About all

Can hiccups make you vomit: Home Remedies, Causes & Symptoms

Содержание

Hiccup & Vomiting: Causes & Reasons

Intractable hiccup can be an unbearable circumstance and its treatment is often frustrating.
[ncbi.nlm.nih.gov]

MSA is associated with less gas/bloat symptoms and increased ability to vomit and belch. Copyright 2018 IJS Publishing Group Ltd. Published by Elsevier Ltd.
[ncbi.nlm.nih.gov]

Abstract We report an unusual presentation of gastroesophageal reflux disease in a 14-yr-old boy with cervical dysphagia and vomiting immediately after swallowing.
[ncbi.nlm.nih.gov]

[…] acid reflux are: heartburn – a burning sensation in the middle of your chest an unpleasant sour taste in your mouth, caused by stomach acid You may also have: a cough or hiccups
[nhs.uk]

[…] large amounts, often have forceful vomiting, have trouble breathing after vomiting or have vomit that is yellow or green, looks like coffee grounds, or contains blood Causes
[mayoclinic. org]

[…] vomiting 63 (14.5) 46 (15.2) 0.81 Anorexia 62 (14.3) 45 (14.9) 0.84 Dysphagia 27 (6.2) 19 (6.3) 0.98 Chronic cough 67 (15.5) 59 (19.5) 0.16 Hoarseness 31 (7.2) 33 (10.9) 0.08 Hiccup
[hindawi.com]

The most common symptoms of gastritis include: Belching and hiccups Belly or abdominal bleeding Blood in your vomit or stool (a sign that your stomach lining may be bleeding
[umiamihealth.org]

Wikiquote has quotations related to: Vomiting Look up vomiting in Wiktionary, the free dictionary. Cyclical Vomiting Syndrome “Emetics”. The American Cyclopædia. 1879.
[en.wikipedia.org]

Nausea and vomiting: The vomit may be clear, green or yellow, blood-streaked, or completely bloody, depending on the severity of the stomach inflammation.
[web.archive.org]

[…] also in other neuropsychiatric disorders (such as dementia and autism), symptomatic treatment of acute confusional symptoms and other conditions not psychiatric (nausea, hiccups
[intechopen.com]

Chronic, severe vomiting or diarrhea and other causes of dehydration. This causes your body to lose electrolytes, such as sodium, and also increases ADH levels.
[mayoclinic.com]

The patient presented with the following symptoms: nausea, vomiting, diarrhea, and dark urine after drinking large amounts of fluids that included alcohol and caffeine.
[ncbi.nlm.nih.gov]

(Image: Lilyana Vynogradova/iStock/Getty Images) Acute gastritis is marked by the sudden onset of stomach pain, nausea, indigestion, heartburn, hiccups, decreased or absent
[livestrong. com]

Secondarily, we hypothesize that subjects receiving ondansetron will have a lower proportion requiring admission, fewer episodes of vomiting and diarrhea, and fewer revisits
[ncbi.nlm.nih.gov]

Acute gastritis is marked by the sudden onset of stomach pain, nausea, indigestion, heartburn, hiccups, decreased or absent appetite, passing dark stool and possibly vomiting
[livestrong.com]

[…] weakness fatigue bad breath skin that’s darker or lighter than usual bone pain excessive thirst bleeding and bruising easily insomnia urinating much more or less than usual hiccups
[healthline.com]

Nausea and Vomiting Uremia can also cause nausea and vomiting. Shortness of Breath Extra fluid in the body can build up in the lungs.
[hopkinsmedicine.org]

[…] and feet restless leg syndrome brittle hair and nails itching weight loss a loss of muscle mass muscle twitching and cramps easy bruising and bleeding blood in your stools hiccups
[healthline.com]

Effects may include a metallic taste in the mouth, prolonged nausea and vomiting, incessant hiccuping, itching all over the body, fluid retention, unintended weight loss and
[livestrong.com]

[…] and vomiting, abdominal pain pain 6.6 WBCs, protein 30 Increased cortical echogenicity, no hydronephrosis “Synthetic marijuana” 8 New York 33 Nausea and vomiting 3.3 Not
[cdc.gov]

[…] or slow sluggish movements Flank pain (between the ribs and hips) Hand tremor Heart murmur High blood pressure Nausea or vomiting, may last for days Nosebleeds Persistent hiccups
[medlineplus. gov]

Aspiration pneumonia Aspiration pneumonia occurs when you inhale food, drink, vomit or saliva into your lungs.
[mayoclinic.org]

Or, they may vomit, have a fever and cough, or appear restless, sick, or tired and without energy.
[lung.org]

Other Common Types of Pneumonia Aspiration Pneumonia This type of pneumonia can occur if you inhale food, drink, vomit, or saliva from your mouth into your lungs.
[web.archive.org]

Hiccups, a benign and self-limited condition, can become persistent or intractable with overlooked underlying etiology.
[ncbi.nlm.nih.gov]

A 58 year old lady was admitted to our unit with acute onset epigastric pain and vomiting for 4 h duration.
[ncbi.nlm.nih.gov]

The most common symptom is chest pain, shortness of breath, nausea, vomiting.
[imedpub.com]

The eMedicineHealth doctors ask about Hiccups: Hiccups – Home Remedies. Alcoholic Gastritis Healing Time Stools remedies for Acid Reflux Acid Reflux Symptoms.
[chance4change.eu]

Nausea and vomiting. Bloated or full feeling in the abdomen. Regurgitation of food.
[alcohol.org]

Hiccups: This is a non-specific symptom, meaning that hiccups by themselves do not mean much.
[therecoveryvillage.com]

The lesion, documented by endoscopy, appeared to follow hiccups. The bleeding responded to conservative medical management and resolved without surgical intervention.
[ncbi.nlm.nih.gov]

Most people with Mallory-Weiss syndrome will bring up (vomit) an amount of bright red blood. This will often happen after a bout of normal retching or vomiting.
[patient.info]

Consumer Version Topic Resources Mallory-Weiss syndrome is a nonpenetrating mucosal laceration of the distal esophagus and proximal stomach caused by vomiting, retching, or hiccuping
[merckmanuals.com]

Other symptoms may be physical and include nausea, diarrhea, vomiting, headaches, sweating, and increased heart rate and blood pressure.
[web.archive.org]

A person with a fear of vomiting (either fearing that they will vomit, or that that they’ll see someone else vomit) would be considered to have Emetophobia.
[anxietycoach.com]

[…] begins to interfere with the child’s abilty to function normally and to make judgments, to affect their learning, and to cause physical symptoms such as sweating, nausea, vomiting
[web.archive.org]

However, women are more likely than men to have: shortness of breath jaw pain upper back pain lightheadedness nausea vomiting In fact, some women who have had a heart attack
[healthline.com]

Chest pain may be associated with sweating, nausea, vomiting, dyspnoea, fatigue and/or palpitations.
[patient.info]

[…] chest pain in the chest, back, jaw, and other areas of the upper body that lasts more than a few minutes or that goes away and comes back shortness of breath sweating nausea vomiting
[healthline. com]

[…] symptoms include: Nausea or recurrent upset stomach Abdominal bloating Abdominal pain Vomiting Indigestion Burning or gnawing feeling in the stomach between meals or at night Hiccups
[webmd.com]

Two patients were treated with gastroenterostomy and vagotomy for intractable vomiting due to diabetic gastropathy.
[ncbi.nlm.nih.gov]

This may result in upper abdominal pain, indigestion, loss of appetite, nausea, vomiting and heartburn.
[en.wikipedia.org]

Presents with cough, increased respiratory rate with shallow respiration, diminished or absent breath sounds, hiccups, dullness in percussion, tenderness over the 8th–11th
[en.wikipedia.org]

There was no history of fever, chills, vomiting, or abdominal pain. There was a history of non-insulin-dependent diabetes. .. José L. Zambrana, M.D., Ph.D. Juan A.
[nejm.org]

There are many complications of abscess including sepsis, pyrexia of unknown origin, abdominal pain, hiccups and chest pain but subphrenic abscess complicating pericarditis
[pjmhsonline.com]

[…] sivaraman Email: [email protected] DOI : Case report A 43-year-old lady without associated comorbidity presented with upper abdominal dull aching pain, persistent nonbilious vomiting
[tropicalgastro.com]

A 52-year-old Caucasian woman presented with progressive nausea and vomiting, weight loss, and burning epigastric and chest pain.
[ncbi.nlm.nih.gov]

Surgery None Dead 5 months 78 Dyspepsia; vomiting None Prominent and rigid gastric folds.
[ncbi.nlm.nih.gov]

Symptoms Symptoms generally include fever, weakness, fatigue, loss of appetite, nausea, joint aches and pains, vomiting, and jaundice (yellowish eyes and skin, dark urine
[hepvic.org.au]

In case of vomiting, taking of all medications must be avoided.
[intechopen.com]

[…] include: Fever Joint pain or arthritis Rash Edema (swelling) Symptoms of the next phase, the preicteric phase, include: Fatigue Myalgia (muscle pain) Anorexia Nausea and/or vomiting
[hopkinsmedicine.org]

Other motor disturbances that are at times associated with conversion disorder are loss of speech (aphonia), coughing, nausea, vomiting, or hiccuping.
[britannica. com]

Visceral Symptoms : Examples are trouble swallowing, frequent belching, spells of coughing or vomiting, all carried to an uncommon extreme.
[psychnet-uk.com]

Other motor disturbances that are at times associated with conversion disorder are loss of speech (aphonia), coughing, nausea, vomiting, or hiccuping.
[britannica.com]

[…] oesophageal cancer which may cause a patient to present to a doctor include: Dysphagia Weight loss Loss of appetite Odynophagia Hoarseness Melaena Retrosternal pain Intractable hiccups
[patient.info]

The common adverse effects were mild to moderate neutropenia (84.2%), grade I-II hand and foot syndrome (51.3%), grade I-II nausea (48.7%), mild epistaxis (30.1%) and mild vomiting
[ncbi. nlm.nih.gov]

