Do I Need a Medical Check-Up for My Fitness Concerns? - Physical Fitness

Share to:

Do I need to go to the hospital for an examination?


Non-smoker; irregular exercise habits; suffers from allergic rhinitis, which has been neglected; experienced chest pain during inactivity; has lost balance or consciousness due to dizziness; has other discomforts related to activity.
Height: 150 cm, Weight: 40 kg, BMI: 17.78 (underweight), Flexibility: 24 (poor) ------ (the above is the online assessment result) ------ Hello, I actually do sit-ups at school (36 reps), and my 3-minute step test results are 49, 34, and 42, but every time I finish these two activities, I suddenly experience darkness in my vision for 1-3 seconds and feel a bit unsteady.
Why is that? Additionally, every time I exercise, I experience abdominal pain, dizziness, and sometimes feel like the ground is spinning, which makes me a bit afraid to exercise, even though I really want to.
What should I do? (Especially when running, I feel pain in my left or right lower abdomen, along with difficulty breathing, dizziness, and a sensation of the world spinning, with sudden blackouts for a few seconds.) Why is this happening? My diet is light, I have regular meals, and I lead a structured lifestyle.
I find it hard to gain weight; even if I do gain weight, I lose it quickly.
Should I go to the hospital for an examination? What are your thoughts on my online assessment results? Can you provide me with more advice and a prescription? Thank you.

Xiao Yang, 10~19 year old female. Ask Date: 2007/07/04

Dr. Xu Zhenrong reply Physical Fitness


Hello, after your three-minute step test, your heart rates were recorded as 49, 34, and 42.
The significant decrease in your second heart rate is concerning, as normal heart rates should gradually decrease with increased rest time.
It is possible that there was an error in calculating your heart rates.
If there was no calculation error, it is important to clarify whether there are any cardiovascular issues.
I recommend that you visit a nearby hospital for further evaluation by a cardiologist.
Since you do not have a prior exercise habit, I suggest starting with low-intensity activities.
Initially, you can engage in common activities such as cycling, playing sports, walking, or brisk walking to achieve your exercise goals.
Once your physical fitness improves, you can then consider higher-intensity exercises.
It is advisable to exercise with a partner to reduce the risk of any incidents, and always remember to perform warm-up exercises beforehand to minimize the risk of injury.
Director of the Rehabilitation Department, Taipei Hospital, Ministry of Health and Welfare, Dr.
Hsu Chen-Jung.

Reply Date: 2007/07/04

More Info


Based on your detailed description of your fitness concerns and symptoms, it is highly advisable that you seek a medical check-up. Your symptoms, including dizziness, abdominal pain during exercise, and episodes of feeling faint, warrant a thorough evaluation by a healthcare professional. Here’s why a check-up is essential and what you should consider:

1. Understanding Your Symptoms:
- Dizziness and Fainting: Experiencing dizziness or feeling faint during or after physical activity can indicate several underlying issues, such as dehydration, low blood pressure, or even cardiovascular problems. These symptoms should not be ignored, especially since they occur consistently after exertion.

- Abdominal Pain: The pain you experience in your lower abdomen during activities like running could be related to various factors, including muscle strain, gastrointestinal issues, or even referred pain from other organs. It’s crucial to determine the cause to avoid further complications.

- Low BMI: Your Body Mass Index (BMI) of 17.78 indicates that you are underweight. Being underweight can lead to various health issues, including weakened immune function, nutritional deficiencies, and decreased muscle mass. It’s important to assess your overall health and nutritional status.


2. Recommended Medical Evaluations:
- Cardiovascular Assessment: Given your history of chest pain and dizziness, a visit to a cardiologist may be necessary. They can perform tests such as an electrocardiogram (ECG) or echocardiogram to evaluate your heart's health.

- Blood Tests: A complete blood count (CBC) and metabolic panel can help identify any underlying issues such as anemia, electrolyte imbalances, or thyroid dysfunction, which could contribute to your symptoms.

- Nutritional Assessment: Consulting with a nutritionist or dietitian can help you develop a balanced diet plan that meets your caloric and nutritional needs, especially since you mentioned having a light diet and difficulty gaining weight.


