- A similar instrumental to the “Cavern Realm Song” plays in the beginning where Molly and Oona first meet the Mayor and later on when Gil is on the treadmill.
- This is the second time that Deema's segment is game show styled. The first was in Bubble Duckies!
- The instrumentals of the pop songs from Gup, Gup and Away! and Bubble-Cadabra! can be heard during the classroom play segment.
- This episode has a similarity to Call a Clambulance! When Oona sees Avi who gets in a Clambulance, and hopes she's gonna be ok. And she says Mr Grouper's name twice. Only this time she is smiling about it. In Call a Clambulance! she's worried.
- Molly wears her blue dress from Have a Cow!.
- This episode aired a year after the episode, The Super Ballet Bowl! and on Shivani's 18th birthday from Jessica's Big Dreams.
- This is the 24th episode of Season 3 in production code order.
- This is the fourth episode having to do with doctors and one's well-being.
- This is the second time where Mr. Grouper, Nonny, Deema and Goby were in an adventure segment together.
- The music that played during the Mayor-thon is more than likely to be homage to “Gonna Fly Now” from the 1976 film, Rocky.
- Brendan, Dr. Clark, Ms. Duey the Librarian, Dr. Martin, Miss Jenny’s Crab friend, Jackson's Mom, Max, Mr. Peepers, Ms. Michelle and the crab that sat with Deema in Bubble-Cadabra! make cameos in this segment.
- This is the second episode that has something to do with stomachs growling.
- Both this episode and Bubble Scrubbies! were a part of Healthy Heroes on Nick Jr. In addition, a parody of the Ghostbusters theme was played in the episodes' promo to share. The Stomach Bug, who also appeared in this episode, ironically appears as a parody of Slimer, a Ghostbusters character.
- Actually, the guppies shouldn’t breathe with lungs but instead they breathe to gills because we humans cannot breathe underwater a long time and gills is why fish can breathe underwater.
- After this episode premiered, the show went on a 62 day hiatus until Gobble Gobble Guppies!.
- The chase scene with the Stomach Bug is also very similar to that of Fryborg in the Bite-Size Adventures of Sam Sandwich episode Raining Fries only that it is longer and serves as an outside segment.
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