Medical Affiliations:

Manila Doctors Hospital

Cardinal Santos Medical Center

Chinese General Hospital

winnielimkhoo@gmail.com

+63 (998) 5500497

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© 2015 by Winnie Lim Khoo MD. Proudly Philippine Made

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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...

Headache is one of the most common disorder of the nervous system. It happen when the nerve endings in different parts of your head and neck become irritated. Common complaint are  pain or discomfort in the head, scalp, or neck. 

A typical headache may lasts for about 3-4 hours. But for some people, severe headaches drag on much longer, sometimes for several days or months. Here are some of the possible causes of your "never ending headache" namely:

  • Hemicrania Continua - It is a continuous & fluctuating pain without shifting sides of the head. The pain is usually mild to moderate in intensity.

  • Rebound Headache - It is caused by a prolong & regular use of certain medications to treat headaches, such as migraine. Over the counter pain relievers may provide temporary relief.

  • Depression - According to studies; a generalized aches and pains is one of the main symptoms of depressive individuals.  

It is advisable to visit a headache specialist when you...

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...

Do you know that migraine pain is a complex neurological condition; which can affect the whole body and can result in many symptoms, sometimes without a headache at all. It may be easily overlooked or mistaken for other conditions and can affect people in many different ways. 

Some of the symptom of migraine may include: flashing lights, blind spots in the vision, nausea, vomiting, debilitating head pain, pins and needles & even numbness in the limbs.Migraine is triggered by an enormous variety of factors - not just cheese, chocolate and red wine! For most people there is not just one trigger but a combination of factors which individually can be tolerated. When these triggers occur altogether, a threshold is passed and a migraine is triggered. The best way to find your triggers is to keep a migraine diary.

Thanks to modern technology; A drug-free & non-invasive migraine treatment option is now available. Many people suffer from frequent migraine attacks and a significant...

We first have to remember that motion sickness is not a serious illness and may be prevented. It is commonly defined as the feeling of cold sweat,  nausea, dizziness accompanied with vomiting when a persons' sense of balance is disrupted by constant motion. Riding in a car, aboard a ship or boat may cause stimulation of the vestibular system and visual stimulation that often leads to motion sickness. It usually quiets down as soon as the motion stops. The more you travel, the more easily you'll adjust to being in motion.

While all five of the body's sensory organs contribute to motion sickness, excessstimulation to the vestibular system within the inner ear has been shown to be one of the primary reasons for this condition.Balance problems, or vertigo, are caused by a conflict between what...

Cardio exercise is any exercise that raises your heart rate. Face it our bodies were made to move. And we all know that to keep our muscles in shape we need move them. This movement makes them stronger and stronger muscles make for a more efficient and healthy body. Your heart is a muscle. Therefore working it makes it stronger. A stronger cardio-vascular system means more capillaries delivering more oxygen to cells in your muscles. This enables your cells to burn more fat during both exercise and inactivity. Cardio exercise uses large muscle movement over a sustained period of time keeping your heart rate to at least 50% of its maximum level. 

Some of the Best Cardio Workouts Are:

Walking – This is the easiest and safest way to start getting in your cardio.

Elliptical – Minimal impact on the knees and hips but calorie burning is still high.  When you increase the incline you will activate more muscles.

Running –  This one is easy to understand.  Just remember if you train like a...

What is a stroke?

A stroke occurs when blood flow to the brain is interrupted. When a stroke occurs, brain cells in the immediate area begin to die because they no longer receive the oxygen and nutrients they need to function.

What happens during a stroke?

When a stroke occurs the blood supply to part of the brain is suddenly interrupted. Brain cells die when they no longer receive oxygen and nutrients from the blood or if there is sudden bleeding into or around the brain.

What are the types of strokes?

A stroke can occur in two ways. In an ischemic stroke, a blood clot blocks or plugs a blood vessel or artery in the brain. About 80 percent of all strokes are ischemic. In an hemorrhagic stroke, a blood vessel in the brain breaks and bleeds into the brain. About 20 percent of strokes are hemorrhagic.

What are the symptoms of stroke?

What makes stroke symptoms distinct is their sudden onset:

  • Numbness or weakness of face, arm or leg 

  • Trouble speaking 

  • Trouble seeing in one or both e...

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....

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 pretty common to see the occurrence of stroke in patients that are 60 years of age and above; but do you know that based on studies in the U.S.; more than 10% of stroke patients are below the age of 45. As a mater of facts, other studies shows:

  • From birth to age 19, there are nearly 5 strokes for every 100,000 children.

  • Stroke in all people under 45 ranges from 7 to 15 per 100,000.

  • There has been a 32% spike in stroke cases among 18 to 34 year old women and a 15% increase for men in the same range. 

The most common symptoms of stroke, including loss of speech, facial droop, and weakness on one side of the body are the same in this younger age group as those in the older age group. Other symptoms can include vision loss, double vision, slurred speech, dizziness, or difficulty walking. 

About 80-85% of all strokes at any age are caused by a clot blocking blood flow in the brain. This is called an ischemic stroke. The first line of treatme...

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