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Not all snoring is created equal

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• Snoring is not only harmful to our physical health but it affects all 6 pillars of wellness especially social wellness

Snoring is not only harmful to our physical health but it
affects all 6 pillars of wellness especially social wellness

    When people are unable to dif­ferentiate between your snore and a locomotive engine or a trumpet that could break down walls, it may not just be a nuisance to your bed and housemates, but it may sig­nal a serious medical condition.

    Loud snoring may be a warn­ing that you have Sleep Apnoea, a condition that opens doors to several serious life-threatening complica­tions. Not every snoring is associated with sleep apnoea and also there may be sleep apnoea without snoring. Sleep medicine is no luxury, we need to do everything possible to get good quality sleep, especially when sleep is one of the greatest legal performance enhancing “drugs” known to man.

    Snoring is not only harmful to our physical health but it affects all 6 pillars of wellness especially social wellness.
    Snoring is not only harmful to our physical health but it affects all 6 pillars of wellness especially social wellness.

    In sleep apnoea, breathing repeat­edly stops and starts during sleep. It may be as often as 30 times in an hour. This shortchanges our brain of oxygen, and it is a potentially danger­ous sleep disorder.

    Types of Sleep Apnoea;

    • Obstructive Sleep Apnoea (OSA)

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    o The commonest by far. Throat muscles relax and block flow of air

    • Central Sleep Apnoea

    o Brain does not send proper signals to muscles controlling breath­ing

    • Complex Sleep Apnoea

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    What may signal Sleep Apnoea/ What to look out for

    • Loud snoring.

    • Episodes in which you stop breathing during sleep — which would be reported by another person.

    • Gasping for air during sleep.

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    • Awakening with a dry mouth.

    • Morning headache.

    • Difficulty staying asleep, known as insomnia.

    • Excessive daytime sleepiness, known as hypersomnia.

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    • Difficulty paying attention while awake.

    • Irritability.

    • You may just not be able to complete a movie.

    • Involved in minor accidents at home, work or even on the road.

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    Get checked out. Even children may suffer from sleep apnoea.

    What increases our chance of de­veloping Sleep Apnoea?

    • Excess weight or fat.

    • Neck circumference. People with thicker necks might have nar­rower airways.

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    • A narrowed airway. Tonsils or adenoids also can enlarge and block the airway, particularly in children.

    • Being male. Men are 2 to 3 times more likely to have sleep ap­noea than women. However, women increase their risk if they’re over­weight or if they’ve gone through menopause.

    • Being older. Sleep apnea oc­curs significantly more often in older adults.

    • Family history. Having family members with sleep apnoea might increase your risk.

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    • Use of alcohol, sedatives or tranquilisers.

    • Smoking. Smokers are three times more likely to have obstructive sleep apnoea

    • Nasal congestion. If you have trouble breathing through your nose — whether from an anatomical prob­lem or allergies — you’re more likely to develop obstructive sleep apnoea.

    • Medical conditions. Conges­tive heart failure, high blood pres­sure and type 2 diabetes are some of the conditions that may increase the risk of obstructive sleep apnoea. Polycystic ovary syndrome, hormonal disorders, prior stroke and chronic lung diseases such as asthma also can increase risk.

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    What complications may occur from untreated Sleep Apnoea

    Sleep apnoea is a serious medical condition. Complications of OSA can include:

    • Daytime fatigue. The repeat­ed awakenings associated with sleep apnoea make typical, restorative sleep impossible, in turn making se­vere daytime drowsiness, fatigue and irritability likely.

    You might have trouble concen­trating and find yourself falling asleep at work, while watching TV or even when driving. People with sleep apnea have an increased risk of motor vehicle and workplace accidents.

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    You might also feel quick-tem­pered, moody or depressed. Children and adolescents with sleep apnea might perform poorly in school or have behavior problems.

    • High blood pressure or heart problems. Sudden drops in blood oxygen levels that occur during OSA increase blood pressure and strain the cardiovascular system. Having OSA increases your risk of high blood pressure.

    OSA might also increase your risk of recurrent heart attack, stroke and irregular heartbeats, such as atrial fibrillation. If you have heart disease, multiple episodes of low blood oxy­gen (hypoxia or hypoxemia) can lead to sudden death from an irregular heartbeat.

    • Type 2 diabetes. Having sleep apnoea increases your risk of devel­oping insulin resistance and type 2 diabetes.

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    • Metabolic syndrome. This disorder, which includes high blood pressure, abnormal cholesterol lev­els, high blood sugar and an increased waist circumference, is linked to a higher risk of heart disease

    • Liver & kidney problems

    • Sleep-deprived room or house mates

    • Complications during surgery and also with some medication

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    Lifestyle Modifications that may help

    • Lose excess fat. Even a slight weight loss might help relieve constriction of your throat. In some cases, sleep apnea can resolve if you return to a healthy weight, but it can recur if you regain weight.

