Health Essentials
World Hypertension Day: Accurate BP measurement, pathway to longer and healthier life

How to measure blood pressure
Hypertension, commonly known as high blood pressure, is a medical condition that affects people of all ages around the world. It is often referred to as the “silent killer” because it can go unnoticed for years, quietly damaging your health and increasing the risk of serious complications. However, with proper awareness, accurate measurement of blood pressure, and effective control, you can lead a healthier and longer life.
WHAT IS HYPERTENSION?
Blood pressure is the force exerted by blood against the walls of your arteries as your heart pumps it around your body. Hypertension occurs when this pressure remains consistently high over time. It is usually categorised into two types: primary (essential) and secondary hypertension.
Primary hypertension is the most common type, accounting for about 90% of cases, and its exact cause is often unknown. On the other hand, secondary hypertension is caused by an underlying health condition, such as kidney disease, hormonal disorders, or certain medications.
WHY IS ACCURATE MEASUREMENT IMPORTANT?
Accurately measuring your blood pressure is crucial for both the diagnosis and management of hypertension. Many factors can influence blood pressure readings, such as stress, physical activity, and even the way the measurement is taken. By ensuring accuracy, healthcare professionals can make informed decisions about your treatment plan, and you can monitor your progress more effectively.
TIPS FOR ACCURATE BLOOD PRESSURE MEASUREMENT
1. Use a dependable blood pressure monitor: Invest in a high-quality, validated blood pressure monitor for home use. Automatic digital monitors are widely available and provide accurate readings when used correctly.
2. Follow the instructions: Read and follow the instructions provided with your blood pressure monitor carefully. Improper use can lead to inaccurate readings.
3. Choose the right cuff size: Use the appropriate cuff size for your arm. A cuff that is too small or too large can affect the accuracy of the measurement.
4. Rest before measurement: Sit quietly and relax for at least 5 minutes before taking your blood pressure.
5. Avoid caffeine, smoking, and exercise for at least 30 minutes beforehand.
Position yourself correctly: Sit upright with your back supported, feet flat on the floor, and arm resting on a table at heart level. Ensure the cuff is at the same level as your heart. Do remember that you may also take your BP while standing or lying down, but ensure you compare readings in the same position only.
6. Take multiple readings: Measure your blood pressure at least twice, with a brief break in between. Record the average of the readings for a more reliable result.
7. Avoid tight clothing while taking blood pressure readings, e.g., tight neckties or other undergarments.
CONTROLLING HYPERTENSION FOR A LONGER LIFE
Healthy lifestyle choices: Adopting a healthy lifestyle is crucial to managing hypertension. Maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Reduce your salt intake and limit processed and fatty foods. Engage in regular physical activity, such as brisk walking, swimming, or cycling, for at least 150 minutes per week.
Maintain a healthy weight: Achieving and maintaining a healthy weight is vital for blood pressure control. Losing excess weight, if necessary, can significantly reduce blood pressure levels.
Reduce stress: Chronic stress can contribute to high blood pressure. Find healthy ways to manage stress, such as by practicing relaxation techniques, engaging in hobbies, or seeking support from friends and family.
Limit alcohol consumption: Excessive alcohol intake can raise blood pressure. If you drink, do so in moderation. Men should limit alcohol to two drinks per day, and women to one drink per day.
Quit smoking: Smoking damages blood vessels and increases the risk of heart disease. If you smoke, seek help to quit. Your healthcare provider can guide you through smoking cessation programmes or recommend appropriate resources.
Regular medical check-ups: Regularly visit your healthcare provider to monitor your blood pressure and overall health. They can adjust your treatment plan, if needed.
Finally, spread the message about High Blood Pressure and you will be saving many lives. Be a LIFE SAVER today!
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: May 17 was World Hypertension Day, a perfect day to remind ourselves of the dangers of High Blood Pressure and the lifestyle changes we can adopt to control our blood pressure. It all starts with MEASURING YOUR BLOOD PRESSURE ACCURATELY.]
By Dr. Kojo Cobba Essel
Health Essentials
This Valentine’s weekend renew your energy

t is quite common to hear people complain about a lack of energy, fatigue, foggy brain and a host of others. The real danger is the accidents and errors that this situation may cause, and quite often many people suffer the consequences.
There is NO quick fix for renewing your energy, but it doesn’t take an effort akin to manning a spaceship to achieve this. Over the past few years, I have been a huge proponent of Greenscription. This essentially involves PRESCRIBING everyday lifestyle modifications that make us the best version of ourselves. Definitely every human will occasionally have a bad day, but we can minimise these and enjoy life.
Yes, you may need a supplement sometimes or require medication to correct or treat a condition, but we will all feel more energised if we practice the steps below. Remember “one healthy choice is ALWAYS followed by another”, start slowly and add on. We all have what it takes.
1. Learn new things: yes, we all need to. Avoid rut. What are you learning now?
2. Simplify things: no need to complicate things. If it appears too complicated its either you don’t understand it or you are on the wrong path
3. Think positively: your cells are listening to you at all times. Speak positive words
4. Eat healthy food: we are what we eat. I am sure people powered by unhealthy, refined food-like substances is definitely the wrong “fuel”
a. I believe you know water is an essential component of your food. Drink adequate amounts.
5. Socialise: we are no islands. DO NOT isolate yourselves. We derive energy from people but avoid energy sappers. They will drain you to death.
6. Meditate: allow your brain to rest
7. Move and play: Exercise and play happen to be one of the few things that provide instant results. When did you last take a walk outdoors or join friends to play a game of table tennis or other.
8. Be grateful: Gratitude appears too simple to be real BUT it is a game changer
9. Enjoy sunlight: very few things beat sunlight. Little wonder seasons with limited sunlight have high numbers of people with mental health challenges
10. Spend time in nature: the sound of water, rocks, greenery. They have amazing benefits. Spend time in nature and do it often. You may even create your own at home or at the workplace.
11. Music is life; but it needs to be the right type.
12. Get enough sleep: It all starts with Sleep, and it ought to be restful. If you have sleep apnoea you may be doing yourself a disfavour. If you snore, talk to your doctor and get the appropriate tests done.
13. REST – Even the Almighty God rested. Not because He needed it BUT he had to set an example for us. Sometimes we just need to sit and “do nothing” or get creative or cut out the noise.
Do put these into practice and next week we will delve into what we need to avoid to remain energised.
This Valentine’s weekend, renew your energy and continue with the tips that will ensure you remain the best version of yourself.
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 from Medics Group & Health Essentials. Send me an email at dressel@healthessentialsgh.com for more information.”
References:
1. Culled from Mental Health on LinkedIn
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