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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Headache disorders is one of the the most common disorders of the nervous system. Primary headache disorders, such as migraine, tension-type headache, cluster headache, and the so-called chronic daily headache syndrome, can cause substantial levels of disability. Headache can also occur as a symptom of a considerable number of other conditions

A patient with depression often presents a wide variety of complaints that can be categorized as physical & emotional. The physical complaints include chronic pain and headaches; sleep disturbances; severe insomnia and early awakening; appetite changes; anorexia and rapid weight loss; and a decrease in sexual activity, ranging at times to impotence in males and frigidity in females. Emotional complaints include feeling “blue,” anxiety, and rumination over the past, present, and future.  A headache secondary to depression is usually considered a tension-type headache.

The physical complaints dominate the situation so that the underlying de...

Based on studies conducted by The Brain & Spine Foundation of London. Here are several facts gathered: “Dizziness” is a general term to explain the feeling we have when there is something wrong with our sense of balance. Many people who experience dizziness find it difficult to explain exactly how it makes them feel. For example, some people who feel dizzy, light-headed, giddy or off-balance describe the feeling as if they, or their surroundings, are spinning around. Doctors use the term vertigo to describe this spinning, revolving form of dizziness.

Dizziness & Vertigo are not diseases in themselves. They are symptoms of a distinct condition or cause. There are many different conditions that can cause dizziness. Most cases of dizziness and vertigo are caused by problems with the balance systems located in the inner ear. The widely-held belief that our sense of balance comes from the inner ear is largely true.  

Dizziness can often be short-lived, and can ease on its own accord. For shor...

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...

The spinal cord enables communication between the brain and the rest of the body. It contains nerve cells, called neurons, and bundles of nerve fibres, or axons, that carry signals to and from the brain. All the information needed to initiate and control movement travels down the spinal cord from the brain to the muscles of the body. The majority of spinal cord injuries are due to preventable causes such as falls, road traffic accidents or sports injury.

A spinal cord injury (SCI) damages the communication pathway between the brain and certain parts of the body. Depending on the extent of the damage and its location in the cord, serious and permanent physical consequences will result in varying degrees of severity. Limbs or organs will not function as they did before. When the spinal column is damaged, for example by fracture or dislocation, the bony vertebrae can compress or bruise the fragile spinal cord. Although the initial injury leads to severed axons and the death or damage of ma...

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...

Lightheadedness or commonly called Dizziness is a common symptom that’s not usually a sign of anything serious, but should be investigated by a doctor. The term "dizziness" means different things to different people – some use it to describe feeling lightheaded or off balance, while others use it to describe a feeling that their surroundings are spinning.  Because the symptom is quite vague and can be caused by a wide range of things, it may not always be easy to identify the underlying cause of dizziness.

Most people visiting their doctor because of dizziness will first be asked about their symptoms and medications and then be given a physical examination. During this exam, your doctor will check how you walk and maintain your balance and how the major nerves of your central nervous system are working.

You may also need a hearing test and balance tests, including:

  • Eye movement testing. Your doctor may watch the path of your eyes when you track...

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...

Firstly we have to know that our neck is a flexible connection between your head and the rest of your body  Many vital structures pass through this area of the body.. Because of its location and range-of-motion, it is often left unprotected and subject to injury.

Neck pain can result from many different causes — from injury, to age-related disorders, or inflammatory disease. Causes of neck pain and problems may include the following:

  • Injury

  • Herniated cervical disk

  • Arthritis 

  • Cervical disk degeneration

  • Congenital abnormalities of the vertebrae and bones

  • Tumors

Doctors diagnose neck pain by conducting  any or all of the following: Bloodtest, X-ray, Electromyogram (EMG), Computed tomography scan (also called a CT or CAT scan) or Magnetic resonance imaging (MRI). Some of the most common treatment given to patients are:

Treatment may include:

  • Medication (for inflammation)

  • Medication (for pain)

  • Rest

  • Physical therapy

    ...

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...

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