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...

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...

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...

Concussion also known as Minor Head Injury - is commonly caused by falls, road crashes, assaults and sports accidents. It's temporary disturbance in the brain’s functioning as a result of a blow to the head. Some concussions cause you to lose consciousness, but most do not. It's possible to have a concussion and not realize it. 


In many cases, concussions are not easy to pin point specially in the midst of a sports event. It can be an evolving condition with symptoms taking time to display. As a matter of fact, it requires honestly from the patient (what he/she is actually experiencing). Some of the common symptoms may include:

  • Headache

  • Dizziness

  • Confusion

  • Temporary loss of consciousness 

  • Amnesia surrounding the traumatic event

  • Ringing in the ears

  • Nausea & Vomiting

  • Delayed response to questions

  • Fatigue

In many cases these symptoms resolve themselves within a few days or weeks. However, in some cases problems can persist for months,...

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