Daily Health Tips: I Think My Daughter Is Small For Her Age!

Q: My 2-year old daughter doesn’t add body weight and she doesn’t like eating. Sometimes she eats very well and at other times she does not. She is also small for her age. What should l do?

A: Hmm! I’m sure every mum has heard this and has this fear! In fact, my second daughter was a major challenge for me. She was tiny and refused to eat anything…literally 😀 She constantly had her baby cup in her mouth and essentially lived on a fluid diet at a time when her mates were eating ‘major’ food! I kept begging God not to let her be malnourished…what would I tell people? 😀

But guess what? That little tot is all of 10 years old (in fact, today is her 10th year birthday) and she appears to be making up for lost ground…eating everything in-site. Thankfully too, she does love to eat healthy…the only one of my children I really don’t have to force….or to be more polite, encourage to eat right 😀

Remember that children, like all of us, are creatures of comfort and habit. So we really don’t want any change in what we are used to eating. This is especially more so for a 2 year old. If you have let her ‘dictate’ to a large extent what she eats and what she does not up till this time, then it is a bit more difficult now to ‘regiment’ her than when she was a year old ;D However, that doesn’t mean that it can’t be done.

Here’s what to do. First, I try to remind parents that there’s only one boss and that’s you! 😀 Your baby needs to firmly understand that. And so, while your job is to provide a variety of foods for your baby to choose from (as best you can), it is your baby’s job to pick from these. So, if you provide for lunch two options of, brown rice with sardine sauce and steamed vegetables/Amala with Ewedu, stew and chicken, the choice she gets is which one of these she wants: rice or amala 😀 This, of course, is for a start as you try to tempt and encourage her taste buds to try different things (I can see a lot of you already asking, ‘am I going to prepare two lunches every time?’. The answer is No :D).

Try to prepare balanced meals with foods picked from all food groups and try different (healthy) ways of preparing them. Introduce fruits and vegetables early so that this habit is formed early and they grow up seeing that, eating with a plate half-filled with veggies, with the other half shared between carbs and protein, is normal 😀 Try different things until you discover the right combination.

A lot of times, because we are all busy with stuff, it’s convenient to make quick noodles and give cookies and then complain that that’s all the baby eats. But, when was the last time you made the effort to prepare something else and really encourage the baby to eat? Weaning or introduction of complementary feeds is not an easy task for most parents and so, it does require effort…a lot of it.

To confirm that your child is not adding any weight at all, then this pre-supposes that you weigh her regularly. To do a quick calculation of your baby’s ideal weight from ages 1 year to 5 years, multiply her age in years by 2 and add 8 (2n + 8). So, your baby’s ideal weight should be about 12kg. But the question is, is she adding weight monthly but perhaps not up to the expected? Not gaining weight at all, is a major health issue that actually goes beyond eating. If she adds weight but not up to what is expected, the problem may be with not getting enough nutrients, either in quality or quantity. Please see her paediatrician to be sure you’re not just being overly anxious as all mothers worldwide, from the beginning of time, have been known to be 😀

Remember that to help the process of growth, your baby should get enough sleep (especially an afternoon nap) and some exercise/playtime (at least 30 minutes per day).

Enjoy the rest of your day!

Here’s to a healthier you!

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Daily Health Tips: Are These Malaria Or Pregnancy Symptoms?

Q: Please I have a personal question. I am an expectant mother, in my first trimester. I often have fever, loss of appetite, nausea, feel like vomiting whether I eat or not (I have actually vomited sometimes), cough and weakness mostly. Please, what malaria drug can I take that will not be harmful to the baby? Or do you think otherwise because this is really disturbing me. Thank you as I wait for your reply.

A: Honestly, you just sound completely and totally pregnant! 😀

Pregnancy is a very interesting condition, I can tell you…being a veteran with 3 beautiful children to show for it 😀 And so, you may very well feel you have malaria when the only issue you’re dealing with is the new life growing in you! I felt like that for a long while before I discovered I was pregnant 😀 You can read my post ‘Baby in the tummy…it’s all up to mummy, is it/!’ for more on that gist and other symptoms of pregnancy (normal and abnormal). The link is provided below.

 https://chatwithdrketch.com/2013/10/26/baby-in-the-tummy-its-all-up-to-mummy-is-it/

Back to our main gist, pregnancy can affect different women differently. For some women, they hardly feel a thing and others spend the whole nine months (…and then some :D) in bed.  And so, before we start thinking of anti-malarials, please confirm that you do have malaria! It may well be the symptoms of your pregnancy.

