Alexa Fleckenstein M.D.

Our water is getting worse. A reminder that celebrating water today comes with the burden of working toward the goal of clean water. Clean water for those people who still don’t have it, and clean water for those who take it for granted, and don’t realize the water quality is deteriorating. Apropos the World Water Day today, I want to announce that finally a new book by me comes out. Or, put more modestly – and more accurately, a chapter in a handbook. The handbook is Integrative Sexual Health, and it is part of Andrew Weil’s Integrative Medicine Library series, published by Oxford University Press. My chapter 22 is called The Benefits of Water Therapy for Sexual and Pelvic Problems. If you have read my water book Health20 -Tap into the Healing Power of Water, you know already some of the usual suspects: cold shower, herbal bath, hot footbath, tepid sitzbath, and so on – just not with so precisely the lamplight turned on the area between your thighs and your navel (sorry for that metaphor …). You will find remedies for a whole host of ailments “down there” as my medicine hero Sebastian Kneipp (1821-1897) always put it. As a Catholic priest he might have felt uncomfortable talking about “down there”. Be assured that the authors of this handbook do not feel uncomfortable naming names and stating problems. How excited I was when writing that chapter! I had asked this question: How it could be that all the diverse healing approaches lined up in this book seem to help –cold water, herbs, exercise, better nutrition, talking therapy, improved sleep, hormones, vitamins, removal of toxins, weight loss, Ayurvedic Medicine, Traditional Chinese Medicine. What is the reason they all work? The answer I finally arrived: Disease is an imbalance in your body, and all these different medical modalities can nudge your body back into balance. And I don’t mean balance in a flaky way. I mean this in a strictly scientific way. Because, it turns out, that all these different modes of healing affect the neural-hormonal-intestinal axis from your pineal gland to your sexual glands (ovaries in women, testicles in men), to your gut. In between we have the pituitary gland, the thyroid, the adrenals – and they all work together in health, along that axis that also comes by the name of psycho-neural-hormonal-intestinal axis. And that axis is out of balance in sickness. This is how integrative (or alternative, or natural) medicine defines disease: Imbalance. Compare it to the predominant model in conventional medicine: You have a disease, you get a label (a diagnosis) – and only this kind of pill can make you right again. A prescription pill that only the physician can give you. Sometimes, actually, that model works – and in my chapter I list a whole slew of problems for which you better see a conventional doctor. But it is safe to say that many sexual problems are approachable by natural means. A bounty of advice and hints – that’s what you will encounter in this book. If you are not pleased with your sex life, or experience pain and discomfort in the area down-under, you might find a solution to your problem in this fat handbook. It will come out April 8th, and can already be pre-ordered. Happy World Water Day 2018! Read More 

Twenty-five years ago, my husband suddenly broke out in a rash: His fingertips were raw and started bleeding whenever he touched something - like buttoning his shirt. When he went on a trip to India, he could not carry a suitcase, but traveled with a backpack. When he came back, the rash had intensified, and I worried about him becoming despondent. He consulted a dermatologist who told him he had “dermatitis” and prescribed a cortisone cream. “Dermatitis” means “inflammation of the skin” – duh! He was told these skin rashes would come and go, there was no known cause; he just had to live with it. It is hard to live with leaving a trace of blood on anything you touch! The cortisone helped some. But the rash always came back when he stopped the cream. In his desperation, he went to half a dozen different skin doctors. The pinnacle was when a well-meaning friend gave him, as a present - a visit to a hypnotist. We should have known hypnosis wouldn’t work in a hard-core scientist … Our friends thought it all was psychological: We were pregnant at that time, with our son, and the easiest explanation was that becoming a father was stressing my husband out. We could not really see the stress, as we were giddy with joy and anticipation. But it was true that the rash had appeared during our pregnancy. For three years we tried to figure out what was going on, talking about it at nearly every dinner. Then one day I noticed that new plaques had appeared on my husband’s elbows. It seemed clear now that he had psoriasis. – At the same time he thought he observed that the rash on