Daily Health Tips: What Can I Do To Help With Constipation In Pregnancy?

Q: What can a woman who just found out she’s pregnant but having serious constipation do?

A: Welcome to the land of pregnancy and raging hormones!!! This is going to be an interesting period in your life and your hormones are going to act up in different ways.

Constipation is common in pregnancy and is due to the hormones of pregnancy which make the muscles of your digestive tract work in a more leisurely manner. This ensures that food stays longer in the tract, more nutrients are absorbed from it (so that more nutrients can go to baby) but also more water is absorbed from it, leaving the poop hard and constipated. The iron-containing pre-natal drugs may also contribute to this but you do have to take them ;D

Tips to help you deal with the constipation include:

• Adding more fruits and veggies to meals.
• Eating small quantities at a time. You could try to aim for 5 small meals (breakfast, lunch dinner and 2 snacks in between) per day containing fruits, Veggies, complex carbs and proteins. Snacks can be a handful of nuts, etc
• Drink sufficient amounts of water. At least 8 glasses. Remember that this depends on your activity and weather condition. If you find yourself in a hot environment where you’re sweating a lot, by all means drink some more.
• Some activity is also useful in getting things ‘down there’ to move along 😉 Remember to check with your doctor, what activities are safe for you to undertake when pregnant.
• Yoghurt with probiotics is also a great idea and helps the stomach bacteria break down the food and more importantly, keep it moving along.

For more symptoms of pregnancy and the red flags, please click on the link below:

Baby in the tummy; it’s all up to mummy…is it?

Have a fabulous week, people 😀

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Loya Saturday Challenge 2: Stand A Chance Of Winning N2000 Airtime.

Several myths prevent us from making the right decisions concerning our health.

“For a chance to win N2,000 airtime, answer the question below’:

Mention 5 nutrition facts and fiction.

The first person to answer correctly, will win our prize.

Terms and conditions:

Participants must be followers of this blog. If you’re not a follower, follow our blog to qualify.

The first correct answer is the winner of the prize.

Only one answer per participant will be accepted.

Answers are based on the episodes of our 5 minute show airing on AIT and Silverbird TV on Mondays, Tuesdays, Wednesdays and Fridays.

If a participant provides more than one answer, the first answer will be used.

Edited answers will be disqualified.

This challenge lapses by 11.59 pm on Monday, the 27th of October, 2014

So, what are you waiting for?! Best of luck, guys!

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Loya Saturday Challenge: Stand A Chance Of Winning N2000 Airtime

Most people want to do the right thing in terms of nutrition, but don’t know how.

“For a chance to win N2,000 airtime, answer the question below’:

Mention 5 tips for good nutrition.

The first person to answer correctly, will win our prize.

Terms and conditions:

Participants must be followers of this page. If you’re not a follower, follow our blog to qualify.

The first correct answer is the winner of the prize.

Only one answer per participant will be accepted.

Answers are based on the episodes of our 5 minute show airing on AIT and Silverbird TV on Mondays, Tuesdays, Wednesdays and Fridays.

If a participant provides more than one answer, the first answer will be used.

Edited answers will be disqualified.

This challenge lapses by 11.59 pm on Monday, the 27th of October, 2014

So, what are you waiting for?! Best of luck, guys!

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Daily Health Tips: Should I Add Vinegar to My Bath Water For Intimate Cleaning?

Q: Good day, Dr. Please, is it wise for a woman to add a little vinegar into warm water to cleanse her private part?

A: Well, adding vinegar to the water is like making a ‘home-made’ douche 😀 And douching is discouraged. It messes with the normal vaginal flora (the normal and useful bacteria which live in the vagina) and causes overgrowth of the environment with unwanted organisms like candida.
To wash your private part, clean water and your hands doing the cleaning is sufficient. You may also use non-perfumed soap, if you prefer. Perfumed soaps may cause an irritation in some people.
For more on this subject, please click on the links below:

Daily Health Tips: Should I Wash My ‘Intimates’ With Disinfectant?

