Singer Jesy Nelson recently shared an emotional update regarding the complications she is experiencing in her pregnancy with twin babies. Former Little Mix singer Jesy, who is having twins with partner Zion Foster, announced that she has been diagnosed with pre-twin-to-twin transfusion syndrome (pre-TTTS). The condition, which is present in pregnancies involving twins with a shared placenta, has serious risks involved and needs intense medical supervision. As Nelson embarks on this difficult journey, her story enlightens us about a rare but dangerous condition many expectant parents may not know much about.

Twin-to-twin transfusion syndrome is a rare but dangerous condition that arises in monochorionic twin pregnancies, in which identical twins share a single placenta. The placenta supplies the developing babies with oxygen, nutrients, and blood flow, but in TTTS, there is an imbalance of blood vessels that interconnect the twins, and thus the vital resources are not evenly distributed. One twin, or the donor twin, shares excess blood with the other, referred to as the recipient twin. This leads to one baby becoming malnourished and possibly anemic, and the other in danger of heart problems due to too much blood.

Nelson described her diagnosis in a heartfelt Instagram video, explaining that she is currently in the pre-stage of TTTS and undergoing frequent monitoring. "I am being scanned twice a week, and each time, things have gotten a little worse," she shared, expressing her fears and hopes for the health of her babies.

Potential Risks of TTTS

If left untreated, TTTS can have devastating consequences. Medical research indicates that:

• 90% of the cases of untreated TTTS lead to loss of one or both twins.
• Despite treatment, only a 70% survival rate for both twins is assured.
• Severe forms can result in preterm labor, cardiac failure in the recipient twin, and organ failure in the donor twin.
• Complications in long-term survivors include neurological damage and developmental delay in surviving infants.

TTTS usually advances in stages, beginning with minimal changes in fluid levels and worsening as one twin continues to get an unequal share of blood. In extreme cases, fetal laser surgery, referred to as the Solomon technique, can be employed to divide the blood vessels and balance the twins.

Why Identical Twin Pregnancies Are More Complicated

Identical twins may develop differently, and their own unique form of placental sharing can have a dramatic effect on pregnancy risk. Jesy Nelson's twins are considered monochorionic diamniotic (mono/di), which means they share a placenta but have two amniotic sacs. This is the type of pregnancy in about 70% of identical twin pregnancies and carries an increased risk of complications like TTTS, umbilical cord entanglement, and growth restriction.

Conversely, dichorionic diamniotic (di/di) twins both have a separate placenta and amniotic sac, which greatly diminishes the threat of TTTS. Twin pregnancy type is normally identified by early ultrasound, with physicians being able to track future complications from inception.

Other Twin Pregnancy Health Risks

Twin pregnancies, even without the presence of TTTS, entail a variety of health risks to the mother as well as infants:

1. Premature Birth

Over 60% of twin pregnancies end in premature delivery, with birth usually taking place before 37 weeks. Premature infants can have immature organs and need neonatal intensive care (NICU) assistance to assist with breathing, feeding, and infection fighting.

2. Gestational Hypertension and Preeclampsia

Pregnant women with multiples are at increased risk of having high blood pressure during pregnancy. This, if left untreated, can result in preeclampsia, a serious complication of pregnancy that can result in damage to organs, preterm labor, and in some cases, maternal or fetal death.

3. Anemia

Pregnant women carrying multiples are twice as likely to experience anemia, a condition where the body does not produce enough healthy red blood cells. This can lead to fatigue, dizziness, and complications during delivery.

4. Birth Defects

According to John Hopkins Medicine, multiple birth babies are twice as likely to have congenital abnormalities compared to single births. These can include heart defects, neural tube defects, and gastrointestinal issues.

5. Amniotic Fluid Imbalances

When twins have to share a placenta, they are more likely to have polyhydramnios (excess amniotic fluid) or oligohydramnios (not enough amniotic fluid). Both result in distress to the babies during fetal development and can result in premature labor.

6. Postpartum Hemorrhage

Twins are at increased risk of excessive postpartum hemorrhage because their uterus is larger and there are greater blood supply needs.

Jesy Nelson's openness about her challenging experience is raising awareness for TTTS, a condition that few individuals—let alone expectant mothers and fathers—might be aware of. Through her tearful video, Nelson stressed the significance of knowing about twin pregnancies aside from the thrill of having multiples. "We had no idea that this type of thing occurs when you're having twins. We just desperately want to make people aware of this because there are so many people who aren't aware."

Her case reminds us of the intricacies involved in twin pregnancy and the significance of early identification and medical management. For mothers carrying twins, frequent ultrasounds and vigilance can become a life-and-death issue for early detection and better outcomes of both babies.

