December 5, 2017

Sleep deprivation is now becoming a huge problem in the Philippines. There has been a steady rise of patients complaining of not being able to sleep despite being tired.  If you kept waking up in the middle of the night it may be a case of insomnia.  Sleep deprivation is linked to a whole lot of medical issues including obesity, diabetes and heart disease. Over-the-counter sleep aids rarely offer significant or sustained help for the said sleep problem.

Insomnia is an experience of inadequate or poor quality sleep characterized by one or more of the following:

  • difficulty falling asleep

  • difficulty maintaining sleep

  • waking up too early in the morning

  • nonrefreshing sleep

Here are a few home remedy tips when you can not sleep at night:

  • Establish a quiet, relaxing bedtime routine. For example, drink a cup of caffeine-free tea, take a warm shower or listen to soft music. Avoid prolonged use of electronic devices with a screen, such as lapto...

Almost anyone can have a stroke, although there are some things that make you more at risk than others. It’s important to know what the risk factors are and do what you can to reduce your risk.  A whole lot of people thinks that strokes only happen to older people but stroke can strike anyone at any time. While most people who have a stroke are older, younger people can have strokes too, including children.

The largest number of people who have strokes are aged over 55, and the risk increases as you get older. This is because our arteries naturally become narrower and harder as we get older.
If you are South Asian, black African or black Caribbean you are at a higher risk of stroke than other people in the UK. It isn’t completely understood why this is, but it’s probably connected to the fact that you are more likely to have conditions like high blood pressure or diabetes.
Family history
If a close relative (parent, grandparent, brother or sister) has had a stroke, yo...

Statistics about brain aneurysm:

  • About 90% of all brain aneurysms produce no symptoms

  • Brain aneurysms are most prevalent in people ages 35 – 60, but can occur in children as well. The median age when aneurysmal hemorrhagic strokeoccurs is 50 years old and there are typically no warning signs. 

  • ​4 out of 7 people who recover from a ruptured brain aneurysm will have disabilities.

  • Most aneurysms are small, about 1/8 inch to nearly one inch, and an estimated 50 to 80 percent of all aneurysms do not rupture during the course of a person’s lifetime. Aneurysms larger than one inch are referred to as “giant” aneurysms and can pose a particularly high risk and can be difficult to treat.

  • 1 in 4 survivors of a rupture experience some permanent disability

  • Ruptured brain aneurysms account for 3 – 5% of all new strokes.

  • The annual rate of rupture is approximately 8 – 10 per 100,000 people or about 30,000 people in the United States suffer a brain aneurysm ruptur...

An aneurysm is a weak area in a blood vessel that usually enlarges. It’s often described as a “ballooning” of the blood vessel. Aneurysms usually develop at branching points of arteries and are caused by constant pressure from blood flow. They often enlarge slowly and become weaker as they grow, just as a balloon becomes weaker as it stretches. Aneurysms may be associated with other types of blood vessel disorders, such as fibromuscular dysplasia, cerebral arteritis or arterial dissection, but these are very unusual.

An aneurysm is usually located along the major arteries deep within brain structures. When approaching an aneurysm during surgery, normal brain tissue must be carefully spread apart to expose it. Aneurysms can occur in the front part of the brain (anterior circulation) or the back part of the brain (posterior circulation).

Unruptured brain aneurysms are typically completely asymptomatic. These aneurysms are typically small in size, usually less than one half inch in diameter...

The condition of Dizziness can range from fleeting faintness to a severe balance disorder that makes normal functioning impossible. Among adults over 60, about 20 percent have had a dizziness episode that affected their usual activities. Dizziness is also the unwanted side effect of many different medications.

Here are a few of the symptoms of dizziness:

  • Lightheadedness, as though you might pass out

  • Unsteadiness or a loss of balance

  • A false sense that you or your surroundings are spinning or moving (vertigo)

  • Floating experience

Stress or anxiety

Being stressed, anxious, tense or irritable can also provoke dizziness or a sense of imbalance. This can lead to a vicious circle effect as feeling dizzy in itself can lead to feeling stressed, anxious or depressed.  It is important to note that different people find different activities relaxing, so do what best suits you.

Low blood sugar level (hypoglycaemia) 

Low blood sugar (glucose) levels can lead to dizzine...

Shaky hands are commonly referred to as a hand tremor. A hand tremor isn’t 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, bu...

Pins and needles sensation is referred to as a feeling of prickling or tingling that is common when you have been in the same position too long, or slept on a limb. In these transient causes of pins and needles, it is the result of too much pressure on a nerve. Pins and Needle is a normal sensation, but prolonged and repetitive experience of it needs a visit to a nerve specialist or neurologist. In most cases, a pins and needles sensation is just your nerves telling you that you need to get more blood to that part of your body. #pinsandneedle #numbness #pain #handpain #neuropathy #tingling #nervedamage #nervepain #nervespecialist #nervedoctor #winnielimkhoo #nerve #specialist #neurologist #manila #philippines #health #tips #advise #lifestyle

High blood pressure is defined as a systolic blood pressure above 140 mmHg and/or a diastolic blood pressure above 90 mmHg. Systolic blood pressure is the maximum pressure in the arteries when the heart contracts. Diastolic blood pressure is the minimum pressure in the arteries between the heart’s contractions. You will be classed as having high blood pressure if yours is consistently above 140/90 mmHg.

The stress that high blood pressure causes on all your blood vessels makes them weaken and predisposes them to damage. The heart also has to work double time to keep your blood circulating.  Once the blood vessel weakens they are more likely to block. Our brain depends on a nourishing blood supply to work properly and survive. But high blood pressure may cause several problems to the brain, including:

  • Transient ischemic attack (TIA). Commonly called a ministroke, It is a brief, temporary disruption of blood supply to your brain. It's often caused by atherosclerosis or a blood clot — b...

It is often difficult to diagnose migraines. In fact half of the people who have attacks that fit the meaning of migraine, haven’t been diagnosed by a doctor. However, migraine is the most common type of headache that leads patients to seek treatment for the symptoms.

If the family doctor or general practitioner can’t help identify what’s causing uncomfortable symptoms, it might be time to see a specialist. Neurologist – a doctor trained in diagnosing and treating disorders and diseases of the brain, spinal cord, nerves and muscles. Neurologists examine and treat the nerves in the head and neck as well as diagnose problems with memory, balance, speech, thinking and language. They focus on treating people with migraines and have seen many patients with headache disorders.

When people think of headaches and neurologists, they think of migraine. Certainly migraine is a common neurological problem. Neurologist treat the full spectrum of headache disorders, including tension type headach...

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...

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Medical Affiliations:

Manila Doctors Hospital

Cardinal Santos Medical Center

Chinese General Hospital

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© 2015 by Winnie Lim Khoo MD. Proudly Philippine Made