“We need to talk about embarrassing illnesses”

SPIEGEL ONLINE: Ms. Adler, in her new book, “one speaks not” to explain to you that a healthy man up to 20 Times a day he farts and a good 1.5 liters of intestinal winch launches. Why everyone should know something like that?

Yael Adler: There are interesting facts to our body, the many little know. The Fart exceeds this amount and abdominal pain, diarrhoea or constipation, it can have different causes. Which should be investigated. A irritable bowel, for example, people can alleviate well rather than forever in front of itself suffering. It is so important to talk with the doctor about his bowel problems. Also, it is good to know: You are not alone.

SPIEGEL ONLINE: At what symptoms haw patients the most?

Adler: Everything the Po has to do, is often taboo. Diseases in the area of the Anus very often. About five percent of the population suffering from an itchy butt. Far also problems with the hemorrhoids are common. Much of it is harmless and easy to treat. In addition, people discomfort in intimate areas are embarrassing, since this is associated with sexuality, morals, or a lack of cleanliness.

SPIEGEL ONLINE: What do you advise people, the shame does not go to the doctor?

Eagle: you should make it clear: The doctor has probably seen it all. You can trust him or her absolutely. In addition, patients should weigh what is worse: to overcome a short Moment of discomfort or suffering for a long time. Many hope that the symptoms go away, you are made of. This hope is rarely fulfilled – on the contrary, often complaints with time, not worse, and perhaps they are completely curable.

SPIEGEL ONLINE: Why is it so important that patients, their shame be overcome?

Adler: shame robs quality of life. I treat regularly women suffering from the vagina after the Menopause in a dry. The vagina feels like sand paper, to have sexual intercourse, if at all, only under the pain. The women suffer in silence, the marriage is strained, however, Affected often shun the way to the doctor. This is a shame, because a dry vagina is easy to handle, for example, by using special creams or a laser treatment. After the therapy, many women are in bloom again – and wondering why you have not done already something.

SPIEGEL ONLINE: Afraid of men the way to the doctor?

Adler: men are ashamed, often for erectile dysfunction. It is also treatable. In many cases, Stress is behind it. Only when the relaxation nerve of parasympathetic nervous system is active, run the corpora cavernosa to full of blood. Sometimes erectile dysfunction is also a note for an inner disease of the blood vessels or nerves. The erection is the divining of the heart. They often, is not only going to the urologist, but also for cardiologists.

SPIEGEL ONLINE: Can excessive shame can also be dangerous?

Adler: Certainly! An example: A man in a purple swelling on the Po, but didn’t want to go to the doctor. Eventually, he couldn’t stand the pain. It turned out The man was suffering from an anal fistula. A purulent response from the inside of the anal canal by the tissue up to the skin ate. The pain was enormous. Finally, the man had to be emergency surgery. He would have waited just a little longer, we could have the sphincter no longer save, and the Patient would become for always a chair incontinent.

SPIEGEL ONLINE: What could be more openness provide?

Adler: We must finally about embarrassing diseases, and our bodies know better. I can only encourage: to take a Look everywhere with the mirror, more accurately, smell them to be, feel and taste. Also embarrassing symptoms not we must simply accept – and I want to clear that up in my book.