A report by Swachh Bharat Mission says that 74.5 per cent of public places are equipped with toilets. Another report by the Ministry of Jal Shakti states that there are 2.23 lakh Community Sanitary Complexes built across all States and UTs under the Swachh Bharat Mission (SBM) since October 2014. Over 92 lakh toilets have been constructed since the launch of SBM Gramin (SBM (G)) in April 2020.

While toilets are there, are they accessible? This is the question one should ask. The National Family Health Survey (NFHS) focuses on 131 health indicators, but not until the NFHS 5 survey did they include the question of accessibility of toilets in the survey. This happened after the inputs from the Department of Drinking Water and Sanitation (DDWS) and the Ministry of Health & Family Welfare questioned the accessibility.

One might ask, why is the question of accessibility so important? The answer is quite simple. Access to water, sanitation and hygiene is the most basic human need and is also included under the Sustainable Development Goals by the UN.

Are These Numbers Real?

This thought crossed my mind because back in 2021, I went on a solo trip, on a bus to Udaipur from Delhi. There, the bus made two stoppages. This was done so people could get a quick dinner and freshen up, relieve themselves and be prepared for the rest of the journey. This was a nightmare. The bus only stopped for 10 minutes. While some men used the washroom, others went to the bushes.

For the women, there were three cubicles. One of them was broken, and the other one did not have a light bulb, which meant only one was usable. There was a long queue for that cubicle, and time was short. There was no point in trying to find an isolated corner, because it was past midnight, in an unknown area.

I waited anxiously. When finally, my turn came, I saw an overused, dirty washroom. The toilet seat is in a horrible condition. I wanted to touch nothing there. But I had to pee. So, I used my mask to cover my nose from the odour, folded my pants so they did not touch the floor and squatted. It was quite a task to balance.

On my way back to Delhi, I made sure to not drink any water for over a 13-hour bus journey. I dehydrated myself so I did not have to use the washroom. When I did reach, I was severely dehydrated and was sick for three days.

I shared my experience with my friends only to realise that many women have faced the same. There are no washrooms for women.

A friend of mine told me that it is because these roads and dhabas are mainly designed to serve men. They are the ones who travel at night or are on the roads most of the time. As a result, the few women who do travel or are on the road suffer.

Health Risks Women Are Prone To

Well, it is true, but partially. While holding your pee for too long can lead to health risks, peeing on a dirty toilet seat cannot lead to infections unless your urethra is in contact with the bacteria present on that toilet seat. However, nobody wants to sit on a dirty toilet seat, even if you do not get an infection. A safe and hygienic toilet is a basic need.

One of the regular saleswomen, Usha, who visits my house shared her experience with me. “Being on the road constantly means I must use the dirty public washrooms. But I do not want to use them. So, sometimes I ask my regular customers to let me use their washrooms. Some say yes, and some say no. I understand they are also concerned about their safety and privacy,” she says. As a result, Usha spends most of her day not drinking enough water and holding her pee when she is at work. Due to this, she also suffered from a Urinary Tract Infection (UTI).

Her friend, Halima too faced similar problems and due to increased levels of uric acid in her body, she suffered from Hyperuricemia.

Other health risks are kidney stones and other kidney problems, headaches, dull skin, xerostomia or dry mouth, fatigue, and urinary incontinence, which means losing control over your pelvic floor muscles leading to uncontrolled leakage of urine, seizures and weakness.

What Can You Do?

Wear comfortable clothes and capris. Capri pants are comfortable and are short in length, which means this won’t touch the toilet floor when you squat or sit.

Carry Essentials

Even though you cannot get a UTI alone from sitting on a toilet seat, it is always safe to carry a toilet seat sanitiser. If nothing, it can help you get rid of the bad odour so you can use your stand and pee device inside the toilet. You can also use disposable toilet seat covers if your knees are weak, and you cannot squat. Always flush with your seat down.

Always keep disposable gloves, a portable bidet (fill it with water before use), a pocket liquid handwash, wet wipes, tissues and sanitiser handy. Do not forget to keep extra sanitary pads. It might sound a lot, but I promise that it all fits in one pouch. Use this travel-friendly pouch every time you are on the road, or using a public washroom.

