Daily Health Tip: Does Vaginal Discharge Have A Cleaning Function?

Q: Hi Dr, I am really confused here of late. What I hear all the time is, insert your finger into your vagina to wash properly while taking your bath. I am a mother of two and I have never done that in my life before, because I learnt that the place has its own way of being clean. Which one should I believe please? Thanks
A: Kindly believe the one you’ve always known 😀

You do not need to insert your finger to clean your vagina. As you have always known, the vaginal secretions naturally produced by your body ‘auto-cleans’ the vagina. All you need do when taking a bath is gently wash the outer part of the vagina (the vulva) wit h water and your hands only or with water and non-perfumed soap (plus your hand, of course).

You don’t need to go higher than that. For instance, people who use douches try to wash out the inner part of the vagina but this can upset the delicate balance of ‘protective’ bacteria leading to an infection. Want to know more about douching, please click on this link:https://chatwithdrketch.com/2014/09/30/daily-health-tips-what-is-douching/

For more on vaginal cleaning, please click on https://chatwithdrketch.com/2014/04/02/daily-health-tips-should-i-wash-my-intimates-with-disnfectant/

Have a good night, y’all 😀

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Daily Health Tips: Oats Make Me Feel Bloated!

Q: I’ve heard that taking oats is good for me,,,but I have found that when I take it, sometimes, it makes me feel bloated. What do I do?

A: Good question, I reproduce my post on bloating. It ansers this question, pretty well.

Bloating is usually caused by the twin factors of what you have eaten and how you chose to eat it.
For what you have eaten, easy culprits are rich, fatty foods, beans, dairy (especially in lactose intolerant people), high fibre foods like oats (if lots of water is not taken afterwards) etc.

How can how you eat cause you a problem?

If you tend to over-eat or rush your food (eat it very fast or like a friend of mine would say, ‘inhale’ it :D), then you are a target for bloating. The reason is that you eat so fast that you don’t give enough time for signals to travel to your brain from the stomach confirming that you are full. By the time that signal arrives, you are all stuffed up and bloated to boot! Note that it may take up to 20 minutes for those signals that confirm fullness to get to the brain…sounds like a long journey 😀

Other causes of bloating are swallowed air (which can happen when we eat too fast or drink too fast) and smoking.

Prevention?

This is really simple: Reduce portion sizes, limit your intake of fats, eat slowly, quit smoking and limit your intake of foods that cause this, if all else fails.

If your bloating is caused by swallowed air, avoid carbonated drinks (most soft drinks fall into this category), don’t drink with straws (at least on a regular basis) avoid chewing chord…oh, sorry! 😀 I meant to say, avoid chewing gum and stay off your candies that you suck so hard and suck in quite a bit of air too!
Remember that if this ‘gassiness’ continues ‘regularly, you should see your doctor to be sure this is not the symptom of something else.

So, when next you attend that party today, go easy on the food. Take a small serving and eat slooowly 😉
Have a great week ahead!

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Weight Loss!

For everyone who wonders how to lose weight, how to make their tummy flat and indeed, how to eat healthier the glycaemic index is a concept you need to understand.

Glycemic index is a measure that ranks foods that contain carbohydrates on a scale of 0 to 100. The higher the number, the faster the food is digested, causing fluctuations in the blood sugar level and the lower the number, the slower the food is digested causing less fluctuations in the blood sugar level. So the focus should be on foods with low glycemic index. If you reduce your portion sizes and are exercising and generally doing the right things, you may still be adding weight or not losing weight if you’re eating a lot of food with high glycemic index.

There are 8 principles that guide you through this.
1) Eat a lot of beans (any and every type), non starchy veggies (garlic, onions, leeks, chives, cabbage, broccoli, lettuce, tomatoes, peppers etc) and fruits like apples, berries, peaches and pears.

Get more of these principles from the book, Just For The Health Of It. Get a copy via:

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.

2) If you’re in Lagos, please visit 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

Have a great week ahead, y’all 😀

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Personal Hygiene Tips Proudly Brought To You By Safeguard.

