Is My Baby Moving Enough?!

One of the scariest moments in pregnancy isn’t labour…even though that ranks high up there!

It’s wondering whether your baby’s movements are normal.

Is your baby kicking more than usual?

Or have the movements suddenly reduced?

Both questions deserve answers but they don’t always mean the same thing.

Here’s what every pregnant woman (and everyone who loves one) should know…

Q: Hello Doctor Ketch, I’ve been reading a lot of your answers to questions and I also need some answers. I am 7 months pregnant and the fetal movement has become too much and too forceful. Sometimes I’m scared the baby will kick itself out of me. Please kindly throw more light on all I’ve mentioned, with possible causes and remedies. This is my first pregnancy. Thanks.

A: The first time you feel your baby’s movement is known as quickening and the time women feel it varies person to person. It ranges from 16 to 25 weeks but women who have had babies before may feel this much earlier. Women describe it as different things: a bubbly feeling; butterflies in their tummy; gas etc.

You would have observed that your doctor or midwife has asked you to be aware of your baby’s movement and specifically, make a note to let them know if the movements reduce. This is because reduced baby’s movements may signify baby is in distress or other problems.

Increased movement is however, not that much in the news 😀

Babies also tend to move around a lot after a meal or if you take drinks that contain caffeine. If you’re struggling to sleep and baby is intent on finding a comfortable position, his/her movements can also get exaggerated 😀 Having said all of these, if you do believe baby’s movements have got more frequent than usual, please see your doctor about this.

Better safe than sorry.

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Morning Sickness At Night???

“Morning sickness” is one of the biggest lies ever told to pregnant women.

Because for many mums…It doesn’t happen only in the morning.

It can happen morning, afternoon, evening…and even wake you up at night.

If you’re pregnant and wondering whether what you’re experiencing is normal or you’re watching someone you love go through it, this post is for you.

Read on!

Q: Hello Doc, I am roughly two months or thereabout pregnant. I last saw my period in December. I have been vomiting constantly and at every time of the day. I was given an injection in the hospital but most at times I still feel like throwing up after eating and I usually feel very weak. Do you have any advice for me and what is the right time to go for a scan cos my tummy isn’t protruding?

A: Morning sickness during pregnancy can be really trying! I know…I suffered through it! Oh boy! Thank God I’m over all of that now…I’m a grandmother in waiting 😀

Now, for the rest of you who still have to go through this, I’ll share some tips.

The standard teaching is to try eating some bland foods like Crackers biscuits or dry toast. That personally didn’t work for me. I preferred tart things…which some may want to avoid. I loved lemons during my pregnancies. They were the one thing guaranteed to ‘wake up’ my mouth and chase nausea far away. I also had a particular brand of very tart bubble gum, I indulged in 😀 These were key for me because, though I didn’t have the real bad case of morning sickness that sent you to the hospital, brushing my teeth in the morning always sent me into a bout of retching/vomiting. So, I always had a ready supply of the gum or lemon/lime to pop into my mouth once I was done brushing/retching! Not a very pleasant memory ;D

So, if lemons work for you to prevent nausea, go for it. Remember that moderation is key. A few drops (one or two) in a glass of water are enough to provide that tart kick that sends nausea far away. There is a catch here though…remember the heart burn associated with pregnancy. The acid content of lemon might make the heart burn and any pre-existing gastro-esophageal (stomach and esophagus/gullet) problems worse. So, this is all the more reason to be very moderate or stop if it exacerbates an already bad case of heart burn. Wherever and whenever in doubt, please be sure to see your doctor.

Other tips:
• Eat little amounts of food frequently as an empty tummy increases the likelihood of throwing up. Remember this is not an excuse to binge and over eat 😀
• Avoid fatty and greasy foods.
• Avoid smells that trigger nausea
• Cold foods may be preferable to hot as the former does not give off smells that may cause you to feel queasy.
• Get loads of fresh air and rest
• And drink sufficient fluids daily

More importantly, women going through this need love and support more than ever. If you can’t stand cooking now, because of this, get help etc.

