When should I start screening for Colon Cancer?

The Philippine Society of Gastroenterology recommends starting screening colonoscopies at age 45 for average-risk individuals. Earlier Screening: If you have a family history of colon cancer (parent or sibling), we may need to start screening 10 years before the age your relative was diagnosed.

I have constant "acidic" feeling (heartburn). Is it just Hyperacidity?

It might be GERD (Gastroesophageal Reflux Disease). While common, long-term untreated acid reflux can damage your esophagus (food pipe). If over-the-counter antacids aren't working after 2 weeks, or if you have trouble swallowing, you need to be evaluated by a specialist.

What are the "Red Flags" or Warning Signs I shouldn't ignore?

Please book an appointment immediately if you experience: Blood in your stool (red or black/tarry stool). Unexplained weight loss. Persistent vomiting. Difficulty or pain when swallowing. A sudden change in bowel habits (constipation or diarrhea) lasting more than 2 weeks.

What should I bring to my first appointment?

To make the most of our time, please bring: A list of your current symptoms. A list of all medications you are taking (including vitamins and herbal supplements). Any previous lab results, endoscopy reports, or imaging (Ultrasound/CT Scan) from other doctors. Your HMO card and valid ID (if applicable).

Do I need to pay first to get an appointment?

Yes, you will have to pay the fee before I will receive the request. The consultation fee includes only the following: examining the patient regarding the complaint, giving the correct diagnosis, and giving the appropriate management/prescription. There will be additional fees charges to you for any additional services offered during the consultation.

Do you issue Medical Certificates?

Yes. Take note that a medical certificate is a legal document affixed with my signature so there will be an additional charge. Medical certificates are not part of insurance coverage and shall only be given for specific valid reasons and after the consultation.

Can I book a schedule today?

Yes. As long as there is an available schedule, requests for appointments will be immediately accommodated.

What if the doctor does not respond within the guaranteed time?

Your request will be automatically cancelled by the system.

Can I message you via the NowServing app?

Yes, you can send me a message through the NowServing app once I already accepted your appointment. You will receive a reply as soon as possible.

Can I message you on your social media accounts?

Please keep all consult-related questions here on this platform. For any new concerns, please book another appointment.

Do I need a referral to see you?

If you are a private (cash-paying) patient: No referral is needed. You can book an appointment directly with us. If you are using an HMO (Healthcard): Yes, most HMOs require a Letter of Authorization (LOA). Please secure this from your HMO provider or their designated clinic coordinator before your appointment to ensure your consultation is covered.

Do you offer online/video consultations (Teleconsult)?

Yes. I understand that traffic in Metro Manila (or travel from the province) can be difficult. We offer teleconsultations via SeriousMD / NowServing app. Best for: Follow-ups, reading of lab results, and initial non-emergency assessments. Not for: Severe abdominal pain, bleeding, or emergencies. Please proceed to the nearest ER for these.

What is the difference between a Gastroscopy and a Colonoscopy?

Gastroscopy (EGD): Checks the upper part of your digestive tract (esophagus, stomach, duodenum). It is used to investigate acid reflux, difficulty swallowing, or stomach pain. Colonoscopy: Checks the lower part (large intestine/colon). It is the "Gold Standard" for screening for colorectal cancer and investigating changes in bowel habits or rectal bleeding.

Is endoscopy painful?

No. We typically perform endoscopy under "Conscious Sedation" (twilight sedation) or Monitored Anesthesia Care. You will be asleep or very relaxed during the procedure and usually won't remember or feel anything. You will wake up in the recovery room once it is over.

What is the "prep" for a Colonoscopy?

This is the most important part! For the doctor to see clearly, your colon must be clean. Low Fiber Diet: 2–3 days before the procedure (Avoid vegetables, fruits with seeds, nuts, and corn). Clear Liquid Diet: The entire day before the procedure (Water, apple juice, clear broth, gelatin). No solid food. Laxatives: You will drink a prescribed bowel cleansing solution (like medications containing PEG or sodium picosulfate) the night before the procedure.

Is my procedure covered by PhilHealth?

Yes, PhilHealth helps pay for these procedures via "Case Rates." As of 2024, PhilHealth covers a specific amount (e.g., approximately ₱12,000 – ₱18,000+) depending on whether it is a diagnostic procedure or if therapeutic intervention (like a biopsy) was done. This amount is deducted from your total hospital bill.

Does my HMO cover Endoscopy/Colonoscopy?

Most major HMOs (Maxicare, Intellicare, Medicard, ValuCare, etc.) cover these procedures if they are medically necessary (e.g., you have symptoms like bleeding or chronic pain). Important: "Screening" procedures (check-ups when you have no symptoms) are sometimes not covered by standard HMO plans. Please check your specific policy limits or ask our staff to help you verify.