#HLWDK Daily Health Tips: The Effects Of Nocturnal Emissions

Q: Hi Dr. Ketch Have a nice day. I’m from Philippines 18 y.o, I just wanted to ask about the effects of wet dreams in our health? Is this having a negative effect? How I can prevent wet dream because every time I sleep, I also experience wet dream

A: In young men going through puberty, wet dreams (also called nocturnal emissions) may occur as the body starts producing testosterone. This presents as ejaculation during sleep leading to wet PJs and embarrassment when the gentlemen wake up. Note that not every teenage boy goes through this experience though most guys will experience it at some point during puberty and sometimes as adults, too. As men grow older though, this phenomenon happens less.

Wet dreams are a normal part of growing up and cannot be controlled – you really cannot stop them from happening. Hopefully as you get older, they will stop. If you feel particularly embarrassed, please find a trustworthy adult who you can talk to and discuss your concerns.

People say that having a wet dream as a teenager means you are ready for sex…this is not true. As explained above, it is part of the normal process of puberty and the only thing it says, is that a boy is physically able to ejaculate. A sexual relationship is a completely different matter requiring great levels of maturity, because there are consequences 🙂

Have a good night y’all 😀

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#HLWDK Daily Health Tips: Rape…Again!

Q: Good morning, Dr. I was raped in 2014, I did not go for any medical test because I didn’t know what to do. Sometimes last year(December) I had sex for the first time, unprotected, my partner feel ill after that, does it mean that I infected him. Meanwhile I have done HIV/AIDS test severally. Please doctor what should I go. I am so scared.

A: Hello dear, my heart goes out to you for what happened. There are two things every rape victim must always do…report the rapist to the police and get yourself checked out in a hospital. Usually when people are raped, they experience a deep sense of shame making it difficult for them to seek help and indeed prosecution for the person accused. This should not be. Please seek help…for you to ensure that you do not end up with any STI, for emergency contraception, to get checked out by a doctor especially if you suspect you have a tear etc and to ensure that your predator is not emboldened to do this to another person, ever again. Going to law enforcement as soon as possible would help as the clothes may contain some forensic evidence.

Now in your case, you did not do any of this. However, you should still get yourself checked out. Go and see your doctor and let him know what happened to you and let him decide what tests are relevant now. In addition, seek counseling too. That your partner got ill after unprotected intercourse does not mean you infected him…especially, if the doctor confirms you have no infection. If there is an infection though, open up to your partner and both of you should get treated at the same time. Hopefully, your partner sticks around for the long haul; but if he doesn’t, it’s his loss. You need to focus on you now. You have to let go of the experience you had in order to begin your life afresh without fear and hang-ups.

Having said all of that, unprotected intercourse is a sure-fire way of getting pregnant and getting STIs. Generally, remember the ABCs. Abstain…which is always the best bet if you’re not married, be faithful to one partner (who is hopefully being faithful to you) or use condoms.

To help prevent other incidents of rape, practice personal safety and trust your instincts. If the situation looks or feels fishy, it probably is. Try to ensure you go with company if you must visit any friend of the opposite sex or better still, meet in a public place etc.

If you’re in Nigeria, Project Alert (http://www.projectalertnig.org/) and the Lagos Domestic Violence centers  (http://domesticviolence.com.ng/help-for-domestic-violence/) will also be able to provide some more practical support in terms of counselling and probably legal help, if required.


Stay safe, okay?!

Loads of love and hugs coming your way…

Have a great night, people 😀


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#HLWDK Daily Health Tips: What Is Diaper Rash Ointment?

In response to my post yesterday, someone asked the question, ‘Thanks doctor, please what is diaper ointment’. To answer this, I repeat a post on diaper rash, which is really what the ointment is used for. I don’t really mention brand names on my page, but if you follow my suggestion, you will get the best one for your baby at any pharmacy.

Q: Dr. please, my one month old baby is having some kind of reaction caused by diaper. Please Dr. what should I do?

