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Doctor Akan Mark
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Generalized Body Itching (Pruritus), Especially After Taking a BathGeneralized body itching, particularly after bathing ...
28/12/2025

Generalized Body Itching (Pruritus), Especially After Taking a Bath

Generalized body itching, particularly after bathing (often called aquagenic pruritus when triggered by water contact), is a sensation of itching affecting most or all parts of the body, usually without obvious skin rashes. It can be due to skin conditions, systemic diseases, environmental factors, or reactions to water, soaps, or temperature.

🌹Causes

Dry skin (Xerosis) – very common, worsened by hot water and harsh soaps.
Aquagenic pruritus – itching triggered by contact with water, regardless of temperature.
Allergic or irritant reactions – soaps, sponges, towels, detergents, antiseptics.
Hot water exposure – increases skin dryness and histamine release.
Skin conditions – eczema, atopic dermatitis, psoriasis, urticaria.
Systemic diseases:
Liver disease (e.g., cholestasis)
Kidney failure (uremia)
Diabetes mellitus
Thyroid disorders
Iron deficiency anemia
Blood disorders – e.g., polycythemia vera (classically causes itching after bath).
Infections – HIV, parasitic infestations.
Hormonal changes – pregnancy, menopause.
Medications – opioids, antimalarials, ACE inhibitors.
Psychogenic causes – anxiety, stress.

🌹Signs and Symptoms

Generalized itching, worse after bathing or showering
Tingling, prickling, or burning sensation on the skin
Itching without visible rash (common in aquagenic pruritus)
Dry, flaky, or cracked skin
Excoriation (scratch marks)
Sleep disturbance due to itching
Thickened skin in chronic cases (lichenification)

🌹Predisposing Factors

Frequent bathing, especially with hot water
Use of harsh soaps or antiseptics
Cold or dry weather
Increasing age (elderly skin is drier)
Poor hydration
Pregnancy
Chronic medical conditions (diabetes, liver or kidney disease)
Family history of atopy (allergy-related conditions)

🌹Preventive Measures
Bathing habits
Use lukewarm water instead of hot water
Limit bath time (5–10 minutes)
Avoid scrubbing with rough sponges
Skin care
Use mild, fragrance-free soaps
Apply moisturizer immediately after bathing (within 3 minutes)
Use emollients containing glycerin, shea butter, or petroleum jelly
Lifestyle measures
Drink adequate water daily
Wear loose, cotton clothing
Avoid wool and synthetic fabrics
Environmental measures
Use a humidifier in dry environments
Avoid excessive heat and sweating
Medical care
Treat underlying conditions promptly
Seek medical evaluation if itching is severe, persistent, or occurs without skin changes
Avoid self-medication with strong steroids without medical advice

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25/12/2025

Merry Christmas from US ❤️

CANDIDIASIS DURING PREGNANCYCandidiasis during pregnancy is a fungal infection caused mainly by Candida albicans. It com...
24/12/2025

CANDIDIASIS DURING PREGNANCY

Candidiasis during pregnancy is a fungal infection caused mainly by Candida albicans. It commonly affects the va**na and v***a of pregnant women due to hormonal and immunological changes that favor fungal overgrowth. Vaginal candidiasis is one of the most frequent infections seen in pregnancy.

Causes

Candidiasis occurs when there is overgrowth of Candida species, which are normally present in small amounts in the body. During pregnancy, the balance of normal va**nal flora may be disrupted, leading to infection.

Common causes include:

Increased estrogen levels during pregnancy
Altered va**nal pH
Reduced immune response
Overgrowth of Candida albicans

Types of Candidiasis in Pregnancy

Vulvova**nal candidiasis (VVC) – most common type in pregnancy
Oral candidiasis (oral thrush)
Cutaneous candidiasis – affects skin folds
Recurrent vulvova**nal candidiasis – repeated infections (4 or more episodes per year)

Signs and Symptoms

Pregnant women with candidiasis may experience:
Thick, white, curd-like va**nal discharge (often odorless)
Vaginal itching and irritation
Burning sensation, especially during urination or sexual in*******se
Redness and swelling of the v***a
Soreness or pain in the va**nal area

Predisposing Factors

These are conditions that make a pregnant woman more likely to develop candidiasis:
Hormonal changes during pregnancy
Increased va**nal glycogen
Weakened immune system
Poor personal hygiene
Prolonged use of tight or non-breathable underwear