his hands always got worse when he used shampoo. I made him ask his dermatologist for a skin testing, to look for allergies, and a biopsy, to confirm the suspicion of psoriasis. The doctor said there was no reason to do either. But because I was a colleague, the tests were done. The biopsy confirmed psoriasis. The skin testing showed a whole angry area of patches – all related to spices: vanilla, cinnamon, cloves, bay leaf, curry, citrus peel and benzoic acid (a preservative). And balm of Peru – the fragrance that is in many cosmetics, including shampoos. As a physician, I was all excited: Here was a case of psoriasis triggered by food allergies! Never in medical school had I heard of a connection between skin disease and nutrition! I talked with several dermatologists – none of them got excited. They flatly denied there could be a connection – even in the face of the biopsy and skin test results! Slowly it dawned on me that no dermatologist has any incentive to really cure his patients – as they then would be lost as patients. We, however, implemented a new diet, leaving out the offending agents, and in no time my husband was healed. We even figured why the rash had first appeared during pregnancy: I was in the middle of residency when I got pregnant – which is usually not considered a good time for expanding your family. Because I was more tired, I cooked less and we went out eating more often. Just across the street was a tiny Indian restaurant; we became nearly daily guests there. And curry (probably the turmeric in curry, actually) was one of the problems. In the long run, being forced to always cook from scratch I have helped the health of our family tremendously. Our son grew up knowing about the importance of fresh foods, and even turned out to be a dedicated cook! Natural Medicine has long maintained that many diseases stem from the gut. We have basically four eliminating organs that might get rid of toxic matter: the kidneys (urine), the bowl (feces), the lungs (exhaled breath), the skin (sweat). Often the skin mirrors the health of the intestines: My husband’s body tried to get rid of the spices he was allergic too, and expelled them via the skin – which showed as a rash. Using cortisone cream only suppresses this natural way of detoxification, and pushes the problem underground – until even the internal organs are getting diseased. Never think that a skin disease is just a skin disease: The inflammation in your body might become visible in the skin, but the inflammation happens everywhere. A study showed that psoriasis sufferers have more strokes, heart attacks and cancers! It does not surprise me. But it might surprise the seven and a half million people who suffer from psoriasis in this country. For most of them it would already be curing if the eliminated all dairy products and excessive alcohol. And nobody tells them … Of course, what is true for dermatologists is true for other specialties: Cardiac death is going down – not because of procedures cardiologists are doing but because people are paying more attention to what they eat, and they exercise more. – In obesity, the answer will not come from a little pill your doctor gives you, but from you moving around more and letting go of junk food. – Is your dentist interested in you having healthy teeth and gums – or is he interested in keeping you as a patient? – Veterinarians sell now “scientific” diet for your pets. But can that manufactured food compete with the food you cook yourself at home; I doubt it. Because that food is made for long shelf life and profits, not with the health of your cat or dog in view. – Your depression – does it warrant a pill and you being a patient instead of a vibrant, alive person? Would you do better talking with a friend about your problems, getting out of a sour relationship or dead-end job, nourishing your brain with fresh vegetables and getting up from your sofa and ride your bike? In the last years, we have seen some physicians incorporating alternative methods into their mainstream medicine practice. Acute problems like a broken bone, an appendix threatening to perforate or a cancer definitely need a skilled conventional practitioner. Chronic problems, on the other hand, that have developed over years from had lifestyle choices – arthritis, diabetes, obesity rank high among them - do remarkably well with changes in lifestyle. No surprise there … I am not saying that every problem goes away with better nutrition, exercise, cold showers, green herbs and more sleep. But you will be astonished how many problems will vanish into thin air. Give it a try! And don’t you worry that I am throwing out all conventional medicine! Today I am seeing my conventional dermatologist for a checkup. But I know what she can give me: expertise. Not my health. On my health, I have to work myself. Read More