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  • The Cost of Dialysis in Ghana: Why Kidney Health Awareness Matters

    The Cost of Dialysis in Ghana: Why Kidney Health Awareness Matters

    What is Dialysis and How Does it Work?

    Dialysis is a medical treatment that replaces the function of damaged kidneys by filtering waste, salt, and excess water from the blood. It is essential for patients with chronic kidney disease (CKD) or end-stage renal failure when their kidneys can no longer function independently. There are two main types of dialysis:

    • Hemodialysis: Blood is filtered through a machine outside the body.
    • Peritoneal dialysis: The blood is filtered through the lining of the abdomen inside the body using a dialysis solution.

    Each dialysis session typically lasts 3-4 hours, and most patients require at least three sessions per week to stay healthy – CITI NEWSROOM. Without it, toxins build up in the blood, leading to life-threatening complications.

    A diagram showing how dialysis works, including both hemodialysis and peritoneal dialysis setups.

    How Much Does Dialysis Cost in Ghana?

    The cost of dialysis in Ghana varies depending on whether it’s done at a private or public facility. On average:

    • Private dialysis centers: GHS 1,000 – 2,000 per session
    • Public facilities (e.g., Korle-Bu Teaching Hospital): GHS 765 per session, up from GHS 380.

    Patients requiring three sessions per week will spend GHS 3,000 weekly or GHS 12,000 monthly. Over the course of a year, this adds up to a staggering GHS 144,000. This financial burden often forces patients to skip treatments or rely on the generosity of family and friends, as most health insurance plans in Ghana do not cover dialysis.


    Factors Driving the High Cost of Dialysis

    The rising cost of dialysis in Ghana is driven by several factors, including:

    1. Imported dialysis consumables: All dialysis supplies (e.g., dialyzers, tubing sets) are imported, with high shipping and import duties.
    2. Energy-intensive procedures: Dialysis centers consume large amounts of electricity and water, raising operational costs.
    3. Specialized staffing: Nephrologists, dialysis nurses, and technicians are required to manage treatments, adding labor costs.
    4. Limited government subsidies: While some public facilities offer reduced rates, many patients still rely on out-of-pocket payments.

    The Impact of High Dialysis Costs on Ghanaians

    The high cost of dialysis creates serious challenges for patients and their families. Without financial assistance or subsidies, many people with chronic kidney disease are unable to afford regular dialysis. This can result in life-threatening complications such as heart failure, fluid overload, or even death.

    Even in major urban centers like Accra and Kumasi, where most dialysis services are located, the financial burden remains high. Patients from rural areas often travel long distances to access care, adding transportation costs to their already stretched budgets.


    How to Avoid Dialysis: Practical Kidney Health Tips

    Given the financial challenges of dialysis, the best approach is preventive care. Here are four essential tips for maintaining kidney health:

    1. Stay Hydrated with the DrDoGood Water Challenge

    Drinking water regularly is one of the simplest ways to keep your kidneys healthy. Aim to drink 3 liters per day—1 liter in the morning, 1 in the afternoon, and 1 in the evening. Staying hydrated prevents kidney stones and supports kidney function.

    For added motivation, join the DrDoGood Water Challenge via the DrDoGood app. This fun and engaging challenge helps participants track their water intake and reduce the risk of developing kidney stones.


    2. Use Medication Responsibly

    Overuse of certain medications, including painkillers, can harm your kidneys. Avoid purchasing medications from unregulated sources, such as roadside vendors. Always consult a healthcare professional before taking any new drugs and only use medications when necessaryAstena.


    3. Reduce Salt and Processed Foods

    High salt intake can strain the kidneys and raise blood pressure, increasing the risk of kidney disease. Processed foods and artificial spices are major culprits. Gradually reducing salt in your diet will improve kidney health and lower your risk of chronic conditions like hypertension.


    4. Monitor Your Health Regularly

    Frequent health checks are essential to catch early signs of kidney disease. Use tools like BMI and A1C calculators to track your weight and blood sugar levels, both of which are critical indicators of kidney health. Early intervention can help prevent kidney complications.

    An infographic showing the relationship between hydration, kidney function, and kidney stone prevention, with a link to the DrDoGood Water Challenge.

    Kidney Stones: A Silent Threat

    Kidney stones are a common issue in Ghana, often caused by dehydration, high salt intake, and certain dietary habits. While kidney stones are not the same as kidney failure, untreated stones can damage the kidneys and lead to infections or long-term problems.

    The DrDoGood Water Challenge is highly recommended for individuals at risk of developing kidney stones. By tracking daily water intake through the DrDoGood app, participants can ensure they stay hydrated and reduce their chances of developing stones.


    The Role of Advocacy in Kidney Health Awareness

    Raising awareness about kidney health is crucial, especially given the rising cost of dialysis. Advocacy efforts are needed to push for:

    • Better insurance coverage: Ensuring dialysis is covered under the National Health Insurance Scheme (NHIS).
    • Government subsidies: Expanding subsidies for low-income patients to make dialysis more affordable.
    • Increased public education: Promoting healthy lifestyle habits to prevent kidney disease.

    What Can Be Done to Reduce Dialysis Costs in Ghana?

    There are a few strategies that could help bring down the cost of dialysis:

    1. Local production of dialysis consumables: Manufacturing some consumables locally would reduce import costs.
    2. Government interventions: Subsidies and partnerships with private providers can make dialysis more affordable.
    3. Expansion of peritoneal dialysis: Encouraging the use of peritoneal dialysis could provide a more cost-effective treatment option, especially in rural areas –Biomed central.
    4. Charitable support and crowdfunding: Some organizations and individuals use crowdfunding platforms to help cover the cost of dialysis for needy patients –Ghanweb.

    Conclusion: Taking Control of Your Kidney Health

    The cost of dialysis in Ghana is a major financial burden for many families, but with the right preventive measures, kidney disease can be avoided or managed effectively. By staying hydrated, eating a balanced diet, and using medications responsibly, you can protect your kidneys and avoid the need for dialysis.

    For those already diagnosed with kidney disease, consulting with a specialist is essential. Book a consultation through the DrDoGood app to get personalized advice and access the resources you need to manage your health.


    Resources and Further Reading

  • Peeing after sex: Yes or No?

    Peeing after sex: Yes or No?

    The short answer: Yes.

    Let’s explore the why, the how, and the other things you can do to protect your health after intimacy.

    Why Do People Say You Should Pee After Sex?

    During sex, it’s normal for bacteria from the skin, anus, mouth, or hands to be introduced near the urethra—the tube that carries urine out of your body.

    For women in particular, the urethra is very short (2.5 to 4cm) and close to the vaginal and anal openings. For men it’s about 15 to 20 cm. This makes it easier for bacteria to enter the bladder and cause a UTI in women.

    Sexual activity is definitely a predisposing factor in urinary tract infections. However, sexual intercourse itself does not directly cause UTIs, but it can increase the likelihood.

    A study by Haris et. al. In 2013 found that urinating after intercourse did not reduce the risk of symptomatic urinary tract infections (UTIs) among sexually active young healthy women. However, there may have been some protection in voiding within 15 minutes for women without any history of past UTIs


    Benefits of peeing after sex:

    1. Flushes Out Bacteria
      • When you pee, your body naturally expels bacteria that may have gotten into the urethra. This quick rinse helps prevent them from traveling up to the bladder and causing more serious infections.
    2. Lowers Risk of UTIs
      • Research and expert opinion both support the idea that urinating after sex reduces the risk of post-coital UTIs—especially for women who get infections often.
    3. Consider your partner’s health.
      • Even if you don’t often deal with UTIs or related issues, your partner might be more vulnerable. Maintaining proper sexual hygiene — including peeing after intercourse — helps protect them too.
      • Don’t panic if you don’t immediately feel the urge to urinate. There’s no need to force it. Just stay hydrated, and try to use the bathroom within 30 to 60 minutes after sex if you can. Drinking a glass of water right after sex can help encourage urination.

    Post-Sex Hygiene: Other Good Practices

    Safe sex

    Peeing after sex is a great first step, but it’s not the only thing you can do to protect your health. Here are other simple ways to stay clean and safe:

    1. Gently Clean Your Genitals

    After sex, gently wash the genital area with warm water. Avoid harsh soaps, douches, or scented products that can irritate or dry out delicate skin.

    2. Change Out of Damp Clothes or Underwear

    Sex can leave you sweaty or damp. Staying in wet underwear or clothes creates the perfect environment for bacteria or yeast to grow. Change into something clean and dry.

    3. Practice Safe Sex

    Using condoms or dental dams helps reduce the spread of sexually transmitted infections (STIs). Even if you’re in a monogamous relationship, safe sex protects both partners—especially if either of you has had recent infections.

    4. Wash Sex Toys

    If you use sex toys, wash them with soap and water after each use. Follow manufacturer instructions for proper cleaning and storage.

    5. Wipe Correctly

    For women, always wipe from front to back after using the bathroom. This prevents bacteria from the anus entering the urethra or vagina.

    Common Myths About Peeing After Sex

    “Only women need to pee after sex.”

    While women are more prone to UTIs, men can also benefit from flushing out bacteria after sex—especially those who have recurrent infections or urethral irritation.

    “You have to pee immediately after sex.”

    There’s no strict time limit. The goal is to urinate within a reasonable window—ideally within an hour.

    “If I pee after sex, I can’t get a UTI, STI or pregnant”

    Peeing reduces the risk of UTI, but it’s not a guarantee. Factors like hydration, sexual activity frequency, anatomy, and hygiene also play a role. As for STI’s and pregnancy, the process is so much more complex that simply peeing after sex will not protect you. Instead use barrier protection like and female condoms.

    When to Talk to a Doctor


    You should speak to a healthcare provider if:

    • You get UTIs frequently (3 or more per year)
    • You have pain after or during sex
    • You’re unsure about proper hygiene techniques
    • You think you may have an STI

    A doctor can help identify what’s causing recurrent infections and recommend preventive treatments, such as vaginal estrogen for postmenopausal women, low-dose antibiotics, or other supportive measures.

    Final Thoughts…

    Peeing after sex is a simple, habit that helps keep your urinary system healthy—especially for women. Combined with gentle hygiene, safe sex practices, and awareness of symptoms, you can enjoy intimacy while minimizing your risk of discomfort and infections.

    Remember: Staying healthy doesn’t mean taking the fun out of sex—it means taking care of your body so you can fully enjoy it, without fear or pain.

  • Diabetes Risk Factors for Women in Ghana

    Diabetes Risk Factors for Women in Ghana

    Over 4.16 million Ghanaians live with type 2 diabetes, and women face higher risks due to lifestyle, cultural, and socioeconomic factors. Here’s what you need to know:

    • Types of Diabetes in Ghana: Type 1 (affects children), Type 2 (90% of cases, linked to lifestyle), and Gestational Diabetes (10% of pregnancies).
    • Key Risk Factors for Women:
      • Low physical activity: 82% of women in areas like Ga Mashie don’t meet exercise recommendations.
      • Diet: High reliance on starchy staples and processed foods increases risks.
      • Pregnancy-related risks: Conditions like preeclampsia and use of oral contraceptives raise the chances of gestational diabetes.
      • Mental health: 31% of diabetic patients experience depression.
    • Regional Prevalence: Urban areas like Greater Accra (8.2%) have higher diabetes rates than rural areas (1.5%).
    • Healthcare Costs: Managing diabetes costs about USD 547 (GH₵6,564) annually, while Ghana’s per capita health expenditure was only GH₵53.5 in 2022.

    How to Reduce Your Risk of Diabetes:

    1. Better Diet Choices: Switch to high-fibre foods (e.g., brown rice, garden eggs) and reduce processed food intake.
    2. Exercise: Aim for 150–300 minutes of moderate activity weekly.
    3. Routine Health Checks: Regular blood sugar tests (e.g., FBS, RBS) can help with early detection.
    4. Support Tools: Platforms like DrDoGood offer affordable virtual consultations, health tracking tools, and personalized care.

    Take action today: Stay active, eat mindfully, and schedule regular health checks to reduce your diabetes risk.

    Diabetes Statistics for Women in Ghana

    Current Numbers and Statistics

    Recent studies show that diabetes prevalence in Ghana ranges between 2.80% and 3.95%, with some regions reporting alarmingly high rates. The Western Region leads with a prevalence of 39.80% among adults aged 18 and above, followed by the Ashanti Region at 25.20% and the Central Region at 24.60%.

    Urban areas consistently report higher diabetes rates compared to rural areas. For instance, in Ga Mashie, located in the Greater Accra Region, 8.2% of residents aged 25 and above have diabetes. Women in this area are 2.66 times more likely to develop the condition than men. Additionally, adults aged 50 and above show a stark contrast in diabetes prevalence: 6.2% in urban areas versus 2.3% in rural areas.

    Region Urban Prevalence Rural Prevalence
    National 4.7% 1.5%
    Ashanti Region 8.8% 3.6%
    Greater Accra 8.2% Not reported

    These statistics highlight the importance of examining how women’s specific health behaviours and societal influences contribute to the rising diabetes risk.

    Women-Specific Health Factors

    Several lifestyle and cultural factors put Ghanaian women at greater risk of developing diabetes. Research conducted in Ga Mashie confirms that women face disproportionately higher risks due to these unique circumstances.

    A major factor is low physical activity levels. In Ga Mashie, 82% of women fail to meet recommended exercise levels, compared to 57% of men. This disparity is partly influenced by cultural norms. In Ghana, higher body weight is often associated with prosperity and good health, which can shape dietary habits and attitudes toward weight management.

    Mental health also plays a critical role. A 2018 study in Greater Accra revealed that 31% of diabetic patients experience depression. This underscores the need for healthcare approaches that address both physical and mental health challenges, especially for women.

    Main Risk Factors

    Medical and Pregnancy Risks

    In Ghana, certain medical conditions and pregnancy-related factors significantly increase the likelihood of diabetes in women. For instance, research indicates that women who experience preeclampsia (a serious pregnancy-specific condition characterized by high blood pressure and signs of organ damage, primarily affecting the kidneys and liver) are 19 times more likely to develop gestational diabetes mellitus (GDM). Additionally, the use of oral contraceptives has been linked to a 13-fold increase in GDM risk. This is thought to be due to elevated levels of oestrogen and progesterone, which can heighten insulin resistance during pregnancy.

    Food and Diet Impact

    Dietary habits also play a major role in diabetes risk. In Accra, the consumption of ultra-processed foods among low-income adults increased from 21% in 2011 to 29% in 2013. Traditional diets, often centred around high-carbohydrate staples, have been associated with a 54% higher risk of diabetes. Socioeconomic status further influences food choices: wealthier individuals tend to consume more processed foods and meats, while lower-income households rely on staples like plantain and leafy greens. When combined with low physical activity, these dietary patterns further amplify the risk of diabetes.

