I Eat Once A Day And Yet I Keep Adding Weight!

Lots of people say, ‘I eat only once a day, how can I possibly add weight with that?’ If you eat once a day, chances are you snack on other things during the day that you do not consider as food…it could very well be cookies etc. But even if you don’t snack on anything, chances are that when you eat once, you binge and essentially make up for all the meals that you didn’t eat during the day….and so we’re back to square 1 :D. Remember that you’re actually allowed up to five small meals in a day. 3 main meals and 2 snacks.

Some other people also write in to ask me about slimming pills or green tea or any of those wonder drugs that make you shed weight on ‘seconds’ and instruct you never to eat of specific classes of foods. Let’s use green tea as an example. Green tea is great and studies have shown that it speeds up metabolism and so helps you break down all the food you’ve taken in, faster. However, weight gain is a function of what you’ve taken in and what you’ve taken out. If you take in 3000 calories and you’re able to burn only 500 calories, then clearly, there is some excess that will get converted to fat et al. Remember that some of our ‘snack’ like some burgers pack as much as 500 to 600 calories in one serving….and that’s just one meal (or maybe even snack ) with 3 more meals and perhaps another snack to account for. And so, if you are loading your system with more food than you need, can green tea help? Find out my thoughts in the book, Just For The Health Of It.

You can get a copy via the shop now link on our facebook page. Or you can get it through:

1) Jumia.com. Just click on this link http://www.jumia.com.ng/jumia-books-just-for-the-health-of-it-with-dr-ketch-179486.html and get a copy. You have the option of paying when the book is delivered to you or paying online. This service is available all over Nigeria.

2) Another option for those in Lagos is Laterna Bookshop on 13, Oko-Awo Close, Off Adetokunbo Ademola Street,. Victoria Island.

3) If you’re outside the country, please visit Amazon through this linkhttp://www.amazon.com/Just-Health-Ketch-Pregnancy-Parenting/dp/9789398026/ref=sr_1_1?s=books&ie=UTF8&qid=1426246647&sr=1-1&keywords=just+for+the+health+of+it+with+dr+ketch+olalere+nkechi

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Daily Health Tips: Pus Discharge From The Ear

Q: Hello Doctor, what could be the cause of ear pus? This girl of 4yrs has been treated with several medications with no relief. It smells a lot. Please help

A: Thanks for writing in. Ear infections can happen as a result of a cold (upper respiratory tract infection). Other times, it may not even be related to this. With infections, there is fluid build up in the middle ear. These fluids, as in other cases where fluids collect, form a rich culture medium for germs to grow. Pus then forms as the body tries to fight off this infection. The combined pressure of the fluid and pus can cause enough pressure in the middle ear and the ear drum to cause significant pain and difficulty hearing. There is also accompanying fever. The pressure can even ‘burst’ the ear drum with resultant drainage of pus.
The baby with this infection would usually tug at his ear while crying, complains of pain and headache, has a fever, may drain fluid from ear, difficulty sleeping and even hearing etc
Usually the body is able to deal with this issue on its own successfully fighting off the infection but sometimes these symptoms persist for a long time. Antibiotics may help reduce the duration of the symptoms. The does of antibiotics must be finished even if the symptoms disappear.

It does appear that this infection has been on for a while. I suggest you take your baby to go see her doctor. He will examine her and take the best decision based on his findings.

Have a great weekend, y’all grin emoticon

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Daily Health Tips: Impetigo

Q: Please Dr. Ketch, what antibiotic can I take to treat impetigo?

A: Impetigo is an infection of the skin caused by bacteria. I reproduce below a post I had made on this which addressed impetigo in a child but treatment is essentially same. So here goes…

Q: Good evening. Please Doctor, what is the cause and treatment for impetigo in infant (less than 3wks)?

A: Hallos! Now, I assume a doctor made the diagnosis of impetigo and hopefully has prescribed an ointment?

Now for those who don’t know, impetigo is a skin infection that appears as a red rash. It can break open and form yellowish brown crusts after it oozes fluid. It’s caused by Staphylococcus aureus or Streptococcus pyogenes and these organisms get into the body when there is a bruise, irritation or injury on the skin already. This is usually found around the diaper area in babies. Other places where they appear include hands, mouth and forearms.

