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Health Essentials

‘Kooko’ (haemorrhoids) everywhere can’t possibly be ‘kooko’

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Many of us over the past year have spent hours sitting at a desk engrossed in work and may even forget to drink adequate amounts of water or even walk occasionally. We may be thinking about back and neck pain as well as other lifestyle diseases BUT this new pattern may be an invitation to a guest you would hardly have considered; haemorrhoids.

Depending on who you listen to or consult, haemorrhoids aka piles aka “kooko” may be found in every part of the body and not even our eyes will be spared. My “comrades” especially the bus-inspired “health and motivational speakers” are extremely convincing in that regard but kindly disabuse your minds from now. If it is not in the anal/rectal area then it CAN’T possibly be haemorrhoids aka kooko and that is FINAL!!

We all have haemorrhoids. Yes we do and not just one but two; an internal set and an external one. And they are found ONLY in the anal/rectal region. At all times these haemorrhoids which are a group of blood vessels remain “quiet” no bleeding, not visible. Just minding their own business, which include probably helping to maintain the integrity of the anal sphincter. In simple words haemorrhoids help to prevent one soiling himself or herself specially when you ply the slippery slope of determining if it’s liquid or gas that is attempting to escape.

Kooko is common. By age 50 most people would have had at least one challenge that makes the often quiet haemorrhoids enlarge and begin to show where power lies.

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WHAT PLACES US AT RISK OF DEVELOPING KOOKO

  1. Genetic factors; some families have a weakness in the structure of these strategically positioned .blood vessels
  2. Increased venous pressure from various causes. Anything that causes pressure in the abdomen to increase
  3. Rectal tumours & causes for incomplete evacuation of stool

So to expand on the above; some factors we can easily associate with

  • Straining, constipation and chronic diarrhoea
  • Pregnancy
  • Obesity
  • Prolonged sitting especially on the potty since you unconsciously strain
  • Heavy lifting
  • High socioeconomic status; maybe too much refined food?
  • Other family members have it
  • Rectal surgery/colon cancer
  • Anal intercourse

HOW MAY HAEMORRHOIDS aka KOOKO SHOW OF

  • Painless bleeding from the anus
    • Bright red blood splashes in toilet bowl and also on toilet paper when you clean up.
  • Anal itch
  • Anal pain or burning sensation
  • Discomfort in the anus when sitting: causing people to perch right at the tips of their seats
  • Swelling in the anus

ANY COMPLICATIONS?

  • Anaemia from chronic bleeding leading to tiredness, headaches etc.
  • Strangulation or clot formation both of which lead to pain
  • Infection that also leads to pain and can spread through the blood stream
  • Gangrene
  • Prolapse; a swelling that comes out through the anus when you strain. May return on its own but as worsens it no longer “returns” even if you tried to push it back

A PRESCRIPTION WORTH TRYING

  • Watch what you eat – fibre/roughage is king
    • Treat your gut right; more whole fruits and vegetables, less refined foods such as white bread and white perfumed rice.
  • Increase water intake
    • This softens stools and reduces constipation as well
    • Please the caffeinated (coffee, tea etc.) drinks cause dehydration and so do not assume they are replacing your daily water intake. Get more water!
  • Exercise ; hmmmm it’s a love-hate relationship here
    • Exercise makes your body healthy and easy to move your bowels but those that require you to strain e.g. as you work out with weights increase pressure within the haemorrhoids making it rear its ugly head
  • Careful with laxatives but may need stool softeners
  • Don’t find the urge, go if you have to go
    • Please I am not advocating open defaecation. Find a convenient spot and go.
    • Don’t be like those who claim their butt knows only their “pot” at home.
  • Avoid straining for long periods
    • If it ain’t coming maybe it’s not time and don’t assume you have to go everyday like some others do
    • If you have a library in your toilet where you spend hours on end reading, sleeping, chatting on the phone etc. then friend it’s time to close that library. As you sit for long periods you unconsciously strain and you know what that means.
  • Get positioning right if that is what it takes
    • So the open air-brigade as they position themselves with knees towards chest tend to have the large intestine with rectum and anus in the perfect alignment to be assisted by gravity to download your “goods”. If you have a challenge while seated on your comfortable pot, you could still sit on the potty and have your feet on a stool or books (did I really type books?) or get one of the fancy gadgets so you can mimic the position nature intended it to be.