    Exercise and Movement Habits

    Physical inactivity is another major contributor. Among Ghanaian adults with Type 2 diabetes, only 21.4% meet recommended physical activity levels, with 67% reporting low activity. The main barriers to regular exercise include:

    • Social influence: 60.8%
    • Lack of energy: 59.8%
    • Lack of willpower: 58.8%

    Experts recommend 75–150 minutes of vigorous activity or 150–300 minutes of moderate aerobic activity weekly. Overcoming these barriers, alongside improving diet and ensuring regular medical check-ups, is essential for reducing diabetes risk.

    Barrier Type Percentage Affected
    Social influence 60.8%
    Lack of energy 59.8%
    Lack of willpower 58.8%

    Steps to Prevent Diabetes

    Better Eating Choices

    Making thoughtful food choices plays a big role in preventing diabetes. Ghanaian cuisine, when prepared mindfully, offers plenty of healthy options. Asonaba Owusu Aduomi, Herbal Doctor at the Organic Foods and Wellness Centre, highlights this point:

    Through mindful selection and preparation of these foods, individuals with diabetes can enjoy the rich flavors of Ghanaian cuisine while effectively managing their condition.

    Research backs this up – each increase in Food Variety Score reduces the odds of Type 2 diabetes to 0.81. Here are some simple dietary adjustments to consider:

    Food Type Replacement/Addition Health Benefit
    Rice Switch white rice to brown/Ofada rice Higher fibre, lower glycaemic index
    Vegetables Add garden eggs and nkontomire Low in carbs, packed with nutrients
    Proteins Include fish like mackerel and sardines Supports better insulin sensitivity
    Snacks Opt for pumpkin seeds Helps with blood sugar control

    Pairing better eating habits with regular physical activity can significantly lower the risk of diabetes.

    Getting More Exercise

    Exercise is another cornerstone of diabetes prevention. Unfortunately, studies show that 60% of individuals with Type 2 diabetes in Kumasi remain physically inactive. The World Health Organization (WHO) recommends the following guidelines:

    • Moderate aerobic activity: 150–300 minutes per week
    • Vigorous aerobic activity: 75–150 minutes per week
    • Strength training: At least twice a week

    In Ghana, a home-based exercise programme showed high participation rates among adults managing Type 2 diabetes. Starting small – like taking daily walks – and gradually increasing activity levels can make a big difference.

    Regular physical activity works hand-in-hand with routine health screenings to create a proactive approach to diabetes prevention.

    Health Tests and Monitoring

    Routine health checks are crucial, especially since less than 25% of Ghanaians with diabetes are aware of their condition. Key tests  to consider include:

    • Fasting Blood Sugar (FBS)
    • Random Blood Sugar (RBS)
    • HbA1c testing

    The Diabetes Support Center at Holy Family Hospital in Nkawkaw offers affordable screening services. However, as Oluwaseun Ishola, regional manager at Novo Nordisk, explains, accessing care can be challenging for many:

    Living on $300 per month for housing, food, transportation and childcare is very tight and poses challenges for people in the income bracket living with diabetes. A lot of times, people with diabetes have to travel considerable distances to multiple locations to access care from the doctor, get test results from the laboratory and then another location to pick up their insulin.

    To make screenings and monitoring easier, platforms like DrDoGood provide convenient booking for diabetes tests and ongoing care. With a network of over 43 facilities, they offer personalized chronic care management, simplifying the process for those in need. You can also record your FBS, RBS, and HBA1C on DrDoGood so that you and your healthcare provider can monitor your progress.

    World Diabetes Day – AM Show on JoyNews (14-11-17)

    Using DrDoGood for Diabetes Care

    DrDoGood

    DrDoGood combines virtual consultations, health tracking, and lifestyle guidance to provide a well-rounded approach to managing diabetes, tailored specifically for Ghanaian women.

    Online Doctor Visits

    DrDoGood makes it easy to connect with diabetes specialists through virtual consultations at affordable rates. For instance, consultations with family physicians cost ₵200, while lifestyle experts are available for ₵45 per session.

    Users can schedule virtual or in-person appointments, get prescriptions, and receive follow-up care without the hassle of travelling long distances. The platform also offers dedicated care for pregnant women dealing with gestational diabetes – a condition affecting 8.5% of pregnancies. Through DrDoGood, these women can consult with obstetricians and endocrinologists to monitor their condition and adjust treatments as needed. To complement these consultations, the platform provides advanced tools for tracking key health metrics.

    Health Tracking Tools

    DrDoGood equips users with a suite of tools to monitor essential diabetes-related health indicators, including:

    • Blood glucose levels with personalised target ranges
    • BMI and waist circumference tracking
    • Blood pressure monitoring
    • Physical activity logs
    • Medication schedules with reminders

    These tools empower users to stay on top of their health while incorporating meaningful lifestyle changes.

    Diet and Exercise Support

    DrDoGood also focuses on lifestyle adjustments by connecting users with registered dietitians who provide nutrition advice rooted in local food traditions. Here’s a snapshot of the services offered:

    Service Description Benefit
    Meal Planning Custom diet plans using familiar ingredients Improved blood sugar management
    Exercise Programs Home-friendly workouts for all fitness levels Encourages regular activity
    Wellness Classes Access to group activities at partner centres Builds motivation and consistency
    Nutritional Guidance Consultations with dietitians Expert dietary recommendations

    With a network of 43 facilities and over 200 licensed professionals, DrDoGood ensures that women in Ghana have access to affordable, high-quality diabetes care.

    Conclusion

    Diabetes among women in Ghana is a pressing issue that calls for immediate attention. Tackling this challenge starts with regular health screenings, adopting healthier eating habits, and staying active. Women who prioritise consistent blood sugar checks and embrace dietary changes – such as incorporating local, nutrient-rich foods like kontomire and garden eggs – can significantly improve their health. These lifestyle adjustments create a strong foundation for professional care to build upon.

    To make diabetes care more accessible, DrDoGood connects Ghanaian women to affordable services through a network of 43 facilities and over 200 licensed professionals. With consultations starting at just ₵45, the platform offers virtual visits, personalised progress tracking, and guidance tailored to local diets, ensuring that diabetes prevention is within reach for many.

    Addressing diabetes in Ghana requires both individual effort and professional support. Through education, regular health checks, and leveraging technology, women can take proactive steps toward managing their health. The numbers don’t lie – the time to act is now.

    FAQs

    What cultural factors increase the risk of diabetes among women in Ghana?

    Lifestyle Factors Contributing to Diabetes Risk Among Women in Ghana

    In Ghana, certain everyday habits and traditional practices can increase the likelihood of diabetes among women. For instance, diets often include high-carbohydrate meals and sugary treats, which, when combined with reduced physical activity – especially in urban areas – can lead to weight gain and other health issues. Additionally, societal norms sometimes discourage women from prioritising their health, making it harder to adopt preventive measures. There’s also the perception that being overweight signifies affluence and good health, which can unintentionally promote unhealthy weight gain.

    Reducing this risk requires a shift towards healthier living. Eating balanced meals, staying physically active, and scheduling regular health check-ups are key steps. Platforms like DrDoGood provide valuable support by connecting women with wellness services, offering diet advice, and equipping them with tools to manage chronic conditions like diabetes effectively.

    Dealing with the expenses of diabetes care can be tough, but there are ways for women in urban Ghana to manage costs without compromising their health.

    One smart strategy is focusing on prevention and early detection. Regular health check-ups can catch diabetes in its early stages, often avoiding the need for expensive treatments later. Platforms like DrDoGood simplify the process by helping you book affordable consultations and find nearby healthcare facilities that accept your insurance.

    Living a healthy lifestyle is another important step. Eating a balanced diet, staying physically active, and managing stress are all effective ways to keep blood sugar levels in check and avoid complications. The DrDoGood app offers resources like professional diet and fitness advice, wellness classes, and tools for managing chronic conditions – all designed to support better health while keeping costs down.

    Lastly, if you have access to employer-sponsored health benefits, make the most of them. These benefits can help cut down on out-of-pocket expenses for medications, doctor visits, and wellness programmes.

    How does mental health impact diabetes management for women in Ghana, and what steps can be taken to address it?

    The Role of Mental Health in Managing Diabetes for Women in Ghana

    Mental health is a critical factor in managing diabetes effectively, especially for women in Ghana. Emotional challenges like stress, anxiety, and depression can disrupt efforts to maintain key habits such as eating a balanced diet, exercising regularly, and sticking to prescribed medications – all of which are essential for keeping diabetes under control.

    To tackle these challenges, women can explore stress-relief practices such as mindfulness exercises, yoga, or even pursuing hobbies that bring joy and relaxation. Building a strong support system (like we’ve done in this WhatsApp Diabetes community) is equally important. Whether it’s leaning on family and friends or consulting mental health professionals, having a network can ease emotional burdens.

    For more structured support, platforms like DrDoGood offer valuable resources. They connect users with licensed therapists and wellness experts, craft personalised care plans, and provide access to wellness facilities. By focusing on both mental and physical well-being, women can take a more balanced approach to managing diabetes effectively.

  • Understanding Piles (Hemorrhoids): A Comprehensive Guide

    Understanding Piles (Hemorrhoids): A Comprehensive Guide

    Did you know that nearly half of adults over 50 experience hemorrhoids? These swollen veins in or around the rectum can cause discomfort, itching, and bleeding during bowel movements. But the good news? Most cases can be managed with simple lifestyle changes.

    Key Takeaways:

    • Common Causes: Low-fibre diets, dehydration, prolonged sitting, and straining during bowel movements.
    • Prevention Tips:
      • Eat fibre-rich foods like beans, kontomire, and fruits (e.g., mangoes, pears).
      • Drink 2–2.5 litres of water daily.
      • Avoid sitting for long periods and practice good toilet habits.
    • Treatment Options:
      • Home remedies: Sitz baths, aloe vera, and coconut oil.
      • Medical care: Laser procedures or surgery for severe cases.

    Hemorrhoids are common but manageable. Early action, like improving your diet and hydration, can prevent them from worsening. If symptoms persist, consult a doctor.

    Doctor explains HEMORRHOIDS (aka piles) | Causes, symptoms, treatment & prevention

    Basic Facts About Hemorrhoids

    Hemorrhoids are clusters of blood vessels, smooth muscle, and connective tissue located in the anal canal. They play an important role in bowel control by contributing 15–20% of the resting anal pressure and providing sensory feedback. However, problems arise when these structures become swollen, inflamed, or prolapse. Around 11% of adults experience symptoms of hemorrhoids at any given time, and by the age of 50, nearly half of all adults have dealt with them. Let’s explore the different types and classifications of hemorrhoids.

    Internal vs External Hemorrhoids


    Hemorrhoids are categorized based on their location, which also determines their symptoms:

    FeatureInternal HemorrhoidsExternal Hemorrhoids
    LocationInside the lower rectumAround the anus
    VisibilityNot visible without special instrumentsVisible externally
    Pain LevelUsually painless unless prolapsedMore likely to cause pain
    Main SymptomsBright red bleeding during bowel movementsSwelling, itching, and discomfort
    Nerve EndingsFewer sensory nervesA greater number of pain-sensing nerves

    Internal hemorrhoids typically form in three common areas within the anal canal: the left lateral, right posterior (the most frequent site), and right anterior regions. On the other hand, external hemorrhoids develop under the skin surrounding the anus. This distinction is essential for understanding the severity levels of internal hemorrhoids, which are discussed below.

    4 Grades of Internal Hemorrhoids

    Internal hemorrhoids are classified into four grades based on how severe they are:

    • Grade 1
      These are slightly enlarged but stay inside the anal canal. They may cause occasional bleeding but do not protrude outside the anus.
    • Grade 2
      These prolapse during bowel movements but return to their normal position on their own. Bleeding may become more frequent.
    • Grade 3
      Hemorrhoids that prolapse during bowel movements and need to be manually pushed back into place. This can cause significant discomfort.
    • Grade 4
      These remain permanently prolapsed and cannot be manually repositioned. They often require immediate medical attention.

    Straining during bowel movements can weaken the connective tissue that supports these vascular cushions, leading to their enlargement and displacement. Understanding these grades can help in identifying the appropriate treatment or management strategies.

    Why Hemorrhoids Develop

    Hemorrhoids often develop due to a mix of daily habits and genetic factors.

    Diet and Daily Habits

    What you eat and how you live play a big role in your risk of developing hemorrhoids. For instance, consuming less than 12 grams of fibre and drinking under 2 litres of water daily significantly increases the likelihood of hemorrhoids.

    Here are some common dietary and lifestyle factors that may contribute to the problem:

    FactorImpact on Hemorrhoid Risk
    Low-fibre dietLeads to straining during bowel movements
    Insufficient waterCauses harder stools and constipation
    Prolonged sittingIncreases pressure on anal blood vessels
    Poor toilet habitsResults in unnecessary straining

    In Ghana, many local foods are great sources of fibre that can help reduce this risk:

    Food ItemFibre Content
    Navy beans (125ml)9.6 grams
    Green peas (250ml)8.8 grams
    Pear with skin5.5 grams

    “Internal hemorrhoidal disease was more frequently observed in patients with low-fiber diet and a reduced water intake. These dietary habits were described as precipitating factors of constipation which was found in almost all patients.”

    When combined with other factors, poor dietary habits create the perfect conditions for hemorrhoids to develop.

    Physical and Health Factors

    Genetic Predisposition
    Research has uncovered 102 genomic regions linked to hemorrhoid risk.

    “Our findings indicate that hemorrhoidal disease results, at least in part, from dysfunction of smooth muscle, epithelial and connective tissue”.

    Age-Related Factors
    Age is another major contributor. Nearly half of people over 50 experience hemorrhoids. This is partly due to:

    • Weakening of tissues that support the area
    • Changes in bowel habits
    • Decline in muscle tone

    Other Contributing Factors
    Additional conditions and activities that may raise your risk include:

    • Pregnancy and childbirth
    • Chronic constipation
    • Heavy lifting
    • Obesity
    • Sedentary lifestyle

    “Our PRS results need confirmation in other studies and various ethnic groups, but they could help identify people at higher risk of complications so they can be more closely monitored and benefit, to a greater extent, from healthy lifestyles to prevent surgical treatment”.

    These factors, combined with diet and genetics, highlight the complex causes behind hemorrhoid development.

    Signs and Symptoms

    Spotting hemorrhoid symptoms early can help you avoid unnecessary complications.

    Main Symptoms

    Here are some common symptoms to look out for:

    SymptomDescription
    BleedingBright red blood during bowel movements
    DiscomfortItching, pain, or burning around the anus
    SwellingTender lumps near the anal opening
    ProtrusionTissue bulging out during bowel movements

    Internal hemorrhoids often don’t cause pain right away because there are fewer nerve endings in that area. However, they can still bleed during bowel movements.

    “Hemorrhoids are enlarged swollen veins in the anus and rectum.”