Also inquire about regurgitation, vomiting, chronic hiccups, odynophagia (painful swallowing), and dietary patterns.
[medical-dictionary.thefreedictionary.com]

Symptoms of pediatric posterior fossa tumors include increased irritability, unsteadiness, ataxia, headache, vomiting, and progressive obtundation.
[emedicine.medscape.com]

Common symptoms include: headaches (often worse in the morning and when coughing or straining) fits (seizures) regularly feeling sick or vomiting memory problems or changes
[nhs.uk]

Manifestations may be nonspecific and include the following: Headache Altered mental status Ataxia Nausea Vomiting Weakness Gait disturbance CNS neoplasms also may manifest
[emedicine. medscape.com]

Symptoms significantly associated with being a MVD case included hiccups, anorexia, fatigue, vomiting, sore throat, and difficulty swallowing.
[ncbi.nlm.nih.gov]

Later on, however, the symptoms can become more serious, such as nausea, vomiting, chest pain, sore throat, abdominal pain, and severe diarrhea.
[newsweek.com]

Conjunctivitis, hiccups, and jaundice had high specificity ( 90%) but poor sensitivity. Conversely, fever and asthenia had high sensitivity but poor specificity.
[doi.org]

[…] blood, or blood in the urine Shortness of breath Vomiting more than once a day Yellowing skin or eyes (jaundice) that is new or gets worse quickly Talk openly to your provider
[nlm. nih.gov]

Abstract A 56-year-old white female presented to the emergency room (ER) with acute onset of right upper quadrant abdominal pain, nausea, and vomiting, and she was found to
[ncbi.nlm.nih.gov]

[…] that is new or suddenly becomes worse A fever (temperature greater than 101 F, or 38.3 C) Diarrhea New confusion or a change in alertness, or it gets worse Rectal bleeding, vomiting
[nlm.nih.gov]

In patients with subdiaphragmatic abscesses, irritation of contiguous structures may produce shoulder pain, chest pain, cough, shortness of breath, hiccup, and pulmonary findings
[infectiousdiseaseadvisor.com]

A careful review of the literature has failed to disclose any explanation of the mechanism of vomiting in peritonitis which is supported by experimental facts.
[jamanetwork.com]

Symptoms Signs and symptoms of peritonitis include: Abdominal pain or tenderness Bloating or a feeling of fullness (distention) in your abdomen Fever Nausea and vomiting Loss
[mayoclinic.org]

Although heartburn or regurgitations are specific to characterize GERD, patients usually report a number of associated symptoms such as cough, eructation, globus, hiccups,
[ncbi.nlm.nih.gov]

Dyspepsia refers to upper abdominal pain or discomfort and may be associated with fullness, belching, bloating, heartburn, food intolerance, nausea, or vomiting.
[pennstate.pure.elsevier.com]

[…] breastbone Heartburn or a burning pain in the chest Nausea after eating Less common symptoms are: Bringing food back up (regurgitation) Cough or wheezing Difficulty swallowing Hiccups
[stlukes-stl. com]

[…] acid reflux are: heartburn – a burning sensation in the middle of your chest an unpleasant sour taste in your mouth, caused by stomach acid You may also have: a cough or hiccups
[nhs.uk]

Dark, tarry bowel movements or vomiting material that resembles coffee grounds may signal bleeding from a peptic ulcer.
[livestrong.com]

He denies any nausea or vomiting. His abdomen is rigid with generalized rebound tenderness. Bowel sounds are absent. What’s the situation? Mrs.
[journals.lww.com]

Symptoms may include difficulty or pain when swallowing, pain or tightness in the chest, unexplained weight loss, hoarseness, or frequent hiccups.
[britannica.com]

Pressure or burning in the chest Indigestion or heartburn Vomiting Frequent choking on food Unexplained weight loss Coughing or hoarseness Pain behind the breastbone or in
[cancer. net]

[…] weight loss indigestion heartburn pain or difficulty when swallowing frequent choking while eating vomiting food coming back up the esophagus chest pain fatigue chronic cough hiccups
[healthline.com]

Other associated symptoms and signs can include low urine output, confusion, hiccups, and high blood pressure.
[medicinenet.com]

[…] atherosclerosis and coronary calcification, Volume overload, Pericardial effusions and pericarditis -Pulm – pulmonary edema due to volume overload -GI – nausea/vomiting, anorexia, hiccups
[errolozdalga.com]

Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested
[americandragon. com]

Vomiting may rapidly produce ulcerative esophagitis.
[jamanetwork.com]

At the height of heartburn and chest pain may occur vomiting, bringing significant relief. The vomit often contain streaks of blood.
[carbohealth.com]

Excessive vomiting.
[sterlingcare.com]

Migraine Headache :-Excruciating headache often accompanied by nausea, vomiting, blurred vision, and hypersensitivity to stimuli.
[quizlet.com]

People with epilepsy can also die from problems that occur during or after a seizure, such as inhaling vomit.
[epilepsy.com]

Fever, vomiting, and a stiff neck are all symptoms of meningitis.
[en.wikipedia.org]

In the most severe form (called malignant yellow fever), delirium, intractable hiccups, seizures, coma, and multiple organ failure may occur terminally.
[msdmanuals.com]

Symptoms may include: Fever, headache, muscle aches Nausea and vomiting, possibly vomiting blood Red eyes, face, tongue Yellow skin and eyes (jaundice) Decreased urination
[nlm.nih.gov]

There may also be kidney failure, hiccups, and delirium.Among those who develop jaundice, the fatality rate is 20 to 50%, while the overall fatality rate is about 5%.
[en.wikipedia.org]

6 Things Your Hiccups Are Trying To Tell You

(Photo: Getty Images)

A hiccup usually means one of just a very few things: You ate that burger way too fast, you washed it down with that beer way too fast, or you got a little overexcited that you were about to have a burger and a beer.

These are occasional hiccups that rarely last more than a few minutes. “All a hiccup is is an abrupt closure of your vocal cords,” says Kenneth Brown, MD, a Dallas-area board-certified gastroenterologist and the cofounder and chief medical officer of Atrantil supplements. The vocal cords snap shut thanks to an involuntary contraction of your diaphragm. “It’s an electrical current making the diaphragm jump when it shouldn’t, like a little spark going off,” he says. Sounds (relatively) harmless.

(Make 2016 YOUR year! Order Prevention’s calendar and get daily inspiration to live your best life.)

But in some instances, hiccups can become a little more troublesome. Anything that irritates the diaphragm, or the vagus nerve that runs through it from your brain to your belly, can lead to hiccups, and sometimes—although it’s rare—those irritants can be serious.

Technically, Brown says, “persistent” hiccups last more than 48 hours. “Intractable” hiccups last more than a month. (Can’t. Even. Imagine.) He admits those are pretty generous categorizations. “Anybody who’s had hiccups for more than 48 hours would go in and get them checked out,” he says, and even 12 hours is enough to warrant a doctor visit.

Related: 13 Power Foods That Lower Blood Pressure Naturally

That doesn’t mean you should expect the worst the next time you find yourself unable to get a word—hic—out—hic. We just think you should know what you’re up against, should you need to get thee to a doctor. If you have other symptoms, like fever, pain, or shortness of breath, here are a few things those hiccups could actually mean.

You might have acid reflux.

Story continues

(Photo: Getty Images)

Bloating and heartburn can irritate the diaphragm, Brown says, and these types of GI issues are a major cause of persistent hiccups. The good news is that treating the GI problems usually gets the hiccups to vanish, too. So if yours just won’t let up, and if you’ve also got that trademark burning pain in your stomach, chest, or throat, consider bringing up your symptoms with your doc.

Or nerve damage.
Maybe your spastic diaphragm is linked to damage to that vagus nerve, whether it’s temporary, due to tonsillitis or a hair tickling your eardrum (this is a thing!), or permanent, like from a tumor or an accident. Just about anything that screws with the nerve’s work throughout your neck, throat, chest, and abdomen can lead to disruptive hiccuping, Brown says.

Related: 7 Weird Things Your Teeth Are Trying To Tell You

You could be having a stroke.

(Photo: Getty Images)

A serious case of the hiccups—so bad that you’re likely to drag yourself to the ER—can actually be a sign of a stroke. Experts don’t totally understand why, except that a particular type of stroke, one that occurs in the back of the brain rather than the top, is linked more often to hiccuping, and it’s a type of stroke seen more frequently in women. These stroke-signaling hiccups would typically be accompanied by chest pain, numbness, or a little blurry vision, but the hiccups are likely to be so bad, you might not even notice other symptoms.

Or your kidney function could be slipping.
There aren’t a lot of clues that your kidneys are in trouble, but if you’re slowly losing kidney function, toxic waste products the organs would typically usher out may begin to build up in your body, Brown says. That’s not so comfy for the diaphragm and vagus nerve and might result in frequent hiccups, one of just a handful of signs of worsening kidney function. If your hiccups are paired with muscle twitching, excessive thirst, or increased pallor in your skin, bring ‘em up with your doctor. Kidney-related hiccups may be a sign you’ll need treatment, Brown says. “We often see hiccups before dialysis, and then they start to go away.”

Related: Drink This, Sleep 90 Minutes More A Night

You might (but you probably don’t) have a brain tumor.
A 2010 BBC documentary profiled Chris Sands, who tried for more than 4 years—years!—to quell a debilitating case of the hiccups before he was diagnosed with a tumor on his brain stem, home to the beginning of the vagus nerve. It took doctors 3 hours to remove two-thirds of the tumor, according to the BBC. Four months after surgery, Sands was hiccuping noticeably less, but expected to stop altogether when the swelling from the procedure had subsided. Keep in mind it’s beyond rare and file this information away as “possible but not probable.”

Related: 25 Delectable Detox Smoothies

Or you could (maybe, possibly) be pregnant.

While there’s little to no scientific explanation for this one, Brown says, there are a number of women who claim one of the first ways they know they’re pregnant is more frequent hiccuping. It’s possible, Brown says, that hormonal changes or swings in stress levels might lead to more anxiety-induced hiccups. Or maybe it’s an uptick in acid reflux, common during pregnancy, leading to the hiccups. But it may also be a little wishful thinking: If you’re hoping you’re preggers, you may be guilty of reading into every hic and burp and grumbling of your stomach, simply thinking your body’s up to something new. We say go old-fashioned: Wait until you’ve actually missed a period.

