Dr. Brian Costiniano - Internal Medicine

03/05/2026

We are available ♥️

Stay safe and cool this summer! ☀️ 🌡️
Knowing the difference between Dehydration and Heat Stroke can literally save a life. Heat stroke is a medical emergency—if you see someone struggling, act fast!
Check out our quick guide below to spot the signs and know what to do.
Quick Tips for the Heat:
💧 Drink plenty of water (even if you aren't thirsty!)
👕 Wear loose, light clothing.
🌳 Take frequent breaks in the shade.
🚫 Avoid heavy meals and caffeine in extreme heat.
Keep your friends and family safe by sharing this post! ❤️

Book now via the NowServing app or visit: https://seriousmd.com/doc/jbrian

30/04/2026

🤢 FOOD POISONING (FOODBORNE ILLNESS): WHAT TO DO 🍽️⚠️

Food poisoning can happen from contaminated food due to bacteria, viruses, parasites, or toxins. Most cases are mild—but some can become serious.

⚠️ COMMON SYMPTOMS:
• Diarrhea (sometimes bloody)
• Nausea & vomiting
• Stomach cramps
• Fever
• Dehydration (dark urine, dizziness, extreme thirst) (Mayo Clinic)

💧 FIRST AID (WHAT TO DO):
✔ Sip fluids slowly (water or oral rehydration drinks)
✔ Take small, frequent sips to avoid worsening nausea
✔ Monitor urine (should be light-colored and regular)
✔ Rest and let your body recover

🚫 AVOID:
• Anti-diarrheal meds unless advised by a doctor
• Giving these medicines to children (Mayo Clinic)

🚨 SEEK MEDICAL HELP IF:
❗ Severe stomach pain
❗ Bloody diarrhea
❗ Vomiting lasts more than 2 days
❗ High fever (≥ 38.3°C)
❗ Signs of dehydration or fainting
❗ High-risk individuals (kids, elderly, pregnant, or with illness) (Mayo Clinic)

💡 REMEMBER:
Most cases improve within a few days—but staying hydrated is key!

👉 When in doubt, don’t ignore symptoms—early care can prevent complications.

Book now via the NowServing app or visit: https://seriousmd.com/doc/jbrian

27/04/2026

🔥 HEAT STROKE: KNOW THE SIGNS. SAVE A LIFE. 🌡️

Heat stroke is a medical emergency that happens when your body overheats and can’t cool down. It can lead to serious complications—or even death—if not treated immediately.

⚠️ Watch out for these warning signs:
• Very high body temperature (≥ 40°C / 104°F)
• Confusion or unusual behavior
• Dizziness or fainting
• Nausea or vomiting
• Fast heartbeat & rapid breathing
• Slurred speech or blurred vision
• Seizures or loss of consciousness

🚑 What to do:
❗ Call emergency services right away
❄️ Move the person to a cool/shaded area
👕 Remove excess clothing
💧 Cool the body with water, ice packs, or fanning

💡 Stay safe & prevent heat stroke:
✔ Drink plenty of water
✔ Wear light, breathable clothing
✔ Avoid peak heat hours (10 AM – 4 PM)
✔ Take breaks in the shade
✔ Never stay in hot, enclosed spaces

👉 Act fast—your quick response can save a life.

Book now via the NowServing app or visit: https://seriousmd.com/doc/jbrian

26/04/2026

Ang susi sa mahabang buhay ay nasa ating disiplina!

Tandaan ang 4M Rule para sa mas malusog na pangangatawan: iwasan o bawasan ang pagkaing Maalat, Matatamis, Matataba, at Mamantika.

Sabayan pa ito ng sapat na ehersisyo at paggalaw-galaw bawat oras para iwas-ngalay at iwas-sakit.

Piliin nating maging aktibo at malusog para sa ating kinabukasan!

20/04/2026

NAKABANTAY BA MO NGA NAGKABATI NA ANG KALIDAD SA ATONG HANGIN?

"Very Unhealthy" na ang air quality sa Metro Cebu tungod sa gagmay nga abog PM2.5. Kuyaw kini ilabi na sa atong mga bata, mga tiguwang, mabdos, ug sa mga dunay asthma o sakit sa kasing-kasing.

🛡️ UNSAY DAPAT BUHATON?

Mask Up: Ayaw kumpyansa sa cloth mask lang; N95 o KN95 ang epektibo batok sa PM2.5.

Stay Indoors: Kutob sa mahimo, ayaw sa paggawas kung dili kinahanglan.

Hydrate: Inom pirme og daghang tubig.

