What are the symptoms of heart failure?- Harvard Health

‘Despite the name, heart failure does not mean the heart has failed completely. Instead, it means the heart isn’t pumping efficiently enough to meet the body’s need for blood.

When the body first detects that it’s not getting an adequate blood supply, it tries to compensate. Stress hormones rise, pushing the heart to beat faster and harder. Blood vessels narrow in an effort to keep blood pressure stable. To keep blood flowing to the heart and brain, the body diverts blood away from less important tissues. The body also retains sodium and fluid in an attempt to supplement the volume of circulating blood.’

For more, please click on source: http://www.health.harvard.edu/healthbeat/what-are-the-symptoms-of-heart-failure

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Daily Health Tips: Bad Breath In Children And Adults

Q1: Please, ma’am. What causes bad breath and mouth odour? And what can a person use to cure it? I really need an answer.
 
Q2: Good morning Doc. Please I need you to advise my friend who’s suffering from bad breath or mouth odour. He has visited the dentist and has used mouth wash and other things yet to no avail. He’s very worried about all these. Please, what do you advise him to use or do? Thanks ma’am
 
Q3: Hello doctor, please what drugs and toothpaste can eliminate bad breath and breath odour? Kindly reply. Thanks in anticipation.
 
Q4: A very good day to you ma’am. Please ma’am, my four year old daughter has bad breath. I’ve tried everything hygienically possible to curtail the bad breath but after some minutes, it comes back. Please, I need urgent help. Thank you ma’am and God bless you.
 
A: Thanks to you all for writing in.
I will start with the last question about bad breath on children…
 
Bad breath at any age is traumatic but in a young child, it often leaves the parents wondering what they are doing wrong
Improper brushing of teeth is always an issue. People argue that they brush their teeth and their children’s teeth properly, but this may not be completely true. Do you brush your teeth for at least 2 minutes, paying attention to every section? Do you brush your tongue? Do you floss? Remember that food particles between teeth can interact with bacteria that live normally in the mouth and lead to stinking mouths…same for food debris at the gum line and tonsils. And then, when a baby has a congested nose and breaths with his/her mouth, the dry conditions enable the bacteria to thrive.
Tonsilitis, finger sucking by babies, tooth cavities and buildup of tartar on teeth can all cause bad breath.
 
What can you do as a parent? Get involved. Help your baby with brushing the teeth to teach him the right technique. (When you say, he brushes twice a day, I hope this doesn’t mean he’s doing it without supervision?) Brushing times can become fun bonding times for mummy and her son or for daddy and son. Sing nice fun songs and brush your own teeth at the same time too
 
Remember that oral care (care of the mouth) should start even before the first tooth erupts. Regularly wipe your baby’s mouth and gum with a wet flannel and as soon as the first tooth/teeth erupt, start brushing. Use tooth paste that does not contain fluoride until your baby can spit. What tooth paste does not contain fluoride? Ask at your regular supermarket or simply pick up the packs of the different tooth pastes and look for one that does not contain fluoride
 
 Use a tiny amount of paste at this initial time (about the size of a grain of rice), then graduate to a pea sized amount and tooth paste that contains fluoride, when the child can spit out.
 
Remember the rule of twos: Take your baby to see the dentist twice a year, help him and teach him to brush his teeth at least twice a day (three if you can manage it, after every meal) and be sure to ensure that he spends at least 2 minutes brushing his teeth. A simple way of doing this is mentally dividing the mouth/teeth into four quadrants/sections. Then spend at least 30 seconds on each side, making sure you brush every surface of the teeth.
 
Then be sure not to forget the tongue. Pay attention to every side and use a soft bristled brush to do a good job. There are tongue scrapers which can be purchased alone or tooth brushes which come with bristles at the back for brushing the tongue.
 
Stay off alcoholic mouth washes for your baby as the alcohol just worsens the dryness in the mouth, And remember that mouth washes are just temporary fixes. They only mask the bad breath and not treat it.
 
