Wednesday, 23 October 2013

HRF HEALTH ANGLE: Friend-turned-enemy, the IN and OUT of Appendicitis

Many would say they have been diagnosed of ‘appendix’. Common! That’s a popular misnomer; it’s a structure, not a medical condition. An appendix is a small pouch shaped like a small finger; it is on the right side of the abdomen (tummy) connected to the large intestine. Experts are not sure what the appendix is for. Mr DM, a 300L student in a Nigerian University, once suffered from appendicitis. Below is an excerpt from his recall:

“I started feeling the pain in the year 2008 and it was mostly at the lower part of my tummy. But, I didn’t pay so much attention to it until 2009 when the sensation became frequent. I had used all sorts of pain relievers but the pain would recur. However, hell was let loose around June of the same year when the pain became increasingly unbearable. I was rushed to the hospital and a diagnosis of appendicitis was made. In fact, I had to undergo emergency operation in other to save my life. Thank God, I’m a living testimony.”

What is Appendicitis?

It is a condition in which the appendix becomes swollen, inflamed and filled with pus. It generally affects people aged 10 and 30, but it can strike at any age.

Causes
It is widely believed that there are two causes:
Ø  Infection- a stomach infection may have found its way to the appendix.
Ø  Obstruction- a hard piece of stool/food may have got trapped in the appendix. The bacteria in the trapped stool may then have infected the appendix.
What are the Signs and Symptoms?
Pain, starting around the navel, then moving down and to the right side of the abdomen. The pain gets worse when moving, taking deep breaths, coughing, sneezing, or being touched in this area. Others include:
o   Progressively worsening pain in the abdomen
o   Urinating often, or difficult or painful urination
o   Nausea
o   Vomiting
o   Diarrhea/Constipation
o   Low Fever
o   Loss of appetite
o   Inability to pass gas (fart)
N.B: Report to the hospital in case you have any of these signs and/or symptoms.
Diagnosis
This can be very challenging. Many patients do not have typical symptoms- the pain may be located in different parts of the body. Other conditions may have very similar symptoms, such as gastroenteritis, urinary tract infection, ectopic pregnancy or even kidney stone. Moreover, not everybody have their appendix in exactly the same place. The healthcare professional will examine you, ask questions and run some tests when required.
Prevention
Research has shown that balanced diet has a vital role to play in reducing the incidence of appendicitis. We have been made to understand that consuming high fibre diets, fresh vegetables and fruits help to lower the risk; the softer stools as products of these diets are less likely to get trapped in the appendix. Others include drinking at least 8 glasses of water daily and regular exercise to prevent fecal matter from lodging and hardening in the large intestine.
Treatment
In rare cases in which the infection is very mild, antibiotics can be given to treat the patient. However, in most cases, a type of surgery called APPENDECTOMY is required to remove the appendix. Sometimes a decision will be made to surgically remove the appendix because it is too risky to wait around for the tests to confirm the diagnosis. Without treatment, an inflamed appendix can rupture, causing the lining of the abdomen to get infected. That can be a life-threatening condition. 
     At Hope Rising Foundation (HRF) Nigeria, we are always at your service at no cost. For questions and enquiries, contact us:
P: 08148327860
T: @HRF_Nigeria.



Monday, 14 October 2013

The Journey continues................

The 2013 edition of Secondary Schools Career Talks continues as the indefatigable team of Hope Rising Foundation took the good news of a New Value System and NEW NIGERIA to the pupils of Oluomo International School, Osogbo in Osun State........












Saturday, 5 October 2013

HRF MENTORSHIP CLUB classes to start next year

The 2014 session of HRF Mentorship Club is to kick off on January 11, 2014. It's an 8-month long programme designed to groom Senior Secondary School students and make them realise their potentials in earnest. "The screening process is still going on and we are committed to bringing out the best in the participants. We must build ourselves as Nigerians if we want to build a new nation". Mr Banjo-Ogunleye Telemi, the co-ordinator of the club said while granting an interview with the Media and Publicity Unit of the organization....