Risk Factors

Factors that increase the likelihood of developing candidiasis include:
Diabetes mellitus or gestational diabetes
Use of antibiotics
Use of corticosteroids
Previous history of candidiasis
High-sugar diet
HIV or other immunosuppressive conditions

Preventive Measures

Candidiasis during pregnancy can be prevented through the following measures:
Maintaining good ge***al hygiene
Wearing loose, cotton underwear
Avoiding tight clothing
Avoiding unnecessary use of antibiotics
Keeping the ge***al area dry
Eating a balanced diet and reducing excessive sugar intake
Regular antenatal care visits
Prompt treatment of va**nal infections

Candidiasis is a common but manageable condition during pregnancy. Early recognition of symptoms, proper hygiene, and adherence to preventive measures can reduce its occurrence and complications. Pregnant women should seek medical attention for proper diagnosis and safe treatment.

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🌹HYPOTENSION(Another silent Killer)Hypotension is a medical condition characterized by abnormally low blood pressure, us...
23/12/2025

🌹HYPOTENSION
(Another silent Killer)

Hypotension is a medical condition characterized by abnormally low blood pressure, usually defined as a systolic blood pressure of less than 90 mmHg and/or a diastolic blood pressure of less than 60 mmHg. It occurs when blood flow to vital organs is inadequate, leading to symptoms and possible organ damage.

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Signs and Symptoms

The symptoms of hypotension vary depending on the severity and underlying cause. Common signs and symptoms include:

Dizziness or lightheadedness

Fainting (syncope)

Blurred vision

Weakness or fatigue

Nausea or vomiting

Cold, clammy, or pale skin

Rapid or shallow breathing

Confusion or difficulty concentrating

Shock in severe cases

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Predisposing Factors

Predisposing factors are conditions or situations that increase the likelihood of developing hypotension:

Dehydration due to vomiting, diarrhea, or excessive sweating

Prolonged bed rest

Pregnancy

Blood loss (trauma, surgery, or menstruation)

Aging (elderly individuals)

Prolonged standing

Severe infections

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Risk Factors

Risk factors that increase the chance of developing hypotension include:

Heart diseases (e.g., heart failure, bradycardia)

Endocrine disorders such as diabetes or adrenal insufficiency

Use of certain medications (antihypertensives, diuretics, antidepressants)

Severe allergic reactions (anaphylaxis)

Neurological disorders (e.g., Parkinson’s disease)

Malnutrition

Chronic illnesses

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Laboratory Investigations

Laboratory tests help identify the cause and assess the severity of hypotension. These include:

Blood pressure measurement (lying, sitting, and standing – postural BP)

Complete blood count (CBC) – to detect anemia or infection

Blood glucose level – to rule out hypoglycemia

Serum electrolytes – to assess dehydration or electrolyte imbalance

Renal function tests (urea and creatinine)

Hormonal tests (e.g., cortisol, thyroid function tests)

Blood cultures if infection or sepsis is suspected

ECG and echocardiography to assess cardiac function

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Preventive Measures

Hypotension can be prevented or managed through lifestyle and medical interventions:

Adequate fluid intake to prevent dehydration

Balanced diet with sufficient salt (as advised by a healthcare provider)

Avoid sudden changes in posture (rise slowly from sitting or lying positions)

Wearing compression stockings

Avoid prolonged standing

Regular monitoring of blood pressure

Proper management of underlying medical conditions

Reviewing medications with a healthcare provider

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23/12/2025

Baby you must survive 🌹

Breast Milk Flow but Not Pregnant (Galactorrhea)Breast milk flow in a woman who is not pregnant or breastfeeding is know...
22/12/2025

Breast Milk Flow but Not Pregnant (Galactorrhea)

Breast milk flow in a woman who is not pregnant or breastfeeding is known as galactorrhea. It is the spontaneous discharge of milk or milk-like fluid from one or both ni***es, unrelated to childbirth.

