#HLWDK Daily Health Tips: The Perfect Skin

We all want the perfect skin – healthy, wrinkle-free and just supple. Ever thought that coconut oil could be used as the perfect moisturizer for the perfect looking and fresh smelling armpits? And it’s all natural. No chemicals that destroy the ozone layer and damage your skin 😀 All the tips you need are all here! Read!

https://atbgs.blogspot.com/2018/08/healthy-skin_90.html?spref=fb

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#HLWDK Daily Health Tips:Not Enough Breast Milk

Q: Doc I’ve a question, If you have plus size breast and you don’t produce enough breast milk, what can you take to have enough breast milk, beside using formula milk? Thank you again

A: Congratulations on your new baby!

Breast milk is the best food for baby, generally speaking. The supply of breast milk is based on its demand. And so, if demand for it is high, supply will be high and vice versa. The more efficiently milk is removed from the breast, the more milk production is stimulated. And so, you need to make a conscious effort to get baby to suck more.

 

If your baby sucks, the let-down reflex ensures that your breast fills up with breast milk. Flat nipples can appear to be a challenge for breast feeding, especially for first time mothers but remember that babies are supposed to latch on to the areola (the black area surrounding the nipples) and not on to the nipples. Press on the areola with your thumb on top and fingers underneath and push back against your chest wall while pressing in with your thumb and fingers. This helps elongate the areola and so, provided you position the baby properly on the areola, breast feeding can go on with no issues.

 

Here are other tips that could help increase milk supply:

  • Be sure that baby is attached properly and get him to suckle on the breast very often. Remember that breast milk production is a function of the breast milk let down reflex which is activated when baby sucks.
  • If you can find a private space within your office where you can express milk, go for it.
  • Increase the number of feeds per day. You could work with a timetable of a feed every 2 to 3 hours. In your case, as many times as is possible when you get back from the office.
  • Switch breasts during a meal time. Let the first breast ‘empty’ before switching baby to the other breast. This can be repeated several times during a feed.
  • Massage your breast and stroke towards the baby
  • Perhaps over the weekend, room in with your baby and get him to feed as much as possible. The let down reflex will be greatly stimulated and so, you could even pump some for when you will be at work and freeze.

Personally, I found that using my hands to ‘milk’ my breasts produced sufficient amounts of breast milk for my always-hungry-can’t-seem-to-get-enough-food-baby. You may want to try that.

Drugs and foods that encourage milk production are called galactogogues. A number of local foods have been touted to help eg Pap (akamu, ogi), green leafy veggies like spinach, oats, garlic and ginger, nuts like almonds etc Go ahead and try out what works for you.

 

Have a great day! 🙂

 

 

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#HLWDK Daily Health Tips: Cryptic Pregnancy

Q: Doctor, please discuss cryptic pregnancy

A: There is not much medical literature on cryptic pregnancy, probably because it is an uncommon phenomenon and not really well understood yet. I will provide what information is available and advise anyone who thinks they have this condition to find a good obstetrician for active management and follow up.

A cryptic pregnancy is also known as a denied pregnancy or graviditatas ignota. In this situation, the pregnant woman unconsciously denies the existence of a pregnancy. Please note the word, ‘unconsciously’. Most times, symptoms of pregnancy (nausea, amenorrhea and abdomen swelling) are absent or greatly reduced, babies tend to be underweight and in many cases, pregnancy goes undetected by relatives and doctors

The reasons for cryptic pregnancy are not clear but some associated conditions are as listed below:

  • Peri-menopause – For women who get pregnant around the time of menopause, there may be an absence of many physical symptoms of pregnancy. Just before a woman becomes menopausal, her hormones are ‘all-over-place’. The decreasing levels of estrogen mean that a woman could get pregnant and not know it. Ordinarily, estrogen helps the uterus/womb to grow, maintains the lining of the womb, increases blood circulation, and regulates the production of other key hormones. It is also responsible for those key pregnancy symptoms like spider veins, nausea, increased appetite, and skin changes. Therefore, when you don’t have them, you’re unlikely to think you’re pregnant. This could also happen in early menopause
  • A low level of the hormone Human Chorionic Gonadotrophin (hCG). hCG is the hormone that is sought for when pregnancy tests are conducted. The level of this hormone could be low if the test is done too early in pregnancy. However, some believe that in cryptic pregnancies, the level of hCG is so low that it is not picked up by urine and blood pregnancy tests. As a result, the babies develop at a slower pace. Truth is, a lot of further research is needed to provide evidence for this
  • Irregular menstrual periods may make it difficult for a woman to observe that she is pregnant
  • Other reasons for cryptic pregnancies include inexperience, general lack of attention to body cues (usually, when these women discover they are pregnant, they start recalling incidents that should have alerted them), intense psychological conflicts about the pregnancy especially if pregnancy happens at a time when the woman is not ready (physically, emotionally etc) for a baby and other external stresses

So, I end as I started. This is a rare condition. The women with this condition would not really ‘know’ that they are pregnant and so this is probably more of an incidental finding at the time of delivery. If you do suspect that you are pregnant and it is not being picked up, then you should be seeing your obstetrician more regularly and he can advise on other specialties to involve after listening to and examining you.

All the best!

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#HLWDK Daily Health Tips: Cryptic Pregnancy

Q: Doctor, please discuss cryptic pregnancy

A: There is not much medical literature on cryptic pregnancy, probably because it is an uncommon phenomenon and not really well understood yet. I will provide what information is available and advise anyone who thinks they have this condition to find a good obstetrician for active management and follow up.