    Research indicates that nearly 75% of adults will deal with hemorrhoids at some point in their lives. For pregnant women, the likelihood is even higher, with up to 35% experiencing hemorrhoids during pregnancy.

    Although these symptoms are fairly common, certain warning signs mean it’s time to see a doctor.

    Emergency Warning Signs

    While some hemorrhoid symptoms can be managed at home, some require immediate medical attention. If you’re not sure or you’re worried you can book a consultation and speak to a doctor within 5mins on DrDoGood.

    Severe Pain and Swelling

    • Intense pain that keeps getting worse
    • Large, painful lumps that can’t be pushed back in
    • Blood clots forming inside the hemorrhoids

    Bleeding Issues

    • Heavy or ongoing rectal bleeding
    • Dark red or black, tar-like stools

    “You should never ignore rectal bleeding…your rectal bleeding may also be a sign of a more serious gastrointestinal condition such as colon cancer or inflammatory bowel disease.” – John Rivas, M.D., Gastroenterologist

    If you experience additional symptoms like a fever over 38°C, chills, nausea, or a rapid heartbeat, it’s crucial to seek immediate care.

    Persistent symptoms that don’t improve within a week of home treatment also warrant a visit to your doctor.

    “That’s why it’s always better to be safe than sorry and get your hemorrhoids evaluated by a healthcare professional sooner rather than later.”

    Other Concerning Symptoms

    • Unexplained weight loss
    • Ongoing abdominal pain
    • Frequent diarrhoea or constipation
    • Unexplained fatigue

    Pay attention to these signs, as they could point to underlying issues that need professional evaluation. Early action can make all the difference.

    How to Prevent Hemorrhoids

    Taking steps to prevent hemorrhoids can make a big difference, especially when tailored to everyday habits and resources in Ghana.

    Food Choices

    Incorporating fibre-rich local foods into your meals is a simple way to keep things moving smoothly. Here’s a quick guide:

    Food TypeLocal ExamplesFibre Content
    LegumesBlack-eyed peas (cowpeas), bambara beans7–10 g per 1/2 cup
    VegetablesKontomire, garden eggs, okro4–6 g per cup
    FruitsMangoes, oranges, avocados4–5 g per serving
    Whole GrainsBrown rice, millet, sorghum3–4 g per 1/2 cup

    “Fiber supplementation has been proven to reduce the incidence of bleeding and persisting symptoms in hemorrhoid patients by around 50%”

    To hit the recommended daily fibre intake of 28 g, start small and increase gradually. This helps your digestive system adjust and reduces the risk of bloating.

    Water and Toilet Habits

    In Ghana’s warm climate, staying hydrated is a key part of keeping your digestive system running smoothly, especially when paired with a high-fibre diet.

    Hydration Tips:

    • Drink 2–2.5 litres of water daily.
    • Kick-start your day with a glass of water.
    • Cut back on dehydrating drinks like coffee and alcohol.

    When it comes to bathroom habits, follow the ‘TONE’ strategy:

    • T: Spend no more than three minutes on the toilet.
    • O: Stick to a once-daily bowel movement routine.
    • N: Avoid straining during bowel movements.
    • E: Ensure your diet includes enough fibre.

    “Drinking enough water might not be the first thing that comes to mind when thinking about hemorrhoids treatment, but staying well-hydrated plays a crucial role in both prevention and relief.” – Dr. Azhar Alam

    Exercise Tips

    Staying active is another way to prevent hemorrhoids. Regular movement improves circulation and supports digestion.

    Good Activities to Try:

    • Enjoy morning or evening walks in your neighbourhood.
    • Swim at local pools or beaches.
    • Practice simple yoga poses like Child’s Pose.
    • Do pelvic floor exercises (Kegels), which you can easily perform while sitting or standing.

    What to Avoid:

    • Strenuous weightlifting or intense cycling.
    • Overdoing squats or other high-strain exercises.

    Treatment Methods

    Hemorrhoid relief in Ghana can be achieved through a mix of home remedies and medical interventions.

    Self-Care and Pharmacy Options

    For mild to moderate hemorrhoid symptoms, home remedies and over-the-counter options can be effective.

    Sitz Baths
    Soaking in warm water for 10–15 minutes, two to three times daily, can help ease discomfort and reduce swelling. Adding Epsom salts, as recommended, may enhance the soothing effect.

    Natural Remedies
    Pharmacies stock natural options that can provide relief:

    • Aloe vera gel: Helps soothe burning and itching sensations.
    • Coconut oil: May calm irritation.
    • Witch hazel: When applied, it can assist in shrinking swollen blood vessels.

    “Hemorrhoids can be troublesome and embarrassing, but they often shrink on their own with simple self-help care and over-the-counter remedies.”
    – Dr. Howard LeWine, Assistant Professor of Medicine at Harvard Medical School

    Over-the-Counter Products
    Local pharmacies offer a variety of solutions, including:

    • Creams with hydrocortisone to reduce inflammation.
    • Suppositories for internal hemorrhoids.
    • Pain-relieving wipes for soothing discomfort.
    • Anti-inflammatory medications to address swelling and pain.

    Doctor-Provided Treatments

    If home remedies don’t provide relief, medical treatments can address more severe cases.

    Minimally Invasive Procedures
    Laser Hemorrhoidoplasty (LHP) is a modern, minimally invasive option available in major medical centres across Ghana. This procedure uses laser energy to treat hemorrhoidal tissue effectively, offering several benefits:

    • Operative time is relatively short, averaging about 29.67 minutes.
    • Patients experience less pain after the procedure.
    • Most individuals can return home the same day.
    • There’s a lower chance of complications like anal stenosis or incontinence.

    For added convenience, platforms like DrDoGood provide virtual consultations starting at 45 GHS. This service allows you to discuss symptoms and explore treatment options from the comfort of your home, complementing self-care methods with professional guidance.

    Surgery Options

    When self-care and less invasive treatments aren’t enough, surgery often becomes the go-to solution. For Grade III or IV hemorrhoids, surgical intervention is usually necessary when non-surgical methods fail.

    Current Surgical Methods

    Surgery is required in less than 10% of hemorrhoid cases.

    Traditional Hemorrhoidectomy
    This is one of the most effective surgical methods, boasting success rates as high as 95%. It comes in two variations:

    • Closed Hemorrhoidectomy: The hemorrhoidal tissue is removed, and the wound is stitched up using absorbable sutures.
    • Open Hemorrhoidectomy: Similar to the closed method, but the surgical site is left open. This approach is often chosen when there’s a higher risk of post-surgery infection.

    Advanced Techniques
    These newer methods aim to reduce pain and speed up recovery:

    • Stapled Hemorrhoidopexy (PPH): A circular stapler is used to remove excess tissue, significantly reducing post-surgery discomfort.
    • Doppler-guided Hemorrhoidal Artery Ligation: Ultrasound technology helps locate and tie off hemorrhoidal arteries, making it a good option for Grade II–III cases.
    • Transanal Hemorrhoidal Dearterialization (THD): This technique reduces blood flow to the hemorrhoids and is effective for specific patients.

    The type of surgery chosen plays a major role in shaping the recovery process, which is outlined below.

    Recovery and Aftercare

    Post-surgery care is all about ensuring a smooth recovery, which typically takes 2–8 weeks. Key steps include:

    • Taking sitz baths for comfort and hygiene
    • Using prescribed pain medications
    • Increasing fibre and water intake to prevent constipation
    • Gradually returning to daily activities

    Important Considerations

    Certain factors make surgery the right choice, including:

    • Non-surgical treatments haven’t worked
    • Hemorrhoids are severely prolapsed
    • Complications like strangulation arise
    • Both internal and external hemorrhoids are present
    • Coexisting anorectal conditions need attention

    The decision on which surgical method to use depends on the hemorrhoid’s location and severity, your overall health, how you’ve responded to past treatments, and personal preferences.

    While surgery might seem intimidating, it often leads to significant, long-lasting relief. Many patients report a noticeable improvement in their quality of life after undergoing surgical treatment.

    Long-Term Care and Prevention

    Sustaining lifestyle changes after treatment plays a vital role in maintaining long-term wellness. Research indicates that adopting healthier habits can significantly reduce the risk and severity of hemorrhoids.

    After-Treatment Care Steps

    “Everyone has hemorrhoids… It’s only when these blood vessels start to swell and become inflamed that they present a problem that can be quite painful.”

    Prioritising Hygiene

    • Use water or gentle wipes to clean the area after bowel movements.
    • Take 15–20 minute sitz baths two to three times daily.
    • Ensure the area is thoroughly dried afterward.

    Dietary Adjustments

    • Aim for a daily intake of 28 grams of fibre, paired with 2 litres of water.

    Adding high-fibre foods to your diet can help with sustained recovery. Here are some excellent options:

    High-Fibre FoodPortion SizeFibre Content
    Navy beans1/2 cup cooked9.6 grams
    Raspberries1 cup8.0 grams
    Green peas1 cup cooked8.8 grams
    High-fibre bran1/2 cup14.0 grams

    Daily Habit Changes

    “To prevent hemorrhoids, you want stool that is soft and easy to pass. You can reach the right consistency by making smart diet choices and drinking plenty of water to avoid dehydration.”

    Here are some practical adjustments to support prevention:

    • Act promptly when you feel the urge to use the toilet.
    • Limit time spent on the toilet to no more than 2 minutes.
    • Take regular breaks from prolonged sitting.
    • Incorporate regular exercise and avoid heavy lifting.
    • Work towards maintaining a healthy weight.

    Dietary Tips

    • Include flavonoid-rich foods like berries and citrus fruits in your meals.
    • Cut back on spicy foods if they tend to trigger symptoms.
    • Reduce alcohol and caffeine consumption.

    These small yet impactful changes can complement immediate care efforts and help lay the groundwork for consistent management.

    Using DrDoGood for Care

    DrDoGood

    DrDoGood provides valuable tools and expert support for managing and preventing hemorrhoids:

    Virtual Consultations

    • Connect with specialists starting at just 45 GHS.
    • Receive personalised advice on diet and overall wellness.
    • Access ongoing monitoring and tailored care plans.

    Condition Management

    • Track symptoms to monitor progress.
    • Get reminders for medications.
    • Explore educational resources to stay informed.

    Combining these steps with the expert support available through DrDoGood can help ensure a smooth recovery and promote lasting well-being.

    Summary

    Haemorrhoids are a common concern in Ghana, often interfering with daily routines. This guide has explored their causes, dietary prevention tips, proper hygiene practices, and treatment options to help you take control of managing them.

    “The development and exacerbation of haemorrhoids can be closely related to one’s lifestyle and dietary habits. By making intentional choices in these areas, one can significantly reduce the risk and severity of haemorrhoids.” – King Edward VII’s Hospital

    Addressing haemorrhoids effectively requires a proactive and informed approach.

    Key Prevention Steps

    Taking steps to prevent haemorrhoids involves focusing on three main areas:

    Focus AreaKey ActionsBenefits
    DietAdd more fibre to meals and drink at least 2L of water dailyPrevents constipation
    Bathroom HabitsAvoid straining and limit time spent on the toiletReduces pressure on veins
    Physical ActivityExercise regularly and avoid heavy liftingEncourages healthy blood flow

    These habits not only reduce the risk of haemorrhoids but also promote overall wellness. However, if symptoms persist, it’s important to seek professional advice.

    When to Seek Professional Help

    While prevention is the goal, some cases require medical attention. Consider consulting a healthcare provider, such as through DrDoGood’s virtual consultations (starting at 45 GHS), if you experience:

    • Symptoms lasting more than a week
    • No improvement with home remedies
    • Bleeding during bowel movements
    • Intense or worsening pain

    Timely intervention can prevent complications and provide relief.

    Long-term Management for Wellness

    For ongoing relief and prevention, long-term lifestyle adjustments are crucial. Since haemorrhoids can recur, adopting sustainable habits is key. Here are a few strategies to consider:

    • Include fibre-rich foods like whole grains, vegetables, and flavonoid-rich options such as berries and citrus fruits in your diet.
    • Avoid sitting for extended periods; take regular breaks to move around.
    • Use warm water for gentle anal hygiene to avoid irritation.

    DrDoGood’s platform provides access to specialists who can guide you in managing haemorrhoids effectively. By combining lifestyle changes with expert care, you can achieve lasting comfort and improved quality of life.

    FAQs

    What are the early symptoms of piles, and when should I consult a doctor?

    Early signs of piles (haemorrhoids) often show up as itching, pain or discomfort during bowel movements, swelling around the anus, or noticing bright red blood on toilet paper or in your stool. The severity of these symptoms can differ based on whether the haemorrhoids are internal or external.

    It’s important to see a doctor if:

    • Bleeding is heavy or doesn’t stop.
    • Pain and swelling get worse or fail to improve with home treatments.
    • Symptoms last longer than two weeks.
    • You notice dark red blood in your stool, stools that are tar-like in texture, or experience unexplained abdominal pain or bloating.

    Seeking medical advice early helps ensure an accurate diagnosis, proper treatment, and relief from discomfort.

    What lifestyle changes can help prevent hemorrhoids from coming back?

    To minimise the chances of hemorrhoids coming back, making some changes to your daily habits can make a big difference. Start with your diet: add more fibre-rich foods like fresh fruits, vegetables, and whole grains. Pair this with plenty of water to keep your stools soft and make bowel movements easier. Also, avoid straining when using the toilet and try to stick to a regular bathroom schedule.

    Stay active – regular exercise not only boosts circulation but also helps prevent constipation. If you have a job that requires sitting for long hours, take short breaks to stretch or walk around. Keeping your weight in check is equally important since excess weight can put extra pressure on the veins in your rectal area.

    These small but impactful changes can go a long way in reducing the risk of hemorrhoids returning while also supporting better digestive health overall.

    What is the difference between minimally invasive treatments and traditional surgery for severe hemorrhoids?

    Minimally invasive treatments, such as transanal hemorrhoidal dearterialization (THD), focus on cutting off the blood supply to the hemorrhoids. These procedures typically result in less pain and a shorter recovery time compared to more traditional surgical methods.

    On the other hand, traditional surgeries like conventional hemorrhoidectomy involve completely removing the hemorrhoids. While this approach is highly effective for severe cases, it often comes with more post-operative pain and a longer recovery period.

    Both options work well, but the best choice depends on the severity of the condition and your doctor’s advice.

  • Don’t Delay These 5 Primary Care Visits

    Don’t Delay These 5 Primary Care Visits

    Here’s why you need them:

    • Hypertension and diabetes are on the rise in Ghana. Nearly 50% of adults live with hypertension, and many are unaware of their condition.
    • Routine visits help catch issues early. Annual screenings for blood pressure, blood sugar, and BMI are essential for preventing severe health problems like stroke and heart disease.
    • Vaccinations protect against outbreaks. Stay updated on vaccines like meningitis, flu, and tetanus to avoid preventable illnesses.
    • Prenatal care ensures safe pregnancies. Regular check-ups monitor both mother and baby for complications.
    • Chronic condition management is critical. Consistent care helps control conditions like hypertension and diabetes, reducing the risks of severe complications.

