The growing population of senior citizens in the Philippines faces increased vulnerability to co-existence of two or more chronic diseases, highlighting the complex interplay of health, socioeconomic, and healthcare access challenges in this age group. This case report presents a 71-year-old Filipino female from Barangay Bunuanan, Catbalogan City, Samar, diagnosed with hypertension, gout, and diabetes mellitus. The patient experiences difficulties common to elderly individuals in the Philippines, including financial limitations and managing multiple chronic illnesses. Laboratory tests revealed elevated blood uric acid, borderline high lipid profile, and an HbA1c level indicative of poor glycemic control. The case highlights the complexity of multimorbidity in the elderly and the impact of socioeconomic factors on disease management.