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Health Essentials

The common cold; an enemy of productivity

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You are not coughing, sneezing and churning out clear watery fluid from your nostrils because you stayed out late or spent time outdoors bare-chested. You are likely to have inhaled a good dose of viruses and may have what we commonly refer to as the COMMON COLD.

These days COVID-19 has changed the landscape and one cannot safely bet on having a common cold until you have taken a test to check for this novel corona virus. Even a negative test result may not be the end of the story BUT that is a topic for another day.

Most of us may recognise the symptoms of a common cold and definitely everyone reading this piece must have been a victim at one time or the other. The symptoms may be mild but trust me sometimes you get the impression the gates of heaven or hell were just open wide to receive you.

It may normally last one to two weeks and is an extremely common reason for a visit to a health facility all around the world. Your guess is as good as mine it also leads to many days off work or school. Many doctors are likely to give someone with a common cold days off from work because the person is a health “hazard” Can you imagine spending hours in a room with someone coughing and sneezing?

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You may soon catch the common cold too and then there will be more people underperforming and that means more cedis down the drain for the business. It is even more important now to stay home when you have one or more of the tell-tale signs below since you will be mentally torturing your colleagues as they imagine you may be entertaining COVID-19 rent-free.

TELL-TALE SIGNS

  • Coughing
  • Sneezing
  • Watery Eyes
  • Runny nose
  • Stuffy nose
  • Itching throat
  • General body pains
  • Mild Fatigue
  • Low grade fever

Allergies may often mimic the common cold but there are a few obvious differences. Note that the two may occur at the same time.

  • Allergies are NEVER associated with a fever and the victim will not have generalised aches and pains
  • All the other features above could occur in both
  • Unlike the common cold allergies are not caused by a virus
  • One will normally fight the common cold with REST, PAIN RELIEVERS and a myriad of “cold remedies” whereas allergies require an antihistamine to offer relief.

In a malaria endemic area like ours, the common cold can mimic MALARIA an old foe. Who would not suspect malaria when after several nights of unfriendly interaction with mosquitoes one begins to experience a fever, general aches and pains as well as a general sense of not feeling well. Many times we tend to battle the common cold with an antimalarial medication leading to drug resistance and unnecessary stress on our liver. When in doubt do see a professional.

A CLOSE LOOK AT CHILDREN

The nursery school is every mother’s nightmare especially the first few years. Since the children are in close contact with one another, there is a lot of “sharing” of viruses many of which cause the common cold. Consider the fact that over a 100 viruses may cause the common cold and you will understand why your little one appears to be having a long lasting acquaintance with the common cold.

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Beware lest you keep giving antibiotics to your child. Trust your doctor when he recommends supportive care. Sometimes your child’s cold may be complicated by infections such as an ear infection so monitor closely.

A WORD TO ADULTS

Most adults will not get the common cold as often as their little angels but women in their 20s to 40s are noted to have relatively frequent attacks probably because they spend more time with their toddlers.

In general any condition that keeps more people indoors or in an enclosed area for long periods of time is a remedy for spreading the common cold as the viruses are spread as we cough or talk. It can also be spread through contact such as shaking hands with someone who has cold and also sharing items that may include telephone, utensils and toys. After such contact one can easily catch a cold when you touch your eyes, nose or mouth (just as occurs in COVID). Good old washing of hands with soap and water pops up again.

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COMPLICATIONS

Though most bouts of the common cold may be harmless, occasionally we may be at risk of complications (commoner in children) especially when the cold persists for a long time:

  • Ear Infection
  • Infection of the sinuses
  • Wheezing may be precipitated in an asthmatic
  • Bacterial infection of the throat and even pneumonia

TIME TO SEE THE DOCTOR

It is important to see a doctor immediately if you have any of the following:

  • Temperature above 39.4 degrees Celsius in an adult or older child
  • A temperature of 38 degrees Celsius may be the trigger for a baby less than two months old
  • Persistent vomiting.
  • Refusal to eat and drink, which may lead to dehydration.
  • Excessive sleepiness

Note that in 2021, it is important to seek professional medical care whenever you have any symptoms that you think could be the common cold. Do Not wait for complications to set in or only to find out later you rather have COVID-19.