On when to do a scan, it depends on what you want the scan for, If it’s for dating the pregnancy, the last menstrual period is best for this. That is the first day of the woman’s last normal menstrual flow. However, if she is not sure of her dates, then a scan can be used. To date pregnancy, a first trimester scan gives the most appropriate approximation. The earlier it is, the more accurate it is likely to be.

Have a good day everyone 😀

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Pregnant And Your Tummy Hurts?

“Doctor… my wife is pregnant and keeps having abdominal pain.

The scan says everything is fine, but the pain isn’t going away.”

Few things frighten expectant parents more than persistent pain during pregnancy.

The truth is that not every abdominal pain means something is wrong with your baby.

Some pregnancy pains are completely normal…while others are medical emergencies.

The challenge is knowing the difference.

In today’s post, I’ll discuss:
Common harmless causes of abdominal pain in pregnancy
The dangerous causes you should never ignore
The warning signs that mean you should go to the hospital immediately

And why, if something “just doesn’t feel right,” it’s always safer to get checked.

Your instincts are super important! Never ignore persistent or severe pain during pregnancy.

Q: Hello doc. thanks so much for the educating info that you keep feeding us and also responding to our inquiries – so much appreciated. Doctor my wife is having her first pregnancy and these first two months have proved to be hell for her. She’s having abdominal pains every now and then. It started with the lower abdomen and now it’s all over. it’s often after moving sometimes its just.
we went to the hospital for scan but there was nothing at all worrying that much in her womb or anywhere cos the scanning was thorough. Our worry is the pain is not reducing at all. What could it be and what should we do? Please help!

A: Hi dear, thanks for writing in and thanks for your kind words.

Abdominal pain in pregnancy may or may not be serious.

Harmless causes include:

· Constipation

· Gas

· The growing womb (uterus)

· Braxton-Hicks contractions (these are ‘fake’ contractions preparing the womb for the main even :D)

Serious causes of pain during pregnancy include:

· Ectopic pregnancy.
· Pre-term labour.
· Miscarriage.
· Placental abruption.
· Urinary tract infection.
· Pre-eclampsia.

Having said all these, you probably have no way of knowing what is harmless or not. So err on the side of caution and see your doctor if ‘it just doesn’t feel right’.

All the best!

Did you experience abdominal pain during your pregnancy? What did your doctor say was the cause?

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White And Watery Discharge At 27 Weeks Of Pregnancy – What Does This Mean?!

“Doctor… my underwear keeps getting wet.”

Is it normal pregnancy discharge…or could my waters be leaking?

It’s one of the scariest questions an expectant mum can face.

The good news is that not every watery discharge means your waters have broken but knowing the difference could make all the difference for you and your baby.

In today’s post, you’ll learn:

How to tell urine, normal vaginal discharge and amniotic fluid apart

The warning signs that mean you should go to the hospital immediately

Why leaking amniotic fluid before 37 weeks needs urgent attention

And what your doctor may do to confirm the diagnosis.

If you’re pregnant or know someone who is this is one post worth saving and sharing.

Q: Good day Ma’am. I’m 27weeks pregnant with my first. For the past 1week, I’ve been noticing a white/milky watery discharge with no smell. I’m confused because I’ve heard many stories of leaking amniotic fluid (which I learnt is dangerous). Is this normal & please what can I do about it? I’m anxiously waiting for your reply. Thanks

A: Thanks for writing in dear.

Amniotic fluid is the fluid that surrounds and cushions a baby while in the womb. The fluid is contained within a sac called the amniotic sac. Usually just before a woman goes into labour, this sac ruptures and the fluid is released…that’s what is referred to waters breaking.

When I had my last baby, my waters broke right in the hospital reception! And so, there was I with water all over my legs and people in the reception area watching 😀 It wasn’t quite funny on that day! But I digress…

Sometimes, this sac of fluid bursts or it could start leaking very gradually before the pregnancy is 37 weeks. This is called Pre-term Pre-labour Rupture Of Membranes (PPROM)

Question is whether what is leaking is urine, amniotic fluid or vaginal discharge.

