Blog

Insomnia is when you find it difficult to get to sleep, or to stay asleep for long enough to feel refreshed the next morning. It can affect your quality of life if you feel tired and find it hard to concentrate during the day. as you get older, you're more likely to have difficulty sleeping – half of people over 65 have insomnia at some time.

There are two types of insomnia:

  • Primary insomnia has no obvious cause. 

  • Secondary insomnia is caused by another health condition. 

Symptoms of insomnia may include: 

  • difficulty staying asleep 

  • difficulty getting to sleep 

  • waking up early in the morning

  • feeling tired and irritable

Some home remedies that you may try:

  • Take a warm milk & warm bath before heading to bed

  • Go to bed at the same time each night

  • Avoid working in the bedroom

  • No alcohol before bedtime

  • Avoid smoking at night

  • Limit the use of mobile phone before bedtime

A stroke normally happens when blood cannot supply oxygen and important nutrients to your brain cells. When brain cells do not get enough oxygen or nutrients, they die. A stroke can happen in two main ways: 

  • Ischemic Stroke

  • Hemorrhagic Stroke

An Ischemic Stroke occurs when a blood vessel that supplies the brain becomes blocked or "clogged" and impairs blood flow to part of the brain. The brain cells and tissues begin to die within minutes from lack of oxygen and nutrients. The area of tissue death is called an infarct. About 87% of strokes fall into this category. Ischemic strokes are further divided into 2 groups, including the following:

  • Thrombotic strokes. These are caused by a blood clot that develops in the blood vessels inside the brain.

  • Embolic strokes. These are caused by a blood clot or plaque debris that develops elsewhere in the body and then travels to 1 of the blood vessels in the brain via the bloodstream.

On the other hand, Hemorrhagic...

Migraine is more than just a headache and migraine pain normally comes with nausea (queasiness and feeling sick) or vomiting (being sick), over sensitivity to light, noise, movement, or smell. It can mean the attack, or can mean the underlying disease that causes the attacks. Migraine pain can be on one side of the head or on both sides, can swap sides, or can be asymmetrical. During a migraine, you may experience any of the following:

  • Pain on one side or both sides of your head

  • Pain that feels throbbing 

  • Sensitivity to light

  • Nausea

  • Vomiting

  • Blurred vision

  • Light headedness

The Four (4) stages of migraine attack are as follows:

  1. Prodrome is mood change hours or days before the headache. 

  2. Aura usually happens just before the headache. 

  3. Head pain or pressure is typically thumping or pulsing. 

  4. Recovery can take a day or two, when there are no particular symptoms other than feeling ill

Migraine is the third most commo...

Shaky hands are commonly referred to as a hand tremor. A hand tremor is not life-threatening, but it can make daily tasks difficult. It can also be an early warning sign of some neurological and degenerative conditions. You should speak with your doctor if you experience hand tremors.

Many people associate shaky hands with Parkinson's disease, but the most common cause of shaking hands is actually essential tremor. It is a nervous system (neurological) disorder that causes involuntary and rhythmic shaking. It can affect almost any part of your body, but the trembling occurs most often in your hands — especially when you do simple tasks, such as drinking from a glass or tying shoelaces.Common signs and symptoms are as follows:

  • Begin gradually, usually on one side of the body

  • Worsen with movement

  • Usually occur in the hands first, affecting one hand or both hands

  • May be aggravated by emotional stress, fatigue or caffeine

Essential tremor isn't life-threatening, but symp...

Lower back pain is very common in the Philippines. According to surveys, almost 4 out of 5 of us may suffer from back pain at some point in our lives and every year, 1 out of 5 people visit a doctor pertaining to lower back pain.  Typically, back pain is concentrated in the lumbar (lower back) region which takes most of the strain of our lifestyle. The pain can be associated with stiffness and muscle spasm.

The spine or spinal column is one of the strongest part of the body giving us a great deal of flexibility and strength.  It is made up of 24 bones, one sitting on top of each other and disc in between and lots of strong ligaments and muscles around them for support.  As we grow older, the structures of the spine, age as well. The structures remain strong but it is usual for your back to get stiffer as you get older. 

Here are a few tips and tricks in order for us to reduce the risk of back pain:

  • Regular back exercises and stretches

  • Maintain a daily active lifestyle

  • ...

