#HLWDK Daily Health Tips: Do IUDs Cause Smelly Discharge?

Q: Hi doctor. Does a loop cause smelly discharge or just lots of discharge?

A: Intra Uterine Device (IUD) are also known as loop contraceptives. There are two types: the Paragard IUD and the Mirena IUD.

The Paragard IUD is a copper-containing IUD. The copper is poisonous/toxic to sperm and the IUD also prevents implantation of the fertilized egg into the uterus, should fertilization still occur. Paragard can be used during breastfeeding and its removal leads to a quick return of fertility, generally.

The Mirena IUD contains hormones which make the cervical mucous extra thick preventing the sperm from getting to the womb and it also makes the lining of the womb thin such that even if a fertilized egg were to get there, it would not be able to implant on the thin lining of the womb. It also prevents ovulation. Mirena helps reduce the cramping pain of a menstrual period and also reduces bleeding.

Side effects of Paragard include back ache, cramps, severe pain during menstrual period and heavy bleeding etc while Mirena can cause breast tenderness, weight gain, irregular menstrual cycles etc Both IUDs can also be expelled, spontaneously, that is for no reason.

Although vaginal discharge may get heavier after inserting an IUD, the real danger/warning signs to look out for when you have the IUD on are listed below. If you experience any of these under-listed symptoms, please see your doctor immediately.

  • Severe vaginal bleeding with at least two sanitary towels soaked every hour for 2 or more hours.
  • Smelly vaginal discharge. This could be associated with fever and chills
  • Severe pain in abdomen or pelvis

So, you should see your doctor immediately to check this discharge out.

Have a great night 😀

Advertisements
Posted in Uncategorized | Leave a comment

#HLWDK Daily Health Tips: Pain On Swallowing Food

Q: Dr, I also notice I usually feel pain when swallowing food from my throat down to my stomach. Each time I want to eat, I will first feel pain on my cheeks.

A: The symptoms you describe call for a little biology class 🙂

When we eat, the food moves down from the mouth, to the esophagus (the food pipe) and into the stomach. There is a sphincter (you can look at it as a valve or control) at the lower end of the esophagus just before the stomach. This valve usually allows food to move in one direction: from the esophagus to the stomach. However, in people with Gastro-Esophageal Reflux Disease (GERD), this valve called Lower Esophageal Sphincter allows food to also move back from the stomach to the esophagus. This food, which contains acid from the stomach, causes burning sensations in the esophagus described as heartburn. A condition called hiatal hernia increases the chances of GERD and is usually seen in obese people, pregnant women and during situations that increase the pressure in the abdomen like coughing, sneezing etc.

Symptoms typically include burning sensation in the chest after eating, difficulty with swallowing, and sensation of having a lump in the throat, chest pain and regurgitation of food or sour-tasting fluid. If your symptoms are worse at night, you could also have disrupted sleep and chronic cough.


Lifestyle factors that play a role in GERD include certain foods like fatty, fried foods, alcohol, minty foods etc, smoking, eating huge meals, lying down immediately after a meal etc

To avoid these eat smaller meals and try not to lie down until about 3 hours after a meal, keep your weight within normal limits and give tight clothes a rest 😀 Avoid foods that act as triggers and stay off smoking. Elevate the feet of your bed by using blocks under the bed. Do not use pillows to achieve this as it just increases pressure in the stomach and worsens the problem.
Other treatment modalities include medications and surgery. First course of action is to go see your doctor who will make a definitive diagnosis and advice on what works best for you.

All the best

Posted in Uncategorized | Leave a comment

What causes kidney stones (and what to do) – Harvard Health

A: If you’ve ever had a kidney stone, you surely remember it. The pain can be unbearable, coming in waves until the tiny stone passes through your urinary plumbing and out of the body. For many, kidney stones aren’t a one-time thing: in about half of people who have had one, another appears within seven years without preventive measures. Preventing kidney stones isn’t complicated but it does take some determination. Prevention efforts include drinking plenty of water, getting enough calcium from food, cutting back on salt (sodium), limiting animal protein, and avoiding stone-forming foods like beets, chocolate, spinach, rhubarb, tea, and others.

https://www.health.harvard.edu/blog/what-causes-kidney-stones-and-what-to-do-2019051716656

Posted in Uncategorized | Leave a comment

#HLWDK Daily Health Tips: When Does A Baby Start Growing?

Happy Children’s Day! And no, I am not just referring to your children, I’m referring to you! 😀 You are somebody’s child 😀 My mother still sends me a message every 27th of May…so, go figure! 😀

And to celebrate today, we will take a question related to children….

Q: Hi Dr, my question is, ‘when does a baby start to grow? And is there a difference between the growing process or boys and girls?’ A: Hey! Thanks for writing in.So, when does baby start growing? Well, from the time of fertilization (union of the sperm and egg). If you use the 40 weeks of pregnancy typically used by your doctor, then that means that fertilization and commencement of growth of baby happened around week 3 (remember that we count from the first day of your last menstrual period and so that means that the 40 weeks includes your last menstrual period days).

I’m assuming that this growth refers to height and will focus this discussion on that. 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 tall children and vice versa.

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 do. 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.

