Health Essentials
What is in your prostate?

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The abrofo-nkatie sized gland found only in men wants to be known and referred to as the prostate gland and not prostrate gland as many of us choose to call it. It has also made a strong case that it has more to it than the feared prostate cancer.
The prostate gland is lodged comfortably between the bladder and the penis and behind it is the rectum. The urethra that carries urine and semen passes through the centre of the prostate gland. Many of the problems associated with this gland start with the structures listed above that are close to it.
The prostate is not useless as some may refer to it as. It toils to secrete fluid that nourishes, protects and transports sperm.
A brief look at Prostatitis, BPH (benign prostatic hyperplasia) and Prostate Cancer will put things in the right perspective. These three conditions share some symptoms.
PROSTATITIS
This is an infection of the prostate gland and may present with
• Chills and a fever, pus-like urethral discharge
• Frequent urin ation, painful urination, pain in groin and testes
• Painful orgasms, new onset erectile dysfunction
Seek professional help. Do not self-medicate or second guess yourself.
BENIGN PROSTATIC HYPERPLASIA (BPH)
This condition is an increase in size of the prostate but it is not cancerous. The actual cause of this enlargement not known but male hormones may play a role.
MEN WITH BPH MAY SHOW SYMPTOMS SUCH AS:
• Frequent urination especially at night, urge incontinence ( where one may soil self if you don’t quickly urinate when you feel the urge)
• Difficulty starting to urinate (straining), poor urine stream
• Painful urination, blood in urine
• Terminal dribbling (urine continues to drip after one finishes urinating)
• May end up with not being able to pass urine (referred to in emergency rooms in Accra as sham) baa i.e. the urine won’t or can’t come). This is extremely painful and you will find men sweat, scream and do all sorts of things. In fact some have compared it to labour pains.
PROSTATE CANCER
It is one of the commonly diagnosed cancers in men and many of these cancers are slow growing. In general it is commoner among black men and has an earlier age of onset and quite often more aggressive and lethal.
WHO IS AT RISK?
• Age; the older you are the higher the chance
• Race ; blacks at more risk
• Family History ; higher risk if a family member has had it
• Obesity
WHAT ARE SOME OF THE SYMPTOMS?
• Urinating frequently including at night, straining to urinate, blood in urine /semen
• Weak or interrupted urine flow
• New onset erectile dysfunction
WHEN THERE IS SPREAD
• Fatigue, unexplained weight loss, change in bowel habits
• Pin in back, hips, shoulders, thighs etc.
DIAGNOSIS
This will require proper history taking from the client and then an examination and tests
• Digital rectal examination, where the doctor inserts a gloved lubricated finger through your anus to feel the prostate. It often will have an irregular , hard surface if cancerous
• PSA (prostate specific antigen) may also be elevated in a few other circumstances
• Biopsy, Ultrasound Scan
• CT Scan/MRI/PET Scan
• Bone Scan
MANAGEMENT
A holistic approach including watchful waiting, medication, surgery, radiation, cryotherapy. Always ask that all the options are discussed with you.
RISK REDUCTION
• Screening
• Healthy diet with a variety of fruits and vegetables. Carrots and tomatoes seem to have been discussed quite often. But variety is key. Broccoli, cauliflower, cabbage, kale and a few others may also be worth having in your healthy diet.
• Choose healthy foods over supplements
• Keep weight in check
• Exercise at least five days a week
Do remember to go the extra mile and share the information. The prostate too needs support!!!
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)
*Dr. Essel is a medical doctor, 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 – “This year, World Heart Day (29th September) aims to encourage people to look after themselves, others, and nature as well. Putting in coordinated efforts to improve one’s own lifestyle and diet and motivating others to do the same can lead to a reduced number of people with heart and blood vessel disease.”
I look forward to interacting with you at The La Palm Royal Beach Hotel Corporate Healthy Lifestyle Programme on Saturday 30th September 2023 at 6am.
Let’s walk, exercise, network and share ideas that will keep us healthy.
By Dr. Kojo Cobba Essel
Health Essentials
A quest to prolong our health-span

