Want To Get Back To Pre-Baby Size?

If you have had a baby and you wonder how you can ever return to your size pre-baby size, well, this is for you!

I remember those years before I had my first baby! I see some of those pictures and I gaze in awe. I had my first baby and once she was six weeks old, I was back on the beat doing my exercises to get back to my BC (before child) status

Then came along baby number 2…and suddenly, it wasn’t so easy to get back to my pre-pregnancy state. I managed it at the end of the day though…but it was with tightly gritted teeth, loads of sweat and oodles of perseverance.

Then came baby number 3 and my metabolism finally gave up. Every food I ate was duly converted to calories and stored in embarrassing areas of my body like my lower belly and my hips. Again, I worked at it, even harder this time!

In between, I tried some magic berry pills that were supposed to speed up your metabolism so fast it made your head spin! Well, I can tell you for a fact that my head spun, not from how fast my metabolism was converting fat to muscle but by how I could have ever considered there was an easier way…than sweating and grunting through it!

Did it get better afterwards? Nope, it became a constant battle to get the weight off and make it stay that way. And so I decided to do something about it! And do something about it, I did. Want to know what I did to lose all the baby weight? get details from the book, Just For The Health Of It. You can get a copy via the shop now link on our facebook page. Or you can get it through:

1) Jumia.com. Just click on this link http://www.jumia.com.ng/jumia-books-just-for-the-health-of-it-with-dr-ketch-179486.html and get a copy. You have the option of paying when the book is delivered to you or paying online. This service is available all over Nigeria.

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 link http://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

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Having A Cold? Here’s Your Survival Tool Kit!

It is the season of sniffling noses! 😀 When you have a cold you feel absolutely miserable. As this is viral, then even drugs may not be able to help you as the infection will run its course with or without drugs. As is usually said, if you have a cold and you take a drug, it will go in 2 weeks instead of a fortnight…no difference. Here are some things to help you feel better during this time.

5 items to include in your flu and cold survival kit

  • Tissues: An essential for the sniffles. To help prevent the spread of germs, discard each tissue promptly after using it.
  • Water: Aim for eight to nine eight-ounce glasses of water each day to help you stay hydrated. It also helps the body eliminate toxins (dry mucus membranes can make it easier for viruses to enter).
  • Petroleum jelly: Helps to soothe raw, irritated skin around your nostrils.
  • Some warm soup: This could be chicken or any other mild pepper soup. This acts as an anti-inflammatory agent and temporarily increases the movement of mucus through the nose.
  • Throat drops: Necessary for minor throat irritations. Lozenges provide a soothing, comforting care and relief from the symptoms of colds and.

 

Closer: Remember to wash your hands often when you have a cold as you don’t want to pass on your germs.

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Daily Health Tips: Should A Nursing Mother Take Lemon Water Or Lemon And Ginger Tea?

Q : Hi Doc. Please, is it advisable for a nursing mother to either take lemon water or lemon and ginger tea?

A: Just like pregnancy, breastfeeding may place some restrictions on what you eat, and drink. This is because the things you consume are passed to your baby through your breast milk.
Lemon and lemon water are beneficial to the digestive system as they have been found to reduce gas and bloating in both mother and baby. Ginger is also beneficial, as it has been found to improve lactation. Even though they may be beneficial to both mother and baby, it should be noted that these may interact with certain drugs and increase risk of gastrointestinal problems, stomach ulcers and allergic reactions like breathing difficulty, or swelling of the lips, tongue or face.

I would advise you talk with your doctor before commencing any of these or other herbal supplements, especially so if you are taking medications for other health conditions, or at risk of certain diseases.

*****The answer to this post was contributed by a guest doctor blogger

If this lemon is being taken for weight loss, please read my thoughts on that: https://chatwithdrketch.com/2015/01/11/daily-health-tips-weight-loss-the-role-of-lemons-and-exercise/

Have a good night y’all 😀

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Is Milk Just For Children?

For some reason, people think that milk is only for children. But it’s not. It should certainly be started in childhood to ensure that one builds up a significant stock of calcium that helps prevent brittle bones later in life. You don’t want to deal with broken bones in old age, do you? You should still be able to teach the young ones a trick or two in sports. I certainly intend to!

