Author: The Pitch Point

DR. MEENAKSHI SHAMSUKHA GYNAECOLOGIST

Pregnant? Hungry? Looking for a snack that will make your tummy and your baby happy? You’re probably hearing it a lot: Eating nutritious foods while pregnant is essential.

We’re here to make your kitchen into a one-stop shop of healthy and delicious foods that will give your baby the best start to life.

When building your healthy eating plan, you’ll want to focus on whole foods that give you higher amounts of the good stuff you’d need when not pregnant such as:

1. protein
2. vitamins and minerals
3. healthy types of fat
4. complex carbohydrates
5. fiber and fluids

Here are super nutritious foods to eat when you’re pregnant to help make sure you’re hitting those nutrient goals.

QUICK TIPS FOR FOODS TO EAT WHEN PREGNANT

• Dairy products, especially yogurt, are a great choice. They help you meet increased protein and calcium needs.
• Legumes are super sources of folate, fiber, and many other nutrients. Folate is a very important nutrient during pregnancy.
• Sweet potatoes are an excellent source of beta carotene, which your body transforms into vitamin A. Vitamin A is important for the growth and differentiation of cells in your growing baby.
• Salmon contains the essential omega-3 fatty acids EPA and DHA, which are important for brain and eye development in your growing baby. It’s also a natural source of vitamin D.
• Whole eggs are incredibly nutritious and a great way to increase your overall nutrient intake. They also contain choline, an essential nutrient for brain health and development.
• Broccoli and leafy greens contain most of the nutrients that you’ll need. They’re also rich in fiber, which may help prevent or treat constipation.
• Lean meat is a good source of high-quality protein.
• Berries contain water, carbs, vitamin C, fiber, vitamins, antioxidants, and plant compounds. They may help you increase your nutrient and water intake.
• Whole grains are packed with fiber, vitamins, and plant compounds. They’re also rich in B vitamins, fiber, and magnesium.
• Avocados contain high amounts of monounsaturated fatty acids, fiber, folate, and potassium. They may help relieve leg cramps, too.
• Dried fruit may be highly beneficial for pregnant women since they’re small and nutrient-dense. Just make sure to limit your portions and avoid candied varieties, to prevent excess sugar intake.
• Drinking water is important as your blood volume increases during pregnancy. Adequate hydration may also help prevent constipation and urinary tract infections.

This list should be a good start towards a healthy, well-nourished pregnancy.

DR. DHEERAJ SHAMSUKHA MBBS, MS, MCH. UROLOGY

KIDNEY STONE SIGNS AND SYMPTOMS

Kidney stones are conglomerations of crystals that form when concentrations of minerals in the urine become very high. Stones almost always start in the kidneys. They may cause problems there, or may not be noticed until they move into the ureter (the tube that connects the kidney to the urinary bladder). Once stones enter into the ureter it can obstruct the drainage of urine which generally causes symptoms such as pain in the upper back (i.e., the flank) or lower abdomen, nausea, vomiting, and blood in the urine. Many stones will pass down the ureter, into the bladder and then be voided with urine. Occasionally stones can remain lodged in the ureter or within the bladder.

KIDNEY STONE TREATMENT OPTIONS

Our Urologist Dr. Dheeraj Shamsukha works with patients in every stage of their condition, creating a personalized plan whether surgery is needed or not. He also tries to identify factors that may be causing the stones, so as to keep current stones from getting larger and reduce the risk of developing future stones.

When suspected of having a kidney stone, a history is taken, physical exam is performed, and radiological imaging is obtained. Study may include a plain x-ray of the abdomen, a renal ultrasound, or a CT scan. They help in determine the location of the stone, its size, the degree to which the stone may be causing an obstruction to urine flow, and what types of therapy would be appropriate for management.

CONSERVATIVE MANAGEMENT

In cases when the stone has moved into the ureter, especially if the stone is small (less than 0.5 centimeters), often recommended is conservative management. Many smaller stones will pass on their own, allowing patients to avoid surgery. Conservative management includes pain control (usually with acetaminophen and a non-steroidal anti-inflammatory drug like ibuprofen), hydration (6 to 8 glasses of water a day), and medical expulsive therapy using an alpha blocker (e.g., tamsulosin). Many stones will pass with this management, without requiring a surgical procedure.

MINIMALLY INVASIVE SURGICAL TREATMENTS

Factors that influence stone passage include the stone’s size and location. The larger a stone is, the less likely that it will pass without surgery. Surgical treatment is usually recommended for stones 0.5 centimeters in size and larger, as well as for patients who fail conservative management. The procedures used today to remove stones are minimally invasive and highly effective. The most common techniques include shock wave lithotripsy, ureteroscopy with laser lithotripsy, and percutaneous nephrolithotomy. Our endourology team performs over a thousand of these procedures every year, using the latest technology.

Dr. Kirti Shamsukha

You know oral care is vital for your smile and overall health, but how will you know you’re taking care of your oral hygiene? Answer all your questions about brushing your teeth, including how long you need to brush, how to tell if your teeth are clean and typical techniques to do a thorough cleaning.

How Long Should You Brush Your Teeth?

Proper brushing takes at least two minutes. Two minutes can seem like a long time – especially for children. You can use a timer to make it a bit more fun. Some electric toothbrushes have automatic timers to encourage dedicating two minutes to brushing.

Can You Brush Your Teeth Too Much?

Brushing for longer than two minutes is not harmful, as long as you’re using firm but gentle pressure. Using too much pressure can damage enamel and gum tissue, leading to tooth sensitivity and irritated gums. Try brushing with your non-dominant hand to realise the difference in the amount of pressure on your teeth.

What tools are best for brushing my teeth?

Combined with the brushing technique, you need the correct tools to do a good job with any task. In general, choosing a soft-bristle toothbrush that can fit in the hard-to-reach places and your mouth with fluoride toothpaste will do the job! It’s essential to replace your toothbrush every three to four months. Worn, frayed brushes don’t clean thoroughly, and older brushes can harbour bacteria. Whatever tools are most comfortable for you to complete proper brushing twice a day, two minutes each time are the best choice.

How to tell if your teeth are clean enough?

Two minutes may not cut it if you’re not brushing correctly. All surfaces of your teeth should be clean and free from debris. Remember to use short strokes, moving back and forth against the teeth and gums, on every tooth. Reach behind the front teeth and your back molars too. Also, cleaning between your teeth is just as important as brushing.

If you’re not reaching these narrow areas or using an interdental brush, floss, or water flossers, if you notice more plaque build-up or bleeding gums, you may not be cleaning your teeth well enough. Your dental hygienist at your next appointment can let you know if you’re not brushing or flossing enough.