Medicine

here we discuss medicine topics

Gastroenteritis and food poisoning.

Gastroenteritis and food poisoning.

Medical Information, Medicine, Paediatric
Gastroenteritis (GE) is inflammation of the stomach and small intestines presenting with nausea, vomiting, abdominal discomfort or pain and diarrhoea. Food poisoning is the illness as a result of consumption of contaminated food with bacteria, viruses, parasites as well as chemical and natural toxins. Food poisoning also presents just like Gastroenteritis. In Kenya Gastroenteritis is very common in children. Many children presents in our hospitals with diarrhoea. Food poisoning is also common in Kenya especially following consumption or undercooked meat in joints or food not handle hygienically. Just recently opposition leader Raila Odinga was treated with food poisoning. Gastroenteritis may be of nonspecific, uncertain, or unknown etiology or of bacterial, viral, parasitic, o...
Malaria in Kenya.

Malaria in Kenya.

Medical Information, Medicine, Paediatric
As a medical practitioner in a malaria endemic region Mombasa city down at the coast of Kenya, I see a lot of patients with malaria. Malaria is one of the leading causes of Morbidity and Mortality in Kenya, it accounts to about 15% of all outpatients attendance in the country’s health facilities. It’s common in the Lake Victoria region of western Kenya and the Coastal region. Children and pregnant mothers are a high risk population for Malaria. Malaria is caused by parasitic organism of the Plasmodium species. There are 5 types, P. Falciparum, P. Vivax, P. Ovale, P. Malariae and new species P. knowlesi. Plasmodium Falciparum is the most aggressive and causes severe disease. Malaria is transmitted by an infected female anopheles mosquito who has fed on the blood of an infected per
Care of the feet for people with Diabetes – Diabetes ulcers/foot infections.

Care of the feet for people with Diabetes – Diabetes ulcers/foot infections.

General Health, Medical Information, Medicine, Surgery
Diabetes Mellitus or simply diabetes is very common in our today society. We have special clinics in our hospitals whereby we follow up patients with diabetes in order to optimize their diabetes control and the drugs for diabetes in our patients. In these visits, we also emphasize on diet, lifestyle and general care for people with diabetes. On the care, we educate our patients on the care of the feet in order to prevent diabetes ulcers/foot since it’s easy to get ulcers if not careful due to reduced protective sensation of pain and the healing is slower compared to general population since there is usually compromise of the blood supply from micro-vascular disease. When infected, it’s not easy to treat because of the compromised reach of the antibiotics due to the same. If care is
Postpartum depression: – Ignorance, stigma and association to lack of faith in Africa of mental illnesses.

Postpartum depression: – Ignorance, stigma and association to lack of faith in Africa of mental illnesses.

Medical Information, Medical Stories, Medicine
Postpartum depression, also known as postnatal depression is one of the mental illnesses which most African communities are quite ignorant about. Stigma around mental illnesses is worrisome in Africa and the illnesses are sometimes associated with lack of faith in religion, as portrayed in a thread I was reading in the Divorce Diaries of Jaruma Magazine, an online magazine of Nigeria. A 47 year old man divorced her wife after years of a happy marriage because she was not herself after giving birth. Doctors advised that it was Postpartum/postnatal depression but the family took the mother back home where she was secluded and was given herbal medicine. ‘My ever smiling Habiba became withdrawn and moody. Her ever smiling face was replaced by a permanent frown. Habiba had locked herself
Lymphatic Filariasis – Elephantiasis, neglected tropical crippling disease.

Lymphatic Filariasis – Elephantiasis, neglected tropical crippling disease.

