E. P. Cenon Medical Clinic

E. P. Cenon Medical Clinic Tropical Medicine & Infectious Diseases
Animal Bite Clinic

14/04/2026

Protect your baby from measles with 2 doses of measles vaccine.

1️⃣ In countries where measles is common, it is vital to give the first dose around 9 months of age; in other countries, at 12-15 months of age.
2️⃣ Give the second dose later in childhood to ensure full protection.

Remember: Infants can be vaccinated around 6 months of age if there is an outbreak or before travel to endemic countries.

13/04/2026

The vaccine protects 🛡️ against .

12/04/2026

There are different types of herpes:

👉 HSV-1:
🔸 Commonly causes oral herpes with cold sores or mouth ulcers.
🔸 Often spread through saliva or oral contact in childhood.
🔸 Can also cause ge***al herpes later in life through sexual contact.

👉 HSV-2:
🔸 Main cause of ge***al herpes, responsible for 90% of recurrent ge***al symptoms.
🔸 Spread mainly through sexual activity.
🔸 Increases the risk of acquiring HIV by up to three times.

Thank You!!!
11/04/2026

Thank You!!!

10/04/2026

Your mental health matters. 💙

10/04/2026

😷 Chronic Cough:

What Your Body Is Trying to Tell You

✅ What counts as “chronic”?
• Cough lasting more than 8 weeks
• Can be dry or with mucus
• May happen all day… or hit harder at night

😷😷😷😷😷😷😷😷😷😷😷😷😷

🔍 The style of cough gives clues

Your cough is like a hint system—learn to read it:
• After meals / when lying down
→ Think acid reflux (GERD)
• Mucus dripping in throat
→ Think postnasal drip (UACS)
• Wheezing, tight chest
→ Think asthma
• Dry, tickly, never-ending cough
→ Think over-sensitive nerves (cough hypersensitivity)



🚨 Red flags — don’t ignore these

Go see a doctor if you have:
‼️ Coughing up blood
‼️ Unexplained weight loss
‼️ Shortness of breath
‼️ Ongoing fever

😷😷😷😷😷😷😷😷😷😷😷😷😷

⚠️ Why your cough won’t go away

Some habits quietly keep the cough alive:
• Eating → then lying down right away
• Coffee, alcohol
• Smoking / dust
• Coughing too much → throat irritation → more coughing (vicious loop)

🔑🔑🔑🔑🔑🔑🔑🔑🔑🔑🔑🔑🔑

🔥 If acid reflux is the trigger
• Cut down fatty, fried food, caffeine
• Eat smaller meals
• Lose abdominal fat (if needed)
• Medication may help → talk to a doctor



🔄 Break the “cough cycle”

The loop:
Cough → irritation → more cough

Try this instead:
• Swallow water instead of coughing immediately
• Breathe slowly through your nose
• Avoid constant throat clearing



🎤 Hoarse voice? It might not be your throat

Many people think:

“I used my voice too much.”

But sometimes… it’s acid coming up from your stomach. 🍟🍕🥓



💡 What’s really happening

Your voice box is delicate. It’s not built for acid.

Even small amounts, repeated over time:
• Irritate the lining
• Swell the tissue
• Make vocal cords move less smoothly

➡️ Result: hoarseness



⚙️ The mechanism

Acid reflux → throat inflammation → vocal cords vibrate poorly → hoarse voice



🤯You might have:
• No heartburn
• No chest pain

…but still have reflux reaching the throat

👉 This is called LPR (laryngopharyngeal reflux)‼️



🔎 Signs to watch for
‼️ Hoarse voice in the morning
‼️ Frequent throat clearing
‼️ Feeling “something stuck” in throat
‼️ Voice gets tired easily

The problem isn’t just the throat.
👉 The root cause is reflux.

😷😷😷😷😷😷😷😷😷😷😷😷😷

🌙 Why some people only cough at night

You’re fine all day… then you lie down—and boom, coughing starts.

Here’s why:

⚙️ What changes at night
• Lying flat → acid flows up more easily
• Gravity no longer helps keep acid down
• The lower esophageal sphincter (LES) relaxes more
• Less swallowing → less acid clearing

🔁 Lie down → more reflux → nerve irritation → cough reflex → night cough

❌ Habits that make it worse
• Eating right before bed
• Heavy dinners
• Evening coffee or alcohol
• Sleeping flat (no head elevation)



Sometimes the real issue is:

👉 Your nerves became too sensitive
( for more details 😵‍💫: https://www.facebook.com/share/p/1D7PfxWQ5Z/?mibextid=wwXIfr )

⚙️ What happens

Repeated irritation → nerves become “over-trained” →lower threshold → cough triggered easily‼️

😯 So even small triggers cause coughing:
• Cold air
• Talking a lot
• Laughing
• Strong smells

😷😷😷😷😷😷😷😷😷😷😷😷

🧠 Why this matters

Even after fixing reflux…
your nerves may still be “on edge”

👉 They need time to reset

😷😷😷😷😷😷😷😷😷😷😷😷

🧩 Final takeaway
• Chronic cough doesn’t always come from the lungs 🫁
• Nose, throat, reflux, and nerves all play a role
• The goal is not just to suppress the cough 👉 but to fix the root cause

😷JBdaily





Salamat po!Flu
08/04/2026

Salamat po!
Flu

Merci beaucoup!
07/04/2026

Merci beaucoup!

Thank you po!Flu
07/04/2026

Thank you po!
Flu

06/04/2026
04/04/2026

Lower-sodium salt substitutes that contain potassium are one option to lower your sodium intake. They contain less sodium and added potassium, which supports heart health without significantly changing the taste.

Address

46 T. Santiago Street, Canumay West
Valenzuela
1443

Opening Hours

Monday 8am - 12pm
Tuesday 8am - 12pm
Wednesday 8am - 12pm
Thursday 8am - 12pm
Friday 8am - 12pm
Saturday 8am - 12pm

Telephone

+639174196142

Website

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