No Washrooms for Women: The Shocking Health Risks of UTI, Hyperuricemia & More

Updated Aug 12, 2024 | 10:00 AM IST

SummaryLack of accessible, hygienic washrooms poses serious health risks for women, including UTIs, hyperuricemia, and more. Despite the construction of public toilets, many are unusable or unsafe. Women often resort to extreme measures, risking dehydration and other health issues. Discover the shocking reality and what can be done to address it.
No Washrooms for Women The Shocking Health Risks of UTI, Hyperuricemia & More

Credits: Unsplash

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?
Just a few weeks back, I was travelling to Himachal Pradesh on a bus. While I was excited to explore the state for the first time, anxiousness gripped me. “What if I have to dehydrate myself again on the journey?” I thought.

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
Holding your pee for too long can lead to many health risks. But peeing on a dirty seat may lead to infections.

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?
I learned my lesson from Udaipur and for this trip, I did not want to be sick. So, there are a few essentials that I carried this time with me, that you can too. Because not drinking water or holding your pee is not the solution.

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
I now carry a stand and pee device. With this device, you no longer must sit on the dirty toilet seat. It is a slanted funnel-like device, which can be placed between your legs when you urinate. Once you are done, you can dispose of it and throw the device in the dustbin.

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?
Countries like South Korea, Japan, and China have incorporated technologies in their toilet to provide a safe experience. They have different water modes, and a button that will wipe your seat when pushed. There are buttons that change your toilet seat covers too.

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

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Breast Cancer Cases Double in India Over A Decade: Why This Needs Attention

Updated Apr 22, 2026 | 09:00 AM IST

SummaryIt is estimated that one in every 25 to 28 women in India will develop breast cancer at some point in their lives. When this is applied to the country’s population, it translates into a very large number of women being affected.
Breast Cancer Cases Double in India Over a Decade: Why This Needs Attention

Credit: iStock

India is seeing a steady and worrying rise in breast cancer cases, with numbers nearly doubling over the past ten years in many urban areas. What was once considered a gradual increase has now become much more visible across the country.

Over the last two decades, breast cancer cases have been slowly increasing. But in the last decade, the rise has been sharper. At the same time, there has been a major shift in the type of cancers affecting women. Earlier, cervical cancer was the most common. Today, breast cancer has taken that position across India.

Why Breast Cancer Cases Are Rising?

One of the biggest reasons behind this rise is that lifestyles have changed, especially among urban dwellers. Diets are now richer in fats, with physical activities taking a backseat, leading to obesity becoming normal. These factors, along with hormonal changes, delayed pregnancies, and genetic risks, all contribute to a higher chance of developing breast cancer.

At the same time, there is also a more encouraging side to this story. More women today are getting diagnosed earlier than before. A decade ago, many patients would come in with advanced stages of the disease. Now, a larger number are being detected in Stage 1 and Stage 2. This shift is important because early detection significantly improves survival.

Better awareness and easier access to screening have played a big role in this change. Campaigns during Breast Cancer Awareness Month have helped bring conversations around breast cancer into the mainstream. More women are now opting for regular check-ups and mammograms, which means cancers are being caught earlier.

However, the overall numbers still remain a concern. It is estimated that one in every 25 to 28 women in India will develop breast cancer at some point in their lives. When this is applied to the country’s population, it translates into a very large number of women being affected.

The important thing to understand is that this rise is not due to one single reason. It is a mix of lifestyle changes, increased awareness, better detection, and possibly hormonal and environmental factors that are still being studied.

Importance Of Early Screening

The way forward is clear. Regular screening is one of the most effective tools available today. Women above the age of 40 should ideally undergo a mammogram every year, even if there are no symptoms. Early-stage breast cancer can be treated very effectively, with cure rates going up to nearly 99% when detected at the earliest stage.