    Quick Tip: Use platforms like DrDoGood to book appointments easily via USSD (*920*336#) or app, starting at GHS 45.

    Take action today to stay healthy and avoid unnecessary health risks.

    HOW MUCH DOES IT COST TO SEE A DOCTOR IN GHANA? | HEALTHCARE IN GHANA

    1. Yearly Health Check-Up

    Annual health check-ups are essential for catching potential health issues early. In Ghana, where non-communicable diseases (NCDs) are a leading cause of illness, these check-ups are especially crucial.

    The National Health Insurance Authority (NHIA) provides a free annual check-up programme during your birth month. This initiative includes:

    • Blood pressure checks
    • Blood sugar tests
    • Body mass index (BMI) evaluations
    • Health counselling
    • Referrals for further care

    “Health systems worldwide are increasingly recognising the importance of preventive healthcare measures. Early detection and intervention can prevent serious health conditions, reduce the burden of diseases, and improve quality of life. Our free annual health programme is designed with these goals in mind.” – Dr. Dacosta Aboagye, Chief Executive Officer of the NHIA(2024)

    Booking your check-up is simple. Through the DrDoGood platform, a basic screening starts at GHS 45. For ongoing care, the Unlimited Consultation Plan is available at GHS 120 per month. These services highlight the importance of regular check-ups in managing and preventing diseases. Considering that NCDs accounted for 74% of global deaths in 2019, early detection in Ghana could be life-saving.

    Here’s what you can expect during your annual check-up:

    Screening Type Purpose Frequency
    Basic Health Assessment General health evaluation Annually
    Blood Pressure Check Hypertension screening Every visit
    Blood Sugar Test Diabetes screening Annually
    BMI Measurement Weight management Every visit
    Health Counselling Lifestyle and wellness advice Annually

    Regular health check-ups are a proactive way to stay ahead of potential health challenges, ensuring a healthier future.

    2. Long-Term Health Condition Check-Ups

    Keeping chronic conditions like hypertension and diabetes under control means staying on top of regular check-ups. These routine visits aren’t just a formality – they’re essential for managing health effectively.

    Studies reveal that only 41.3% of patients with both conditions successfully maintain proper blood pressure levels. This highlights how critical consistent care is for tackling chronic health issues.

    During these check-ups, healthcare providers monitor key indicators such as blood glucose, HbA1c levels, blood pressure, heart rate, weight, and even assess whether medications are still suitable. Together, you and your doctor can create a personalised schedule to ensure nothing slips through the cracks.

    To make things easier, DrDoGood offers a comprehensive monitoring package for GHS 100 per month. It includes:

    • Digital vitals tracking to keep an eye on your key health stats
    • Medication reminders so you never miss a dose
    • Automated appointment scheduling to stay on track with your care

    “Improving glycaemic control can help patients live longer, have an improved quality of life, and delay the development and progression of diabetic complications”.

    3. Required Vaccine Appointments

    Keeping up with vaccinations is one of the best ways to protect yourself and those around you. Vaccines play a critical role in saving lives across the globe, preventing outbreaks before they even begin.

    In Ghana, the introduction of the serogroup A meningococcal conjugate vaccine (MenAfriVac) in 2012 brought a massive reduction in meningitis outbreaks in the northern regions. This is a clear example of how timely immunisation can make a difference.

    Here are some key vaccines for adults to consider during your healthcare visits:

    Vaccine Type Why It Matters
    Meningitis Protects against severe complications seen in past outbreaks.
    Influenza Shields you from seasonal flu strains that change every year.
    Tetanus-Diphtheria Essential for preventing infections, especially after injuries.
    COVID-19 Keeps you protected based on the latest treatment guidelines.

    “Historically, immunization is one of the most effective public health interventions, giving millions of children the opportunity to grow up healthy and reach their full potential.” – UNICEF

    The importance of vaccination is underscored by the 2015–2016 meningitis outbreak in Northern Ghana. The case-fatality rate for pneumococcal meningitis reached 18.2%, compared to 3.1% for meningococcal meningitis. Such statistics highlight the need for staying up-to-date with your vaccines to avoid severe health risks.

    4. Blood Pressure and Blood Sugar Tests

    Keeping chronic conditions in check starts with regular and timely testing. In Ghana, where hypertension and diabetes are prevalent, these screenings are particularly crucial. For instance, in 2019, the Ashanti region recorded a hypertension prevalence of 27.3%, with two-thirds of those affected unaware of their condition.

    Test Type Recommended Frequency Warning Signs to Watch
    Blood Pressure Every 6 months, Weekly if you have hypertension or have a family history of hypertension Headaches, dizziness, shortness of breath
    Blood Sugar Annually (or more often if at risk) Excessive thirst, frequent urination, fatigue

    Shockingly, only 21.8% of Ghanaians living with both hypertension and type 2 diabetes have managed to control both conditions. Regular testing not only offers early warnings but also supports consistent monitoring, which is key to better management.

    Why Testing Should Be a Priority

    Hypertension is a growing concern, with Africa reporting a pooled prevalence of 57% among older adults – the highest globally. Early detection through regular screening can help prevent life-threatening complications such as:

    • Stroke
    • Heart failure
    • Kidney disease
    • Vision problems

    Making Testing Easier

    Recognising the importance of early detection, accessible testing options are becoming more available. For instance, DrDoGood provides a hassle-free way to book tests at nearby facilities for just GHS 45. They also offer digital tracking for results, automated reminders, and access to expert consultations.

    Pair these screenings with your routine check-ups to catch potential issues early. If you’re over 40, have a family history of these conditions, or notice any warning signs, consider scheduling tests more frequently. Early action can make all the difference.

    5. Pregnancy Care Check-Ups

    Regular prenatal visits are just as important as annual check-ups or managing chronic conditions. They ensure that both you and your baby are monitored closely, helping to catch and address potential issues early.

    Prenatal Visit Schedule

    Trimester Weeks Visit Frequency Key Screenings
    First Trimester 8–13 Initial visit, then usually monthly Pregnancy confirmation, due date calculation, initial blood tests, and early ultrasound
    Second Trimester 14–27 Typically monthly Anatomy ultrasound, screening for neural tube defects, glucose test (24–28 weeks)
    Third Trimester 28–birth Every 2 weeks until 36 weeks, then weekly Monitoring baby’s growth and position, Group B streptococcus testing (affects about 1 in 4 pregnancies)

    First Trimester Priorities

    In the first trimester, your healthcare provider will confirm your pregnancy, establish the due date, review your medical history, and conduct essential tests like blood work and an early ultrasound.

    Second Trimester Focus

    Between weeks 14 and 27, key screenings include an anatomy ultrasound, a test for neural tube defects, and a glucose test to check for gestational diabetes (usually conducted between weeks 24 and 28).

    Third Trimester Monitoring

    From week 28 until delivery, prenatal visits become more frequent. These appointments focus on:

    • Tracking your baby’s growth and position
    • Testing for Group B streptococcus, which affects about 1 in 4 pregnancies

    “Regular prenatal exams are important both for monitoring your own and your fetus’s health and for giving you and your health professional time to build a working relationship.”

    Simplifying Appointment Management

    Booking prenatal check-ups doesn’t have to be stressful. With the DrDoGood platform, expectant mothers can:

    • Schedule appointments starting at GHS 45
    • Receive automated reminders for upcoming visits
    • Keep track of all pregnancy-related screenings
    • Access virtual consultations when needed

    When to Seek Immediate Help

    If you experience any of the following symptoms, don’t wait for your next scheduled visit. Contact your healthcare provider right away:

    • Severe headaches or vision changes
    • Unusual swelling
    • Decreased fetal movement
    • Vaginal bleeding

    For urgent advice or to book an emergency consultation, you can reach out to your healthcare provider through the DrDoGood platform.

    How to Book and Track Your Check-Ups

    Scheduling your check-ups with DrDoGood is simple and convenient.

    Booking Options

    DrDoGood provides several ways to book your appointments, tailored to suit different preferences:

    Booking Method Features Ideal For
    Mobile App Complete booking features, appointment reminders, and access to digital health records Smartphone users
    Website Full scheduling tools, including virtual consultations Users who prefer using a computer
    USSD Code (*920*336#) Quick and easy appointment booking without the internet Individuals without internet access

    Flexible Payment Options

    Pick a payment plan that works best for you:

    • Pay-As-You-Go: Starting at GHS 45 per consultation.
    • Monthly Subscription: Enjoy unlimited consultations for GHS 120 per month.

    Managing Your Appointments

    DrDoGood makes it easy to stay on top of your healthcare with these helpful features:

    • Sync your appointments directly with your phone’s calendar.
    • Get automated reminders for upcoming check-ups and medication schedules.
    • Access virtual consultations, which include video calls, secure messaging, digital prescriptions, and follow-up coordination.

    Employer-Sponsored Benefits

    If your employer provides healthcare benefits, you can enjoy additional perks to streamline your healthcare experience. These include:

    • Upgraded subscription options starting at GHS 100 per month.
    • Access to wellness programmes designed to improve overall health.
    • Tools for tracking your health metrics.
    • Priority scheduling for specialist appointments.

    For urgent support or to schedule your next check-up, reach out to DrDoGood’s support team at +233 50-592-9685.

    Next Steps

    It’s time to take charge of your health. Here’s how you can get started:

    Set Up Your Health Profile

    Begin by creating your personalised health profile on the DrDoGood app. Simply download the app and complete your profile to tailor your care experience.

    Schedule Your Priority Check-ups

    Make sure you’re up to date with your health check-ups. Here’s a quick guide:

    Check-up Type When to Schedule
    Annual Health Check If it’s been more than 12 months since your last visit
    Chronic Condition Review Every 3–6 months, as recommended by your doctor
    Vaccination Updates As per your immunisation schedule
    Blood Pressure/Sugar Tests At least every 6 months
    Pregnancy Care As soon as pregnancy is confirmed

    DrDoGood’s digital tools can help you stay on top of these appointments effortlessly.

    Use Available Tools

    Take advantage of DrDoGood’s handy features to simplify your healthcare journey:

    • Automated appointment reminders to keep you on track.
    • Digital health records are accessible anytime, anywhere.
    • Virtual consultations starting at just GHS 45.

    These tools are designed to make managing your health easier and more convenient.

    Get Support

    Need help? DrDoGood’s support team is here for you. They can assist with:

    • Connecting you to the right healthcare provider.
    • Explaining your payment options.
    • Setting up appointment reminders.
    • Managing your digital health records.

    Don’t hesitate to reach out for guidance – your health is worth it!

    FAQs

    Why are regular check-ups for hypertension and diabetes essential in Ghana?

    Regular health check-ups for hypertension and diabetes are crucial in Ghana, as these conditions are major contributors to severe health problems such as heart disease, kidney failure, and stroke. By catching these conditions early through routine visits, individuals can manage them effectively, lowering the risk of complications and improving their overall well-being.

    A significant concern in Ghana is that many people with hypertension or diabetes are unaware they have these conditions, and treatment rates remain worryingly low. Regular screenings play a key role in ensuring timely diagnosis and access to proper care, leading to better health outcomes. With the rising number of cases in the country, making these check-ups a priority has never been more important.

    How can I keep track of my vaccinations, and why is it important for preventing disease outbreaks?

    To keep your vaccinations on track, follow the immunisation schedule recommended by healthcare authorities in Ghana. This schedule specifies which vaccines you need and the right time to get them, ensuring you’re protected throughout every stage of life.

    Staying current with your vaccinations is crucial for preventing the spread of infectious diseases. When more people are vaccinated, it creates a protective shield for the entire community, especially for those who can’t receive vaccines due to medical conditions. By getting vaccinated on time, you not only protect your own health but also contribute to building a healthier Ghana for all.

    How can the DrDoGood platform help me easily manage my health check-ups and appointments?

    DrDoGood simplifies taking charge of your health by linking you with reliable healthcare providers through an intuitive web and mobile platform. Whether it’s scheduling your annual check-ups, managing chronic conditions, or booking screenings for hypertension and diabetes, the process is straightforward and hassle-free.

    The platform is especially helpful for those with packed schedules, ensuring you keep up with essential appointments and stay on top of your health. Beyond convenience, DrDoGood plays a crucial role in reaching underserved communities across Ghana, making quality healthcare easier to access for everyone.

  • Annual Check ups: Waste of money or a life saver?

    Annual Check ups: Waste of money or a life saver?

    An annual check-up isn’t about searching for problems that aren’t there—it’s about catching silent threats before they become serious. Studies have shown that routine health checks can lead to early detection of chronic diseases, better health outcomes, and even reduced healthcare costs over time.

    In fact, a systematic review in BMJ Open (2021) found that general health checks improved the detection of chronic conditions like hypertension and diabetes, while also increasing the uptake of preventive services like cancer screenings and vaccinations.

    A 2019 study published in JAMA Network Open found that individuals who went for annual wellness visits were more likely to receive preventive services and early diagnoses. Another study from The American Journal of Preventive Medicine highlighted that regular check-ups are associated with better health-related quality of life and reduced mortality risk.

    These benefits are not just for older adults—young people, too, benefit from baselines being established early in life, allowing for quicker interventions if something goes off track later.

    When you skip your yearly physical, you risk allowing silent killers like high blood pressure, diabetes, and even certain cancers to go unchecked. DrDoGood makes sure you don’t have to choose between your busy schedule and your health. In fact, you can book you check up now- just tap here.

    What To Expect During an Annual Check-Up?

    A typical check-up varies by age, gender, and personal risk factors, but most include:

    • Medical history review: Lifestyle, family history, past illnesses.
    • Vital signs check: Blood pressure, heart rate, respiration.
    • Physical examination: From head to toe.
    • Basic labs: Blood sugar, cholesterol, kidney function, sometimes HIV testing or hepatitis screening.
    • Screenings: Depending on age/gender – e.g., cervical smears, breast exams, prostate checks.
    • Counseling: Diet, physical activity, alcohol, smoking, mental health.

    Key Health Checks for Men and Women by Age

    To help you understand what to expect at your annual medical check-up, this table outlines the key health screenings recommended for men and women at different stages of life. While many routine checks are common to both, some screenings are specific to gender and age-related health risks. Regular check-ups are important for early detection and prevention, ensuring you stay ahead of potential health issues as you grow older.

    DrDoGood simplifies this process by offering virtual pre-check-up consultations, lab test bookings, and digital follow-ups so you only go in-person when necessary.

