#HLWDK Daily Health Tips: Pot Belly?

Q: Hello Ma I’ve a pot belly and I want to trim it down. Please, advice on what to do. Thank you

A: I’ve been getting a lot of questions on pot bellies, big tummies after child birth or just big tummies…after nothing, full stop:D So, I’ll reproduce part of a post I’d written on this subject (the trio of diet, exercise and stress). Remember that you can always visit my bloghttp://www.chatwithdrketch.com and type in any subject you want to know about in the search box. You will be presented with all my posts on that subject. There’s a lot I’ve written on weight loss et al 

I hate to be the one to break it to you…but alcohol is not the only thing that gives you a pot belly!:D Pot belly is caused by consuming way too many calories and these can be from your chilled bottle of beer or from your huge bowl/basin of rice (especially polished white rice) or yam. It is important to know what to eat, how to eat it and how much of it to eat.

The bad thing about tummy fat, is that it is not on the outside. It is actually on the inside, around the organs. So, no amount of sit-ups can touch this fat…exercise can help tighten abdominal muscles (especially for those who just put to bed) but it won’t get to the fat around organs (visceral fat). This fat is associated with some disease conditions like Diabetes Mellitus etc.

A diet full of junk food (meat pies, doughnuts) is unhealthy on a lot of fronts. It contains empty calories which give you calories you don’t need and make you demand even more calories in a short while. They also cause your blood sugar to yo-yo (jumping up) jumping up and down in a way that doesn’t help blood sugar control. A diet that is also full of white carbs like white bread, polished rice etc is also not ideal for the same reason. So what should we eat? A balanced diet…a diet that contains all food groups in sufficient amounts for the body to use them efficiently.

I have had cause to describe the ideal plate of food several times: Half the plate should be filled with vegetables, a quarter with complex carbohydrates like beans, local rice (like Ofada/Abakaliki/brown/wild rice), sweet potatoes, oatmeal etc and the last quarter with protein (fish, chicken etc). Remember that carbs are necessary to provide the energy needed for our daily activities. So, do not ‘demonise’ (:D) them….however, not all carbs are created equal. Complex carbs are superior because they supply energy and fibre and some also supply minerals and vitamins.

Then remember portion control. Reduce the plate size you usually use, if you need to lose weight. This automatically reduces the quantity of food you can eat.

Remember also to make a conscious effort to chew your food properly and take your time. Don’t wolf it down…or inhale it  Chew intentionally so as to give your brain sufficient time to process the signal from your brain which says that you are full. Have you observed that when you rush your food, you move from being very hungry to being completely stuffed! There’s no in-between, where you realize that you’re full before you get to the stuffed part. That’s because your brain didn’t have enough time to process that info before you became ‘over-full’.

Note that, even if a food is considered healthy, it doesn’t mean you should eat as much of it as you want. For instance, beans is healthy on so many levels but it also high in calories and so you still need to stick to the portion described. Moderation in everything!!

Exercise is critical because it makes your heart strong, improves your body’s ability to break down food, resist diseases and generally provides a feel-good attitude. It also helps you lose weight. Mathematically, exercise helps to burn what you have eaten such that, if you do enough and watch your portions, at the end of the day, there will be a food balance between what you have burnt and what you have taken in. If you have not been engaged in any exercise for a long time, please see your doctor before you start any vigorous regimen. A minimum of 150 minutes of exercise per week is essential for good health. Try to get this exercise anyway you can: walking, dancing, skipping, arm wrestling, pillow fights etc. All the activities count and help you keep you fit, trim and healthy. If you use the gym, that’s great. You can get the instructor to put you on a regimen that involves aerobics, strength training (training with weights) and then focus on troublesome spots like your tummy etc. (in that order) or suggest useful regimens that are helpful.

Finally, I will talk about stress because quite a number of us are stressed out. Stress causes the release of a hormone called Cortisol which, amongst other things, causes fat to be deposited around our tummy. So, reduce your stress consciously by figuring out how to better cope with your sources of stress or even eliminating the stresses that you have control over. It’s your life after all.

I suggest you also click on this link to read my post on low glycemic eatinghttps://chatwithdrketch.com/2014/02/16/daily-health-tips-low-glycemic-eating-whats-that/

Have a good night, y’all 

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#HLWDK Daily Health Tips: Watery Vaginal Discharge

Q: Please doctor what is the cause of a watery vaginal discharge, no itching and it doesn’t smell. And the solution please?