At HRF Nigeria, we believe that the moment we cease to care for one another is the day humanity comes to an end....

HRF Nigeria reaching out to secondary school students.........



         It was such a memorable day for students of Divine International School and Winners Model College, Osogbo, State of Osun, on 2nd and 4th October respectively as members of HRF Nigeria took them through very inspiring sessions. The two speakers at the occasions, Banjo-Ogunleye Telemi and Kofoworola Ayodeji K,PT enlightened them on various career choices and values that will make them better citizens of Nigeria. Other members of the team were Aderinwale Ayodele, Olagunju Jumoke, Ola Adewole, Agbeleye Lanre.





They were made to understand that the NEW NIGERIA is not achievable without them; it was a glamorous event. The programme continues in various schools till the end of October.......

Tuesday, 1 October 2013

NIGERIA IS 53!

                                 HAPPY INDEPENDENCE DAY CELEBRATION!!!
          As we add another year as a nation,we must believe that what we think and do as Nigerians determine what NIGERIA will be. So, think and act positively. Do not be hearers alone, be doers of those core values that are needed to take our dearest nation to the pedestal it has been craving for. From HRF Nigeria, we believe that the moment we cease to care for one another is the day humanity comes to an end.....Let's embrace LOVE, DUTY and PATRIOTISM as our watchwords.......

                                                                                    GOD BLESS NIGERIA
hrfnigeria@gmail.com       
@HRF_Nigeria

Saturday, 21 September 2013

HRF HEALTH ANGLE: The Dilemma of Sex and Unwanted Pregnancies, the Way Out!


Everyday, millions of Nigerian youths get trapped in the dilemma of enjoying sex and at the same time avoiding its associated risks, especially pregnancy. While some are shy to discuss it with their healthcare providers and are therefore misled by wrong counsel from peers, many believe they are ‘experts’ themselves. This has led to many unwanted pregnancies, unsafe abortions, death and diseases which could have otherwise been prevented. This short piece will educate you on the basis of pregnancy and how it can be safely prevented. Guess what! The knowledge which is about to be shared is equally important to the male as well as the female gender.


