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Q: Good day Doc. Thanks so much for your medical lectures on facebook and on TV screen. God will continue to strengthen you. I am a first time mother I had my daughter last December. During the 1st trimester I was bleeding heavy but later stopped after medical consultation but I noticed my daughter is using only her left hand and holding the right hand so tight but if I force to open it and move it I found out nothing is wrong with it. My question is how can I help her to use the right hand too. Thanks ma’am as I await your response. God bless

A: It does sound like you assume the bleeding affected your daughter’s preference of what hand to use? If you think so, you’re wrong. No link.

Now, please be sure that there is really nothing wrong with your baby’s right hand. The way you describe her clenching it is a bit curious. If she appears to be in pain, please get it checked out in the hospital. If there’s nothing wrong and this is just an issue of being right handed versus being left handed, then leave well alone.

This issue of converting left-handed children to right handed orientation has come up again and again. Our culture, in Nigeria and perhaps other places in Africa, suggests that doing things with the left hand is wrong, rude and simply abnormal. But just take a moment and think about it? Why is it wrong? Or rude? Where is it written? When was it decided? Were you at the meeting?

Perhaps an understanding of how people become right or left handed is important here. The brain is cross wired such that the right side of the brain controls movement of the left hand side of the body and the left side of the brain controls movement of the right hand side. Most people are right handed and that’s because the left side of their brain which controls writing, language, logic, scientific skills etc is dominant. The left side of the brain controls emotional expression, imagination, creativity etc.

There are several reports of children who have been changed from left to right hand suffering unneeded hardship mentally, emotionally and socially as a result of this. Some articles have reported bedwetting, stuttering, being withdrawn, poor concentration and memory etc as fall outs of this change from left to right. It would appear that the brain is confused as it tries to re-define which area of the body it controls.

The way I put it is, ‘if it ain’t broke, don’t fix it!’ So, leave your child well alone. Right handed, left handed ambidextrous (one who has use of both hands), please love these children the way they are and encourage them. Ever seen the most powerful man on earth (president of the United States, Barrack Obama) sign a document? Well, if you do, take a close look. He’s left handed and that doesn’t appear to have hurt him much!

Let me know what you think.

I hope y’all had a great day 😀

What should I pack with me to the hospital? An overnight bag? Or a huge suitcase? What are the need-to-haves, nice-to-haves and the absolutely-nots? What should I pack for him (my hubby)?

If you’re pregnant and have asked yourself any of these questions…do yourself a favour 😀 Get a copy of Just For The Health Of It With Dr Ketch and get all the answers.

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What do I do with my baby’s cord? Clean with spirit? Clean with water? Just leave it alone? What about me? I can barely sit down after having my baby. My episiotomy site hurts so bad! What do I use to reduce the pain? Does a Sitz bath really work? Should I add anything to the water to Sitz bath? Just For The Health Of It With Dr Ketch explores this and so much more.

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Q: Please, doctor is it only on children health that you give advice?
A friend was complaining that his penis use to be small like that of a child. He was also afraid of being impotent. So he asked me and I said I don’t know why it is so. I now told him that I will ask you. What is the cause and the remedy to it. Thanks

A: Thanks for writing in and yes, it does appear that I ‘minister’ to only children because I appear to have a lot of mothers on this page who ask questions…way to go, mums! But hey, your question is equally important.

The issue of penile length has been a problem forever and people generally think that bigger is better. Is it? The average penile length is about 8 to 13cm when not erect and this can be pushed up to 13 to 18cm when erect, give or take a few. Does the penile size determine whether a man can father a child or not? Absolutely not…penile size does not affect fertility.

A woman’s vagina is about 7.5cm and would lengthen to about 10cm when aroused and so, generally, there should be no problems with sexual intercourse as the average length of a penis can adequately cover this gap.

Now the challenge…a lot of men who think they are small in this area are actually within the average measures but perception can make them think otherwise. For instance, the only way they can assess the size is by looking down at it and this automatically makes it look smaller. If you looked sideways in a mirror, you might just think, it looks longer. Men who are fat also appear to have smaller penises because the fat around the stomach may hide part of the base of the penis, making it look shorter.

It does appear that guys with small penises achieve about 100% increase in length during sexual excitement, probably nature’s way of compensating as opposed to men with longer ones who may achieve about 75% increase in length.

There are all sorts of touted treatments that help increase penile length including surgery, vacuum pumps, extenders, creams, pills etc. There is little evidence that people who go through this are satisfied with the result or that they work. Indeed, some can cause permanent damage.

So, what to do?