Here are some tips to help you know:

If it’s urine, it has the peculiar smell of urine and is usually leaked when one coughs, laughs or sneezes.

If it’s vaginal discharge, it’s there constantly and may be clear, white or yellowish

If it’s amniotic fluid, it’s likely to be clear, or slightly mucoid and/or blood stained and it wets panties continuously irrespective of whether one laughs or not

The most significant issues with PPROM is the danger of infection, premature birth and the dangers associated with it.

Thus, if you develop a fever, the discharge changes to green, develops a foul smell, you experience vaginal bleeding, contractions, abdominal pain or baby appears not to be moving as normal, be sure to see a doctor immediately.

So, my advice would be to see your doctor immediately so s/he can examine you and make a diagnosis.

S/he will confirm whether indeed it is amniotic fluid and then take a decision as to what step to take next. If the leakage is little, you may be asked to stay in hospital for a few hours while wearing a sanitary pad to check for whether it becomes soaked. An ultra sound scan, vaginal exam etc are also useful in making a diagnosis.

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Doctor…Ever Since I Got Pregnant, I Can Hardly Pass Stool.

If you’re pregnant and experiencing constipation, you’re certainly not alone.

In fact, it’s one of the commonest complaints during pregnancy, and no, it doesn’t necessarily mean something is wrong.

Blame your pregnancy hormones. 😃

They’re doing an important job: helping your body absorb more nutrients for your growing baby.

Unfortunately, they also slow down your digestive system, leaving your stool drier, harder, and much more difficult to pass.

The good news?

There are simple, safe ways to get your bowels moving again, without putting your baby at risk.

In today’s post, I’ll discuss:

Foods that help relieve constipation
How much water you really need
Why yoghurt may help
Safe ways to encourage bowel movement
Why you should not stop taking your iron tablets without speaking to your doctor

If you’re expecting or know someone who is, this is one post worth saving and sharing.

Q: Good day Dr. Ketch, I am in my early month of pregnancy and is finding it difficult to pass stool. Please help.

A: Welcome to the land of pregnancy and raging hormones!!! 😃This is going to be an interesting period in your life and your hormones are going to act up in different ways.

Constipation is common in pregnancy and is due to the hormones of pregnancy, which make the muscles of your digestive tract work in a more leisurely manner. This ensures that food stays longer in the tract, more nutrients are absorbed from it (so that more nutrients can go to baby) but also more water is absorbed from it, leaving the poop hard and constipated. The iron-containing pre-natal drugs may also contribute to this but you do have to take them ;D

Tips to help you deal with the constipation include:

• Adding more fruits and veggies to meals.
• Eating small quantities at a time. You could try to aim for 5 small meals (breakfast, lunch dinner and 2 snacks in between) per day containing fruits, Veggies, complex carbs and proteins. Snacks can be a handful of nuts, etc
• Drink sufficient amounts of water. At least 8 glasses. Remember that this depends on your activity and weather condition. If you find yourself in a hot environment where you’re sweating a lot, by all means drink some more.
• Some activity is also useful in getting things ‘down there’ to move along 😀 Remember to check with your doctor, what activities are safe for you to undertake when pregnant.
• Yoghurt with probiotics is also a great idea and helps the stomach bacteria break down the food and more importantly, keep it moving along.

At what stage of pregnancy did constipation become a problem for you?

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The Doctor Said, ‘Your Baby’s Blood Sugar Is Dangerously Low.’

Every parent’s heart would skip a beat.

But what does that really mean? How serious is it? And what can be done?

If you’ve ever welcomed a new baby or know someone who has this is one post worth reading.

In today’s post, I’ll explain:
Why newborn blood sugar naturally drops after birth
Which babies are most at risk
The warning signs every parent should know
How low blood sugar is treated
And why early treatment can protect your baby’s brain.

Please read and share with an expectant parent 🙂

Q: Hi my cousin gave birth yesterday and baby glucose was below 2 and even today, it’s still fluctuating by below 2. What is it that could help increase thee glucose level?

A: Hi dear, thanks for writing in and congratulations to your cousin.