A: Some level of vaginal discharge is normal on a daily basis as the vagina sheds cells and produces fluid needed to clean and provide protection for its delicate skin. You would have observed the difference in the consistency depending on your menstrual cycle.

If this discharge however develops a strange smell, becomes itchy with swelling and pain in the vagina or you notice blood stained discharge, then it is time to see a doctor. Abnormal discharges could be due to candidiasis, pelvic inflammatory disease, sexually transmitted infections or in the case of blood stained discharge, may be cancer etc

Usually, a sample of the discharge is sent for investigation and it will confirm what infection is there, if any, and what drug will be useful in treatment.

I hope this helps

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Daily Health Tips:  Healthy Food tips for recuperation

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Have you ever recovered from a bout of illness and found it difficult to get your appetite back? You know that situation where everything you eat tastes like sawdust? Most of us have probably gone through this. The question below typifies someone going through the same experience and then you get some great tips for dealing with this, the next time it dares come your way! 😀

Q: Hello Dr Ketch, I have just recovered from a bout of malaria. I have not had malaria for over two years and so this really destabilized me. I was really ill for about two weeks. Even when the fever resolved, I struggled to get my strength back. It’s been about a week after my illness, but my appetite is still not what it used to be. I basically force myself to eat every day. Is this appetite loss normal and what can…

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#HLWDK Daily Health Tips: World Polio Day 2017

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Today is World Polio Day with the theme, ‘One Day, One Focus, Ending Polio.’

In honor of this day, I repeat a post I had made on polio a while back.

A couple of years ago, I was notified of a case that involved one of the hospitals on our private Health Insurance scheme and the child of one of our enrollees. This child had a fever that had been on for a couple of days and so the parents were not comfortable anymore and decided to go to the hospital. Predictably, the hospital decided to place this child on antibiotics irrespective of the fact that nothing pointed to the fact that this anything more than a viral infection.

This child could take orally and could very well have taken this unnecessary antibiotic by mouth, but for some reason (whether by request from the child’s parents who wanted something they…

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Want Healthy Feet? Keep A Healthy Weight – Harvard Health

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Being overweight can lead to a host of health problems, from high blood pressure and heart disease to arthritis, gallstones, and sleep apnea. It can also contribute to foot problems in two ways.

First, excess weight contributes to the misery of common structural problems such as heel pain and arthritis. Any foot ailment is more painful the more weight you put on it. Second, excess pounds increase your chances of developing atherosclerosis, poor circulation, and diabetes — all of which can damage your feet.

Never quite thought of it this way, did you? To learn more, please click on this link:

http://www.health.harvard.edu/healthbeat/want-healthy-feet-keep-a-healthy-weight

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#HLWDK Daily Health Tips: Can Tuberculosis Be Cured?

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Q: Please Doc, can you talk on tuberculosis and can it go on forever, if treated?

Tuberculosis (Tb) is a bacterial infection that mainly affects lungs. The infection could be active in which case the person is sick and can transmit the infection to another person or the infection could be inactive, in which case the infection is present in the body but does not cause infection neither can it be transmitted to another person. However, this latter case needs to be treated as it can become active.

The issue of Tb has come more to the front burner with the advent of HIV/AIDS which causes a depression of the immune system such that the Tb infection can hold sway. Other conditions that depress the immune system include cancer treatment, some cancers, malnutrition, Diabetes Mellitus, extremes of age (very young or very old) etc

Symptoms of Tb include fever, cough…

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#HLWDK Daily Health Tips: Breast Cancer Awareness Month 2020

October is almost over!!! Who would have thunk it! 😀 And just before y’all start judging me, that wasn’t an error. That’s my special brand of ‘thought’ 😀 😉


We can’t let the month of October pass by without celebrating the fact that the month is Breast Cancer Awareness Month.