Causes
Hormonal imbalance, especially increased prolactin secretion
Pituitary gland disorders (e.g. prolactinoma)
Hypothyroidism
Polycystic ovarian syndrome (PCOS)
Side effects of certain medications:
Antipsychotics
Antidepressants
Oral contraceptives
Antihypertensive drugs (e.g. methyldopa)
Excessive ni**le or breast stimulation
Chest wall injury or surgery
Chronic kidney disease
Use of recreational drugs (e.g. ma*****na)

Signs and Symptoms

Milky or whitish discharge from one or both ni***es
Breast fullness or tenderness
Irregular or absent menstrual periods (amenorrhea)
Infertility
Reduced sexual desire
Headache or visual disturbances (if pituitary involvement)
In rare cases, breast enlargement

Predisposing Factors

Previous pregnancy or prolonged breastfeeding
Hormonal disorders
Thyroid dysfunction
Stress
History of pituitary disease
Long-term use of hormone-affecting medications
Risk Factors
Use of dopamine-blocking drugs
Endocrine disorders
Chronic illness (kidney or liver disease)
Frequent breast stimulation
Obesity
Poor medication compliance or self-medication

Preventive Measures
Avoid unnecessary breast or ni**le stimulation
Use medications only under medical supervision
Manage stress through healthy coping strategies
Early treatment of hormonal and thyroid disorders
Regular medical check-ups for menstrual abnormalities
Avoid use of recreational drugs
Prompt reporting of abnormal ni**le discharge to a healthcare provider

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Add this to your meals
21/12/2025

Add this to your meals

When your baby is ready to start taking solid meals
21/12/2025

When your baby is ready to start taking solid meals

🌹Gestational HypertensionGestational hypertension is a condition characterized by elevated blood pressure (≥140/90 mmHg)...
20/12/2025

🌹Gestational Hypertension

Gestational hypertension is a condition characterized by elevated blood pressure (≥140/90 mmHg) that develops after 20 weeks of pregnancy in a previously normotensive woman, without proteinuria or features of pre-eclampsia. Blood pressure usually returns to normal within 12 weeks postpartum.

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Signs and Symptoms

Many women may be asymptomatic, especially in the early stage. When present, symptoms may include:

Persistent headache

Dizziness

Blurred vision

Swelling of the face, hands, or feet (edema)

Nausea or vomiting

Sudden weight gain

Fatigue

Elevated blood pressure on routine antenatal checks

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Risk Factors

Maternal Risk Factors

First pregnancy (primigravida)

Age 35 years

Family history of hypertension

Obesity or excessive weight gain during pregnancy

Multiple pregnancy (twins or more)

Diabetes mellitus

Chronic kidney disease

Previous history of gestational hypertension

Poor antenatal care attendance

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Risks/Complications

Risks to the Mother

Progression to pre-eclampsia or eclampsia

Placental abruption

Postpartum hemorrhage

Stroke or cardiovascular complications

Increased likelihood of future chronic hypertension

Organ damage (kidneys, liver, brain)

Risks to the Fetus

Intrauterine growth restriction (IUGR)

Preterm birth

Low birth weight

Fetal distress

Stillbirth or perinatal death

Reduced placental blood flow

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Predisposing Factors

Genetic predisposition

Poor nutrition (low calcium or protein intake)

Stress and anxiety during pregnancy

Sedentary lifestyle

Smoking or alcohol use

Low socioeconomic status

Short or long inter-pregnancy interval

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Preventive Measures

Early booking and regular antenatal care

Routine blood pressure monitoring during pregnancy

Healthy balanced diet rich in fruits, vegetables, and protein

Adequate rest and stress reduction

Weight control before and during pregnancy

Avoidance of smoking and alcohol

Moderate physical activity as advised by healthcare providers

Calcium supplementation where recommended

Prompt treatment and referral if blood pressure rises

Gestational hypertension is a common pregnancy complication that can adversely affect both mother and fetus if not properly managed. Early detection, regular antenatal care, and appropriate preventive measures play a crucial role in reducing complications

🌹Book a session with us for treatment today

🌹Gestational Diabetes Mellitus (GDM) Is a condition characterized by glucose intolerance of varying severity that is fir...
20/12/2025

🌹Gestational Diabetes Mellitus (GDM)

Is a condition characterized by glucose intolerance of varying severity that is first recognized during pregnancy, usually in the second or third trimester. It occurs when the body cannot produce enough insulin to meet the increased needs of pregnancy, leading to elevated blood glucose levels.