3. Exercise Recommendations:
- Start Slowly: If you are new to exercise or have had negative experiences with physical activity, it’s essential to start with low-impact exercises. Activities like walking, cycling, or swimming can help build your endurance without overwhelming your body.

- Warm-Up and Cool Down: Always include a proper warm-up and cool-down in your exercise routine to prevent injuries and help your body adjust to physical activity.

- Listen to Your Body: Pay attention to how your body responds during and after exercise. If you experience pain, dizziness, or any other concerning symptoms, stop the activity and consult a healthcare professional.


4. Mental Health Consideration:
- Fear of Exercise: It’s understandable to feel apprehensive about exercising due to your symptoms. Consider speaking with a mental health professional if you find that anxiety about physical activity is affecting your willingness to engage in exercise. They can provide strategies to help you cope with these fears.


Conclusion:
In summary, your symptoms and health status suggest that a medical check-up is not only advisable but necessary. It will provide you with a clearer understanding of your health and help you develop a safe and effective plan for improving your fitness. Remember, prioritizing your health is the first step towards achieving your fitness goals. Don’t hesitate to reach out to a healthcare provider to discuss your concerns and get the support you need.

Similar Q&A

Essential Health Check Tips for Your Weight Loss Journey

I need to undergo a medical examination for a weight loss program. 1. Which type of physician should I consult for the examination? 2. What should I pay attention to?


Dr. Lai Zhongliang reply Physical Fitness
1. It is recommended that you find a primary care physician to discuss your current condition, necessary physical examinations, and future weight loss plans before starting your weight loss program. 2. If you require a specific exercise prescription for weight loss, your primary ...

[Read More] Essential Health Check Tips for Your Weight Loss Journey


Improving Fitness: Tips for Managing Weight and Health Risks

Non-smoker; irregular exercise habits; only able to perform physician-recommended exercises due to heart issues; previously experienced dizziness leading to loss of balance or consciousness; height 153 cm, weight 62 kg, BMI: 26.49 (considered dangerously overweight); flexibility:...


Dr. Chen Qingbin reply Physical Fitness
If you have a family history of heart disease, obesity, and diabetes, it is advisable to visit a hospital for a check-up. It's difficult to change your constitution, so it's best to start improving your diet and lifestyle habits.

[Read More] Improving Fitness: Tips for Managing Weight and Health Risks


Essential Health Checkups for New Fitness Instructors: What You Need to Know

Could you please clarify what basic health examinations are typically required for new employees? Our company is hiring new personnel, but there are no subsidies provided, and we haven't been informed about the specific health checks needed. We are only allowed to conduct ba...


Dr. Huang Mingde reply Family Medicine
In principle, the company's requirements should take precedence. Therefore, it is not appropriate to provide specific recommendations. However, for personal safety considerations and work-related exposure, it is advisable to undergo testing for syphilis, HIV, tuberculosis, a...

[Read More] Essential Health Checkups for New Fitness Instructors: What You Need to Know


Essential Guide to First-Time Health Checkups: What to Expect and Prepare

Hello! If you're considering your first health check-up, here are some recommended tests you might want to include: 1. Complete Blood Count (CBC) - This test evaluates your overall health and detects a variety of disorders, such as anemia and infection. 2. Lipid Prof...


Dr. Huang Jianling reply Family Medicine
Please call our hospital's health examination center, and the nursing staff will provide detailed answers. Alternatively, you can visit our hospital's family medicine website for more information. The health examination center's phone number is (03) 369-9721, exten...

[Read More] Essential Guide to First-Time Health Checkups: What to Expect and Prepare


Related FAQ

Health Check-Up

(Internal Medicine)

Physical Examination

(Internal Medicine)

Family Medicine

(Physical Fitness)

Obesity

(Physical Fitness)

Health Check-Up

(Urology)

Health Check-Up Report

(Cardiology)

Arthritis

(Physical Fitness)

Military Physical Examination

(Urology)

Medical Consultation

(Orthopedics)

Exercise Stress Test

(Cardiology)