Generally, the symptoms of pregnancy include:

Breast tenderness
Discharge: A thin milky discharge is normal during pregnancy
Heart burn and Constipation
Frequency of urination
Tiredness
Food cravings and aversions
Morning sickness/nausea

So, my advice is to see your doctor to confirm what is wrong with you…if anything at all, beyond pregnancy. If you don’t have malaria, great. If you live in a malaria endemic area like Nigeria, your doctor will ensure that you get your Intermittent Preventive Treatment (IPT) courses for malaria (sulphadoxine-pyrimethmine) during your pregnancy.

If you do have malaria, quinine and Artemisinin Combined Therapies (ACTs) are generally considered safe. But, don’t be quick to go take any of them without prescription. Remember that every drug is a potential toxin and your doctor is really in the best place to weigh potential risks of taking any drug against the potential benefits. To put this in perspective, a recent study appears to now suggest that acetaminophen (the main ingredient in paracetamol) may lead to Attention Deficit Disorder in children! And yet, we refer to it as ‘ordinary’ paracetamol. There is nothing ordinary about any drug, my friends 😀

So, have a great evening and keep working at being healthy 😀

Here’s to a healthier you!

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Daily Health Tips: Why Do I Feel My Heart Beating?!

Q: Hi Dr Ketch, please can you tell me what causes palpitation of the heart and how can it be prevented. Thanks doc.

A: Palpitations occur when you get the sense that you can feel your heart beat. Ordinarily, your heart goes about its business of keeping you alive and well by beating inside your chest without you being aware, right? Some conditions, however, may make your heart beats obvious and you probably have experienced some: anxiety, panic attacks, stress, after some exercise, when you have a fever, after taking some coffee or any caffeine-containing food/fluid and also after taking in nicotine as in cigarette smoke, cigar or even chewing tobacco. Conditions like pregnancy and taking drugs eg cough medicines that contain stimulants may also cause palpitations.

Usually these palpitations would disappear after a brief appearance, but if they appear frequently and are accompanied by other symptoms like chest pain, being short of breath etc, please be sure to see your doctor to confirm that this is not a sign of a bigger problem with significant complications.

Treatment is focused on the cause. Where stress or anxiety is the trigger, management is really all about coping with stress and making sure that you have more ‘good’ stress than bad stress (remember that good stress has a life cycle…it starts and ends within defined periods while bad stress is from situations that are not handled properly and remain a source of ‘worry’ continually). We’ll take a refresher class on good and bad stress before the week ends 🙂

If it’s due to caffeine and nicotine…simple: stop 😀 or significantly reduce. For coffee, 2 cups (teensy weensy lady-like cups :D)a day should be the very maximum 😀 For nicotine though, you just have to let it go.

Finally, if you indulge in other drugs of ‘recreation’ eg cocaine etc, please leave well alone!

Have a great day, people and keep those hearts doing their things without you knowing 😀

Here’s to a healthier you!

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Daily Health Tips: How Can I Curb My Bad Breath?

Q: Doctor please what can I do? I have a bad Halitosis (bad breath). I have tried all I know but no cure. I need your advice sir.

A: It can be very embarrassing when talking to someone who has a mouth odour. You do want to be polite and look into their faces when they are speaking to you but the stench from their mouths makes this a no-no 😀 Here’s how to prevent this and help someone who’s got this problem. Our top tips for keeping your mouth and teeth healthy and smelling fresh:

Brushing. This sounds very obvious. However, where we were advised to brush at least twice a day before, we are being asked to brush after every meal (three times per day) and especially before bedtime. Brushing removes food debris and stimulates gums.
 • Pack extras: a travel toothbrush and paste in your bag or purse, or keep a set in your office desk so you can brush after lunch.
 • Toothbrushes should be replaced every 3 months and after a cold or flu. You don’t want to pick up germs you’d kicked earlier.
 • Use a soft-bristled toothbrush because hard bristles can damage the gum line if used improperly.

