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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hiccups Daily For The Last One Week?

I m a 29 year old female. I had open heart surgery in January 2015 to replace my tricuspid valve due to endocarditis, and a pacemaker placed in 3 days later. Then I got a new pacemaker (biventricular) a few weeks ago in July 2015 due to continuing heart failure. I ve had the hiccups daily for the last week. Pretty much every time I stand up and move around. Each day I m taking: Methadone 12.5mgs Xarelto 20mgs Tizanadine 4mgs Today i started taking Carvedilol 3.125mgs twice daily. I ve heard hiccups can be related to heart problems. Any advice?
Mon, 7 Sep 2015
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Cardiologist,  's  Response
hello,
I have gone through your query.Thanks for using HCM.
Hiccups have many causes .most of the time it is due to metabolic or electrolyte disturbances.But it can originate due to inferior wall ischaemia .But at your age it is unlikely .You should check for any pacemaker lead In right ventricle producing irritation.but it is very rare.
In your case it may be due to electrolyte disturbances or Infection above or below diaphragm.If your hiccough is persistent inspite of PPI and antacids.You should het investigations in the form of Xray chest,Ultra sound upper abdomen and electroyltes.
My best wishes
Dr.Rajesh teli,MD.
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What Causes Hiccups Daily For The Last One Week?

hello, I have gone through your query.Thanks for using HCM. Hiccups have many causes .most of the time it is due to metabolic or electrolyte disturbances.But it can originate due to inferior wall ischaemia .But at your age it is unlikely .You should check for any pacemaker lead In right ventricle producing irritation.but it is very rare. In your case it may be due to electrolyte disturbances or Infection above or below diaphragm.If your hiccough is persistent inspite of PPI and antacids.You should het investigations in the form of Xray chest,Ultra sound upper abdomen and electroyltes. My best wishes Dr.Rajesh teli,MD.