Encourage your baby to drink water regularly, especially if they have dry mouths and they’ve got to scrub their hands regularly too, if they suck their fingers/thumb.
 
These should be sufficient to stop the bad breath. If they don’t however, please see your doctor to rule out other causes of bad breath which cavities in the teeth etc
 
And for adults…..
Bad breath, also called halitosis, may be as a result of poor hygiene habits, eating strong smelling foods or could be a sign of other medical conditions.
If adequate dental hygiene is not maintained, food particles can remain in our mouths, encouraging bacterial growth bacteria in our mouths can break down food particles and raise a serious stink. Proper dental hygiene habits includes:
Brushing your teeth twice a day (this sounds like a ‘no-brainer’ but the right technique is important. Mentally divide your mouth into four quadrants and spend at least 30 seconds on each quadrant. This way, you spend a minimum of 2 minutes brushing)
Brushing your tongue (if you finish brushing and you can still see all that whitish residue on your tongue, you haven’t done a good job. Some of the smell comes from there. Some tooth brushes come with a tongue scraper at the back of the brush…use that. If not, buy one or just use your brush)
Flossing your teeth everyday. Ask for this in your local super markets. This gets rid of the food particles between your teeth where your tooth brush can’t reach.
Using a mouth wash can also help the prevention of mouth odour.
Eating strong smelling foods like onions and garlic could also cause mouth odour which may not be taken care of by brushing. This is because these ‘foods’ are absorbed into the blood stream and excreted through the lungs. So, the smell will persist until excretion is complete. The small can be masked with mouth wash etc
Disease conditions that can lead to bad breath include mouth infections, Diabetes Mellitus, sinus infection etc.
Other conditions like use of tobacco (chewing or smoking), some drugs and dry mouth (which is the reason for morning breath :D) are also culprits.
Prevention is focused on the tips given above and ensuring that you visit your dentist at least twice a year, brushing at least twice a day (if not after every meal) with a fluoride tooth paste (remember that fluoride is not recommended for children less than 2-3 years and even then, only a pea size is recommended), change your tooth brush once every three months and drink lots of water.
Let’s keep the pearls shining and the breath smelling really fresh.
By the way, would you tell a friend, if he/she had bad breath?
I asked that question during one of my shows and most people didn’t want to be the one that causes offence by telling someone that they have bad breath. However, most people also wanted to be told if they had bad breath. So, who will bell the cat? :d
Did you miss the show? Catch it here and watch me have fun putting OC Ukeje on the hot spot. https://chatwithdrketch.com/2015/05/03/watch-the-dr-ketch-show-episode-on-bad-breath-here/
Have a good evening, y’all 😀
 
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5 tips for healthy grilling

Memorial Day marks the unofficial beginning of summer and the official beginning of grilling season. From northern Maine to southern California, the backyard barbeque will be a key part of the holiday weekend. Whether your menu includes simple burgers or something more elaborate, several simple steps can help you serve up a healthy meal: Start with a clean grill. Limit the formation of potential cancer-causing compounds by marinating meat, poultry, or seafood before cooking, cooking for longer at a lower temperature, and having a spray bottle filled with water handy to control fatty flare-ups. Give veggies and fruit equal billing with meat. And practice safe grilling by keeping raw meat, poultry, and seafood separate from vegetables and other foods, using a food thermometer to check the internal temperature of grilled meat, poultry, and seafood, and placing grilled food on a clean plate, not on the ones that held them when they were raw.

Source: 5 tips for healthy grilling

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Daily Health Tips: Snoring

Q1: Dr Ketch please what is the best remedy for snoring?

Q2: Good morning Dr. Ketch, my girl of 9yrs breaths Out… as in if one is standing by her closely you could feel or hear how she breathes out and as a result she has difficulty in breathing well when she sleeps. She snores and doesn’t breath down well. Please, I need your advice. More grace!

