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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabeties Nephropathy, Dialysis, Severe Hiccups,

Hi..My father is a diabeties nephropathy patient ,Currently on dialysis ..He is suffering from severe hiccups from couple of months..Its been a longtime we are visiting the clinics but in vain..I want to know the best medicine available for this ailment as soon as possible.(He is sensitive to certain drugs like Gebantin,perinome ,liofen.eskazine, etc which are causing drowsiness)plz help..
Thu, 10 May 2012
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General & Family Physician,  's  Response
Hello
Basically the cause for chronic hiccups,in your father,seems to be due to uncontrolled diabetes,uremia,hyponatremia ,hypokalemia since he is suffering from chronic kidney failure.
Ideally all the metabolic deficiencies should be corrected and this should lead to normalization of hiccups.
The best medicine for chronic hiccups is chlorpromazine which corrects more than 80% cases
Some times haloperidol is also used.
In severe cases intravenous lidocaine has also been tried.
In very severe
cases ,not responding to medicines,Microvascular decompression of vagus nerve or surgical interruption of phrenic nerve is undertaken.
Thanks
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Diabeties Nephropathy, Dialysis, Severe Hiccups,

Hello Basically the cause for chronic hiccups,in your father,seems to be due to uncontrolled diabetes,uremia,hyponatremia ,hypokalemia since he is suffering from chronic kidney failure. Ideally all the metabolic deficiencies should be corrected and this should lead to normalization of hiccups. The best medicine for chronic hiccups is chlorpromazine which corrects more than 80% cases Some times haloperidol is also used. In severe cases intravenous lidocaine has also been tried. In very severe cases ,not responding to medicines,Microvascular decompression of vagus nerve or surgical interruption of phrenic nerve is undertaken. Thanks