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Daily Health Tips: How Do I Take Care Of My Skin?
Q: I’m in Tanzania and I love your TV show I would like you to discuss about how we take care of our skin and body cleanliness?
A: Thanks for being a fan of our show. we love you right back 😀
Happy Boxing day everyone. Trust you had a great celebration yesterday!
The weather is pretty dry now and depending on where in the world you are, you’re either dealing with winter or harmattan…but some are actually contending with Summer. That is awesome!
This tip is for the cold, dry air associated with harmattan and winter. How to keep your skin supple during this period?
Moisturise, mositurise and moisturise! Long hot showers/baths may sound very tempting but they dry out your skin. Opt for short showers. Immediately after you have a bath/shower (with cold or warm water as opposed to hot water), pat your skin dry…leaving some moisture still on it, and then apply moisturizer at this time. This locks in the moisture. Look for moisturisers that contain ingredients like isopropyl palmitate, propylene glycol linoleate, squalene, and glycerol stearate, jojoba oil, lanolin, glycerin, hyaluronic acid, sorbitol, propylene glycerol, urea, and lactic acid (Long list, aye :D). These ingredients provide the mix of keeping the skin soft, smooth and pliable and then also draw moisture from the atmosphere to the skin’s surface increasing hydration.
If you are prone to having cracks on your feet or hands, thicker moisturisers may be needed. Good old petroleum jelly is great and stops you from looking like the ‘paper white man/woman’:D. Have a good stock at home and also have small packs for your handbags, gym bags etc. Other thick moisturisers include cocoa butter, shea butter and beeswax.
Constant hand washing, especially with hot water could lead to very dry hands so make sure that you have your moisturiser handy so you can slather it on immediately after hand washing. You didn’t think we were going to advocate not washing your hands anymore, did you? 😉
Hydrating from the inside may not be a bad idea too. So drink at least 8 glasses of water and load up on foods like berries, nuts and fish (which are rich in Omega 3 fatty acids) and spinach. Stay off alcohol and caffeine as they lead to more water loss.
As for body cleanliness, please click on these links:
Hope you had a great day, beautiful people 😉 Be sure to keep the cold out!
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It’s Christmas Morning!
Merry Christmas, family! It’s a magical morning. Just imagine…thousands of years ago, a king was born who made the difference and continues to make a difference in our lives! What a blessing!
As you go about doing all the things we love to do on festive days like cooking, visiting, partying etc, don’t forget to spend some minutes reflecting on the real and true reason for the season. Don’t forget, if you have children, to remind them that Christmas is really more than the presents they may get. Remember to spend quality time with those who matter the most…quiet time, just savoring and enjoying the moment.
I love you all and wish you the best Christmas you’ve ever had, filled with joy, happiness, peace and of course, wellness 😉 🙂 You all continue to make me a better person and doctor!
May God grant your deepest and most secret hearts’ desires this season.
Merry Christmas, y’all 🙂
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Daily Health Tips: Recipe Galore!
It is Christmas eve! Wow! How fast the year has flown by! I am super excited and just thankful to be alive and well! And of course, it’s celebration time for the Muslims. Happy Id El Maulud!
It is a season when we mostly forget all the great ways we have stuck with (have we? :D) all through the year to keep ourselves fit and trim…and pig out on everything available. Well, here are a few recipes I’ve shared during the year that can be helpful now.
Breakfast ideas:
Overnight oats
Put some oats in a bowl, add some milk and unsweetened yoghurt. If you don’t have yoghurt, milk will do.
Cover with cling film and leave in the fridge overnight. In the morning, add some fruit slices (I like apple and banana slices), add a sprinkle of cinnamon and if you want a little bit more ‘sugar’, add a couple of raisins/currants/dried fruit.
Mix it all up…tastes fabulous!
Dark Chocolate or Chicken Toast
I put a slice of whole wheat bread on the sandwich toaster and then place two small chunks of dark chocolate on it. I cover the chocolate with another slice of bread, plug in the toaster and in a short while, I see the ‘ready’ light which tells me we’re good to go!
Another variation of this is if you have some left-over cooked chicken, or fish. This can replace the chocolate. Chop it up and add some sliced tomatoes. Add some low fat dressing and place in the sandwich toaster. It’s juicily tasty!
Nigerian stew:
This forms the basic background for a lot of our foods in Nigeria.
Q: Thanks Doc, how can one prepare tomato stew without frying?
A: You absolutely can prepare tomato stew (our Nigerian version) with or without frying.