While the numbers may seem alarming, there is also a sense of progress. More awareness, better screening, and earlier diagnosis mean that outcomes are improving. The focus now needs to be on making screening a routine habit and encouraging healthier lifestyles.

Breast cancer is on the rise in India, but with the right approach, it is also one of the cancers where early action can make the biggest difference.

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From Better Sleep To Stronger Bones: Here’s How Magnesium Can Help Boost Your Health

Updated Apr 22, 2026 | 04:00 AM IST

SummaryMost people get enough magnesium from food, but certain groups are more vulnerable to deficiency. These include people with gastrointestinal disorders such as Crohn’s disease or coeliac disease, those with type 2 diabetes, people who consume excessive alcohol, and older adults.
From Better Sleep To Stronger Bones: Here’s How Magnesium Can Help Boost Your Health

Credit: Canva

Magnesium is an essential mineral that plays a crucial role in over 300 biochemical reactions in the body. From regulating muscle and nerve function, to supporting a healthy immune system, to building protein, maintaining blood sugar and blood pressure levels, and aiding in energy production, magnesium plays an important role in our health.

Importantly, it helps in getting a good night’s sleep by promoting relaxation, calming the nervous system, and helping your body produce melatonin, the so-called sleep hormone. Magnesium supplements are among the most popular dietary supplements in America, the Washington Post reported.

“There’s a lot of interest in magnesium right now — all of my patients are asking me about it,” Bethany Marie Doerfler, a clinical research dietitian at the Northwestern Digestive Health Center, was quoted as saying.

“There’s a lot of insomnia in the United States, and many of my patients are saying, ‘Can I use magnesium, can it be helpful?’”

Studies have proven that high levels of magnesium in the diet can lower the risk of heart disease and strokes. It also increases bone mineral density, protecting against fractures and osteoporosis.

Yet despite its well-documented benefits, researchers have found that a majority of people consume less magnesium than the recommended amounts.

How Much Magnesium Do You Need?

According to the American health officials, women aged between 19 and 30 should consume 310 milligrams of magnesium daily (350 milligrams if they’re pregnant), and 320 milligrams if they are 31 or older.

For men, the recommendation is that they consume 400 milligrams if they’re 19 to 30 years old, and 420 milligrams if they’re 31 or older.

Doerfler noted that one can get plenty of magnesium simply by eating a few daily servings of the right plant foods.

According to the National Institutes of Health some top dietary sources of magnesium, include

  • Pumpkin seeds
  • Chia seeds
  • Almonds
  • Spinach,
  • Cashews
  • Peanuts
  • Shredded wheat cereal
  • Soymilk
  • Black beans

Who Is At Risk Of Magnesium Deficiency?

Most people get enough magnesium from food, but certain groups are more vulnerable to deficiency. These include people with gastrointestinal disorders such as Crohn’s disease or coeliac disease, those with type 2 diabetes, people who consume excessive alcohol, and older adults.

If you’re low on magnesium, you might notice symptoms such as muscle twitches, spasms, fatigue, low appetite, nausea, or an irregular heartbeat. However, the only way to confirm a deficiency is through a blood test prescribed by your doctor.

Can Magnesium Supplements Really Help?

While magnesium deficiency can lead to cramps, most cases of muscle cramps are not due to low magnesium. Research shows limited evidence that supplements prevent cramps, especially in older adults.

The link between magnesium and better sleep is also unclear. Some studies found it helped people fall asleep faster, while others found no significant difference.

When it comes to migraines, evidence is stronger. Studies suggest that taking 122–600 mg of magnesium daily for 4–24 weeks may reduce the frequency and severity of migraines in some people.

Are Magnesium Supplements Safe?

In general, magnesium supplements are safe when taken in the recommended amounts. However, too much can lead to nausea, abdominal cramps, and diarrhea, because magnesium draws water into the intestines.

Taking extremely large doses (around 5,000 mg daily) can cause magnesium toxicity, which is dangerous. Always check with your doctor before starting supplements, especially if you take other medications.