Daily Health Tips: What Is PID?

Daily Health Tips: What Is Douching?

Take out time to recharge your batteries this weekend. I intend to spend quality time catching up with my bed 😀

Have a great weekend people 😀

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Daily Health Tips: How Can I stop Drinking Alcohol?

Q: I drink too much alcohol. I want to stop but I’m failing. What can I do please?

A: You have done the first thing which is make a decision that this has to stop. I wish I could tell you that that was your hardest decision….unfortunately, I can’t. It will get slightly tougher before it gets better…but you can very well do it.

You can stop gradually by reducing the number of times you drink in a day and then a week, month etc.

Or you can quit cold turkey by stopping all at once.

If you choose this the under-listed may be helpful:
• First set a date by which you want to stop and stick with it.
• Discuss your decision with your family and friends and hopefully, they will support you through the process.
• Stay away from your usual hangouts where you’re usually tempted to take alcohol
• You may also want to reduce visits/interactions with your drinking buddies who may make you backslide 🙂
• Find new hobbies that keep your mind busy and help you maintain your resolve.
• If you drink more than two alcoholic drinks each day, drinking less will help to lower your blood pressure. A regular-sized bottle or can of beer or a regular-sized glass of wine are each equal to a single alcoholic drink.
• Remind yourself of the diseases associated with alcohol like hypertension, cancer, Diabetes Mellitus, diseases of the pancreas and liver, psychological and psychiatric problems, loss of libido etc

For a related topic, please click on the link below:

Daily Health Tips: Alcoholism

So, make the commitment to stop and remind yourself everyday why you are doing this.

All the best…be sure to share the good news when you’re done.

Have a good night, people 😀

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Daily Health Tips: Should I Be Worried If I Don’t Have A BCG Scar Though I Took The Vaccine?

Q: Hello Dr, is there any problem if one was given a BCG vaccine and the scar is not there. I am 25 yrs old.

A: The full meaning of BCG is Bacille Calmette-Guerin, named after scientists, Drs Calmette and Guerin who developed the vaccines. It was used for the first time in human beings in 1921. This is a freeze-dried live but weakened strain of Mycobacterium Bovis (very similar to the bacteria that cause tuberculosis), a bacterium found in cattles which can cause tuberculosis in man. This vaccine is part of the compulsory immunization schedule in countries with a high incidence of tuberculosis. It provides protection over a a range of 10-20 years and so is not particularly useful in adults…sorry 😉

This vaccine usually causes a local reaction in most, but not all people. This local reaction gives rise to the ‘infamous’ scar 😀 but does not really act as a marker for protection against tuberculosis. So, if you don’t have a BCG scar, it does not mean that you did not respond to the vaccine and there’s certainly no need for you to take another dose of the vaccine.

Have a good night, y’all 😀

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

Q1: Hello Dr, I have been having this headache / sensation at d left side of my head , please ma’am what could have caused this? I just treated malaria. I wear glasses. About 2weeks ago , I went for a comprehensive check on my sight . I had to change my glasses but still the sensation persists. I usually use salt and water solution for pregnancy prevention which I did again about 2weeks ago. I was so weak with sensation in the head last week, I went to see the doctor. My BP read 150/ 100. I was placed on some drugs and the BP went down, but I am not too ok in my head. I feel weak in my left arm and leg. No more headache but sensation at d left side of my head. Please help me. I am 47yrs

Q2: Good evening ma’am. Thanks so much for your lectures. You are really doing a great job. God bless you. Please ma’am, answer me this time. I have been sending you messages but no reply.
Please I want to know the normal blood pressure (BP) level for pregnant women and non-pregnant people. And also causes of high and low BP. Please I need your advice. Please ma’am, help me out

A: I decided to take these two questions together since they both dealt with high blood pressure and I will start with the first.

