Health Essentials
Urinary tract infection is common, do not take it home!
Have you ever experienced a burning sensation while urinating? Did your urine have a strong smell? Were you also experiencing frequent urination at the time?
Then you may have had a Urinary Tract Infection. The above symptoms are but a few of the symptoms if it presents any.
Urinary tract infections (UTIs) can occur in any part of your urinary tract – kidneys, ureters, bladder, or urethra. Infections of the lower urinary tract – the bladder and urethra – are most common.
Women are more likely to experience UTIs than men. Infections of the bladder can be uncomfortable and unpleasant, but if a UTI spreads to your kidneys, serious consequences can occur.
There are not always symptoms associated with urinary tract infections, but when they do occur they may include:
- A strong, persistent urge to urinate
- Burning sensations when urinating
- Routinely passing small amounts of urine
- Cloudy urine
- Blood in the urine may appear red, bright pink, or cola-coloured
- Strong-smelling urine
- A woman may experience pelvic pain, especially in the area of the pubis
Elderly adults are more likely to overlook UTIs or confuse them with other conditions.
Infections can occur in different parts of the urinary tract, and they are called by different names depending on where they happen.
- Cystitis of the bladder can cause you to pee excessively or to feel pain when you do. It can also cause you to have cloudy urine or blood in your urine.
- Pyelonephritis (kidneys) can result in fever, chills, nausea, vomiting, and upper back pain and discomfort.
- Urethritis may cause a discharge and pain when you urinate.
Bacteria entering the urinary tract through the urethra and multiplying in the bladder often cause urinary tract infections. Even though the urinary system is designed to protect against such bacteria, these defences sometimes fail. If that occurs, bacteria could take hold and grow into a full-blown infection in the urinary tract.
- Infection of the bladder (cystitis). In this type of UTI, Escherichia coli (E. coli), a type of bacteria commonly found in the gastrointestinal tract (GI), is responsible for the infection. However, other bacteria can also cause infection. Sexual intercourse may lead to cystitis, but you don’t have to be sexually active to develop it. A woman’s anatomy makes her vulnerable to cystitis, especially the short distance between the urethra and anus and the opening along the urethral wall that leads to the bladder.
- Infection of the urethra (urethritis). In this type of UTI, GI bacteria spread from the anus to the urethra. Additionally, because the female urethra is located close to the vagina, infections such as herpes, gonorrhoea, chlamydia, and mycoplasma may cause urethritis.
Women are prone to urinary tract infections, and many experience more than one infection in their lifetime. Specific risk factors for women include:
- Female anatomy. Women have a shorter urethra than men, which makes it easier for bacteria to reach the bladder.
- Sexual activity. Women who are sexually active tend to have more UTIs than those who aren’t. Switching partners also increases your risk.
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- Birth control methods. Women who use diaphragms for birth control, as well as those who use spermicidal agents, may be at higher risk.
- Menopause. As estrogen levels decline during menopause, you become more susceptible to infections in the urinary tract.
- Abnormalities of the urinary tract. The risk of UTIs is higher in babies born with abnormalities of the urinary tract that prevent urine from leaving the body normally or cause urine to back up in the urethra.
- Urinary tract obstructions. UTIs can be caused by kidney stones or an enlarged prostate that trap urine in the bladder.
- A suppressed immune system. The risk of UTIs increases with diabetes and other diseases that impair the immune system.
- Catheter use. An increased risk of UTIs exists for people who can’t urinate on their own and use a tube (catheter). The category may include people who are hospitalised, people with neurological problems that make it hard for them to control their bladder function, and people who are paralysed.
- Recent urological surgery. An exam of your urinary tract with medical instruments or a surgery on your urinary tract can both place you at risk for urinary tract infections.
Infections of the lower urinary tract rarely result in complications when they are treated promptly and properly. An untreated urinary tract infection, however, can cause serious complications.
Complications of a UTI may include:
- Recurring infections, especially in women who experience more than two UTIs in a six-month period or four or more within a year.
- Acute or chronic kidney infection (pyelonephritis) caused by an untreated UTI that permanently damages the kidneys.
- Pregnant women are more likely to deliver low birth weight or premature babies.
- Men with recurrent urethritis have narrowing (stricture) of the urethra, a condition previously seen with gonococcal urethritis.
- Infections can lead to sepsis, which is a potentially life-threatening complication, especially if the infection goes into your urinary tract or kidneys.
Here are some steps you can take to reduce your risk of urinary tract infections:
- Drink plenty of liquids, especially water. Drinking water helps dilute your urine and ensures that you’ll urinate more frequently — allowing bacteria to be flushed from your urinary tract before an infection can begin.
- Drink cranberry juice. Although studies are not conclusive that cranberry juice prevents UTIs, it is likely not harmful.
- Wipe from front to back. Doing so after urinating and after a bowel movement helps prevent bacteria in the anal region from spreading to the vagina and urethra.
- Empty your bladder soon after intercourse. Also, drink a full glass of water to help flush bacteria.
- Avoid potentially irritating feminine products. Using deodorant sprays or other feminine products, such as douches and powders, in the genital area can irritate the urethra.
- Change your birth control method. Diaphragms, or unlubricated or spermicide-treated condoms, can all contribute to bacterial growth.
Source:
Maureen Masopeh and Tina Amarh
Content Creators
Health Essentials Ghana Limited
References:
- Mayoclinic.org
- Webmd.com
By Dr. Kojo Cobba Essel
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