How is Pregnancy formed?
Many ladies would remember when they saw their first ‘show’ of blood- the gesture of initiation into motherhood. Mummies are so concerned. You would recall some mums saying: "Now, you are a woman; do not allow any boy touch you unless you become pregnant". So funny, isn't it? I'm sure most of us believed that the touch also included things like a handshake. The first confirmation of pregnancy is usually the "missing of your period" and it's the easiest if not the simplest way of affirming pregnancy. It has been used from time immemorial and it's not likely to become outdated. What bring about this “missing of period”? Then, a very good knowledge of the female menstrual cycle is crucial. Let’s review it; seize this opportunity to know it better. Please note that a good knowledge of the menstrual cycle also tells how healthy you are e.g a woman's menstrual cycle can become affected if she has hormonal imbalance, goitre, pituitary tumor or even emotional disturbances.
            Menstrual cycle- it is a series of changes that occurs in the uterus (womb) and the ovaries (organs that produce eggs) for the purpose of sexual reproduction. This cycle often ranges between 21 and 35days but 28 days on the average. They are round-the-clock events that are only interrupted by pregnancy or menopause and are regulated by hormones. Simply put, it’s like the tyres of a bicycle; they go round with no gap along it's circumference unless they are torn. Four stages (phases) make up the cycle. First, Menstrual Phase: It occurs because the womb is “weeping” as a result of failure of implantation (planting of new ‘baby-to-be’). It does this by shedding off the wall that has been prepared for receiving it and this "tears" come out as blood since it is no longer relevant. It lasts between 3 to 5 days. During this period some people may experience pain called Menstrual Pain.. Proliferative Phase: The wall of the womb that was shed earlier on begins to heal, without scars though. This occurs from day 3 or 5 to day 14 of the menstrual cycle. Meanwhile, the ovaries are preparing to release eggs around this time. Ovulation is the third phase during which there is release of egg(s) from the ovary (ies). Generally, it is said that ovulation occurs around day 14. Usually the days before ovulation, you'll notice creamy whitish discharge which is usually watery, a gradual rise in your body temperature which tends to be highest on the day of ovulation. You can feel this by gently placing the back of your hand on your forehead or by using a thermometer. Other signs include breasts tenderness, a sharp pain on either side of the lowest part of your tummy depending on which ovary is releasing the egg(s) at that point in time. Some ladies may spot a little in their panties. The secretory phase: this is the stage in which the healing processes of the walls of the womb is complete and these walls thickens in preparation for receiving the new ‘baby-to-be’. It helps to nurture the egg(s) released especially if fertilization (fusion of sperm and egg), an aftermath of unprotected sexual intercourse, occurs. It lasts for 12 to 16 days after ovulation after which the uterus bleeds again if fertilization fails to occur.
Common Mistakes Women Make
Many ladies miscalculate their cycle: The day you start bleeding is day 1 of your cycle. So, count from that day until you get to day 14; do not count fourteen days after you stop bleeding. Ovulation takes place on the 14th day. This day 14 may not apply to every woman but there are some signs that can help with that. A few have been mentioned earlier. You must also bear in mind that it is not only on the day of ovulation that a woman can become pregnant after intercourse. Ovulation lasts between 12 to 24 hours i.e. once the egg is laid, it can only survive a maximum of one day. But the sperms for the males can survive within the female reproductive tract for up to 72 hours. For some, it can last for as long as five days...stubborn little fellas! So, if you engage in unprotected sexual intercourse few days before you ovulate, you are likely to become pregnant. Don’t get confused!

Contraception
It means methods or devices used in preventing pregnancy. Obviously, the rate of unwanted pregnancies amongst the youths is alarming and this has led to huge setbacks- increase in the number of school dropouts, single parents, illegal abortions, maternal morbidity and mortality. Unfortunately, Nigeria ranks 10th in the world in these. Therefore, a good grasp of fertility and contraception would go a long way in reducing this decadence. Some of the means include: diaphragm, cervical cap, spermicidal foams, oral contraception, injections, implants, patches, Intrauterine Devices and sterilization. I must clearly state that Dual Protection is very important in other to prevent pregnancy and Sexually Transmitted Infections; it involves the use of condoms and pills. Fertility awareness (good knowledge of your menstrual cycle) should also be borne in mind, especially by the females, since they are at the receiving end of any ‘error’ that ensues. To all ladies, "if you can't bear the thought of carrying his child, why let him lay hands on you".
            Above all, there is a method that offers 100% protection from unwanted pregnancies and numerous sexually transmitted infections. With it, you’ve got no worries at all. It’s no other method than ABSTINENCE. Remember, Life is beautiful and the future that lies ahead of YOU is precious!
                                  EDUCATE YOUR NEIGHBOUR, FRIENDS AND FAMILY

For questions and enquiries, contact us:
                   hrfnigeria@gmail.com            @HRF_Nigeria              08148327860

HRF Health Angle: “Will Drinking Milk Help Cure Your Peptic Ulcer Disease?”


