Friday, November 19, 2010

Hiccups...


It's been ages since i had one episode...and it just happen to occur when i had an bad case of upper respiratory tract infection.Runny nose,sore throat,fever and hiccups...

Some info about hiccup which to share(taken from emedicine-the website you trust XD)

Hiccup,medical term= singultus.It serve no purpose except to irritate you.It just an embarassement when you are having it while listening to patient's problem(but it does make d kids laughed).Usually affect the left hemodiaphragm.It can occur 4-60 times per minute.

Exact cause of it?=Mystery

Brilliant people has been postulating:

Hypocrates and celcus=liver inflamation

Shortt 1833=phrenic nerve irritation

Bailey 1943 has come up with a hiccup relex arch,which consist of afferent limb,hiccup center,connections to other systems and efferent limbs.

It will ring a red flag if the hiccup has been persistent more than 48 hours,which required a very detail history and examinations.Basically everything can caused a persistent /intractable hiccup.

Respiratory :pneumonia,empyema,asthma,bronchitis,diaphragmatic injuries.
Cardiac :pericarditis,myocardial infarction,
Electrolyte :low sodium,potassium,calcium,uraemia,
GI Tract :peritonitis,abscess,gastroenteritis,esophagitis...and there's more to go...

Treatment options:
Conventional methods:breath holding,changing breathing pattern,stucking a catheter into nose/mouth,digital rectal stimulation(wow),carotid massage...etc etc

Medical:
haloperidol,metochlopramide...

It's just a simple hiccup,but it can mean so much more...thankfully mine has resolved...

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