When you have a cold, it’s easy for the virus to go round everyone at home and even work. Let’s help you prevent this from happening again.

Here are our 5 top tips to prevent spread of germs when you have a cold
• Wash your hands frequently and avoid touching your face.
This is a no-brainer, right? If you sneeze into your hands and then touch your face or nose, you are constantly re-infecting yourself and so you may remain a major source of infection for a while. If you leave your face, well alone, then you are more likely to kick the bugs faster.
• Keep your drinking glasses and towels separate from other people.
Again, this appears to be common sense. Don’t drink from the same glasses as other people and please keep your towels separate from other people. Be sure to remember that these ‘other people’ include our significant others. Mhmmm! So find other ways of showing love at this time 😉
• If possible, avoid being close to other people
As much as possible, avoid invading other people’s private spaces and stop people from invading yours. That way you don’t expel your droplet infections right into their faces and bodies. In fact, if you have a baby, you may have to use a face mask.
• The best way to cough is into the crook of your arm.
Please sneeze into the crook of your arm. If you are wearing a long sleeved shirt or a jacket, remember that you would have increased the population of germs on this jacket by coughing into it. So be sure to wash these clothes at the end of the day. If you are wearing a short sleeved shirt, you are unlikely to be shaking anyone with that part of your body but be sure to take a bath at the end of the day.
• Do not shake people if you have just coughed or sneezed into your hands.
Just in case, in spite of your best efforts, you still find that you have just sneezed or coughed into your hands, be sure not to shake anyone and wash your immediately. Where washing is not immediately possible, a hand sanitizer with at least 60% alcohol will suffice

Remember that personal hygiene can save lives. Let’s practice more of it.

For more hygiene tips from Safeguard Nigeria​, please visit https://www.facebook.com/SafeguardNG?fref=ts

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Daily Health Tips: Irregular Periods

Q: Hello Dr K, please kindly advice me on what to do when you an irregular flow of menstruation. Thank you.

A: A ‘regular’ menstrual cycle is supposedly one in which the cycle (the length of time from the 1st day of a menstrual period to the first day of the next menstrual period) is about 28 days but there is nothing abnormal about cycles that fall outside of this range. It could range from about 24 days to 34 days with ovulation happening at mid cycle. Indeed, in some women each period appears to have a different cycle. For young girls who have just started menstruating, skipped or irregular periods may occur.
What do people refer to as irregular periods? Well, if the time between each period changes, or the length of days of the period changes or indeed when the quantity of blood lost during each period changes, the period is termed irregular. What can cause these changes? They include:

• Changes in hormone levels, as is common in the puberty period or menopausal period.
• Stress
• Excessive weight loss or excessive weight gain
• Fibroids
• Problems with the thyroid (hyperthyroidism)
• Polycystic Ovary Disease (PCOD)
• Scarring from previous surgery in the uterus
• Pregnancy cannot be overlooked as a cause of irregular bleeding and has to be checked out.
• Breast feeding mothers may also experience irregular periods as the hormones released may delay return of menstruation. Remember, however, that this is not an effective means of contraception.

So, it’s always a good idea to keep a record of your periods: length of cycles, number of days the period lasts, presence of pain etc. If you keep a chart of this over time, you would be able to know what is normal for you.

Treatment of irregular periods depends on cause: fibroids, PCOD, hyperthyroidism all have to be treated. If irregularity is due to stress, learning coping mechanisms or relaxation techniques may help. Reduce weight or go easy on your exercise routine, if weight issues are a problem.

However, be sure to see your doctor if your period is consistently below 21 days or more than 35 days, if you menstruate for longer than one week, bleed in between periods or experience severe cramps.

For related topics, please click on https://chatwithdrketch.com/2014/06/27/daily-health-tips-why-do-i-have-scanty-periods/

Daily Health Tips: Are There Other Treatment Methods For Fibroids Other Than Surgery?