Flossing. This is seen as a grossly over-rated activity but is very key to dental health.
• Floss once a day, preferably at night before brushing. Using dental floss first gives the fluoride in the toothpaste a better chance of reaching between the teeth.
 • People with arthritis and younger children may find floss sticks (also called floss picks), easier to use than the spooled ribbon.

Dental visits
 • Depending on the health of your teeth, your dental visits could be scheduled for every three to nine months,
 • Seniors may need more regular visits, since teeth typically become more brittle with age.
 • Kids should go to the dentist every six to nine months as recommended by your dentist.

Eat Healthy. Some foods actually aid the teeth’s auto cleaning process
•    Apples produce saliva and clean teeth.
•    Hard cheese protects teeth from bacteria and has calcium, which helps rebuild teeth.
•    Choose healthy foods, such as dark chocolate! 😀 (Yep, you heard me!) Researchers at Osaka University in Japan found that parts of the cocoa bean prevent mouth bacteria and tooth decay.
•    Sugar-free chewing gum increases saliva flow and cleans out food debris from teeth.
 
Fight bad breath
 • The tongue usually falls under the radar and oftentimes doesn’t get brushed. Please always brush your tongue. Some tooth brushes come equipped with a tongue brush at the back of the toothbrush…or you could buy a tongue scraper. Whatever you do, just be sure to clean your tongue!

Remember that foods that contain garlic will give you bad breath for a while as it is excreted through your lungs. So, a short term measure may be the use of a non-alcoholic mouthwash. This could also work for those fish dishes 😀 otherwise, try to eat your ‘garlicky’  and fishy 😀 stuff in the evenings!

Let’s keep those teeth pearly white and breath smelling fresh! 😀

Have a great day!

Here’s to a healthier you!

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Daily Health Tips: How Much Water Should I drink In A Day?

Q: Good morning Dr. May you kindly illuminate on recommended quantity of water one is required to take each day  My concern is that after taking a glass of water, 5 mins later, I am going to bathroom. Is there something wrong with me?

A: Thanks for writing in. Water is important for life and we use it for very important functions daily: taking a bath, washing clothes, washing dishes, cooking and of course, drinking. The water we drink is very critical for a lot of bodily functions like digestion, excretion (when we urinate, pass faeces and sweat), movement of nutrients all around the body, keeping your joints nice and supple etc. If you also consider the fact that a healthy body contains about two-thirds, water, then it is clear that we can’t joke with our water intake per day.

So how much should we take every day? Though, there are recommended amounts to take daily, it really depends on your activity level (notice how much more water you appear to need after a hectic workout?), where you live (notice how much water you also seem to drink when you live or visit the tropics as opposed to when you live in or visit a temperate region) and your health condition (for instance, people with UTI need to drink some more water).

Generally, we are encouraged to drink 8 8-ounce glasses of fluid per day. This is approximately 2 litres of water per day. Honestly, though it breaks my heart to admit it 😉 any fluid counts e.g. fruit juices, beverages etc. But try to remember that these other fluid sources, other than water, may contain calories that you probably don’t need 😀

An easy way to check whether your body is getting enough water in a day is to check your urine colour. If it’s dark yellow, you’re probably not getting enough. If it’s pale yellow in colour, you’re doing good 😀

If you don’t like the taste of plain water, you can jazz it up with a slice of lemon or lime 😉

When you first start trying to drink more water, you may observe an increase in your bathroom visits. This should stop after a short while. If it doesn’t, please see your doctor. It may be an over-active bladder, a Urinary Tract Infection etc. Please click the link below to read my post on over-active bladder

Daily Health Tips: Train That Leaking Bladder!

Remember that you can now get your daily health tips from Dr Ketch on the go by sending WELLNESS to 33118. This service is only available on the MTN network in Nigeria for now and costs N50 for 2 weeks.

Have a fab weekend 😀

Here’s to a healthier you!

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Daily Health Tips: Why Do I Have Acne (Pimples)?

Q: Please Dr, how can I cure my pimples naturally?

