#HLWDK Daily Health Tips: Help! I’m A Clay Addict

Q: Dear Doctor, I have been a dirt clay addict for almost four years of my teen, could this mean I am likely to suffer from being infertile? Please help I want to stop.


A: Eating clay and other non-food items is referred to as pica consumption. Ingestion of clay is known as geophagia. Sometimes, this is associated with deficiencies of certain minerals or vitamins in the body, but some other times, you just can’t find anything that you can attribute the craving for. People eat clay for different reasons. Some claim to like the taste and the texture. More commonly, some pregnant women claim that it helps them to prevent the nausea and vomiting of early pregnancy.

Indeed, some new ‘regimens’ claim that clay has a detoxifying effect on the body when ingested. Well, I haven’t seen any evidence for this claim. There is however, evidence that some of these clay products eaten may be contaminated with arsenic or lead leading to arsenic or lead poisoning with attendant complications.

So, to answer your question simply, will this habit make you infertile? Maybe not, but it’s definitely not healthy. So, please see your doctor to confirm if you’re iron-deficient. If this is the case, correction of this may solve the problem. Otherwise, your doctor will work with you to find the reasons why you crave clay and alternatives to this.

For more on pica consumption, please click on this link: https://chatwithdrketch.com/2014/05/19/daily-health-tips-if-i-drink-water-when-i-am-pregnant-will-my-baby-be-born-with-a-cold/


Have a good night, people 😀



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#HLWDK Daily Health Tips: Is It Right To Take The Yellow Fever Vaccination Twice?

Q: Hi doc! I am kindly asking is it right to be given twice the yellow fever injection because l was given last year August which will last for 10yrs.Is there a difference between yellow fever for ten years and life time? Thanks in advance

A: Hallos! Thanks for writing in.

Previously, the yellow fever vaccine was taken every ten years but since 2016, that regulation has changed. From 11th of July 2016, the WHO, on its website, states that the certificate of vaccination against yellow fever is valid for life for everyone vaccinated and that this validity refers to existing and new certificates. For the latter, the lifetime validity starts 10 days after date of vaccination. This has effectively cancelled out the need for re-vaccination.

So, there is no difference. The vaccination that used to be received and was valid for 10 years is now valid for the duration of your lifetime. If you had received the vaccination before, you don’t need to modify your certificate. The old one is still valid and will be recognized by countries that require proof of this vaccination.

I hope this helps.

All the best!

Have a good night y’all 😀

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#HLWDK Daily Health Tips: What Do These Reddish Spots Mean?

Q: Good morning ma’am. Please ma’am, I am worried. I am 37weeks pregnant now and last night I had a reddish spots on my panties, though it was very small but I am still worried. I didn’t see it when I wiped earlier this morning. I don’t know if it is a problem. Help me with an advice even though it was just a stain. God bless you ma’am

A: Bleeding during pregnancy can be worrying whether it’s a little or a lot. But, it may not necessarily be the sign of a problem.

Bleeding can occur in early pregnancy, close to or about the same time as the menstruation would and thus be mistaken for a period. This bleeding could be due to implantation as the fertilized egg implants itself in the uterus (womb). Other causes of bleeding in early pregnancy include ectopic pregnancy, miscarriage and infections.

For more information on ectopic pregnancy and miscarriage please click on these links:




At 37 weeks, your pregnancy is considered full term. So, it may even be ‘show’ that you saw. Show is a mucous plug that may be tinged with blood and is a sign that your cervix (neck of womb) is getting ready for labour. Placenta previa is likely to cause bleeding from sometime around the second trimester of pregnancy, but of course, every episode of bleeding in pregnancy, irrespective of trimester, should be checked out in the hospital. Depending on the severity of the bleeding and the age of the pregnancy, the doctor would decide whether bed rest or emergency Caesarian section would be applicable. If bed rest is recommended, sexual intercourse and physical exertion including exercise, at this time may not be wise. Please discuss this with your doctor.

For more on placenta previa, please click on this link https://chatwithdrketch.com/2015/03/09/daily-health-tips-can-placenta-previa-recur-in-my-pregnancy/

So, I suggest you go see your doctor immediately.

All the best!


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#HLWDK Daily Health Tips: Do You Have Food Cravings?

Food cravings and aversions: I certainly had loads of aversions with my first pregnancy. I can’t remember any cravings as I couldn’t get any food to stay down. However, some people develop a craving for the oddest, craziest foods when pregnant. Go easy on eating for two though…the healthy living dictum of eating loads of fruits/vegetables and low calories does not change during pregnancy. The more you gorge or give in to the food cravings, the more work you have to do to get it off after the baby. However, if you find yourself craving things like clay, sand etc, please see your doctor as it could be a sign of iron deficiency anaemia.


For more on pregnancy, diet and so much more, get your copy of the book, ‘Just For The Health Of It’

This is a great read and a fabulous gift to loved ones. It is a great gift for anyone who wishes to live and eat healthy, lose weight, get ready for pregnancy and parenting. Buy copies for bridal showers, baby showers, festive seasons etc. It’s a gift that keeps on giving

Here’s what someone said after receiving it as a gift:

‘Good morning, Dr Ketch. I was given your book (Just For The Health Of It) as a Christmas gift by a friend of mine. I’m so happy. God bless you’

Make yourself and someone else happy by getting a copy from any of the following outlets:

1) Laterna Books online shop with nationwide delivery. Just click on this link: https://www.laternabooks.com/laterna_product_details.php?v=15450&c=44


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 link http://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

For those in Abuja and environs, please call 07030739403 or pick it up at No 5 Bricks Market, Dawaki 11 Market, Dawaki extension.

4) For those in Awka, please call 08189944090.