Have a great weekend, y’all 😀

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Daily Health Tips: Is Lemon Safe To Take In Pregnancy?

Q: Hi Doc. Please, is taking lemon water good for a woman trying to conceive? Thanks

A: Another variant of this question that I get often is whether lemon helps weight loss. I’ll discuss both.
Lemon is chock full of Vitamin C, an anti-oxidant and thus by extension could have some anti-cancer properties. Lemons are low in calories…perhaps that’s where their weight loss claim came from 😉 However, I don’t know how many people would have lemons for breakfast, lunch or dinner! Way too tart and sour! Most people add some lemon (slices or squeeze some of its juice) into water. This is okay provided that the amount of lemon juice is not overly much. Lemon juice contains ascorbic acid which could cause erosion of the enamel (the protective covering of the teeth), leaving one open to dental problems. Thus, it’s important to rinse out the mouth after taking lemon water drinks or lemons.

Now to pregnancy, I loved lemons during my pregnancies. They were the one thing guaranteed to ‘wake up’ my mouth and chase nausea far away. I also had a particular brand of very tart bubble gum, I indulged in 😀 These were key for me because, though I didn’t have the real bad case of morning sickness that sent you to the hospital, brushing my teeth in the morning always sent me into a bout of retching/vomitting. So, I always had a ready supply of the gum or lemon/lime to pop into my mouth once I was done brushing/retching! Not a very pleasant memory ;D

So, if lemons work for you to prevent nausea, go for it. Remember that moderation is key. A few drops (one or two) in a glass of water are enough to provide that tart kick that sends nausea far away. There is a catch here though…remember the heart burn associated with pregnancy. The acid content of lemon might make the heart burn and any pre-existing gastro-esophageal (stomach and esophagus/gullet) problems worse. So, this is all the more reason to be very moderate or stop if it exacerbates an already bad case of heart burn. Wherever and whenever in doubt, please be sure to see your doctor.

So, pregnant or not (including those trying to conceive) lemon water is fine in moderation as described above.

Please click on the links below for related topics:

Daily Health Tips: Weight Loss (The Role Of Lemons And Exercise)

Daily Health Tips: Can I Lose Weight By Taking Hot Drink And Lemon?

I hope you’ve all had a great day? Have an even better night 😀

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Daily Health Tips: I Want Help To Quit Smoking!

Q: I am 42 years old and I am an addicted smoker since I was 14years. I smoke at least 2 packets (40 sticks) of Benson & Hedges a day. I am married and we have 2 lovely children. I have tried several times to quit smoking on my own, but for every time I tried to quit, I seem to resume the habit with a renewed vigour. I know this habit may kill me, but it’s an uphill task trying to quit on my own my own will without a support system. My kids are afraid I would die from the habit. I would like you to refer me to a NICOQUIT expert (Doctor) here in Lagos, who I can consult and also a support group that I can join, with members who can support each other during the “cold turkey” phase of kicking the habit. I NEED YOUR HELP FAST, Dr. Ketch. PLEASE.

A: Thanks a whole lot for writing in. I am excited that you have decided to quit and appear to have the right crowd urging you on. That’s a wonderful place to start. If you need a home support group, you’ve got one right there! The fact that you’ve got your children rooting for you and praying for you to be there for them is a great incentive. Think about their first days in school, graduation, weddings, first grand children etc. There’s a whole lot to keep yourself healthy for! Another important point here is the fact that your smoking could also be endangering them. Second Hand Smoke (which is smoke you exhale or that from the lighted end of the cigarette) has been linked to lung and other cancers. So, by continuing with this habit, you are not only endangering yourself but your family! I’m sure you don’t want that.

Tobacco use is a major preventable cause of death worldwide.

The first step to quitting is having a clear desire to quit. You’ve got that already. You have to be positive, reminding yourself why you need to quit. Apart from having a good support system, avoiding the areas where one usually is encouraged to smoke is a good idea. Friends and acquaintances that encourage you to smoke, should not be seen too frequently…especially as you start off on this process.