One should first be aware that the spinal cord is a long, fragile tube-like structure that begins at the end of the brain stem and continues down almost to the bottom of the spine. It contains nerve cells, called neurons, and bundles of nerve fibers, or axons, that carry signals to and from the brain.  The spinal cord is responsible for sending messages from the brain to all parts of the body. A person is able to experience pain and move our limbs because of messages sent through the spinal cord.


A spinal cord injury is damage to the spinal cord. It’s an extremely serious type of physical trauma that’s likely to have a lasting and significant impact on most aspects of daily life. If the spinal cord sustains an injury, some or all of these impulses may not be able to “get through.” The result is a complete or total loss of sensation and mobility below the injury. 


According to studies; More than 2.5 million people worldwide lived with paralysis caused by spinal cord injur...

Daily Persistent Headache (DPH) is a type of continous headache that starts suddenly and happens on a daily basis with migraine-like or tension-like features. The headache is often described as a pressure-like or tightening sensation. The pain is often on both sides of the head, but can also be on one side or localized to one specific area.


People with DPH will frequently have sleep disturbance, pain at other sites, dizziness, worsening anxiety and mood, and school absence. Other frequent symptoms include non-specific abdominal pain, back pain, neck pain, and diffuse muscle and joint pain. It can resemble chronic migraine in its features, with days when there is light or sound sensitivity, nausea, throbbing, or pain on just one side of the head. Sometimes, it may resemble a tension-type milder headache without any of those features.


Daily Persistent Headache is treated like the headache it resembles, generally c...

A stroke occurs when blood stops supplying any part of your brain which damages the brain cells. The most common type of stroke, accounting for almost 80% of all strokes, is ischemic stroke. Not only do many stroke survivors have to live with physical or cognitive disabilities, they also live in fear of a second attack. According to studies, 1 in 4 stroke survivors suffer a second stroke within 5 years. As many as 30% of all strokes are secondary strokes. They tend to be more disabling and costly, and are more likely to be fatal.

Prevention is the key! it starts with knowing your risk. 9 in 10 people have at least one risk factor for stroke or heart disease. Almost 80% of premature stroke and heart disease can be prevented through healthy lifestyle change. That means that habits like eating healthy, being active, avoid smoking and limiting alcohol have a big impact on your health.

One key factor in preventing a second stroke from happening is a hand in hand partnership with your doctor....

We first have to know what a neurologist is. A neurologist is a medical specialist who handles diseases / disorders in the brain and spinal cord (Nervous system) peripheral nerves (nerves connecting to the brain and spine to the organs like lungs, liver etc) and muscles. Neurological diseases can include headache, seizure, dizziness, movement disorder such as tremors; sleep disorders, aneurysm and many others.

Headache - it is something almost everyone experience. We can feel them stretching into our sinuses, across the top of our head, down through the muscles of the head, neck, and shoulders or along the base of the skull and brain. They can be caused by many conditions from a sinus infection to a throbbing toothache from a visit to the dentist. Symptoms of more serious headaches, including migraines, may be vomiting, a headache that becomes more severe or is continuous, a headache that comes on suddenly or pain that is worsened by strain, a headache that starts early in th...

The truth is that snoring is a common condition that occurs to men and women of all ages. Snoring occurs when sleeping and the airways in your head relax enough to narrow, this increases the speed at which you breathe out and affects the air pressure in the airways. This change of pressure means that the soft walls of the airways are sucked inward and close, thus causing vibrations when air is forced through by heavier breathing. 


Evidence has shown that once you start snoring, it will only get worse without treatment. Since snoring weakens the muscles in the head and neck, it becomes harder and harder to keep the airways open and the snoring only increases.

The ultimate key to control the problem on snoring is a simple lifestyle changes. Exercising more to lose weight will alleviate pressure on airways. Stopping smoking will prevent the irritation of nasal tissue, decrease swelling and stop the build-up of catarrh, all this will help regulate your breathing and reduce snoring. Avo...

Please reload

Featured Posts

Understanding Why you should Sleep

May 25, 2019

1/10
Please reload

Archive
Please reload

Follow Me
  • Grey Facebook Icon
  • Grey Twitter Icon
  • Grey Instagram Icon
  • Grey Pinterest Icon

Medical Affiliations:

Manila Doctors Hospital

Cardinal Santos Medical Center

Chinese General Hospital

winnielimkhoo@gmail.com

+63 (998) 5500497

  • White Facebook Icon
  • White Twitter Icon
  • White Pinterest Icon
  • White Instagram Icon

© 2015 by Winnie Lim Khoo MD. Proudly Philippine Made