Doc Nikoy's Online Clinic

10/05/2026

To all the mothers out there—

Thank you.

Thank you for the sleepless nights nobody applauds.
For the silent sacrifices nobody notices.
For pretending to be strong even when you’re exhausted, overwhelmed, and running on empty.

Thank you for carrying worries you never speak about.
For checking if everyone has eaten before you even think about yourself.
For the hugs that heal, the kisses that calm fears, and the presence that makes a child feel safe in this chaotic world.

Some days, you may feel unappreciated.
Some days, you may wonder if you are doing enough.

But trust me—your love is shaping lives in ways you cannot yet see.

To the mothers who stay at home, to the mothers who work tirelessly, to the single moms, grieving moms, first-time moms, foster moms, exhausted moms, and every woman trying her best to raise a child with love—

You are doing something extraordinary.

One day, your children may forget the toys, the gadgets, or the expensive things.
But they will never forget the feeling of being deeply loved by you.

And in a world becoming colder and harsher each day, that kind of love is priceless.

So today, breathe.
Rest if you can.
Cry if you need to.
Smile when you’re able.

Because even on the days you feel weak—
to your child, you are still home. ❤️

10/05/2026

FYI

09/05/2026

Yung iba kasi Sky Flakes at EggNog agad pagtungtong ng 6 months 😒😒😒

Ang most common cause ng airway obstruction at choking sa mga sanggol na 6–12 months old ay food particles. Kaya nga sa simula ng complementary feeding, recommended muna ang puréed, mashed, o well-blenderized food habang hindi pa fully developed ang chewing at swallowing skills nila.

References:
1. American Academy of Pediatrics (HealthyChildren.org) – Preventing Choking in Children
2. Centers for Disease Control and Prevention – Choking Hazards
3. American Red Cross – Infant Choking and CPR
4. National Safety Council – Choking Prevention and Rescue Tips

07/05/2026

Kapag may nakita kayong mapulang umbok, minsan may nana sa kanang (o kaliwang) balikat ni baby, huwag munang magpanic! Baka epekto lang po yan ng BCG vaccine na binigay sa kanya bago umuwi mula sa ospital o lying in clinic.

Ang ganitong reaction ay nagaganap 2-6 weeks pagkatapos mabakunaha dahil ang binigay na bakuna ay live, attenuated na strain ng Mycobacterium bovis. Ang BCG vaccine ay naglalayong maproteksyunan ang mga bata laban sa severe forms ng tuberculous infection gaya ng meningitis o miliary TB. Kailangan po nila ito lalong lalo sa Pilipinas kung saan mataas na porsiyento ng ating populasyon ay exposed sa tuberculosis.

Huwag po ninyong kaliligtaan na ito ay libre at included sa PhilHealth newborn package ❤️

30/04/2026

Clinic Schedule for May 2026

For clinic inquiries/appointment,
kindly SMS/viber Ms Beng @ 09338144055

Still on a FIRST COME FIRST SERVED basis.
Those with co-comorbids (heart disease), newborns for follow-up, PWDs will still be given priority.

29/04/2026

Kaya magpurga.
Every 6 months.

Ok? 😅

29/04/2026

Not your usual double duty.

Two tiny fighters—born a little early, yet strong enough to bypass the incubator and go straight into caring hands. 💙

Sometimes, preemies don’t need machines—they need warmth, vigilant monitoring, and a team ready at every step.

Small in size, but already showing remarkable strength—living proof that even the earliest beginnings can be beautifully stable.

And we don’t rush the process. We prioritize “Unang Yakap”—ensuring immediate drying, timely cord clamping, early skin-to-skin contact, and breastfeeding initiation—because these simple, evidence-based steps make all the difference.





DocHugot

27/04/2026

Over the past decade, we’ve seen a noticeable shift in how children learn—and how they struggle.

Studies in child development and neuroscience consistently show that excessive screen exposure is associated with shorter attention spans, delayed language development, and reduced executive function skills. At the same time, educators are reporting a rise in learning difficulties and school-related challenges.

Coincidence? Not likely.

The brain develops best through active, learning—touching, moving, exploring, asking questions, and connecting lessons to real-life experiences. Children don’t just learn by watching… they learn by doing.

That’s why we’re launching the “Learn Through Senses Program”—a simple but powerful approach that encourages kids to:
• Explore their surroundings
• Use their senses (touch, sight, movement, interaction)
• Connect classroom lessons to real-world experiences
• Spend less time on passive screen use

Because smarter learning isn’t about more screen time—it’s about meaningful experiences.

And we know that preparing for school shouldn’t be stressful or expensive. With rising costs of commodities and the upcoming school year, DocHugot is also launching an Online Shop—offering affordable, practical, and child-friendly school essentials that support real learning (not just compliance).

From tools that encourage writing, drawing, and hands-on activities… to everyday school needs made more accessible for parents.

Let’s raise children who are not just digitally exposed—but curious, engaged, and equipped to learn better.

Support the movement.
Support smarter learning.
Support your child.