HealthCare in Kenya, Medical Information, Medicine, Surgery
Lymphatic filariasis also called elephantiasis is a disease caused by filarial parasitic worms that can lead to swellings of the limbs and genitalia. This usually leads to social stigma and severe disability of the patient making them to stay at home and not doing productive work hence economic loss. Currently the disease is affecting 120 million people with 40 million suffering the severe form of the disease around the world. The disease is endemic mainly in India, Africa and South America. In Kenya over 3 million people are at risk of the disease mostly the poor communities where sanitation is poor and mosquito breeding is rampant. There are campaigns on going to eradicate the disease by 2020. The government of Kenya set aside 1 Billion Kenya shilling for eradication of elephantia...
Common causes of dizziness

Common causes of dizziness

General Health, Medical Information, Medicine
Dizziness or lightheadedness as a symptom is so common nowadays here at the coast of Kenya because of increased heat. So many people consult me in person or over the phone about them feeling dizzy sometimes. Even my own sister experienced dizziness just recently, hence the decision to write about the common causes of dizziness and what to do about it. It is important to note that by dizziness here we mean the feeling that you are about to faint or ‘pass out’ and not vertigo whereby you feel either you or your surroundings are moving. Dizziness is a common symptom that’s not usually a sign of anything serious especially when brief, but should be investigated by a doctor. See your doctor when worried, prolonged dizziness, repeated episodes of dizziness or particularly when you experie
Genital herpes vaccine may soon be available.

Genital herpes vaccine may soon be available.

Medical Information, Medicine, SEXUAL HEALTH, TRENDING
Genital herpes is mainly caused by herpes simplex virus 2 (HSV-2) but can also be caused by herpes simplex 1 (HSV-1) due to oral sex, the latter recently being increasingly common. Type 1 herpes causes oral herpes associated with cold sores around the mouth. Most people are carriers of the infection and are not exhibiting any symptoms hence unaware that they have been infected. The herpes virus is spread by skin-to-skin contact and can be transmitted during vaginal, oral or anal sex. A study done in 1998 indicated that genital herpes is the most common sexually transmitted infection (STI) by the number of cases and 1.1 billion people around the world (15.9%) had asymptomatic genital herpes by 2013. The most common symptom is lesions on the genitalia, other symptoms may include pain,...
Asthma

Asthma

Medical Information, Medicine, Paediatric
Asthma is a chronic inflammatory lung disease characterized by airway narrowing and increased airway responsiveness to a variety of stimuli. Asthma presents with cough, chest tightness, difficulty or shortness of breath (dyspnea) and wheezing usually associated to a certain triggering event. Epidemiology It is estimated that 300 million people have asthma around the world. It affects about 26 million people in the United States. Prevalence of asthma is 10% in Kenya compared with international prevalence which is about 2-10%. It is common in urban than rural areas here in Kenya. It is common in children, more common in male up to the age of 20 years of age where there is no difference in the sexes. After age of 40 years, it becomes common in women. In Kenya it is common i...

Complications of Diabetes Mellitus

Medical Information, Medicine
By Dr Ali Omar The complications of Diabetes mellitus are divided into Acute and chronic. Acute Complications of Diabetes Diabetic ketoacidosis (DKA) This is a major medical emergency seen especially in people with type 1 diabetes. The patient usually develops inter-current infections leading to loss of appetite so they think at this time they don’t need the insulin so much. It is characterised by biochemical features Hyperglycemia, hyperkeratonemia (high ketone bodies) and metabolic acidosis. Hyperglycemia causes profound osmotic diuresis leading to dehydration and electrolyte loss especially sodium and potassium. Ketones also accumulate in the blood due to increased lipolysis. All patients are usually depleted of potassium even though it might not show in the bloo

Diabetes Mellitus

Medical Information, Medicine
By Dr Ali Omar Diabetes mellitus or simply diabetes is defined as a clinical syndrome characterised by high blood sugar/glucose level (hyperglycemia) due to absolute or relative insulin deficiency. Introduction Diabetes is on the rise in Kenya and around the world. About 1% of total deaths in Kenya were due to Diabetes in 2012 according to WHO. The prevalence of diabetes in 2014 in Kenya was at 6%. According to CDC 2011, 1 million Americans are suffering from type 1 diabetes, 26 million have type 2 and 79 Million have pre-diabetes in the United states of America. There are mainly two types of Diabetes. Type 1 and type 2 diabetes mellitus. Diabetes is due to combination of genetic and environmental factors such as diet, obesity and lack of exercise. Diabetes is a seri...