    • Exercise. Regular exercise can help ease the symptoms of ob­structive sleep apnea even without weight loss.

    • Avoid alcohol and certain medicines such as tranquilisers and sleeping pills. These relax the mus­cles in the back of your throat, inter­fering with breathing.

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    • Sleep on your side or abdo­men rather than on your back. Sleep­ing on your belly has many posture related challenges but we may adopt that briefly as we work on definitive treatment.

    • Don’t smoke.

    Diagnosis and Treatment

    There is help so if you think you may have sleep apnoea do not hesi­tate to speak to your doctor.

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    A few questions, examination and Sleep Studies and a diagnoses may be reached and the appropriate treat­ment, advice or support systems put in place.

    Yes, the options vary from just lifestyle modifications to the famous CPAP, implants and even surgery BUT do seek help, not only will you feel brand-new when the condition is resolved, you may be saving relation­ships.

    ……definitely not all snoring is cre­ated equal. Find out about yours.

    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)

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    Dr. Kojo Cobba Essel

    Health Essentials Ltd (HE&W Group)

    (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.’

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    Thought for the week (1) – “I am hard pressed to choose the greatest legal performance enhancing drug. Is it good quality Sleep or Exercise?”

    References:

    1. www.mayoclinic.org

    2. Team at Penn State Health Holy Spirit Sleep Center

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    • Snoring is not only harmful to our physical health but it affects all 6 pillars of wellness especially social wellness.

    By Dr. Kojo Cobba Essel

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    Health Essentials

    Cancer; a burning desire to reduce risk

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    When it comes to cancer risk factors; ALL RISK FACTORS ARE NOT CREATED EQUAL. Someone may have several risk factors but remain perfectly fine while another may have only one or none yet end up with breast cancer or other cancers.

    We cannot say with certainty that we can do all it takes to prevent cancer BUT we can do a lot to reduce our risk.

    TEN (10) TIPS TO CANCER RISK REDUCTION

    1. Weight Control – being overweight or obese increases risk to SEVERAL cancers.
    2. Smoking – cigarette smoking predisposes one to several cancers including lung cancer. Other forms of air pollutants serve as risks too.
    3. Alcohol – limit intake or avoid. It has the power to expose one to several cancers as well especially when we can’t apply brakes to how much we consume.
    4. Healthy Eating
      1. Limit intake of processed food and sugar
      2. Limit intake of red meat
      3. Fruits and vegetables should be a mainstay of our diet.
      4. An antioxidant rich food like cocoa should be part of our food. The purer the cocoa, the better
      5. Fibre in your food is crucial.
    5. Exercise – on its own reduces risk for breast and colon cancers directly and many others through weight control.
      1. Also increases immunity.
    6. Cancer Screening – be regular so cancers can be detected early and managed aggressively.
    7. Vaccinations – take vaccines where needed e.g. Hep B vaccine or vaccine against HPV (human papilloma virus accounts for the majority of cervical cancers)
    8. Know your Family History
      1. Anyone in your family with a cancer? Necessary to be on your guard but also remember that you may be the first person in your family with a particular cancer.
      2. Start your family early and breast feed for as long as possible to reduce risk of breast cancer.
    9. Check exposure to Ultraviolet Light and other forms of radiation. Protect your skin.
    10. Practice SAFE SEX
      1. HPV infection leading to cervical cancer is commoner when one is exposed to sex early, directly or indirectly has multiple partners but NOT everyone follows this rule. As in many situations, outliers do exist.
      2. Conditions such as HIV/AIDS may suppress your immune system if not managed appropriately.

    Do add two (2) others of your choice and send to me via email. Together we can protect ourselves.

    1.  
    2.  

    Will treating H. Pylori infections be a game changer too?

    ALWAYS remember that CANCER PREVENTION HAS NO QUICK FIX – we need to follow these points over and over.

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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 – WHERE YOU LIVE SHOULD NOT DETERMINE IF YOU LIVE.”- WHO

    By Dr. Kojo Cobba Essel

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    Health Essentials

    DUMP these medicines; Save lives!

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    some unused medications

    Accidental poisoning of children at home, starting point of drug abuse by teenagers at home and uninformed self-medication have one thing in common; in all three unused or unwanted medicines are likely culprits. The harm we cause when we fail to properly dispose of medicines we do not need is crippling.

    So many people have out of fear or anxiety converted their homes into mini-pharmacies where medicines that are supposed to keep us alive are stocked. COVID-19 worsened this practice and no-bed syndrome also plays a role.