A: You didn’t describe what sort of reaction your baby is having. I’m assuming they are rashes. If so, your baby may be having a diaper rash.

To prevent diaper rash,

  • Change baby’s diaper more often than you would normally do.
  • Let baby’s bottom air dry during a diaper change and if possible, leave the diaper off for a while, if you can.
  • Use unscented, mild soap and a warm washcloth to clean baby during a diaper change. Perfume and deodorant soaps can be harsh on baby’s skin.
  • If you use baby wipes, choose those that are free of perfume, alcohol, and chemicals.
  • Whether your baby has a rash or not, always carry a small tube of Diaper Rash Ointment. A diaper rash cream provides a protective barrier between your baby’s bottom and potential irritants, like urine especially if there is prolonged contact with baby’s bottom. A diaper rash cream can prevent a nappy rash and protect your baby’s bottom; it can also heal your child’s bottom, if a diaper rash already exists. Vaseline and other readily available zinc ointments are good examples. Ask at your local pharmacy. Some also have soothing ingredients to help calm inflammation and heal irritation.You never know when you will open the diaper and see the beginnings of a rash, and the sooner you attend to it, the faster it will heal.

I hope this helps. If the rash/reaction does not clear, be sure to see your baby’s doctor. It is also possible that your baby is reacting to the brand of diapers you’re using. If so, a change to another brand may be helpful 😀 Have a chat with your baby’s doctor and take it from there.

Have a good evening, folks 😀


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#HLWDK Daily Health Tips: Diapering For A First Time Mum (FTM)

Did you find yourself feeling overwhelmed after you had your first baby with all the advice coming from different quarters…all of them struggling for supremacy? Let me help you along with some quick tips on how to diaper your baby. You can thank me later 😀

  1. Get the right diaper that fits your baby snugly around both the waist and around the legs to prevent leakage, but not be so tight that it leaves marks on the skin and the materials should not rub or irritate the baby’s skin. Avoid the really perfumed brands of diapers as they are very likely to cause irritations.
  2. We are all aware that we should wash our hands thoroughly after changing a diaper but, you should wash up beforehand too. You should try to keep your hands clean anytime you’ll be handling a baby, especially a newborn. Keep a hand sanitizer around the nappy changing area and in the diaper changing bag. Just give your hands a quick cleaning before the change. Always remember to wipe baby from front to back and of course, wash-up when you are done!
  3. Newborn poop is called meconium and it is black, sticky and hard to remove. After each diaper change, just slather some petroleum jelly on baby’s bottom. This keeps baby’s buttocks nice and clean from meconium. The next time baby poops, the poop will slide right off!
  4. If baby’s bottom is irritated, try rinsing it off with a slightly warm spray of water from the sink or shower instead of using baby wipes which can actually irritate their little butts even further. Always have a good supply of a diaper ointment on hand as it will work wonders and makes baby feel better every time! If your baby doesn’t like to have the ointment applied to their skin, or fusses when you put it on, try putting some right onto the diaper in a strategic location so it will connect with the irritated area once you close the diaper.
  5. Never leave your baby unattended on a changing table or any elevated surface where you are changing them, even if you are using the safety straps. Keep them safe and secure and let them know that their diaper changes are normal. Never tell a baby they are stinky or yucky. Having a negative attitude toward diaper changing can actually cause a baby to feel shame about their bodies and can hinder potty training, and I’m sure you like all parents, want your child potty-trained as soon as possible

Being a new mum can be daunting. But hey, you’ve got the most important ingredient needed to help your baby….love! I’ll help out with the rest!


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#HLWDK Daily Health Tips: De-Stressing!