Stay safe, Sugbo!

15/04/2026

🧠💚 Mental Health Awareness

Mental health is just as important as physical health. Many people go through struggles that we don’t always see—and a little kindness can go a long way.

✨ Here’s how you can help:
• Be kind and respectful
• Listen without judgment
• Learn and share accurate information
• Support and uplift others

Remember: You are not alone, and it’s okay to ask for help. Book now via the NowServing app or visit: https://seriousmd.com/doc/jbrian

Let’s break the stigma and support each other. 💬💚

12/04/2026

Paano ba ang tamang pag-gamot sa kolesterol kung may diabetes? 🩺

Alam niyo ba na ang mga may diabetes ay may mas mataas na risk sa sakit sa puso? Kaya naman ngayong 2026, mas pinatibay ang ating mga guidelines para masiguro na protektado ang inyong kalusugan.

Narito ang mahahalagang paalala:
• LDL (Bad Cholesterol) Target: Hindi na sapat ang "normal" lang; dapat ay mas mababa ito para sa inyong kaligtasan.
• Tamang Gamutan: Bukod sa healthy diet at exercise, mahalaga ang payo ng inyong doktor tungkol sa tamang statin o gamot.
• Bagong Risk Calculators: Ginagamit na natin ang PREVENT score para mas malaman ang inyong risk level.

Huwag kalimutang magpa-check up regularly! Alalahanin: "Lower is better, longer is safer." ❤️

10/04/2026

We are pleased to announce that we are now resuming the acceptance of patients covered by the following health partners:

✅ Insular Health

✅ iCare

Important Advisory

Please be informed that services for Life and Health HMO remain temporarily suspended at this time due to several unresolved patient claims.

We apologize for any inconvenience this may cause and appreciate your understanding.

For any questions or to verify your coverage, please send us a message here or through

Dr. Costiniano is a practicing Internist (Doctor for Adult Diseases). He sees and treats patients with high blood pressure, diabetes, cardio-metabolic diseases and infectious diseases.

09/04/2026

Stay safe and cool this summer! ☀️ 🌡️
Knowing the difference between Dehydration and Heat Stroke can literally save a life. Heat stroke is a medical emergency—if you see someone struggling, act fast!
Check out our quick guide below to spot the signs and know what to do.
Quick Tips for the Heat:
💧 Drink plenty of water (even if you aren't thirsty!)
👕 Wear loose, light clothing.
🌳 Take frequent breaks in the shade.
🚫 Avoid heavy meals and caffeine in extreme heat.
Keep your friends and family safe by sharing this post! ❤️

Book now via the NowServing app or visit: https://seriousmd.com/doc/jbrian

07/04/2026

📢 Important Clinic Announcement
Please be informed that there will be no in-person clinic hours at North General Hospital and Perpetual Succour Hospital from April 8–10, 2026 (Wednesday to Friday).

I will be attending the joint annual conventions of the Philippine Society of Hypertension and the Philippine Society of Lipid and Atherosclerosis. This is an important opportunity to stay updated on the latest breakthroughs and guidelines for managing high blood pressure and dyslipidemia to provide you with the best care possible.

Regular in-person clinic hours will resume on April 11, 2026 (Saturday).

STAY CONNECTED: Online Consults are Still Available!

For your medical concerns during these days, Online Consults will remain available from 8:00 AM to 10:00 PM.

💻 To book an online consultation, please use this link: https://seriousmd.com/doc/jbrian

Thank you for your understanding as I continue my professional development for your better health.

For medical emergencies, please proceed to the nearest Emergency Room.

28/03/2026

🫀 Your Heart Matters!

Cardiovascular diseases remain one of the leading causes of death—but the good news is, many cases are preventable.

Take small steps today:
🥗 Eat healthy
🚶 Stay active
🚭 Avoid smoking
⚖️ Maintain a healthy weight
🩺 Get regular check-ups

Know the risks. Act early. Protect your heart. ❤️

📲 For more information, Book now via the NowServing app or visit: https://seriousmd.com/doc/jbrian

15/01/2026

🎉 Health Watch sa Sinulog 🎉
Masaya ang Sinulog Festival, pero mas mahalaga ang kalusugan!

✔️ Uminom ng tubig
✔️ Magpahinga kapag pagod
✔️ Mag-ingat sa init at siksikan
✔️ Humingi ng tulong kapag masama ang pakiramdam

👉 I-enjoy ang pista, pero unahin ang kalusugan!

For more assistance please book an appointment at: https://seriousmd.com/doc/jbrian

🩺🎊