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Medical challenges that may fall below the radar

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Your Health is Your Responsibility – Take Control!

It is important that we do everything possible within our power to ensure that we stay healthy. Having the appropriate knowledge is very important in our quest to remain healthy so that we can do more of the things we enjoy. Some conditions have a way of escaping our memory and we occasionally need a reminder.

Rhesus

Independence Day is just around the corner and over the past few years I get very anxious in March; when countries are so blessed but we do everything possible to mess up then you really wonder what else we expect of the Almighty.

Let us look at some easy to forget medical conditions and hopefully the engagement will ease my March anxiety.

  1. Pregnancy complications of Rhesus Negative mothers
  2. Bell’s Palsy or Facial Palsy
  3. Post Partum Blues or Depression
  4. Underperformance in school children
  1. Pregnancy complications of Rhesus Negative mothers
    1. This is a potentially serious condition but easy to correct. Could this be the cause of the poor pregnancy outcomes or multiple abortions you are experiencing?
    1. If a woman is Rhesus (Rh) Negative and carrying a baby who is Rh positive, then the mother’s immune system will see the baby’s red blood cells as “foreigners” and will make antibodies to fight and destroy the baby’s red blood cells. This may not be a problem with the first pregnancy but subsequent ones are at risk since the antibodies would have built up significantly.
    1. This process of antibody production could occur when an Rh negative mother has a miscarriage, ectopic pregnancy and induced abortion. It is IMPORTANT to know your blood group – O negative, A negative (and all the ones that are followed by a negative), will need to alert your health care giver when pregnant.
    1. If you are Rh negative, it is important that to protect your babies, you are given an injection called Rhogam (this is no advertisement), which is a type of vaccine. It should ideally be given when your pregnancy is 28 weeks old and then repeated within 72 hours of delivery if baby is Rhesus positive.
    1. There may be some issues with Rhogam but the benefits outweigh the downsides.
  • Bell’s Palsy or Facial Palsy
    • This is not a STROKE but seek immediate medical care since you may not know what it could be heralding. Bell’s palsy is a sudden weakness of the face causing one half to droop. Your smile is one sided and your eye on one side resists closing.
    • It may occur at any age. The exact cause is unknown but it affects a nerve controlling muscles of the face. It is sometimes considered to be a reaction that occurs after a viral infection such as a common cold and may occur also in pregnancy.
    • Bell’s palsy is often temporary and most people experience total recovery within six (6) months. Rarely it may leave permanent tell-tale signs and may recur in a handful of people also.
    • One may experience increased sensitivity to sound on the affected side, headaches, pain around the jaw or behind the ear on the affected side. There may also be abnormal production of tears and saliva. Seek medical care.
  • Post Partum Blues or Depression
    • We all expect a new addition to a family to bring excitement and joy but sometimes it may cause depression. Post partum depression is not a character flaw or a weakness and with the right intervention at the right time and with good family support, you can enjoy your baby.
    • Post partum blues is a milder form of post partum depression. In some cases one may even develop post partum psychosis after you have your bundle of joy. This is in no way a thesis to scare you away from childbirth but rather to make you aware so that you can take the appropriate steps quickly once you are confronted with the situation. Always SEEK prompt medical care, there is no point “waiting to see.”
    • One may often experience some of the following; loss of appetite, inability to sleep, intense irritability and anger, overwhelming fatigue, lack of joy in life, difficulty bonding with baby, feeling of shame, guilt or inadequacy and even thoughts of harming yourself or your baby. Avoid diagnostic greed, do not wait for many symptoms before seeking help, you are better off seeing a professional and being declared okay than to wait until things become complicated.
  • Underperformance in school children

Quite often, children may not be performing well in school and we unfortunately resort to the cane, screaming at them and heaping insults on them without finding the root cause. We will be complicating matters and eventually set the stage for rebellion in addition to poor or underperformance in school. We need to consider the following (other reasons or causes exist) before drawing conclusions and as parents or guardians, our input is extremely important.

  • Poor Nutrition
    • Food is fuel for the body and the brain can never perform appropriately without the proper “fuel”. We need to ensure that children eat a balanced meal before going to school. Hunger or poor meals could distract a child at school and prevent him/her from understanding what the teacher may be imparting. Check the meals and you may realise you have a straight As child!
  • Poor Eyesight/vision
    • The child may not be doing well simply because he is unable to read from the board. It may only need a simple test of vision to correct this.
  • Hearing Challenges
    • Certainly if the child has a problem with hearing, he may miss so many things discussed in class or even hear the “wrong” things. Your guess in such a situation is as good as mine.

So the next time your child finds himself/herself at the bottom of the class check the above and get medical assistance, you may be hosting a genius. I believe you are aware that some children will bloom late and at that point there is just no way to stop them, even the sky limit cannot limit them.

The drill remains the same, you will cope better with all the above if you stay healthy – exercise often, eat right, drink adequate amounts of water and get enough sleep hours.

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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

(dressel@healthessentialsgh.com)

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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 – “Lack of sleep may predispose you to many diseases including a STROKE. Jump into bed an hour earlier and sleep a stroke away. You cannot be healthy during WAR or VIOLENCE, let’s all pray and work towards PEACE in our WORLD”

References:

  1. www.mayoclinic.com
  2. www.healthessentialsgh.com

By Dr. Kojo Cobba Essel

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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.

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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.

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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.

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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

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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By Esinam Jemima Kuatsinu

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Charting a path to be happy in Ghana

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Having a hobby helps the body and brain love variety
Having a hobby helps the body and brain love variety

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.

  1. Wake-Up Ritual
    1. Say to yourself that today will be a beautiful day or a great day
    2. 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.
    3. Remind yourself of your purpose in life and get out of bed
    4. Do not grab your phone as the first thing for the day.
  2. Pray
    1. 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.
  3. Smile
    1. Definitely floods your body with feel good hormones and insulates you from stress
    2. Smiling is infectious so the more you smile the better and you set off a smiling OR happiness domino effect.
  4. Meditate
    1. 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.
  5. Exercise
    1. 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.
  6. Be kind to yourself & to others.
    1. We are often too harsh on ourselves. Give yourself a break. Self-care is the real deal!!
    2. Being harsh to others has no benefits.
  7. Spend some time doing nothing
    1. 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
  8. Spend time with loved ones
    1. 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.
    2. While spending time together remember that your choice of food and drinks also impacts on how happy or sad or anxious you may feel.
  9. Indulge in a hobby
    1. Our bodies and brain love variety. Do you have a hobby? Get one
  10. Write in your gratitude diary
    1. 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!!!

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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)

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*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

SKIP THE QUEUE, TAP THE NEWS

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You can now read the Ghanaian Times and The Spectator newspapers from the comfort of your device via TimesNewsPlus.

Join our WhatsApp Channel: https://whatsapp.com/channel/0029VbBElzjInlqHhl1aTU27

Continue Reading
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