MANAGING THE COMMON COLD

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Your best bet is prevention.

  • Eating a healthy meal with a lot of fruits and vegetables will boost your immunity and help you ward off the cold
  • Mild to moderate  exercising (regular) will also increase your immunity
  • Washing your hands with soap and water after interacting with people
  • Patronise crowded areas ONLY when necessary

Once you have the common cold then it’s time to switch to plan B. There is currently no cure for the common cold but you may be able to make life more comfortable by adopting the following:

  • Drink lot of fluid – water, juice. This will replace fluid lost and prevent dehydration
    • Grab chicken soup – the jury is out and this is no longer an old wives tale. This soup actually reduces inflammation associated with the cold and also speeds up the movement of mucus through the nose, relieving congestion and reducing the time viruses stay in contact with the nasal lining
  • Get some rest
  • Keep your room warm
  • Saline drops may come in handy to relieve the nasal stuffiness.
  • You may use some pain relievers but remember they have side effects

This cold may be common but it can definitely make your life miserable and end up keeping you away from work and maybe poorer.

AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)

Dr. Kojo Cobba Essel

Health Essentials Ltd/ St Andrews Clinic/Mobissel

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Dr. Essel is a medical doctor, holds an MBA and is ISSA certified in exercise therapy, fitness nutrition and corrective exercise.

 Thought for the week –“STIGMATISATION has no place in fighting this pandemic. It will cause people to hide and not disclose their status, seek medical care late and reduce all the benefits of protocols. We should all be comfortable enough to tell our close contacts when we test positive for COVID-19 so that the proper measures are taken. This is extremely important if we have to win this fight.”- Dr. Kojo Cobba Essel

References:

  1. www.webmd.com
  2. www.mayoclinic.com
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Health Essentials

Blood pressure; how dangerously low can it go?

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Hypotension (low blood pressure) occurs when the force at which the heart pumps blood through the arteries falls

The conventional wisdom has always been that we should all strive to keep our blood pressure low. Even though this is true, having really low blood pressure can be dangerous, as it can impair your body’s ability to absorb oxygen, resulting in damage to the heart and brain.

Low blood pressure is when your blood pressure reading is lower than 90 millimeters of mercury (mm Hg) for the top number (systolic) or 60 mm Hg for the bottom number (diastolic).

Low blood pressure (also known as hypotension) can occur in anyone, though it may be more common depending on your age or other risk factors: genetic makeup, taking certain medications, and having certain diseases (diabetes, heart conditions).

The cause of low blood pressure isn’t always clear. However, it may be associated with the following:

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  • pregnancy
  • hormonal problems
  • some over-the-counter and prescription medications
  • heart failure
  • abnormal heart rhythms
  • widening or dilation of the blood vessels
  • heatstroke
  • liver disease
  • loss of blood from bleeding
  • low or high body temperature
  • a severe blood infection
  • severe dehydration from vomiting, diarrhea, burns or fever
  • a reaction to medication or alcohol

A sudden drop in blood pressure robs the brain of adequate blood supply. This can lead to dizziness or lightheadedness. Other symptoms include fainting, blurred vision, nausea, fatigue, lack of concentration, and in extreme conditions shock.

If you experience any of the above symptoms, seek emergency medical attention as it is important to determine the cause of low blood pressure so appropriate treatment can be given.

Some people are known to take alcohol in an attempt to increase their blood pressure but that is a path I will not recommend. Others opt for caffeinated drinks like coffee and tea. Caffeine can increase blood pressure due to peripheral pooling of blood and may cause complications.

Dr Kojo Essel often recommends that one engages in exercise, which is your best “weapon to normalise blood pressure.”