What Can We Learn From Others?

However, in case we do not get these technologically advanced toilets here, you can always pack a travel-friendly toilet kit!

American TV personality Kim Kardashian has opened up about the steps she takes to care for her health, including taking 35 supplements daily.

Speaking on a podcast, the 45-year-old mother admitted she suffers from “pill fatigue.”

“I take probably 35 supplements a day,” the reality star revealed. “I spread them out three times a day.”

The mother of four said she struggles particularly with fish oil supplements because of their lingering taste, and even wished there were an IV drip alternative available.

“I thought, ‘Okay, I can't do this fish oil anymore. I have pill fatigue. I have to stop these fish oil [supplements], and I got my bloodwork, and it was so evident that I stopped and I had to start again,” Kim said.

“I wish there was like an IV drip (for fish oil) I could do every day, and I would just do it on my way to work,” she added.

Kardashian Family Uses DEXA Scans

Also read: Amy Schumer Opens Up On Side Effects After “Botched” Colonoscopy And Weight Loss Journey

Further, Kim revealed that her family, including her mother, Kris Jenner, and sisters, regularly use DEXA scans to monitor bone density.

A DEXA scan (Dual-Energy X-ray Absorptiometry) is an imaging test that uses low-frequency X-rays to measure bone density and analyze total body composition, including lean muscle, fat mass, and visceral fat.

“I actually know a portable DEXA scan person that comes in a van, and you lie down,” she shared.

“Each one of my sisters and my mom — we all live in the same gated community — so we have the van drive by, and we all jump in the van, and you just lie down, and it scans your body maybe like three minutes. And it tells you all about your bone density.”

Kardashian also said she undergoes yearly scans with her family and is continuing to explore new wellness tools.

Kim's Diagnosis With Brain Aneurysm

Kim has also been diligent about monitoring her health in recent years. In a November 2025 episode of The Kardashians, she revealed that doctors had discovered a small aneurysm in her brain.

At the time, Kim explained that the aneurysm — a balloon-like bulge in a blood vessel in the brain — could be linked to the stress she had experienced over the years. She said her divorce from Kanye West, the responsibilities of being a single mother of four, her multiple business ventures, and studying law had all contributed to immense stress.

Shortly before that episode aired, Kim also discussed the aneurysm during an appearance on Good Morning America.

“It's just a good measure to go; make sure that you always check everything,” Kim said. “Health is wealth, and you just have to be careful with everything that you do.”

Persistent back pain is often ignored as a minor issue, but when it continues or worsens over time, it may be a sign of an underlying spinal condition. One such condition is spinal stenosis, which involves narrowing of one or more spaces within the spinal canal.

It can develop due to age-related changes, herniated discs, thickened ligaments, or previous injuries, most commonly affecting the lower back and neck. Since spinal stenosis progresses slowly and symptoms may appear mild at first, early detection becomes crucial to prevent long-term complications, including permanent nerve damage.

Why Is It Dangerous If Untreated?

In its early stages, spinal stenosis may cause mild discomfort, tingling, or numbness. However, as the narrowing worsens, pressure on the nerves increases. This can lead to chronic pain, weakness in the limbs, and difficulty walking or maintaining balance.

If ignored for a long time, the condition can result in permanent nerve damage. In severe cases, patients may experience loss of bladder or bowel control, a medical emergency that requires immediate attention. Delayed treatment reduces the chances of reversing nerve damage, making early recognition more important.

What Are The Warning Signs To Watch Out For?

While occasional back pain is common, certain symptoms indicate something more serious:

• Persistent back or neck pain that worsens over time
• Numbness or tingling in the arms, legs, or feet
• Muscle weakness or reduced strength
• Difficulty walking or maintaining balance
• Pain that radiates down the legs, especially while standing or walking

How Can It Be Diagnosed?

Diagnosis of spinal stenosis focuses on identifying the extent of spinal narrowing and its impact on nerve function. It usually begins with a detailed assessment of symptoms and physical movement, followed by imaging tests such as spine X-rays, MRI, and CT scans.

In some cases, a CT myelogram may be advised for a more detailed view of the spinal canal and nerve compression. These tests help confirm the condition, locate the affected area, and determine its severity.