By Sarah Klein

This article ’6 Things Your Hiccups Are Trying To Tell You’ originally ran on Prevention.com.

Case Report: Incoercible hiccups and vomiting as the main presenting symptom in a 14-year-old girl with NMO

by Sara Machado et al.

Introduction: Neuromyelitis optica (NMO) affects preferentially the optic nerve and spinal cord; and its serum marker, the antibody against AQP4, has improved the diagnosis. AQP4 is heavily expressed in area postrema, which explains clinical presentations such as incoercible vomiting. Nonetheless, it is also expressed in other organs such as kidneys and stomach and the reason why they are spared is not understood. With this clinical report we intend to highlight the potential pitfalls in the diagnosis of NMO, namely with atypical presentations such as vomiting.

Clinical Report: A previously healthy 14-year-old child presented to the A&E due to a subacute onset of vomiting and hiccups. A couple of days later she experienced weakness in the lower limbs with further progression to the upper limbs and urinary retention. On examination, the cranial nerves were spared (without RAPD), there was no Lhermitte’s sign; but a tetraparesis with a pyramidal pattern was found. Also, there was a sensory thoracic level, hyperreflexia and bilateral Babinski’s sign. The aetiological investigation disclosed: CSF with pleocytosis (240/uL) with predominance of polymorphonucleated cells, hyperproteinorraquia (113mg/dl) and oligoclonal bands in a mirror pattern. All the other CSF evaluations were unremarkable, including cultures and immune tests. All other CSF evaluations were unremarkable, including cultures and immune tests. Extensive lesion from the area postrema up to the conus medullaris, with preferential involvement of the grey matter (figures 1 and 2), positive anti-AQP4-IgG antibodies and also both haematuria and proteinuria was found. Methylprednisolone was promptly started but due to clinical deterioration, with necessity of invasive ventilation, cycles of IVIg, Plasma Exchange, cyclophosphamide, and rituximab were initiated. After approximately 6 months at the ICU, in spite of the aggressive treatment strategy, she deteriorated with bilateral optic neuritis, tetraplegia and finally fatal dysautonomia.

Comments from the authors:

NMO is a severe, demyelinating auto-immune disease of the central nervous system (CNS), with the sine qua non defining features of transverse myelitis and optic neuritis (1). Its distinct serum marker has been identified and it is an IgG auto-antibody against AQP4. NMO is usually described as a benign entity with a monophasic course but recent reports attest its relapsing and severe character, even in paediatric patients(2). The exact prevalence in children is not unknown.
The area postrema is an important target in this disease (3,4) leading to peculiar clinical presentations such as incoercible vomiting, which is an increasingly recognized symptom, often preceding optic neuritis and transverse myelitis(5).
There are findings supporting the diagnosis: Lesions involving more than three contiguous vertebral segments and CSF profile through pleocytosis with predominance of polymorphonuclear cells are very suggestive. One should take into account that seropositivity for other antibodies is a frequent finding and 50% of NMO patients are ANA+.(6) Hence, the presence of other antibodies must not exclude this diagnosis.
In conclusion, early diagnosis of this disease is critical as its acute episodes are usually devastating and may have a poor prognosis.(7) The NMO-IgG is a precious tool in the diagnosis of NMO and we believe that such antibody should be promptly requested in cases with spinal medulla lesions greater than three vertebral segments, even with unusual presentations. An early diagnosis may result in reduction of both morbidity and mortality.

References
1) Wingerchuck DM, Lennon VA, Lucchinettim CF, Pittock SJ, Weinshenker BG. The spectrum of neuromyelitis optica. Lancet Neurol 2007;6:805-815.
2) Huppke P, Blüthner M, Bauer O, et al. Neuromyelitis optica and NMO-IgG in European pediatric patients. Neurology 2010;75:1740.
3) Pittock SJ, Weinshenker BG, Lucchinetti CF, Wingerchuk DM, Corboy JR, Lennon VA. Neuromyelitis optica brain lesions localized at sites of high aquaporin 4 expression. Arch Neurol 2006;63:964 –968.
4) Rash JE, Davidson KG, Yasumura T, Furman CS. Freeze-fracture and immunogold analysis of aquaporin-4 (AQP4) square arrays, with models of AQP4 lattice assembly. Neuroscience 2004;129:915-34.
5) Popescu BFG, Lennon VA, Parisi JE, et al. Neuromyelitis optica unique area postrema lesions : Nausea, vomiting, and pathogenic implications. Neurology 2011;76;1229.
6) Pittock SJ, Lennon VA, Wingerchuck DM, Homburger HA, Lucchinetti CF, Weinshenker BG. The prevalence of non-organ specific autoantibodies and NMO-IgG in neuromyelitis optica (NMO) and related disorders. Neurology 2006; 66:A307.
7) Ghezzi A, Bergamashi R, Martinelli V, et al. Italian Devic’s Study Group (IDESG). Clinical characteristics, course and prognosis of relapsing Devic’s Neuromyelitis Optica. J Neurol 2004;251:47-52.

Sara Machado is working at the Department of Neurology, Hospital Professor Doutor Fernando Fonseca, EPE. Amadora, Portugal. Her co-authors are JP Vieira, R. Silva, P. Sousa and E. Calado from the Department of Paediatric Neurology, Hospital Pediátrico Dona Estefânia, Lisboa, Portugal; C. Conceição from the Department of Neuroradiology, Hospital Pediátrico Dona Estefânia. Lisboa, Portugal; M. Ramos from the Department of Paediatric Rheumatology, Hospital Pediátrico Dona Estefânia. Lisboa, Portugal; G. Queiroz and L. Ventura from the Paediatric Intensive Care Unit, Hospital Pediátrico Dona Estefânia. Lisboa, Portugal.

This is an unusual case of NMO with serum AQP4 IgG antibodies in a child because of the severe clinical presentation combined with a fatal outcome despite extensive medical treatment including immunosuppression with various drugs and intensive care monitoring. Usually the clinical presentation in the initial phase of the disease is characterized by episodes of unilateral or bilateral optic neuritis followed by transverse myelitis or vice versa. Presentation with hiccups and vomiting has been reported in adults but only rarely in children. Children often recover completely with adequate treatment such as intravenous methylprednisolone initially but require immune-modulation with drugs such as azathioprine or rituximab to prevent further attacks.
It appears that in particular children with NMO and serum AQP4 IgG antibodies have a more severe disease course and should be treated promptly with the above mentioned drugs.
Children with NMO and absent serum anti-AQP4 IgG antibodies seem to have a more benign course. In these children I recommend to repeat antibody testing of serum anti-AQP4 IgG antibodies in addition to serum anti-MOG IgG antibodies, both ideally with cell-based assays. Three studies (Mader et al., 2011; Kitley et al., 2012; Rostasy et al., in press) recently showed that in a subgroup of adults and children with definite NMO and absent AQP4 antibodies high titre of anti-MOG IgG antibodies can be found in serum.
Interestingly the clinical course of these patients is milder and treatment response to IVIG at monthly intervals is good (personal experience).
The child was treated with high dose steroids and IVIG in the acute phase but failed to respond clinically. Few reports are on record which describes adult patients with a severe manifestation of NMO who were treated successfully with cycles of plasmapheresis which might have been an option in this fulminant case of NMO.

Dr. Kevin Rostásy is Head of the Division of Neuropediatrics at the Children’s Hospital in Innsbruck, Austria. His special interest is paediatric neuroimmunology.

Case Report: Incoercible hiccups and vomiting as the main presenting symptom in a 14-year-old girl with NMO was last modified: November 26th, 2012 by Editor

Hiccups and Heartburn

Cancer and its treatment can sometimes cause hiccups or heartburn. It’s important to know that other non-cancer problems and medicines can also cause them or increase the risk for them.

Hiccups

Hiccups (or hiccoughs) are spasms that affect a muscle between your lungs and stomach that is used when you breathe, called the diaphragm. A hiccup happens when the diaphragm is irritated and suddenly contracts between normal breaths.

Hiccups can be caused by irritation of the nerve that controls the diaphragm which can happen for different reasons, such as:

  • Certain chemotherapy drugs used to treat cancer
  • Other drugs that may or may not be taken for cancer-related problems, including steroids, anti-nausea medicines, and antibiotics
  • Nerve or brain injuries
  • Fluid in the lungs or near the heart
  • Bloating and gas in the stomach area
  • Low levels of certain electrolytes (blood chemistries) such as sodium, calcium, and potassium
  • High blood sugar level
  • Problems in the esophagus (the swallowing tube that goes from the throat to the stomach)
  • Tumors or blockages in the esophagus, lungs, liver, pancreas, kidney, or colon
  • Changes in temperature
  • Stress and excitement
  • Drinking certain types of liquids or eating certain foods.

In people with cancer, certain chemotherapy drugs can have hiccups as a side effect,

Hiccups are usually temporary and stop within minutes to hours. If hiccups last more than 2 days, they can be considered persistent; they are considered intractable if they last more than a month. Hiccups that last a long time can be a sign of a serious problem.

Managing hiccups

There is a medication that can be prescribed to help manage hiccups if needed. But usually they are very temporary and stop without any kind of treatment. There’s not a lot of research about ways to manage hiccups other than using medication your doctor prescribes, but here are some things people have found useful.

  • Breathe slowly and deeply into a paper bag for 10 breaths at a time.
  • Drink water slowly.
  • Bear down gently as if having a bowel movement (called the Valsalva maneuver).
  • Hold a teaspoon of sugar in your mouth and then swallow.
  • Avoid forcing yourself to eat.

Heartburn

Heartburn is a burning sensation in the throat, chest, or upper abdominal (belly) area that often worsens after eating or when you lay down. Some people might notice it more in the evening or after going to bed at night. It’s sometimes called indigestion or acid reflux. It’s a common problem from having too much acid in the stomach that forces contents of the stomach up into the esophagus.