Now let me give you a quick class on how much milk you should be getting per day.
• From birth till 6 months, a baby should be getting breast milk only and he should get it on demand several times a day at least 2-3 hourly
• From 6 months to 1 year, continue breast milk with other complementary feeds like fortified cereals
• From 1 year to 2 years, the child should get at least 2 cups of full cream milk. The fat is particularly important to ensure proper brain development
• From 2 years to 8 years, your child should get at least 2 1/2 – 3 cups of skimmed milk or other dairy products daily
• From 9 years till adulthood, you should get at least 3 – 4 cups of skimmed milk or dairy daily

Remember that your milk intake should form part of your calorie intake per day. Be sure to take that into account. So guys, get your milk mustache going. It’s certainly one source of protein and calcium that you should not be ignoring. Be sure to check that the milk is also fortified with Vitamin D which ensures that the calcium is properly absorbed. If you are at risk of prostate cancer, be sure to discuss your milk intake with your doctor.

So, what innovative ways can we use to incorporate milk into our diets?
• Add milk to your children’s breakfast cereal. Either use it instead of water as the fluid for making your oatmeal in the morning or pour it over their cereal.
• Add milk to your smoothies. Juice and or blend the fruits and then add some milk to it and blend it all up. It tastes like heaven on earth!
• After running around and getting loads of exercise outside, when your children come in, offer a cold glass of milk. It could be regular milk or chocolate milk or just milk with a little flavouring in it like vanilla or butter scotch. Recent research shows that it’s a great pick-me-up after physical activity. The fact that it’s cold may encourage your sweaty I-don’t-like milk child to give it a try.
• Use milk to make home-made yoghurt and get your children involved and bond some more.
• You can use milk to make some super delicious milk shakes. Everybody loves a milk shake. An easy one to make is a combination of milk, some fruits (eg mango) and crushed ice. Put all into a blender and whizz away. Watch while blending because if you blend for too long, it becomes runny. You want it nice and sorta thick….and utterly delicious!

So, now you can rustle up more wonders from your kitchen. Go for it!

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Daily Health Tips: How Can I Regain My Appetite?

Q: Please Doc, I need to add some weight and at least have appetite for food. What can I use? Secondly I’m prone to cold. Sometimes, I take Procold…I don’t know if that’s advisable.

A: With the adoption of western lifestyle, obesity and other chronic non-communicable diseases like Diabetes and Hypertension are on the increase. Many people are now looking for ways to reduce weight and live healthier. Both actual and virtual forms of exercise or weight reduction programs abound.

Ironically, here you are asking for how to add some weight. I can almost say, you are so lucky! However I had to caution myself, considering there may be other circumstances surrounding your request.

First, your weight or how you see it may not be a true reflection of your health status. A slim, tall man, may be healthier than a thick, stocky counterpart. Also, a fat, rounded person, who is tall and exercising regularly, with no other risk factors, may be healthier than an average height, full-bodied individual. A more objective measurement is the body mass index, which makes use of your height and weight and categories if you are underweight, normal, overweight or obese.

So, I would advice before you start adding on the weight, do check your BMI and see a doctor who can help rule out other health issues that may be contributing to ‘low weight’. For your appetite, I would advise you eat only when you are hungry, eat an appetizer like carrots, or fruit salad before meals, avoid drinking water or fluids before meals, this will fill up your stomach and reduce the quantity of food you can consume. I wouldn’t really encourage that you take medications to boost your appetite, as these could have effects on the brain and general functioning of the body. Let your doctor advice you as to whether you need to take these or not.
To add on weight, eat foods that are balanced in carbohydrates, proteins, fats, vitamins and minerals. Proteins are excellent for body building and help in cell growth and repair. Meat, chicken, fish, eggs, beans, legumes, milk, and other diary produce are excellent examples. Focus on quality and not quantity. The rule is divide your plate into 3 parts, ½ of it should be a protein diet, ¼ carbohydrate or fats (unsaturated), and the remaining ¼ should be vegetables and fruits. Eat more frequently, and never skip meals. If you must snack, choose snacks like nuts, dried fruits, crackers or crunchy vegetables and fruits. Eat before bed time, never go to bed on an empty stomach.

It’s important to monitor your weight from time to time and also exercise (note, exercise is not just for weight reduction, it’s for physical fitness too). As much as you can, avoid physical and emotional stress.

Being prone to recurrent colds, may be due to an allergic condition in which you are highly sensitive to certain substances like cold environment, dust, smoke, perfumes, strong smells etc. It usually starts as an episode of sneezing and later a blocked/ dripping nose. It may be a problem with the immune system, where the body isn’t strong enough to fight against infections. It could also be that there is an infection of the nose and adjacent structures which may require antibiotics. There could be a small growth in the nostril called a polyp which could make you more prone to this, or an obstruction along the tract.