It’s important that the writer of question 1, visits the hospital immediately. The symptom of weakness on one side of the body is very suspicious. If this is accompanied by drooping on that side of the face and slurring of speech, then it’s time to act fast and prevent a stroke! Please do not use salt water as a means of contraception. This is dangerous…especially for someone whose blood pressure reading is suspect. The sheer outrage which greeted the stories of people who drank salt water solution for Ebola and those who subsequently died thereafter, is sufficient evidence that this solution should not be taken.

For more information on contraception and stroke, please click on the links below:

Daily Health Tips: How Can I Speed Up My Mother’s Recovery After A Partial Stroke?

Daily Health Tips: Is My Irregular Period Due To Contraceptive Injection?

Daily Health Tips: Should I Use Emergency Contraception As My Regular Means Of Contraception?

Daily Health Tips: Does The Intra-uterine Contraceptive Device (Coil) Make You Look Older?

Daily Health Tips: Is Withdrawal Really The Best Method Of Birth Control?

And for the second question, I apologize if it took me a while to get to you.

Blood pressure readings are interpreted as same, pregnancy or no pregnancy. Any level more than 140/90mmHg is seen as hypertensive. A woman may already be hypertensive before pregnancy and on medication. She may be found to be hypertensive before 20th week of pregnancy in which case it is believed she had previously undetected high blood pressure or she may be discovered to have high blood pressure after the 20th week, in which case it is believed that this high blood pressure is pregnancy-induced (Pregnancy Induced Hypertension). This would usually resolve within 6 weeks of having a baby. If a woman with PIH goes on to develop protein in urine, she is at risk of pre-eclampsia (in which protein leaks from kidneys into urine) or eclampsia (in which the woman experiences fits and seizures)

High blood pressure in pregnancy needs to be addressed as this poses a danger to both mother and baby.

Low blood pressure can also occur in pregnant women as a result of the increase in circulation and the fact that blood vessels have dilated due to the effect of hormones. There is no absolute figure for this but if it produces symptoms like dizziness, fainting, blurring of vision, your doctor should hear of this.

For more on blood pressure, please click on the links below:

Daily Health Tips: Blood Pressure – The Fact Behind The Figures

Daily Health Tips: Pre-hypertension

Daily Health Tips: My High Blood Pressure Risks

Be sure to make your antenatal classes interactive. Ask your doctor questions about your health and indeed your blood pressure readings if they are cause for concern.

Have a good night y’all 😀

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Daily Health Tips: How Soon After Pregnancy Does A Baby Start Moving?

Q: Good evening Doctor.Please at what month does a baby starts kicking? How good are all these supplements (Pregnacare, Obron 6) etc and at what month is a pregnant woman supposed to start taking them? Please notify me when you answer my question.

A: The first time you feel your baby’s movement is known as quickening and the time women feel it varies person to person. It ranges from 16 to 25 weeks but women who have had babies before may feel this much earlier. Women describe it as different things: a bubbly feeling; butterflies in their tummy; gas etc.

When should a woman start taking supplements? Well, to answer that it’s important to note that there are 3 vitamins that are particularly important to pregnant women:

Folic acid prevents neural tube defects which may occur during the first 28days of pregnancy. This is usually the period when quite a number of women do not even know they are pregnant. Thus, women who plan on getting pregnant should start on folic acid supplements at least 3 months before their planned date to safeguard against neural tube defects. If you haven’t started this earlier and realize you’re pregnant, start taking them as soon as possible and continue until about 12 weeks.

Calcium is important for proper development of teeth and bones and if the woman is not taking enough, the baby, being a perfect parasite 😀 will gladly help himself from his mother’s stash of calcium in her bones! 🙂

Iron is important for the transportation of oxygen round the body.

Now, it’s important that you discuss all other supplements you were taking prior to pregnancy with your doctor, so that he can advice on what to take and what to drop, as some vitamins in excessive amounts may be harmful to baby eg Vitamin A. He will then recommend the appropriate prenatal vitamins for you.

