Dr. Trixie Canto-de Guzman

16/01/2026

Other headaches shouldn’t be ignored.

While many headaches are primary and manageable, some can be a sign of an underlying medical condition that needs prompt evaluation. Headaches associated with infection, very high blood pressure, head injury, or new neurologic symptoms deserve medical attention.

Seek urgent care if a headache is:
• sudden and severe (“thunderclap”)
• associated with fever, stiff neck, confusion, weakness, or vision changes
• new or worsening after a head injury
• persistent, worsening, or affecting daily life

Listening to your body matters. Early assessment helps guide proper treatment and prevents complications.

If you’re unsure, it’s always safer to have a headache evaluated.

13/01/2026

Not all headaches are the same.

Headaches can feel similar, but they are not all caused by the same condition. Some are dull and pressure-like, while others are throbbing, more intense, and may come with nausea or sensitivity to light and sound.

When headaches are recurrent, worsening, or interfering with daily life, they should not be ignored. Identifying the type of headache is important so that the correct treatment and management plan can be given.

Seek medical attention if you experience:
• a sudden, severe headache
• headache with fever, stiff neck, confusion, or weakness
• a new or changing headache pattern
• headaches that affect work, school, or daily activities

Remember: headaches should not be normalized when they begin to affect your quality of life.
Proper evaluation can make a difference.

09/01/2026

Sleep is brain medicine.

Sleep isn’t just rest—it’s active repair. While you sleep, the brain clears waste, stabilizes blood pressure, consolidates memory, and regulates pain pathways. When sleep is poor or irregular, headaches, dizziness, mood changes, and cognitive fog often follow.

It’s not only about hours slept, but how restorative your sleep is. Monitoring sleep patterns—such as sleep duration, consistency, and depth—can be helpful in understanding whether your brain is truly recovering each night.

If you’re waking up unrefreshed, relying on caffeine, or noticing worsening neurologic symptoms, it may be time to look more closely at sleep as part of your overall brain health.

Protect your brain—start with sleep. 🧠🌙

07/01/2026

New year, protect your brain.

Brain health isn’t built through extreme resolutions—it’s shaped by small, consistent daily habits. Sleep, hydration, regular meals, stress management, movement, and good control of blood pressure and blood sugar all play a powerful role in protecting your brain.

January is a good time to pause, reset routines, and pay attention to symptoms we often ignore during busy months.

If headaches, dizziness, sleep problems, memory concerns, or other neurologic symptoms are affecting your daily life, a proper evaluation can help guide the next steps.

Your brain works for you every day—make caring for it part of your 2026 routine. 🧠✨

21/12/2025

📌 Clinic Advisory

Our last clinic day for 2025 will be December 22, 2025.
We will resume clinic on January 5, 2026.

🗓 2026 Clinic Schedule:
Monday, Wednesday, and Friday
⏰ 1:00 PM – 5:00 PM

📞 For appointments:
+63 930 106 4934

As the year comes to a close, we thank our patients and families for their trust. We wish everyone a restful holiday season and look forward to continuing your care in the new year.

Please remember: for emergencies such as sudden weakness, difficulty speaking, severe headache, or loss of consciousness, seek immediate medical attention at the nearest emergency room.

See you in 2026. 🧠✨

20/12/2025

The holiday season quietly stacks common headache triggers: busy schedules, stress, skipped meals, dehydration, sweets, salty food, alcohol, and lack of sleep. Viral illnesses after travel or gatherings can also lead to lingering headaches.

The good news? Many holiday headaches are manageable with simple, consistent habits:
✔ prioritize sleep
✔ hydrate and eat regular meals
✔ manage stress realistically
✔ take only prescribed medications and avoid self-medicating

However, some headaches should never be ignored. Sudden, severe pain or headaches with neurologic symptoms need urgent medical attention.

Your holidays should be joyful—not painful.
If headaches are frequent, worsening, or concerning, a proper evaluation can help identify the cause and guide safe treatment.

Take care of your brain this season. 🧠✨

17/12/2025

Do strokes increase in December?
Busy schedules, stress, less sleep, salty food, alcohol, skipped medications, and recent viral infections all raise stroke risk during this season.

Know the FAST warning signs:
Face drooping
Arm or leg weakness (one side of the body)
Speech difficulty
Time to call emergency services immediately

The good news: up to 80% of strokes are preventable.
Small daily choices—hydration, medication compliance, sleep, movement, and stress management—protect your brain more than we realize.

If stroke symptoms appear, don’t wait.
Find the nearest stroke-ready hospital in the Philippines here:
https://www.strokesocietyphilippines.org/ssp-certified-acute-stroke-ready-hospitals/

Your brain doesn’t take a holiday—take care of it this season.

30/04/2025

To all my patients, download the cloudMD Patient app. Whether I see you online or face to face, you can access your prescriptions, labs and referral letters anytime. If you lost your prescription or lab request, you can access it via the app and print it or present it to the pharmacist or lab.

IF YOU ARE AN OLD PATIENT HOWEVER, and have not registered, please let me know so that I can give you your UPP (Unique Patient Pin).

Thank you.

13/12/2024

Time is Brain 🧠

04/12/2023

KNOWING YOUR NEUROLOGIST

17/08/2022

Corazon Locsin Montelibano Memorial Regional Hospital (CLMMRH) is one of the six (6) DOH hospitals that was awarded with the Angel Award Gold Status by the World Stroke Organization (WSO) and the Accreditation Canada International (ACI).

“The Section of Neurology of the Department of Internal Medicine of The Corazon Locsin Montelibano Memorial Regional hospital would like to thank the the World Stroke Organization for the European Stroke/World Stroke Organization Angels Initiative Gold Status Award it has conferred to our hospital. Through the ANGELS initiative, we were able to improve quality of care of stroke patients by enhancing the knowledge of the stroke team to recognize stroke early and subsequently decreasing disability through timely thrombolysis. This recognition is a testament to the hard work and dedication of the whole CLMMRH community from the Management staff, the Emergency room, ward and all personnel involved in stroke patient care. Our hospital continues to strive to give the best possible care for stroke patients in the city, the province and the region.”

-Dr. Patricia Canto-De Guzman
Head, Stroke Unit, CLMMRH

-Dr. Michelli G. Yusay
Chair, Section of Neurology, CLMMRH

Congratulations to our Stroke Unit team members and the Section of Neurology.

25/01/2022

All Epilepsy Warriors are encouraged to join.😉

Calling all you TIKTOKERs to join our EPILEPSY TIKTOK CHALLENGE PHILIPPINES!!! 💃💃💃 start making tiktok videos and post it on FEBRUARY 6! Big cash prizes at stake!!! 💰💰💰