Endocrine disruptive chemicals include pesticides, herbicides, insecticides and heavy metals

Posted on March 2, 2018 by admin
In Medical

 Endocrine disruptive chemicals include Bisphenols, phthalates, parabens, persistent organic pollutants, pesticides, herbicides, insecticides and heavy metals


EDC chemicals abound in the environment. They are both naturally occurring and artificially occurring in everyday items.

They have been associated   with negative effects on male and female   reproduction. They include bisphenols found in tin can liners, phthalates used as softener plasticizers in clothing and personal care products, parabens used as a preservative in food and personal care products, persisting organic pollutants used as industrial lubricants in manufacturing and as flame retardants contaminating products.


Simple steps to reduce exposure wash fruit and vegetables before use.  Purchase known local produce. Minimize use of preprocessed or packaged foods Limit intake of fatty meats and oily fishes as the chemicals concentrate   in the fats. Minimize handling of receipts as the thermal coating contains   Bisphenols (BPA) as doe the lining of tin cans.

Drink water from hard plastic or glass bottles to reduce exposure to plasticizers. Do not heat food in soft plastic containers or with cling wrap – plastics may release dioxin.  Avoid perfumed air fresheners volatile glues and solvents cleaners Air your environment frequently to reduce the concentration of inhalable particles, Read the labels of foodstuffs and personal care items with direct skin contact and purchase those low in parabens and other EDC including their packaging

 Diverticular  disease

Posted on February 8, 2018 by admin
In Medical

Diverticular disease occurs in about  10% of people over 45 YO and  65% for those  older  than  70. Only 15-20% of  patients  have  symptoms  but a  quarter of these  will develop inflammatory diverticulitis which may be  associated with significant  infection   abscess formation or  haemorrhage. Consideration should be  given to colonoscopy or    ct  colonography   follow up following severe  episodes of diverticulitis unless recently performed prior to the  episode.

Antibiotics  and  resting the  bowel during  acute  diverticulitis is   commonplace  during bouts of diverticulitis  but   a  high fibre diet  when the  bowel is asymptomatic  is the  main stay of  treating diverticular  disease and  avoiding  diverticulitis   inflammation.

Osteoporosis prevention and  exercise

Posted on December 2, 2017 by admin
In Medical

Osteoporosis   can be  treated  with  medication ,  adequate   Vit D  and Calcium  in the diet .               Exercise   can  delay  the onset of  osteoporosis

Appropriate  vigorous exercise includes :-

Basketball, netball, impact aerobics, dancing, gymnastics , tennis  and skipping Moderate    benefit  can be derived from

Running, jogging , brisk walking , walking  hills, resistance training and stair climbing


Altitude sickness

Posted on November 3, 2017 by admin
In Medical


Destinations above 2500 metres may expose the traveler to possible altitude sickness by reducing the amount of inspired oxygen. Presenting symptoms may include headache, faintness or giddiness, breathlessness, nausea, vomiting or reduced exercise tolerance. Symptoms often present within 36 hours but may appear at a few days.

Previous altitude sickness increase the risk of recurrence.


Ascents greater than 500 metres / day above 3000 metres increase the likelihood of altitude sickness. A rest day every 3-4 days   is recommended to assist acclimatization. Spending 2 nights at high altitudes in the 30 days preceding, before ascending further is beneficial.

Ibuprofen, Diamox and Dexamethasone   have been found to be useful in treating altitude sickness. Nifedipine may also be useful


Contraindications to high altitude travel are severe COAD, severe or unstable ischaemic heart disease, heart failure, pulmonary hypertension, pregnancy, cerebrovascular disease or DVT.

Soft tissue injuries- ankles

Posted on October 2, 2017 by admin
In Medical

Most   ankle injuries are soft tissue damage diagnosed at clinical examination.

X-Ray / Ultrasound/MRI   are only required if a fracture joint disruption or arthritis is suspected.


Initial treatment – usually for the first 8 hours

R est

I ce  – icepacks (wrap in cloth) 20 minutes 2 hourly during waking hours

C ompression firmly bandage the injured part

E legate the injured part


Avoid the following HARM in the first few days after injury

No Heat, No Alcohol, No Running No Massage