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
At Easter should Spiritual Wellness be the only form of Wellness?

Many of us have already packed our Easter season with so much work and back-to-back programmes we hardly have time to breathe.
The little time we can squeeze out is used to stuff ourselves with food and drinks, but for this season and beyond we may be able to spend five minutes even on extremely busy days to make a difference in our lives so that we can have time to sing, dance and worship God as we remember his unparalleled sacrifice to us.
My-in-laws who reside on the mountain are busy trekking up and dragging their friends and colleagues with them. Any idea why the Kwahus revel in Easter? Has it always been that way or is it a conscious effort to show Ghana and the world what they have?
We all wish our favourite exercises will give us the same benefits as all other exercises but the truth is that some exercises are “more equal than others” just as happens in every aspect of life.
This does not mean if you are unable to perform the most effective exercises, you should exert yourself and cause injury to your body. Remember, Cobba’s First Law of Exercising is “DO NO HARM”.
These exercises may just help you stay afloat this Easter:
• Squats
• Plank
• Push-Ups
• Walking & Dancing
Squats
Every single rep (repetition) in this exercise is worth the effort.
Squats target the quadriceps, hamstrings and gluteals, which in simple language refers to the thigh muscles and buttocks.
It is important to learn the right technique and since it exercises large muscle groups, you are able to burn a lot of calories with squats.
In every exercise session, it is important to work large muscles before the smaller ones.
Steps
1. Keep feet shoulder width apart
2. Back should be straight (standing posture)
3. Bend knees and lower your rear till your thighs are horizontal.
4. Return to the standing position
5. Repeat steps 1-4
6. Remember to stretch the muscles used after the exercise.
If you have difficulty following the steps above, place a chair behind you and with your back straight try to sit on it. Do not let your buttocks touch the seat, then return to the standing position and repeat. As your technique improves, you may remove the chair.
As one gets stronger you may even carry some weights while doing squats but as always start with caution. You may do only 3 reps at a time (properly). Gradually, add some more.
When to avoid squats
• Severe knee pain irrespective of cause
• Knee injury even if no longer painful (you will need professional supervision)
• Acute back pain (you will later do back slides which is similar to squats and helps strengthen back muscles)
This exercise benefits almost everyone with a lifestyle disease. Hypertensives (those with high blood pressure) even get a bonus since it causes peripheral pooling of blood and helps to lower the blood pressure over time.
Plank
Arguably, the safest exercise for strengthening abdominal muscles and also has the added benefit of strengthening lower back muscles. Especially for people who sit for long hours (you shouldn’t anyway) this is great news for helping your back.
1. Start by getting into a push-up position
2. Bend your elbows and rest your weight on your forearms and not on your hands
3. Support your lower body on your toes
4. Your body should form a straight line from shoulders to ankles just like a plank of wood
5. Engage your core (midsection) by sucking your belly button into your spine
6. Hold this position for the prescribed time. This may vary from 5 seconds to 1 minute. Repeat.
Push-ups (press-ups)
This is probably the first exercise most people try out; well apart from laughter and walking I presume, and everyone is familiar with it.
Go ahead and squeeze a minute a day in there.
Walking & dancing
Before you set out to exercise your muscles remember to walk at least a minute before you start and a minute after you are done.
You may even walk while in one place, what matters is moving your legs and arms and getting your heart to pump.
Use every opportunity during the day to:
• use the stairs instead of the elevator
• walk while you talk on your cell phone
• Walk to a colleague’s desk at the office instead of using the phone or sending someone else.
• Pick your own stuff for cooking instead of sitting and getting people to assist with even the trivial errands
• Dance with your heart whenever you have a chance; during your Christmas programmes, while watching TV and even while you take a shower.
A minute each for Squats, Planks and Push-ups and two minutes of walking every morning, afternoon or evening may just be enough to get you through the season and certainly it will not tamper much with your tight holiday schedule. Do not forget to smile often, breathe deeply to relax, enjoy some sunshine, pray, praise and worship God and you will be on the right path especially if you keep an eye on your finances and learn to unplug several hours each day.
In my opinion, every aspect of Wellness is important at all times and we should try to keep a balance. Neglecting all other aspects (Physical, Social, Mental, Digital, Financial & Spiritual) and focusing only on Spiritual Wellness will mean we will not be able to perform at our very best and certainly our Maker needs the best version of us.
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 – “For heart health you need to relax and have fun as well; schedule time for leisure, sing praises to God, laugh often, learn to breathe deeply and maybe get a pet.”
References:
• The Gym Bible
• www.webmd.com
• 30dayfitnesschallenges.com
By Dr Kojo Cobba Essel
Health Essentials
Hijab (Islamic Veil) as an Act of Worship
Alhamdulillah (all praise is due to Allah), the Creator of the heavens and the earth, the One who guides us to the straight path.
We bear witness that there is no deity worthy of worship except Allah alone, and we testify that Muhammad (peace and blessings be upon him) is His servant and Messenger.
May Allah’s peace and blessings be upon him, his family, and all who follow him in righteousness until the Last Day.
Introduction
Dear respected brothers and sisters in Islam, today’s khutbah addresses an essential act of worship that embodies submission, modesty, and obedience to Allah: the “Hijab”.
While the Hijab is an explicit command from Allah, it is also a human right protected under local and international laws.
It is imperative that Muslim women are allowed to observe Hijab freely, especially in public institutions such as universities, banks, ministries, public health institutions, and government agencies.
Definition and Meaning of Hijab
In Islam, Hijab refers to modesty in appearance and behaviour. For women, this includes covering the body, except for the face and hands, in non-revealing clothing (not skin-tight), while for men, it includes covering from the navel to the knees and dressing modestly.
The Hijab extends to lowering the gaze, avoiding indecent speech, and conducting oneself with dignity.
Allah commands:
“And tell the believing women to lower their gaze and guard their private parts and not to display their adornment except that which [ordinarily] appears thereof and to wrap [a portion of] their headcovers over their chests.”
(Quran 24:31).
Essence of Hijab as an Act of Worship and Modesty
The Hijab is an act of worship rooted in obedience to Allah. It is not a cultural practice but a divine command. Allah says:
“O Prophet, tell your wives and your daughters and the women of the believers to bring down over themselves [part] of their outer garments. That is more suitable that they will be known and not be abused. And ever is Allah Forgiving and Merciful.”
(Quran 33:59).
The Hijab is a reflection of one’s faith, modesty, and inner character. It shields the individual from immorality and contributes to the moral fabric of society.
Lowering the Garments and the Gaze
The Hijab also encompasses lowering the gaze and maintaining purity in interactions between genders. Allah says:
“Tell the believing men to lower their gaze and guard their private parts. That is purer for them. Indeed, Allah is Acquainted with what they do.” (Quran 24:30).
By lowering the gaze, both men and women protect themselves from sin and maintain mutual respect.
Social Menace and Immoralities Due to Lack of Hijab
The absence of Hijab in society has led to numerous social issues, including:
Zina (Adultery and Fornication): Unrestricted interactions and immodesty increase the likelihood of adultery and fornication, which Allah explicitly prohibits:
“And do not approach unlawful sexual intercourse. Indeed, it is ever an immorality and is evil as a way.”
(Quran 17:32).
Exploitation and Objectification:
When modesty is neglected, individuals, especially women, are objectified and exploited, resulting in an increase in harassment and sexual abuse, a phenomenon that has plagued many organissations such as Universities, Banks and other public institutions. The introduction of Sexual Harassment Policies with its attendant harsh punishments has done very little in resolving this menace.
By Imam Alhaji Saeed Abdulai