Take charge…lose weight if you’re overweight and have a heart-to-heart chat with your partner about this. You just may be surprised to hear that she doesn’t care. If you still feel bad about this, you may try talking with your doctor.

That’s it, guys 😀 Have a good night y’all 😀

Good morning, Dr. I have been having this problem. We have been trying for a child for so long but nothing has happened. What can I do? Last time, she got pregnant but lost it. Months after, we began to try again. We want to get pregnant by December. Please, help Doc

A: I have received a lot of questions similar to this in recent times and I hope this will answer the others too.

You gave me no idea how long you’ve been trying for a baby.Not being able to have a child at the time that we expect it can be a harrowing experience…especially in Africa where a couple of months into your marriage, family members and even outsiders are beginning to look at you in suggestive ways. Some actually ask outright, ‘when are you guys planning to start having babies?’
However, in the medical world, we can only agree that perhaps there might be an issue after one full year of trying to have babies with no luck. This, however, implies that there is frequent and unprotected sexual intercourse. Frequency in this respect means that sexual intercourse should be at least 3 times in a week. Unprotected means that there should be no barrier protection like a condom. Don’t laugh…this has been known to happen. People use a condom and then expect to get pregnant 😀 The ejaculate (semen) should also be of significant volume.

So, if this has been established to have been happening for one year, the next thing is to run tests. The less ‘invasive’ tests are usually done first. This usually involves the husband who provides his semen for analysis. Other tests will now be run on the wife, which presumably has already happened in the case above.
Some causes of infertility in men include problems with the production of sperm, problems with the delivery of sperm, being exposed to environmental toxins (like sitting in hot tubs) and cancer.
Some causes of infertility in women include problems with ovulation, problems with the uterus and cervix, blockage or damage of the fallopian tube, thyroid problems, cancer etc.
Other risk factors for both sexes include use of alcohol and tobacco, being overweight or even underweight and age (the older people get, the more difficult it is to get pregnant).
Where a problem is identified, this is taken care of through various options like the use of drugs or surgery.
Oftentimes, no reason can be found for the infertility. In these instances, the couple may want to consider assisted reproduction. Your doctor will discuss the different options available in your area and if you can afford it, he will suggest other centers where better facilities exist.
Prevention of infertility is targeted at the risk factors. Quit smoking, reduce alcohol consumption, exercise moderately and keep your weight within normal limits.
Infertility is really nerve wracking, because nobody has an idea how long it’s going to last or what treatments are going to work best. Joining support groups and/or counseling sessions may be helpful during this period of waiting, patiently and prayerfully 🙂

Condolences on the loss of your baby. It is never an easy experience for anyone to go through. I’m really happy that you want to find out what happened and what to do to prevent this in future. I trust that you and your wife have found ways of openly discussing this with each other so that you both can air your hurts and heal together.

Unfortunately, often times, the cause of a miscarriage is not identified. Your wife needs to understand this so that she doesn’t blame herself unduly. Having said that though, first trimester miscarriages are mainly due to problems with the baby/fetus. These problems could be due to problems with the placenta. This is how the baby receives its nutrients in the womb and so, if this organ cannot deliver, a miscarriage might occur. There may also be a problem with the baby’s chromosomes, such that a baby may receive too many or too few genetic materials or there may be a damaged egg/sperm. Other associated risk factors include smoking and drinking alcohol, being overweight, malnutrition, increased maternal age, trauma and drug abuse. By the way, trimester is 3 months of pregnancy. So, first trimester refers to the 1st three months, 2nd trimester, the 2nd three months and 3rd trimester, the last three months

To try for a pregnancy again, remember to ensure there is unprotected sexual intercourse at least three times a week with ejaculation of sufficient amounts of semen. Your wife should start of folate supplements as soon as she can to prepare her and baby for the journey ahead.

To prevent a recurrence, focus on ensuring that your wife stays healthy and does not indulge in harmful habits like smoking and excessive alcohol drinking. Other helpful tips include eating healthy, keeping weight within normal parameters, avoiding trauma and not abusing drugs.

In addition, as soon as she gets pregnant again, she should register or antenatal as soon as possible and keep to her appointments religiously. She should also contact her obstetrician, even if she’s not due for an appointment, something may be wrong with her baby.
For more on this topic, please click on the link below:

Daily Health Tips: What Should I Do To Conceive Again After A Miscarriage?

Have a great day, people 😀

Ever wondered whether your baby is too small for her age? Teething too soon or too late? What to do when your baby is teething? How to encourage your babies to read as they grow?

Just For The Health Of It With Dr Ketch explores this and other issues around parenting.

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