If heartburn happens frequently it is often called or diagnosed as gastroesophageal reflux disease (GERD). Sometimes, several years of heartburn can lead to ulcers or Barrett’s esophagus which is linked to an increased risk of cancer of the esophagus.

Causes of heartburn include:

  • Increased production of stomach acid
  • Drinking too much alcohol, caffeine, acidic juices, or carbonated beverages
  • Treatments for cancer, such as certain chemotherapy drugs and radiation to the chest or upper abdomen
  • Taking certain medications, such as aspirin and anti-inflammatories (Advil, Motrin, Aleve, ibuprofen)
  • Eating high-fat foods
  • Smoking
  • Being obese
  • Blockages or changes in structure of the esophagus due to narrowing or tumor growth

Managing heartburn

Your health care team may prescribe an over-the-counter antacid to help with heartburn. There are other medications that might be prescribed short-term. Talk with your health care team if you have heartburn, and if any recommended or prescribed medications are not working.

  • Avoid tobacco
  • Limit caffeine and alcohol
  • If you are overweight, losing weight may help relieve symptoms
  • Eat small rather than big meals
  • Avoid eating less than 2 to 3 hours before bedtime

What caregivers can do for hiccups and heartburn

  • Watch the patient to be sure that they’re able to drink enough liquid.
  • Elevate the head of the bed for comfort.
  • If medicine is given, watch for dizziness. The patient may need help getting up or walking.

Call the health care team if the patient

  • Has nausea that isn’t managed even after taking medication
  • Has trouble breathing, eating, or swallowing
  • Has heartburn and develops a puffy or bloated stomach or constipation

Gastritis | Johns Hopkins Medicine

What is gastritis?

Gastritis is when your stomach lining gets red and swollen (inflamed).

Your stomach lining is strong. In most cases acid does not hurt it. But it can get inflamed and irritated if you drink too much alcohol, eat spicy foods, or smoke.

What causes gastritis?

Gastritis may be caused by many things.

It can be caused by diet and lifestyle habits such as:

  • Drinking too much alcohol
  • Eating spicy foods
  • Smoking
  • Extreme stress
  • Long-term use of aspirin and over-the-counter pain and fever medicines (nonsteroidal anti-inflammatory drugs or NSAIDs)

Health issues that can lead to gastritis include:

  • Infections caused by bacteria and viruses
  • Major surgery
  • Traumatic injury or burns

Some diseases can also cause gastritis. These include:

  • Autoimmune disorders. When your immune system attacks your body’s healthy cells by mistake.
  • Chronic bile reflux. When bile, a fluid that helps with digestion, backs up into your stomach and food pipe (esophagus).
  • Pernicious anemia. A form of anemia that happens when your stomach is not able to digest vitamin B12.

What are the symptoms of gastritis?

Each person’s symptoms may vary. The most common symptoms of gastritis include:

  • Stomach upset or pain
  • Belching and hiccups
  • Belly or abdominal bleeding
  • Nausea and vomiting
  • Feeling of fullness or burning in your stomach
  • Loss of appetite
  • Blood in your vomit or stool (a sign that your stomach lining may be bleeding)

The symptoms of gastritis may look like other health problems. Always see your healthcare provider to be sure.

How is gastritis diagnosed?

Your healthcare provider will give you a physical exam and ask about your past health. You may also have tests including:

  • Upper GI (gastrointestinal) series or barium swallow. This X-ray checks the organs of the top part of your digestive system. It checks the esophagus, stomach, and the first part of your small intestine (duodenum). You will swallow a metallic fluid called barium. Barium coats the organs so that they can be seen on the X-ray. 
  • Upper endoscopy, also called EGD (esophagogastroduodenoscopy). This test looks at  the inside of your esophagus, stomach, and duodenum. It uses a thin, lighted tube, called an endoscope. The tube has a camera at one end. The tube is put into your mouth and throat. Then it goes into your esophagus, stomach, and duodenum. Your healthcare provider can see the inside of these organs. He or she can also take a small tissue sample (biopsy) if needed.
  • Blood tests. You will have a test for H. pylori, a type of bacteria that may be in your stomach. Another test will check for anemia. You can get anemia when you don’t have enough red blood cells.
  • Stool spectrum. This test checks to see if you have stomach bacteria that can cause gastritis. A small sample of your stool is collected and sent to a lab. Another stool specimen can check for blood in your stool which may be a sign of gastritis if there has been bleeding.
  • Breath test. You may have a test where your breath is collected and analyzed for a stomach bacteria.

How is gastritis treated?

Your healthcare provider will make a care plan for you based on:

  • Your age, overall health, and past health
  • How serious your case is
  • How well you handle certain medicines, treatments, or therapies
  • If your condition is expected to get worse
  • What you would like to do

In most cases you will be given antacids and other medicines to reduce your stomach acid. This will help ease your symptoms and heal your stomach lining.

If your gastritis is caused by an illness or infection, you should also treat that health problem.

If your gastritis is caused by the H. pylori bacteria, you will be given medicines to help kill the bacteria. In most cases you will take more than 1 antibiotics and a proton pump inhibitor (medicine that reduces the amount of acid in your stomach). You may also be given an antidiarrheal.

Do not have any foods, drinks, or medicines that cause symptoms or irritate your stomach. If you smoke, it is best to quit.

What are the complications of gastritis?

Chronic gastritis hurts your stomach lining. It can raise your risk for other health problems such as:

  • Peptic ulcer disease, painful sores in your upper digestive tract
  • Gastric polyps, small masses of cells that form on the inside lining of your stomach
  • Stomach tumors, both cancerous and non-cancerous

You may also get atrophic gastritis. This can happen if your gastritis is caused by the H. pylori bacteria or by an autoimmune disorder. Atrophic gastritis destroys the stomach lining cells that make your digestive juices. This raises your risk for getting stomach cancer.

Can gastritis be prevented?

Experts don’t know it is possible to stop gastritis from happening. But you may lower your risk of getting the disease by:

  • Having good hygiene habits, especially washing your hands. This can keep you from getting the H. pylori bacteria.
  • Not eating or drinking things that can irritate your stomach lining. This includes alcohol, caffeine, and spicy foods.
  • Not taking medicines such as aspirin and over-the-counter pain and fever medicines (nonsteroidal anti-inflammatory drugs or NSAIDS).

When should I call my healthcare provider?

Call your healthcare provider if your symptoms get worse or if you have new symptoms. Call right away if you have bloody vomit, blood in your stools, or black, tarry-looking stools.

Key points

  • Gastritis is a redness and swelling (inflammation) of the stomach lining.
  • It can be caused by drinking too much alcohol, eating spicy foods, or smoking.
  • Some diseases and other health issues can also cause gastritis.
  • Symptoms may include stomach pain, belching, nausea, vomiting, abdominal bleeding, feeling full, and blood in vomit or stool.
  • In most cases you will be given antacids and other medicines to reduce your stomach acid.
  • Avoid foods or drinks that irritate your stomach lining.
  • Stop smoking.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

  • Before your visit, write down questions you want answered.
  • Bring someone with you to help you ask questions and remember what your provider tells you.
  • At the visit, write down the names of new medicines, treatments, or tests, and any new instructions your provider gives you.
  • If you have a follow-up appointment, write down the date, time, and purpose for that visit.
  • Know how you can contact your provider if you have questions.

Hiatal Hernia: Signs, Symptoms, and Complications

A hiatal hernia, also known as a stomach hernia, most often affects people over 50. As many as 90% of people who have a stomach hernia will not experience symptoms. Among those who do, heartburn, abdominal discomfort, throat irritation, belching, and regurgitation are common. While symptoms like these can be aggravating, they are usually not serious. Rarely, severe complications can develop, requiring emergency treatment.

Verywell

Frequent Symptoms

Generally speaking, small herniation of the stomach is not inherently harmful and is unlikely to cause any direct pain or discomfort. A hiatal hernia can alter the structures and mechanisms that keep food and acids where they belong.

The key to this problem is a structure called the lower esophageal sphincter (LES). When a hiatal herniation occurs, it can change the position of this muscular valve, allowing the contents of the stomach to backflow into the esophagus (known as reflux).

Related, intermittent symptoms can include:

  • Heartburn
  • Regurgitation
  • Belching or hiccuping shortly after eating
  • A stinging sensation in the throat
  • A sour or bitter taste in the mouth
  • Bad breath

Generally speaking, it is only when a hernia gets larger that it can manifest in this way. If the LES weakens even further, which can happen with age, related symptoms can get progressively worse.

People with a hiatal hernia are more likely to develop gastroesophageal reflux disease (GERD), a chronic form of reflux that can interfere with quality of life. The persistence of GERD symptoms can lead to a chronic cough, chest pain, asthma, and progressive damage to your tooth enamel.

Complications

Broadly speaking, there are two types of hiatal hernia: a sliding hiatal hernia and a paraesophageal hernia. While a sliding hernia is the most common, accounting for around 95% of all diagnoses, a paraesophageal hernia is potentially more serious.

  • With a sliding hiatal hernia, the junction of the esophagus and stomach (referred to as the gastroesophageal junction) will protrude through a hole in the diaphragm, called the hiatus. This is the space through which the esophagus passes. It is called “sliding” because the herniated part of the stomach can slide in and out of the chest cavity as you swallow.
  • With a paraesophageal hernia, the stomach bulges through. While many paraesophageal hernias are a progression of a sliding hernia, others can occur suddenly if there is a structural weakness in the diaphragm.

Unlike a sliding hernia, a paraesophageal hernia doesn’t readily slide in and out of the hiatus. Rather, it can get progressively larger and slip even further into the chest cavity as time goes by. It is at this later stage that the complications can become serious and, in rare cases, life-threatening.

Complications may include esophageal compression, gastric obstruction, strangulation, and an extremely rare condition known as an intrathoracic stomach.

Esophageal Compression

Compression of the esophagus can occur as the hernia presses against the esophageal wall. When this happens, food can get stuck in the esophagus, causing chest pain after eating and difficulty swallowing (dysphagia).

