Telehealth solutions

16/10/2026

Dr. Alisha Govender is truly an amazing doctor who goes above and beyond for her patients. ❤️ She is caring, understanding, and always makes sure you are taken care of. Whether it’s following up after 7 days, arranging blood tests, sharing results as soon as possible, or answering even the smallest questions, she genuinely cares. You never feel like you’re just another patient. Doctors like her are rare, and I’m truly grateful for her dedication! 🌸 - malize vlooh

15/10/2026

DR A GOVENDER

DIABETES DIET & HEALTHY LIFESTYLE GUIDE

Patient Information Leaflet

Living with diabetes does not mean you have to stop eating all your favourite foods. The goal is to eat balanced meals, control your portions, stay active and keep your blood sugar levels healthy.

1. What Should You Eat?

Breakfast – Choose ONE option:

* 2 boiled eggs with 1 slice of wholewheat toast.
* Plain oats with low-fat milk and cinnamon, without added sugar.
* Plain unsweetened yoghurt with a small portion of fruit.
* 1 slice of brown bread with peanut butter (no added sugar).

Lunch – Choose ONE option:

* Grilled chicken with vegetables and a small portion of brown rice.
* Tuna or chicken salad with 1 slice of wholewheat bread.
* A small portion of pap with lean meat and plenty of vegetables.
* Beans with vegetables and a small portion of brown rice.

Dinner – Choose ONE option:

* Grilled fish with steamed vegetables and a small sweet potato.
* Skinless chicken with broccoli, carrots and a small portion of rice.
* Lean beef stew with vegetables and a small portion of pap.
* Vegetable soup with beans or chicken.

Healthy snacks (if hungry):

* 1 small apple, orange or pear.
* A small handful of unsalted nuts.
* Plain unsweetened yoghurt.
* Carrot or cucumber sticks.
* 1 boiled egg.

Whole fruit is better than fruit juice.

2. The Healthy Plate Method

For lunch and dinner, aim to divide your plate as follows:

* ½ plate: Non-starchy vegetables such as spinach, cabbage, broccoli, green beans and salad.
* ¼ plate: Lean protein such as chicken, fish, eggs, beans or lean meat.
* ¼ plate: Carbohydrates such as brown rice, pap, potatoes or sweet potatoes.

Drink water or an unsweetened beverage with your meal.

3. Foods to Limit or Avoid

Try to reduce:

* Sugary cold drinks, energy drinks and fruit juices.
* Sweets, chocolates, cakes, biscuits and doughnuts.
* Large portions of white bread, rice, pap and potatoes.
* Deep-fried foods and fast food.
* Processed meats such as polony, sausages and bacon.
* Excessive salt and salty snacks.
* Alcohol, especially excessive drinking.

Important: You do not have to stop eating carbohydrates completely. The amount you eat is what matters.

4. Lifestyle Changes

Exercise regularly

* Aim for at least 30 minutes of brisk walking on 5 days per week.
* Start slowly if you are not used to exercising.
* Include light strength exercises 2–3 times per week.
* Avoid sitting for long periods. Stand up and move regularly.
* A 10–15 minute walk after meals can help improve blood sugar control.

Maintain a healthy weight

If you are overweight, losing even 5–7% of your body weight may improve blood sugar control and insulin sensitivity.

Drink enough water

Choose water instead of sugary drinks. Adjust fluid intake if you have heart or kidney problems.

Get enough sleep

Aim for 7–9 hours of sleep every night.

Manage stress

Stress can increase blood sugar levels. Try walking, breathing exercises, relaxation or enjoyable hobbies.

Stop smoking

Smoking increases the risk of heart disease, stroke and circulation problems in people with diabetes.

5. Important Diabetes Care Tips

* Take your diabetes medication exactly as prescribed.
* Monitor your blood sugar as advised by your doctor.
* Do not skip meals if you take insulin or medication that can cause low blood sugar.
* Attend regular diabetes check-ups.
* Have your HbA1c checked approximately every 3–6 months, depending on your treatment plan.
* Have your blood pressure, cholesterol, kidneys, eyes and feet checked regularly.
* Check your feet daily for wounds, blisters or infections.
* Never stop your medication without discussing it with your doctor.

6. Recognise Low Blood Sugar

Symptoms may include shaking, sweating, dizziness, sudden hunger, headache or confusion.

