Daily Health Tips: Can I Menstruate When I’m Pregnant?


Q: Good job Dr. Please, keep it up.
Dr. is it possible for one to be pregnant and still see her monthly period?

A: People do not menstruate when pregnant. Remember that menstruation happens when fertilization of eggs released during ovulation by sperm does not occur. And so, if fertilization and pregnancy occur, menstruation is ruled out.

Bleeding can occur in early pregnancy though, 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.

Bleeding in pregnancy may not necessarily be an emergency but because there are other causes of these episodes of bleeding, which are potentially life threatening like ectopic pregnancy, bleeding in pregnancy should always be checked out in the…

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Daily Health Tips: When Does A Pregnant Woman Start Producing Milk?


Q: Hey Dr … my wife wanted to know, ‘when does a pregnant woman breast start sending milk?’ She’s 3 months 1 week and 3 days pregnant?
A: Breast fullness with attendant pain/tenderness during pregnancy is to be expected and one of the signs of pregnancy. This is due to the hormones, Estrogen and progesterone, increase in blood flow and fat deposits in the breast…all in preparation for the job of breastfeeding the soon-to-be-born baby.
The breasts may start to produce milk as early as second trimester (from about 14 weeks) into the pregnancy. This may show up as leakage of fluid (breast milk) from the breast. This milk is colostrum, the first milk produced by a mother to feed her young. This milk is filled with antibodies which help protect and strengthen the baby’s immune system. This leakage can be prevented by using breast pads

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Daily Health Tips: Keeping Healthy During A Fast


Q: Hello Dr Ketch, what can I do to be healthy especially as we are preparing for our fast?

A: Thanks for writing in.

What to do? Keep eating healthy and focus on gentle exercises.
Breaking a fast is usually not as easy as it should be. You haven’t been eating and now it’s time to eat, so you pick anything you like to eat. Pretty open and shut, isn’t it? But actually, it’s not that easy.
Eating and drinking during a fast (religious or otherwise) should be easy…but is not always so. First, when a lot of people break fasts, they go on a binge. They eat the equivalent of what should have comfortably been taken over two or three meals! 😀 And then they break the fasts with the wrong meals: refined and processed foods (eg cakes, pies etc) which lead to blood sugar spikes. Complex carbohydrates are…

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#HLWDK Daily Health Tips: Threatened Abortion


Q: Dear: Doctor I’m 9 weeks
pregnant and going through threatened miscarriage I’m bleeding heavy with clots
I go to my doctor regularly but I always get the same answer that my baby is
still there I just need bed rest. This bleeding worries me a lot, is there
anything I can do to stop the bleeding?

A: A threatened miscarriage also known as threatened
abortion is vaginal bleeding that occurs within the first 20 weeks of
pregnancy. The bleeding is sometimes accompanied by abdominal cramps indicating
that a miscarriage is possible

Causes of threatened abortion include the placenta
trying to latch on to the wall of the uterus (womb), vaginal infections, damage
to the cervix, blood clot around the amniotic sac.

Your obstetrician will make this
diagnosis with an ultrasound scan. If a heartbeat is present irrespective of
your symptoms, then it is a threatened abortion. Absence of a…

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#HLWDK Daily Health Tips: Expelled IUD?


Q: Good evening doctor, I put to bed 4 weeks ago and immediately after delivery family planning copper T was inserted in my womb, and now it used to come down to my vagina because I used to touch it. Please ma’am, is it safe for me or what do I do about it? Thank you ma’am.
A: Hi dear. Thanks for writing in.
Copper T refers to a type of intra-uterine device used to prevent pregnancy. There are two types: the Paragard IUD and the Mirena IUD.
The Paragard IUD is a copper-containing IUD. This is probably the one you had inserted. The copper is poisonous/toxic to sperm and the IUD also prevents implantation of the fertilized egg into the uterus, should fertilization still occur. Paragard can be used during breastfeeding and its removal leads to a quick return of fertility, generally. It usually prevents pregnancy for…

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#HLWDK Daily Health Tips: Fatty Liver


Q: Good evening doc . Please i need your advice, i went for scan and i was told my liver is accumulating some fat. I am confused because I don’t even taste alcohol. So doctor what do I do?

