Daily Health Tips: Constipation In A One-And-A-Half Year Old

Q: Hi doctor, my young brother is one year six months. He has not been to toilet for a week now. He doesn’t show any sign of sickness. Is this normal?

A: Not having moved bowel for about a week is definitely constipation at this age. Causes of this include diet (if a child is not getting enough fruits and veggies or getting too much milk), if a child is not getting enough activity, if the child is worried about potty training and so prefers to hold it in rather than bring it out :D and dehydration (not getting enough water. Underlying medical problems may also be other causes of constipation.

To prevent constipation:

Ensure that your baby has sufficient fruits and veggies in his/her diet. From the point of weaning from exclusive breast feeding, be sure to start introducing fruits and veggies.
Stay within the recommended limits of milk for your baby’s age. Use the guide below:

• From birth till 6 months, a baby should be getting breast milk only and he should get it on demand several times a day at least 2-3 hourly
• From 6 months to 1 year, continue breast milk with other complementary feeds like fortified cereals
• From 1 year to 2 years, the child should get at least 2 cups of full cream milk. The fat is particularly important to ensure proper brain development
• From 2 years to 8 years, your child should get at least 2 1/2 – 3 cups of milk or other dairy products daily
• From 9 years till adulthood, you should get at least 3 – 4 cups of milk or dairy daily

Encourage your baby to use the potty as soon as they feel the urge to do so, but try not to pressure them, if they still feel too pressured to use the potty :D You just can’t win, right?

Getting your baby to sit in a warm water bath or rubbing the anal area with a warm wet napkin may also be helpful in getting immediate relief.

If you try the above and your baby is still constipated, you observe blood in his stool, baby develops abdominal pain etc, please be sure to see your baby’s paediatrician.

Finally, don’t be too quick to use enemas or laxatives as they may make your baby (or brother in this case :D) dependent on them for normal bowel movement.

Have great night y’all :D

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Daily Health Tips: Does Staphylococcus aureus Have A Cure?

Q: Hello Dr Ketch a test was carried out on me and my fiance and discovered we have Staph aureus some drugs were prescribed like Ciprotab, Fluconazole but I am still having symptoms. I feel I need a good drug prescription. Please does Staph aureus have a cure? Please, I need your advice.

A: Thanks for writing in. I get a lot of questions on Staph aureus infections and though I have answered this a couple of times, the fact that they keep coming means that it is a topical issue. I will make a few comments and then place the link for the last post I made on this topic here.
First, Staphyloccocus lives normally on your skin and nose (and mine too :D) minding its own business until there is a cut or injury that moves it from the skin inside the body.

So, it’s not necessarily a sexually transmitted infection but it can result in an STI if there is contact between an infected area and the genitals.

If the doctor prescribed Fluconazole, it pre-supposes that there was also a fungal infection noted. Again, fungi in the vagina generally mind their business until there is a condition that leads to their overgrowth like abuse of antibiotics, wearing tight panties, douching etc

Giving prescriptions and complying with it is one thing, but even if we take the right does for the appropriate number of days, if we keep leaving ourselves open to conditions that make us more at risk, then we will have recurrent infections. Personal hygiene is important in preventing Staph infections as they are spread by person to person contact and preventing conditions that encourage overgrowth of fungi will help prevent fungal infections. Please click on the link below for more on Staph and vaginal yeast infections:

http://chatwithdrketch.com/2014/06/26/daily-health-tips-why-do-i-have-recurrent-candidiasis/

http://chatwithdrketch.com/2014/03/26/daily-health-tips-why-do-i-keep-having-staph-infections/

I assume that a swab was taken from you for investigation. The most appropriate drug to use is the one that would have shown up on the results of the test ordered by your doctor. If this wasn’t effective, please return for an evaluation. If it turns out it is the same infection, take the drugs as prescribed and this time, be sure to work on preventing re-infections as this is very easy. Ensure that your partner gets treated too and observes the same rules.

And so, yes, it is possible to treat Staphylococcal infections.