While esophageal compression is not considered a medical emergency, it may require medications to alleviate or prevent worsening symptoms.

Incarcerated Hiatal Hernia

Incarceration occurs when the herniated portion of the stomach becomes trapped in the hiatus. In some cases, the symptoms of incarceration may be chronic but minimal (mostly a sensation of chest pressure as food passes through the upper digestive tract). But, it can cause obstruction or impede blood circulation.

Incarceration itself is not a medical emergency unless a severe obstruction occurs.

Volvulus

Volvulus is when a herniated stomach twists more than 180 degrees, causing a severe gastric obstruction. While it can occur with hiatal hernia, it can also occur without it and is very uncommon. Symptoms may include dysphagia, chest pain after eating, belching, and vomiting.

If this problem progresses, it can cause upper abdominal pain and distention, vomiting leading to nonproductive retching, and gastric bleeding (due to the abnormally increased blood pressure).

Acute symptomatic volvulus generally occurs in people over age 50 and is considered a medical emergency with a 30 to 50% risk of mortality.

Strangulation

Strangulation is a cut-off of the blood supply to the stomach, either due to volvulus or incarceration. Symptoms include a sudden, sharp chest pain; fever; fatigue; bloating; vomiting; an inability to pass gas; constipation; warmth or redness over the herniation; rapid heart rate; and bloody or tarry stools (due to gastrointestinal bleeding).

This is considered a medical emergency as the blockage can result in rapid organ damage. If not treated immediately, strangulation can lead to gangrene, shock, and death.

Intrathoracic Stomach

An intrathoracic stomach is a rare condition in which the stomach slips entirely into the chest cavity. Not all cases cause symptoms, but the most common signs are dyspnea (shortness of breath) and a feeling of chest fullness and pressure. Other symptoms can include vomiting, retching, dysphagia, gastrointestinal bleeding, and aspiration pneumonia (caused when food is coughed up into the lungs).

The enlarged hiatal gap can cause other organs to slip into the chest cavity, including the pancreas, liver, or colon. Surgery is the only means to correct this rare but serious complication.

When to See a Doctor

The vast majority of hiatal hernias can be easily managed with over-the-counter medications, weight loss, and an adjustment to your diet. Hiatal hernias generally do not need to be medically managed unless the symptoms are persistent or worsening.

With that being said, you should see a doctor if your symptoms don’t improve despite conservative management. In some cases, adjusting your prescription drugs and other interventions may be needed.

Hiatal Hernia Doctor Discussion Guide

Get our printable guide for your next doctor’s appointment to help you ask the right questions.

Email the Guide

Send to yourself or a loved one.

Sign Up

This Doctor Discussion Guide has been sent to {{form.email}}.

There was an error. Please try again.

You should seek immediate medical care if reflux symptoms are accompanied by high fever (over 100.4 degrees), severe chest pain, rapid heart rate, non-productive retching, or bloody stools. These may be the signs of a severe and potentially life-threatening hernial complication.

Frequently Asked Questions

What does a strangulated hiatal hernia feel like?

You are likely to feel severe chest pain if you have a strangulated hiatal hernia. Heart palpitations and shortness of breath are also common. Other sensations can include nausea, difficulty swallowing and bloating. These are signs of a medical emergency; you should seek medical help right away.

What causes a flare-up of a hiatal hernia?

Hiatal hernias do not flare-up. It is a structural problem. But symptoms can be worsened by eating foods that trigger gastroesophageal reflux (GERD), eating large meals, lying down after eating, and stress can trigger symptoms of hiatal hernia. Following a GERD diet can help you avoid flare-ups. 

Hiccups and psychosis: two atypical presentations of COVID-19 | International Journal of Emergency Medicine

Fever, cough, shortness of breath, anosmia, ageusia, or dysgeusia are the most common symptoms of COVID-19. However, a wide variety of atypical presentations have also been described [1]. Some uncommon presentations are related to the hypercoagulable state, while others are a result of the inflammatory response. These manifestations can occur almost at any organ level. For example, cardiac manifestations include acute MI, myocarditis, arrhythmias, and pericarditis. Atypical heart manifestations are more common in individuals with previous heart conditions, but it seems that the high systemic inflammation and the angiotensin-converting enzyme 2 (ACE2) tropism are involved in this relationship and may cause manifestations in previously healthy individuals [2]. ACE 2 is also expressed in the gastrointestinal tract and up to 48% of patients present with gastrointestinal manifestations. They range from liver abnormalities such as mild to moderate liver injury with aminotransferase elevations and albumin decline, also diarrhea, nausea, and vomiting. Similar to the gastrointestinal tract, the nervous system also expresses ACE 2; thus, neuropsychiatric symptoms of COVID-19 occur in up to 36% of patients and are more frequent among those with severe disease [3]. The spectrum of neurological manifestations includes not only cerebrovascular disease and skeletal muscle injury, but also meningoencephalitis, encephalomyelitis, Guillain Barre, and perfusion abnormalities [4,5,6]. Psychiatric manifestations are wide and could be divided into those driven by the infection itself and those driven by stress and isolation related to the pandemic. Delirium has been suggested as the most common neuropsychiatric manifestation [7], but they also include psychosis, dementia-like symptoms, and affective disorders [8].

Considering these diverse presentations, it is relevant for the emergency department physicians to consider COVID-19 in unexplained manifestations of inflammatory disease or arterial and venous thrombosis at any organ level.

Case 1

A 48-year-old man presented to the gastroenterologist with an episode of hiccups lasting at least 96 h. His past medical history only revealed an L5 surgical repair in 2005, and he denied allergies or recent travel. Aside from the hiccups, the patient recalled no other symptoms and denied abdominal pain, nausea, vomiting, diarrhea, chest pain, cough, dyspnea, or fever. He was started on ambulatory treatment with metoclopramide 10 mg every 8 h; however, the symptoms did not resolve.

He presented to the ER approximately 5 h later with the same complaint. His vitals showed a heart rate of 82 beats/min, respiratory rate 20 respirations/min, blood pressure 133/88 mmHg, oxygen saturation 93%, and temperature 36.7 °C. On the physical exam, the patient was alert and oriented with a normal affect and normal gait. The exam revealed no dermatological lesions and benign head, ear, nose, and throat exam. His chest showed a normal diameter. However, lung auscultation revealed the presence of crackles left lung base. The remainder exam was normal.

Initially, he was treated with IV metoclopramide, omeprazole 40 mg, ondansetron 8 mg, and oral frappe magaldrate/dimeticone (80/10 mg) without symptom improvement. Laboratory analysis revealed hyperglycemia (182 mg/dl), thrombocytopenia (81,000/mcl), leucopenia (4,000/mcl), and lymphopenia (700/mcl absolute count). The remaining results were normal (hemoglobin 16.2 g/l, hematocrit 48.3%, BUN 19.2, urea 41.1, serum creatinine 1.1 mg/dl, sodium 136.8 mEq/L, potassium 3.56 mEq/L). A chest X-ray (Fig. 1) revealed bilateral infiltrates. The thoracic CT scan revealed multiple zones of diffuse alveolar infiltrate across all segments of both lungs (Fig. 2).

Fig. 1

Chest X-ray showing multiple ground-glass bilateral infiltrates

Fig. 2

Chest CT scan showing multiple bilateral and peripheral ground-glass and consolidative pulmonary opacities

SARS-CoV-2 PCR results were positive. The patient refused admission and was lost to follow-up.

Case 2

A 43-year-old man was brought to the emergency department by his mother for altered mental status. She reported her son’s symptoms had started 3 days after his father was diagnosed with COVID-19. The patient presented with tachylalia, disorganized ideas, restlessness, delusions of grandeur, emotional lability, hetero-aggression, and aggression towards his mother. His mother revealed a past history of hetero-aggressive episodes which usually resolved during 48 h. Episodes did not affect social or professional functioning and were never medically evaluated.

Aside from his psychiatric symptoms, his vitals were normal, and his physical exam did not reveal any significant findings. Neurology and psychiatry were consulted, and due to known exposure, SARS-CoV-2 PCR was ordered.

While results were pending, we documented hypokalemia K 3.3, elevation of hepatic enzymes (aspartate aminotransferase 53 U/L, alanine aminotransferase 69 U/L), indirect hyperbilirubinemia (total bilirubin 2.07 mg/dl, indirect bilirubin 1.73 mg/dl, direct bilirubin 0.34 mg/dl), and elevated ferritin levels (595 ng/mL). The rest were within normal limits: C-reactive protein 1.8 mg/dL, erythrocyte sedimentation rate 10 mm/h, procalcitonin 0.05 ng/mL, and fibrinogen 297 g/L.

A contrast brain MRI (Fig. 3) and a thoracic CT (Fig. 4) were obtained to investigate for possible COVID-19-related changes such as encephalitis, stroke, or pulmonary changes. However, there were no significant findings.

Fig. 3

Brain MRI showing no signs of stroke or encephalitis

Fig. 4

Chest CT scan not showing any infiltrates, consolidation images, or other signs of pneumonia; a nonsignificant single pleural nodule was identified

A spinal tap and cytological testing yielded the following: transparent, with 0 leucocytes, 0 erythrocytes, and 0 crenocytes. Glucose 65.6 mg/dL, proteins 17.5 mg/dL, the Gram stain did not report any organisms, bacterial antigens were negative, and viral PCR did not detect any pathogen. Chinese ink was negative.

The PCR for SARS-CoV-2 was positive, and the patient was diagnosed with manic psychosis and COVID-19. Due to isolation precautions of the hospital, family members decided to take the patient home in a voluntary discharge. He will receive follow-up care by the neurologist and infectious disease specialist. The patient consented to the publishing of his experience.

90,000 From indigestion to cancer. What problems can hiccups talk about? | Healthy life | Health

Why on earth does this trouble happen to us, how dangerous is it and how, in the end, can we get rid of the obsessive “hic-hik”? Let’s try to figure it out.

Unknown reasons

Until now, no one knows for certain why we all of a sudden begin to hiccup. Another rhetorical question: how long will this trouble last.And, finally, the third and main riddle: why does our body need this?