A baby’s blood sugar level goes down in the first couple of hours after birth. This is normal. As baby feeds, the blood sugar level goes up and by the time it goes down again, your baby is probably already signaling for a feed.

Most healthy babies are able to deal with this variation in blood glucose levels as they will take as much milk as they need to keep their blood sugar level normal. Some babies are however not able to maintain this delicate balance and so low blood sugar is common in:

Babies born to diabetic mothers,
Babies born, too big or too small
Babies born prematurely

What could lead to this?
Poor nutrition in the mother during pregnancy
Blood incompatibility of baby and mother
Birth defects
Poor oxygen intake during birth
Liver disease
Excessive insulin produced in the baby of a diabetic mother
Infection
Cold stress (exposure to cold)

Why is this is cause for concern? It’s because the brain depends on glucose as a source of energy. If this is lacking, then baby starts to experience seizures and later on, brain damage. Other symptoms of low blood sugar include:

Jitteriness
Low body temperature
Blue colouration of the body
Poor feeding
Baby could stop breathing

Diagnosis is made by taking a blood sample and treatment is dependent on baby’s age at birth, baby’s overall health and medical history, baby’s tolerance for medication etc.

Treatment typically involves giving the baby glucose – either in the form of glucose and water by mouth or through an infusion. Or the paediatrician may recommend feeding the baby.

Let your cousin be guided by the paediatrician who will advise on the best course of action based on factors already described above.

All the best!

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Doctor, Tell Me The Exact Food That Will Lower My Blood Sugar.

If only it were that simple…

One of the biggest myths about diabetes is that there’s a single “superfood” that can bring your blood sugar back to normal.

There isn’t.

Blood sugar control isn’t about one magical food – it’s about the overall pattern of what you eat, how much you eat, and how you combine your meals.

The good news?

Some foods digest more slowly, helping to reduce sharp spikes in blood sugar.

In today’s post, I’ll explain:

Which foods help keep blood sugar steadier

Why beans are one of your best friends

The fruits that are better choices

Why brown isn’t always enough – you need to understand the glycaemic index

The healthy fats and proteins that can help

And perhaps the most overlooked tip of all…Eating slowly.

Before you spend money on expensive “diabetes foods” or herbal mixtures, read this first.

Q: Hello, please I want you to tell me the exact food, which will lower blood sugar level in the body. thanks

A: If you are diabetic, the first thing to do is to ensure that you work out a meal plan you’re your nutritionist/dietician. Your doctor will, most likely, refer you to one.

Understanding the glycemic index of food will also be helpful. This index is a measure that ranks foods that contain carbohydrates on a scale of 0 to 100.

The higher the number, the faster the food is digested, causing fluctuations in the blood sugar level and the lower the number, the slower the food is digested causing less fluctuations in the blood sugar level.

So the focus should be on foods with low glycemic index.

Here goes: principles of low glycemic eating:

Eat a lot of beans (any and every type), non-starchy veggies (garlic, onions, leeks, chives, cabbage, broccoli, lettuce, tomatoes, peppers etc) and fruits like apples, berries, peaches and pears.

Eat a lot of grains in their natural state like natural granola, brown or local rice and muesli cereal

Reduce your intake of concentrated sweets like fruit juices (no more than half a cup daily…if you must) and other sugar loaded or sweetened drinks. You should definitely be guided by your nutritionist here

Load up on healthy proteins like fish, skinless chicken and beans…again

Reduce your intake of refined grain products like white bread and polished rice.

Reduce your intake of bad fats by avoiding fast foods and limiting your intake of animal products. Focus on healthy oils like Olive oil and nuts like almonds etc. However, even these should be taken in moderation as even healthy oils are full of calories! It appears as if you just can’t win!😃

Be sure to take your breakfast and eat 3 meals with a snack or 2 (healthy options, of course)

Finally, remember to eat slowly to give enough time for your stomach tell your brain that you’re full…and then stop!

All the best!

What’s the biggest thing you’ve had to give up because of diabetes?

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Can The way You Sleep Affect Your Baby?

