • HDL-Cholesterol is the good fat that works to prevent LDL and cholesterol that accumulates in the blood vessels.
  • LDL-Cholesterol is the bad fat that works to control the lipid profile to preventischemic heart disease.
  • Triglyceride is synthesized in the liver. High levels of triglyceride are associated with lack of exercise, being overweight, and consuming too much carbohydrates.
  • High Sensitivity C-Reactive Protein to check for the risk of heart disease. This method can detect the rate of having coronary artery disease very well. HSCRP testing looks at the protein level, called C-Reactive Protein, which is the protein in our blood. The CRP level in each person is different. If the cells are constantly inflamed, the CRP level will be high. This can indicate the starting point and development of many types of serious diseases, such as cancer and atherosclerosis, which can eventually lead to coronary artery disease.
  • Uric Acid Testing to detect the level of uric acid in the blood and if it is higher than the standard for gout and kidney stones. The cause of high uric acid levels can come from consuming food with high purine, which include poultry, entrails, and some types of vegetables, such as cucumber, asparagus, and vegetables with flower heads.
  • Blood Urea Nitrogen (BUN) to check the kidney function and test the amount of waste that the body can normally expel. If you have kidney disease, there will be a buildup of Creatinine in the body, which is a substance that can indicate the functioning of the kidney.
  • Serum Glutamic Oxaloacetic Transaminase (SGOT/AST) to check the liver function. The enzymes that are found from the tissues of various organs, such as heart, muscle, brain, pancreas, spleen, and kidney, will be abnormally high when there is an injury or inflammation of an organ due to some types of oral medications or bone injury.
  • Hepatitis A, B, and C Testing to check the risk or the body’s immunity of preventing the development of liver cancer in the future.

What is included in a specialized physical check-up?
Most specialized physical check-ups will be done according to the risk per age group for diseases that commonly occur at certain ages, or according to the patient’s heredity, such as checking for carcinogens. There are many types of diagnoses. For example:
  • Alpha-fetoprotein (AF) to screen for liver cancer. If the value is higher than the standard, a thorough check-up with a liver specialist must be done for confirmation. However, the result of AFP may be slightly higher than normal in patients with chronic hepatitis.
  • Carcinoembrionic Antigen (CEA) to screen for the colon cancer. The value might be higher in patients with cancer in the lungs, liver, or pancreas. This is also the case in heavy smokers who have been smoking for a long time. If the value is higher than the standard, a thorough check-up is needed. For example: Colonoscopy or CT scan.
  • Prostate Specific Antigen (PSA) to screen for the prostate cancer. The value might be higher in patients with Benign Prostatic Hyperplasia. PSA testing should be done in males over 50 years old and done every year.  
  • CA125 to screen for ovarian cancer. The value might be higher in patients with ovarian cyst, ovarian tumor, or pelviperitonitis. If it is found that the value is higher than the standard, you should see an obstetrician for further diagnosis. For example: Lower abdomen ultrasound or laparoscopy.
  • CA15-3 to screen for breast cancer. However, the cancer examinations that are effective and more reliable are from X-ray and Mammogram.
  • CA19-9 is a screening test for pancreatic cancer and gastrointestinal cancer. If found that the value is above the standard, you should see a gastrointestinal specialist for further diagnosis.
  • Chest X-Ray to check for lumps or abnormal spots in the lungs and to check the size of the heart. However, sometimes a Chest X-Ray cannot tell anything about lung cancer. Though nothing may be found in one month, it’s possible you may find something in the next three months if having another examination.
  • Ultrasound Whole Abdomen. If checking the upper abdomen, the liver, kidney, pancreas, gallbladder, spleen, and aorta are checked for any polyps or stones; whereas, with the lower abdomen, the bladder is looked at. In females, you can see the uterus and the ovaries. However, in males, you can see the prostate gland.
Our hospital is ready to take care of your health with care.
We believe that an annual physical check-up can prevent diseases. Also, you can detect diseases at an early stage. You will also learn more about your health and be able to use that information to change your habits. You can have a stronger health and body without overspending on unnecessary examinations. Here, we are equipped with the medical equipment which will allow you to know the results precisely. Also, there are doctors who will give friendly and complete advice on how to take care of yourself under a comfortable atmosphere in the same area.

Paolo Hospital Phaholyothin Tel : 0-2271-7000