Scientists claim that this phenomenon occurs as a result of irritation of the nerve endings passing through the diaphragm, but why this irritation occurs is still a mystery. Some believe that hiccups are a type of nervous tic, while others suggest that there is a hiccups center in the brain that causes esophageal spasm, and that this mechanism supposedly protects us from harmful excesses in food and drink. But most doctors do not recognize anything useful for hiccups, unlike a cough that relieves the body of phlegm, this phenomenon does not bring with it any deliverance.

Physiologically, hiccups are a nonspecific respiratory disorder. The characteristic sound accompanying this strange phenomenon is the result of a sharp slamming of the glottis, which occurs due to sharper than usual convulsive contractions of the diaphragm (a muscle barrier that separates the chest and abdominal cavities). The time between the contraction of the diaphragm and the appearance of sound is only 35 thousandths of a second. At this time, the person does not breathe.

There are many reasons for the occurrence of such sudden convulsive sounds: hypothermia (especially in young children), excessive distension of the stomach (associated with excessive appetite), excessive haste when absorbing food or water, in which air is swallowed, nervous shock and dr.

Functional, or nervous, hiccups usually occur in people with a weak nervous system, such hiccups disappear after calming down. Indomitable hiccups can overtake a person while drinking alcohol. The same reaction can be given by general intoxication caused by the intake of certain medications – for example, sulfonamides.

Unusual symptom

Hiccups resulting from external causes are absolutely safe. It goes away by itself. But prolonged, painful hiccups can be a symptom of certain medical conditions.For example, inflammation in the abdomen or pneumonia often irritates the diaphragm, resulting in excruciating, persistent hiccups.

The same symptom sometimes testifies to such terrible ailments as a malignant tumor of the lungs or liver. Spasms of the diaphragm, accompanied by obscene sounds, as well as rapid heartbeats, may indicate the presence of a hiatal hernia. People who have had stomach or spine surgery often experience breathing problems, which also lead to hiccups.Hiccups can also occur with some diseases of the brain and spinal cord, as well as with myocardial infarction, infectious diseases, and very often – with mental agitation.

In case of prolonged (more than two days) or even more prolonged hiccups (more than 1 month), it is imperative to consult a doctor. Prolonged, persistent hiccups, accompanied by abdominal pain and nausea, can be a manifestation of a peptic ulcer or stomach tumor, as well as diseases of the liver, gallbladder or pancreas.With a prolonged attack of hiccups, it is shown to consult a doctor, and if vomiting has joined the hiccups, especially with traces of blood, you must immediately call an ambulance. If you have hiccups very often or it lasts too long, then it does not hurt to take an X-ray after taking a barium mixture – this will help to find out if there is any mechanical obstruction in the esophagus. To eliminate hiccups that have arisen for other reasons, the doctor may prescribe certain medications, depending on what the disorder is associated with.

Methods of struggle

If hiccups are not associated with an illness, you can try to get rid of it in different ways.

● For example, Hippocrates in such cases advised to try to sneeze. Another method is to hold your breath for a long time and try to mentally distract yourself from your problem, switching to something more worthy of attention. If you find it difficult to hold your breath for a long time, put a plastic bag over your head – this will help increase the concentration of carbon dioxide in the blood and, accordingly, relieve the spasm.

● If a newborn baby has hiccups after eating, rub the baby in a column, stroking his back. The air will come out and the hiccups will stop.

● Sometimes the cause of hiccups at such a young age is hypothermia. Check if the baby is cold – if so, wrap him up warmly, and the convulsive sounds will soon stop.

● If an older child hiccups, give him a drink of water – he may have eaten too much or was in too much of a hurry to eat.

● Among the quick methods of getting rid of hiccups is this: you need to put a cup of water on the table in front of you, clasp your hands in the lock, bend low and, reaching for the cup with your lips, without using your hands, drink water in small, greedy sips.

● Some advise to swallow a spoonful of granulated sugar without drinking it with water. You can eat something bitter or sour, as well as a piece of ice. With painful hiccups, a warm drink, a warm heating pad on the stomach, or, conversely, cold helps.

● You can also stop hiccups by a reflex method. Place your finger on the lining of the throat as if you are about to induce vomiting. This will help break the established rhythm of the hiccups.

● The rich and famous had their own secrets of how to deal with this annoying and indecent phenomenon in high society.For example, President Kennedy’s personal physician considered this method to be the most effective: you need to open your mouth wider, grab your tongue with your fingers, stretch it slightly and hold it in this position for several seconds. The President’s physician argued that it was a sure and fast-acting remedy.

Interesting

According to the Guinness Book of Records, a certain Charles Osborne from the American state of Iowa began to hiccup in 1922 and stopped in 1990. A strange feature did not prevent the man from marrying twice and having eight children.

See also:

90,000 How to get rid of hiccups after alcohol

Hiccups after alcohol are common, caused by contraction of the diaphragm muscles due to the negative effects of alcohol on the vagus nerve. The vocal cords are compressed, the person makes a characteristic sound, which creates discomfort for him and those around him. Hiccuping is not always a “harmless” problem that can be solved using folk methods. If it persists for a long time, you need to see a doctor: it may turn out to be an external sign of severe poisoning, microinfarction, polyneuritis, etc.d.

Why do hiccups occur after drinking alcohol?

The use of alcoholic beverages disrupts the functioning of the digestive system. In the body, harmful decomposition products of ethanol begin to accumulate, the liver works in the “maximum power” mode, trying to remove toxins. As a result, it increases in size and begins to put pressure on the vagus nerve and diaphragm. Involuntary muscle contractions occur – a person begins to hiccup.

Depending on the causes of alcohol hiccups, it is divided into four types:

  • toxic – provoked by poisoning of the body with harmful decomposition products of ethanol;
  • central – occurs against the background of diseases of the nervous system, when the connection between the central and peripheral parts is lost;
  • peripheral – due to compression of the diaphragm and the vagus nerve;
  • reflected – associated with pathologies of the gastrointestinal tract.

A common reason for the development of hiccups is the use of carbonated alcoholic beverages (champagne) and cocktails based on them (for example, whiskey-cola or rum-cola). Carbon dioxide builds up in the stomach, which causes compression of the vagus nerve.

Hiccuping after drinking alcohol can pour from 15 minutes to 2 days. The problem is not always “harmless”, it often turns out to be an external manifestation of dangerous diseases, for example, alcoholic polyneuritis, which causes irreversible changes in the nervous tissue and memory loss, or a microinfarction.It is important to understand when you can rely on the power of traditional medicine, and when you need to immediately consult a doctor.

What methods of getting rid of hiccups are ineffective?

Hiccups when drinking alcohol is an unpleasant phenomenon, therefore, many methods have been invented to combat it. Not all of them are created equal effective . For example, the practice of drinking carbonated drinks, including sweet ones, after heavy libations. This “folk” method does not fight the problem, but only intensifies it, because the amount of carbon dioxide in the stomach increases.

The second dubious way is to scare a person who has begun to hiccup. It is believed that the problem will recede by itself, but this is not the case. Its cause is internal malfunctions in the body, so the emotions of fear do not affect the patient’s condition in any way. On the contrary, they can aggravate the situation: provoke breathing problems, a nervous breakdown.

It is a bad idea to use new doses of alcohol (eg beer) to stop a hangover attack.

So the patient intensifies the intoxication of the body, and therefore his condition will only worsen, the binge will be prolonged. Another controversial way to “cure” is to drown out the hiccups with lots of food. This will create additional stress on the gastrointestinal tract and the patient’s liver, but will not solve the original problem.

Hiccups from alcohol: how to get rid of

In most cases, home methods are enough for a person to stop hiccuping. The first step to take is to stop drinking and cleanse your body.To do this, it is enough to induce vomiting by placing two fingers in the mouth and pressing them on the root of the tongue. A simple procedure will help interrupt the absorption of toxic decomposition products of ethanol into the bloodstream. It is likely that the hiccups will go away on their own.

If this did not happen, it makes sense to use the proven folk method. It is enough to give the patient a glass of cool water and ask him to drink in small sips. The diaphragm stops contracting, the hiccups disappear. To get the result, 10 sips are enough, experts recommend taking them while lying down.In this case, the patient’s attention will switch to an uncomfortable position, which will help to quickly get rid of the unpleasant symptom.

There are other alternative ways to remove hiccups after alcohol:

  • Green leaf tea with the addition of mint or chamomile – the drink relieves an attack, improves the general condition of a person and stimulates the elimination of toxins from the body.
  • Breath holding – the patient takes a deep breath and does not exhale until he counts to 20. Typically, the desired effect is achieved after several repetitions.
  • Absorption of sweets – to relieve hiccups, a person dissolves a spoonful of sugar or honey. As in the case of water, one reflex is replaced by another, swallowing, involuntary contractions of the ligaments stop.
  • Absorption of sour or cold – Alternative therapies involve taking a lemon wedge or ice cream (ice cream) by mouth. The principle of the recipe is the same as in the previous paragraph.
  • Stale bread – the patient slowly and carefully chews a small piece, gradually hiccuping stops due to switching attention.

If the patient is in a sane state, gymnastics will help to cope with hiccups. It is enough to do a few bends back and forth or to the sides, a couple of squats, so that she retreats. The method will work faster and better if you open a window in the room or go out into the fresh air. Another method of help is heating the diaphragm with a heating pad or mustard plaster (applied for 15-30 minutes). When choosing it, it is important to take into account that it is contraindicated for persons who suffer from cardiovascular diseases.

Any traditional methods are applicable in a situation if a person hiccups for no more than an hour.

Attempts to use them in advanced cases (for example, on the second day after the onset of the symptom) can lead to dangerous consequences, including death. Do not rely on home treatment, it is better to consult a doctor in a timely manner .

How to remove hiccups after alcohol with medications

If the attack has not passed after using folk remedies, you need to consult a doctor.To restore the patient’s normal state of health, he prescribes medications, guided by the results of diagnostics, individual indications and contraindications. Attempts to “prescribe” a medicine to the nearest pharmacy are fraught with the onset of dangerous complications.