Signs and Symptoms

Many women with GDM may be asymptomatic, but when symptoms occur, they may include:

Excessive thirst (polydipsia)

Frequent urination (polyuria)

Increased hunger (polyphagia)

Fatigue or weakness

Recurrent urinary tract or va**nal infections

Blurred vision

Excessive weight gain during pregnancy

Predisposing factors are conditions that make a woman more likely to develop GDM:

Pregnancy-induced insulin resistance

Hormonal changes during pregnancy (human placental lactogen, estrogen, progesterone)

Previous history of gestational diabetes

Family history of diabetes mellitus

Previous delivery of a macrosomic baby (≥4 kg)

Polycystic ovarian syndrome (PCOS)

Risk Factors

Maternal age ≥ 25–30 years

Overweight or obesity (BMI ≥ 25 kg/m²)

Previous unexplained stillbirth

Previous pregnancy with conge***al anomalies

Multiple pregnancy (twins or more)

Sedentary lifestyle

Ethnic predisposition (higher risk among Africans, Asians, Hispanics)

Complications to the Mother

Gestational hypertension and pre-eclampsia

Polyhydramnios

Increased risk of operative delivery
(caesarean section)

Birth trauma

Postpartum hemorrhage

Increased risk of developing Type 2 diabetes mellitus later in life

Recurrence of GDM in future pregnancies

Complications to the Baby (Fetus/Neonate)

Fetal macrosomia (large baby)

Birth injuries (shoulder dystocia, fractures)

Preterm birth

Neonatal hypoglycemia
Respiratory distress syndrome

Conge***al anomalies (especially if glucose control is poor early in pregnancy)

Stillbirth or perinatal death

Increased risk of obesity and diabetes later in life

Preventive Measures
Pre-pregnancy counseling and screening for high-risk women

Early antenatal booking and regular antenatal care

Screening for GDM between 24–28 weeks of gestation

Healthy balanced diet with controlled carbohydrate intake

Regular moderate physical activity (e.g., walking

Weight control before and during pregnancy
Blood glucose monitoring during pregnancy

Proper management with diet, exercise, and insulin or oral agents if indicated

Postpartum glucose testing and long-term lifestyle modification

Gestational diabetes mellitus is a common but preventable and manageable pregnancy complication. Early detection, proper antenatal care, lifestyle modification, and strict glucose control are essential in reducing adverse outcomes for both mother and baby.

🌹Book a session today for treatment

19/12/2025

🌹Diabetes Mellitus

Diabetes mellitus is a chronic metabolic disorder characterized by persistent high blood glucose levels (hyperglycaemia) resulting from defects in insulin secretion, insulin action, or both. Insulin is a hormone produced by the pancreas that helps glucose enter body cells for energy.

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Types of Diabetes Mellitus

1. Type 1 Diabetes Mellitus

Caused by destruction of pancreatic beta cells, leading to absolute insulin deficiency.

Usually occurs in children and young adults.

Patients require lifelong insulin therapy.

2. Type 2 Diabetes Mellitus

Results from insulin resistance and relative insulin deficiency.

Common in adults, especially those who are overweight or obese.

Often managed with lifestyle modification, oral drugs, and sometimes insulin.

3. Gestational Diabetes Mellitus (GDM)

Develops during pregnancy in women without previous diabetes.

Usually resolves after delivery but increases the risk of future Type 2 diabetes.

4. Other Specific Types

Caused by genetic defects, pancreatic diseases, infections, or drug-induced conditions (e.g., steroid-induced diabetes).

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Signs and Symptoms of Diabetes Mellitus

Common Symptoms

Frequent urination (polyuria)

Excessive thirst (polydipsia)

Excessive hunger (polyphagia)

Unexplained weight loss

Fatigue and weakness

Blurred vision

Other Symptoms

Slow wound healing

Recurrent infections (urinary tract, skin, va**nal infections)

Tingling or numbness of hands and feet

Erectile dysfunction in men

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Predisposing Factors

Family history of diabetes

Obesity or overweight

Physical inactivity

Poor dietary habits (high intake of sugar and fats)

Increasing age

Pregnancy (for gestational diabetes)

Hypertension and dyslipidaemia

History of gestational diabetes or large baby

Use of certain drugs (e.g., corticosteroids)

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Preventive Measures

Primary Prevention

Maintaining a healthy body weight

Eating a balanced diet rich in fruits, vegetables, and whole grains

Reducing intake of sugary foods and saturated fats

Engaging in regular physical exercise

Avoiding smoking and excessive alcohol intake

Secondary Prevention

Regular blood glucose screening, especially for high-risk individuals

Early diagnosis and prompt treatment

Health education on diabetes management

Tertiary Prevention

Good blood sugar control to prevent complications

Adherence to medications and insulin therapy

Routine medical check-ups

Foot care, eye care, and kidney function monitoring

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Conclusion

Diabetes mellitus is a major public health problem with serious complications if not properly managed. Early detection, lifestyle modification, and appropriate medical care play a vital role in preventing the disease and reducing its complications.

🌹Book a session for treatment with Us today

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