WHEN PAIN/DISCOMFORT STRIKES & STRIKES BAD!

  • Wrap ice-packs in gauze and place on affected area
  • Sitz baths; the steam from the water gives a soothing effect
  • Be wise in your choice of what you sit on
  • Use of suppositories/soothing creams
  • Take a pain killer
  • GET PROFESSIONAL HELP!!!!

I paraphrase a quote I heard some time back but can’t remember its source “IF YOU TREAT YOUR GUT RIGHT, YOUR BUTT WILL LOVE YOU FOR IT”

Finally except for menstrual flow (even that can be abnormal sometimes) every bleed from any part of the body is abnormal, so get checked even if you are so certain you are dealing with kooko.

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

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Health Essentials Ltd/Mobissel/St. Andrews Clinic

(www.healthessentialsgh.com)

*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 – “17th May was World Hypertension Day and the theme for this year is; MEASURE YOUR BLOOD PRESSURE ACCURATELY, CONTROL IT, LIVE LONGER.”

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Assistance from:

  1. Professor Jonathan Laryea. Colorectal Surgeon, USA
  2. Dr. Dakubo, Surgeon. Korle Bu Teaching Hospital
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Health Essentials

The role of GAPHTO in disease prevention in Ghana, public health, national development

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President Owusu Asante
• President Owusu Asante

Every day across Ghana, thousands of public health professionals wake up before dawn and head into communities, schools, markets, health facilities and households. They inspect sanitation conditions, monitor disease outbreaks, educate communities on healthy practices, investigate health threats and help prevent epidemics before they occur.

Yet despite their critical contribution to national health and development, many Ghanaians know very little about the men and women behind these efforts.

These are the Public Health Technical Officers (PHTOs) — a dedicated workforce that operates largely behind the scenes but serves as one of the country’s most important lines of defence against disease and public health emergencies.

Now, the newly elected President of the Ghana Association of Public Health Technical Officers (GAPHTO), Mr Owusu Ansah Asante, wants to change that.

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Having assumed office this year, Mr Asante has placed visibility, professional recognition and strategic advocacy at the centre of his leadership agenda. His goal is to ensure that the work of Public Health Technical Officers is better understood, appreciated and supported by the public, policymakers and development partners.

While doctors and nurses are often the most visible faces of healthcare, Public Health Technical Officers perform preventive functions that help stop diseases before people require medical treatment.

They are involved in environmental sanitation, disease surveillance, outbreak investigations, health promotion, food hygiene inspections, water quality monitoring, vector control and community health education.

Their work becomes especially critical during disease outbreaks such as cholera, meningitis, yellow fever and other infectious diseases that threaten communities.

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“When outbreaks occur, our members are among the first responders in the field,” Mr. Asante explained. “They work directly with communities to identify risks, educate the public and implement preventive measures that save lives.”

According to him, preventive healthcare remains one of the most cost-effective investments any nation can make because it reduces the burden on hospitals while improving the overall health and productivity of citizens.

“Many people only think about healthcare when they visit a hospital. Yet there are professionals working every day to prevent diseases before people become patients. That contribution deserves greater public appreciation and support,” he said.

Founded in 1984, GAPHTO has evolved into one of Ghana’s most significant public health professional associations.

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Today, the association boasts more than 4,000 members working across districts, municipalities, metropolitan assemblies, regional health directorates and various public health institutions nationwide.

For more than four decades, the association has contributed to Ghana’s efforts in disease prevention, environmental health management, sanitation improvement and public health education.

Members have played active roles in major national health interventions, helping to address public health challenges ranging from sanitation-related diseases to epidemic preparedness and response.

Despite these contributions, Mr Asante believes the profession has not received the level of recognition that matches its impact.

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“There is a lot of excellent work being done across the country by Public Health Technical Officers. Unfortunately, much of this work goes unnoticed because it happens quietly in communities. One of our goals is to tell these stories and help people understand the importance of what our members do,” he said.

For the new GAPHTO President, increasing visibility is not merely a public relations exercise.