It may not be a good idea to keep taking the medication you mentioned. I would advise you see a doctor who would be able to evaluate you properly, find the cause of your colds and treat appropriately. Meanwhile, I would advise you avoid cold environments and cold drinks for now. Keep warm, take a lot of fluids, get adequate rest, and eat healthy. Steam inhalation(covering yourself up in front of a bowl of hot water in which eucalyptus oil has been added, for about 15-20minutes twice or thrice a day, with the aim of inhaling the stream)is also very helpful.

I hope you are able to get the desired weight you desire 😀 and not overweight. Remember, it’s a lot easy to gain weight but very hard work to lose it!

****The answer to this question was contributed by a guest doctor blogger.

For more on this question, please click on this link https://chatwithdrketch.com/2015/03/13/daily-health-tips-adding-weight-re-visited/

Have a great night, everyone 😀

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Daily Health Tips: Vaginal Itching In Pregnancy

Q: Good day Doc. I’m five months pregnant and my vagina itches a lot. Sometimes it doesn’t itch though. What’s the cause and what can I use to prevent it?

A: Vaginal itching is very common during pregnancy. This is because pregnancy brings on additional demands on the body. The natural defense mechanisms of the body are not functioning optimally, so certain conditions which ordinarily would have been taken care of, may then set in.

Vaginal itching is caused by a yeast infection. The risk factors include pregnancy (where the infection may be recurrent), moist humid environment, poor genital hygiene and problems with the immune system like diabetes and HIV.

It can be prevented by good hygiene, making sure the genital area remains as dry as possible, wearing cotton underwear, good nutrition, and using an antifungal cream around the vagina. In some cases, a vaginal suppository may be inserted into the vaginal for a few days. However, because of the risk of taking medications in pregnancy, antifungal tablets may not prescribed. Hope this helps.

*****The answer to this post was contributed by a guest doctor blogger

For related posts, please click on the link:

Daily Health Tips: Is It Safe To Treat Candidiasis In Pregnancy?

Have a good night y’all 😀

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Daily Health Tips: What’s The Best Contraceptive For Me?

Q: Hello Dr. Please I need your advice. I have two daughters and would want to wait for three years before another because I had both through C-Section. However, I do not want to go for family planning because I heard it’s not really ideal for a lady still bearing children. Please, how do I avoid pregnancy for these three years? Thank you, Ma’am

A: Hello Madam, it’s a great idea to plan your pregnancies and space them appropriately. It not only enables the mother recover fully from the previous pregnancy, it also helps the family plan financially and give the children the care they deserve.

There are quite a number of methods which can be employed; we have the traditional methods and the conventional /modern methods. The traditional methods include the use coitus interruptus, where the man withdraws just before ejaculation. This method is often ineffective and the chances of getting pregnant are high. Lactation amenorrhea is when the woman breastfeeds exclusively for six months and thus delays the return of her menses. This method is only effective when exclusive breastfeeding is practiced, and is highly variable between individuals such that pregnancy can still happen in some cases. Periodic abstinence is similar to the rhythm/calendar method, where intercourse is avoided during fertile times (1 week before ovulation and 3 days after). This method involves observing and taking notes of changes in the body such as changes in cervical mucus, body temperature and breast tenderness, over a couple of months. From these you can predict your likely fertile period (ovulation). This method is more widely acceptable; however it requires commitment and motivation. There are however some apps, that have been designed to make this easier, we also have the cycle beads for those that find this a bit confusing.

The choice is yours, however I would advise you visit a family planning clinic where you would be assessed, given further advice or clarifications. To clarify your misconceptions, family planning i.e. the conventional/ modern methods, can be used by most women in the reproductive age group, whether or not you want to continue having children. There are various methods which do not interfere with your chances of a future pregnancy, and you would be educated and advised on such methods on visiting a family planning clinic.

Best wishes!

*****The answer to this post was contributed by a guest doctor blogger

For related posts, please click on the link:

Daily Health Tips: Salt Water Solution For Contraception In A Hypertensive etc

Daily Health Tips: Contraception

Have a good night y’all 😀

Posted in Uncategorized | 1 Comment

Daily Health Tips: Persistent Cold And…How Do I Add Weight?