It is important to have other hobbies and activities that take your mind off smoking or take the place of smoking…in a sense. Getting more active with a sporting activity or church activities or volunteering etc are all activities that can take the edge off quitting. Some have found switching to oral substitutes like chewing gum, carrots and mints, helpful.

Apart from your home support, having a support group of people who wish to quit also helps a lot. I have sent the phone number of a psychologist who can help you during this process. I will update this post shortly with websites that have information on support groups in Lagos for people who wish to quit.
Remember that half the work has been done…making the decision to quit. Having a wonderful family that you wish to be there for is an extra push. Knowing that lots of people have been able to kick this habit before you should confirm that you can do this!

I’m rooting for you…and praying for you!

Share the good news as the days progress. You could be encouraging someone else who wishes to quit! Let’s show that this can be done!

For a related post, please click on this https://chatwithdrketch.com/2015/02/24/daily-health-tips-im-trying-to-stop-smoking-pot/

Have a good night, y’all 😀

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Daily Health Tips: World Health Day…Food Safety

Today is World Health Day. The focus for this year’s celebration is ‘Food Safety’ with the slogan, ‘From Farm To Plate, Make Food Safe.’

Are you aware of the different ways in which your food could become unsafe? Food hygiene is coming more and more under the radar because of increasing cases of food poisoning and issues experienced in keeping the integrity of the food chain even in very developed countries. Here are five issues you need to know about food hygiene.

• Eggs. These are at the root of more than 30 percent of food poisoning cases. So get your children to stay off them. If you’ve got children like mine, it may not be as easy as it sounds especially when you’ve mixed up a batch of cakes and are trying to convince them that the batter they desperately want to lick off the bowl is not healthy! Ensure that egg dishes eg French toasts (when you choose to indulge), custards etc are well cooked with no hint of raw eggs. The risk of salmonella infection is ever so real.
• Chicken. Poultry usually harbours the salmonella infection but because this meat is usually cooked before eating, it may not be a problem. However, cross contamination by using the same chopping board or work surface used to prepare chicken to prepare other foods could lead to a salmonella infection. This is also the case if the chicken is stored in the fridge in direct contact with other foods. Use different work surfaces for raw meats and other foods and please separate from other foods when storing in the freezer.
• Raw or slightly cooked fish. Worms in raw fish can survive in the intestines of man and cause infections. Thus fish has to be properly cooked. All you sushi lovers please pay attention. Appropriate cooking methods include grilling and poaching. You know that way most people fry their fish until it sounds and feels like plantain chips when you’re eating it? Well, that certainly will destroy any worm in the fish but is not healthy for you. Sounds like you can’t win, yeah?
• Raw or partially cooked meat. Provided meat is not minced, any surface contamination of the meat is easily eliminated by cooking. However, minced meat requires that the meat be cooked thoroughly all the way through. Lovers of tartar which are raw meat dishes should be especially wary. Wooden chopping boards are discouraged as cuts on them form rich reservoirs for germs.
• Fruits and vegetables are not common sources of food contamination but could get contaminated if prepared on a contaminated surface or if not in optimal quality when eaten. So be careful

The World Health Organization has a very handy 5 keys to safer food that sums all of this up:

Keep your hands clean. Remember that even hands that look clean, could very have germs on them: wash them after using the toilet, playing with pets, before food preparation etc

Separate raw and cooked foods so that you don’t transfer germs from foods like meat to other foods. Start off this separation when grocery shopping and pack these items differently, have different chopping boards for meats, veggies etc

Cook foods properly and reheat (warm) foods that have been cooked earlier, thoroughly. This ensures that any germs, present are destroyed by the heat involved.

Keep food at safe temperatures. Germs can comfortably grow in foods stored at room temperature. Refrigerating them slows down the multiplication of these germs and in some cases may stop the growth completely: cooked food should be piping hot, Frozen foods should be thawed in the refrigerator and not room temperature, cooked foods should not be stored at room temperature for longer than 2 hours etc

Finally, use safe water and produce.