Miss AA, ND 2 Polytechnic student shared her experience on Ulcer. Here is an excerpt:
“I started taking felvin about two years ago to relieve my menstrual pain. I never knew it had caused many damages to my stomach until I was diagnosed of Peptic Ulcer Disease in July, 2013. Funnily enough, I didn’t notice anything until 3 months ago when I started feeling pain in the upper part of my tummy; eating was always making it worse. Mehn, the feeling was not pleasant at all. But the good news is that I’m actually free now after receiving proper   treatment.” 
What is Peptic Ulcer Disease?
Please, let’s take a look at this question very quickly. "Which of these wounds will heal faster: the one on your back where your touch is within limit or the one on your chest which you can easily reach and take care of?” Peptic Ulcer Disease abbreviated as PUD, is therefore a wound found mainly on the walls of our stomach and duodenum. Hmmm... the duodenum! It’s the pipe that connects to the stomach and channels food contents to the other parts of the digestive tract. This time, the wound is neither within reach nor visible to the eye, it’s deep down there.
What are the causes?
It the end result of an imbalance between the digestive fluids in the stomach and duodenum. This is mostly caused by some bacteria called Helicobacter pylori. These bacteria cause more damages in the duodenum compared to the stomach. Your risk of infection with these organisms is high when you consume food prepared under less than ideal conditions/exposed to contaminated water or soil, when you don’t observe adequate sanitation practices amongst others. Another major culprit is Non-steroidal Anti-inflammatory Drugs. They are a group of Pain killers such as Aspirin, Ibuprofen, Naproxen, Felvin and a few others. PUD could also be a result of tumor in the stomach or duodenum.
Symptoms
Ø  Dull aching pain or peppery sensation which is usually on the upper part of your abdomen (tummy) or even under the left rib cage. It is mostly associated with hunger, relieved upon eating or even worsens with food. Sometimes, it might wake you up at night.
Ø  Heart burn
Ø  Other symptoms include weight loss, bloating, water brash (the sour taste of acid in your mouth), nausea, vomiting. There may also be blood in stool or the stool may appear tarry dark and foul smelling. In fact, there may even be back pain.
Diagnosis
There are other medical conditions with similar clinical presentations to those above. If you are having any of these symptoms, visit the hospital. Your Health Care Professional will ask you certain questions, might run some tests on you as well.
Who are those that are more likely to develop PUD?
You have a greater risk if you belong to any of these categories:
·         Family history of Peptic Ulcer Disease
·         Regular consumption of alcohol
·         Smoking of Cigarettes
·         Avoid overuse of Aspirin and/or other NSAIDS.
·         Stress
·         Eating food prepared under less ideal conditions

Treatment
The GOOD NEWS is that PUD can be treated and this is only a matter of compliance with the required drugs for a maximum of two weeks. You will be given some drugs which help to reduce acid levels and allow your ulcer to heal. They are called Proton Pump Inhibitors (PPI). You may also be given certain antibiotics as well as tips on lifestyle changes. Taking milk cannot cure your ulcer. In fact, milk can make your ulcer worse. It provides brief relief of pain because it coats the stomach lining. But, milk can also stimulate the stomach to produce more acid and digestive juices, which can aggravate ulcers.
Prevention Tips
o   Don’t smoke
o   Avoid alcohol
o   Curb the use of over the counter NSAID use
o   Reduce Stress
o   Good hygiene practices
o   If you have symptoms of an ulcer, contact your health care provider.
If you are already suffering from PUD, ensure that you:
o   Eat slowly.
o   Eat 6 small meals instead of 3 big ones.
o   Don’t eat or drink anything for at least 2 hours before going to bed and if you take naps, try sleeping in a chair.
o   Avoid spicy foods, caffeine and coffee.
There is no doubting the fact that wounds eventually close up and heal on their own provided the ‘indicting’ agent has be dealt with. The lining of our alimentary canal particularly the stomach has a very great tendency of shedding and generating newer cells. Despite this, the end result of a wound is nothing but a scar. The message is this:
 So far H. pylori keeps its territory within the stomach, NSAIDs are used without prescription, you wait to feel pain before you eat, then, these scars will open up and even form worse scars……And you must realise that Peptic Ulcer Disease can be fatal if not treated. It is fatal in the sense that it can become complicated and this could result in: Perforation of the intestines, blood in stool, blood in vomitus, and blockage of the stomach outlet.
At HRF Nigeria Health unit, we are always at your service. You may want to leave comments here. For questions and enquiries, contact us
                    08148327860      hrfnigeria@gmail.com       @HRF_Nigeria