Breast cancer is abnormal growth of the cells of the breast. Though it is more common in women, it can also occur in men. It is important to examine your breast regularly and note if there are changes. Some changes that may signify cancer, to look out for include:

• A lump or thickening of breast tissue that feels different from surrounding breast tissue

• A lump in one or both armpits• Change in the skin of the breast eg giving the appearance of orange peel/skin of an orange

• Change in the shape, size or general appearance of the breast

• Nipple discharge (especially if it’s bloody) or recent inversion of the nipple

• Scaly skin around the nipple


Breast cancer may be inherited and so having a family history of breast cancer puts one at greater risk of having this. Other risk factors for breast cancer include

:• Being female• Starting period at an early age….earlier than 12 years• Starting menopause at a later age

• Hormone therapy during menopause

• Obesity• Having first baby at age older than 35 years

• Increasing age: The older one is, the more at risk of breast cancer one gets• Exposure to radiation like X-rays. That’s why people who work in environments where these tests are done have to wear protective clothing when running the tests.

• Drinking alcohol


If breast cancer is caught early, one has a greater chance of survival. Treatment of breast cancer depends on the stage of the disease, type of breast cancer, grade, size and how sensitive the cancers cells are to hormones. Treatment options include surgery (removal of lump or removal of whole breast or removal of lymph nodes), chemotherapy (medications that destroy cancer cells) and radiotherapy (using irradiation like X-rays to destroy cancer cells).

Prevention of breast cancer in people with average risks includes:

• Eating healthy• Keeping a healthy weight within the BMI• Exercising

• Stopping or limiting alcohol use• Speaking to your doctor about screening options open to you.

Mammograms used to advocated for women 40 years and over. The new recommendation from American Cancer Society earlier this month recommends annual mammogram for women at moderate risk of cancer from 45 to 54 years of age and then every two years from 55 years onwards. U.S. Preventive Services Task Force mammogram guidelines recommend screening from 50 to 74 years.

So, be sure to discuss with your doctor so he can advice on your best options based on your personal history.


For related topics, please click on the links below:
https://chatwithdrketch.com/2015/04/05/daily-health-tips-breast-lump-in-a-man/
https://chatwithdrketch.com/2013/06/15/the-halfway-mark/
https://chatwithdrketch.com/2013/05/24/pinkie-swear/
Have a great evening.

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Daily Health Tips: I Don’t Have Enough Breast Milk

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Q: Doc thanks for all those helpful health tips. My wife has given birth. Ever since, going to 4weeks now, the baby has been drinking food. Within 3weeks she had finished 4 tins of Nan 1. Her mother’s breast milk is not dropping…at times little like a spit. Hundreds of advice has been given and used; yet, no significant change. Please please Doc, what can we do??? Thanks.

A: Congratulations on your new baby! May she grow to do great things in her generation.

She does sound like one hungry child 😀 which is good. The truth is breastfeeding is touted as being best for baby because of the nutrients it contains, the bonding time it affords mum and baby and also because it is cheap! You need no money to feed your baby as often as needed…beyond the monies required to ensure mum feeds well. There’s also the challenge…

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#HLWDK Daily Health Tips: Sexual Dysfunction

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Q: Good evening ma’am, I must commend. You’re really doing a good job by enlightening people. I pray God will richly bless ma’am. But please ma’am, I want to ask, what can I do to get rid of premature ejaculation? I’ve been battling with it now for like 4-5 years without taking any medication for it. I thought it is just temporal, but now seeing that the symptom still persists, I don’t know what to do. Please advice.

A: Premature ejaculation is the most common type of sexual dysfunction in men younger than 40years. Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration, with minimal sexual stimulation and before the person wishes. In most cases the cause may not be identified.

It may be due to anxiety, guilt, depression, or if it has been a long time since last ejaculation. It may occur with a new partner…

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Daily Health Tips: Ear Infections

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Q: How do I stop pus from the ear?

A: Thanks for writing in.

Ear infections could lead to discharge of pus from the ear:

Otitis media

Otitis media with effusion

Otitis externa (swimmer’s ear)

In otitis media, there is an infection of the middle ear and happens when an upper respiratory tract infection introduces bacteria into the ear. The infection could also be viral. Fluid builds up in the middle ear.

In otitis media with effusion, pus forms as the body tries to fight the infection. This leads to more fluid collection and this pushes against the ear drum. This pressure can build up to the extent that the ear drum ruptures, leading to drainage of pus. With this, the symptoms of pain and problems hearing, disappear and the infection clears.

Middle ear infections are common in children between the ages of 6 months and 2 years, children who…

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