Q: Please Doc, I need to add some weight and at least have appetite for food. What can I use? Secondly I’m prone to cold. Sometimes, I take Procold…I don’t know if that’s advisable.

A: With the adoption of western lifestyle, obesity and other chronic non-communicable diseases like Diabetes and Hypertension are on the increase. Many people are now looking for ways to reduce weight and live healthier. Both actual and virtual forms of exercise or weight reduction programs abound.

Ironically, here you are asking for how to add some weight. I can almost say, you are so lucky! However I had to caution myself, considering there may be other circumstances surrounding your request.

First, your weight or how you see it may not be a true reflection of your health status. A slim, tall man, may be healthier than a thick, stocky counterpart. Also, a fat, rounded person, who is tall and exercising regularly, with no other risk factors, may be healthier than an average height, full-bodied individual. A more objective measurement is the body mass index, which makes use of your height and weight and categories if you are underweight, normal, overweight or obese.

So, I would advice before you start adding on the weight, do check your BMI and see a doctor who can help rule out other health issues that may be contributing to ‘low weight’. For your appetite, I would advise you eat only when you are hungry, eat an appetizer like carrots, or fruit salad before meals, avoid drinking water or fluids before meals, this will fill up your stomach and reduce the quantity of food you can consume. I wouldn’t really encourage that you take medications to boost your appetite, as these could have effects on the brain and general functioning of the body. Let your doctor advice you as to whether you need to take these or not.
To add on weight, eat foods that are balanced in carbohydrates, proteins, fats, vitamins and minerals. Proteins are excellent for body building and help in cell growth and repair. Meat, chicken, fish, eggs, beans, legumes, milk, and other diary produce are excellent examples. Focus on quality and not quantity. The rule is divide your plate into 3 parts, ½ of it should be a protein diet, ¼ carbohydrate or fats (unsaturated), and the remaining ¼ should be vegetables and fruits. Eat more frequently, and never skip meals. If you must snack, choose snacks like nuts, dried fruits, crackers or crunchy vegetables and fruits. Eat before bed time, never go to bed on an empty stomach.

It’s important to monitor your weight from time to time and also exercise (note, exercise is not just for weight reduction, it’s for physical fitness too). As much as you can, avoid physical and emotional stress.

Being prone to recurrent colds, may be due to an allergic condition in which you are highly sensitive to certain substances like cold environment, dust, smoke, perfumes, strong smells etc. It usually starts as an episode of sneezing and later a blocked/ dripping nose. It may be a problem with the immune system, where the body isn’t strong enough to fight against infections. It could also be that there is an infection of the nose and adjacent structures which may require antibiotics. There could be a small growth in the nostril called a polyp which could make you more prone to this, or an obstruction along the tract.

It may not be a good idea to keep taking the medication you mentioned. I would advise you see a doctor who would be able to evaluate you properly, find the cause of your colds and treat appropriately. Meanwhile, I would advise you avoid cold environments and cold drinks for now. Keep warm, take a lot of fluids, get adequate rest, and eat healthy. Steam inhalation(covering yourself up in front of a bowl of hot water in which eucalyptus oil has been added, for about 15-20minutes twice or thrice a day, with the aim of inhaling the stream)is also very helpful.

I hope you are able to get the desired weight you desire 😀 and not overweight. Remember, it’s a lot easy to gain weight but very hard work to lose it!

****The answer to this question was contributed by a guest doctor blogger.

For more on this question, please click on this link https://chatwithdrketch.com/2015/03/13/daily-health-tips-adding-weight-re-visited/

Have a great night, everyone 😀

Posted in Uncategorized | 1 Comment

Daily Health Tips: Genital Tract Tear And Uterine Rupture

Q: Please throw more light on genital tract tears and uterine ruptures, its effect on a woman who had a big baby through vaginal birth. Thanks and God bless

A: Genital tract tears or perineal tears during childbirth (vaginal delivery) as well as uterine ruptures are quite common especially in the resource poor nations where most pregnancies/deliveries do not receive adequate care or supervision.

