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Delving into infections of the female pelvis: An effect of bad sexual lifestyle?

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The female reproductive organs are prone to infections just like any other part of the human body. If the Infections are related to the female reproductive system and are in the pelvis, it is Pelvic Inflammatory disease.

The U.S Department of Health and Human Services estimates that 4.4 per cent of women in the United States are affected by this condition. Also, in a population of women, 2.5million people between the ages of 18-44years have this condition.

The Centre for Disease Control estimates that more than one million women have an episode of PID every year. It has a rate of hospitalisation ranging between 125,000 and 150,000. The data clearly shows how prevalent it is within our female population.

Pelvic Inflammatory Disease is caused by single to multiple bacterial infections. Most of which, like Gonorrhoea and Chlamydia, are sexually transmitted. Frequent douching, use of intrauterine contraception devices, engagement with multiple sex partners, unprotected sexual intercourse, poor socioeconomic conditions, and younger age of first sexual intercourse are risk factors that influence women in developing Pelvic Inflammatory Disease.

It first enters the vagina by various means and through sexual intercourse. Over time, especially when the mucus plug falls off during ovulation, these bacterial infections ascend into the womb and eventually spread through the Fallopian tubes into the pelvis and blood.

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 Pelvic Inflammatory    Disease can leave the patient with simple to severe life-threatening complications.   CDC estimates that one (1) in eight (8) women have difficulty getting pregnant after a history of pelvic inflammatory disease. Other complications include recurrent pelvic pain and ectopic pregnancies.

Pelvic Inflammatory Disease may be asymptomatic. Women with symptoms complain of lower abdominal pain, fever, irregular menstrual periods, painful sexual intercourse, vaginal discharges, and vomiting.

Due to the above reasons, patients should seek medical care as soon as symptoms begin.

There is a need for safe sexual practices, avoidance of douching, proper wiping techniques, and a regular check for sexually transmitted diseases to reduce the incidence of pelvic inflammatory disease amongst young females.

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Source:

Dr. Kwaku Anyimadu

(Ghana Police Hospital)

kanyimadu@yahoo.com

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Dr Kwaku Anyimadu is a medical doctor and novelist with the Ghana Police Hospital. He has special interest in internal medicine and emergency care.

By Dr. Kojo Cobba Essel

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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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