How Can It Be Treated?

Treatment depends on how advanced the condition is. In the early stages, simple measures are usually recommended, such as regular exercises like walking or stretching, correcting posture, making ergonomic changes in daily routine, maintaining a healthy weight, and avoiding activities that strain the spine.

However, in more severe cases where nerve compression significantly affects daily functioning, certain procedures may be required.

Minimally invasive spine decompression (MISD) is a modern surgical approach designed to alleviate pressure on spinal nerves while preserving as much of the natural spinal structure as possible. Unlike the traditional laminectomy, which often involves significant removal of bone and muscle, MISD focuses on precision and stability.

Spinal fusion joins two or more bones in the spine to improve stability and reduce excessive movement.

What Are The Tips To Prevent Spinal stenosis?

Preventing spinal stenosis or slowing its progression involves a combination of lifestyle changes and early care:

• Stay physically active: Regular exercise helps strengthen the muscles supporting the spine and reduces strain.
• Maintain good posture: Proper sitting and standing posture prevents unnecessary pressure on the spine.
• Avoid prolonged sitting: Taking frequent breaks helps reduce stiffness and improve spinal flexibility.
• Manage body weight: Excess weight increases pressure on the lower spine, worsening the condition.
• Be mindful while lifting: Using correct techniques prevents sudden strain or injury to the spine.

Ignoring symptoms can lead to irreversible nerve damage and long-term disability. With early diagnosis, proper lifestyle changes, and expert care, it is possible to manage the condition effectively and maintain a good quality of life.

American stand-up comedian and actress Amy Schumer has opened up on her colonoscopy procedure didn’t go quite as planned.

Speaking at the Not Skinny But Not Fat podcast, the 44-year-old Amy Schumer stated that she’s feeling "happier than I've ever been before," but admitted that she's also been experiencing some struggles.

“I actually had kind of a botched colonoscopy, so I’m not feeling very sexual,” she noted.

Schumer, who filed for an uncontested divorce with her husband of seven years, Chris Fischer, in January, reportedly didn't share any further details.

Previously, the Trainwreck star shared major insight into her health journey over the years—including how her diagnosis with Cushing Syndrome influenced her weight loss journey.

“I didn’t lose 30lbs, I lost 50,” Amy wrote in a post on social media platform Instagram. “Not to look hot which does feel fun and temporary. I did it to survive. I had a disease that makes your face extremely puffy and can kill you but the internet caught it and that disease has cleared.”

Cushing Syndrome is a hormonal condition that causes elevated levels of cortisol, and can cause death if left untreated, as per the National Library of Medicine.

Amy has also spoken of losing weight by using Mounjaro and her physical transformation via plastic surgery.

"I have been working to be pain free and I finally am," she wrote in a November Instagram post. “My endometriosis is better. My back is healing. I no longer have Cushing syndrome so my face went back to normal. I am grateful to be strong and healthy, especially for my son.”

Also read: ‘I Was Vocal About Cancer But Silent About Menopause Out Of Shame’, Says Actress Lisa Ray

What Is A Colonoscopy?

A colonoscopy is a 15 to 60 minute medical procedure that is used to examine the entire inner lining of the large intestine, which includes rectum and colon for abnormalities, such as polyps, inflammation, or cancer.

A doctor uses a colonoscope, which is a thin, flexible tube with a camera to take images, remove polyps, or take issue samples.

Most health experts, including federal guidelines and the American Cancer Society, recommend that people at average risk for colorectal cancer start screening at age 45. This usually means getting a colonoscopy once every 10 years, or opting for stool-based tests every one to three years. These guidelines also play a role in whether insurance companies cover the tests.

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Even so, most cases of colon cancer are still diagnosed in people over 50. What’s worrying, though, is the steady rise in cases among younger adults in their 20s, 30s and 40s over the past few decades.

Access to colonoscopies remains a concern, especially in low and middle income countries. Further, screening rates among younger eligible adults remain low. Only about one in five people aged 44 to 49 are up to date with recommended screenings.

Experts say that if the screening age were lowered further, participation might drop even more. For now, the focus remains on improving awareness and encouraging those already eligible to get screened on time.