Genital tract tears, in most cases occur when the baby’s head passes through the birth canal, or for a number of other reasons, and to differing degrees. The tear can range from a first degree tear involving the skin around the vagina alone, and no muscles involved to a fourth degree involving the perineal muscles, and extending up the anus and rectum. The risk factors include, a big baby(as you have mentioned) or if the baby’s head is big, having a previous perineal tear, an episiotomy(a cut given by a midwife to enlarge the birth canal, may get extended resulting in a tear), excessive bearing down between contractions (when the cervix is not fully dilated),when a certain instrument called a forceps is used to assist in bringing out the baby, prolonged labor (labor lasting more than 20hours in a ‘first-timer’ and 14hours in a woman who has previously given birth) and very fast labor (precipitate labor) are also risk factors.

Genital tract tears are repaired by the health worker, as soon as they are identified, to prevent bleeding. Following the repair, ice packs may be applied to the area for a few hours. Painkillers, antibiotics and vitamins prescribed by your doctor, may help to relieve the pain and aid healing. Sitz bath (sitting in a bowl of warm water which has been mixed with a handful of salt for 10 -15 minutes twice or thrice a day) is also recommended for pain relief and to prevent infection.

Uterine rupture on the other hand is not as common, but most often the major risk factor is a scar from a previous caesarean section. Attempting a vaginal delivery after one or more previous caesarean sections is a controversial issue for both women and their doctors. In the typical African setting, the woman is seen as weak if she does not experience labor pains and have a vaginal delivery. With this pressure, most women would want to give it a try, even when strongly discouraged by their care giver. Following a caesarean section, the lower uterine segment, this is the part of the uterus which was cut open to deliver the baby, is not that strong. So, during labor, with regular strong contractions that area which is already weak undergoes further stretching, and may tear/rupture. It is advisable to have a vaginal birth after a caesarean section (VBAC), supervised by a trained healthcare worker and in tertiary hospital. The labor is made as short as possible and closely monitored to prevent a uterine rupture.
Other risk factors for rupture of the uterus include, previous uterine surgeries like fibroid surgery, excessive stimulation (hyper-stimulation) of the uterus during labor with the use of oxytocin or prostaglandins, high parity (having 5 or more deliveries), over-distension of the uterus (either from amniotic fluid or carrying more than one baby), trauma to the uterus from maybe a car accident, a difficult manual removal of the placenta and a prolonged labor in a woman with a big baby.

Prevention of both genital tract tears and uterine rupture lies primarily in receiving qualitative and efficient antenatal care, peripartum (around the time of birth) care and postnatal care. Risk factors like being overweight or being diabetic (which are risk factors for having a big baby) should be identified and managed proactively (focus on dietary modifications, weight management, and exercise). Women should be given adequate support and care through pregnancy and more especially during labor.

Thanks for your question and God bless you too.

******This answer was provided by a guest doctor blogger.

For related posts, please click on https://chatwithdrketch.com/2014/07/22/daily-health-tips-can-i-have-a-baby-normally-after-a-cervical-tear/

Have a great weekend y’all 😀

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Daily Health Tips: Why Do I Have Boils?

Q: Please Dr, I have a boil in my pubic region and after bursting it this evening, a smelly and disgusting stuff came out of it. What is the cause of this sir?

A: A boil, also called a skin abscess, is an infection of a hair follicle deep in the skin. Boils can occur in any part of the body, but most frequently in the armpits, groin, around the vagina/anus areas, around a tooth and at the back. They are often swollen, painful, and after a few days collect as a head of pus and debris (this explains what you noticed) which can rupture on their own when soft or ‘ripe’ or may require a health expert to cut it open and drain it (if it’s quite large).

Boils in the pubic region, can be caused by an ingrown hair (the hair instead of growing upwards, grows inwards into the skin, this may occur following shaving), blocked hair follicles (from sweat, or a damp unclean environment), a sexually transmitted infection (herpes, when it’s just starting) a sign of some other disease like diabetes, or problems with the immune system, poor hygiene (especially during menses for women) and poor nutrition.

As much as you may want to, avoid squeezing or scratching it, allow it rupture on its own. This would help prevent further infection of deeper structures and skin, and also prevent spread to other areas. Apply warm water with a cloth on the boil for about 10-15 minutes, 2-3 times a day. Avoid sharing towels and washcloths with other people and keep the area clean and dry as much as you can. An antibiotic cream or mupirocin cream can also be applied (ask for this in a pharmacy shop). You may require antibiotics, which would be prescribed by your doctor, if he thinks you need them. Further evaluation may be necessary if you have boils in multiple areas, recurrent boils over several months, a very large boil, or boils on your face and anus.

Hope this helps.

*****This post was contributed by a guest doctor blogger

Have a good evening, y’all 😀

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