A: Pimples or acne are always a serious concern for males and females of all ages. When you’re a teenager, it appears life is generally miserable when you have a lot of these and when you’re older, it’s embarrassing and almost as if, you didn’t pass through rites of the teenage years and now have to deal with it at this age 😀 Either way, it can be a source of emotional upset. Stressing out about it, now makes it even worse as stress can make acne worse even if it doesn’t directly cause it.

Acne happens when hair follicles get blocked by dead skin cells and oil. They are most frequently found on the face, back, shoulders and neck.

Pimples are usually increased or aggravated by hormones which are in abundant supply during the teenage years, pregnancy, before the start of a menstrual period and when using some medications. In other instances, pimples result from friction between clothes and skin (e.g. collar, or wearing a back pack often), having greasy hair or other materials constantly touching the skin and a family history of acne.

Acne can be inflammatory (in which case they are usually painful like pimples) or non-inflammatory (blackheads or whiteheads). One of the major problems with acne is the fact that a lot of the people who have them can’t leave them well alone…plucking, tweaking, pressing and just generally touching them leading to more inflammation, scarring and even bacterial infections as germs from hands are transferred to them.

Treatment of acne is targeted at one or a mixture of the following factors: reducing inflammation, reducing oil production, improving skin cell turnover and reducing bacterial infection.

Creams with Salicylic acid or Benzoyl peroxide are useful for removing dead skin cells, killing off bacteria and reducing oil production. You may notice some slight irritation initially which wears off in a little while. Where in doubt, please see your doctor.
Your doctor could also prescribe other (stronger) drugs if the above do not work to deal with the acne and the scarring.
You can prevent pimples by using gentle cleansers on your face in the morning and evening. Be sure that they do not dry out your face as these cause even further irritation.

Do not use your body soap on your face for the same reason. Use a facial bar or facial wash.

Keep greasy hair off your face and wear loose clothes that allow your skin to breathe. Cotton is always a great idea 😀 For this same reason, if you always carry a rucksack, switch it around and carry other bags in turn to allow your back ‘breath’

Do not use greasy cosmetics and if you have acne, perhaps you should give your foundation a miss for a while or try not to be too heavy handed with it 😀

Be sure to wipe all your makeup off your face every night. Those pores need some air after all that war paint we put over them 😀
And…please leave your face alone, especially if you’ve got pimples. Continually picking at them will just cause more scarring and increase the likelihood of bacterial infections 😉

For natural methods, Alpha hydroxy acids found in some fruits have been found to also be helpful. A good number of creams contain this and they help unclog pores and remove dead skin cells. Use with caution though as they may cause some irritation.

Have a great evening!

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Daily Health Tips: Train That Leaking Bladder!

Just came across this from a Harvard Medical School newsletter and thought to share.

Have you ever had any of those ‘leaks’ that happen when you’re not expecting it? You feel pressed and you’re about to go do your thing and suddenly…Accident! Some wee on your clothes! Embarrassing. But don’t worry, you’re not alone.

Here’s how to train that recalcitrant bladder!

Keep track of the number of times you urinated during the day or had accidental leaks.

Keep track of the time between each accident or toilet visit to urinate.

If you realise that you usually go to urinate after every 2 hours then add 15 minutes to it. Once the 2 hours 15 minutes are up, then go and urinate. If you feel the urge before the 2hrs 15 minutes are up, then remind yourself that your bladder is really not full, try your pelvic floor exercises etc to stop the urge.

As this works, increase the interval between bathroom visits by another 15 minutes and continue in that way until your bladder is properly trained 😀 Never thought it was lack of home training that made your bladder mess with you, right?!

Remember though that having frequent sudden urges to urinate is not only due to an over-active bladder (which makes you want to urinate even when you have very little urine in your bladder); it can be due to a urinary tract infection, prostate problems etc. So be sure to confirm with your doctor. The symptoms due to overactive bladder can be controlled by bladder training as described above.

Have a good night and keep those bladders under control 😀

Dr Ketch

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Daily Health Tips On The Go!

Hello healthy people and wellness fans, you can now get your wellness tips on the go. Yep! Your wellness tips from Dr Ketch can be delivered daily to your phone now. If you are in Nigeria and on the MTN platform, text WELLNESS to 33118, to have daily wellness tips delivered directly to your phone.

Have a great evening 😀

Here’s to a super-healthier you!

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Daily Health Tips: Is This A Fungal Infection?