The first method uses just a little oil and fries minimally. Add a table spoon of oil to the pot. Yes, one tablespoon 😀 Then add cut onions to the oil with a teaspoon of curry powder. Stir this until golden being careful not to burn the onions, then add blended tomatoes. Cook until the sour taste of tomatoes is gone.
Add meat stock, boiled meat, seasoning and spices to the tomatoes and cook until thickened. Another option is to lightly fry the meat in the one tablespoon of oil at the beginning and then remove from the pot before cooking the tomatoes. The meat can be added back when the stock is added. Personally, I grill my meat (chicken) and then serve with the stew.
Remember that your stew is not complete without some veggies in it. Wash and cut some green leafy veggies (melon/ugu leaves, scent leaf etc) and add to the stew. I usually turn off the heat once I add the veggies allowing the heat from the stew to do the cooking of the veggies.
Another option is to put the blended tomatoes in a hot empty pot on the burner. Cook tomatoes until sour taste is gone. Then add meat stock, meat, seasoning and spices to the tomatoes and cook until thickened. Don’t forget the veggies.
Try it out and let me know what you think. Remember that you have to re-train your taste buds to understand that you don’t need as much oil as people generally use in their stews. A good rule of thumb here is that, ‘if you can see the oil in the food, it’s definitely too much!’
Snack ideas:
Do you have a sweet tooth and yearn for that cup of ice cream with some crunch? Well, here’s how you can improvise.
Make some yoghurt (unsweetened). I’ve shared the recipe for yoghurt here several times. Here’s the link to it: https://chatwithdrketch.com/2014/10/27/daily-health-tips-recipe-for-and-storage-of-yoghurt/
Get some fruits in season. I love to use mangoes and/or bananas. If you’re going to use both, one small mango and one medium sized banana is sufficient for a long glass. Scoop out the pulp of the mango and then cut up the bananas. Add the fruits to a blender one measuring cup of yoghurt. If you don’t have a measuring cup, just estimate. Blend both. If you want it thick, don’t blend for too long. If you want it runny (like drinking yoghurt) then blend for longer.
Serve in a nice, long cup. If you like some crunch, you can sprinkle some unsalted nuts (almonds, cashew or even peanuts) or some whole grain, crunchy cereal on top.
Improvisations:
If you don’t have a blender, you can mash up the fruits and add to the yoghurt. You will expect that the blend will not be so smooth and will have nice, delicious bits and lumps in it.
If you don’t have yoghurt or can’t make it immediately, you can replace the yoghurt with skimmed milk.
Yum, yum, yum!!!
Veggies…
Remember these meals are not ready without a serving of juicy delicious veggies:
Pick your green leafy veggies and wash. I will be using ugu (pumpkin leaves) for this. Wash under running water or in water that has food safe disinfectant or salt. If you use the latter, be sure to rinse off before cutting. Cut the leaves.
Put the leaves into a pot. Cut some onions into it and sprinkle some seasoning over this (a little pepper, salt). Place the pot over a low heat and wait for the veggies to soften/wilt. I like my veggies with some crunch and so depending on the quantity of veggies I have in the pot, 3 to 5 minutes is sufficient.
Serve with boiled unripe plantain or yam or jollof rice or whatever you choose 😀
For related topics, please click on: https://chatwithdrketch.com/2014/12/10/daily-health-tips-healthier-substitutes-for-foods-we-love/
Have a great day, people 😀
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Daily Health Tips: Faking Pregnancy!
Q: Doctor, please share with us the consequences of faking pregnancy for women that take drugs to get their stomach swollen as if they are pregnant. I’m really worried about the situation. I do hear such stories.
A: Hmm! Interesting question! There are usually 5 Fs that can cause a swollen tummy. They include fat, faeces, flatus, fetus and fluids. Taking any medication to cause a swollen tummy is definitely not in anyone’s best interests. If this is causing the body to retain unnecessary fluids, there are health risks involved including the potential for high blood pressure.
There are instances where women fake pregnancy for different reasons: pressure to get pregnant in their marital homes or trying to put pressure on partners to make a commitment (perhaps marriage) etc. By the way, the latter case can be sued to court 😀 It could also happen in schizophrenia (a mental disorder) in which case the person has delusions of pregnancy. However, there are other instances where a woman (and in some instances, a man) truly believes she’s pregnant but she’s not. This is called a false pregnancy and the person in question has a lot, if not all, the symptoms of pregnancy!