Instead, he sees communication and public engagement as strategic tools for strengthening public health outcomes and attracting support for preventive healthcare initiatives.

Under his leadership, the association plans to strengthen its communication efforts, improve engagement with the media, expand public education activities and highlight the achievements of members across the country.

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Mr Asante believes greater visibility will not only enhance public appreciation for the profession but also create opportunities for partnerships, policy influence and professional development.

“We want GAPHTO to become a household name in matters of public health and disease prevention. When people hear about sanitation, disease surveillance, health promotion and community health protection, they should immediately recognise the role of Public Health Technical Officers,” he said.

Beyond visibility, the new leadership is committed to building the capacity of members to respond to emerging public health challenges.

Rapid urbanisation, climate change, population growth and evolving disease patterns continue to create new public health risks that require innovative solutions and highly skilled professionals.

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Mr Asante noted that his administration will focus on continuous professional development, leadership training, research and knowledge sharing to ensure members remain equipped to address contemporary health challenges.

“We live in a rapidly changing world. Public health professionals must continue to upgrade their skills and knowledge to respond effectively to new and emerging threats,” he said.

The GAPHTO President is convinced that the association’s work extends far beyond the health sector.

According to him, effective disease prevention and environmental health management contribute directly to economic growth, educational outcomes and national productivity.

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Healthy communities are more productive, children are able to attend school consistently and families spend less on medical treatment when diseases are prevented before they occur.

This, he argues, makes Public Health Technical Officers important contributors to Ghana’s broader development agenda.

“Public health is not only about health. It is about development. It is about creating environments where people can live productive lives and contribute meaningfully to society,” he explained.

As part of his vision, Mr Asante is seeking stronger collaboration between GAPHTO and government institutions, development agencies, civil society organisations, academia and the private sector.

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He believes partnerships will be essential for addressing complex public health challenges that require coordinated action across multiple sectors.

The association also hopes to create stronger platforms for advocacy on issues relating to sanitation, environmental health and disease prevention.

As Ghana continues to pursue universal health coverage and strengthen its health systems, Mr Asante believes Public Health Technical Officers must occupy a more prominent place in national conversations about healthcare and development.

His message is simple: disease prevention deserves as much attention as disease treatment, and the professionals who dedicate their careers to protecting communities deserve greater recognition.

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For decades, they have worked quietly in the background, helping to keep Ghanaian communities healthy and safe.

Under the leadership of Mr Owusu Ansah Asante, GAPHTO hopes that story will no longer remain hidden.

The association’s new chapter seeks not only to strengthen the profession but also to ensure that the thousands of men and women who stand on the frontlines of disease prevention finally receive the visibility their contributions have long deserved.

By Geoffrey Buta

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Health Essentials

…Tips on building a healthy relationship with your superior

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A good relationship with your boss is critical for job success and career development. Supervisors have a great influence on your stress level, your team and company culture, and ultimately, whether you succeed or fail in a role.

They are also your best resource for support, problem-solving, and personal development. Building a strong relationship with them can be transformative for your work experience and professional growth, but navigating this connection can be complex.

Here are some key values and characteristics that will help you along the way.

  1. Be authentic

It is important to be yourself when building any new relationship. Do not be over-the-top trying to impress or kiss up to a manager. Be authentic and try to build a genuine connection with them instead. This will be incredibly helpful when it comes to dealing with personal issues, having difficult conversations, and building trust.

  • Be empathetic and respectful

Bosses are human beings with their own professional pressures and personal lives, so it is important to maintain empathy toward them. Strive to get to know them on a personal level; you do not need to be best friends, but knowing the basics, like their family and hobbies, can be meaningful.

Also, help your supervisor look good. Every leader wants a high-performing and successful team. By developing trust, understanding, and excellent communication, you can help your boss achieve their goals.

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  • Build trust and add value

Showing initiative will win you big points with almost any boss. Whether setting up regular one-on-ones, volunteering for new projects, or offering help, the benefits of this dedication are twofold. 

Proactivity makes leaders feel supported-like you are looking out for them. It also provides opportunities for your individual growth.

Whenever possible, add value beyond the limitations of your job description. Whether you have a special interest or extra capacity, find ways to support your team and relieve pressure. – Source:careers.vikingservice.com

..To be continued

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