So, from the time the baby is born, focus on the right feeding. Start with breast milk. Breast milk, beyond being cheap, temperature regulated and readily available 😀 is formulated with everything your baby needs for each stage of his growth. It’s chock full of immunoglobulins (which makes them resistant to illnesses), vitamins, minerals, proteins, fats and oils. So, it is indeed a complete meal! It also helps the womb to return to normal size after childbirth. From six months, baby is ready to be introduced to some other food.


For a long time, the standard teaching had been to go for rice cereal as the first add-on meal because it is bland and babies tolerate this well. Other studies question this wisdom now and suggest that foods like meats with lots of essential nutrients like iron may be a good place to start. What should you do? You can boil beef/chicken very soft and blend it up for baby. If baby tolerates this, then by the next week, you could try adding some rice cereal. Try not to introduce more than one food per week so that you have time to study how your baby adapts to it and of course, look out for/isolate food allergy. And, to start off, only one meal of the complementary feed should be given daily. The rest should be the usual…breast milk 😀 This will, of course, as baby tolerates.

From one year of age, you can add cereals and it’s also okay to introduce cow milk at this time. Full cream cow milk is advocated at this time for proper brain development. Thereafter, please switch to skimmed/1%/2% milk as full cream milk has a lot of saturated fat which may contribute to poor heart health. Grains, green leafy vegetables, cow milk, honey, whole eggs can be introduced after the baby turns 1 year old.

Generally, other weaning foods that can be introduced include:Boiled egg yolk (egg whites contain substances that baby may react to), sweet potatoes, fish, chicken, beef, fruits like banana, avocados, boiled beans (with skin removed if possible) etc

Simple recipes include: blend some chicken or beef with the stock or mash a banana and add to baby’s cereal.Our local cereals can also be used and fortified with some breast milk or formula.As baby tolerates these meals, you can get a little more adventurous.Boiled carrots mashed with some coconut oil or a little yoghurt with mashed banana may not go amiss too.

I hope this helps!

Have a good night, y’all 😀

Posted in Uncategorized | Leave a comment

#HLWDK Daily Health Tips: Chest Pain

Q: Good evening Doc please am having this pain on the upper right side of my chest. Please what is the cause?
A: Chest pain is not necessarily a sign of a serious medical condition, but because it could be potentially life threatening, chest pains should be checked out in the hospitals.Common causes of chest pain include:

Chest sprain/sprain. This condition would typically be relieved by rest and is brought on by a chest injury or exertion

Heartburn. Typical symptoms include regurgitation (bringing up) of ingested food and/or bitter tasting fluid, feeling bloated. Symptoms usually start after eating and are usually described as burning.

Anxiety or panic attack. Symptoms include palpitations and fast heart beats, dizziness, sweating and is usually triggered by a stressful situation

Pneumonia. Associated symptoms include coughing (yellow or green mucous), high temperature and chest pain on breathing in and out

Shingles. Symptoms include skin rashes that turn into blisters and tingling on the skin

Heart problems. This is the key reason why chest pains should be checked out in the hospital because it could be a heart attack, which is life threatening. Other common causes include angina (caused by poor blood flow to the heart) and pericarditis, in which the protective covering around the heart becomes inflamed with leakage of fluid into it. Chest pain from heart problems is usually described as pressure, fullness, burning or tightness in your chest

So, my advice would be to go get checked out in the hospital and this should be immediate if the chest pain spreads to the back, neck or arms; makes your chest feel tight or heavy, lasts for more than 15 minutes, starts with sweating, shortness of breath and/or feeling of being sick

All the best!

Posted in Uncategorized | Leave a comment

Daily Health Tips:Why Is My Baby’s Navel Big?

chatwithketch

Q: Hello Doctor, thanks for being a source of medical education to most of us. Please, I would like to know if it is normal for a baby’s navel to get bigger. My boy is 7 weeks old and his Navel is getting bigger than it was after the normal birth treatment. My daughter presses it in my absence. Could it be the reason for it to get bigger almost by day? Again he stretches a lot…could that also be the reason? I’m just curious ma’am. Thanks for being there to lean on.

A: It does sound like your baby has an umbilical hernia. Don’t go shouting and screaming just yet! It’s probably not as horrible as it sounds. It looks all dramatic any time the baby cries and does appear to ‘swell up’ causing parents to panic. But, it usually closes up on its own by the time the…

View original post 561 more words

Posted in Uncategorized | Leave a comment

#HLWDK Daily Health Tips: Teething At Three Months

Q: Hi Doctor, is it possible for a 3 month-old baby to start teething?

A: Your baby is certainly in a hurry :D. Seriously though, babies start teething at different times. On the average, most children start teething at 6 months. Some start earlier than 4 months (as early as 2 months) and some others may wait up to a year or even after, to start the journey. Some children are even born with one or two teeth. These are called natal teeth and ‘No, this is not associated with witchcraft or enemies pressing remote controls’ as we like to think in Africa 😀 Some children also develop their own teeth within the first four weeks of life. These are called neonatal teeth. Natal and neonatal teeth can cause problems with feeding and may even be swallowed. The paediatric dentist will decide whether to remove them or leave them alone based on factors like whether the teeth are loose, excess etc.

Generally though, in instances like the one addressed in the question, provided the teeth do not negatively affect baby’s feeding, they are left well alone.

Have a fab evening 😀

Posted in Uncategorized | Leave a comment