Mole or melanoma? How to spot skin cancer

December 02, 2024

skin cancer

MakatiMed says to remember your ABCDE

It’s on Hollywood legend Marilyn Monroe’s lower left cheek, on supermodel Cindy Crawford’s left upper lip, and on the outer left eye of Filipino actor Piolo Pascual. “It” is a mole, or beauty mark, that noticeable spot on your face that enhances your attractiveness and makes you uniquely you.

Sometimes, though, a “mole” can be a symptom of a serious health concern.

“Most moles, dark spots, and skin growths are harmless,” says Donna Marie L. Sarrosa, MD of the Dermatology & Phototherapy Center of top hospital in the Philippines, Makati Medical Center (MakatiMed). “Unfortunately, some growths tend to be mistaken for moles when they’re actually melanoma, a form of skin cancer that begins in the melanocytes, or the cells responsible for producing melanin, the pigment that gives our skin its color.”

Can Filipinos get skin cancer? While skin cancer is associated with Caucasians, given that they produce less melanin, Asians aren’t exempt from developing the disease. “According to data from the Philippine Dermatological Society, about 2,700 Filipinos were diagnosed with skin cancer between the years 2011 and 2021—2,102 had basal cell skin cancer and 614 had squamous cell skin cancer,” Dr. Sarrosa points out.

As for melanoma, new and unusual growths can appear anywhere on the body, including your eyes and internal organs. “Inspect often-missed areas. Darker-skinned folks like Filipinos can get them on their back, nails, or soles of their feet,” advises Dr. Sarrosa. “About 30 percent of melanomas start off as moles, so it’s important to keep track of growths that didn’t use to be there or that change over time.”

Constant exposure to the sun’s ultraviolet (UV) rays is said to be the cause of skin cancer, but the likelihood of you getting it increases too if you have a family history of skin cancer, many moles, and a weak immune system.

The ABCDEs of melanoma. So, how do you know it’s melanoma—or just a plain old mole? “When assessing a suspicious growth, remember ABCDE, an acronym by the American Academy of Dermatology,” says Dr. Sarrosa.

“Look for Asymmetry, or if one half of the growth doesn’t match the other half. Check out the Border or the edges of the growth; a melanoma is not smooth. A melanoma’s Color comes in uneven shades of brown, black, gray, red, or white. Furthermore, its Diameter is bigger than a pencil eraser. Melanomas are also Evolving, meaning they change in size, shape, and color from the first time you noticed them.”

Melanomas are diagnosed with dermoscopy or total body mapping to check lesions on the skin. If found to be malignant, your doctor will request imaging tests like a CT scan, MRI, or PET scan to gauge the stage of the skin cancer.

The results of these tests determine the most appropriate approach to treatment. “Like other types of cancer, melanoma’s treatment options include surgery, radiotherapy, targeted therapy (oral medication that specifically attacks cancer cells), and immunotherapy (a treatment that strengthens your immune system to fight cancer cells),” explains Dr. Sarrosa.

Observing healthy habits can help reduce your risk of developing melanomas. “Keep away from the sun, particularly between the hours of 10 am and 4 pm, when the UV rays are at their harshest,” says Dr. Sarrosa. “Apply a sunscreen of SPF 30 or higher and reapply if you’re swimming or sweating a lot outdoors. Wear hats, light-colored long-sleeved shirts and pants, and sunglasses to protect yourself from the sun’s rays.”

Early detection can also curb skin cancer’s growth and spreading. “If spotted early enough, melanomas have a 99 percent cure rate,” Dr. Sarrosa assures, “so it pays to check yourself regularly for any new and unusual growths, and to advise your family physician about suspicious ‘moles.’”

For more information, contact MakatiMed On-Call at +632.88888 999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow @IamMakatiMed on Facebook and Twitter.
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Vista Land's Master Planned Developments: A Catalyst for Growth in North and Central Luzon

November 29, 2024

North and Central Luzon are witnessing a transformation into economic powerhouses, fueled by their strategic locations, available land bank, and expanding industrial sectors. Vista Land, the Philippines’ leading integrated property developer, has recognized this potential, particularly in provinces of Bulacan, Pampanga, and Bataan, where the company is situating its collection of master planned developments known as Vista Estates. These integrated communities are crucial for bolstering local employment opportunities and attracting foreign investments, which are vital for regional progress. The proactive approach of the company aligns with national economic goals, reinforcing its role as a catalyst for growth in these areas.