Quite often when one has low blood pressure, standing still for long periods of time can cause a further drop. In such people, Dr Essel highly recommends taking several steps even if standing in one place to help maintain blood pressure at a safe level.

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Other ways of managing low blood pressure are:

  • adding a little salt to food (do this with caution to avoid excesses and downsides of increased salt intake)
  • increase water (other fluids) intake to increase blood volume
  • may need to wear compression stockings in extreme situations
  • some may require medication
  • pay attention to body positions; do not move quickly from sitting to standing position for instance
  • eat small portions of food at a time
  • exercise should be a combination of strength training and cardiovascular exercise that increases heart rate

As always: laugh often, ensure hygiene, walk and pray every day, and remember it’s a priceless gift to know your numbers (blood sugar, blood pressure, blood cholesterol, BMI).

Source:
Maureen Masopeh, Content Creator (Health Essentials Ltd)

References:

  • Dr Kojo Cobba Essel; Unravelling the Essentials of Health and Wealth
  • Mayoclinic; Low Blood Pressure (Hypotension)
  • WebMD

By Dr Kojo Cobba Essel

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Health Essentials

Your Chair Could ‘Kill’ You! Really?

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Sitting continuously brings similar challenges that smoking poses

IF you truly love yourself, you had better read this piece while standing!
The other “inactivity” that rivals sitting for long periods when it comes to poor health and untimely death is LONLINESS! Sitting and Loneliness are the new Smoking.
It is often common to hear a parent tell a child, “Sit quietly and watch television and I will make a quick dash to town.” Well, this harmless and well-meaning statement is now being vilified. That parent could have said “smoke a few sticks of cigarettes while I dash off to town.” Yes “sitting is the “new” smoking.”
Scientists: they keep coming up with many weird findings and unfortunately, we realise after much ado that they may be right. People with sitting jobs have twice the rate of cardiovascular (heart & blood vessel) diseases as those with standing jobs – the bankers are cringing in their seats I bet.
It appears that compared to sitting,

• Sitting continuously brings similar challenges that smoking poses a gossip team. After an hour of sitting, if you walk for a minute or two.

Standing is hard work. Imagine that you need to engage many muscles to stand upright, and this burns energy. Sitting on the other hand is extremely relaxing.
When we sit, the “physiology of inactivity” kicks in and when we think we are relaxing in a chair made from heaven, our body instead rewards us with many bad things; enzymes that break down fat may drop by about 90 per cent calorie burning drops to frightening low levels and soon good cholesterol that protects us also drops. If you sit long enough even your insulin effectiveness drops and you will be courting diabetes in the long run.
I sincerely believe in getting a workout during the day, but you should not think that it gives you a license to sit at your desk for hours on end. We should ensure that we get up from our desk to walk briefly or even stretch. I am not giving you an excuse for loitering around your office or forming ings. When you have a meeting with a handful of people you could lace your boots and start walking while you talk. Who knows being out of a box (office etc) could help you think “out of the box” or even think like “there is no box”. The best aspect of such a meeting is people are more attentive since they are unable to fidget with their smart phones and other gadgets.

All lectures and classes (children are really suffering in school these days) should have a “Heart Preserving” five-minute break after every hour. Spend that time walking and stretching.
All long movies should have commercial breaks that should be used to at least stand
Whenever in doubt, at least stand for a while.
Well some people are trying innovative ways of even having small treadmills at their desk that keeps them moving, others are adopting a new chair design that essentially makes you stand at your desk, a few others sit on exercise balls that forces them to adjust their positions all the time but for the rest of us simply taking breaks and using every opportunity to move is just what the doctor prescribed.

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AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERY DAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials/Medics Clinic
(www.healthessentialsgh.com)
Dr. Essel is a medical doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is ISSA certified in exercise therapy, fitness nutrition and corrective exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

Thought for the week – For good heart health; exercise often, eat healthy, do not smoke, minimise alcohol and sit less

By Dr. Kojo Cobba Essel

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