“Doctor… will sleeping on my tummy hurt my baby?”

This is one of the commonest questions pregnant women ask.

Many become so worried that they stop sleeping in the position they’re most comfortable in even during the early weeks of pregnancy.

But the good news is that in early pregnancy, sleeping on your tummy is generally not a problem if you’re comfortable.

The real concern comes later in pregnancy, and surprisingly, it’s often sleeping flat on your back that deserves more attention.

Why?

Because as your baby grows, your womb can press on a major vein, reducing blood flow back to your heart. That can make you feel dizzy and may reduce blood flow to the placenta.

In today’s post, I’ll discuss:
The safest sleeping positions during pregnancy
When you should stop sleeping on your back
A simple pillow trick that can ease back pain and help you sleep better

If you’re pregnant or know someone who is, this is worth reading.

Q: Hello Doctor. ..is it safer for a pregnant women to sleep on her tummy?

A: Congratulations on your pregnancy!

In early pregnancy, there’s nothing really wrong with lying on your tummy….that’s if you feel comfortable. As your pregnancy progresses, you will definitely not be able to do so again. So, if this is your guilty pleasure, enjoy it while it lasts.

Generally, in the first trimester, if you’re used to sleeping on your back or tummy, you can continue.

However, as you get into your second trimester, it is fact that pregnant women should not sleep on their backs especially close to term. This is because the woman may feel dizzy as the growing uterus puts pressure on the vein that returns blood from the body making the woman feel dizzy on getting up and the baby may also not get enough nutrients from the placenta in that position.

As pregnancy proceeds, you may start to experience more backaches as the weight you have put on starts to take its toll. Be sure to sit up straight on chairs with proper back support to help with this. Sleeping on your side with a pillow between your legs will also help. This may be the cause of your backaches but if they are very discomforting, please see your doctor. Better safe than sorry.

What sleeping position has been most comfortable for you during pregnancy?

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Don’t Apply Hair Removal Cream Until You Know This!


“I only left the hair removal cream on for a few extra minutes…”

That’s a sentence many people have said. Unfortunately, for some, it ends with red, painful blisters, or even a chemical burn.

Why?

Hair removal creams don’t just dissolve hair.

They work by breaking down the same protein that’s also found in the outer layer of your skin.

That’s why leaving the cream on for longer than instructed doesn’t remove hair better…it can start removing your skin instead.

The good news?

When used correctly, hair removal creams are generally safe, even on the chest.

In today’s post, I’ll explain:

Where you can safely use them
Where you should NEVER apply them
How to avoid chemical burns
Why you should always test a small patch of skin first
And how to prevent those annoying razor bumps and ingrown hairs after shaving

Before your next shave or before you reach for that depilatory cream, read this first.

Q: Hello Dr, how are you doing, thanks for all the educative advice. Please I want to know if HAIR REMOVAL CREAM is advisable for removing hair on my chest.?

A: Hair removal cream also known as depilatory creams contain chemicals like thioglycolic acid (responsible for that strong and pungent odour associated with these creams) that break down the protein (Keratin) in hair. This leads to weakening and dissolution of the hair making it easy to be scraped away from the skin’s surface.

This product is usually used with great caution as keratin is also found in the top layer of the skin and if the cream is left on for too long, the chemical in it starts working on the skin leading to chemical burns and blisters. So be sure to follow the manufacturer’s instructions, strictly and test the cream on a small patch of skin on the arm or leg before using it on a large area. If you have any sort of reaction like blisters, burning, redness etc, wipe off immediately and do not use that same brand again. If you’re still up for it, you could try a different brand.

​Depilatory creams are generally safe to use on the chest (though they were originally developed for the arm and legs). There are special products for people who have sensitive skin too.

Please do not use depilatory creams on the following areas:

Groin – use only around the bikini line. How? Wear a pair of old panties and then apply the cream on the hair that is exposed. Do not apply on the area covered by the panties
Around the anus or nipples
Eyebrows or around the eye area
Nose – not for nose hair
Scalp
Ear – not ideal for ear hair

Avoid using this cream:
If you have broken or irritated skin
If you have a sunburn
If you have had any other form of hair removal within 24 hours
If you are undergoing medical treatment for skin conditions, diabetes or circulatory disorders. In these cases, speak with your doctor first
If you are allergic to any of the components of the cream

Where in doubt, always speak with your doctor!