Growth centers: Emerging economic powerhouses

Verida Bataan

In Balanga, Bataan, Vista Land is setting the groundwork for Verida, a vast 50-hectare master planned development that incorporates smart city principles and sustainable initiatives. The estate is designed with the latest advancements in green technology, offering an eco-friendly environment that fosters innovation. As Balanga attracts business process outsourcing (BPO) firms, technology companies, and educational institutions, particularly due to its proximity to the upcoming Bataan-Cavite Interlink Bridge, Verida will provide the necessary infrastructure and amenities to facilitate the transformation of the city into an urban center.

This initiative not only enhances the regional appeal but also promotes a conscious lifestyle reflected in green spaces, efficient transportation systems, and modern residential options. Verida aims to create a balanced urban ecosystem that meets the needs of its residents while respecting the environment.

Amistelle Pampanga

Amistelle, a condominium property in San Fernando, Pampanga, addresses the surging demand for residential options in this regional commerce and transportation hub. Its location along the North Luzon Expressway (NLEX), coupled with its proximity to Clark International Airport and Subic Bay, positions it as a crucial link between North Luzon and Metro Manila. This connectivity facilitates trade, tourism, and economic activities, making it an attractive destination for both residents and businesses.

In addition to its economic advantages, San Fernando is embedded in Kapampangan culture and heritage. The development of Amistelle aims to capture this essence, providing residents with a modern lifestyle while immersing them in cultural diversity. The development not only meets the growing demand but also enhances the appeal of the city.

Bulacan is undergoing a significant transformation with the construction of the New Manila International Airport (Bulacan International Airport), a multi-billion-dollar project expected to revolutionize the provincial connectivity to domestic and international markets. This airport is anticipated to boost economic activities significantly, driving the demand for housing, commercial spaces, and infrastructure developments.

Surrounding areas are witnessing the emergence of industrial zones and commercial centers, positioning Bulacan as one of the fastest-growing provinces in Central Luzon. The strategic investments of Vista Land in this area are designed to cater to the anticipated real estate boom. By developing integrated communities and enterprise centers, Vista Land aims to attract local entrepreneurs and multinational companies, contributing to the economic vibrance of the city.

The Crescent Santa Maria Bulacan

Santa Maria is rapidly evolving into a nexus for residential and commercial activities, benefiting from its proximity to Metro Manila. Its accessibility, particularly through NLEX, makes it an ideal site for master planned developments like The Crescent. The 38-hectare New Orleans-in-miniature will be built according to the same structured street pattern and architectural enchantment as the French Quarter along Bourbon Street in New Orleans, beloved for its spirited nightlife and culinary wonders. The locale is a composite of French Creole and Spanish art, architecture, food, and language—with other cultures pitching in. It is poised to cater to professionals and expanding families, allowing them to take advantage of the increasing employment opportunities in the area.

Similarly, Malolos, the provincial capital, is transitioning into a metropolitan center, leveraging its historical significance and position near the planned airport. The city is experiencing substantial infrastructure enhancements and the development of new business districts and residential communities. Notable is Provence, a sprawling 350-hectare development designed in the French-Mediterranean style, which aims to provide a unique living experience that harmonizes with the heritage of the city. The DOT Property Philippines winner of Best Township Development in 2023 captures the essence of Provençal architecture with a contemporary flair.

Provence McArthur Highway

Provence is located along McArthur Highway, close to the Tabang and Pulilan exits of the North Luzon Expressway (NLEX). It can also be reached via track on the Tutuban-Malolos Railway, the Malolos-Clark Railway, the North-South Commuter Railway, and by air at the gateways of the Clark International Airport and the New Manila International Airport.

Castellana Baliwag

Baliwag is positioning itself as an industrial center, capitalizing on its status as a gateway to North Luzon. Major retail and commercial developments are rising in the locale, supported by improved road networks such as the Plaridel Bypass Road. These facilitate connectivity for integrated communities such as Castellana, fostering an environment conducive to business growth and residential living. The 60-hectare Castellana is master planned into three zones that border residential communities, granting each access to work, leisure, and service institutions. The zones will come with mid-rise residential towers and mixed-use buildings.

Vista Land: Leading the charge in North and Central Luzon

Vista Land is committed to creating master planned developments that will flourish in the evolving landscape of North and Central Luzon. As these regions continue to transform into economic powerhouses, the company is well-positioned to lay the groundwork for innovative urban developments that promote growth while honoring unique cultural and natural heritage.