Through constant medical attention and care, she and her partner Zion Foster remain positive and get ready for their babies to be born. In other parents whose situations are no different, the story of Nelson highlights awareness, medical progress, and emotional encouragement in handling complicated pregnancies.

The expecting parents of twin siblings are advised to discuss TTTS screening and possible interventions with their physicians to give their babies the best chance.

The deadly Ebola virus disease outbreak in the Democratic Republic of Congo (DRC) has spread to a fourth province, raising concerns about wider regional transmission.

Until now, the outbreak had been confined to North Kivu, South Kivu, and the conflict-hit Ituri province, the epicentre of the current outbreak. Cases have also been reported across the border in Uganda.

The virus has now reached Haut-Uele province, which borders South Sudan and the Central African Republic, according to AFP.

WHO Warns Of Regional Spread

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The development also increases the risk of the virus spreading to South Sudan. A new World Health Organization (WHO) modelling study published in The Lancet Infectious Diseases estimates there is a 70 per cent chance the outbreak will reach South Sudan soon.

Haut-Uele province is home to around 15 million people. Health officials said the first case in Haut-Uele was detected after an infected person travelled from Bunia, the capital of Ituri. The patient later died, according to sources at the National Institute of Biomedical Research (INRB).

Cases Climb To 1,274, With 360 Deaths

Confirmed Ebola cases have risen to 1,274, including 360 deaths, according to the WHO.

The DRC declared its 17th Ebola outbreak on May 15. The current outbreak is caused by the Bundibugyo strain of the virus, for which there is currently no approved vaccine or specific treatment.

Clinical trials are expected to begin in the coming days, according to the WHO, which has issued an international alert over the outbreak.

The WHO projections estimate the outbreak could reach about 8,210 cases and 1,420 deaths by mid-September if transmission continues.

Drug Trials Set To Begin

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The first clinical trial of drugs that may treat the Bundibugyo virus is expected to begin in the DRC next week. A separate trial testing an antiviral drug to prevent infection among close contacts is scheduled to start a week later.

Scientists say efforts to develop vaccines and treatments are being hampered by the lack of a viable sample of the Bundibugyo virus.

DRC Restricts Public Gatherings

Separately, Reuters reported on June 29 that the DRC has banned public gatherings in four provinces, including the capital, Kinshasa, as authorities attempt to contain the outbreak.

The ban comes ahead of a planned protest in Kinshasa on July 8 against proposed constitutional reforms. Opposition leaders have described the restriction as "politically motivated."

US CDC Raises Response To Highest Level

Meanwhile, the US Centers for Disease Control and Prevention (CDC) has raised its emergency response to the outbreak to Level 1, its highest activation level. The designation, reserved for the most severe public health emergencies, allows the agency to deploy its maximum response capacity.

Despite the escalation, the CDC said the risk of Ebola spreading to the United States remains low.

Jamsin Bhasin recently took to Instagram to share a health update with her fans. She shared that she was hospitalized in Dubai after suffering from a serious infection during her birthday trip. She then revealed that she was diagnosed with terminal ileitis and high-risk infection, and inflammation.

Jasmin Bhasin Diagnosed With Terminal Ileitis

Taking to her Instagram Stories, Jasmin Bhasin shared a video in which she said, “So as soon as I landed in Dubai the next day, I fell severely sick and had to get hospitalized because I was diagnosed with terminal ileitis and severe high-risk infection and inflammation. But hopefully I will recover soon and will be back.”

She also said that she is recovering well and will be back on her feet soon.

She added, “I am so sorry I have not been able to respond to all your lovely messages and post, but Aly has already posted this birthday cake and how we didn't end up how we expected. Life is very unexpected but I am much better and should be back soon, but I am grateful to all of your love for my birthday and all your best wishes for my speedy recovery.”

What Is Terminal Ileitis?

Terminal ileitis is the inflammation of the terminal ileum, the final section of the small intestine that connects to the large intestine (colon). The terminal ileum has multiple important functions, including:

• Absorbing vitamin B12 in the body

• Absorbing bile acids, which help digest fats

• Playing a role in the body's immune system

Symptoms Of Terminal Ileitis

Here are some common symptoms of terminal ileitis:

• Pain and discomfort in the lower right side of the abdomen

• Chronic diarrhea (sometimes)

• Weight loss

• Fatigue

• Fever

• Blood in the stool (more common with Crohn's disease than with many infections)

Terminal Ileitis & Crohn’s Disease

HealthandMe spoke to Dr. Pramod Kadam, Consultant, General Surgery, Ruby Hall Clinic about terminal ileitis and Crohn's disease. Dr. Kadam explains, "It is generally related to inflammatory bowel disease like Crohn's disease, but, it is essential to remember that the diagnosis of terminal ileitis is not a diagnosis but rather a clinical finding and can have many causes. Occasionally it can be caused by bacterial or viral infection, by prolonged use of non-steroidal anti-inflammatory drugs (NSAIDs), by intestinal tuberculosis, by lack of blood supply to the intestine or by other inflammation."