It is important for the baby’s mum to know that impetigo is contagious and can spread through contact with infected skin or infected items of clothing. Scratching the infected area and touching other parts of the body can also lead to spread of the infection.

Treatment of impetigo is usually with an antibiotic ointment (like Bactroban) if it affects a small area of skin. If larger areas are involved, the doctor may prescribe an antibiotic.

To prevent the infection spreading during the healing process, be sure to cover the area with gauze and keep baby’s fingers short to prevent scratching and further spread of the infection.

Please make sure that you visit your baby’s paediatrician so he can confirm this diagnosis of impetigo, if he didn’t make it himself ab initio.

Have a great Weekend, y’all grin emoticon

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Daily Health Tips: Fast Heart Beats And Cholesterol!

Q: Please ma’am, what makes the heart beat faster without being hypertensive? What can I use to reduce cholesterol?

A: Palpitations (feeling that your heart is beating too fast or too hard) occur when you get the sense that you can feel your heart beat. Ordinarily, your heart goes about its business of keeping you alive and well by beating inside your chest without you being aware, right? Some conditions, however, may make your heart beats obvious and you probably have experienced some: anxiety, panic attacks, stress, after some exercise, when you have a fever, after taking some coffee or any caffeine-containing food/fluid and also after taking in nicotine as in cigarette smoke, cigar or even chewing tobacco. Conditions like pregnancy and taking drugs eg cough medicines that contain stimulants may also cause palpitations.

Usually these palpitations would disappear after a brief appearance, but if they appear frequently and are accompanied by other symptoms like chest pain, being short of breath etc, please be sure to see your doctor to confirm that this is not a sign of a bigger problem with significant complications.

Treatment is focused on the cause. Where stress or anxiety is the trigger, management is really all about coping with stress and making sure that you have more ‘good’ stress than bad stress (remember that good stress has a life cycle…it starts and ends within defined periods while bad stress is from situations that are not handled properly and remain a source of ‘worry’ continually).

If it’s due to caffeine and nicotine…simple: stop :D or significantly reduce. For coffee, 2 cups (teensy weensy lady-like cups :D)a day should be the very maximum :D For nicotine though, you just have to let it go.

Finally, if you indulge in other drugs of ‘recreation’ eg cocaine etc, please leave well alone!

As for cholesterol, the first lesson we all need to learn is that cholesterol is not completely a demon :D There is the good cholesterol and the bad cholesterol. So, when we talk about high cholesterol, we usually refer to the bad one, Low Density Lipoprotein (LDL) Cholesterol, which can lead to blockage of the vessels and inevitably, a heart attack…not good news! But we do need the good one, High Density Lipoprotein (HDL) cholesterol. It mops up excess cholesterol and prevents LDL from being changed into the form that causes heart disease. Indeed, we are encouraged to take foods that increase this and this in turn improves heart health.

So, what foods can help reduce bad cholesterol in the body and increase the level of good cholesterol? Here are some examples:

Oats and other whole grains which form soluble fiber that reduce the absorption of cholesterol and in addition, give you a feeling of satiety for long. This prevents you feeling hungry more often and reaching for ‘unhealthy’ snacks :D Other foods in this group include okro, beans, apples, citrus fruits and garden egg (egg plants).

Soya beans, heart healthy oils like Olive oil and Canola oil, nuts (which should only be served in handfuls) and fatty fish like mackerel also reduce LDL.

Generally eating healthy with lots of fruits and vegetables, cutting out the white carbs (pastries etc), exercising (at least 150 minutes weekly), ensuring you are not overweight and quitting smoking.

Have a good evening, fabulous people :D

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Daily Health Tips: Can A Woman Menstruate And Ovulate At The Same Time?

Q: Dr. I’m glad because of this your page. You ‘re so wonderful by the testimonies of the page. May Almighty who for His mercy loved you to this kind gesture, bless you abundantly. Please, do me a favour, because I’m confused. Can a woman have menstruation and Ovulation at the same time? If possible, is it normal?

