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Alcoholism is a disease which is chronic and often progressive and includes problems controlling your drinking, being preoccupied with alcohol, continuing to use alcohol even when it causes problems, having to drink more to get the same effect (physical dependence), or having withdrawal symptoms when you rapidly decrease or stop drinking.

It is also possible to have a problem with alcohol, even when it has not progressed to the point of alcoholism. Problem drinking means drinking too much at times, causing repeated problems in your life, although you’re not completely dependent on alcohol.

Want some tips to help you stop? Click on the link below.

Please remember that if you are pregnant, operating heavy machinery, using certain prescribed drugs or plan to drive, DO NOT DRINK!

https://www.health.harvard.edu/healthbeat/11-ways-to-curb-your-drinking

Q: Hey doctor I have aborted 4 times and now the 5th pregnancy has turned to be ectopic. Can I give birth again?

A: Ectopic pregnancy is a situation in which a pregnancy implants outside of the womb (uterus). Usually, fertilization of the egg by the sperm happens in the fallopian tube and then this fertilized egg travels to the uterus where it is implanted. In ectopic pregnancy, this doesn’t happen. The fertilized egg may attach to the ovary, remain in the fallopian tube (tubal pregnancy), attach to another organ in the abdomen or the cervix. None of these places are ideal for supporting a growing life and so there is a great threat of serious bleeding.

Ectopic pregnancies are usually discovered in the first couple of weeks of pregnancy (it would have been discovered by the 8th week of pregnancy). The patient would usually come into hospital with complaints of light abdominal bleeding, abdominal pain or cramps, extreme dizziness from the bleeding. If the tube ruptures (bursts), patient could faint from profuse bleeding into the abdomen.

The risk factors for ectopic pregnancy include history of previous ectopic pregnancy and/or Pelvic Inflammatory Disease, Sexually Transmitted Infections, failed tubal ligation (tying up of the fallopian tubes for people who no longer want to have more babies), congenital abnormality of the fallopian tubes, pregnancy while on Intra Uterine Contraceptive Device (IUCD) etc

Once the doctor makes a diagnosis of this, he will choose from either giving a drug to dissolve the pregnancy tissues, if the pregnancy has not progressed too far and the fallopian tube is not ruptured; pin-hole surgery (laparoscopy) is also an option here. However, if rupture of the fallopian tube is suspected, the whole fallopian tubes and ovary may have suffered significant damage needing their removal. In cases like that, IVF is an option.  IVF by the way, means Invitro Fertilization and is the process of fertilizing a woman’s egg with a man’s sperm cell outside the human body. In the early days they were called test tube babies. Unfortunately, IVF is not a cheap procedure and you do need deep pockets and loads of patience because it may take a while. But, if you can afford it, please go for it.

You could still have a normal pregnancy if the fallopian tube did not rupture and this was discovered early. Let your doctor guide you.

Give your body time to heal and do everything that improves your chances of having a successful pregnancy and healthy baby. Eat well (more fruits and vegetables) and try to work out daily…even if that means taking a walk for about 30 days. Get support from family and friends and remain positive…pregnancy is more likely to happen if you’re relaxed and focused on living a full and happy life as opposed to fretting about it.

Remember that adoption is also an option to consider.

So, speak with your doctor and find out what options are available to you.

Final advice –  if you’re not ready for pregnancy please remember the ABCs of safe sex: Abstain…which is always the best bet if you’re not married, be faithful to one partner (who is hopefully being faithful to you) or use condoms.

I wish you all the best

Q: Hello my dear doctor Please want can I do when i cant taste any food and my nose is not perceiving any smell

A: Hey! Thanks for writing in.

The symptoms you describe could e due to a common cold, to be honest, but given that his has recently formally added to the list of symptoms of COVID-19, you should call your country’s/state’s hotline for guidance on what to do and where to get tested, if need be.

As a reminder of symptoms of COVID-19, I repeat an earlier post.

Common symptoms of corona virus are a fever, shortness of breath or difficulty breathing and cough. The cough can be of any type, but it is most commonly a dry cough.

Unfortunately, most of these symptoms are present in a serious common cold or flu, and so they are not necessarily symptoms of corona virus every time they are experienced.

To be safe, any time these symptoms are observed together, after recent travel or contact with people who have been diagnosed with the virus, or in locations with community transmission, please consult your doctor or call the COVID-19 hotline. Calling in with your symptoms is a better idea than visiting the health facility for now.

The hotline will advise on the next course of action.

Stay safe, people!