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31-Year-Old Brazilian Beauty Queen Dies of Heart Attack: Why Young Adults Are At High Risk

Updated Apr 21, 2026 | 10:00 PM IST

SummaryDoctors are now seeing more heart attack cases in people as young as their late 30s and early 40s. The experts noted that people mistake early signs for lifestyle issues: acidity after a heavy dinner, shoulder pain from sitting at a laptop, or tiredness from long hours.
31-Year-Old Brazilian Beauty Queen Dies of Heart Attack: Why Young Adults Are At High Risk

Credit: Daily Mail

A 31-year-old Brazilian beauty queen, Maiara Cristina de Lima Fiel, has reportedly died after suffering a sudden heart attack.

de Lima Fiel, a young mother, was due to compete in a beauty pageant next week. She reportedly had no major health issues. Paramedics spent more than an hour trying to save her life but she tragically did not recover, The Daily Mail reported.

Her untimely death has sparked grief and shock among her community and followers, and has also reignited concerns over unexpected cardiac events in seemingly healthy individuals.

Who Was Maiara Cristina de Lima Fiel?

de Lima Fiel was crowned Miss Londrina last year in a prestigious regional beauty pageant and also came runner-up in the 2025/26 edition of Miss Sarandi, The Daily Mail reported.

"She was such a committed, dedicated young woman," the report quoted Vitor Tavares, organizer of the contest Maiara, as saying. She was due to compete on April 29.

"I had the pleasure of meeting her in person at the end of last year when she confirmed her participation as Miss Londrina. From that moment, it was clear how seriously she took this dream," he added.

While detailed medical circumstances have not been publicly disclosed, such sudden cardiac events in young adults are often linked to underlying, sometimes undiagnosed, heart conditions or acute cardiovascular episodes.

Also read: US Cardiologist Explains Why 2026 AHA Cholesterol Guidelines Recommend Starting Young

Heart Attacks Rising Among Younger Adults

Acute coronary syndromes, or heart attacks, are on the rise among young adults.

While there are some genetic predispositions for premature heart attacks, the majority of the risk is attributed to the increased incidence of conventional risk factors in young people, such as

  • Obesity,
  • Sedentary lifestyle,
  • Diabetes,
  • Hypertension,
  • Dyslipidemia
  • Smoking
  • Substance abuse.
Lesser-discussed, unconventional risk factors, such as mental stress, workplace stress, and environmental pollution, are also contributing significantly to this silent epidemic.

Who Is At Risk for Sudden Heart Attacks?

Also read: Ideal Blood Pressure Reading for Older Adults: Harvard Health Experts Have an Answer

Doctors are now seeing them in people as young as their late 30s and early 40s, especially those with high-stress jobs.

“They mistake early signs for lifestyle issues: acidity after a heavy dinner, shoulder pain from sitting at a laptop, or tiredness from long hours," Pankaj Vinod Jariwala, Interventional Cardiologist at Yashoda Hospitals, told HealthandMe.

Dr Krunal Tamakuwala, cardiologist at KD Hospital, Ahmedabad, pointed out that the real danger is not that these heart attacks are completely "symptomless," but that their symptoms are so common that they are easily ignored.

By the time a person finally sees a doctor, their heart may already be seriously damaged.

“Sometimes, it arrives silently, hidden behind complaints we consider minor. That is why doctors urge patients not to ignore symptoms that linger or feel unusual, even if they seem harmless at first,” Dr Tamakuwala told HealthandMe.

How To Reduce Heart Disease Risk In The 30s?

The experts shared that to boost heart health, the key is to

  • Eat a healthy and balanced diet
  • Avoid refined sugars, fats, and processed foods.
  • Do at least 30 minutes of moderate physical activity per day, for five days a week.
  • Stay away from smoking,
  • Early screening and treatment
  • Improving mental health.

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