Health Essentials
‘Kooko’ (haemorrhoids) everywhere can’t possibly be ‘kooko’
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.
WHAT PLACES US AT RISK OF DEVELOPING KOOKO
- Genetic factors; some families have a weakness in the structure of these strategically positioned .blood vessels
- Increased venous pressure from various causes. Anything that causes pressure in the abdomen to increase
- 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
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.”
Assistance from:
- Professor Jonathan Laryea. Colorectal Surgeon, USA
- Dr. Dakubo, Surgeon. Korle Bu Teaching Hospital
Health Essentials
Proof’d

Teenage Hypertension: The silent threat to Ghana’s young generation
For many Ghanaian teenagers, high blood pressure may seem like a health problem for their parents and grandparents. But as unhealthy eating habits, excess weight and increasingly sedentary lifestyles become concerns for younger populations, protecting heart health during adolescence deserves greater attention.
The danger is that hypertension can develop without obvious symptoms. A teenager may feel perfectly healthy while elevated blood pressure goes undetected, potentially delaying medical assessment and appropriate care.
Although not every teenager with unhealthy habits will develop hypertension, early awareness, healthy lifestyle choices and appropriate blood pressure checks can help reduce future cardiovascular risks.
A growing concern
Hypertension, commonly known as high blood pressure, is a major public health concern worldwide. The World Health Organisation identifies it as an important contributor to premature death, largely because it increases the risk of serious cardiovascular complications.
While the condition is often associated with adulthood, the factors that contribute to its development can begin much earlier in life.
Frequent consumption of foods high in salt, poor dietary habits, excess body weight and insufficient physical activity can undermine cardiovascular health. Family history and certain underlying medical conditions may also increase an individual’s risk.
For teenagers, therefore, the conversation about hypertension should extend beyond hospital visits and include the everyday habits that shape their health.
When lifestyle choices become a concern
Adolescence is a period when young people begin making more independent decisions about what they eat, how they spend their leisure time and how physically active they are.
Convenience foods, processed meals, salty snacks and sugary drinks may become regular features of their diets. At the same time, long hours spent on mobile phones, computers and other digital devices can leave less time for physical activity.
Academic demands and inadequate sleep may further affect their general well-being.
These habits do not automatically lead to hypertension. However, when unhealthy diets and physical inactivity contribute to excess weight, they can increase the risk of high blood pressure, particularly among people with other predisposing factors.
Recognising these risks early offers families, schools and health professionals an opportunity to encourage healthier choices before unhealthy patterns become established.
What Ghana’s cardiovascular health figures reveal
A cardiologist and Senior Lecturer at the University of Ghana Medical School, Professor Alfred Doku, in an interview highlighted the seriousness of cardiovascular disease in Ghana, citing figures indicating that it accounted for approximately 43 to 50 per cent of deaths in the country.
He also stated that about 30 per cent of Ghanaian adults had hypertension, with approximately 70 per cent of those affected unaware of their condition.
Although these figures concern adults and the wider population rather than teenagers specifically, they point to the importance of improving awareness, screening and early detection of high blood pressure.
Professor Doku urged people to know their blood pressure readings and monitor other important health indicators, including blood sugar, cholesterol levels and body weight.
His advice underscores the importance of understanding personal health risks rather than waiting for illness to become apparent before seeking medical attention.
For adolescents, any blood pressure reading that raises concern should be assessed by a qualified health professional. Because blood pressure varies with age, growth and other factors, its interpretation in children and teenagers requires appropriate clinical assessment.
The danger of a condition without obvious symptoms
The Head of the National Cardiothoracic Centre, Dr Kow Entsua-Mensah, also stressed the importance of awareness and early detection in addressing cardiovascular disease.
He explained that hypertension could remain undetected for years because affected individuals might not experience noticeable symptoms.
Dr Entsua-Mensah noted that several factors, including diabetes, high cholesterol, obesity, physical inactivity, unhealthy diets, tobacco use and harmful alcohol consumption, could contribute to cardiovascular damage over time.
He called for greater public awareness of the importance of checking blood pressure and other health indicators before complications develop.
The challenge with hypertension is that the absence of symptoms can create a false sense of security. People may assume they are healthy simply because they feel well, overlooking the need for preventive health checks.
Dr Entsua-Mensah emphasised that addressing cardiovascular disease required cooperation among healthcare professionals, government institutions, schools, businesses, community organisations and the media.
Such collaboration is particularly important for young people, whose health habits are influenced by their homes, schools, peer groups and the wider environment.
Small habits, lasting benefits
Professor Doku said many cases of heart disease and stroke could be prevented or their risks reduced through appropriate lifestyle changes and effective management of contributing factors.
He encouraged young people to reduce their salt intake, eat balanced meals, exercise regularly and avoid smoking.
Describing hypertension as a silent threat, he warned that people should not wait for symptoms before taking their blood pressure seriously.
Hypertension, he stressed, could have serious consequences, including heart failure and stroke, when left undetected or inadequately managed.