I have over the past two decades looked beyond mainstream medicine to assess other options that lead to holistic health, and I must say it’s been exciting and revealing but it’s not an easy path.
As I matured and my knowledge expanded, I have changed my opinion on some aspects of wellness and many findings have been humbling. We all continue to learn each day.
I will share some of the life-changing skills that we take for granted. In our quest for wellness there appears to be more questions than answers, but moderation still remains key in our daily lives.
The power of prayer, praise and worship of God cannot be taken out of the equation.
Ready. Set. Let us do this together.
- Strength training is a must for ALL of us
- Yes, we all need to dig into the various aspects of exercise; strength training, cardiovascular training, stretches or flexibility training and balance training. If you asked me about a decade ago to pick the king of all exercises, I would naively have answered cardiovascular such as walking, cycling etc. but I am certain now that strength training trumps all and we need to incorporate at least a bit of that in our exercise programme.
- Take a short walk after each meal
- Many of us (your truly included) after dinner barely get to wash our hands before the miracle of the Lotus Eaters sends us to dreamland. Our fingers will be signaling to rats and cockroaches to come out and party.
- Walking a few minutes after eating may hold the key to helping control our blood sugar levels and reduce the spikes in insulin that come with a myriad of issues. At the very least the short walks after eating will add up to increase the energy you expend daily.
- Eating your vegetables and proteins before your carbohydrates may be helpful
- Well, how true may this be? I suggest it is worth trying. I am not saying clear your plate of all protein before you even take a spoonful of carbohydrate. The fibre will slow the absorption of the sugar for hours and even better, you may feel full after the vegetables and protein and not be able to gobble down the mounds of carbohydrates you had planned to dismantle.
- Eat slowly but do not get your boss angry
- Eating slowly does not mean spending hours at lunch and courting the displeasure of your superiors. It takes about 20 minutes for your brain to realise you are full so dear friend, take your time to chew and enjoy your food. A meal “downed” in less than 20 minutes may cause you to virtually suffocate when you top up with water. This is a message to myself and all those who like me eat so quickly that Usain Bolt will envy our speed.
- Eat from small, colourful plates
- Small colourful plates make an impression on our brains. Since the little food appears loaded on a small plate our brains tend to “believe” it’s a lot of food and we feel full for a strange reason. Put the same amount in a large plate and you are likely to be asking for second servings.
- By all means make friends
- The power of social wellness and its role in longevity and an enviable health span is no longer in doubt. By all means make a few good friends and enjoy life! Thank me later.
- Sleep!
- Yes, I do agree there are at least seven forms of rest, and they are all equally important BUT start off with sleep and we will gradually rope in all others.
- Keep your eyes on your numbers
- I have written and spoken about the miracle of knowing our numbers and keeping them in check; blood pressure, blood sugar, lipids and BMI. Today I suggest you look at your heart rate closely. A low heart rate may be an indicator for staying here on planet earth for a long time. Also keeping glycated haemoglobin (long term blood sugar) low is another feather in the cap of longevity.
- Appropriate supplementation
- The golden rule is to get all your nutrients from your food but for many of us that may not be possible hence the need to supplement ( note that supplement overdose does exist)
- It is ideal to discuss supplementation with your healthcare professional and your discussion should look at probiotics, magnesium glycinate, Vit D3 + K2, a good multivitamin and in some instances creatine or whey Protein. I am in no way suggesting you take all these, each individual is unique and that is why it is crucial to discuss your options with a professional.
- Make a conscious effort to be HAPPY
- Happiness affects our entire being in positive ways; smile, say a kind word to someone, be grateful, surround yourself with people who make you happy and not ones who sap your energy, volunteer to support people and by all means get a hobby eg gardening, playing a game etc and the best get news yet; you don’t even have to be good at your hobby to benefit.
We are not waiting for a magical or ideal day to start working on our Health and Wellness, we start today bearing in mind that “the most efficient way to reach our realistic health and wellness goals is to make small healthy choices daily.
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 – “WHERE YOU LIVE SHOULD NOT DETERMINE IF YOU LIVE.”- WHO
Health Essentials
Acing your doctor’s visit

Very often we leave the doctor’s office only to remember that we left out a major complaint. Some patients immediately rush back to the consulting room totally oblivious of the privacy that the next patient is entitled to.
They expect that as they walk in, the doctor should ignore the seated or positioned patient and attend to them. That is totally outrageous. Others go home and continue to live with the condition hoping to be healed miraculously.
Most of us will be extremely lucky to spend 15 minutes with our doctor and this time is often much shorter in countries/communities where the doctor-patient ratio is so low that at best it can be described as criminal.
We are now in the second half of 2026, and I highly recommend that you see a doctor not only when you are unwell but as a means to assess your state of wellbeing and take the needed precautions. It is critical that you find a good primary care doctor who is knowledgeable and proactive and will also be able to coordinate specialist care that you may require.
To make the most out of our time with the doctor we need to PREPARE. If your condition is an emergency, then you do not have the benefit of time to prepare.
A must do!
Kindly ensure your personal hygiene is excellent.
- Take a good bath and brush your teeth
- Wear clean clothes that also make undressing easy, especially if you need to expose some areas for inspection/examination.
This may sound ridiculous, but the opposite does happen in real life.
Remember that doctors are human and when you are unkempt you may not get adequate contact with your doctor.
Research on the symptoms
If you have access to the internet or a book worth its salt you may read about your symptoms or wait to read after your doctor tells you your diagnosis.
Remember that if you need to research on the internet, it is essential that you use a reputable site.
In tune with your complaints
- Write down your complaints/symptoms if you think you may forget.
- If you have had a similar problem and have the results of any investigations e.g. Laboratory tests, x-rays, CT scans etc kindly carry them along
- Let your doctor know if you react to any drugs.
- Be truthful about any medications you have taken for the condition, if you do not remember the names make sure you go with the containers.
- If you have any other medical conditions (and medication) make the doctor aware.
- Remember to make a note of the following
- When did the symptoms/complaint begin?
- How long have you had these symptoms?
- Is it getting worse?
- Does anything make the condition worse?
- What makes you feel better?
- Is anything related to their onset?
- How often does it occur?
- How long does it last e.g. in pain conditions as well as rash, allergies etc.
- Does anyone else in your family have them?
- How do they affect your daily life?
- Is it related to work or home?
You may need to modify these slightly when you have skin lesions, swellings etc. This list is by no means exhaustive, and you may not need to find answers to all of them before getting help, but they will definitely help you ace the visit to your doctor.
If your doctor books you for surgery, do not leave his presence without finding out the following:
- Will you go home on the same day of the surgery?
- Will you need assistance to go home or can you drive unsupervised for instance
- What form of anaesthesia will you be given?
Then, if your visit is for a medical examination, do remember that also being aware of disease conditions in your family will help your doctor select the appropriate tests and make the whole experience and time useful.
Finally do not leave your doctor without finding out:
- How much physical activity/exercise you require; the Almighty “FITT” prescription
- What you need to eat or avoid.
- Some basic information regarding SLEEP.
See you in the consulting room soon.
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 (HE&W Group)/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 – “The next big thing in Healthcare in Ghana is the Medics Clinic. Visit https://medicsgroupgh.com/ for more information.”
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