With a strategic focus on connectivity and infrastructure, Vista Land is not merely shaping the present, it is also paving the way for a sustainable future for Luzon. By integrating modern living with the history and culture, Vista Land developments will contribute to creating master planned developments that anticipate to the diverse needs of residents, ultimately enhancing the overall quality of life in the regions.

To learn more about  Vista Land master planned developments in North and Central Luzon, visit the official website at www.vistaestates.vistaland.com.ph and follow @VistaLandAndLifescapesOfficial.

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To raise fit kids, be fit yourself

November 22, 2024


MakatiMed suggests three ways to make fitness fun for you and your children

To today’s generation of kids, the word “play” has taken on a whole different meaning from their parents’ and grandparents’ definitions. Their version of “play” is usually done indoors in a dark room, and involves an electronic gadget like a cellphone, tablet, computer, or console. If there’s anyone getting any action in this kind of play, it’s the avatars or characters on the screen, as kids control their every move from the comforts of their seats or beds.

“It's this type of ‘play’ that may lead youngsters to develop noncommunicable diseases (NCDs) years before they become adults,” says Bernadette C. Benitez, MD, Head of the Department of Pediatrics of top hospital in the Philippines, Makati Medical Center (MakatiMed). The World Health Organization recognized that physical inactivity is a contributor to the rise in overweight and obesity and a leading risk factor for global mortality.

“Obesity, in turn, can lead to noncommunicable diseases (NCDs) like diabetes, hypertension, cancer, and heart disease which are thought to be a middle-aged person’s diseases, conditions that happen over time owing to poor lifestyle and eating habits. Children are likely to develop such diseases early if they live sedentarily and maintain a diet of processed food.”

The figures to back up this claim are certainly alarming. According to a 2021 report from the World Health Organization, the incidence of overweight among Filipino adolescents has tripled in the last 15 years. Percentages of stroke and heart attack among the young are slowly creeping up too. Those in the 18-49 age bracket make up 10 percent of stroke victims in the country. Cardiologists are also seeing Filipinos in their 30s or younger suffering a heart attack.

Exercise, even at a moderate pace for 30 minutes 3-5 times a week, offers a slew of benefits. It keeps your weight down, boosts your energy, reduces elevated cholesterol, blood pressure, and blood sugar, improves your mood and concentration, and makes you sleep better.

But how do you get your gadget-wielding kids to play the way you and other children used to—out of the house and participating in activities that make them run, sweat, jump, and have a good time?

“By serving as a role model and being active yourself,” says Dr. Benitez. “There are enough studies to show that parents who are fit—meaning, they exercise or engage in physical activities regularly and eat a balanced diet—raise fit or physically active kids. No problem if you haven’t exercised in years or are off your ideal weight. Use this opportunity to get into shape and invite your children to join you in this journey. Make it a shared goal to reach a target weight, run a certain distance at a specific time, or swim as many laps. Above all, make it fun for everyone involved.”

Here are three ways to redefine your kids’ meaning of “play”:

Teach them how you played. “Remember how you and your friends looked forward to agawan base, patintero, piko, and other games back in the day? Introduce these street games from simpler times to your kids and organize ‘mini tournaments’ with other parents and kids,” Dr. Benitez advises. “End the sessions with servings of healthy snacks like nuts, fresh fruits, and fresh juices.”

Learn something new together. Can’t swim to save your life? Never climbed a vertical wall? Now’s the time to do it! “If kids are scared or shy to begin a new activity with strangers, the comforting presence of Mom or Dad will put them at ease and likely make them want to stay, especially if a parent is participating in it,” Dr. Benitez points out.

Commit to a common goal. “An example for this is signing up for a manageable distance for you and your youngster to run—a 1K, 3K, or 5K is doable—then spend the next weeks or months training for it together,” says Dr. Benitez. “This makes you motivate each other to show up, stick to the program, and push yourselves to do better. Sharing a goal to get fit is a great way to solidify relationships, too. After the race, you’ll definitely have something to talk about for years to come.”

For more information, please contact MakatiMed On-Call at +632.88888 999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow @IamMakatiMed on Facebook and Twitter.
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Daily Tips on Maintaining Healthy Lungs

November 18, 2024

lung health

Discover good-for-the-lungs techniques you can take to combat impact of air pollution

The lungs are our lifeline, as they help us breathe and deliver oxygen to the rest of our body. In fact, we take about 23,000 breaths a day to stay alive. Yet, lung problems are on the rise in the country. According to experts from the Manila Observatory, the toll of air pollution on Filipinos is heavy, with at least 100 out of every 100,000 Filipinos dying annually because of air pollution, all of which takes a direct toll on our lungs.