Q3: Hello Doc. Please, my two year old boy had an infection some time in 2014, he was taken to the hospital and was diagnosed of upper respiratory infection which was treated but since then, any time he sleeps and is exposed to fan, his breathe sounds laboured and as if he snores but without fan he sounds alright. He is not asmathic, no fever and no headache. Please, what could be wrong? Thank you.

Q4: Dear Dr, is there any solution or natural therapy for snoring?

Q5: Is there a way a person can stop snoring

A: Thanks to all of you for writing in.

For Q1, Q4 and Q5 sent in by adults….

Snoring can be a problem as it can disturb sleep for you, your partner and perhaps even your neighbours 😀  When we sleep, our muscles relax. This includes the tissues in the airways (throat). Snoring occurs as air passes through the airways that are partially obstructed by relaxed tissues. As the air flows, these tissues vibrate and we hear the sound described as snoring.

Occasional snorers are mainly problematic to their partners (who may or may not put up with it) but habitual snorers impede sleep for their partners and the quality of their own sleep is markedly reduced. As a result, daytime sleepiness, morning headaches and not feeling quite rested after sleeping may be normal symptoms for both parties.

Causes of snoring include alcohol consumption (due to relaxation of throat muscles), being overweight (due to narrowing of the airways from extra tissues at the back of the throat), seasonal allergies, cold or sinus problems, enlarged tonsils or even sleeping position (sleeping on the back). Apart from the above, being a man and having a family history of snoring puts one at risk.

It is possible to stop snoring through lifestyle modifications and they include:
• Losing weight. If one is overweight, the fatty tissues around the neck can squeeze the airway and this makes it difficult for air to flow freely.

  • Sleeping on your back! I keep trying to get my daughter to do this and I’ve failed woefully so far :DBut this may help as it helps keep your tongue out of your airway. It certainly helps my daughter when I can get her to stay in that position long enough to sleep 😀
  • Stop smoking as this irritates your throat and can cause swelling. Again, this prevents the free flow of air.
  • You know how you feel alcohol makes one relax? Well, they kinda do the same thing to the muscles of the throat :DThis makes them collapse easily, reducing the airway. So, try and avoid this at least two hours before bedtime.
  • Exercising often prevents you from being overweight and prevents those fatty tissues from squeezing your airways shut 😀

Treating allergies or sinus/tonsil problems and slightly raising the head of your bed may also help.

I hope these tips help. If the snoring persists, please see your doctor. He may suggest some anti-snoring devices…any one of some oral appliances (provided by dentists specialized in snoring problems may help), nasal strips, pressurized masks, implants or surgery, as a final resort may be used to treat this. Or he may consider some other diagnosis like sleep apnea (in which one wakes up gasping for breath as the airways close up often during the night).

For the children…

Snoring in children may be due to an upper respiratory tract infection, allergy or a stuffy nose. However, loud and regular snoring in children is not usual and may be due to other conditions like sleep apnea, inability of the lungs to take in sufficient oxygen etc

Please take your baby to the hospital to get checked out by a doctor who will make a definitive diagnosis.

Have a good and snore-free night, y’all 😀

 

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Daily Health Tips: Can Kissing Transmit Any Disease?

Q: Dr, Kissing can transmit any disease?

A: Interesting question. It depends on the way kissing is done. If this on the cheeks or forehead, you’re unlikely to contract any disease. Though a number of people believe sexually transmitted infections can be transmitted through kissing, this is not usually so. However, if kissing moves beyond the type mentioned above and gets deeper, open-mouthed in people who probably also have sores or cuts in their mouths, there’s no saying what else could be transmitted! 😀 The one disease that there is a consensus on that you can contract through kissing is cold sore.

Cold sores which are also called fever blisters are caused by a virus, Herpes Simplex. They typically occur around the mouth or under the nose and may recur in people who have had them when they have another infection like a respiratory tract infection, fever, injury to affected area, are emotionally upset, fatigued etc.

Fever blisters can cause pain in the mouth and the pain associated with this condition is worse when hot, spicy or acidic foods like lemon are taken. These sores are contagious but most times clear up without the need for medication within 7 to 10 days. Sometimes, antiviral drugs are administered. Local anesthetic drugs may help reduce the pain of the sores.