Four groups of medicines are used to combat hiccups:

  • antipsychotics – stop involuntary contractions of the vagus nerve, normalize the work of the patient’s nervous system;
  • muscle relaxants – relieve hypertonicity of the diaphragm muscles;
  • enzymes – activate metabolic processes in the body, normalize the work of the gastrointestinal tract;
  • antidepressants – relieve irritability and anxiety, improve the general psychological state.

To remove toxins from the patient’s body, sorbents are prescribed to him: Enterosgel, Polysorb, activated carbon, etc. They help to cleanse the gastrointestinal tract, restore disturbed microflora, and increase immunity. Their use is especially important in a situation if hiccups have arisen after a prolonged binge.

The doctor determines the dosage of drugs and the duration of the course. In addition to taking them, he can prescribe accompanying procedures, including gastric lavage, nasal catheter, GI inhalations with carbon dioxide, etc.If the hiccupping does not go away after taking the pills, the stomach is probed and the nerve endings are blocked with novocaine. In the most severe cases, surgery is indicated.

Medical research will help identify pathologies of the gastrointestinal tract, heart, blood vessels, larynx or nervous system that led to the occurrence of unpleasant symptoms. This means that the efforts of the doctor and the patient after diagnosis will be aimed at eliminating the cause, not the effect. A person is selected for therapy, for the entire period of which he will need to stop drinking alcohol.

Dangerous consequences of hiccups

To understand why hiccups after alcohol have become a constant companion, you should contact your doctor with a question. This seemingly “harmless” problem is often an external manifestation of pathological processes in the body that require urgent medical intervention. Delaying diagnosis and treatment means the risk that the changes occurring in the body will become irreversible, the case will end in death.

For example, involuntary contractions of the diaphragm can be a sign:

  • a microinfarction suffered by the patient;
  • liver cirrhosis in advanced stages;
  • alcoholic polyneuritis.

A visit to the doctor cannot be postponed if a person hiccups for more than an hour, attacks “roll in” for no obvious reason several times during a day or a week, additional signs of a pathological condition appear (chest pain, difficulty swallowing, nausea, muscle weakness, numbness of the hands or feet, heartburn, loss of energy, apathy, etc.).

Even if hiccups are not associated with pathologies, they should not be ignored. There is a great risk that a drunk person will have trouble breathing during sleep, contractions of the diaphragm will provoke vomiting.The most dangerous consequence of this situation is suffocation and death. To avoid complications, it is better to take measures to combat the unpleasant symptom while the patient is awake.

Cerucal instructions for use: indications, contraindications, side effects – description of Cerucal tab. 10 mg: 50 pcs. (39466)

With simultaneous use with anticholinergics, mutual weakening of the effects is possible.

With simultaneous use with antipsychotics (especially the phenothiazine series and butyrophenone derivatives), the risk of extrapyramidal reactions increases.

With simultaneous use, the absorption of acetylsalicylic acid, paracetamol, ethanol is enhanced.

When administered intravenously, metoclopramide increases the rate of absorption of diazepam and increases its maximum concentration in blood plasma.

With simultaneous use with a slowly dissolving dosage form of digoxin, it is possible to reduce the concentration of digoxin in the blood serum by 1/3. With simultaneous use with digoxin in a liquid dosage form or in the form of a rapidly dissolving dosage form, no interaction was noted.

When used simultaneously with zopiclone, the absorption of zopiclone is accelerated; with cabergoline – a decrease in the effectiveness of cabergoline is possible; with ketoprofen – the bioavailability of ketoprofen decreases.

Due to antagonism against dopamine receptors, metoclopramide can reduce the antiparkinsonian effect of levodopa, while the bioavailability of levodopa may increase due to the acceleration of its evacuation from the stomach under the influence of metoclopramide. Interaction results are mixed.

With simultaneous use with mexiletine, the absorption of mexiletine is accelerated; with mefloquine – the rate of absorption of mefloquine and its concentration in the blood plasma increase, while its side effects may decrease.

When used simultaneously with morphine, the absorption of morphine when taken orally is accelerated and its sedative effect is enhanced.

With simultaneous use with nitrofurantoin, the absorption of nitrofurantoin decreases.

When using metoclopramide immediately before the introduction of propofol or thiopental, it may be necessary to reduce their induction doses.

In patients receiving metoclopramide, the effects of suxamethonium chloride are enhanced and prolonged.

When used simultaneously with tolterodine, the effectiveness of metoclopramide decreases; with fluvoxamine – a case of the development of extrapyramidal disorders has been described; with fluoxetine – there is a risk of developing extrapyramidal disorders; with cyclosporine – the absorption of cyclosporine increases and its concentration in the blood plasma increases.

Belching, heartburn and nausea (sometimes with vomiting) – Spectra Clinic

(sometimes with vomiting)

Belching, heartburn and nausea are typical symptoms that signal a malfunction of the digestive organs.Sometimes their appearance is associated with an unbalanced diet, a violation of the diet or overeating. But if the problem constantly bothers, then this is a reason to seriously take care of your health.

Reasons

The triad of symptoms may indicate both organic damage to the digestive organs and functional disorders.

Organic disorders can be caused by:

  1. Gastritis (inflammation of the mucous membranes of the stomach). In addition to belching, nausea, heartburn is manifested by pain or pulling sensations in the epigastric region.
  2. Gastroduodenitis (inflammation of the mucous membranes of the stomach and duodenum 12). Has symptoms similar to gastritis, except that pain may also be felt in the upper right abdomen.
  3. Esophagitis (inflammation of the esophagus). It is characterized by dyspeptic disorders and burning pains in the chest. If the pathology is complicated by the appearance of erosions (shallow ulcers) on the walls of the esophagus, then vomiting mixed with blood may be added to the main symptoms.
  4. Gastroesophageal disease (inflammation of the lower esophagus).It develops as a result of the regular reflux of stomach contents into the esophagus. The manifestations of the disease are sour or bitter belching, heartburn, chest pain, which intensify after meals.
  5. Peptic ulcer (the appearance of deep defects in the walls of the stomach). In this disease, dyspeptic disorders are usually combined with severe pain in the stomach, which occurs on an empty stomach or after eating. Vomiting is common.
  6. Postcholecystectomy syndrome.May occur in patients who have undergone gallbladder removal. The main symptoms are: belching, nausea, vomiting, heartburn, diarrhea, flatulence. Belching has a bitter taste.

Functional disorders include those cases when organic pathology is not detected during diagnosis.

How is the examination going?

The final diagnosis is established after a full examination of the patient. Mandatory:

If necessary, additional radiography, pH-metry, Helicobacter pylori analysis are prescribed.

You can complete all the necessary examinations and visit a gastroenterologist at the Spectra clinic. We employ experienced doctors who will help to establish the exact cause of violations and select an effective set of treatment measures. If you want to quickly and competently get rid of the problem – contact us, we will be happy to help you.

90,000 A child has swallowed a foreign body: symptoms and what to do

Nails, needles, toothpicks, batteries, coins – children manage to swallow a variety of objects.What symptoms can be used to understand that the child has eaten something “wrong”? And how to act in case of emergency?

First, about what not to do. You can not induce vomiting, do an enema, “seize” and “wash down” a foreign body. You can and should call an ambulance. Or take the child to the hospital ourselves. In most cases, you cannot do without a surgeon.

1. Three days ago my child (1 year 8 months) swallowed a ruble coin. They did not see a doctor. We decided that the coin was small, it would come out by itself.But it doesn’t come out! Today we went to the hospital. There we were scolded – they say, we had to immediately apply, then they would get her out of the stomach. And now they gave the kid a laxative and told him to watch the pot …

If a child swallows a small round object with smooth edges – a coin, a bead, a round pebble – after a few days it usually comes out naturally. However, you need to see a doctor. The fact is that the esophagus has physiological constrictions, where a foreign body can get stuck.At the same time, symptoms such as sore throat, retching, profuse salivation (food can pass freely) appear. Remove the foreign object as soon as possible. Otherwise, bedsore and esophageal perforation may occur.

If the swallowed object freely passed the esophagus and entered the stomach, then it is better to attempt to remove it using gastrofibroscopy. If the X-ray shows that the foreign body is already in the intestine, we usually give the child a barium mixture, which envelops the object and promotes the fastest movement along the gastrointestinal tract.And also a laxative. The child should remain under the supervision of a doctor, because there are bottlenecks in the gastrointestinal tract – the exit from the stomach (gatekeeper), the bourginium flap (the place separating the small and large intestine), where a foreign body can linger.

In general, so that such situations do not arise, children under 3 years old should not be given small objects – babies pull everything into their mouths.

2. Our 2 year old daughter ate three magnetic balls. We only realized that we were in trouble with our daughter when she began to vomit uncontrollably.The child underwent a complex operation. I don’t know what awaits us now …

The problem is that the child often swallows not one ball, but several. And at different times. As a result, one of them goes forward, and the other is behind. And these balls are very strong magnets. Once in different intestinal loops, they are attracted to each other. This is fraught with the appearance of internal fistulas and perforations. Symptoms may not appear for a long time, but they will necessarily manifest themselves either by pain or by intestinal obstruction.In such cases, an urgent operation is required.

If a child swallows a magnetic ball in front of your eyes, you should immediately go to the hospital – the surgeon will have the opportunity to remove it endoscopically.

Such toys are categorically contraindicated for small children. And if you bought it for an older child, make sure that they do not get to the baby.

3. A 12-year-old nephew took a needle in his mouth and accidentally swallowed it. The doctors wanted to remove it from the stomach, but did not have time – she went on.The boy was born in a shirt: after a couple of days, the needle came out by itself, without harming him!

Children often swallow sharp objects – needles, toothpicks, pins, but most often they come out on their own. It even happens that the child swallowed the needle with the sharp end forward, and it came out blunt. However, a sharp foreign body can pierce the esophagus, stomach, intestine – any part of the gastrointestinal tract. Better to remove it immediately.

