Persistent hiccough

50 yr male Patient present with complaint of continuous hiccough for 4-5 hour. feeling uncomfortable and heart burn. known diabetic history taking medicine for diabetes. Diet history :- in last 24 hour he ate pickle and waterrice . bowel history:- irregular last 1 day. suggest management and DDx.

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Pt is diabetic and c/o persistant hiccups Needs investigations To r/o DKA CKD and CAD hyperacidity with gastritis are common reasons In diabetics another point to search is pancreatitis Persistent diaphragmatic spasm and vagal irritation are to keep in mind Dehydration is another manifestations Hence management needs accordingly Common Rx hydrate the pt Inj antispasmodics Inj pantaprazole Inj ondestron Orally tab baclofen 25mg 1bd or tds Antacids Avoid all spicy and prickly foods Blend fractional liquid diet
Thanx dr Ramesh Kumar Singh
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The most common triggers for hiccups that last less than 48 hours include: ** Drinking carbonated beverages **Drinking too much alcohol **Eating too muchExcitement or emotional stress **Sudden temperature changes **Swallowing air with chewing gum or sucking on candy Hiccups that last more than 48 hours may be caused by a variety of factors,...... 1/.Nerve damage or irritation 2/Central nervous system disorders. 3/.Metabolic disorders and drugs. 4/ Mental or emotional issues.
Thank you sir
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Hiccup May be drug induced. Diabetic gastroparesis Gastric irritation. Long excessive duration of trust period. Environmental . CKD. Rehydrate the person and sufficient fluids and electrolytes infused. Inj pantapazole Inj stemetil Inj diclo Avoid oily spicy and fast food. Small quality of liquid nutritious diet frequently. Ice cold water drink with spoons in small quantity may be useful most of the time.
Thanks Dr Pushkar Bhomia
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CAUSES OF HICCOUP 1 DRUG INDUCED METFORMIN IF HE IS ON FOR D M 2 DIET INDUCED = PICKLE .. 3 DIABETIC GASTROPARESIS 4 CKD
Thank you sir
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First of all treat as, APD gastritis. Inj pan40 iv stat,inj perinorm one amp IV stat, mucain gel 3 tsf stat and qid and treat constipation. If pt get relief it's ok . other wise to be done further investigation, CBC BSR,kft LFT, USG whole abd.
Thank you sir
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Irritation of the diaphragm due to acidity causing hiccups Tab baclofen 25mg BD Any antacid gel ..Gelusil or Digecaine Ask pt. To lie in left lateral position Put head on higher level using pillow support Inj. pan 40 OD
Thank you doctor
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Patient is Diabetic with hiccups so ask for CBC ESR Blood SUGAR LFT RFT USG of whole ABDOMEN treat with INJECTIONS Perinorm one amp iv start, Cap Pantop DSR one before meal Syrup Sucral o 2tsf tds, Tab Beclofen 10 bd
Thank you sir
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Cap Rebesac D SR 1 bd Mucaine gel 2 tsf tds Tab Ativan 1 mg bd Xyelocaine viscous 2 tsf tds orally
Why ativan sir??
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TREATMENT ALREADY. DISCUSSED. IN. DETAILS... BY. RESPECTED. DOCTORS THANKS ,
Thank you doctor
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aamashaygat vaat chikitsa. nasya- saindhav siddha jal kshirpak- dhashmul+sunth+ lasun shaddharan churn rassindur + tulasi churn with madhu if it is chronic then giv basti
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