To round off this discourse, here are some tips for avoiding razor bumps after hair removal:

Razor bumps are also known as ingrown hairs. Ingrown hairs occur when hair curls back and brow back into the skin. This is particularly easy with hair that had been cut (as in shaving) as the hair that grows back usually has a sharp edge and finds it easy to ‘pierce’ into the skin.

For under arm bumps, a solution to this is to stop shaving and leave the hair well alone 😀 Another option is to use depilatory cream. This may, however, cause irritation and so should not be used more than once or twice a week.

Try to resist the urge to press these bumps but if the temptation proves too great, use a sterile needle to tease out the hair, if it appears to lie close to the surface. If it appears deep, please leave well alone…let’s not give you scars you’d rather not have 😀

Preventive measures you can practice include:
• Using a single blade shave stick
• Wet the area to be shaved with warm water and use a shave gel
• Try not to shave too close…you know how you like to pull the skin taut to achieve a better shave? Well, stop doing that as this encourages hair to curl back into the skin
• Shave in the direction of growth of the hair.
If infections occur, the bumps become filled with pus and you may be prescribed antibiotics for this. Your doctor may also prescribe some drugs to help calm down the inflammation.

For razor bumps in the groin….

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! 😀 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. 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 used on the infected parts may lead to further re-infection with bacteria that are 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 you ever had a bad reaction to a hair removal cream or razor bumps after shaving?

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What If You Could Remember Your Past But Could Not Make New Memories?

When you hear the word amnesia, what comes to mind?

Someone who wakes up and can’t remember their own name?

That’s what movies have taught us 😃

But real-life amnesia is often very different.

Many people with amnesia **know exactly who they are**.

The real problem is that they may struggle to make new memories, or they may lose memories of things that happened before an illness or injury.

Some of the conditions that can affect memory?
Stroke.
Severe head injury.
Alcohol-related vitamin deficiency.
Brain tumours.
Even emotional trauma.

And one question I’m often asked is:

Is there a drug that cures amnesia?

In today’s post, we’ll explain what amnesia really is, what causes it, why it happens, and what treatment can and cannot do.

Q: Happy new month, Drug prescription for amnesia?

A: Amnesia refers to the loss of memories. People with amnesia know who they are but have challenges learning new information or forming new memories.

What are the causes? They are many and diverse because brain function is controlled by many parts of the brain, such than any problem with one area affects memory. There are 3 types of amnesia:

Neurological amnesia– this is due to damage to the brain and can be caused by conditions such as those listed below:
Stroke
Inadequate oxygen supply to the brain in conditions like a heart attack
Thiamine deficiency from long-term alcohol use
Tumors in the areas of the brain associated with memory
Seizures

Permanent amnesia from severe head injuries resulting from incidents like road traffic accidents

Dissociative amnesia is from emotional shock or trauma. Person involved, may lose personal memories but usually only briefly.

People at risk of amnesia are those who are suffering from or had suffered any of the conditions listed for neurological amnesia

Two main features of amnesia are:

Retrograde amnesia, in which the patient cannot remember previously familiar information

Anterograde amnesia which the patient cannot absorb new information

Additional symptoms may include creation of false memories and confusion

To prevent amnesia:
Avoid excessive alcohol use.
Wear protective head gear when bicycling and a seat belt when driving.
Treat infections quickly to prevent spread to the brain.
Get treated immediately in the event of a stroke

You asked about drugs for treating amnesia. Unfortunately, there are none for now. However, if amnesia is caused by lack of thiamin, then replacement therapy is sufficient treatment.

Generally, treatment focuses on the memory problem and underlying diseases.

Technology can play a huge role here, sending out messages to remind patients of certain key activities
Occupational therapy, is also useful and could involve memory training.

I hope this helps! 😀

Before today, what did you think amnesia meant?

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