A cryptic pregnancy is also known as a denied pregnancy or graviditatas ignota. In this situation, the pregnant woman unconsciously denies the existence of a pregnancy. Please note the word, ‘unconsciously’. Most times, symptoms of pregnancy (nausea, amenorrhea and abdomen swelling) are absent or greatly reduced, babies tend to be underweight and in many cases, pregnancy goes undetected by relatives and doctors

The reasons for cryptic pregnancy are not clear but some associated conditions are as listed below:

  • Peri-menopause – For women who get pregnant around the time of menopause, there may be an absence of many physical symptoms of pregnancy. Just before a woman becomes menopausal, her hormones are ‘all-over-place’. The decreasing levels of estrogen mean that a woman could get pregnant and not know it. Ordinarily, estrogen helps the uterus/womb to grow, maintains the lining of the womb, increases blood circulation, and regulates the production of other key hormones. It is also responsible for those key pregnancy symptoms like spider veins, nausea, increased appetite, and skin changes. Therefore, when you don’t have them, you’re unlikely to think you’re pregnant. This could also happen in early menopause
  • A low level of the hormone Human Chorionic Gonadotrophin (hCG). hCG is the hormone that is sought for when pregnancy tests are conducted. The level of this hormone could be low if the test is done too early in pregnancy. However, some believe that in cryptic pregnancies, the level of hCG is so low that it is not picked up by urine and blood pregnancy tests. As a result, the babies develop at a slower pace. Truth is, a lot of further research is needed to provide evidence for this
  • Irregular menstrual periods may make it difficult for a woman to observe that she is pregnant
  • Other reasons for cryptic pregnancies include inexperience, general lack of attention to body cues (usually, when these women discover they are pregnant, they start recalling incidents that should have alerted them), intense psychological conflicts about the pregnancy especially if pregnancy happens at a time when the woman is not ready (physically, emotionally etc) for a baby and other external stresses

So, I end as I started. This is a rare condition. The women with this condition would not really ‘know’ that they are pregnant and so this is probably more of an incidental finding. If you do suspect that you are pregnant and it is not being picked up, then you should be seeing your obstetrician more regularly and he can advise on other specialties to involve after listening to and examining you.

All the best!

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Hotel pools and hot tubs may bring health risks – Harvard Health

I don’t swim. I would love to swim but I just don’t 🙂 I remember when my children were younger and I would take them to swimming classes. I would settle down by the side of the pool to study for my MBA and later my MPH. It was during one of those study-swimming time that my son almost drowned, but for my watchful mother’s eyes! He removed his floaters, because he wanted to prove he was a big boy…and even though he was in the shallow pool, he could do what the big kids in the big pool could do. He didn’t make a sound, but somehow, I felt compelled to look up and found my son with terror in his eyes struggling in the water. My mother’s instincts kicked in! I jumped into the pool with my jean trousers and picked him up. It never crossed my mind that I couldn’t swim and I was putting myself and him at even greater risk. Thank God, the pool was shallow……

Anyways, as my children grew older, they begged me to learn and all wanted to teach me. Again, I have never taken them up on their offer 😀 One of the key issues that stopped me and which I keep warning them about is not to go swimming in just any pool. I worried about what germs lurked in the water just because of the anonymity people had to do stuff inside the water and not be seen, like blow their nose in there, urinate etc. 😦 Maybe, I have an overactive imagination! Or maybe not! If you’re checking into a hotel and planning to go swimming, please be careful. You may be at risk of ‘catching something’ Read!

https://www.health.harvard.edu/diseases-and-conditions/hotel-pools-and-hot-tubs-may-bring-health-risks

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#HLWDK Daily Health Tips: What Is Epilepsy?

Q: What causes epilepsy? Epilepsy medication?

chatwithketch

Good morning, everyone! Happy Id-el-fitri celebrations!

Ever heard of epilepsy? You probably have. You have also most likely heard that it is contagious and so sharing cutleries, hugging and sitting close to epileptics puts you in the direct path of the problem, right? Wrong! Epilepsy is NOT contagious!!! I overhear someone ask a question about epilepsy recently and thought to share this.

What is epilepsy? It is a problem of the nervous system where the cells of the brain ‘fire’ or behave abnormally leading to abnormal sensations, symptoms, behaviour and sometimes loss of consciousness. This is called a seizure but not every seizure is due to epilepsy. Seizures can occur in high fever (especially in children) and also due to dehydration. A seizure needs to have occured at least on two different occasions without provocation for epilepsy to be suspected.

Symptoms of epilepsy would depend on the type of epilepsy…

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#HLWDK Daily Health Tips: Calculating Weeks Of Pregnancy

Q: Good day doctor. Can you please help me? I need clarity. If you had an implantation bleeding and found out that you are pregnant, how do you calculate weeks of pregnancy? Do you start from last period or the day of implantation day? Please help. Thank you

A: Implantation bleeding is typically a small amount of light bleeding that occurs about 10 to 14 days after conception. This is thought to be due to implantation as the fertilized egg implants itself in the uterus (womb). This usually occurs in early pregnancy, close to or about the same time as the menstruation would be seen and is thus often mistaken for a period. But, it is usually lighter than menstrual…typically without clots. It would stop on its own and does not require further treatment. If the bleeding is heavier, associated with cramps or any other complication, please see your doctor. As a rule of thumb really, any bleeding in pregnancy should be investigated as they may be due to more serious conditions like ectopic pregnancy, miscarriage and infections.

Now, as to dating pregnancy, this is best done with the use of the last menstrual period – 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.

I hope this helps 🙂

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