However, terminal ileitis can also result from several other conditions. They are:

• Bacterial infections (such as Yersiniosis, Salmonellosis, or Campylobacteriosis)

• Ulcerative colitis (rarely, through backwash ileitis)

• Intestinal tuberculosis (especially in countries where TB is common)

• Long-term use of Ibuprofen or other NSAIDs

• Certain cancers

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Dr. Kadam also shared an update about the condition's diagnosis. He says, "The diagnosis typically relies on a series of blood tests, a stool examination, imaging tests (CT or MRI scans) and a colonoscopy with a biopsy to identify the underlying cause of the inflammation. Treatment depends upon the underlying condition. Antibiotics may be needed for infectious conditions, but anti-inflammatory drugs, immune-modulating drugs or biologic drugs may be used to treat inflammatory bowel diseases. Surgical intervention is indicated only in cases of complications like intestinal constriction, intestinal blockage or perforation."

Before this, Jasmin also faced another health scare during one of her shoots. She shared that she experienced severe discomfort in her eye, which escalated into a painful corneal injury.

Later, she found out that her eye injury was identified as a reaction to her contact lenses. She went on to raise awareness about proper care and hygiene when using contact lenses. She revealed that receiving prompt medical attention and care is essential when it comes to such eye injuries.

Former NFL running back Chris Johnson recently shared a heartbreaking health crisis. The ex-Tennessee Titans star revealed that he has been diagnosed with amyotrophic lateral sclerosis (ALS), the progressive neurodegenerative disorder for which there is no cure.

Former NFL Player Chris Johnson Reveals ALS Diagnosis

In a recent pre-taped interview, he spoke about finding out about the disease. He recalled, “At first it was little things like my grip didn't feel right, and I wasn't as strong as I'd always been.”

He also said that he thought the initial symptoms were related to the wear and tear from his sports career. He said, “I thought because of football and his career that it must be something with that. Maybe a pinched nerve or something along those lines, but never ALS.”

Dr. Merritt Cudkowicz, a neurologist at Mass General Brigham Neuroscience Institute, who also worked with actor Eric Dane before his death from ALS this year, revealed that Chris has been on a clinical trial that could help in alleviating inflammation.

He further shared that even though it has helped him, the disease has progressed rapidly in the last year. The former football star revealed using a speech-generating device, which is controlled by his eyes, to communicate. Before Johnson lost his ability to speak, doctors recorded his voice, allowing the device to sound like him.

What is ALS?

ALS is a neurological disorder that targets motor neurons, nerve cells in the brain, and spinal cord that are responsible for voluntary muscle movement. When these neurons degenerate and die, the brain can no longer communicate with muscles, leading to muscle weakness, paralysis, and eventually respiratory failure.

There are two major types of ALS:

Sporadic ALS: This is the most common form, accounting for 90% of cases. Though it appears without family history, a portion of cases may involve genetic mutations.

Familial ALS: Representing about 5% to 10% of cases, this inherited form results from specific genetic changes.

Who Is At Risk?

Certain groups are at higher risk. Military veterans and firefighters are nearly twice as likely to be diagnosed with ALS, potentially due to environmental exposures, physical trauma, or toxins encountered during service.

The U.S. Department of Veterans Affairs recognizes ALS as a service-connected condition, entitling veterans to specialized care and benefits.

Complications Related to ALS

As ALS advances, it affects nearly every function that depends on muscle control. Some serious complications include:

Respiratory Failure: Weakening of the diaphragm and chest muscles creates breathlessness. Respiratory failure is often the main cause of death in ALS.

Speech and Communication Impairment: The disease will lead to slurred speech or mumbling, so that there is dependence on aid to communication.

Difficulty Swallowing and Feeding: Weakening of the muscles disrupts chewing and swallowing capacity so that patients become vulnerable to aspiration pneumonia or choking. Feeding tubes are most often required.

Dementia and Cognitive Impairment: A small percentage of ALS patients develop frontotemporal dementia, which is marked by changes in behavior and decision-making.

Despite the complications of the disease, Chris Johnson has assured his fans that he still possesses the same spirit he had before the diagnosis. With advanced symptomatic treatment, support, and medical technology, ALS patients can maintain a decent quality of life.