Gregorio P. Ocampo, MD of the Section of Pulmonary Medicine in the top hospital in the Philippines Makati Medical Center (MakatiMed) underscores the importance of monitoring lung health given the risks we encounter in our daily lives.

“Vehicular emissions, particularly from cars, jeeps, and tricycles during rush hour, emit significant black soot and other pollutants. Industrial pollution from factories, power plants, and agricultural burning worsens the situation,” Dr. Ocampo points out. “Exposure to air pollutants makes us more vulnerable to respiratory inflammation and infections such as pneumonia and bronchitis. They also increase the risk of developing lung diseases such as chronic obstructive pulmonary disease and cancer.”

While there are factors we can’t control, MakatiMed emphasizes the steps we can take to reduce the impact of air pollution on our lungs. We can start by improving indoor air quality. “Eliminate indoor smoking, invest in HEPA air purifiers, and regularly dust and change air filters. Regular pet grooming reduces dander while getting air-purifying plants like snake plants can further improve indoor air,” suggests Dr. Ocampo.

For stronger lungs, a healthy diet is also a must. Bid farewell to fried indulgences like crispy pata and salty treats like chicharon. Processed meats? They’re out, too. Their added sodium and unhealthy fats put pressure on our diaphragm, leading to bloating and straining our lungs. Dr. Ocampo adds, “Instead, embrace lung-loving fare—apples, beets, pumpkins, tomatoes, and leafy greens—packed with antioxidants and anti-inflammatory properties that improve lung function, optimize oxygen intake, and slow down lung decline over time.”

Exercise also makes the lungs healthier. Aerobic activities like running, swimming, or walking improve oxygen delivery in the body. Pilates and yoga, which prioritize proper posture and breathing techniques, can also help us fully utilize lung capacity.

“These workouts include movements that strengthen core muscles, align the spine, and open up the chest, correcting or preventing slouching that’s linked to restrictive breathing,” explains Dr. Ocampo. “Even simple deep breathing exercises that engage the respiratory muscles like the diaphragm can help us master the art of proper breathing for overall wellness.”

MakatiMed also reminds us on the importance of staying up to date on vaccines for the flu and pneumonia for added protection from respiratory diseases. In addition to annual X-ray exams, individuals at high risk of lung illnesses like smokers or those who are exposed to secondhand smoke, drivers, and construction workers are advised to undergo spirometry for early detection and treatment.

“Every breath you take matters. With the growing risk of air pollution, it’s wise to prioritize lung wellness in your daily lives,” says Dr. Ocampo.

For more information, please contact MakatiMed On-Call at +632.88888 999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow @IamMakatiMed on Facebook and Twitter.
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Is retail therapy enough—or do you need actual therapy?

November 04, 2024

retail therapy

With Holidsay sale season coming up, MakatiMed cites ways to keep the urge to splurge at bay

It was the late televangelist Tammy Faye Bakker who once quipped, “I always say shopping is cheaper than a psychiatrist.” Chuckle if you will, but there’s some truth—and science—to it. Whose mood hasn’t perked up after indulging in a pair of shoes or the newest gadget, not because you needed it, but simply because you need some cheering up?

“When you’re feeling low, shopping—from looking at nice things to spotting an item that you like, holding it, trying it, and paying for it—releases dopamine, a neurotransmitter and ‘feel-good’ hormone associated with pleasurable experiences like eating, sex, and, yes, shopping,” explains Jon Edward B. Jurilla, MD from the Section of Psychiatry of top hospital in the Philippines Makati Medical Center (MakatiMed). “Retail therapy can be a healthy way to cope with stress as it can help improve your mood when things aren’t going your way. It can also be a form of self-motivation, a reward system to celebrate personal wins.”

While retail therapy’s “high” lasts beyond the act of purchasing an item, it’s only temporary. Trouble begins once shopping becomes an insatiable salve to issues you don’t want to face. “The excitement and empowering feeling of buying something ‘just because’ can be addictive,” warns Dr. Jurilla. “This can potentially lead to compulsive shopping disorder, especially if you’re turning to shopping to escape stress and low self-confidence.”

Is your shopping retail therapy—or a compulsive disorder? The difference lies in your behavior. “Occasional shopping sprees are normal and acceptable. But if you find yourself accumulating things you never get to use, hiding your purchases, and experiencing financial and relationship strains because of your spending, then it’s likely that you’re a compulsive shopper,” says Dr. Jurilla. “Beyond losing control over your spending habits, compulsive shopping disorder can leave you feeling guilty or remorseful about your purchases.”