Have a great week, y’all :D

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Saturday Challenge: Incorporating Veggies Into Meals (video)

Ever wondered how to get your children to eat their veggies? Well, this video is for you! Perhaps, this will stir up some creative juices in you

“For a chance to win N2,000 airtime watch the video and answer the question:

‘Why is exercise mentioned as a means of incorporating veggies into meals?’ (Weird, right???)

The first person to answer correctly, will win our prize.

Terms and conditions:

Participants must be followers of this blog. If you’re not a follower, just follow us to qualify.

The first correct answer is the winner of the prize.

Only one answer per participant will be accepted.

If a participant provides more than one answer, the first answer will be used.

Edited answers will be disqualified.

This challenge lapses by 11.59 pm on Tuesday, the 25th of November, 2014

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Daily Health Tips: Ingrown Hair In The Groin

Q: Good evening Doctor, please what’s the cause of consistent boil/lumps around the pubic region especially after a shave and how can it be treated to a stop because I have used antibiotics severally and it has little or no effect? I also used an anti-fungal cream.

A: Boils/lumps after a shave may be due to ingrown hair. In Africans, the hair in the groin area is very curly and so it is pretty easy for the hair to curl and grow down instead of growing up and out. These lead to red, raised spots/bumps which could get infected and become pus-filled.

More often than not, an ingrown hair does not require special treatment. They just leave quietly on their own…much like how they came. This of course, presupposes that there is no shaving done during this period to aggravate the situation. In the meantime, do not squeeze the bumps as this may push the bacteria further inside. You could use a soft bristled brush to loosen the hair before shaving or use a sterile needle or tweezers to tease out the ingrown hair(s) if it lies close to the surface.

How to prevent ingrown hairs? Simple! Stop shaving…at least for a while. That’s always an option. There’s always a huge debate about whether things should be kept natural down there! :D However, if you choose to shave, try using a scissors to trim, before using a single blade shave stick to shave. Make the hair as wet as possible using shave foam and then shave in the direction of the growth of the hair. Try to stretch out the skin of the groin area and make it flat as you shave. And while you may think it’s fun to be completely clean shaven there, try not to shave too close to the skin and rinse the shaver after each stroke:D Pat the area gently afterwards…don’t rub vigorously. Remember that re-using razors you have on the infected parts may lead to further re-infection with bacteria on the surface of the razor.

Your doctor will make a definitive diagnosis. He/she may prescribe some anti-biotic ointment or oral antibiotics (taken by mouth) and some other ointments to stop the inflammation. Remember that antibiotics should be taken for the full period prescribed by the doctor and not stopped as soon as you feel better.

Have a fun-filled weekend :D

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Daily Health Tips: Ingrown Hair In The Groin

Q: Good evening Doctor, please what’s the cause of consistent boil/lumps around the pubic region especially after a shave and how can it be treated to a stop because I have used antibiotics severally and it has little or no effect? I also used an anti-fungal cream.

A: Boils/lumps after a shave may be due to ingrown hair. In Africans, the hair in the groin area is very curly and so it is pretty easy for the hair to curl and grow down instead of growing up and out. These lead to red, raised spots/bumps which could get infected and become pus-filled.

More often than not, an ingrown hair does not require special treatment. They just leave quietly on their own…much like how they came. This of course, presupposes that there is no shaving done during this period to aggravate the situation. In the meantime, do not squeeze the bumps as this may push the bacteria further inside. You could use a soft bristled brush to loosen the hair before shaving or use a sterile needle or tweezers to tease out the ingrown hair(s) if it lies close to the surface.

How to prevent ingrown hairs? Simple! Stop shaving…at least for a while. That’s always an option. There’s always a huge debate about whether things should be kept natural down there! :D However, if you choose to shave, try using a scissors to trim, before using a single blade shave stick to shave. Make the hair as wet as possible using shave foam and then shave in the direction of the growth of the hair. Try to stretch out the skin of the groin area and make it flat as you shave. And while you may think it’s fun to be completely clean shaven there, try not to shave too close to the skin and rinse the shaver after each stroke:D Pat the area gently afterwards…don’t rub vigorously.