If your blood sugar is below 4 mmol/L and you are awake and able to swallow:

1. Take approximately 15 g of fast-acting sugar, such as 150 mL of regular sugary cooldrink.
2. Recheck your blood sugar after 15 minutes.
3. Repeat if it remains below 4 mmol/L.
4. Once corrected, eat a snack if your next meal is not soon.

If you become unconscious or cannot swallow safely, someone should call emergency services immediately. Nothing should be given by mouth.

Remember

Small daily changes can make a big difference.

Eat balanced meals, control portions, stay active, take your medication and attend regular check-ups.

You can live a healthy, active life with diabetes.

⸻

Dr A Govender
MBBS (UOM)
HPCSA: MP0957933
Practice No: 1348892
WhatsApp: 082 202 2295

This is a general guide. Dietary advice should be adjusted for patients who are pregnant, have kidney disease, take insulin or experience frequent low blood sugar.

15/10/2026

DR A GOVENDER

POLYCYSTIC O***Y SYNDROME (PCOS) SCREENING QUESTIONNAIRE

Patient Name: ____________________
Age: ____________________
Date: ____________________

Dear Patient,

Please answer the following questions as accurately as possible. This questionnaire will help assess whether your symptoms may be related to Polycystic O***y Syndrome (PCOS).

You may answer YES, NO or UNSURE, unless another answer is requested.

SECTION 1: MENSTRUAL HISTORY

1. Are your menstrual periods regular?
2. How many days are there usually between the first day of one period and the first day of the next?
3. Have you ever missed your period for more than 3 months?
4. Do you sometimes have fewer than 8 periods per year?
5. Are your periods unusually heavy or prolonged?
6. Do you experience significant period pain?
7. At what age did you start menstruating?
8. When was the first day of your last menstrual period?
9. Are you currently using any hormonal contraception? If yes, which one?

SECTION 2: EXCESS HAIR GROWTH AND SKIN CHANGES

10. Have you noticed excessive hair growth on your chin, upper lip, chest, stomach or back?
11. Do you regularly shave, wax or pluck facial hair?
12. Have you developed persistent or severe acne?
13. Have you noticed thinning hair or hair loss on your scalp?
14. Have you noticed dark, thickened skin around your neck, armpits or groin?
15. Have you developed skin tags around your neck or armpits?
16. Have these symptoms developed gradually or suddenly?

SECTION 3: WEIGHT AND METABOLIC HEALTH

17. What is your current weight and height?
18. Have you gained weight unexpectedly?
19. Do you find it difficult to lose weight despite exercising or eating healthily?
20. Do you carry most of your weight around your abdomen?
21. Have you previously been told that you have insulin resistance, prediabetes or diabetes?
22. Do you have a family history of type 2 diabetes?
23. Have you been diagnosed with high blood pressure or high cholesterol?

SECTION 4: FERTILITY AND PREGNANCY

24. Are you currently trying to fall pregnant?
25. If yes, how long have you been trying?
26. Have you previously struggled to conceive?
27. Have you ever been pregnant?
28. Have you experienced any miscarriages?
29. Have you previously been told that you do not ovulate regularly?
30. Have you previously been diagnosed with PCOS or ovarian cysts?

SECTION 5: OTHER HORMONAL SYMPTOMS

31. Do you experience persistent fatigue?
32. Have you noticed unexpected breast milk discharge when you are not breastfeeding?
33. Do you experience frequent headaches or changes in vision?
34. Have you noticed unexplained changes in your weight or appetite?
35. Have you experienced new deepening of your voice, rapid facial hair growth or other sudden masculine physical changes?
36. Have you recently experienced significant stress, excessive exercise or major weight loss?

SECTION 6: MEDICAL HISTORY

37. Do you have any chronic medical conditions?
38. Are you currently taking any medication or supplements?
39. Have you previously had thyroid or hormonal problems?
40. Does anyone in your family have PCOS?
41. Have you previously had a pelvic ultrasound? If yes, what were the findings?

SECTION 7: MAIN CONCERNS

42. What is your biggest concern at present?
43. Which symptoms are affecting your daily life the most?
44. Are you mainly seeking treatment for:

* Irregular periods
* Excess facial or body hair
* Acne
* Weight management
* Difficulty falling pregnant
* Possible insulin resistance
* General hormonal concerns

45. Is there anything else you would like your doctor to know?

⸻

Thank you for completing this questionnaire.

