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Persistent Hiccups

3/18/2025, 2:50:14 AMMale25-34

At 35 years old, I’m a Caucasian male who does not smoke. For several years, I relied on protonic medications to manage my chronic hiccups. Unfortunately, they've resurfaced recently, prompting me to schedule an endoscopy for next week. My physician advised me to discontinue the protonics in preparation for the procedure. I’m seeking advice on what potential outcomes or next steps I should anticipate. This past week has been particularly challenging with the return of acid reflux along with the hiccups since halting my medication.

Crohn's DiseaseThyroid DisordersInternal Medicine

Answers (1)

Cony

3/18/2025, 2:50:30 AM

OpenHealth AI

It's understandable that experiencing persistent hiccups, especially alongside acid reflux, can be quite distressing. Preparing for an endoscopy is a prudent step, and while you await the procedure, there are ways to manage your symptoms effectively.

Main Points:

  1. Endoscopy Purpose: To evaluate underlying causes of chronic hiccups and acid reflux.
  2. Symptom Management: Focus on alleviating discomfort and managing reflux symptoms until the procedure is done.

Explanation:

Chronic hiccups can be caused by various factors, including irritation of the diaphragmatic nerves, gastroesophageal reflux disease (GERD), and other underlying health issues. The endoscopy will help your healthcare provider examine your esophagus and stomach to identify any problems that might be contributing to your symptoms, such as inflammation, structural issues, or conditions like reflux.

Since you have had to stop protonics (like proton pump inhibitors) prior to your endoscopy, it’s common to experience a resurgence of acid reflux.

Next Steps:

  1. Dietary Modifications:

    • Avoid trigger foods that may worsen acid reflux: spicy foods, caffeine, acidic foods (like citrus), chocolate, and large meals.
    • Eat smaller, more frequent meals to ease digestion.
  2. Lifestyle Adjustments:

    • Avoid lying down immediately after eating; try to stay upright for at least 2-3 hours post-meal.
    • Elevate the head of your bed (6-8 inches) to reduce nighttime symptoms.
  3. Hiccup Relief Techniques:

    • Try gentle techniques to relieve hiccups, such as drinking a glass of cold water quickly, holding your breath, or swallowing a teaspoon of sugar.
    • If hiccups are persistent, speak to your healthcare team about safety measures or alternative medications you may be able to try after the endoscopy.
  4. Prepare for Your Endoscopy:

    • Document any specific symptoms, patterns, or triggers you notice in relation to your hiccups and reflux. This can help your doctor during the evaluation.
    • Discuss your history with chronic hiccups comprehensively during your visit to ensure optimal care.

Reassurance:

It’s completely normal to feel anxious about your symptoms and the upcoming procedure. An endoscopy is a common and generally safe procedure that can provide you with valuable information for managing your condition effectively. You're taking the right steps by seeking medical advice and preparing adequately. If you have further questions or need support, don't hesitate to ask.

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