For teenagers, protecting heart health does not necessarily require complicated routines. It begins with practical, everyday decisions: eating a balanced diet, choosing foods with less salt, participating in regular physical activity and getting adequate sleep.
Avoiding tobacco products and maintaining a healthy weight are also important steps towards reducing cardiovascular risks.
Young people who are diagnosed with hypertension should follow the advice of their healthcare providers and take prescribed medication as directed. Lifestyle changes can support treatment, but they should not replace medication when it is medically necessary.
Parents have an important role to play by encouraging healthy eating and physical activity at home. Schools can contribute by providing opportunities for exercise, promoting health education and making nutritious food choices more accessible to students.
Healthcare professionals, meanwhile, can help identify young people who may be at risk, assess abnormal readings and guide families on appropriate follow-up care.
Protecting the next generation
Addressing hypertension among young people requires more than individual effort. It calls for a coordinated response involving families, schools, healthcare providers, policymakers and the media.
Public education should challenge the perception that high blood pressure is exclusively an older person’s condition. Teenagers need accurate information about cardiovascular health, the factors that increase their risk and the importance of seeking professional advice when necessary.
Appropriate screening and follow-up care can also help identify elevated blood pressure and ensure that young people who need medical attention receive it.
However, the extent of hypertension among Ghanaian teenagers should not be inferred from statistics relating to adults. Reliable, age-specific national data are needed to establish the scale of the problem and guide targeted interventions.
That evidence gap makes it important to approach the subject with both urgency and accuracy: raising awareness of the risks without exaggerating what is known about their prevalence among adolescents.
For Ghana’s young generation, the message is clear. Feeling healthy does not always mean that blood pressure is normal, and good cardiovascular health should not be left until adulthood.
By encouraging healthier habits, improving access to appropriate health checks and making reliable information available to young people, Ghana can take meaningful steps towards protecting the heart health of its next generation.
By Esinam Jemima Kuatsinu
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Health Essentials
Charting a path to be happy in Ghana

Don’t we all dream of a life that is filled with laughter? That may be a reason for chasing big bucks, which like the golden-fleece eludes the majority of us. Financial Wellness is extremely important but there are other factors that make us happy and healthy and eventually wealthy.
You definitely do not need to live in Finland to experience happiness even though many people agree that is the “headquarters” of happiness. The happiness in Finland for instance is based on the provision of basic infrastructure and services, minimal corruption and strong social support among others. These go a long way to minimise anxiety making room for one to enjoy the good things of life.
Then when you live in Sikaman and any of its other cohorts, it is challenging to have those in authority create the environment where you can be happy. That’s why you need to “happy yourself” and the happiness hacks below will help you do just that. Even if you live in Finland, you will gain much more by following these steps.
- Wake-Up Ritual
- Say to yourself that today will be a beautiful day or a great day
- Ask God what He has in store for you. Use me Lord (if not a Christian what you believe in will be useful as well.
- Remind yourself of your purpose in life and get out of bed
- Do not grab your phone as the first thing for the day.
- Pray
- Talking to God has a way of calming our nerves. It brings about unexplained peace and when we add praise and worship then the floodgates open. That is how to win battles against unhappiness.
- Smile
- Definitely floods your body with feel good hormones and insulates you from stress
- Smiling is infectious so the more you smile the better and you set off a smiling OR happiness domino effect.
- Meditate
- Extremely good for your brain and an easy way to start is to do deep-breathing and just focus on your “breath” excluding all others. That is what some will prefer to call mindfulness. Being in the moment has immense benefits. Things you never knew existed suddenly spring up.
- Exercise
- That wonder drug that trumps virtually all others. Like smiling it does pour out feel good hormones. Strength training even goes an extra mile causing our muscles to act as “pharmacies” that pour out life-changing signals every time they contract.
- Be kind to yourself & to others.
- We are often too harsh on ourselves. Give yourself a break. Self-care is the real deal!!
- Being harsh to others has no benefits.
- Spend some time doing nothing
- We need to re-set from time to time. Spend about 10 minutes a day doing absolutely nothing. There is happiness and innovation in “idling”. Do not abuse idling though
- Spend time with loved ones
- This is another powerful happiness “hack”. You have to make time and be intentional about this; talk on phone, send messages, arrange to meet for a drink or meal. Social Wellness ranks very high on the happiness index and it’s fairly easy to plug into it.
- While spending time together remember that your choice of food and drinks also impacts on how happy or sad or anxious you may feel.
- Indulge in a hobby
- Our bodies and brain love variety. Do you have a hobby? Get one
- Write in your gratitude diary
- That is all it takes – keep doing it regularly.
This list is not exhaustive but definitely a good start. Share your happiness hacks with me via email and together we can keep the world smiling and happy.
At the end of each day ask yourself if you did better than the previous day. That is all it takes. Doing better than the previous day for 365 days, for 5 years, 10 years… How amazing that will be!!!
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/Medics Clinic
(dressel@healthessentialsgh.com)
*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist 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 – “There is no magic formula to being happy but making a conscious effort to be happy goes a long way.” – Dr. Kojo Cobba Essel
By Dr. Kojo Cobba Essel
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