Your answers will assist in determining whether further investigations, treatment or specialist referral may be necessary.

Dr A Govender
MBBS (UOM)
HPCSA: MP0957933
Practice No: 1348892
WhatsApp: 082 202 2295

13/10/2026

MEASLES IN ADULTS

Patient Information & Home Care Guide

Dr A Govender | Telehealth Solutions

What is measles?

Measles is a highly contagious viral infection that causes fever, coughing, red eyes and a skin rash. Most people recover with appropriate care, but measles can sometimes cause serious complications in adults.

Common symptoms

* High fever and feeling very tired
* Dry cough and runny nose
* Red, watery or irritated eyes
* Small white spots inside the mouth
* A red rash that usually starts on the face and spreads down the body
* Loss of appetite and body aches

How to look after yourself at home

1. Get plenty of rest

Your body needs time to recover. Avoid strenuous activities until you feel better.

2. Drink plenty of fluids

Drink water, soup, diluted juice or oral rehydration solution such as Rehidrat. This helps prevent dehydration.

3. Manage your fever and pain

You may take paracetamol (Panado) as directed by your doctor or pharmacist. Do not exceed the recommended dose.

4. Eat small, healthy meals

Try soups, fruits, vegetables and soft foods if your appetite is poor.

5. Care for your eyes and throat

Rest your eyes, avoid bright light if uncomfortable, and use artificial tears if recommended. Warm drinks with honey may soothe a cough or sore throat.

6. Take medication only as prescribed

Antibiotics do not treat measles itself. Do not take high-dose vitamin A supplements unless specifically prescribed by your doctor.

IMPORTANT: Prevent spreading measles

Measles spreads very easily through the air.

* Stay at home until at least the fifth day after your rash started. The day the rash appears is day 0.
* Avoid work, social gatherings, shops and public transport during isolation.
* Stay away from babies, pregnant women and people with weakened immune systems.
* Stay in a separate, well-ventilated room where possible.
* Wear a well-fitting mask if you must be around others.
* Do not share close living spaces with people who are not immune if this can be avoided.

When to seek urgent medical help

Go to your nearest emergency department immediately if you experience:

* Difficulty breathing or chest pain
* A severe or persistent headache
* Confusion, fainting or seizures
* Persistent high fever or rapidly worsening symptoms
* Severe weakness or difficulty staying awake
* Inability to drink fluids or passing very little urine

Important: Phone the hospital before arrival and tell them you may have measles so they can protect other patients.

If you are pregnant or have a weakened immune system, contact a healthcare professional urgently even if your symptoms are mild.

What about family members?

Anyone who has been in close contact with you should check their measles vaccination status and contact a healthcare professional promptly. Some people may benefit from vaccination or preventive treatment after exposure.

Recovery

The rash usually fades within approximately one week. Fatigue and coughing may take longer to resolve.

Do not return to normal activities until your isolation period is complete and you are feeling well enough.

⸻

Dr A Govender (MBBS)

HPCSA: MP0957933

Telehealth Solutions

Virtual Consultations & Home Visits

WhatsApp: 082 202 2295

This leaflet provides general information and does not replace individual medical assessment. For emergencies, attend your nearest emergency department.

13/10/2026

BREAST ABSCESS

Patient Information & Home Care Guide

Dr A Govender | Telehealth Solutions

What is a breast abscess?

A breast abscess is a painful collection of pus inside the breast caused by an infection.

It can develop after a breast infection called mastitis. It is more common in breastfeeding mothers, but it can also affect women who are not breastfeeding.

The good news: Most breast abscesses can be successfully treated. However, early medical attention is important.

Signs and symptoms

You may experience:

* A painful lump or swelling in the breast
* Redness, warmth or tenderness
* Throbbing or persistent breast pain
* Fever, chills or body aches
* Feeling tired, weak or generally unwell
* Pus or discharge from the affected area

How is a breast abscess treated?

1. Antibiotics

Your doctor may prescribe antibiotics to treat the infection. Take them exactly as prescribed.

2. Draining the abscess

A breast abscess usually needs to be drained by a healthcare professional. This may be done using a needle or a small incision.

An ultrasound may be performed to confirm the abscess and guide treatment.

3. Pain relief

Your doctor may recommend paracetamol or ibuprofen if these medicines are suitable for you.

Caring for yourself at home

✅ Rest and drink enough water.

✅ Wear a comfortable, supportive bra.