The exact cause of this false pregnancy, also known as pseudo-cyesis (pronounced siu-do sa-ye-sis) is not really known but it does appear that psychological issues (perhaps from the factors mentioned above where a woman is pressured to get pregnant, has had repeated miscarriages, is worried about ever getting pregnant as menopause approaches) may lead to a situation where her body begins to produce pregnancy signs like swollen abdomen, swollen breasts etc. The brain then swings into action, erroneously interprets these signs as those of pregnancy, and begins to produce pregnancy hormones which lead to pregnancy symptoms like nausea and vomiting, absence of menstruation, weight gain etc. These symptoms could last for weeks, months or sometimes, even up to years. Sounds stranger than fiction, right?! 😀
The doctor will need to confirm the presence or absence of a pregnancy. Definitive treatment will involve psychological therapy given the fact these people genuinely believed that they were pregnant.
I hope this helps address your worries.
The count down is on, people. I hope you’re planning to eat healthy these holidays? Tomorrow, I will put together a number of my random recipes that I believe would be helpful this season.
Happy Id El Maulud to the muslims and a very merry Christmas to all christians!
Have a good night y’all 😀
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Daily Health Tips: Is My Height Okay For My Age?
Q: Hello Dr, my height is 107.5. Is it ok for my age 29 years old?
A: Hello dear, thanks for writing in. Are you asking about your height or your weight? If the question is about your weight, then be guided by your Body Mass Index (BMI). Your BMI is a quick way to tell whether or not you might be underweight or overweight, and what health problems you might have or develop because of your weight.
It is actually a measure of weight to height. It is calculated by dividing your weight in kg by your height squared in meters (that is height x height). Eg, if one weighs is 80kg and is 1.6m tall, the person’s BMI is 31.25. Different BMI readings have different meanings.
Here are 5 things you should know about your BMI
• If you’re under age 21, your age and gender need to be factored into your BMI to account for the different speeds at which guys and girls develop.
• If your BMI is less than 18.5, you are in the underweight category. Talk to your doctor to find out if your weight is a symptom of a medical problem. A registered dietitian can help you learn about healthy eating.
• If your BMI is between 19 and 24.9, you are in the recommended weight range for your height. But your health may still be at risk if you are not getting regular physical activity and practicing healthy eating. So, don’t start rejoicing just yet 🙂
• If your BMI is 25 to 29.9, you are in the overweight category. This may or may not be unhealthy, depending on some other things, like your waist size and other health problems you may have.
• If your BMI is 30 or higher, you’re in the obese category. You may need to lose weight and change your eating and activity habits to get healthy and stay healthy
Apart from your BMI, your waist measurement also plays a significant role in your health status. So, keep those tummies flat by eating healthy, y’all 🙂
If your question is about height, well, you may not really be able to do anything about it. A person’s final height is as a result of a combination of factors: genetics (if your parents are short, you are more likely to be short), nutrition (during the critical growing up years and especially before birth), general health and hormones (growth hormone, thyroid hormone and sex hormones). Having said these, there’s no hard and fast rule really, as some ‘short’ parents give birth to really tall kids! 😀
As I mentioned above, the fastest period of growth is experienced before the baby is born. Thereafter, another growth spurt is experienced during puberty with boys generally growing more than girls. During this period, the growth plates (areas of growing tissues located at the ends of long bones. These are the areas where bones grow) are very active until they end of puberty when they mature, fuse and stop growing. Once the growth plates are fused, growth has been concluded and height cannot be increased. There is no specific age at which this occurs really: people who start puberty early will probably stop growing before others who started later.
‘Normal’ when used to describe height can vary from place to place with differences in ethnic groups, cultures and continents. Sometimes, there may be a medical condition associated with height variations (short or tall statures), but most people are normal and just at the lower end of normal (for the short) and at the higher end of normal (for the tall).
If the cause of ‘shortness’ is a medical problem or a hormone deficiency, this can be rectified. For instance, if there is a deficiency of growth hormone, this may be administered. However, this can only be done in children…before the growth plates fuse (at about 14/15 years for girls and at about 16 years for boys). Once this has happened, no drug can increase height. Surgery in which the legs are cut apart and then gradually separated to increase height is an option, with attendant possible complications of infection and of course, fracture. Not really advisable.
Have a good night, y’all 😀
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Daily Health Tips: Why Do I Itch After A Bath?
Q: Dr, good morning. Please, sometimes when I finish taking a bath…in the next 5 to10 minutes, some parts of my body will start itching and I don’t know why and what to do? Please put me through.
A: This question appears to be a favourite around this time of the year 😀 I reproduce below, my previous answer to this question.
Do you find that this happens more often during the dry season of harmattan? That itch could caused by skin that has been excessively dried out by soap, cold or dry air and/or hot baths. This causes the skin to lose the protection of its natural oils and makes the nerve endings to become super sensitive leading to the itching.