Your doctor may prescribe some anti-biotic ointment or oral antibiotics (taken by mouth) and some other ointments to stop the inflammation. Remember that antibiotics should be taken for the full period prescribed by the doctor and not stopped as soon as you feel better.

Have a fun-filled weekend :D

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Daily Health Tips: Sexual Headaches?

Q: Good evening, Doctor… Please what is the cause of headache in the middle of the night especially after sexual intercourse?

A: This sounds like a condition known as sexual headache. It’s also known as sex headache, post-coital headache, orgasmic headache etc. It could occur during sexual intercourse, during orgasm or after sexual intercourse. And it can also occur at any time of the day and during any type of sexual activity.

It is felt at the back of the skull just above the neck and is usually described as throbbing. Or it could build up gradually during sexual intercourse and intensifies as the sexual excitement before an orgasm increases. They can last anything from a few minutes to a few hours; may never recur or may happen a couple more times before gradually fading away.

It is thought to be due to the release of adrenaline and rapid rise in blood pressure which occurs as one approaches orgasm. And so in these cases, the headaches may not be a cause for concern. However, it is also a possibility that these headaches are a sign of a more serious condition like bleeding onto the surface of the brain.
People who usually have migraines, who use recreational drugs like marijuana, use birth control pills etc are more likely to have sex headaches.

Should you swear off sex? Yes, if you’re unmarried :D And no, if you’re married;) If you have just experienced this, try lying quietly for about an hour or two after taking an analgesic (like paracetamol) to handle the pain. However, it is very important to see your doctor as soon as possible to let him/her know what happened. This is important because, while there may very well not be any underlying issue, you want to be sure to rule out any serious medical condition causing these headaches. Your doctor will also prescribe some drugs on a regular or intermittent basis to deal with your symptoms.

Have a great night y’all :D

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Daily Health Tips: Why Do I Have Running Nose All Year Round?

Q: Please mummy, you have to help me out. I sneeze mercilessly up to 2 hours every morning and evening, and then I’ll also have runny nose with colorless and watery fluid, plus itchy eyes. It disturbs me so much.

A: Well, it does sound like some allergy and is known as allergic rhinitis (pronounced Rine-Ai-Tis). This condition, also known as hay fever, occurs when your immune system over-reacts to certain substances in the air (allergens), marking them out as intruders. The resulting symptoms are due to some chemicals released in the body like histamine. These substances cause sneezing especially when you wake up in the morning, runny nose, watery itchy eyes and itchy ears, nose and throat, which could occur seasonally or be present all year round. In fact, the symptoms written above are as good as a text book description of this condition :D Oftentimes, in people with this condition, there is a positive history of a family member with asthma or other allergies.
The first step towards dealing with this is finding out what the triggers (allergens) are. It could be dust mites, wood dust, smoke, pollen, grasses, cockroaches etc Your doctor will ask helpful questions to help you identify the culprit. He/she, in the meantime, will prescribe some drugs, the commonest of which is an anti-histamine to help control your symptoms. Other treatment options include taking allergy shots and going for a nasal irrigation (essentially rinsing out the mucous from your nose).

Prevention is focused on identifying and reducing contact with allergens. This would include eradicating cockroaches from your house, using a mask when working outdoors, closing doors and windows when there are lots of pollen in the environment, not hanging laundry outside to prevent pollen sticking to them and causing problems later etc. Reducing dust mites by using oiled duster or damp cloth to clean, using allergen proof covers on mattresses etc will be helpful. For more on dust mites, what they are and how to reduce their population, please click on the links below:

http://chatwithdrketch.com/2013/12/05/daily-health-tip-asthma/

http://chatwithdrketch.com/2014/05/11/daily-health-tips-what-has-dust-mite-got-to-do-with-asthma/

http://chatwithdrketch.com/2014/05/12/daily-health-tips-all-about-asthma/

So, get a doctor to prescribe drugs to tide you over (you should be able to pick up the prescription over the counter thereafter) and work with you to identify allergens and then you have to avoid them.

All the best :)

Have a good night, people :D

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