Health Essentials
The salt wars will never end!

Salt is useful when taken in moderation
IS SALT ENEMY NUMERO UNO?
I do not have a precise answer to this question but salt is definitely revered in the company of killers.
When heart and blood vessel diseases claim about 18 million lives each year worldwide and hypertension is one of the leading modifiable risk factors (the other factors are uncontrolled diabetes, high cholesterol, obesity, lack of adequate physical activity and cigarette smoking) for heart and blood vessel disease then I leave you to work the math since added salt is very often associated with hypertension.
Not everyone reacts to salt in the same way but for the majority of us anything more than half a teaspoon of salt a day (includes what we cook with, those in our snacks and processed food).
No one is born with a craving for salt, we learn this as we grow and keep eating more salt by the day. Many of us eat much more salt than we need and we are “rewarded” with high blood pressure, heart failure and other inconveniences related to fluid retention.
Do you add extra salt to cooked food? Do meals prepared at home come out of a box or can? Do you eat out of home often? A yes answer to any of the questions could mean you may be having too much salt.
Is it not time to shake off this salt habit? You are probably counting your calories to lose weight and exercising as well so why not watch your salt intake? It could be the cause of your difficulty to control blood pressure.
Salt like many other things is only useful when taken in moderation; we cannot live without it but too much brings a host of troubles. Salt may be obvious as in what we cook with but often times it is hidden. Who would have thought that many processed foods including canned foods such as corned beef, ketchup and some salad dressings contain loads of salt?
Two elements; Sodium and Chlorine make up salt and the sodium is often the centre of controversy. Excess sodium stays in body tissues and holds extra water causing swelling and raising blood pressure.
The elevated blood pressure then puts a strain on the heart. You may be aware that increased blood pressure affects almost all organs and this includes: the eyes, the brain, the kidneys and even the blood vessels.
Invariably people who eat a lot of salt have a high probability of developing hypertension and that may also be another reason for having high blood pressure running through some families.
The answer may be quite simple; most family members have similar eating patterns or tastes so everyone may be prone to an increased-salt diet leading to elevated blood pressure over time.
Many artificial flavours that we use in cooking also contain sodium, so imagine the harm you do when you add some of these flavours to food that you have already added your usual amount of “salt”.
The salt story does not end here. Excess salt intake has been linked with osteoporosis, dementia/forgetfulness and even Alzheimer’s.
It is interesting to watch people eat in restaurants and at home; some people will actually sprinkle salt over their food after almost every bite. People eating in restaurants will use the salt on the table aggressively probably making sure they are recouping every pesewa spent on the meal. Be careful you may be paying more on medication soon.
If your food tastes like there is a salt shortage, thank God and eat as-is. It is an outright CRIME to add salt to already cooked food no matter how bland it may taste. This last statement lays the fact bare; all restaurants that leave extra salt on a dining table are involved in crimes against humanity.
You are not a killer only when you draw a gun or knife to kill, you may use a “slow poison” such as a daily dose of extra salt. We will probably need some human rights activists to help us fight this war. I am really looking forward to the day that salt on restaurant tables will be banned.
No matter how particular you are about the salt content of the food you cook, if food manufacturers and restaurants are not regulated when it comes to the allowed salt content then the battle is only half won.
If we are able to reduce our salt intake to less than half a teaspoon a day (including all the hidden salt), it will be enough to significantly reduce the new cases of hypertension and by extension other heart diseases and complications of hypertension will also be reduced.
This simple act will save our country millions if not billions of Ghana cedis each year.
Reducing Salt Consumption
• Never add salt to cooked food
• Read food labels and avoid those with salt or high salt content (watch sodium)
• Eat a lot of fresh fruits and vegetables; they do not need added salt and they also contain potassium that lowers blood pressure.
• If you need snacks, choose unsalted ones.
• Flavour foods with garlic, onions, fresh herbs and lemon instead of salt
• If you have to add salt to food while cooking, add only sparingly.
Excess salt does not only cause diseases, it also drains our pockets as well as the national coffers as we try to control the damage it has caused. Winning the war against salt needs us to be more proactive; before you put anything in your mouth think about the salt (Sodium) content and make a smart decision.
You could be saving your life and that of others as well as creating wealth just by controlling salt intake.
Now I throw the question back to you; is salt ENEMY NUMERO UNO?
(*salt in this context refers to common salt / table salt etc. Other types of salts MAY have added benefits)
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
*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 taste for salt is not inborn. Saltiness is something we’ve learned and eating salty foods fuels the craving”.
Reference:
1. Health by Choice Not Chance – Aileen Ludington & Hans Diehl
2. Shaking the Salt Habit – Jennifer Nelson & Katherine Zeratsky
By Dr. Kojo Cobba Essel
Health Essentials
Demystifying nausea
Nausea is a very common complaint and almost everyone experiences this sometime in their life. It is an experience that occurs with the feeling that you are about to vomit. When you are nauseated you may feel weak, sweaty and have too much saliva in your mouth.
You may even vomit. Pregnancy, illness and motion sickness are among the long list of conditions that may cause nausea.
Over the past 48 hours I have had at least six people complain about nausea to me, and I feel that is a signal that we re-visit this common complaint.