    Age GroupMenWomen
    20–39Testicular exam, STI screening, fertility/sexual health counselingBreast exam, Pap smear + HPV test, STI screening, pregnancy/contraception counseling
    40–49Prostate health discussions, cholesterol and diabetes checks, early colon cancer screening if family historyMammograms begin, continue cervical cancer screening, perimenopause discussions
    50+PSA test, prostate exam, colonoscopy, bone density scan if needed, aortic aneurysm screening (if smoker)Regular mammograms, bone density scan, colonoscopy, postmenopause health management

    Here’s what your check-up could catch early:

    Some of the most dangerous diseases are the quietest. Here’s what your check-up could catch early:

    1. Hypertension (High Blood Pressure)
      • Often called the “silent killer”, it may show no symptoms until complications like stroke or heart attack occur.
      • It’s detectable with a simple blood pressure check.
      • You may be asked to complete a BP profile because one BP reading is not enough to diagnose hypertension.
    2. Type 2 Diabetes
      • You could have it for years before symptoms like fatigue, excessive thirst, foot ulcers or vision problems show.
      • A fasting glucose or HbA1c test can catch it early.
    3. Chronic Kidney Disease (CKD)
      • In its early stages, CKD often presents no symptoms.
      • A urine test or BUE & CR(Kidney Function Test) blood test can reveal early damage.
    4. High Cholesterol
      • You don’t feel it—but over time it clogs arteries, causing heart disease and sometimes strokes.
      • Easily picked up with a lipid profile.
    5. Certain Cancers (like cervical, breast, prostate,colon)
      • Regular screenings like PAP smears, mammograms, PSA tests or colonoscopies can catch them before symptoms appear.

    Conclusion: Is It a Waste of Money?

    Let’s flip the question: Is your health worth investing in? Is your peace of mind worth preserving?

    An annual check-up may cost some money upfront, but it could save you thousands in emergency care, lost productivity—or even save your life.

    At DrDoGood, we know the challenges—tight schedules, rising costs, health anxiety, or just not knowing where to start.

    That’s why we’ve designed a seamless annual check-up experience:

    • Book online or via our app.
    • Choose to begin with a virtual consult, where your doctor reviews your risk profile.
    • Get your labs done at a nearby facility or from home, if eligible.
    • Receive a personalized wellness report, explained in simple terms by your doctor.
    • Follow-up support—whether you need a diet plan, a referral, or just reassurance.

    And if all your tests are normal? That’s not a waste—that’s peace of mind. Don’t wait until symptoms push you to act. Be proactive. Be empowered.

  • Probiotics vs. Prebiotics: What to Eat

    Probiotics vs. Prebiotics: What to Eat

    Probiotics and prebiotics are essential for gut health, but they serve different purposes. Here’s the quick breakdown:

    • Probiotics: These are live “good bacteria” found in fermented foods like kenkey, nunu, and koko. They help balance gut bacteria, improve digestion, and support your immune system.
    • Prebiotics: These are plant fibres that feed probiotics. Foods like unripe plantains, tiger nuts (atadwe), and kontomire provide prebiotics to help probiotics thrive.

    Quick Comparison

    Feature Probiotics Prebiotics
    What They Are Live beneficial bacteria Non-digestible plant fibres
    Role Add good bacteria to your gut Feed and support the growth of probiotics
    Sources Kenkey, nunu, koko, brukina Unripe plantain, tiger nuts, kontomire
    Action Immediate impact on gut balance Long-term support for gut bacteria

    Key Food Pairings

    Combine probiotics and prebiotics for better results:

    • Kenkey with kontomire stew
    • Koko with roasted unripe plantain
    • Brukina with tiger nuts

    These combinations are easy to include in your diet and help improve digestion, nutrient absorption, and immunity.

    Basic Facts: Probiotics and Prebiotics

    Probiotics: The Friendly Bacteria

    Probiotics are live microorganisms that help keep your digestive system in check. These “good bacteria” naturally exist in the gut and are also found in fermented foods. Strains like Lactobacillus and Bifidobacterium are well-known for their role in breaking down food, producing essential vitamins, and defending against harmful microbes.

    In Ghana, traditional fermented foods such as kenkey, fula, and wagashie are excellent sources of probiotics, making them not just delicious but also beneficial for gut health.

    Prebiotics: The Food for Good Bacteria

    Prebiotics are specific plant fibres that act as nourishment for probiotics. While humans can’t digest these fibres, the beneficial bacteria in the colon thrive on them. Prebiotics like inulin, fructooligosaccharides (FOS), and resistant starch are particularly important for promoting the growth of these bacteria.

    Prebiotic Type Common Sources in Ghana
    Inulin Tiger nuts (atadwe), yam
    Fructooligosaccharides (FOS) Ripe plantain, cocoyam
    Resistant Starch Unripe plantain, gari

    When prebiotics reach the colon, they are broken down by bacteria to produce short-chain fatty acids (SCFAs). These SCFAs play a crucial role in maintaining gut health and boosting the immune system. Everyday staples like unripe plantain and tiger nuts provide a rich source of inulin and resistant starch, ensuring your gut bacteria stay well-fed and active.

    Now, let’s dive into how probiotics and prebiotics differ in their roles and sources.

    How Probiotics and Prebiotics Differ

    How They Work

    Probiotics are live microorganisms that directly support gut health, acting almost immediately. A good example is nunu, which delivers live beneficial bacteria to the digestive system.

    On the other hand, prebiotics are non-digestible fibres that pass through the stomach and small intestine without being broken down. Once in the colon, they ferment into short-chain fatty acids (SCFAs), which help fortify the intestinal barrier. Unlike probiotics, which are sensitive to heat (for instance, koko loses its probiotic viability above 40°C), prebiotics are more stable. This is why steaming kontomire is a better option than boiling it.

    To put it simply, probiotics provide the beneficial bacteria your gut needs, while prebiotics serve as the food that helps those bacteria thrive.

    For example, probiotics in banku produce lactic acid, which lowers gut pH. Meanwhile, prebiotics in foods like cocoyam leaves are fermented in the colon to produce SCFAs.

    Now, let’s explore some local foods that are natural sources of these components.

    Where to Find Them

    Traditional Ghanaian cuisine is a treasure trove of both probiotics and prebiotics. The table below highlights some common foods rich in these gut-friendly components:

    Food Type Probiotic Sources Prebiotic Sources
    Daily Staples Nunu (10⁸ CFU/g) Kontomire (5.1g/100g fibre)
    Condiments Dawadawa Tiger nuts (atadwe)
    Porridges Koko Unripe plantain
    Fermented Grains Banku (10⁷ CFU/g) Cocoyam (3.5g/100g)

    Many traditional dishes naturally combine probiotics and prebiotics. For instance, fura de nunu pairs probiotic-rich fermented milk (nunu) with prebiotic-packed millet. Similarly, the 48-hour fermentation process used in making aprapransa enhances both its probiotic content and prebiotic properties.

    A study titled “Spontaneously fermented millet product as a natural probiotic treatment for diarrhea in young children: an intervention study in Northern Ghana” evaluated the effects of a fermented millet drink, rich in lactic acid bacteria, on children under five with diarrhea. The study found that children who received up to 300 ml of the fermented drink daily for five days experienced a significant reduction in diarrhoea duration and improved well-being compared to those who received standard treatment alone.

    For best results, store probiotic-rich foods like dawadawa in traditional calabashes at room temperature. Prebiotic foods, such as dried kontomire, retain their properties for months when properly stored.

    Effects on Gut Health

    How Probiotics Help

    Probiotics are like the friendly neighbours of your gut – they help keep the peace by balancing gut flora and improving digestion. These live microorganisms not only assist in breaking down nutrients but also help your body absorb them more effectively. They also play a role in maintaining the strength of your intestinal barrier, which is essential for overall gut health. One of the easiest ways to introduce probiotics into your diet is through local fermented foods. Adding these to your meals as part of a balanced diet can naturally boost the population of these helpful bacteria.

    How Prebiotics Help

    Think of prebiotics as the food that fuels the friendly bacteria in your gut. These are dietary fibres that reach the large intestine, where they are fermented, producing compounds that promote a healthier gut environment. Foods like leafy greens and properly prepared unripe plantains are rich in prebiotics and can help keep your gut flora in balance. Together with probiotics, they create a strong foundation for better digestion and gut health.

    Ghanaian Foods to Try

    Foods with Probiotics

    Ghanaian dishes are not just flavourful; some also pack a punch when it comes to probiotics. Take koko, for instance – a fermented millet or corn porridge that’s a breakfast favourite across Accra and beyond. Sold by street vendors, it’s a warm, comforting meal with added gut health benefits.

    Then there’s brukina, a refreshing drink made from fermented millet and milk. This drink undergoes a double fermentation process lasting 48–72 hours, which significantly boosts its Lactobacillus content.

    And let’s not forget kenkey, a staple made from fermented corn dough. Fermented for 2–4 days, it’s been found to contain 10⁶–10⁸ CFU/g of lactic acid bacteria, according to research from the University of Ghana (2022). Dr. Reginald Adjetey Annan even points out that kenkey and koko are affordable and accessible sources of probiotics for many Ghanaians.

    Foods with Prebiotics

    Beyond probiotics, Ghanaian cuisine also offers an array of prebiotic-rich foods that help nourish good bacteria in the gut. These ingredients are everyday staples with impressive health benefits.

    For instance, unripe plantains – whether roasted as boli or added to soups – are loaded with inulin, a type of prebiotic fibre. Kontomire (cocoyam leaves) is another excellent source, providing about 4.2 grams of fibre per 100-gram serving, as detailed in the Ghana Food Composition Table.

    Yam and cassava are also worth mentioning. Their resistant starch content increases when they’re cooked and then cooled, making them great for gut health. And let’s not overlook garlic and onions, which are rich in inulin (9–16%) and help promote the growth of beneficial bacteria like Bifidobacterium.

    Here’s a quick overview of some of these foods and their benefits:

    Food Type Preparation Method Beneficial Properties
    Koko Fermented 12–24 hours Active probiotics from lactic acid bacteria
    Brukina Double fermentation (48–72 hours) Enhanced Lactobacillus content
    Kontomire Steamed or added to stews Approximately 4.2 g fibre per 100 g
    Unripe Plantains Roasted or boiled High in inulin

    Adding these foods to your daily meals is a simple yet effective way to support a healthy gut microbiome, which plays a key role in overall digestive health.

    Using Both Together

    Food Combinations

    Combining probiotic and prebiotic-rich Ghanaian foods is a natural way to support gut health. Many traditional dishes already bring these elements together seamlessly. For example, pairing kenkey with kontomire stew blends fermented corn with the prebiotic-rich cocoyam leaves. Another great option is enjoying koko with roasted unripe plantain – a wholesome breakfast that may promote a healthier gut.

    Probiotic Food Prebiotic Partner Serving Suggestion
    Koko Unripe plantain Serve warm koko with sliced roasted plantain
    Kenkey Kontomire stew Add garlic and onions to the stew for extra flavour and benefits
    Brukina Tiger nuts Blend tiger nuts into brukina for a creamy twist
    Fura Cassava chips Pair cooled cassava chips with fura for a satisfying snack

    These combinations not only enrich your diet but also maximise the digestive perks of probiotics and prebiotics.

    Health Effects

    When paired, probiotics and prebiotics work together to boost gut health. The prebiotics feed the beneficial bacteria, helping them thrive and enhancing their positive effects. This powerful combination can:

    • Strengthen the gut’s natural protective barrier
    • Enhance nutrient absorption from food
    • Bolster the immune system
    • Ease common digestive issues

    Try to include at least one of these pairings in your daily meals. Start with familiar combinations, then explore other options to keep things interesting and nutritious.

    Get Expert Help

    If you’re looking for more personalised guidance, connecting with a nutrition expert can help you optimise your meals for better gut health. Balancing probiotics and prebiotics might feel tricky, especially if you have unique dietary needs. Through DrDoGood‘s healthcare platform, you can easily access qualified nutritionists and dieticians familiar with Ghanaian cuisine. These professionals can:

    • Evaluate your current eating habits
    • Design meal plans tailored to your preferences
    • Suggest specific food pairings
    • Track your progress over time
    • Adjust recommendations based on how your body responds

    For expert advice, book a virtual consultation through the DrDoGood app and take the first step towards a healthier diet.

    Probiotics vs Prebiotics: What’s the Difference?

    Summary

    Getting to grips with probiotics and prebiotics can help you make smarter choices when it comes to Ghanaian foods that naturally offer both. Take kenkey, for example – it’s packed with live Lactobacillus cultures (2.5×10⁸ CFU/g) and cereal-based prebiotic fibres, making it an excellent choice for gut health.

    Experts recommend consuming between 1–10 billion CFU of probiotics and about 10 g of prebiotics daily. Traditional food preparation methods play a big role here. Pairings like fermented millet and moringa leaves not only taste great but also amplify the prebiotic benefits.

    For the best results, make traditional fermented foods a regular part of your diet. Daily consumption works wonders for your gut health. To keep these foods effective, store them at room temperature or slightly chilled. Pair them with prebiotic-rich sides like steamed cocoyam or roasted plantain for a balanced meal.

    If you’re looking for tailored advice, healthcare providers on DrDoGood can guide you on optimising your gut health. By incorporating these ideas into your everyday meals, you can tap into the wisdom of Ghanaian traditions to support a healthier digestive system.

    FAQs

    What are the health benefits of including both probiotics and prebiotics in your diet?

    Combining probiotics and prebiotics in your meals can do wonders for your digestive health by supporting a balanced gut microbiome. Probiotics are the live, friendly bacteria that help keep your gut in check, while prebiotics are the non-digestible fibres that feed these bacteria, helping them flourish. Together, they create a powerful duo that aids digestion, boosts nutrient absorption, and supports your immune system.

    To get the best of both, include foods like yoghurt, kenkey, or fermented drinks for probiotics, and pair them with fibre-rich choices like bananas, onions, and garlic for prebiotics. Incorporating these into your daily diet can leave you feeling more energised and healthier overall.

    What are some Ghanaian foods rich in probiotics and prebiotics, and how can I include them in my daily meals?

    Probiotics and prebiotics are essential for keeping your digestive system in good working order. Probiotics are the friendly bacteria found in fermented foods, while prebiotics are fibres that nourish these bacteria. In Ghana, incorporating both into your meals is not just easy – it’s delicious too.

    For probiotics, explore fermented foods like nkrakra (fermented maize porridge), wagashi (a soft fermented cheese), or homemade yoghurt. These foods can fit seamlessly into your diet as breakfast, snacks, or even side dishes. On the other hand, prebiotics come from fibre-packed foods such as ripe plantains, cassava, cocoyam, and okra. Traditional dishes like ampesi with plantains or banku paired with okro stew are perfect examples of meals that naturally include prebiotics.

    By blending these probiotic and prebiotic-rich foods, you’ll not only support your gut health but also savour the rich, vibrant flavours of Ghanaian cuisine. Strive for variety and balance in your meals to maximise the benefits.

    How can I store probiotic and prebiotic foods to keep them effective?