With more reasons to shop and add to cart this holiday season and other yearend sale events, MakatiMed offers tips to help compulsive shoppers mark themselves “safe” from all the overspending.

Stick to a budget and a list. If you have the urge to shop, create a clear limit for impulse purchases. “Opt for something practical and useful, like groceries or food, instead of items that may lead to buyer’s remorse,” reminds Dr. Jurilla. “If you haven’t cleared credit card balances or debts from buy now, pay later schemes, prioritize those payments and other essentials. Only allot whatever’s left for extra purchases and pay in cash.”

Just look. Window shopping, shares Dr. Jurilla, can be just as satisfying an activity as shopping—and it won’t cost you a centavo. “Take time to walk around a store. Admire a bag or piece of jewelry or even try on a pair of jeans. Bring a friend to make the activity more fun. You can exchange shopping tips and help keep you in check.”

Learn to wait. Love an item from your window shopping? Think about it for at least two days, says Dr. Jurilla. “Sometimes, distancing yourself from the object of your desire gives you time to carefully consider if it’s truly a necessary purchase. This can help you develop mindfulness and manage your shopping urges more effectively.”

Undergo therapy—for real. Compulsive shopping disorder can be caused by psychological and social factors. When you’re ready to face the problem head-on, it’s best to reach out to a professional whom you can trust and be open with. “The sooner you realize that shopping won’t fix your unresolved issues—and may even exacerbate them—the better you’ll feel about yourself and your situation,” says Dr. Jurilla. “In this case, going to a psychiatrist will be the best option for your long-term mental wellness.”

For more information, please contact MakatiMed On-Call at +632.88888 999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow @IamMakatiMed on Facebook and Twitter.



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Not All Breast Cancers Are The Same: Doctors Emphasize Crucial Steps to Saving Patients’ Lives

November 03, 2024


Experts delve deeper into how precision treatment is transforming cancer care

In the Philippines, the incidence of breast cancer remains high. It is the most commonly diagnosed cancer among women. One in every 13 Filipinas is expected to develop breast cancer in her lifetime.¹ This is why it’s all the more important for us to keep abreast on how to spot, prevent, or treat it as early as possible.

Dr. Josephine Tolentino and the Philippine Society of Medical Oncology (PSMO) is on a mission to help Filipinos better understand that breast cancers have different features, which would affect its management and treatment. Dr. Tolentino, who is President of PSMO, emphasizes the benefits of precision medicine and how it could potentially help produce better outcomes.

Dr. Josephine Tolentino

Breast cancer is a condition wherein cells within the breast grow out of control, and form a tumor, which can sometimes be felt as a lump³. A tumor can be classified as either benign (noncancerous) or malignant (cancerous). Any lump or change in the breast needs to be checked by a healthcare professional. Breast cancer can metastasize or spread to other parts of the body via the blood or lymph vessels. As with most types of cancer, breast cancer patients have a better chance of survival if the condition is detected and diagnosed early.

According to Dr. Tolentino, each type of breast cancer can have a variation in biological and molecular features. This is why biomarker testing, a laboratory method that makes use of tissue, blood, or other body fluid samples to determine signs of conditions such as cancer in genes, proteins, or other molecules², plays a crucial role in the evolving treatment landscape of breast cancer.4,5 2 out of 3 cases of breast cancer are due to the status of a person’s hormone receptors. While in 15 to 20% of breast cancer cases, the HER2 protein (which tells cells to grow) is amplified. In those with the Triple Negative type, cancer cells do not produce enough HER2 protein and they also do not have estrogen or progesterone receptors.

Understanding which type of breast cancer you have is important in order for your doctor to design the perfect treatment plan. Possible treatment recommendations could be: surgery, biological therapy, radiation, chemotherapy, or hormonal therapy. Precision medicine using targeted therapy, such as those inhibiting HER2 molecules may also lead to better outcomes.⁷⁻¹¹

According to Dr. Tolentino, certain risk factors, such as genes, age, race/ethnicity, breast density, alcohol consumption, or being overweight can increase the chances of a person developing breast cancer. Based on a report by the World Health Organization (WHO)³, around half of patients diagnosed with breast cancer had no specific risk factors aside from age and sex.