A: Amen to your many prayers and I love you right back! :d
Can one menstruate and ovulate at the same time? Yes…this may not be very common but it is very possible. Is this normal? It’s not abnormal :d It all depends on a woman’s cycle. To understand this some more, I reproduce the details of a post I made a while ago on a related question.

Q: Please Dr, is it absolutely free to have sex during menstruation? Secondly, if it is free, can a woman get pregnant during that period?

A: I had to hide a quick smile when I read this :D I’m not sure what you mean by free. Free from stress or free from sexually transmitted infection? Or perhaps you want to know if it’s safe?
Well, having sexual intercourse during a lady’s menstrual period does not make a man impotent, neither does it kill vital organs in his body…contrary to all the stories you have probably heard :D

However, it is obviously messy and it is also easy to contract Sexually Transmitted Infections at this time.

Can one get pregnant at this time? Unlikely but not impossible. It depends on the length of a woman’s cycle. If she has a short cycle, she could be seeing her period a few days away from her ovulation. Thus, if she has sexual intercourse, perhaps towards the end of her period, the sperm, which can stay ‘alive’ for days after sexual intercourse, are still available to fertilize the eggs released during ovulation. So, having sexual intercourse during menstruation is NOT a means of contraception, people :D

For more on this topic, please click on this link http://chatwithdrketch.com/2015/04/10/daily-health-tips-irregular-periods/

Have a good night everyone :)

Here’s to a healthier you!

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Daily Health Tips: Is Garlic Good For My Health?

Q: Ma’am, what is garlic useful for?

A: Well, garlic has been found to have useful functions in the body. For details read the post below:

Q: What functions do ginger and garlic serve in our bodies?

A: These are two great food seasonings. For people who use a lot of salt ordinarily, using these spices help to put the zing back in your food…they add a little something extra, such that you don’t miss the salt that much.

But, they are also healthy and good for you ;)

Garlic: Yes, I know it gives you stinky breath but it is amazingly super Healthy!

Funny…but it could very well be the sulfur compounds causing that odor that also stop cancer-causing substances from forming in your body, speed DNA repair, and kill cancer cells.

Garlic also battles bacteria, including H. pylori (the one connected to some ulcers and stomach cancer), and it reduces the risk of colon cancer.

To get the most benefit, peel and chop the cloves and let them sit 15 to 20 minutes before cooking. That activates enzymes and releases the sulfur-containing compounds that have the most protective effect

And…by the way, stick with the fresh cloves. Dried garlic is devoid of its important healthy components!

Ginger: When you chew ginger, gingerols come out and are helpful in preventing nausea and high blood pressure.

So, spice away, people and have a great day :D

Here’s to a healthier you!

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Daily Health Tips: I Like Beans But It Makes Me Feel Bloated!

Q: Hello my great doc! I know that beans is good for the body but I’m scared eating of beans because anytime I eat beans my belly troubles me for 3 days. I do go to toilet just to gas air & I cannot eat anything to my fill. What is d cause & what can I do or take? Thanks a lot

A: Hi dear, thanks for writing in. Feeling gassy or bloated after eating beans is a problem that some people have to deal with. Bloating essentially is due to specific foods eaten and how they were taken.

I reproduce below, a post I had made on this subject:

Have you ever been embarrassed by a growling stomach, a burp that came from nowhere or just that feeling of ‘gasiness’ (I’m not even sure this is a real word!). Well, you’re not alone. Millions, the world over have also experienced this.

‘Excess gas’ is produced in the body when we swallow it or when our body produces it as a result of what we have eaten. We are more likely to swallow air when we eat very fast, when we chew gum, drink through a straw or suck on hard candies.

Certain foods also cause our bodies to also produce more gas eg beans, whole wheat grains, carbonated drinks, fruits like apples. Now these are mainly healthy foods (minus the carbonated drinks) and so we are not about to ask you to stop eating them :D What you can do since you have this problem is to reduce the amounts of these foods that you eat.

You could keep a food diary to identify the specific foods that cause this problem for you and then, reduce those.

For more on this subject, please click on this link: http://chatwithdrketch.com/2013/11/23/daily-health-tip-bloating/

Have a fab night, peeps :D

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