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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A stroke is a sudden interruption in the blood supply of the brain. Most strokes are caused by an abrupt blockage of arteries leading to the brain. Because stroke occurs rapidly and requires immediate treatment, stroke is also called a brain attack. The effects of a stroke depend on which part of the brain is injured, and how severely it is injured. Strokes may cause sudden weakness, loss of sensation, or difficulty with speaking, seeing, or walking. Since different parts of the brain control different areas and functions, it is usually the area immediately surrounding the stroke that is affected.

Stroke prevention starts with knowing your risk. A person may modify their lifestyle in order to change or treat some risk factors that one may have, but there will always be factors that we can not change. 

Lifestyle risk factory that you may change:

1. High blood pressure- This is the single most important risk factor for stroke because it’s the leading cause of stroke. Kno...

A brain aneurysm is a bulging area in an artery in the brain. Its walls may be weak and thin and is prone to rupturing. In other words when blood passes through the weakened blood vessel, the blood pressure causes a small area to bulge outwards like a balloon.

Ruptured brain aneurysm usually cause bleeding into the space around the brain. Here are some of the common signs and symptoms: 

  • Severe headache

  • Nausea

  • Stiff neck

  • Blurred vision

  • Sensitivity to light

  • Seizure

  • Vomiting

  • Drooping eyelid

  • Pain above and behind the eye

  • Loss of consciousness

  • Confusion

  • Weakness and/or numbness

If a brain aneurysm is detected before it ruptures, treatment may be recommended to prevent it rupturing in future. Factors that affect whether treatment is recommended include your age, the size and position of the aneurysm, your family medical history, and any other health conditions you have.  If treatment is recommended, this usually involv...

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...

What is a stroke?

Stroke is a medical condition in which a blood stops flowing to any part of the brain which leads to cell damage. When blood supply to the brain is interrupted it may lead to brain damage or possibly death.

What is causing a stroke?

There are several factors that may lead to a stroke. Here are a few of the items: smoking, excessive alcohol intake, poor diet, lack of exercise, Other medical conditions may also affect namely : high blood pressure, high cholesterol, atrial fibrillation, irregular heartbeat & diabetes.

How to prevent a stroke?

The most practical way of preventing a stroke from happening is being aware of the various risk factors of a stroke and maintaining a healthy lifestyle.

Can exercise really help prevent a stroke?

Exercise contributes greatly in losing and maintaining an ideal weight and lowering blood pressure. It is on it's own a stroke reducer.

What is the most common stroke type?

About 80 percent of strokes are ischemic strokes. Ischemic strokes occur whe...

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...

Lower Back pain is a very common problem among adults affecting up to 80% of people at least once in their lifetime. The pain can lead to significant loss of function resulting in individuals being unable to complete their normal daily activities including work.  In most cases the pain isn't caused by anything serious and will usually get better over time. 

Lower back pain can cause a range of symptoms. The pain may be dull or sharp. It may be in one small area or over a broad area. You may have muscle spasms. It may also cause leg symptoms, such as pain, numbness, or tingling, often extending below the knee. A rare but serious problem called Cauda Equina Syndrome can occur if the nerves at the end of the spinal cord are squeezed. Seek emergency treatment if you have weakness or numbness in both legs or you lose bladder or bowel control.

Here a few practical tips on how to prevent and reduce pain in the Lower Back Pain:

  • Maintain good posture when you sit, stand, and walk

  • Be...

Sleep is equally important to our body just like drinking, eating and breathing. It is a an important element in keeping a good mental and physical health.  Sleep help a person recover from a mental and well as physical exhaustion. Sleep is thought to help keep your immune system strong and your heart and blood vessels healthy. It allows for growth and healing.


As the pace of life increases and we pack more into each day, our sleep patterns have suffered. In fact, poor sleep quality is now considered to be pandemic throughout the world. That makes teaching children about the importance of a good night's sleep particularly important, because sleep patterns acquired in childhood often feed through into adulthood.


It's not just how long you sleep that matters. The quality of your sleep is just as important. Every night you need to go through several stages of sleep - falling peacefully into a deep sleep and periodically returning to so-called REM (Rapid Eye Movement) sleep before ent...

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...

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