Have a great week ahead, y’all


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#HLWDK Daily Health Tips: Hormonal Imbalance

Q: Dr. please help me out. I have issue with hormonal imbalance. What should I do?

A: A collection of tissues called the endocrine system is responsible for the production of hormones, which control various functions in the body like metabolism, sexual reproduction, mood etc. Sometimes, these hormones are produced in excessive or too little amounts throwing the whole body off.

Treatment of hormonal imbalance is dependent on the cause. Excess weight can lead to high estrogen levels. So, exercise and weight loss can be beneficial here. High levels of thyroid hormones can be treated with drugs, radioactive iodine or surgery. The stress hormone, cortisol is produced when one is stressed and so treatment is focused on stress management techniques. The hormone, prolactin which is responsible for lactation in nursing mothers may be produced even when one is not lactating. Focus here is on reducing this hormone levels as will be described below.

Therefore, the first thing that needs to be done now is for your doctor has to investigate to find out the exact cause of the imbalance and then treat accordingly.

All the best!




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#HLWDK Daily Health Tips: Severe Period Pains

Q: Good morning ma’am, I do feel severe pains during my period. Please ma’am, what can I use to stop or reduce the pains? Tanks for your care ma’am.

A: Menstrual cramps can take the very joy out of living…at the time you have them.

Cramps usually occur as the uterus tries to get rid of the foreign body, in this case, blood within it. Cramps appear, sometimes, to be more of an issue for some girls than the actual menstruation itself. For most girls, in the first few years of starting their periods, they usually do not have cramps and when these cramps eventually start showing up, they usually last for a few days.

How do we relieve menstrual pain?

Anticipate the pain before it actually arrives by taking some analgesics in the same class as ibuprofen called NSAIDs. These drugs have to be taken with food because they can cause peptic ulcer and so it is important NEVER to start using them without confirming from your doctor that this is fine for you.

Avoid foods that contain caffeine, salty foods, alcohol, smoking and sugary foods. You’ve probably heard the story about alcohol being a great idea during periods…I’m just not sure whether it’s meant to put you in a stupor so you don’t really feel the pain or for some other reason. I can tell you though that it helps you none, during your period Focus on complex carbohydrates during this period (and other times too: whole grains, fruits and vegetables)

Rest up when you need it and you could also use a hot water bottle on your lower abdomen.

Drinking warm fluids and exercising are also very helpful.

Remember to maintain the greatest sense of hygiene during this period (bath at least twice, change sanitary towels and panties often and ensure you smell nice….just don’t pour the whole bottle of perfume over yourself. That makes it smell like you’ve got a secret you’re hiding :D)

Usually after having had a baby, the cramps from period totally disappear or reduce significantly. In other instances though, it may be a good idea to see your doctor as fibroids and some other conditions can make menstrual cramps really painful and heavy.

If self-help remedies do not work, please see your doctor to get checked out and rule out other causes of severe menstrual pain like endometriosis, a situation where some tissue of the womb/uterus grow outside of the uterus or fibroids.

Have a good night y’all 😀

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#HLWDK Daily Health Tips: Is It Too Early To Menstruate At 12 Years Of Age?

Q: Thanks for this Doc but is it not too early for a 12year old to start menstruating?

Very good question. The post below, which I made a while ago, should answer your question.

Q: Good day sir. Please sir is there anything someone should do for a child of 8 years who has started developing breast. Thanks

A: Okay….first of all, I’m not a sir 😀 And then, what to do? Nothing! Not very helpful, aye?

Before I launch into the gist proper, please don’t also listen to the old school gist of how it may be that some boys are taking undue liberties with her and thus, she’s developing her breast faster than her mates. It has nothing to do with that! By all means, ensure that undue liberties are not being taken but don’t blame the ‘breast buds’ on that 😀

The thing is, there are various shades of normal when it comes to children. Puberty, generally for girls, can occur any time between 8 to 13 years. There are people who experience what is called precocious puberty and would experience the signs of puberty earlier than other children. There may be nothing wrong with these children…they may just be on the very early side of normal 😀 But, if a child starts experiencing puberty before the age of 7, please be sure to see take her in to see the doctor.

The first sign of puberty in girls is what your daughter is experiencing: breast development which starts off as lumps which may be tender around the nipple area. Other signs to follow include growing pubic hairs, widening of the hips, onset of menstruation etc.

Please make this period as trauma-free as possible. Worrying about her breasts ‘coming out too soon’ may make her self-conscious about it and the whole process of shopping for bras with her which ought to be a fun thing, becomes a nightmare! 😀 My experience was actually a nightmare! My mum (very educated medical doctor) would try on the band of the bra on top of whatever dress I happened to be wearing whenever we went shopping for bras….I almost died several times over 😀 (sorry mum!) Why on earth would she want to advertise that I wear bras to the whole world?! As if the world couldn’t see?

And so, with my children, I’m more sensitive. If they don’t want to call it a bra and prefer to call the real bras, bra tops…I’m happy to call it that 😀 When we’re done buying, I have to carry the goodies to the checkout counter…heaven forbid that anyone suspects that they wear such horrible contraptions as bras!!! Same for when we go shopping for sanitary towels 😀 Okay, enough said. They’ll probably not talk to me for a year when they see that I posted about this 😀
So, dear mum, I trust that you have had the talk with your daughter? Before puberty starts would have been a good time. If you failed to do this earlier, now is a good a time as any. Remember to go for facts rather than fiction. That whole gist about getting pregnant when a boy touches you went out with the dark ages. Keep the gist matter of fact and be sure to use real names of body parts 😀 In addition, whatever you do, be available and approachable…your daughter needs you now, more than ever!

I hope this helps.

Like a friend said to me recently, it’s Friday eve! Enjoy!!!


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