    To keep probiotic foods working as they should, store them in a cool place, like a refrigerator. Heat can destroy the live bacteria that make them beneficial. For instance, yoghurt, kimchi, and kefir need to stay chilled to maintain their potency. Keep them away from direct sunlight or high temperatures to avoid reducing their effectiveness.

    On the other hand, prebiotic foods – such as garlic, onions, bananas, and oats – are more resilient and can be kept at room temperature. Just make sure they’re stored in a dry, well-ventilated area to prevent them from spoiling.

    Always check the packaging for specific storage guidelines. Storing these foods properly not only helps maintain their quality but also ensures they continue to support your digestive health.

  • How to Lower Your Blood Pressure

    How to Lower Your Blood Pressure

    Hypertension affects half of Ghanaian adults, and only 23.8% manage to control it. If you’re looking for simple ways to lower your blood pressure, here’s what works:

    • Breathing Exercises: Techniques like belly breathing can lower systolic pressure by up to 8.6 mmHg.
    • Drinks: A 2021 review of 13 studies showed that hibiscus tea (Sobolo) can lower blood pressure. It reduced systolic pressure by 6.67 mmHg and diastolic by 4.35 mmHg on average. The effect was stronger in people with high blood pressure (hypertension). Most participants drank 1–2 cups of hibiscus tea daily for a few weeks. However, it may interact with blood pressure medications.Talk to your doctor before adding it to your routine.
    • Food Choices: Add plantains, African bitterleaf, and black-eyed peas to your meals. Reduce salt by soaking salted fish like koobi or momoni.
    • Exercise: Try wall sits, planks, or join walking groups in places like Aburi Gardens.
    • Stress Relief: Use apps like CALM for guided breathing and meditation.

    Quick Action Plan: Start with regular blood pressure checks. And record them on DrDoGood, Go for a 30min walk today.

    Keep in mind that whilst these may temporarily drop your blood pressure, hypertension is a CHRONIC condition  (meaning it doesn’t go away) which must be continuously managed in order to avoid serious complications like strokes of heart failure.

    For more tips on managing hypertension, including affordable monitoring tools and community support, keep reading.

    Everyday ways to lower your blood pressure

     Simple Ways to Lower Blood Pressure

    Here are some practical and proven methods to quickly bring down your blood pressure, offering both immediate relief and long-term benefits.

    Simple Breathing Exercises

    Breathing exercises are a quick and effective way to reduce blood pressure. Studies indicate that just two minutes of slow, deep breathing can lower systolic pressure by 8.6 mmHg and diastolic pressure by 4.9 mmHg.

    Here are two techniques to try:

    • Box Breathing (Sama Vritti): Exhale completely, then inhale for a count of 4, hold your breath for 4 counts, exhale for 4 counts, and pause for another 4 counts before repeating.
    • Belly Breathing: Place one hand on your stomach and the other on your chest. Breathe in deeply, allowing your belly to expand while keeping your chest still. Then exhale slowly, aiming for 6 seconds per breath.

    Office Worker Health Tips

    If you’re a busy professional in Accra or other urban areas, here are some quick tips to stay on top of your health:

    • Take a 5-minute walk every hour to reach a total of 30 minutes of movement each day.
    • Use your lunch break for short breathing exercises or a brisk walk. The DrDoGood app offers guided relaxation sessions to help you make the most of your time.

    Foods That Lower Blood Pressure

    Making smart food choices is a natural way to manage blood pressure. Here’s how you can incorporate blood pressure-friendly options into your daily Ghanaian meals.

    Less Salt, More Flavor

    Salted fish like koobi, momoni, kako, and tilapia are staples in many Ghanaian dishes. To reduce their sodium content without sacrificing taste, soak them overnight before cooking.

    Instead of relying on salt for flavour, try these alternatives:

    • Fresh ginger and garlic for a bold, aromatic kick.
    • African basil (Ocimum gratissimum), which adds a unique, earthy taste.
    • Traditional pepper blends, for that spicy, familiar heat.
    • Fresh herbs from your garden to brighten up meals.

    When preparing soups and stews, start with half your usual salt amount. Over time, your palate will adjust, and you may find you don’t need as much salt as you thought.

    Now, let’s dive into some local foods that naturally help lower blood pressure.

    Best Local Foods for Blood Pressure

    Plantain Power
    Plantains are a powerhouse when it comes to heart health. Just one cup of mashed plantain contains 930 mg of potassium (27% of your daily needs), 64 mg of magnesium, and very little sodium. These nutrients work together to help regulate blood pressure.

    African Bitter leaf (Vernonia amygdalina)
    This traditional favourite has been shown to effectively lower blood pressure. You can enjoy it in various ways:

    • Steam it as a side dish.
    • Add it to soups for a nutrient boost.
    • Use it as a water extract for its medicinal properties.

    Black-Eyed Peas
    A key ingredient in Red Red stew, black-eyed peas are more than just affordable – they’re a nutritional goldmine. One cup provides over 21% of your daily magnesium needs. Known as the “poor man’s meat,” these legumes are excellent for heart health and fit seamlessly into Ghanaian cooking.

    DASH Diet with Ghanaian Foods

    The DASH diet (Dietary Approaches to Stop Hypertension), was designed to lower blood pressure and can easily be adapted to Ghanaian cuisine.

    Here’s a sample of local, DASH-friendly meals:

    Meal Time DASH-Friendly Local Options Benefits
    Breakfast Green plantain porridge with unsweetened sobolo High in potassium, low in sodium
    Lunch Red Red stew with black-eyed peas and plantain Rich in magnesium and fiber
    Dinner Bitterleaf soup with non-salted fish Known for its blood pressure benefits

    To track your progress, consider using the DrDoGood app. It helps you monitor meals and blood pressure, so you can see what works best for you.

    Easy Exercise Options

    Staying active is a key part of keeping your blood pressure in check. Whether you live in a bustling city or a quieter area in Ghana, there are practical ways to incorporate exercise into your routine. Try to meet the WHO-recommended target of at least 7,500 steps.

    Group Activities Near You

    The Outdoors Association of Ghana (OAG) runs fitness programmes in communities across the country. You can reach them at 020 348 1401 or email [email protected]. Their head office is located at 2 Pilopia Close, Dzogbefeme-Avatime. Through the DrDoGood wellness programme, you can join walking groups in places like the Aburi Botanical Gardens, Achimota Forest, the University of Ghana campus, and various community parks.

    No-Equipment Exercises

    If joining a group isn’t your thing, you can still stay active with these simple exercises that don’t require any equipment:

    • Wall Sits: Stand with your back against a wall, slide down until your knees are at a 90° angle, and hold for 20–30 seconds. Repeat for several sets.
    • Plank Variations: Start in a push-up position, then lower onto your forearms while keeping your body straight. Hold for 10–20 seconds, increasing the time as you build strength.
    • Gentle Yoga Poses: Try the Forward Fold (Uttanasana). Stand tall, raise your arms as you inhale, and slowly bend forward as you exhale. Slightly bend your knees if needed for comfort.

    Gym and Fitness Centres

    If you prefer a more structured environment, DrDoGood collaborates with fitness centres in major cities across Ghana. Here’s what you can expect:

    Facility Type Benefits Best For
    Community Centres Free blood pressure checks and group classes Beginners
    Partner Gyms Certified trainers and flexible hours Regular exercisers
    Wellness Studios Guided meditation and yoga sessions Stress management

    These options make it easy to find an exercise routine that works for your lifestyle, no matter where you are.

    Stress Relief Methods

    Managing stress is a key part of keeping blood pressure in check.

    Phone-Based Relaxation

    DrDoGood’s app offers practical tools to help you manage stress wherever you are. Here’s how it works:

    Feature Benefits Best Time to Use
    Guided Breathing Promotes relaxation through deep breathing exercises During work breaks
    Sleep Tracking Tracks sleep quality and provides tips for better rest At night
    Meditation Timer Encourages a consistent meditation habit Morning or evening

    The app also sends reminders for stress-relief breaks, making it easier to incorporate relaxation into your daily routine. While these digital tools are convenient, they work best when paired with real-life support systems.

    Community Support Groups

    Digital solutions are helpful, but nothing replaces the power of human connection. Local support groups play a vital role in reducing stress and, in turn, lowering blood pressure.

    “Within African societies where members live together with shared responsibilities and possessions, studies show that during times of illness, members play a ‘brokerage function’ between patients and healers and are regarded as the ‘therapy managing group’”.

    DrDoGood’s wellness programme connects you with various local networks, including:

    • Blood Pressure Support Groups: Weekly meetings at partner locations in Accra, Kumasi, and Tamale.
    • Faith-Based Health Networks: Collaborations with local churches and mosques for health discussions.
    • Neighbourhood Walking Groups: Regular walking sessions in your area for exercise and social interaction.

    Local Stress Relief Activities

    Beyond apps and support groups, engaging in activities rooted in your surroundings can offer a sense of familiarity and calm. Here are some ideas:

    • Cultural Activities
      Take part in local traditions like drumming and dancing events. These not only help you relax but also strengthen your connection to your heritage.
    • Spiritual Support
      Seek comfort and advice from religious leaders. DrDoGood works with local churches and mosques to provide health-focused counselling services.
    • Nature Therapy
      Spending time outdoors is a proven way to ease stress. Visit serene spots like Aburi Botanical Gardens, Legon Botanical Gardens, or nearby nature reserves for a calming walk or meditation session.

    “When it comes to preventing and treating high blood pressure, one often-overlooked strategy is managing stress”.

    Track Your Progress

    Once you’ve made changes to your lifestyle, it’s important to monitor how you’re doing. Keeping track of your daily habits and health metrics using DrDoGood can help you stick to healthier routines.

    Home Blood Pressure Checks

    Regularly recording your blood pressure is a key step, and DrDoGood’s tracking feature makes it easier.

    “Home measurements are often more accurate than clinic readings” – Dr. Katherine Sakmar, Specialist in Hypertension Management at Harvard-affiliated Massachusetts General Hospital

    For reliable results, use an automatic upper arm cuff. Here’s how to measure accurately:

    Time Instructions What to Avoid
    Morning (6–9 AM) Sit quietly for 5 minutes with feet flat, back supported Caffeine, alcohol, tobacco, and exercise
    Evening (6–9 PM) Take two readings, 1–2 minutes apart A full bladder and crossing your legs

    Tip: Choose an automatic upper arm device that costs between GHS 300–600 at local pharmacies. Ensure the cuff fits properly, covering at least 80% of your upper arm for accurate readings.

    Medicine Schedule Tips

    DrDoGood offers smart tools to help you stay consistent with your medication. These include alerts, logs, stock reminders, and reports to track your progress.

    • Create a detailed medication profile, including doses and timings.
    • Note any side effects or concerns in the app.
    • Record blood pressure readings alongside medication times.

    By combining medication tracking with routine health monitoring, you can stay on top of your health goals.

    Health at Work and Home

    Keep tabs on essential activities with DrDoGood:

    Activity Measurement Goal Setting
    Daily Steps Automatic counting Custom targets
    Water Intake Manual logging Daily recommendations
    Salt Consumption Food diary WHO guidelines
    Stress Levels Mood tracking Relaxation reminders

    Workplace Tips:

    • Set hourly reminders to stretch or move around.
    • Track workplace stress levels.
    • Monitor your blood pressure during different work scenarios.

    “It gives some feedback about how they’re doing, and that helps reinforce the efforts they’re making” – Dr. Randall Zusman, Director of the Division of Hypertension at Harvard-affiliated Massachusetts General Hospital

    Next Steps for Better Health

    Take control of your blood pressure with DrDoGood’s effective strategies. Data shows that users of this digital health tool experience a 42% improvement in blood pressure management within six months.

    Immediate Actions

    Start with these steps to lay the groundwork for better health:

    Time Action Outcome
    Week 1 Schedule a blood pressure check at your nearest clinic Establish baseline readings
    Week 2-4 Attend 3 nutrition sessions with Korle Bu dietitians Get a personalised meal plan
    Monthly Join free screenings on the first Tuesday of every month Ensure consistent monitoring

    Pair these actions with community support and digital tracking to maintain progress.

    Community Support

    Your journey to better health can be strengthened by tapping into local resources. For instance, the Methodist Church Ghana runs hypertension support groups in 23 dioceses nationwide. These groups meet weekly and have helped members maintain an average blood pressure of 128/79 mmHg over six months. Additionally, the ADHINCRA Study (2023) found that nurse-led digital interventions achieved a 57% blood pressure control rate, significantly outperforming traditional care at 18.1%.

    Emergency Preparedness

    Always be ready for emergencies. If your blood pressure exceeds 180/120 mmHg and you experience symptoms, DrDoGood offers immediate support through:

    • 37 crisis centres
    • 24/7 UberGH emergency transport
    • Instant QR code sharing of your health history

    Cost-Effective Management

    Managing your health doesn’t have to break the bank. Here’s how you can access affordable care:

    • NHIS-covered lifestyle counselling: Available at district hospitals.
    • Ghana Heart Foundation’s subsidised medication programme: Get Anti-Hypertensives for just GHS 50 per month.
    • Generic medication auto-refill service: Save 23% compared to brand-name drugs.

    Workplace Integration

    Make health management part of your daily routine with workplace solutions. DrDoGood partners with 45 offices in Accra to offer:

    • On-site blood pressure monitoring stations
    • Evening support groups at Makola Market Clinic (7 PM sessions)
    • Teleconsultations with Ghana Medical Association physicians for GHS 10 per minute

    FAQs

    How can the DrDoGood app help you manage your blood pressure effectively?

    The DrDoGood app is packed with tools to help you manage your blood pressure more effectively. By allowing you to log and track key health metrics, like your blood pressure readings, it provides a clear picture of your progress over time. This makes it much easier to stay focused on your health goals.

    What’s more, the app includes wellness classes that cover topics like stress management, healthy lifestyle tips, and customised fitness routines. These classes are designed to fit seamlessly into your busy schedule, making it simpler to build healthier habits and maintain steady control over your blood pressure.

    How can local Ghanaian foods like plantains and bitterleaf help manage high blood pressure?

    Incorporating local Ghanaian staples like plantains and bitterleaf into your meals can do wonders for managing high blood pressure. Plantains are packed with potassium, a nutrient that helps balance sodium levels in the body, keeping blood pressure in check. Plus, they’re a great source of fibre, which supports heart health by improving cholesterol levels and aiding digestion.

    Bitterleaf brings its own set of benefits to the table. Known for its antioxidant properties, it can help reduce inflammation and support better cardiovascular health. By adding these nutritious ingredients to your dishes, you’re not just boosting your well-being – you’re also celebrating the vibrant flavours of Ghana’s culinary traditions.

    What local resources and support groups can help manage blood pressure in Ghana?

