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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Hiccups And Constipation Be Treated?

My husband had emergency surgery on his right foot (mainly big toe) after cutting it with a skill saw, The surgery was to determine the damage to ligaments and tendons, etc. After the surgery, his numbers dropped so low and his pain increased so great that it became seriously critical to get his b/p heart rate, etc., back to normal. It was determined that he is narcotic sensitive and didn t need as much meds as he was given. Last night after the surgery he began to hiccup and he cannot stop. The hospital just says it s a side effect of surgery. However, at this point it is very irritating and even somewhat uncomfortable since it goes on for hours without stopping and is not allowing him to rest for proper recovery. What can be done? Also, he has had a terrible challenge with constipation since all of the medications before and during the surgery which was just yesterday (even to the point of vomiting bile (sp?)........He was still released today without any remedies that have worked for these 2 major challenges that have both become painful......What can be done?
Mon, 30 Oct 2017
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's  Response
With a brief history about the case discussed, I could understand the severity of problem. Hiccups in this scenario is basically due to gastric distention, diaphragm irritability caused due to use of narcotics, moreover narcotics have the tendency to lower the gut peristalsis and thus causing constipation. Hiccups are advisable treated with Chlorpromazine which is an anti psychotic drug, but for this case PERINORM 10mg at bed time for 10 days would be effective. PERINORM being a dopamine antagonist would prove beneficial. As far as constipation is concerned, it is relevant to food habits , fibres in diet and the number of days constipation is persistent and the history of habitual constipation. Depending on these, a laxative or a purgative could be decided. A laxative like Cremaffin plus 15ml at bedtime would be beneficial, but if not relieved Enema would be the next preference.
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How Can Hiccups And Constipation Be Treated?

With a brief history about the case discussed, I could understand the severity of problem. Hiccups in this scenario is basically due to gastric distention, diaphragm irritability caused due to use of narcotics, moreover narcotics have the tendency to lower the gut peristalsis and thus causing constipation. Hiccups are advisable treated with Chlorpromazine which is an anti psychotic drug, but for this case PERINORM 10mg at bed time for 10 days would be effective. PERINORM being a dopamine antagonist would prove beneficial. As far as constipation is concerned, it is relevant to food habits , fibres in diet and the number of days constipation is persistent and the history of habitual constipation. Depending on these, a laxative or a purgative could be decided. A laxative like Cremaffin plus 15ml at bedtime would be beneficial, but if not relieved Enema would be the next preference.