Cold sores in rare cases can also occur due to oral sex with someone who has genital herpes. This risk of contracting  infections through oral sex is increased in the presence of already existing Sexually Transmitted Infections, mouth ulcers, bleeding gums and sores in the genital area.

This risk of infections through oral sex may be reduced by the use of barriers like condoms and avoiding ejaculation in the mouth. Use of pre-exposure drugs (prescribed for people at risk of HIV infection) and ensuring that anti-retroviral drugs (drugs used for the treatment of HIV) are being used correctly by partners who are HIV positive may also reduce risk of HIV infection through oral sex.

Generally for STIs, 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.

Have a good night, people 😀

 

 

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An easy way to eat healthier this summer: Find a farmers’ market

Researchers found that people who shop at farmers’ markets drink less soda and eat more vegetables.

Source: An easy way to eat healthier this summer: Find a farmers’ market

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Cleaning Your Ears…

Should we really be cleaning our ears or even children’s ears with cotton buds or cotton tips? Are there medical rules about the size of the objects that must never be found in ears and the size that is okay to put in there?

Asthma…what does this mean? If my child has it, are there lifestyle modifications that can help cope with this?

The book, Just For The Health Of It With Dr Ketch, explores these and other issues

You can get a copy via the shop now link on our facebook page. Or you can get it through:

 

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 linkhttp://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.

 

For those in Awka, please call 08189944090.

 

Remember that this book 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, Christmas gifts etc. It’s a gift that keeps on giving J

 

 

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Daily Health Tips: What Does Expiry Date Mean?

Q: Please Dr, can I still take any drugs that will expire in two months’ time (Blood tablet)?

A: Thanks for writing in.

Very good question! This is something we all take for granted. But what does the expiry date mean? If this is referred to in another way, does it mean the same thing?

There are a couple of controversies about whether medications are completely bad when they are expired or whether they can still be taken with no problems. We will not delve into these controversies and will focus on what you should do.

The expiry date refers to a particular date beyond which the medications may not be safe to use anymore and when they may be only partially or not at all effective. These dates are usually seen on the packaging or label of the medication, usually put there by the manufacturer of the medication and goes by different nomenclatures: expiry, expires, exp, use by, use before, exp date etc

All medications should be stored properly; usually away from sunlight in a cool place. Once the expiry date is past, do not use it. If it is still within the useful date (before expiry date) but looks and/or tastes and/or smells funny/different, please discontinue use until you get this checked out by your doctor or pharmacist.

If a medication has ‘expiry date’ of July 2017, this means ‘do not take this medication beyond the last day of July, 2017’

If a medication has a ‘use by, use before or best before date’ of July, 2017, this means, ‘do not take this medication beyond the last day of June 2017′

This is also helpful when assessing the expiry dates of foods etc.

So, if your medications are due to expire in 2 months, smell, taste and/or look normal, have been stored properly, it’s probably okay to take them. Where in doubt, please consult your doctor or pharmacist.

I hope this helps.

Enjoy the rest of your day, people 😀

 

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4 ways exercise helps arthritis – Harvard Health

Even the healthiest people can find it hard to stick with an exercise regimen — and if you suffer from the joint pain of arthritis, moving your body may be the last thing you want to think about. But regular exercise not only helps maintain joint function, it also relieves stiffness and reduces pain and fatigue.

Read the full details here http://www.health.harvard.edu/pain/4-ways-exercise-helps-arthritis

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Daily Health Tips:Frequent Urination And Headaches

Q: What can I do doctor? I am urinating frequently. I feel very sharp urge and pain like when I feel like urinating. My urine is pure…it has no impurities like different colour. I am not suffering from high blood pressure because I was told it’s another sign. What can I do? The problem has affected my sex with my spouse again. I am now very weak in sex. I can’t be comfortable urinating every time but, is there medicine I can use or some food I can use to help?