Nausea and vomiting are usually completely normal reactions but may also signal an underlying serious condition.
They are often your body’s response to foreign substances or irritants. Your brain may signal the urge to vomit if you eat contaminated food or contract a stomach virus.
Common causes of nausea
Nausea is often associated with distaste for food or an urge to vomit. People with nausea may also feel the urge to retch. This occurs when your chest and abdominal muscles contract without your control.
Some of the common conditions that may present with nausea (with or without vomiting) include:
1. Abdominal causes
a. Gastroenteritis – may be caused by a viral or bacterial infection
b. Peptic ulcers
c. Food poisoning or food allergies
d. Overeating
e. Liver disease
2. Medication
a. Several medicines may cause this. Antibiotics are a common culprit and so are drugs used in the management of cancer.
3. Problems with the head and neck
a. Migraine headaches or motion sickness.
b. Stroke
c. Head injury
d. Infection in and around the brain or brain tumour
e. Diseases of the ear
4. Hormonal changes
a. Including those that lead to morning sickness during pregnancy
5. Toxins in the blood
a. Such as alcohol and nicotine
6. Other conditions
a. Diabetes
b. Appendicitis
c. Urinary tract infection, intestinal obstruction
7. When to seek emergency care
Quite often nausea will not require urgent medical attention. The problems are usually short-lived, lasting just a few minutes to several hours and subsiding on its own within 24 hours. Seek immediate attention if you have any of the following:
1. Vomiting that is blood or bile stained
2. Fever greater than 38 degrees Celsius
3. Severe abdominal pain
4. Headache and a stiff neck
5. Vomiting for more than 24 hours
6. Signs of dehydration, including increased thirst, dry mouth or infrequent urination.
Tips to make recovery brisk and smooth
• Take small amounts of clear liquids such as water or flat ginger drinks
• Avoid caffeinated beverages such as cola, coffee and tea
• Eat small meals every few hours. This helps your stomach digest food gradually
• Avoid odours such as tobacco, perfumes or strong cooking smells
• Bland foods that can absorb stomach acids are preferred and these include rice, crackers and unbuttered bread.
Dear reader, next time you experience that uncomfortable feeling in the chest, stomach or back of the throat, remember that it may stop as suddenly as it started but never ignore it if it is associated with major warning signs.
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)
(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. Send me an email at dressel@healthessentialsgh. com for more information.”
References:
1. www.webmd.com
2. Health Ink Communications
By Dr. Kojo Cobba Essel
Health Essentials
Are you still waiting to fall sick before eating well?
This week I feature an amazing writer as we take a break from the discussion on Nutrition. After reading the article I just had to share.
Diet tips nauseate many people, they just do not want to hear them. Often, they say, now that they can afford food; they are being asked not to eat. These comments make us dieticians feel unwanted by such persons.
We do know that people who make excuses to be able to eat just any how do lack the necessary understanding of how food can damage their health and ruin their lives. To them, food is just meant to be enjoyed as a reward for their hard work. This is a sorry situation, I must admit. Not everything you can afford is good for your health.
On the contrary, I have come across some persons who can even afford all the food in the world but exercise a lot of restraints, just so they eat only what is healthy and safe for them. They are well informed about the fact that eating just anyhow can make them sick. This is good and anyone who falls under this category is encouraged to continue being who they are.
The food you eat determines how healthy you become in the medium to long term. Non-communicable diseases i.e. diabetes, hypertension, obesity, heart diseases, etc can be brought upon you just because you eat just anything food in the wrong quantities and at the wrong times.
And so, eating the right foods can also make it possible for you to avoid these lifelong diseases.
Pay attention to what you eat, let what you eat be in your plans for the day. Then plan for the food to be available, so you eat on time. Do not be like those who just start their day and only know about food when hunger strikes; such people always end up eating any food that comes their way.
If possible, cook your own food, and even take some along for lunch when going to work. If you must buy food and you can talk to your catering service provider, talk to them about the need to go low on oil, salt and frying.
Get the catering service provider of your company trained on healthy cooking methods by a qualified dietician so that whatever they churn out for your consumption at work is healthy. On the contrary, when you leave them to do their own thing, you are sure to be eating unhealthy foods. They will only serve you what is delicious and appealing, not what is healthy.
The question is are those nice smelling and nice tasting foods healthy for you? Remember that repeated intake of the wrong foods at work means a lifelong habit of eating bad foods which is a sure way to developing non-communicable diseases.
Do not join those who care-less about what they eat; such people are planning a future of misery with bad diseases. Get it done right and eat the right foods in the right proportions and at the right time.
Get a dietician’s advice on how best to cook and eat your food; you will thank me later!!!
The writer is a Dietician with LETS Consult (Dieticians, Diet foods, Diet books) & Author of the following books;
1. Eating to prevent and manage lifestyle diseases.
2. Live long by eating well – Vol. 1
3. Be your own dietician – Vol. 1
Tel/WhatsApp: 0595667197, Email: letsconsult@gmail.com, Website: www.letsabooks.com
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)
(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 majority of us need to Eat Less and remember that one cannot exercise or medicate himself out of a bad diet.”
By Wise Chukwudi Letsa