Fungi are invisible (to the naked eye) micro-organisms that are plant-like. They love and thrive in dark, warm, moist areas and can attack skin in situations of low immunity or when there is an injury to the skin or nail. Examples of fungi are mushrooms (yes…the same one we eat :D), mildew (the one that grows on that towel that didn’t dry well :D) and mold (the type that grows on bread that is left for too long :D). Yep! So, we all know this guy FUNGUS! Ever since my son heard that mushroom was a fungus, he refuses to eat it again. We’ve always had a running battle with it anyways, so this was just convenient! So far, it is, ‘no winner, no vanquished’. We’re still at it though…the battle 😀 But I digress…

Back to our fungi gist, there are typically three common fungi infections: Ringworms (which most people have heard about), athlete’s foot and jock itch.

Ringworms are small, round, ring shaped rashes/patches on the skin…but are absolutely not worms J They usually happen when people have minor injuries on skin, scalp or nails and when people sweat a lot. This can be prevented by keeping personal things personal: don’t share towels, clothing, undies, head coverings (caps, hats etc). Keep your skin nice, clean and dry. This process can be helped by taking a bath regularly J and towelling off. Be sure to shampoo after a haircut and dress for the weather. With our hot sun, those fungi have no hiding place! Let them bring it on 😀

You know those sores between toes that happen especially if you are fond of walking around barefoot in wet areas, wear tight shoes and synthetic socks (that don’t allow your feet to breath) and if you don’t clean properly between your toes after a bath? That’s called athlete’s foot. So, to prevent it, avoid the above. Wipe between toes et al after a bath, wear socks made from fabrics that ‘breath’ like cotton, take a break from tight footwear and try not to share your shoes. Buy shoes that suit our weather too. For instance, while a pair of boots may make sense in winter, it may not be such a great idea in these hot climes (Africa) where the weather is hot and our feet need to breath 😀 If you can get away with it, wear sandals.

Have you ever seen anyone closing their eyes and intensely scratching their crotch area? Well, they could have jock itch! This again happens when people sweat excessively…the groin area is not spared. Prevention involves not sharing towels and under-garments, keeping them clean and washed, wearing clean socks and keeping it cool down there by wearing under garments made with cotton, which are not tight fitting 😀 A bath after a hectic exercise or sport session will also not go amiss.

Treatment of these fungal infections will involve the use of anti-fungal creams and where the infection is significant, oral anti-fungal creams are added. Antibiotics may also be indicated where there are bacterial infections…as can occur from the scratching of jock itch.

So, there you have it. In this instance, an ounce of hygiene is certainly worth a pound of cure!

Enjoy your evening.

Here’s to a healthier you!

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Daily Health tips: Any Link Between My Towel And My Health?

Someone asked me to write on how to maintain a white towel. I promised to do this last week…but failed. Forgive me. I will, however, talk about towels generally.

First, when you buy a towel, have you noticed how a new towel never quite cleans well but manages to linty residue on your body? Well, that’s because some towels come already treated with fabric softeners which make the fabric nice and soft…the original attraction to buying it; however, they also interfere with absorption of water. So, wash before use. It appears that washing without detergent, using 2 cups of vinegar takes care of this problem. Vinegar is available in any shop that sells baking ingredients and materials.

Ensure that you do not wash your towels with regular laundry. Apart from the fact that zippers, hooks and buttons can get snagged on it, it also transfers some ‘delicate’ germs to your everyday clothes.

Be sure to air dry your towels after use and after washing to discourage the ‘over-growth’ of germs in the moist environment. If you have a hot towel rail, that is good too.

Wash your towels in warm water…not hot. The latter can lead to shrinking of the towel. You know those towels you always wondered what happened to them? From being a full length towel that covers you up, it turned to a face towel! Perhaps, I exaggerate a bit! Well, now you know what happened to the towels!

Finally, despite the temptation to soak your white towels in bleach often, resist this and use rarely. Bleach leads to weakening of the fibres and with time, the towels are no longer as absorbent as before.

Remember not to share your towels, even for your children. All sorts of infections can be shared through this including skin infections, ‘sexually transmitted infections’ like crabs (which are technically not STIs since sex was not involved :D) etc.

Have a great day!

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