I also have a headache for a month now, I have taken tablets but it doesn’t help. What kind of disease am I suffering from with headache being the symptom?

 

A: Frequent urination may actually be due to the simple fact that you’re drinking way too much fluid. However, where this is not the case, it is likely to be due to a health problem.

 

Some causes of frequent urination include:

  • Sexually Transmitted Infections as you have already noted.
  • Some medications
  • Drinks that contain caffeine, alcohol etc
  • Infections that along the urinary tract or changes to the bladder
  • Infection or enlargement of the prostate
  • Disease conditions like Diabetes Mellitus etc
  • Some cancer treatment eg radiation treatment for the lower abdomen

 

If this is due to excessive fluid intake, limiting this will help. If this symptom is associated with others like difficulty with urination, pain during urination, passing out bloody urine, incomplete emptying of bladder when urinating etc, please see your doctor asap.

 

So, I suggest that you just go and see your doctor. He will take a good history, examine you and order some investigations. The treatment of course will depend on the cause of the problem.

 

For related posts, please click on the following:

https://chatwithdrketch.com/2014/10/02/daily-health-tips-urinary-tract-infections-in-men/

 

https://chatwithdrketch.com/2014/07/09/daily-health-tips-why-do-i-have-pain-when-urinating/

 

https://chatwithdrketch.com/2014/02/20/daily-health-tips-train-that-leaking-bladder/

 

https://chatwithdrketch.com/2014/06/15/daily-health-tips-prostate-enlargement/

 

https://chatwithdrketch.com/2014/06/16/daily-health-tips-more-on-the-prostate-gland/

 

As for the headaches, these refer to pain or ache anywhere on the head. They may be primary, in which case they are due to problems with the structures sensitive to pain in the head. Or they may be secondary in which case the pain is due to an underlying disease that causes the pain-sensitive structures in the head to be activated.

 

Common causes of primary headaches include:

Tension headaches: This is the more common type of headache seen as the everyday sort of headache. It affects both sides of the head as a constant ache. Its causes are not very clear but they can be triggered by stress, hunger, dehydration, etc they can last a couple of minutes to several hours but are not severe enough to stop regular activities. Resting and sleeping well, eating properly and staying hydrated can help prevent this.

 

Migraines: These are felt as severe throbbing pain at the front or side of the head. Some people may experience other symptoms like nausea, vomiting and being sensitive to light. The pain lasts from a couple of hours or can stretch on for days. Thus, it is more severe than the tension headaches and can stop an individual from carrying out their daily tasks. Some find that they need strong medication prescribed by doctors to get relief but others are relieved by using over the counter medications.

 

Cluster headaches:These cause severe pain around one eye and are associated with red or watery eyes and a blocked nose or runny one. They tend to occur for one or two months at a time at about the same time of the year. Most times medications do not work for these headaches. Your doctor will prescribe specific treatment courses.

 

Chronic daily headaches may be due to medication overuse. This would occur in people who use pain medications too often and then end up with rebound headaches…the exact condition they were trying to avoid. Moral of the story: Never abuse your medications 😀 Use only as directed by your doctor.

Sex headaches: Yes, this can occur. For more on this condition, please click on this link:https://chatwithdrketch.com/2014/11/20/daily-health-tips-sexual-headaches/

 

Primary headaches may be triggered by stress, skipped meals and dehydration as noted above. However, they may also be associated with alcohol, foods that contain nitrates like spinach and bad posture.

 

Secondary headaches may be due to dental problems, hangovers ear infections, blood clot in the brain, wearing tight gear on the head like hats or even wigs (yes, I see you ladies :D) or even eating cold stuff like ice creams etc.

 

So, what should you do? If you find that tight head gear or eating ice cream is the problem, see if stopping helps.

 

If you find that these headaches are now more frequent than usual, more severe than usual, stops you from going about your daily activities, is no longer responding to the over the counter medications you used to take etc, please see your doctor. It could be nothing but it could very well be a serious issue. Better safe than sorry!

 

All the best!

 

Have a good night, people 😀

 

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