    There are several organisations in Ghana committed to helping people manage their blood pressure effectively. HI Foundation Ghana puts a spotlight on hypertension and diabetes by offering education and engaging in community outreach. The Ghana NCD Alliance tackles non-communicable diseases, including hypertension, by advocating for improved health policies and providing support at the community level. Meanwhile, the Ghanaian Society of Cardiology offers hypertension screenings and valuable resources to keep individuals informed about heart health. These organisations are great resources for anyone seeking support and guidance tailored specifically to Ghana’s needs.

  • Chest Pain: What It Means, What to Do, and When to See a Doctor

    Chest Pain: What It Means, What to Do, and When to See a Doctor


    We’ll walk through where chest pain can come from, what it might mean depending on the location and cause, and how symptoms can differ between men, women, and children. You’ll also learn what to do and when to seek help immediately.

    Heart Causes Of Chest Pain

    These are the most feared causes of chest pain—and for good reason. Heart-related chest pain is often a medical emergency.

    1. Angina pectoris:

    • This is a  warning sign of heart disease. You should speak to a doctor as soon as possible. You can find an expert here
    • It feels like pressure or tightness in the chest.
    • This chest pain is triggered by physical activity or emotional stress and usually goes away with rest or nitroglycerin.
    • You should still speak with a doctor to prevent an actual heart attack from happening.
    • You’re at risk if you
      • Are a man >45yrs (More common in men) or a woman >55yrs
      • Hypertension
      • Diabetes
      • Smoking
      • obese
      • poor diet

    2. Myocardial infarction (heart attack):

    Chest pain due to heart attack


    A heart attack, medically called a myocardial infarction (MI), happens when blood flow to a part of the heart is suddenly blocked, causing damage to the heart muscle.

    It’s a medical emergency that needs prompt treatment to prevent serious complications or death.

    Heart Attack Symptoms

    Heart attack symptoms can vary from person to person. Some experience the classic crushing chest pain, while others—especially women, the elderly, or people with diabetes—may have more subtle signs.

    Common symptoms include:

    • Chest pain or discomfort (tightness, pressure, squeezing, or fullness in the center or left side of the chest almost like there’s something sitting on your chest)
    • Pain in the arm, jaw, neck, back, or stomach
    • Shortness of breath
    • Cold sweat
    • Nausea or vomiting
    • Lightheadedness or sudden dizziness
    • Unusual fatigue, especially in women

    If these symptoms last more than a few minutes or keep coming and going, seek emergency care immediately.

    Who’s at Risk?

    Several factors increase the risk of a heart attack, many of which are lifestyle-related. These include:

    • High blood pressure
    • High cholesterol (especially high LDL, you need to do a blood test to know your LDL level. You can access that here)
    • Smoking
    • Diabetes
    • Obesity or being overweight
    • Physical inactivity
    • Unhealthy diet (speak to a dietitian here)
    • Stress
    • Family history of heart disease
    • Age (men over 45, women over 55)

    How is a Heart Attack Treated?

    Emergency treatment focuses on restoring blood flow to the heart as quickly as possible to limit damage. This includes:

    • Medications: such as aspirin, nitroglycerin, clot-busters (thrombolytics), beta-blockers, and blood thinners.
    • Procedures: like angioplasty (to open blocked arteries with a balloon and stent) or coronary artery bypass surgery if multiple vessels are involved.
    • Hospital care: continuous monitoring, oxygen, and support for complications.
    • Aftercare: cardiac rehab, lifestyle changes, and medications to reduce future risk.

    Lung Causes of Chest Pain

    1. Pulmonary Embolism

    Chest pain due to pulmonary embolism

    A life-threatening emergency that requires immediate medical attention.

    A pulmonary embolism (PE) is a sudden blockage in one of the pulmonary arteries in the lungs, usually caused by a blood clot that travels from the deep veins of the legs (a condition known as deep vein thrombosis, or DVT). This blockage prevents proper blood flow to the lungs, which can reduce oxygen levels in the body and strain the heart.

    Symptoms:

    • Sudden, sharp chest pain (worse with breathing)
    • Shortness of breath
    • Fast heart rate (tachycardia)
    • Cough, sometimes with blood (hemoptysis)
    • Dizziness or fainting
    • Anxiety or a sense of doom
    • Recent surgery or trauma

      This is a medical emergency. See a doctor now if you have of these symptoms.

    Risk Factors:

    • Prolonged immobility (e.g., long flights, bed rest)
    • Pregnancy or recent childbirth
    • Use of hormonal contraceptives
    • Clotting disorders or a history of deep vein thrombosis (DVT)

    Treatment of PE:

    Treatment includes anticoagulants (blood thinners) to prevent new clots and help the body dissolve existing ones. In severe cases, clot-busting drugs (thrombolytics) or surgical removal may be needed.

    2. Pneumonia

    Pneumonia is a lung infection that makes it hard to breathe. It happens when germs like bacteria, viruses, or fungi get into your lungs and cause the small air spaces (called air sacs) to fill with fluid or pus.

    Symptoms:

    • Dull, aching chest pain (worse with breathing or coughing)
    • Fever, chills
    • Cough with phlegm or mucus
    • Fatigue
    • Shortness of breath
    • Loss of appetite

    Risk Factors:

    • Age extremes (infants, elderly)
    • Chronic illnesses (e.g., diabetes, heart failure, asthma)
    • Smoking
    • Recent respiratory infection
    • Weakened immune system (e.g., HIV, chemotherapy)

    Treatment of Pneumonia :

    • Bacterial pneumonia: Antibiotics
    • Viral pneumonia: Supportive care (antivirals in some cases)
    • Fungal pneumonia: Antifungal medications

     Hospitalization may be required in severe cases, especially in older adults or those with comorbidities.

    Gastrointestinal Causes of Chest Pain

    Not all chest pain comes from the heart—sometimes, it starts in your digestive system. These types of chest pain are often confused with heart-related problems but tend to feel burning, gnawing, or cramping rather than tight or pressure-like. Here are three common culprits:

    1. Gastroesophageal Reflux Disease (GERD)

    Also known as acid reflux, GERD occurs when stomach acid backs up into the esophagus.

    Symptoms:

    • Burning sensation behind the chest bone (“heartburn”)
    • Pain that worsens after eating or when lying down
    • Sour taste in the mouth or acid regurgitation
    • Hoarseness, chronic cough, or sore throat

    Risk Factors:

    • Obesity
    • Smoking
    • Pregnancy
    • Eating large or fatty meals
    • Lying down soon after eating
    • Certain medications (e.g., NSAIDs, calcium channel blockers)

    Treatment of GERD:

    GERD is managed with lifestyle changes (eating smaller meals, avoiding late-night eating, elevating the head of the bed), antacids, and acid-reducing medications like proton pump inhibitors (PPIs) or H2 blockers. In chronic cases, surgery may be considered.

    2. Peptic Ulcers

    Ulcers are sores in the stomach or upper part of the small intestine caused by acid erosion.(Read More about this here)

    Symptoms:

    • Dull or burning pain in the upper abdomen or lower chest
    • Pain that improves or worsens with food (depending on ulcer location)
    • Bloating, burping, nausea
    • In severe cases: vomiting blood or black stools

    Risk Factors:

    • Infection with Helicobacter pylori bacteria
    • Long-term use of NSAIDs (e.g., ibuprofen, aspirin)
    • Smoking
    • Excessive alcohol intake
    • Stress (can worsen symptoms but not a direct cause)

    Treatment of PUDx:

    Peptic ulcers are usually treated with a combination of antibiotics (if H. pylori is present), acid-reducing medications, and lifestyle changes. Avoiding NSAIDs and smoking is crucial to healing.

    3. Gallstones (Cholelithiasis)

    Gallstones are hardened deposits that form in the gallbladder and can block bile flow.

    Symptoms:

    • Sudden, intense pain in the right upper abdomen that may radiate to the chest, shoulder, or back
    • Pain often triggered by fatty meals
    • Nausea or vomiting
    • Bloating or indigestion

    Risk Factors:

    • Female gender
    • Age over 40
    • Obesity or rapid weight loss
    • Pregnancy
    • High-fat, low-fiber diet
    • Family history of gallstones

    Treatment of Gallstones:

    Gallstones that cause symptoms are typically treated with surgical removal of the gallbladder (cholecystectomy). In some cases, medications may be used to dissolve stones, but this is less common. Dietary changes can help prevent flare-ups before surgery.

    Musculoskeletal Causes of Chest Pain


    Musculoskeletal chest pain originates from the muscles, bones, or connective tissues of the chest wall. Unlike heart or lung-related pain, this type of chest discomfort is often localized, tender to touch, and can worsen with movement or deep breathing. Though not life-threatening, it can be quite distressing. Here are two of the most common causes:

    1. Costochondritis

    An inflammation of the cartilage that connects the ribs to the breastbone (sternum).

    Symptoms:

    • Sharp or aching pain in the front of the chest (usually on one side)
    • Pain that worsens with movement, deep breaths, or coughing
    • Tenderness when pressing over the affected rib joints
    • Pain that can mimic a heart attack but is not related to the heart

    Risk Factors:

    • Physical strain (e.g., heavy lifting, strenuous exercise)
    • Upper respiratory infections (due to persistent coughing)
    • Injury or trauma to the chest wall
    • Repetitive motion or poor posture

    Treatment of costochondritis:

    Costochondritis usually improves on its own. Treatment includes:

    • Pain relief with NSAIDs like ibuprofen or naproxen
    • Warm compresses or ice packs to reduce inflammation
    • Stretching and posture correction
    • Rest and avoiding activities that trigger pain
    • Persistent or severe cases may require corticosteroid injections.

    2. Muscle Strain & Rib Fractures

    These occur from overuse, trauma, or direct injury to the chest wall.

    Symptoms:

    • Localized chest pain that worsens with movement, deep breathing, or coughing
    • Bruising or swelling over the injured area (especially in fractures)
    • Pain during certain motions (like lifting, twisting, or stretching)
    • In rib fractures: a crackling or popping sensation, or visible deformity

    Risk Factors:

    • Direct trauma (falls, car accidents, sports injuries)
    • Repetitive physical activity (e.g., rowing, heavy lifting)
    • Severe coughing (can strain intercostal muscles or even cause fractures)
    • Bone-weakening conditions like osteoporosis (for fractures)

    Treatment:

    • Rest and activity modification to allow healing
    • NSAIDs or acetaminophen for pain management
    • Cold compresses in the first 48 hours; later warm compresses may help
    • In rib fractures: no tight bandaging (to prevent breathing issues), but pain control is essential to avoid lung complications like pneumonia
    • Physical therapy or breathing exercises may be recommended during recovery

      If you can pinpoint your chest pain with one finger or it worsens when you press on it, it’s likely musculoskeletal, not cardiac—but always consult a doctor if you’re unsure.

    Psychological Causes of Chest Pain

    Sometimes, chest pain starts in the mind. Psychological stress can trigger real, physical symptoms that mimic serious medical conditions. The chest pain from panic or anxiety is typically tight, burning, or stabbing, and can feel overwhelming. Here are two common psychological causes:

    1. Panic Attacks

    A panic attack is a sudden episode of intense fear that triggers severe physical reactions when there is no real danger.

    Symptoms:

    • Sudden, sharp or crushing chest pain
    • Palpitations (rapid or pounding heartbeat)
    • Shortness of breath or a choking sensation
    • Dizziness or lightheadedness
    • Sweating, chills, or hot flashes
    • Tingling in the hands or feet
    • An intense fear of dying
    • Usually peaks within 10–15 minutes and then fades

    Risk Factors:

    • High stress levels
    • Past trauma or abuse
    • Family history of anxiety or panic disorders
    • Certain medical conditions (e.g., hyperthyroidism)
    • Stimulants (e.g., caffeine, cocaine)

    Treatment:

    • Reassurance and breathing techniques to calm the nervous system
    • Cognitive Behavioral Therapy (CBT) to address the root cause of panic from a trained psychologist here.
    • Medications, such as SSRIs or benzodiazepines (for short-term use)
    • Lifestyle modifications: reducing caffeine, getting enough sleep, regular exercise, and mindfulness practices

    2. Anxiety Disorders

    Generalized anxiety or chronic stress can cause a constant feeling of tension, often manifesting physically in the chest.

    Symptoms:

    • Persistent chest tightness or discomfort (not sharp or stabbing)
    • A feeling of a heavy weight on the chest
    • Increased heart rate
    • Fatigue or restlessness
    • Difficulty concentrating or sleeping
    • Tension in the neck, shoulders, and back
    • Often worse at rest or in quiet moments

    Risk Factors:

    • Chronic stress (work, relationships, finances)
    • Perfectionism or people-pleasing tendencies
    • Underlying health issues or chronic pain
    • Substance use or withdrawal
    • Poor sleep and lack of routine
    • Therapy, especially CBT, helps patients reframe negative thought patterns

    Treatment Summary:

    • Medications like SSRIs or SNRIs may be prescribed for long-term anxiety
    • Mindfulness, journaling, regular physical activity, and good sleep hygiene are key self-care strategies
    • Breathing exercises and progressive muscle relaxation can help in the moment

    Diagnostic Approach to Chest Pain

    Because the causes of chest pain vary, you can expect to do some of these when you speak to your doctor or visit a Hospital.

    1. History Taking – Questions about the pain’s nature, triggers, and associated symptoms.
    2. Physical Examination – Including vital signs and listening to the chest.
    3. ECG – Detects heart attacks or rhythm problems.
    4. Blood Tests – Especially troponins, which indicate heart muscle damage.
    5. Chest X-ray – Useful for lung-related issues or heart enlargement.
    6. Echocardiogram – Assesses heart function via ultrasound.
    7. Stress Testing or CT Angiography – Evaluates heart blood flow and blockages.
    8. Endoscopy or Abdominal Ultrasound – If gastrointestinal causes are suspected.

    Preventing Chest Pain

    While some causes of chest pain are unavoidable, many can be prevented:

    Heart Health

    • Eat a heart-friendly diet (low salt, low saturated fat)
    • Exercise regularly
    • Avoid smoking
    • Manage stress effectively
    • Keep chronic illnesses like diabetes and high BP under control

    Gastrointestinal Care

    • Avoid spicy and fatty meals
    • Eat slowly and in small portions
    • Don’t lie down right after eating

    Muscle and Bone Health

    • Warm up before exercise
    • Use ergonomic support at work
    • Treat injuries promptly

    Mental Health

    • Practice relaxation techniques
    • Seek help for anxiety and depression
    • Avoid overworking and burnout

    Conclusion

    Chest pain is your body’s way of saying something might be wrong. It can be minor, but it can also be serious. Whether you’re a woman with vague discomfort,or a man with pressure in your chest, the rule is the same: don’t ignore it.

    When in doubt—check it out. It could save your life.

  • Urinary Tract Infections: The Ultimate guide to Stay Healthy

    Urinary Tract Infections: The Ultimate guide to Stay Healthy

    Have you ever felt a burning sensation when you pee? Or a sudden, strong urge to urinate—only to release just a few drops? If yes, you may have experienced a Urinary Tract Infection (UTI). They’re uncomfortable, often misunderstood, but luckily, treatable.