✅ Apply a cold compress wrapped in a clean cloth for 10–15 minutes to help reduce pain and swelling.

✅ Keep the affected area clean and dry.

✅ Take all prescribed medication as directed.

✅ Attend your follow-up appointment.

Things you should NOT do

❌ Do not squeeze, pop or attempt to drain the abscess yourself.

❌ Do not massage the breast forcefully.

❌ Do not apply unprescribed creams, herbal remedies or other substances to the affected area.

❌ Do not ignore worsening pain, swelling or fever.

❌ Do not delay medical assessment while trying home remedies.

Can I continue breastfeeding?

In most cases, yes.

* Continue breastfeeding if you are comfortable and your doctor advises that it is safe.
* If feeding is painful, you may gently express milk as needed.
* Avoid allowing your baby’s mouth or breast pump to touch an open wound, pus or drainage site.
* Inform your doctor that you are breastfeeding so appropriate medication can be selected.

Avoid suddenly stopping breastfeeding without medical advice.

When should you seek urgent medical attention?

A suspected breast abscess needs same-day medical assessment.

Seek urgent care if:

* You have fever or chills with increasing breast pain.
* The swelling or redness is spreading.
* You develop increasing pus discharge.
* Your symptoms are worsening despite antibiotics.
* Your condition has not started improving within 48 hours of treatment.

Go to the nearest emergency department immediately if you develop confusion, fainting, severe weakness, a racing heartbeat or difficulty breathing.

How long does recovery take?

Many patients start feeling better after the abscess has been drained and the infection is treated.

Complete healing may take several days to a few weeks, depending on the abscess size and severity.

If the lump does not disappear, the abscess returns or you are not breastfeeding, further breast assessment may be needed.

Remember

A breast abscess should not be treated with home remedies alone.

Early medical treatment helps prevent complications, reduces pain and promotes faster recovery.

⸻

Dr A Govender (MBBS)

HPCSA: MP0957933

Practice No: 1348892

Telehealth Solutions

WhatsApp: 082 202 2295

Your health and well-being matter. Please seek medical assistance if your symptoms worsen.

04/10/2026

12/09/2026

STOMACH ULCERS: DO’S AND DON’TS

A stomach or duodenal ulcer is a sore in the lining of the stomach or upper intestine. Common causes include H. pylori infection and regular use of anti-inflammatory painkillers.

DO

* Take all prescribed medication exactly as directed.
* Complete the full antibiotic course if being treated for H. pylori.
* Take acid-reducing medication at the recommended time.
* Eat smaller, regular meals if large meals worsen your symptoms.
* Have your evening meal at least 3–4 hours before bedtime.
* Drink enough water.
* Identify and avoid foods that personally trigger pain, heartburn or nausea.
* Stop smoking, as smoking delays ulcer healing.
* Discuss suitable pain relief with your doctor or pharmacist.
* Return for follow-up or repeat H. pylori testing if advised.

DON’T

* Do not use anti-inflammatory painkillers without medical advice, including:
* Ibuprofen, such as Nurofen
* Diclofenac, such as Voltaren
* Naproxen
* Aspirin-containing medication
* Do not stop prescribed ulcer medication early because you feel better.
* Do not smoke.
* Avoid or limit alcohol, particularly if it worsens symptoms.
* Avoid excessive coffee, energy drinks and fizzy drinks if they trigger symptoms.
* Avoid spicy, fatty, acidic or fried foods only if they aggravate your symptoms—these foods do not usually cause ulcers.
* Do not rely on milk to heal an ulcer.
* Do not ignore persistent or worsening symptoms.

SEEK URGENT MEDICAL CARE IF YOU HAVE

* Vomiting blood or vomit resembling coffee grounds
* Black, sticky or bloody stools
* Sudden or severe abdominal pain
* A hard, very tender abdomen
* Fainting, dizziness, marked weakness or shortness of breath
* Persistent vomiting
* Unexplained weight loss, difficulty swallowing or becoming full after very little food

Important: Diet alone cannot cure an ulcer. The cause must be identified and treated.