So please make sure that you obey the cardinal rules of hygiene in the kitchen as in every other part of your life.

Have a good evening, y’all 😀

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Daily Health Tips: Constipation In Adults And Exclusively Breastfed Children

Q: Hello Dr Ketch….I have been having very strong stool since 3 months now that I had my baby. I try to drink enough water to no avail. I noticed that blood comes out with the stool especially when it is strong like that. And the pain is always very excruciating. In fact I get scared of eating because of fear of going to empty my bowel. What should I do? Do you think it’s cancer or something?

A: Do I think this is cancer? Not necessarily. We’ll start with the simple things first.

Constipation is when there are less than 3 bowel movements in a week. There are a couple of factors that could contribute to this: your diet, the amount of water you drink daily, the amount of exercise you have per day, whether you hold back from defecating when you feel the urge, whether one is pregnant or has Diabetes Mellitus etc.

It is possible that the stool is so hard that it has caused a tear of the skin lining the anus (anal fissure) leading to the blood seen with the stool.

I’m glad to hear that you’re drinking sufficient amounts of water. This is important. Other things that can help include eating more fibre (fruits and veggies), exercising for at least 150 minutes weekly, reduce alcohol and caffeinated drinks (they cause dehydration) and reduce processed food intake. It’s also a good habit to try going to the loo (toilet) as soon as you feel the urge.
If these self-help tips do not help, please see your doctor to rule out other causes like Diabetes Mellitus etc

For more on this, please click on https://chatwithdrketch.com/2015/01/23/daily-health-tips-difficulty-with-passing-stool/

Q: Hi Doc, what can cause a baby of 2 months plus not to pass excreta for about 5 days. Though I am doing exclusive breastfeeding for him and he sucks very much. During his birth, he weighed 4.3kg.

A: In contrast with the case discussed above for adults, in exclusively breastfed children, there can be episodes of lots of days without defaecation. This is not described as c onstipation. In children, the focus is more on the texture of the faeces when the child eventually defaecates as opposed to how often he goes. The ‘long duration’ in between stooling for exclusively breastfed babies is because the nutrients of breast milk are usually, practically all absorbed, leaving nothing to be excreted. Provided the eventual stool produced is not hard, then your baby should be okay. Where in doubt, it never hurts to see your doctor.

For more on constipation in babies, please click on https://chatwithdrketch.com/2014/10/15/daily-health-tips-is-my-2-month-old-baby-constipated/

Have a great night, y’all and a fabulous week ahead 😀

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Daily Health Tips: Breast Lump In A Man

Happy Easter to you all 😀 I hope you had a great day! My prayer for you all is that all your dreams, hopes and aspirations will receive fresh life, this season.

Q: Good day Doctor. Please what could be the cause of a swelling (a lump) in a man’s breast? Is it risky, ma’am & what are the steps to take? It’s been there for the past 5yrs now but it’s just been brought to my notice and he said it doesn’t hurt much. I need an urgent reply, ma’am.

A: Thanks for writing in.
When reporting a breast lump, it’s nice to put in some more information like whether the lump has increased in size, is associated with nipple discharge, whether there are any underarm swellings, change in appearance of the skin over the swelling etc.

A breast lump in a man is more commonly due to gynaecomastia…a condition in which there is painful breast tissue enlargement. This condition may be due to a hormonal imbalance or use of some drugs. For more on gynaecomastia, please click on this link https://chatwithdrketch.com/2013/12/06/daily-health-tips-enlarged-breast-tissue-in-men-gynaecomastia/

Other causes of non-cancerous breast lumps in men include lipoma (growth of fatty tissues that form a lump) and lumps due to injury or trauma to the breast (fat necrosis). However, the lump may also be a cancerous growth and this is important to rule out as most people assume that breast cancer occurs only in women. It can very well occur in men.

Please let him see a doctor as soon as possible to examine him and make a diagnosis immediately. Better safe than sorry.
Have a good night, y’all 😀

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