Have a great week ahead, y’all 😀

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Daily Health Tips: Why Do I Feel Sad When I Breastfeed?

Hello, y’all 😀 I hope you missed my post yesterday. I apologize. I was completely exhausted. It has been a long couple of weeks for me. My body insisted on taking the much needed rest it required yesterday evening and the better part of today. I feel more human now 😀

How was your week? I hope y’all found time to rest today.

And now to the question I would have posted yesterday…

Q: Good day, ma’am. My baby is 4 months old and anytime, I breastfeed my baby, I feel sad. I don’t know the cause. Should I stop breastfeeding? Looking forward to your sweet reply.

A: Congratulations on your new baby 😀
Everyone talks about how fleeting the pain of childbirth is once the bundle of joy is held in the arms of the mother. It then appears ‘somewhat’ unnatural when mothers experience sadness in taking care of the baby or as this mother says, sadness when breastfeeding. This was a previously unknown situation and mother who experienced this felt alienated from family, friends and even their medical personnel as nobody appeared to understand what they were going through. Was this postnatal depression? Was this a psychological problem? I daresay in our environment, people would have asked if the woman was demon-possessed ;D

Well, recent researches have shown that this situation is called D-MER (Dysphoric Milk Ejection Reflex). The term dysphoric refers to dissatisfaction. Usually, when a baby latches on to the nipple of his mother for breast milk, the hormones, oxytocin and prolactin are released. Prolactin acts on the milk producing cells of the breast and the oxytocin acts to let the breast release the milk (let down reflex). At this same time, the level of dopamine decreases. In D-MER, the level of decrease in dopamine is extreme leading to sadness, feelings of negativity etc. This feeling is fleeting though, lasting seconds to few minutes as the level of dopamine normalizes. This feeling may also be precipitated at times when the milk ejection reflex is activated like when you think about feeding your baby or when he cries etc. Now it is important to note that while this does not happen to everyone, it is not a psychological problem, neither is it post natal depression.

So, what can you do? Stopping breastfeeding may not be the answer as you will be depriving your baby of all the vital nutrients he needs in his first few months of life. In some instances, just understanding what is going on is sufficient to help the mothers cope with the situation as they can identify when the symptoms start and stop. I hope this works for you.

In more extreme cases, there may be need to prescribe drugs which increase the level of dopamine in the body. Your doctor will determine what makes sense. Anti-depressants have not been found to be useful in this situation. I daresay more work will be done on this condition to better understand and provide relief for it shortly.

I hope understanding what’s going on helps you deal with this. If not, please see your doctor about options open to you. This too, shall pass 😀

Have a great evening, y’all 🙂

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Daily Health Tips: Are Swollen Feet Normal In Pregnancy?

Q: Hello Doc, I want to find out if swollen feet are associated with pregnancy?

A: Good question…and yes, it is normal for the body to tend to retain more fluid during pregnancy apart from the fact that the uterus (womb) as it grows, puts pressure on the veins preventing the proper return of blood to the heart. Increased blood flow and hormonal changes (causing foot ligaments to relax and therefore bones to spread out) may also play roles in this.

To prevent this …or significantly reduce it, try the following:
• Wear comfortable shoes and try not to stay on your feet for too long.
• Kick up your feet and relax as often as you can.
• Exercise helps…gentle stretching and other exercises safe in pregnancy (speak with your doctor where in doubt as to what is safe) help to move the fluid along. In addition, foot exercises, are also great and would include gentle rotation of the ankles.
• Sleep on your side, drink sufficient fluids during the day and limit your salt intake….remember that for salt, if you can taste it, it’s definitely too much

Having said this, some swelling in pregnancy is due to a condition called pre-eclampsia. So, be sure to check with your obstetrician if the swelling observed appears to be sudden or indeed, worrying.

Have a great night y’all 😀

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