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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Migraines are very common. According to studies, almost 20% of the population have at least one migraine attack every month. Half these attacks interfere with your daily life. It is one of the most common neurological disorders in the country today. 

One proven way to treat / prevent migraine attacks is medication. Unfortunately medication is just part of the treatment; it is very important to know and understand migraine attacks a person. 

Here are a few practical ways on how to prevent migraine from attacking:

1.  Maintain a regular sleeping pattern

2.  Turn off or dim the lights during your sleep

3.  Avoid skipping meals

4.  Avoid food that triggers your migraine

5.  Lessen the brightness level of your mobile phones

6.  Drink a moderate amount of caffeinated beverage 

7.  Regular exercise

8.  Take a well balanced diet

9.  Manage stress in your life

10. Maintain a migraine diary

If your migraine is connected to seizures, weight loss, fever, eye or ear problem, sudden blackouts or worsen...

Migraine is such a complicated condition that varies widely between individuals. What may work for one person may not for another. Typically it is a one-sided throbbing or pulsating headache that is at least moderately intense and can be aggravated by physical activity. It is very often associated with nausea and vomiting, as well as increased sensitivity to light, sound and even some types of smell. Doctors are unable to predict how an individual will respond to a particular treatment so this means you may need to try several different treatments until one is found that is the best at controlling your condition. 

Here are come of the most common reasons why migraine is triggered:

  • Stress

  • Lack of sleep

  • Viral infection

  • Missed or skipped meals

  • Dietary triggers (chocolate, cheese, etc)

  • Menstruation and Ovulation

  • Emotional imbalance

  • Weather change

It is always a challenge living with migraines. Majority of the people who suffers from it exper...

Migraine is referred to as an intense headache that may be accompanied by other symptoms such as vomiting, nausea, lightheadedness, visual problems and an increased sensitivity to light or sound. Migraines may not be a big threat to life but it can significantly damage the quality of people’s lives.

Common migraine triggers are as follows:

  1. Stress

  2. Anxiety

  3. Caffeine

  4. Alcohol

  5. Dehydration

  6. Chocolate

  7. Cheese

  8. Tention on neck or shoulder

  9. Dental issues

  10. Eye strain

  11. Bright Light

  12. Loud Noise

  13. Smoking

  14. Head Injury

Ultimately the key to prevent migraine is to try to avoid the things that might trigger your attacks. Most people benefit from trying to get stable sleep, eating regular meals, drinking plenty of fluids to keep hydrated, and trying to manage stress. Taking regular exercise may also help prevent migraines since it helps with breathing, improving blood sugar balance and maintaining general wellbeing. If you or your love ones...

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...

Migraine is a common health condition, affecting around 1 in every 5 women and around 1 in every 15 men. They usually begin in early adulthood. People who experience ‘migraine with aura’ will have many or all the symptoms of a migraine with aura and additional neurological symptoms which develop over a 5 to 20 minute period and last less than an hour.

About 15-20% of people with migraine get an “aura,” which is a manifestation of neurological symptoms that occurs before a migraine headache. The aura can include visual or auditory hallucinations and disruptions in smell, taste, or touch. Other symptoms may include:

  • blind spots in the field of eyesight

  • coloured spots

  • sparkles or stars

  • flashing lights before the eyes

  • numbness or tingling

  • pins and needles in the arms and legs

  • weakness on one side of the body

  • dizziness

  • a feeling of spinning

The exact cause of migraines is unknown, although they're thought to be the result of te...

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...

Are you one of those people who suffer from severe headache on a daily basis? When a  person experiences headache pain at least 15 days or more in a month then you may be classified under the Chronic Daily Headache (CDH) category. Some people may even experience these headaches for a period of six months or longer. 

In some cases, Chronic Daily Headache may be associated with the following:

  • History of Migraine

  • Previous Head Injury

  • Previous Trauma

  • Medication overdose

  • Obesity

  • Stressful Life Events

Common signs of Chronic Daily Headache:

  • Pain on both side of the head

  • Tightening or Pressing pain

  • Throbbing pain 

Chronic Daily Headaches can interfere with your job, your relationships and your quality of life. Here are suggestions to help you cope with the challenges.

  • Take control- Commit yourself to living a full, satisfying life. Work with your doctor to develop a treatment plan that works for you. Take good care of yourself. Do thing...

Our arteries carry oxygenated blood from the heart to the brain while the veins carries blood with less oxygen away from the brain and back to the heart. A brain arteriovenous malformation (AVM) is a tangle of abnormal blood vessels connecting arteries and veins in the brain. It may develop anywhere in your body but occurs most often in the brain or spine and may begin at any age but usually emerge between ages 10 and 40.  Brain AVM is rare; Based on studies, it occurs in less than 1% of the general population. AVMs are more common in males than in females.


A brain arteriovenous malformation may not cause any signs or symptoms until the AVM ruptures, resulting in bleeding in the brain (hemorrhage). In about half of all brain AVMs, hemorrhage is the first sign. Common symptoms may vary depending on where the AVM is located:

  • 50% of patients with an AVM have an intracranial hemorrhage.

  • 25% have focal or generalized seizures.

  • 50% suffer from headache due to...

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...

Based on studies conducted; Menstrual Migraine affects 60% of the women. Menstrually Related Migraine (MRM_ can be effectively managed with strategies similar to those used for non-MRM. Behavioral management is an important concept in menstrual as well as nonmenstrual migraine. Menstruation is one of many factors that puts women at risk for migraine. Hormonal changes are just one of many potential trigger factors.

Around 50 per cent of women notice a link between migraine and their periods. This may not be apparent until a woman reaches her late 30s or 40s, despite having had migraine since her teens or 20s. Women with other period problems often do not recognize that the accompanying headaches are actually migraine. 

Menstrual migraines are primarily caused by estrogen, the female sex hormone that specifically regulates the menstrual cycle fluctuations throughout the cycle. When the levels of estrogen and progesterone change, women will be more vulnerable to headaches. Because oral cont...

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