Don't let silence compromise your health

Do you find it unbearable to talk about sensitive health issues? Fear, shame and pride often keep us from saying things like:

“I have a leaky bladder.”
“I feel constipated.”
“I’m not performing sexually.”

There are treatments to help relieve even the most “embarrassing” health issues. However, avoiding the conversation won’t cure the problem. That’s why it’s important to check your inhibitions at the door and talk to your doctor about your health.

You’re not alone
You are probably not the first patient with the same or similar symptoms – your doctor has already seen and heard it all. Some common health issues that patients are reluctant to talk about include:

Loss of bladder control. Although urinary incontinence becomes a problem for about 30% of older adults,* it does not have to be accepted as a normal part of the aging process. Urinary incontinence can be treated in many cases with medication, bladder training, therapy or surgery.

Irritable bowel syndrome (IBS). IBS is more common in women than men, and occurs in about 20% of the population.** It is marked by cramping, pain, bloating, constipation and diarrhea. Treatment can include diet changes, stress management and/or medication.

Prostate problems. An irritated or enlarged prostate may cause a frequent or urgent need to urinate, difficulty urinating or a burning sensation when urinating. Fear of the exam, fear of prostate cancer and fear of sexual side effects often hinder men from getting screened regularly or seeking medical advice for symptoms. A simple digital rectal exam and prostate-specific antigen (PSA) test can screen for prostate problems even if you don’t have symptoms. Advancements in treatment – including medication, nonsurgical procedures and minimally invasive surgery – have reduced the intimidation factor and hastened recovery times. St. Mary Medical Center is now home to the only robotic-assisted surgery program in the High Desert (see article on page 8). The da Vinci® robot in the hands of a skilled surgeon offers patients a less invasive surgery, which means a shorter hospital stay and
recovery time.

Sexual dysfunction. Erectile dysfunction, loss of sexual desire and other sexual health disorders can interfere with your personal relationships and overall wellbeing. Take your sexual health seriously – these are common medical issues that can be addressed and treated.

Sexually transmitted disease (STD). Shame and fear keep people silent about STDs, but it is crucial to be tested and evaluated if you are at risk for disease. Healthcare providers run STD screenings every day. They will be supportive and helpful, not judgmental, if you raise concerns about STDs.

A safe, confidential environment
Loida Guevarra, M.D., a physician with Premier Healthcare, says it’s normal to feel worried or uncomfortable but this fear often keeps people silent. Dr. Guevarra encourages patients to speak up. “You won’t gain anything by waiting until symptoms worsen,” she says. “Early detection is a key factor in the successful treatment of many diseases. Even if your health concern is not life-threatening, finding a solution can help improve your quality of life.”

 *  Source: AGS Foundation for Health and Aging, www.healthyaging.org.
**  Source: National Digestive Diseases Information Clearinghouse, www.digestive.niddk.nih.gov.

About the doctor
Loida Guevarra, M.D.
Board-certified
Family Medicine
Premier Healthcare
12760 Hesperia Rd., Ste. A
Victorville, CA 92395
(760) 955-1166


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