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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes severe hiccups and belching?

initial symptoms included intermittent forceful spontaneous belching for several months. three days ago, ingestion of unknown substance initiated constant hiccupping for hours with intermittent forceful belching, coughing with blood in sputum, vomiting with blood and mild wheezing. stomach has mild distention with no pain. mild constipation. constipation has cleared, vomiting has stopped. blood in sputum has subsided, infrequent coughing with mild wheezing remains , constant hiccupping and intermittent forceful belching remain as well. I suspect bronchitis for the coughing and wheezing. not sure of the hiccupping and belching maybe irritation of vagus nerve?
Mon, 8 Jan 2018
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General Surgeon 's  Response
Hi and welcome to Healthcaremagic. Thank you for your query.
I understand your concerns and I will try to help you as much as I can.

Yes, this may be irritation of vagal nerve and beside respiratory issues this may indicate specific condition called hiatal hernia should be considered and this means that stomach is protruding through diaphragm muscle.
It may cause breathing difficulties,nausea, swallowing difficulties and irritation of stomach. It will also be aggravated by certain food or medications, stress and smoking. You need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. Also, certain antiacid medications may be required and as last option, it is possible to perform surgical repair of hernia especially if there are progressive respiratory discomfort and dyspepsia. To diagnose it you should do gastroscopy and if this is negative as in your case then you should do contrast xrays of stomach.

I hope I have answered you query. If you have any further questions you can contact us in every time.
Kindly regards. Wish you a good health.
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