What if I have a sensitive subject that needs discussed with my doctor?

Posted: January 4, 2017, 5:46PM

In order to receive the best care possible, it is sometimes necessary to talk about topics that can be embarrassing or uncomfortable. Most physicians know that problems or concerns may arise that are sensitive but in order to make the most of our partnership with our doctor, we need to talk openly to them.

We may have concerns about memory loss, depression, incontinence, substance abuse or falls. The topic may not necessarily be a normal part of aging.

Memory loss is not a normal part of aging. For most people, thinking and memory remain relatively intact although retrieving information may take a bit longer. If you are having problems remembering recent events or thinking clearly, talk to your doctor. Memory loss may be caused by conditions such as depression or infection, dehydration, or perhaps a side effect of medication, or it may be due to a type of dementia. When you talk to your doctor, be specific. Your doctor may need for you to have a thorough check up and have tests run to determine the cause.

Substance abuse can affect anyone at any age. Alcohol can have a greater effect as we age because our bodies don't handle alcohol the way it did when we were younger. We may be on medications that exacerbate the effects of alcohol. Perhaps a life event or depression has influenced how much alcohol we consume. Talk to your doctor if you are having a problem with alcohol.

Urinary incontinence can be a problem as we age. Talk to your doctor. There are exercises and medications that can help, or perhaps surgery would be needed to help correct the problem. Let your doctor know!

We experience many losses as we age. Sometimes it's the loss of a loved one, and sometimes our losses are due to life changes such as the need to move out of our home or give up activities we enjoy. If your physician knows about these losses, he/she can better understand how you feel and make suggestions that may be helpful to you. Depression can be treated, and should not be considered as 'normal'.

Falls are frightening, especially as we age. An injury and loss of independence can be a consequence, and often older people develop a debilitating fear of falling that can keep them from going about normal activities which can result in a higher degree of frailty and an increased risk of falling. If a fear of falling is affecting your daily life, talk to your doctor. Exercises can help improve balance and strengthen muscles. Perhaps you'd qualify for physical therapy to help with balance and strength.

There are many sensitive subjects that we may need to discuss with our physician. If you don't think your doctor is taking your concerns seriously, you may want to talk to him/her about your feelings or possibly look for a new physician. Being honest is better for you than avoiding medical care.