A: Hello! Thanks for writing in.

Unfortunately, fatty liver can occur in people who do not take alcohol. It’s actually also referred to as non-alcoholic fatty liver. In this condition, there is inflammation of the liver. As the liver tries to stop the inflammation, scarring of the liver tissue occurs. With more inflammation, more scarring occurs and fibrous tissue spreads to take up more and more space in the liver. If this continues uninterrupted, the abdomen starts to swell as fluid builds up in the abdomen, the veins in the esophagus, swell, rupture and bleed, confusion, drowsiness and slurred speech may also occur. Yellowness of the eyes and enlarged breasts in men…

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Daily Health Tips: Any Remedy For Baldness?


Q: Hello Dr Ketch, I am a 33 year old guy from Lagos. I am experiencing rapid hair loss which is resulting in baldness. Please I’d like to know if there are natural remedies or vitamin supplements for men with no side effect on fertility. Cheers.

A: Baldness is excessive hair loss from the scalp. It usually starts from thinning hair before it involves wider areas of hair loss.

How does this happen? Usually, a hair follicle produces hair and each hair grows from a follicle for as long as three years before it is shed and a new one produced. Testosterone is produced normally by the hair follicle and these follicles now convert testosterone to Dihydrotestosterone (DHT). In baldness, the hair follicles are overly sensitive to the effects of DHT causing the hair to thin out and also last less than the usual 3 years.

Now it is usually…

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Daily Health Tips: Harmattan-proof nice, luscious lips :D


Hallos! I hope you the holidays are going down a treat!

Now we turn to the lips…if you’ve got children like mine, you’re probably repeating the statement ‘go and put some petroleum jelly on your lips’ very often these days. Maybe they are listening, maybe they are not. 😀 Let’s give you some more tips to prevent or treat dry and chapped lips.

Moisten a kitchen paper or handkerchief and wet your lips (Or you could use an old soft-bristled toothbrush to gently brush out the dry skin. Don’t do this for more than 60 seconds to prevent irritation and bleeding). Then apply petroleum jelly to your lips and rub your lips together to make sure the jelly is well absorbed.  Then use lipstick (if you’re female), blot out excess by biting on dry wipes and then apply lip gloss…just enough to give a nice shine.

Overnight, apply moisturizer to…

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#HLWDK Daily Health Tips: My Wife Has A Bent Uterus!


Q: Good morning, Dr. My wife has a bent uterus. What is the cure? Please, help me

A: Normally, a uterus tilts forwards at the cervix towards the stomach. In some women, however, the uterus tilts backwards inside the pelvis towards the spine. This is called a retroverted or tilted uterus. Many women with this condition are born with it but some women may develop it after birth as a result of:

  1. Pregnancy: During pregnancy, the ligaments holding the uterus in place become weak and so after pregnancy, some women now find their uteri tilted.
  2. Prior surgery, infections and disease conditions like endometriosis may lead to a tilted uterus. In these cases, conception may be difficult but not impossible. Patients here may benefit from seeing a fertility doctor.

For more on endometriosis and pelvic inflammatory disease, please click on these links:

Daily Health Tips: Can PID Block My FallopianTubes?


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Daily Health Tips: Can I Breastfeed While Pregnant?


Q: Dr Ketch, thanks for being there always for those tips for healthy living. Please, is it safe to breastfeed while pregnant? And what fluids can be given to a 7-month old baby asides breast milk? Thanks

A: It’s generally considered safe to continue breastfeeding in pregnancy. In fact some mothers would even breastfeed the new baby and the older one, concurrently. This is called tandem nursing. However, given the requirements of breastfeeding and of pregnancy, this mum must ensure that she is eating healthy and drinking sufficient fluids.

If your already born baby can talk, he may comment on the fact that the taste of your breast milk has changed especially towards the end of pregnancy and a few days after the birth of the new baby as colostrum is produced.

For more posts on colostrums, please click on this link: https://chatwithdrketch.com/2014/05/27/daily-health-tips-what-should-i-do-after-having-my-baby-if-my-breast-milk-doesnt-come-in-immediately/

For the mum, she may notice more…

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