27/04/2026

REAL TALK, MOMMIES & DADDIES:
Ang dami na nating nabibiling supplements para kay baby… pero Vitamin D—naaalala niyo pa ba? 🤔

📌 BAKIT IMPORTANT SI VITAMIN D?
Sa first year of life, sobrang bilis ng paglaki ni baby.
👉 Ibig sabihin, mas mataas din ang demand niya sa Vitamin D.

Ang Vitamin D ang tumutulong para ma-absorb ang calcium at phosphorus na kailangan para sa:

* 🦴 Matibay na buto
* 🦷 Maayos na pagtubo ng ngipin
* 💪 Normal na growth at development

Kapag kulang? May risk magkaroon ng Rickets
(mahina, malambot, at madaling ma-deform ang buto 😢)

🍼 “Doc, breastmilk naman si baby…”
Yes, breastmilk is BEST. ❤️
Pero fact: mababa ang Vitamin D content nito
(unless naka high-dose supplementation si mommy).
👉 Kaya kahit exclusively breastfed,
kailangan pa rin ng Vitamin D supplement.

⸻

🧃 “Eh formula-fed naman kami…”
May Vitamin D ang formula—YES.
Pero para ma-meet ang daily requirement:
👉 Kailangan maka-inom si baby ng ~1 liter/day

Reality check: ❌ Hindi ‘yan kayang maabot ng maliliit na baby

📌 RECOMMENDATION:
Ayon sa American Academy of Pediatrics:
👉 400 IU Vitamin D DAILY from birth to 12 months

💬 BOTTOMLINE
Ang pagsupplement ng Vitamin D ay hindi dahil kulang ang gatas mo—kundi dahil kulang talaga ang Vitamin D para sa pangangailangan ni baby. Even with the best nutrition and care, supplementation fills a natural gap.

REFERENCES:
1. Center for disease Control (2025). Vitamin D and Breastfeeding. https://www.cdc.gov/breastfeeding-special-circumstances/hcp/diet-micronutrients/vitamin-d.html

2. Corsello, et al (2023). Vitamin D in pediatric age: Current evidence, recommendations, and misunderstandings. Front Med (Lausanne). 2023 Mar 16;10:1107855. doi: 10.3389/fmed.2023.1107855

3. Wagner & Greer (2008). Prevention of Rickets and Vitamin D Deficiency in Infants, Children, and Adolescents. The American Academy of Pediatrics. Pediatrics (2008) 122 (5): 1142–1152. https://doi.org/10.1542/peds.2008-1862

27/04/2026

Just asking for a ‘friend’—pangalan niya SELF. Saan ba puwedeng mag-apply para mapasama sa 4Ps? Kasi balita ko may libre na silang kuryente. Baka next time pati aircon kasama na rin.

Nakakapagod na rin kasi—araw-araw nagtatrabaho, nagpupuyat, todo kayod… tapos halos 5K buwan-buwan sa PhilHealth ang binabayad, pero parang wala ka namang nararamdamang tulong pabalik. Parang ang nangyayari, pinaghihirapan mo lang lahat para mas lalong gatasan sa buwis.

Minsan mapapaisip ka na lang—ito ba talaga ‘yung sistema na dapat pinagtitiisan natin?

25/04/2026

Isang 8-anyos na batang lalaki ang dinala sa clinic ko kamakailan dahil sa tatlong buwang tuloy-tuloy na pangangati at mga pantal na kumalat na sa halos buong katawan. Tatlong beses na siyang nabigyan ng iba’t ibang antibiotics ng ibang doktor, pero walang naging improvement. Kalaunan, ang kanyang pinsan—na madalas niyang nakakasama—ay nagsimula na ring magkaroon ng kati at pantal sa kamay at likod.

Sa maingat na history at sa pattern pa lang ng mga pantal, malinaw na agad sa akin ang diagnosis: SCABIES.

Ang scabies ay dulot ng microscopic mite na tinatawag na Sarcoptes scabiei. Ang mga parasite na ito ay kumakapit at bumabaon sa balat, gumagawa ng maliliit na “burrows,” na siyang nagdudulot ng matinding pangangati. Madali itong kumalat sa pamamagitan ng skin-to-skin contact, lalo na sa loob ng bahay.

Karaniwang sintomas:
👉 Matinding kati, mas lumalala sa gabi
👉 Maliliit na butlig o pantal
👉 Parang guhit o “tunnels” sa balat
👉 Madalas makita sa pagitan ng daliri, pulso, kili-kili, at singit

Importanteng paalala:
Hindi antibiotics ang solusyon sa scabies. Ang simpleng gamot para sa kati ay hindi rin sapat. Ito ay nangangailangan ng tamang diagnosis at specific na gamutan. Kung agad sana itong natukoy, simple, mura (madalas wala pang ₱300) at mabilis sanang naagapan ang kondisyon.

👉 Minsan, hindi lahat ng pantal ay infection na kailangan ng antibiotic. Tamang diagnosis pa rin ang susi.