Telehealth Solutions
Dr A Govender (MBBS)
HPCSA: MP0957933 | Practice No: 1348892
WhatsApp: 082 202 2295

29/08/2026

❤️ HIGH BLOOD PRESSURE PREVENTION
Simple steps to protect your heart and keep your blood pressure healthy
If high blood pressure (hypertension) runs in your family, you may have a higher risk of developing it. Genetics cannot be changed, but a healthy lifestyle can significantly reduce your risk and help keep your blood pressure controlled.
✅ DO
🥗 Eat a heart-healthy diet
Eat plenty of vegetables and fruit every day.
Choose whole grains such as oats, brown rice and whole-wheat bread.
Choose lean proteins such as fish, chicken, beans and lentils.
Include healthy fats such as avocado, nuts, seeds and olive oil.
Choose fresh foods rather than highly processed foods whenever possible.
🧂 Reduce your salt intake
Avoid adding extra salt at the table.
Taste your food before adding salt.
Use herbs, garlic, lemon, pepper and spices for flavour.
Check food labels for sodium/salt.
Remember that much of our salt comes from packaged and takeaway foods, not only the salt shaker.
🏃 Stay physically active
Aim for at least 150 minutes of moderate exercise per week, such as brisk walking, cycling or swimming.
A simple goal is around 30 minutes on most days of the week. Start gradually if you haven't exercised regularly.
⚖️ Maintain a healthy weight
Being overweight increases the workload on your heart and can increase blood pressure. Even modest weight loss can improve blood pressure if you are overweight.
💧 Drink enough water
Make water your main drink and limit sugary beverages.
😴 Get enough sleep
Aim for approximately 7–9 hours of good-quality sleep each night. Poor sleep can contribute to high blood pressure.
🧘 Manage stress
Try regular exercise, breathing exercises, meditation, prayer, hobbies, spending time outdoors or other healthy ways of relaxing.
🩺 Check your blood pressure regularly
High blood pressure often causes no symptoms, so you cannot rely on how you feel.
If hypertension runs in your family, have your blood pressure checked regularly even when you feel completely well.
For home readings:
Sit quietly for about 5 minutes beforehand.
Keep both feet flat on the floor.
Support your back.
Rest your arm at heart level.
Don't talk during the measurement.
Use a properly fitting upper-arm cuff.
Take 2 readings about 1 minute apart and record the results.
❌ DON'T
🚫 Don't eat too much salt
Limit foods such as:
Chips and salty snacks
Processed meats such as polony, viennas and bacon
Instant noodles
Packet soups and sauces
Highly salted seasonings
Fast food and frequent takeaways
🚭 Don't smoke or v**e
Smoking damages blood vessels and greatly increases cardiovascular risk. If you smoke, getting help to stop is one of the best things you can do for your heart.
🍺 Don't drink excessive alcohol
If you don't drink alcohol, you don't need to start. If you do drink, keep your intake low because excessive alcohol can raise blood pressure.
🥤 Don't rely heavily on energy drinks
Large amounts of caffeine and stimulants can temporarily increase blood pressure and heart rate.
🍔 Don't make processed and fast foods your everyday meals
They are often high in salt, saturated fat and calories.
🛋️ Don't sit for the entire day
Break up long periods of sitting. Stand, stretch and walk regularly.
💊 Don't take medication or supplements simply because they are advertised as “natural”
Some medicines, herbal products and supplements can increase blood pressure or interact with other medication. Ask your doctor or pharmacist first.
❤️ KNOW YOUR NUMBERS
For most adults, a blood pressure around 120/80 mmHg is considered a healthy level, although an individual's appropriate target depends on their circumstances.
A single high reading does not automatically mean that you have hypertension. Blood pressure should usually be assessed using repeated, correctly performed measurements.
If your readings are repeatedly elevated, arrange an appointment with your doctor for proper assessment.
🚨 Seek urgent medical attention if:
You have a very high blood pressure reading—particularly around 180/120 mmHg or higher—together with symptoms such as:
Chest pain
Severe shortness of breath
New weakness or numbness
Difficulty speaking
Confusion
Loss or major change of vision
A sudden, severe or unusual headache
🌿 YOUR DAILY HEART-PROTECTION CHECKLIST
☐ Eat vegetables and fruit
☐ Keep salt intake low
☐ Drink water
☐ Get some physical activity
☐ Don't smoke
☐ Limit alcohol
☐ Maintain a healthy weight
☐ Sleep well
☐ Manage stress
☐ Know your blood pressure
Remember:
A family history increases your risk — it does not mean hypertension is inevitable.
Healthy habits started early can help protect your heart, brain, kidneys and blood vessels for years to come.