4. One year old baby ate several hydrogel balls.Moscow doctors fought for her life for several days: small colored balls swelled up, causing intestinal obstruction.

The hydrogel balls are believed to help develop sensory abilities, so parents willingly give them to their children. But it is better not to do this: babies often pull bright balls into their mouths. And then the toy becomes deadly, because, once inside, the ball increases in volume several times. This leads to obstruction – blockage of the intestinal lumen.Therefore, if a child has swallowed a hydrogel bead, it is necessary to immediately go to the hospital to try to remove it endoscopically. It is difficult to extract it entirely, but it can be crumbled with special forceps – then the likelihood of swelling will decrease.

If the ball is in the intestine, it will not be easy to detect it: the hydrogel is not visible on the X-ray. It remains to focus on ultrasound data and indirect symptoms, for example, developing intestinal obstruction.

5. Daughter (1.5 years old) swallowed a battery from a bathroom scale. We didn’t see how it happened. A few days later, the child became ill. It turned out that the battery burned through the wall of the esophagus.

We recently removed the finger battery that had been in the baby’s stomach for 4 years! It almost completely melted, but, surprisingly, did not burn the stomach lining. However, such cases are rare. A swallowed battery is always a serious threat. Under the influence of digestive juices, the battery is quickly destroyed.The poisonous contents come out of it and burns the wall of the stomach. An ulcer is formed. If the battery gets stuck in the esophagus, it can burn through the wall of the esophagus. This problem is difficult to treat. Therefore, care must be taken to ensure that batteries do not fall into the hands of small children. If the toy is powered by batteries, they should be tightly closed with a lid, and its screws should be tightened tightly.

Read also

What a baby should be able to do. 4 questions to a neurologist

Online consultations of leading doctors and research in laboratories in Russia

Hiccups, hiccups, switch to Fedot: 9 ways to get rid of adversity

Does someone remember you? Or do you prefer more scientific explanations for the hiccups? What to do to stop hiccuping?

A hiccuping person sometimes looks quite funny, but the very poor fellow very quickly becomes no laughing matter.It is difficult to breathe properly, it is difficult to concentrate on something, and the surrounding people react in a strange way to each of the rhythmically arising sounds.

Causes of hiccups

There are a fair number of them. It can be stress or anxiety, hypothermia, or excess fluid in the body. Overeating or too much alcohol can also cause hiccups. Physiologically, hiccups are diaphragm spasms. With each contraction, air suddenly leaves the lungs and, passing through the larynx, forms a sound in the epiglottis region.

Another common explanation is that someone remembers you diligently. But no one has ever proved this, although he also failed to refute it. For obvious reasons, you usually want to stop hiccups as soon as possible – but this is not always possible to do. What methods are known today? The most effective – and interesting.

Impact on the root of the tongue

You need to touch the base of the tongue with your finger or other elongated object – you can still induce vomiting with such a movement.The spasm that has arisen in the esophagus will “interrupt” the intestinal spasm. May be. Not the most pleasant, it should be noted, method. But it helps some.

Sticking out tongue

Don’t feel like sticking your fingers in your mouth? It is quite understandable. Then you can try the opposite action – stick out your tongue as far and energetically as possible. This will also put pressure on the root of the tongue, but in the other direction. Works well too.

Products with strong taste

The meaning of eating sour, spicy, salty or sweet foods with a pronounced taste is in the rapid release of gastric juice.This method is considered scientific, since its effectiveness has been proven empirically, but no one can really explain the mechanism itself. There is no direct connection between the contents of the stomach, the secretion of gastric juice and contractions of the diaphragm.

Holding breathing with closed ears

The ears should be plugged tightly with the thumbs, and the sinuses with the little fingers. Place the remaining fingers on the eyeballs – in this case, it is better to close the eyelids. You need to take a deep and very slow breath – in order to feel how the diaphragm opens.After that, hold your breath for the maximum possible amount of time. Exhalation should occur with effort – after it, heavy and frequent breathing in the lower parts of the lungs will most likely open. The hiccups will probably stop by this point.

Drinking water with closed ears

You need to take a large glass of cold water with a straw and put it on a table or other elevation, because you will have to plug your ears with your hands. They should be tightly closed so that you cannot hear anything at all.All the water should be drunk in small, continuous sips and slowly. Usually, even before you see the bottom of the glass, the hiccups stop.

Glass of water in a ballet style

If there is no tube, you can modify this method – for some reason it is considered especially effective among ballerinas. Straighten your legs, take your pelvis back and, as far as possible, bend your back in the lower back, throwing your head back. In such an uncomfortable position, you need to drink a glass of the same cold water. In small sips – however, in such a position, it will not work quickly.

Glass of water through knives

If the previous method does not suit you for some reason, you can drink the same water like this. According to the original method, which is attributed to the Indians, you need to take two knives – but practice shows that they can be replaced with two pencils or pens. They need to be put on a glass so that a cross is obtained. Take a deep breath, and, turning the glass around its axis, sip from each quarter while holding the breath, in no case touching the knives – or whatever replaces them.

A glass of water with a surprise

In a glass of water you need to put something on which you can focus your attention. This can be a toothpick, coin, small toy, or small fruit. Then you need to drink, very carefully examining the object – in the smallest detail, without looking up. Maybe your attention will switch from hiccups to this action and then you will be able to get rid of it.

A strip of paper on the forehead

It is best to do it to someone else. The point of the action is that the factor of surprise also plays a role, in this case attention inevitably switches, but the method itself is safe, so no one – we hope – will be harmed.It is necessary to wet an ordinary strip of paper with cold water and suddenly stick it on the forehead of the hiccuping sufferer. Usually, the water does not have time to dry before the hiccups stop. We do not recommend taking newspapers for these purposes – especially fresh ones. Paint can leave marks on the skin – and then another important and urgent task will have to be solved.

90,000 “Vomiting blood: causes of occurrence” – Yandex.Kew

Vomiting blood is a condition that means you must call an ambulance or go to the emergency room yourself.

If you vomit blood, but the bleeding was stopped quickly, in many cases you cannot be sure that it will not recur or your health condition is not approaching a critical line.

Often, vomiting with blood clots can be a symptom of a serious and life-threatening problem. There are a number of different causes of vomiting of blood, all of which are discussed below.

What does the color of blood in vomit mean?

The presence of a bright red color or bright blood streaks in vomit with blood impurities indicates its freshness and recent occurrence due to rapid bleeding in the upper part of the digestive tract.

Dark red, brown and even black blood of the consistency of coffee grounds in vomit may mean its prolonged presence in the stomach and exposure to gastric juice.

Regardless of the color of blood, its content in vomit indicates the presence of serious pathology in the body.This is especially true of situations when the patient in the process of vomiting loses a large amount of blood.

Smell of vomit

By the smell of vomit it is possible to judge not only the processes occurring in the gastrointestinal tract.

For example, the sour smell of vomiting may indicate a peptic ulcer or other processes with increased acid production. If food stagnates in the stomach, a rotten smell of vomit will be observed.

In case of intestinal obstruction, the smell of feces is characteristic of vomit.When using surrogates alcohol or technical liquids, vomit will have a characteristic smell of chemicals. In renal failure, vomiting smells like ammonia, and in diabetes mellitus, it smells like acetone.

Old blood or fresh blood?

If the blood in the vomit is bright red or contains bright blood streaks, it means that it is fresh, from recent or rapid bleeding in the upper part of the digestive tract.

But sometimes vomit is dark red, brown or black (the color and consistency of coffee grounds).This means that the blood was in the stomach for some time and was exposed to gastric juice.

Whatever the color, vomiting blood can indicate a serious health problem if the patient loses significant amounts of blood.

Vomiting blood – what to do?

Before taking measures to help with vomiting, you need to determine the true cause of its occurrence. As a first aid, a person can be given water to rinse the stomach, try to reduce nausea.

In general, when you vomit blood, it is very serious. This means that the body cannot cope with the existing problem on its own and asks for help. Such a manifestation is a serious signal for the start of the examination.

Causes of vomiting blood

What could it be? There are many reasons for the appearance of vomiting with blood. Here are just a few of them:

  1. Vomiting with an admixture of blood occurs if the gastric mucosa, the vessels of the esophagus are damaged.It appears as a result of the inflammatory process, if the internal organs were mechanically damaged, after taking some medications. Also, if a person has ulcers, stomach cancer, esophagus.
  2. This is also the main feature

    varicose veins of the stomach wall

    … Bright red blood in the vomit indicates the presence of fresh bleeding. This bleeding usually closes quickly and has no serious consequences. Dark blood in the vomit indicates longer and slower bleeding, which can lead to a number of complications.

  3. Peptic ulcer disease is the main cause of upper gastrointestinal bleeding. Approximately 1/3 of bleeding is caused by ulcerative lesions of the stomach and duodenum.
  4. Acute gastritis. Blood in vomit with this pathology occurs infrequently and is associated with alcohol consumption. Bloody discharge, as a rule, is not abundant and ends quickly.
  5. Cirrhosis of the liver

    … Vomiting of blood after drinking alcohol occurs when the walls of the veins in the esophagus begin to burst due to high pressure.Such bleeding is extremely dangerous, in this case the help of a specialist is needed.

It is important to remember that the presence of blood in the vomit indicates internal bleeding. By the amount of blood, it is impossible to unequivocally judge its intensity. In any case, it can be life threatening.

Vomiting blood after alcohol: causes

In people exceeding the norm, an unconditioned reflex of rejection can be observed – vomiting with blood with alcohol.The process of nausea is necessary to completely cleanse the stomach of dangerous alcoholic toxins and complex substances.

Since intoxication causes venous expansion of the stomach, gastric bleeding may occur, and blood is expelled with vomiting. It is also worth noting that the presence of blood in the vomit may indicate an ulcerative lesion of the stomach, which has deepened to the level of the vessels. In addition, the admixture of blood in the vomit after drinking alcohol in most cases is a sign of peptic ulcer disease.

Such symptoms occur with prolonged binge drinking or addiction, that is, frequent drinking in large quantities.

Material provided

simptomy-lechenie.net

.