What to do? After a bath, try dabbing your skin so that it is still slightly moist before applying a moisturizing lotion that locks in the moisture. Drying your body completely aggravates the dryness and itching as this encourages more evaporation from your skin, more dryness and therefore more itching. Lotions that contain glycerine, lactic acid and panthenol are very good. Body washes with moisturizers are also be a good for those with this problem as they will not dry out your skin when you take a bath.
If this continues despite these precautions, please see your doctor.
Have a great day!
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Wondering what gift to get yourself or your loved ones this Christmas?
As the holidays rapidly approach, it is important to remind ourselves of the healthy rules of engagement! 😀 The best of us would leave our good senses behind and ‘pig’ out during celebrations and then suffer through the next couple of weeks trying to lose all that weight. Ever heard of ‘a second on the lips, a lifetime on the hips?’ Well, that certainly describes this.
There are all sorts of diets and eating regimens available, most of which impose the most amazing restrictions to our diets. But, these more often than not result in yo-yo dieting…I’m on today and off tomorrow. I am skewed towards a more realistic, conscious lifestyle modification that stands the test of time, involves things that are inculcated into everyday life decisions of what to eat, that is more sustainable. What does this involve?
Here goes:
Eat more fruits and vegetables. Eating them in as close to their natural state as possible is, of course more beneficial. We fall into their temptation of wanting to do the right thing but doing it on our terms; this would involve dousing these vegetables in oil and frying them. These vegetables are rich in Vitamin C which is water soluble and so unnecessary cooking strips them of this nutrient. If we’ve got to cook them at all, add them at the final stage of cooking and cook for the barest minimum time: a minute or two. Some of the veggies are of course delicious eaten raw: carrots, lettuce, cabbage etc. These can be used in a salad with a dressing of balsamic vinegar or olive oil as opposed to all the fatty salad dressings out there. The leaf of the garden egg, called akwukwo anara in Ibo and efo gbagba (I hope I got that right?!) in Yoruba is also delicious when eaten raw as a major part of the meal.
Talking about fruits and vegetables leads me to the question, ‘how much of these can we realistically have in each meal?’ Well, the answer is probably not what you’d love to hear but happens to be true. For a standard dinner plate, half of it should be filled with fruits/vegetables, a quarter devoted to carbohydrates (carbs) and a quarter devoted to the protein component. The rule of thumb for the carbs is that it should not be more than the quantity in the cupped palm of one hand! I hear your groans 😀 For the petite people like me (this is more politically correct than saying, ‘short’ or one of the funniest ones I’ve heard, ‘vertically challenged!’), this is a BIG problem! Close your eyes and visualise the tiny portions that can be accommodated in those tiny palms…sigh!
Want to know what else you can do this season to keep your weight in check? 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
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 Christmas, Baby Shower and Bridal Shower gift for anybody 😀
Have a great day, y’all 😀
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Random Recipes…
Wondering how to stay healthy during Christmas? Or perhaps, wondering how to cook healthy? I’ll share with you a chicken recipe I learnt way back in university days. This does not involve frying…which appears to be the favourite way most people have of preparing chicken during the festive season.
Ingredients and materials
• Chicken
• Spices
• Pot or slow cooker
• Knife
Method:
• Wash and clean the chicken pieces. Trim off all fat.
• Cut the chicken up along the joints
• Pat dry with kitchen paper
• Place in the pot
• Season with spices to taste: ginger, thyme, salt, garlic, pepper/chili etc
(If you can, season the chicken pieces a couple of hours ahead of time, place in a bowl and cover with cling film. Keep this in the fridge until ready for use. This makes the chicken extra tasty as the chicken is marinated properly by the spices)
• Place in the pot and set cooker heat to very low. Do not add water.
(If you have a slow cooker, cook high for 4 hours or on low for 6 to 8 hours)
• Cook the chicken on low heat while turning the chicken often to prevent burning
• When the chicken is done, turn off the heat.
You will be presented with tasty, delicious chicken which has been cooked in a healthy way 😀
Try it out and let me know what you think.
Have a great weekend, people 😀
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Daily Health Tips: Secondary Infertility And Fibroids
Q: Dear Doctor, please can you give me guidance on the issue of (secondary infertility and uterine fibroid impression) as diagnosed. Please, I once had an abortion which was not my intention. After a year, I began to feel something in my lower abdomen but later I discovered it wasn’t pregnancy. I discovered a swelling on the lower part. I’m fed up going from one hospital to another. I need a direction on what to do. Thanks
A: Secondary infertility is very common, but not often talked about. Even when women present themselves to the hospital, they don’t come out straight to let the doctor know what actually brought them to hospital, and rather list a series of symptoms most often, unconnected to their primary (main) concerns. Secondary infertility is the inability to become pregnant, or carry a pregnancy to term following the birth of one or more children. There however has to be frequent (at least three times a week), unprotected intercourse for a period of at least one year (six months for women older than 35), for this definition to be complete.