”The signs and symptoms show up differently for every person,” explained Dr. Tolentino. “Some of the most common are: lumps in the breast or underarm, nipple discharge, thickening or swelling, any changes in breast size or shape, skin irritation or redness around the nipple, or pain in any area of the breast or nipple.”

“However, it is important to note that not all breast cancer cases will manifest with any signs or symptoms. So detecting and diagnosing breast cancer as early as possible is very important,” added Dr. Tolentino. Aside from regular breast self-examination, speak to your doctor about diagnostic procedures such as ultrasound, mammogram, MRI, or biopsy, as needed.

Dr. Cyril Tolosa, Medical Affairs Director of AstraZeneca, underscored the importance of removing the barriers that keep patients from availing these procedures.

“Together with organizations like the PSMO, and other groups, we are working to improve the healthcare ecosystem that effectively caters to the patients,” said Dr. Tolosa. “We at AstraZeneca have a bold ambition to one day eliminate breast cancer as a cause of death. It may be a long way from here, but precision medicine and continued collaboration among stakeholders is a step in the right direction.”

Not all breast cancers are the same. But one thing remains true for all: early detection or precise, targeted treatment saves lives.

Through various initiatives like Agham Kapihan – a series of media roundtable discussions that seek to bring into light matters of science and health and advocate for innovation that benefits Filipinos – AstraZeneca stays true to its commitment of improving the lives of millions of patients together with its partners across the healthcare ecosystem.
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Yes, constipation can cause back pain

October 25, 2024


MakatiMed shares ways to treat it and enjoy pain-free and “regular” holidays

Slipped disc, pinched nerve, poor posture, osteoporosis, old age, obesity, lifting heavy weights, or the dreaded undetected tumor. When your lower back hurts, you’re likely to attribute your pain to one or more of these common causes.

Nobody ever suspects constipation—and why would they? The difficult and infrequent bowel movement can leave you feeling uncomfortably bloated and with a distended tummy. But a dull and aching sensation on your lower back? Don’t discount it, says Carlo M. Cornejo, MD of the Section of Gastroenterology of the top hospital in the Philippines Makati Medical Center (MakatiMed).

“An accumulation of stool in the intestines can manifest as lower back pain. The buildup of stool can put extra pressure on the back muscles, which causes soreness and discomfort,” says the MakatiMed gastroenterologist. “So too can fecal impaction, or dry stool that gets stuck in the column or rectum. This is a complication caused by chronic constipation. It usually happens among older adults.”

Common causes of constipation include inadequate fiber, dehydration, too much alcohol, and a sedentary lifestyle. Dr. Cornejo explains that certain medications such as antihistamines, blood pressure medicines, antidepressants, and diuretics can also cause constipation.

“How often you pass stool varies from person to person. Some do it twice a day, others are fine with a thrice-weekly bowel movement,” Dr. Cornejo points out. “You’ll know you’re constipated if you experience fullness in the stomach, gassiness, straining when you sit on the toilet, and that dull lower backache.”

For the simplest case of constipation, over-the-counter laxatives and stool softeners are always available for a quick fix. But for constipation and backache that persist and recur, it’s a must to visit a doctor as it could be a serious case of fecal impaction and would require additional treatments.

“Doctors will perform a digital rectum examination where they insert a gloved and lubricated finger into the anus to check for stool buildup. In some cases, a CT scan may be required if impaction happens deep into the colon,” shares Dr. Cornejo. “Once fecal impaction is confirmed, they will manually remove the impacted stool using their finger. They may also perform enema and inject fluid into the rectum to loosen dry stool.”

To prevent constipation and fecal impaction, Dr. Cornejo advises adding more fiber-rich foods like leafy green vegetables, oatmeal, beans and legumes, papaya, prunes, and avocado to your meals; keeping hydrated or adding natural laxatives like tea or coffee for some; and working out regularly. “Some even achieve regularity by adding probiotics to their diet and minimizing their alcohol intake. These tips are especially helpful now we’re in the season of drinking and feasting,” the expert adds.

It may also help to follow a regular bowel movement schedule. Dr. Cornejo says the best time to do it is around 20-40 minutes after eating, ideally after breakfast.

“Remember, constipation or lower back pain, especially the chronic type that seems to worsen with time, is not natural, especially if you’ve already taken steps to address them. It’s your body’s way of telling you something,” says Dr. Cornejo. “Don’t tolerate it or mask it with laxatives and pain relievers. See your doctor soonest.”

For more information, please contact MakatiMed On-Call at +632.88888 999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow @IamMakatiMed on Facebook and Twitter.
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