    Some of these medications may end up complicating our conditions as we self-diagnose and treat ourselves with what “the all-knowing “social media curb-side doctors prescribe.

    From “blood-thinners” including aspirin to steroids, antibiotics, assorted supplements, ivermectin, hydroxychloroquine and even tanks filled with oxygen have found their way into homes. People including children will now “consume” some of these medicines and any left-overs may be accidentally taken, given out to family and friends with “similar” symptoms etc.

    We all run the risk of abusing drugs and unfortunately some may end up indulging in “hard drugs.”

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    Prior to COVID-19 many of us had turned our homes into dumping sites for medicines and we have now expanded our range of supplies. We seem to develop “unholy” attachments to drugs and end up keeping them for years even when they have long expired. I have had several unpleasant requests to identify a drug that is partly decomposed and has no name on its container. Unfortunately I have on all occasions refused to even make an attempt. My trade may teach me many things about humans and medicines but it also teaches me to be wary whenever I attempt to play Sherlock Holmes especially with medicines that are not labelled.

    I took another look at “DUMP”, which is acronym for “disposal of unused/unwanted medicines programme.” I must admit I was extremely impressed with the usefulness of the DUMP. Many countries have tried a variety of approaches including self-disposal but I think the option that is being promoted in Ghana by Dr Edward Amporful, Cocoa Clinic and other patrons is exceptional. In my candid opinion every hospital, company and home should adopt this programme.

    All you need to do is to return all unused/unwanted or even expired medicines to participating hospitals. Put these medicines in labelled receptacles or bins that are provided. You do not need to disclose your identity, just walk away because your work is done. The necessary arrangements have been made with the relevant regulatory bodies for the safe disposal of such medicines.

    Sounds absolutely simple yet this has the potential to save lives; that baby who could have accidentally swallowed some of these medicines is still alive and the teen who would eventually have been hooked on stronger drugs is spared the agony.

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    I think bins should be in all offices so that staff could drop off their medicines and the appropriate steps taken. Market places could also have these bins available and locked and properly secured to prevent people taking the boxes away. Even homes can have a similar bin for discarding and then periodically taken to participating hospitals/clinics. Unused or unwanted medicines should not find their way into a First Aid Box, they don’t belong there.

    How do we amass “riches” in unused, unwanted or even expired medicines?
    • We may not adhere to the right dose of the medicine thus we end up accumulating medicines at home.
    • Sometimes our healthcare provider may make changes to medicines especially when we have chronic diseases such as high blood pressure but we do not return the old ones to the hospital but instead keep them at home.
    • Sometimes we react to a drug and stop taking it, leaving the excess at home. I am not sure why we keep these at home when we are aware we are no longer going to use them.
    • …and now we stock medicines for fear that we may not have access to some when we have an emergency. Our excuse is that many people are hoarding social-media proposed life-saving medication. After all we are all still learning.

    In support of ‘DUMP’
    • A frequent cause of accidental poisoning of children at home is having unused/unwanted or expired medicines within their reach. I have seen children rushed to the emergency room for this reason. Some were lucky to live while others had their exciting life cut short. Start DUMP today and help save lives. Even adults sometimes end up with complications because they assumed a drug was used for something completely different.

    • People tend to play doctor or pharmacist at home because they pass on unused medicines to family and friends. This is often the starting point of uninformed self-medication. Many people are unaware that doses and types of medicines needed do not depend only on having an illness that appears similar to what another person on a particular medicine was given.

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    • When unused or unwanted medicines are improperly disposed of, they may eventually end up polluting water bodies etc. Start DUMP and make a statement on protecting our water bodies.

    • Drug resistance is often a consequence of abuse of medicines such as antibiotics and anti-malarias. Kofi starts medicine required to be taken for one week and feels better after three days so he stops. A few days or weeks later Awo appears to have a similar illness so Kofi gives her the medicines left for four days. The process of developing drug resistance has just taken off.

    • Keeping expired medicines at home may lead to unsuspecting people taking them and they may end up with additional problems.

    • Improper storage of medicines may affect its potency. A typical example is keeping medicine that needs to be refrigerated in a hot room instead. Return these medicines.

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    We could jeopardise our health or that of others just because we are keeping unused or unwanted medicines. STOP. THINK. JOIN DUMP TODAY! You will be saving lives.

    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

    *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.’

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    Thought for the week –“IN CASE OF AN EMERGENCY you may need someone to be alerted. Since majority of us own cellphones, plan your own rescue by saving this person’s phone number preceded with “ICE.”  An example is ICE Kojo Essel.The more people we have who know about “ice” the better for us all. Spread the news!!”

    References/Credit:
    • Dr. Edward Amporful, Cocoa Clinic.
    • www.healthessentialsgh.com

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