    UTIs are very common, especially in women. In fact, over 50% of women will get at least one UTI in their lifetime. But they don’t discriminate—men and children can get them too. In this guide we’ll talk about what causes UTIs, how to treat and prevent them and bust one of the biggest myths concerning UTI’s.

    What Is a UTI?

    A UTI happens when bacteria, usually from the skin or rectum, travel up the urethra and infect the urinary tract. The urinary tract includes the kidneys, ureters, bladder, and urethra. Most UTIs affect the bladder, but if left untreated, the infection can spread to the kidneys—which can be serious.

    Parts of the Urinary tract

    UTIs are typically classified based on where the infection occurs:

    • Cystitis – infection of the bladder
    • Urethritis – infection of the urethra
    • Pyelonephritis – infection of the kidneys

    Who is at risk?

    UTIs affect people of all ages and sexes, but women are affected the most because their urethra is shorter, making it easier for bacteria to enter the bladder.

    You’re more likely to get a UTI if you:

    • Don’t drink enough water
    • Hold your pee often
    • Are sexually active
    • Use certain types of birth control (like diaphragms)
    • Are pregnant or menopausal
    • Have diabetes or a weakened immune system

    Symptoms of a Urinary Tract Infection

    Here are the most common symptoms. Some are mild, while others might require urgent attention:

    • A burning feeling when you urinate
    • Frequent or urgent need to pee
    • Cloudy or strong-smelling urine
    • Pelvic pain or pressure in the lower belly
    • Blood in the urine (in some cases)

    UTI RED FLAGS- WHEN TO SEE A DOCTOR

    If the infection travels to the kidneys, you may also experience:

    • Fever and chills
    • Nausea or vomiting
    • Pain in the back or sideSymptoms last more than 1–2 days
    • You develop a fever, chills, or back pain
    • You keep getting UTIs often
    • You’re pregnant or have a chronic illness
    • Acute Kidney Injury (Can present as reduced urine volume, Leg Swelling, facial puffiness )
      • can progress to chronic Kidney diseases needing dialysis if not treated well
    • Delirium secondary to a UTI- Elderly People may even present with a change in behavior, have delusion and hallucinations when they have a UTI.

    Diagnosing a urinary tract infection

    Doctors start by asking about your symptoms—burning when you pee, going more often than usual, or feeling like you can’t wait. If those sound familiar, they’ll likely suspect a urinary tract infection.

    Next, they test a sample of your urine. A quick dipstick test checks for signs of infection like white blood cells, nitrites, or blood.

    To confirm the diagnosis, they often send the urine to the lab for microscopy, culture, and sensitivity (Urine R/E and Urine C/S). This helps them pinpoint the exact bacteria causing the infection and choose the right antibiotic.

    If you keep getting UTIs or have unusual symptoms, your doctor may order an ultrasound or CT scan to check for deeper issues in your urinary tract.

    Medical Treatment

    Most UTIs are treated with antibiotics, which are prescribed after a quick test. Symptoms usually improve within a few days of starting medication, but it’s important to finish all your antibiotics, even if you feel better.

    For mild UTIs, a short course of oral antibiotics usually clears things up in a few days. If the infection is severe or has reached the kidneys, you might need stronger medication or even IV antibiotics.

    The type of antibiotic used varies based on the antibiotic resistance profile in your town. Your doctor may start with an antibiotic that is effective against the bacteria that commonly cause UTI’S then switch to a more specific one when your urine results are ready.

    Pain relief (like paracetamol) and drinking lots of water can also help flush out the bacteria faster.

    The Cranberry Juice myth

    We can’t discuss Urinary Tract Infections without discussing one of the biggest myths about treating UTI’s.

    Cranberries may help prevent UTIs by stopping bacteria from sticking to the bladder wall—but they don’t cure active infections.

    Cranberries contain compounds like proanthocyanidins that may prevent certain bacteria—particularly E. coli—from sticking to the lining of the urinary tract. Drinking cranberry juice isn’t a guaranteed way to treat or prevent UTIs.

    Most commercial cranberry juices are also loaded with sugar.

    It would be dangerous to rely solely on cranberry juice instead of seeing a healthcare provider as this may delay proper diagnosis and treatment.

    How to Prevent a Urinary Tract Infection

    Urinary tract infections (UTIs) are not only common but also preventable with a few simple lifestyle habits. Here’s how to stay one step ahead of UTIs.
    Drink plenty of water to flush out bacteria

    • Don’t hold in your pee
    • Wipe front to back (for people women)
    • Pee after sex to help wash out any bacteria
    • Avoid scented soaps, sprays, or douches in the genital area
    • Wear breathable, cotton underwear and change it daily

    Final Thoughts

    UTIs are common and annoying—but with a bit of knowledge and care, they can be prevented and treated effectively.

    If you’re experiencing symptoms, don’t wait—see a doctor . No need to wait in long endless lines- you can see a doctor now within the next 5mins.

    Additional Resources

  • What To Do When I Miss My Period

    What To Do When I Miss My Period

    If you’ve missed your period, don’t panic. Here’s what to do:

    • Rule out pregnancy: Take a home pregnancy test using your first-morning urine for accurate results. If unclear, consider a blood test.
    • Track your Menstrual cycle: Use a period-tracking app like Poka Health to monitor patterns and symptoms.
    • Identify possible causes: Stress, weight changes, intense exercise, or medical conditions like PCOS (Polycystic Ovarian Syndrome)or thyroid issues could be factors.
    • Consult a doctor: If pregnancy isn’t the reason or irregularities persist, book a consultation with a healthcare provider.

    A typical menstrual cycle ranges from 21 to 45 days. Missing one period might not be a concern, but missing multiple or noticing other symptoms like fatigue, weight changes, or unusual hair growth should prompt a medical review. Apps like Poka Health can simplify tracking and help share accurate data with your doctor.

    Tip: Stress, lifestyle changes, and health conditions are common culprits. Early diagnosis can often resolve the issue quickly.

    Missed your period? Here are some reasons why

    What Makes a Normal Period Cycle

    Understanding your usual cycle is key to noticing any unusual changes. While many assume a 28-day cycle is the standard, the actual range is broader and varies by individual.

    Standard Menstrual Cycle Length

    A menstrual cycle typically ranges from 21 to 45 days, depending on your life stage.

    Here’s a quick breakdown of cycle patterns:

    Life StageCycle RangeCommon Characteristics
    Teens21–45 daysIrregular cycles are typical
    Adults21–35 daysMore consistent and predictable
    Near MenopauseVariesIrregularity becomes more common

    Over a lifetime, the average person experiences about 500 cycles. But these patterns aren’t set in stone – they can shift for various reasons.

    Several factors can influence your cycle, and not all changes are a cause for concern.

    Natural Life Changes
    Your menstrual cycle patterns can shift as you age. According to UCLA Health:

    “The first few years of menstruation can be a roller coaster; it’s normal for some young people to have six or more years of irregular periods”.

    Physical Factors
    Your body’s physical state plays a big role in cycle timing. Influences include:

    • Weight changes (both gain and loss)
    • Adjustments in exercise habits
    • Starting or stopping birth control
    • Thyroid function changes

    Lifestyle Influences
    Stress levels in your daily life can also affect your cycle.

    Tracking your periods can help you understand your unique patterns and make it easier to identify when something might need attention from a healthcare provider.

    Reasons for Missed Periods Besides Pregnancy

    A missed period isn’t always due to pregnancy. Several other factors can influence your menstrual cycle.

    Stress and Life Changes

    Stress can throw off your menstrual cycle by interfering with hormone levels. Elevated cortisol, a stress hormone, can disrupt the hypothalamus, which regulates your cycle. Studies indicate that women aged 20–40 experiencing high stress often face irregular periods.

    “Stress affects the body. It can change how you sleep, what you eat and how you function. Stress can also delay your period”.

    Physical changes, such as fluctuations in weight and exercise routines, can also play a role in menstrual irregularities.

    Body Weight and Exercise

    Significant changes in body weight or engaging in intense physical activity can upset hormonal balance, leading to delayed or missed periods.

    FactorEffect on MenstruationWarning Signs
    Low WeightMay stop periods entirelyBMI below 19
    Weight GainCan disrupt hormone balanceIrregular cycles
    Intense ExerciseMay halt menstruationMissed periods

    Besides lifestyle influences, certain medical conditions might be the root cause of irregular or missed cycles.

    Medical Conditions

    Some health conditions can directly affect your menstrual cycle. Polycystic ovary syndrome (PCOS), thyroid issues, and primary ovarian insufficiency are common culprits. Other conditions like celiac disease, diabetes, and pelvic inflammatory disease can also contribute to menstrual changes.

    Proper diagnosis and treatment are crucial for managing these conditions. If irregular periods persist or if you notice other symptoms, it’s important to consult a healthcare professional.

    Could It Be Pregnancy?

    Missing a period is often one of the first signs that you might be pregnant.

    Early Signs of Pregnancy

    Some common early symptoms to look out for include:

    • Feeling nauseous or vomiting
    • Breasts that feel tender or more sensitive than usual

    If you notice these signs, it’s a good idea to take a test right away to confirm whether you’re pregnant.

    Using Home Pregnancy Tests

    DrDoGood provides reliable pregnancy test kits you can use at home. To get accurate results:

    • Use your first-morning urine sample.
    • Carefully follow the instructions provided with the kit.
    • Check the results within the time frame mentioned in the instructions.

    If you’re uncertain or want a more definitive answer, a blood test is the next step.

    Blood Tests for Pregnancy

    Blood tests are an extremely reliable way to confirm pregnancy. You can book one through DrDoGood’s platform at a nearby lab. Once you have your results, consult a healthcare provider if needed.

    If the test comes back negative but your menstrual cycle stays irregular, it’s important to speak with a healthcare provider for further evaluation.

    sbb-itb-3568213

    Period Tracking with Apps

    Why Track Your menstrual cycle

    Keeping track of your menstrual cycle helps you better understand your body’s rhythms. By monitoring regularly, you can detect irregularities early and discuss them with your doctor. Tracking also helps you keep an eye on cycle length, recurring symptoms, and any unusual changes. Plus, it allows you to prepare for upcoming periods and document concerns for medical visits. Apps like Poka Health make this process much easier and more organised.

    Using Poka Health

    Poka Health

    Poka Health simplifies period tracking while helping you quickly spot any irregularities. The app offers three main features to make tracking easy:

    • Record Your Cycle: Enter your period dates and flow, and the app automatically calculates your cycle length and tracks patterns.
    • Track Symptoms: Log changes in flow, mood, or discomfort to build a detailed health record.
    • Set Reminders: Get notifications about your next period, making it easier to prepare, notice delays, and schedule appointments.

    What sets Poka Health apart is its connection to DrDoGood’s healthcare platform. This integration allows you to share your tracking data directly with healthcare providers. With this information, doctors can better understand your menstrual patterns and offer more accurate advice or diagnoses when needed.

    FeatureWhat It Does
    Cycle AnalysisTracks your unique pattern and flags any changes
    Symptom LoggerBuilds a detailed record for medical consultations
    Smart PredictionsUses past data to help you plan ahead
    Healthcare IntegrationShares your data directly with DrDoGood providers

    Signs You Need a Doctor

    Warning Signs

    It’s normal for menstrual cycles to vary, but certain patterns should raise concerns. If you frequently miss your periods and pregnancy tests come back negative, it’s time to consult a doctor. Similarly, those using an IUD who notice a lack of menstrual flow should seek medical advice, as it could indicate a deeper issue.

    If you’re experiencing these signs, virtual consultations can provide quick access to expert help.

    Online Doctor Visits

    DrDoGood offers an easy way to get professional advice through virtual consultations. Here’s what to do:

    • Book an appointment: Use the DrDoGood app to schedule a session with a gynecologist.
    • Prepare for your consultation: Gather important information, including the date of your last period, any cycle changes, symptoms, medications you’re taking, and data from Poka Health. During the consultation, your doctor will review your history, discuss your symptoms, and, if necessary, arrange tests or plan follow-up care.

    DrDoGood’s virtual services also allow for blood tests or ultrasounds through partner facilities. By sharing your Poka Health tracking data, your doctor can better understand your menstrual patterns and provide a more thorough evaluation.

    Treatment and Mental Health

    Treatment Methods

    The approach to treatment varies based on the cause. For hormone-related issues, doctors may recommend combined contraceptive pills to balance hormone levels or hormone replacement therapy to address perimenopausal symptoms. Making lifestyle adjustments, such as eating a balanced diet, exercising regularly, practising stress-relief techniques like meditation, and avoiding excessive physical activity, can also help regulate menstrual cycles.

    “Treatment for late or missed period depends on what is causing it.” – NHS

    While addressing physical symptoms is essential, taking care of your emotional health is just as important.

    Managing Worry

    In addition to medical treatment, managing emotional stress plays a key role. Keeping track of your symptoms with tools like the Poka Health app can provide detailed records that make discussions with your healthcare provider more productive. This tracking can guide both treatment plans and mental health support.

    If irregular periods are disrupting your daily life, consider scheduling a virtual consultation through DrDoGood. This can help you explore both medical and therapy options. Many causes of missed periods can be addressed, and working with healthcare professionals can help ease related stress and anxiety.

    Resources in Ghana

    Finding Test Kits

    If you suspect a pregnancy, you can order a home test kit through the DrDoGood mobile app. These kits are available in cities like Accra, Kumasi, and Tamale, among others, and allow you to get results in the comfort of your home. If further confirmation is needed, you can easily schedule a blood test with certified local facilities through the same app. This is especially helpful if your home test results are unclear.

    In addition to testing, the platform provides access to essential information on menstrual health.

    Period Health Basics

    The DrDoGood app also offers a range of menstrual health resources, such as:

    • Virtual health consultations with certified providers
    • Community support tailored to local cultural practices
    • Poka Health tracking tools to help monitor your cycle and share accurate data with healthcare professionals

    The app connects users to qualified gynaecologists for both virtual and in-person appointments. With services available across all 16 regions of Ghana, you can access care whether you’re in urban centres like Accra or more rural areas.

    Summary

    A typical menstrual cycle lasts between 21 and 45 days. If you miss a period, it’s important to take action. Using the Poka Health tracking feature can help you spot patterns early, and DrDoGood offers testing and consultations across the country to address concerns.

    “Most underlying causes of missed or late periods can be treated or reversed. Tracking your menstrual cycles and being proactive about missed or late periods can ensure you get treatment quickly.” – UCLA Health

    It’s advisable to seek medical attention if:

    • You miss three periods in a row
    • You haven’t started menstruating by age 16
    • You experience symptoms like weight changes, fatigue, or increased facial hair

    As mentioned earlier, combining regular tracking with timely medical advice can improve outcomes. Interestingly, research indicates that only about one-third of girls with menstrual concerns seek professional help.