How was your week? Stressful or relaxed? We all deal with stress. Some cope better than others. Those who don’t cope so well, come down with stress-related ailments like hypertension. We don’t want you to be that person J Let’s give you some fun ways to handle your stress

  • Blow bubbles: You can do this alone or with someone. Observe the colours and shapes of the bubbles and how very beautiful they are
  • Remember the advert where a boss is dancing in his office and his staff join in? Be that guy. Dance. Turn on the music in your living room or bedroom and just dance. Beyond the feel good effect, this releases happy brain chemicals, endorphins
  • Buy a book of jokes and indulge in it when it looks like the sky is about to fall.
  • Watch your favourite comedy and just let your laughter roar from somewhere deep inside.
  • Don’t take yourself too seriously. Laugh and laugh often too. This lowers blood pressure, opens up creativity and stimulates the production of endorphins…the happy brain chemicals.
  • Complex carbs help increase the level of the feel-good hormone, serotonin and because they are digested slowly, they make you feel that good for longer. Oranges, spinach, nuts like almonds, fatty fish etc are also helpful

So, this weekend and next week, don’t let stress get the better of you. Stay right on top!

Have a great weekend 😀


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Is it a cold or allergies? – Harvard Health

Q: Doc please help! My nose itches me a lot, plus sneezing and constant running nose. It’s more than 10 yrs. My eyes also itch me. Thanks

A: Hey, thanks for writing in 🙂
The question you really have is, ‘what is my problem?’ A cold? Allergy? What? The post here tells you exactly what! https://www.health.harvard.edu/diseases-and-conditions/is-it-a-cold-or-allergies

For a related post, please click on this link: https://chatwithdrketch.com/2016/07/14/daily-health-tipspersistent-cold/

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#HLWDK Daily Health Tips: Can This Be Menopause?

Q: Hello Doc, please I need some clarification on this. I used to menstruate five days initially when I was very young. Then, I got married it changed to three days. Recently for the past three months it has been just two days. I’m just 43 years now. Could there be a problem? Do I need to see a doctor or is it a sign of menopause? Thanks

A: What is normal in terms of menstrual cycles varies from person to person with menstrual flow lasting between 2 to 8 days and the cycle lasting anything from 21 to 35 days. A reduction in flow (scanty period) is called hypomenrrhea (pronounced hai-po-men-oria) and a reduction in the number of days of flow to less than 3 days is called oligomenorrhea (oli-go-men-oria). Women with oligomenorrhea may go up to 35 days without a period.

Now at the onset of puberty, the flow and cycle can vary from one cycle to the other; the same goes for the other extreme of life (old age) when women head towards menopause. So, can it be menopause? First, a definition….menopause is a period defined by at least 12 months of cessation of menstrual period. It occurs as a natural process of aging which can start as early as late 30s as the ovaries start making less amounts of hormones with an average age of about 51 years. Menopause can also be induced by chemotherapy or radiotherapy (treatment for cancers), surgical removal of the ovaries etc. This is called premature menopause. This is also likely to run in families. So, it could be menopause…but your doctor is in the best position to confirm that.

What else could have caused your flow to reduce? They include pregnancy (the supposed periods may be an implantation bleed), crash dieting (when you want to lose all the weight you added in 5 years in one week :D), intense physical activity, Polycystic Ovary Disease (PCOD), imbalance of hormones, Diabetes or thyroid problems and use of contraceptives. Previous instrumentation like Dilatation and Curettage (D and C) can result in a condition called Asherman’s syndrome which manifests as reduction in menstrual flow. In the same way that stress can delay a menstrual period, it can also cause a reduction in flow.

Oligomenorrhea is not necessarily a serious problem, but it could be indicative of an underlying disease. You must work with your gynaecologist in order to manage this. If the cause is PCOD, focus will be on the treatment; if due to intense exercise, reducing intensity will be helpful; if due to crash dieting, focus on eating a proper balanced diet will help etc. Your gynaecologist will carry out a detailed examination and investigation to arrive at the cause and advice on treatment.

For posts on related topics, please click on this link: https://chatwithdrketch.com/2016/08/15/daily-health-tips-ovarian-cysts-and-fertility/

Have a great evening, great people 😀


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