The causes include impaired sperm production (quantity and/or quality), erectile dysfunction, or new disease conditions in males. In females the causes include tubal damage (that is damage to the tubes from infections or adhesions in which case certain body surfaces stick together following surgery), ovulation problems (menstrual abnormalities), uterine conditions (infections from complications during a prior delivery, retained placenta, or a miscarriage which wasn’t properly cared for), complications from previous pregnancy(excessive bleeding following delivery) and changes in you or your partners’ risk factors; like changes in age (increasing age), weight, smoking and use of certain medications or disease conditions.
Fibroids may or may not cause inability to have a pregnancy. It depends on size and position. Big fibroids in the area of the womb where a baby is meant to implant may cause a miscarriage or indeed, failure of the fertilized embryo to implant. Your doctor will take a decision on what to do with the fibroids based on size, symptoms etc
Fibroids develop from the muscle tissue of the uterus (womb). These growths can range in size from seedlings to big masses. They are differentiated by the sites where they are found: inside the cavity of the womb (sub-mucosal), within the muscle of the uterus (intramural), on the surface of the womb (sub-serosal). Fibroids do not cause infertility per se, but sub-mucosal ones in the cavity of the womb, can take up the place where a baby would have implanted causing infertility. Fibroids can also distort the shape of the ovaries and fallopian tubes causing problems with conception.
Hormones are implicated in the development of fibroids as when women get to menopause with resultant decrease in the level of circulating hormones, estrogen and progesterone, the fibroids shrink. Fibroids are more likely to occur in black women, people who take alcohol, people with a family history, people who eat a lot of red meat and little vegetables.
Symptoms of fibroids include heavy menstrual bleeding, prolonged menstrual bleeding, frequent urination as the mass presses on the bladder, feeling of incomplete emptying of the bladder, pelvic pressure etc. Pain can also result in fibroids when a fibroid has a stalk and gets twisted or when the fibroid grows so fast that it outgrows its blood supply lead to its ‘death’.
Fibroids can co-exist with pregnancy in which case pregnancy may be normal or associated with breech pregnancy, pre-term delivery (delivery of pre-mature babies) etc. However, once a woman registers in a good antenatal center under a good obstetrician, these issues will be anticipated and addressed promptly.
Find a hospital with a good Obstetrics and Gynaecology specialist. The closest teaching hospital to you may be a good place to start your search. He will examine you properly and advice on the best course of treatment for you.
All the best!
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Daily Health Tips: When Do I Register For Antenatal Care?
Q: Good evening Doctor, Please ma’am, at what week is a pregnant woman advisable to start Antenatal? Thanks
A: Here’s an excerpt from my book, Just For The Health Of It, that speaks to this question. If this is your first pregnancy, then you’re probably more worried than most. But the practical truth is that you should register for Antenatal care as soon as you realize you are pregnant.
To prepare for that visit, you should remember the date of your last menstrual period, family history of birth of child with abnormality, sickle cell disease etc. Be generous with information about any and everything that may affect your baby’s health such as lifestyle habits like smoking and alcohol drinking etc.
Ultrasound scan and other screening tests will also be carried out on urine, blood, blood pressure etc to confirm genotype, rhesus group, Diabetes, presence or absence of anaemia, high blood pressure, abnormalities etc. HIV screening will also be done after voluntary counselling.
You should choose a center that you feel confident with as regards the quality of the medical personnel and you should freely discuss your birth plan with them.
In the first instance, antenatal care will be scheduled once every 4 weeks until the pregnancy is 28 weeks. Thereafter, the appointments are scheduled every 2 weeks until 36 weeks and thereafter, every week till delivery. This is the normal schedule, but your care giver may decide to give you shorter appointments if there are other factors to be considered like the presence of hypertension in pregnancy or indeed to review results of tests you had been sent to do.
Then, those drugs that you are given? If you’re like me and hate to take drugs, then this is a big deal! 😀 But you do have to take them. The folic acid ensures that your baby does not end up with abnormalities of the spine and also helps build up your red blood cells in combination with the other drugs given. You’ve got to be religiously committed to taking these drugs to give your pregnancy the greatest chance of a good outcome.
So, have you taken today’s dose? Let’s go do it now 😀
Have a good night, everyone 😀
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