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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Side Effects Of Prednisone?

My husband was on a regiment of prednisone, this caused hiccups esp after he ate, bloating. He is not nauseas but it is affecting his eating. He has since stopped the prednisone, but the hiccups and bloating ,breathing issues continues. He thinks once the medicine gets out of his system this should stop....I am thinking it could be something else?
Mon, 4 May 2015
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General & Family Physician 's  Response
Hi. I am Dr. Saddiq and i would like to respond to your query.

First of all, Yes you have figured it out right. Prednisone can cause all these symptoms you have mentioned here. However, it would have been more appropriate if we had known that for what disease your husband had been prescribed steroids? Because it would let us figure out, whether, stopping the steroids so abruptly, secondary to its side effects, is it going to have some harmful implications on some other disease process which is otherwise needed to be adressed too, or not. Because there are ways to carry on using low dose steroids, with gastric protection and avoiding or solving the gastric side effects.

Now is the time to have some discussion regarding his current symptoms. The symptoms like hiccups, regurges, bloating or gaseous distention are all indicating towards stomach irritation which is in turn irritating the diaphragm and vagus nerve leading to hiccups and heart burn. And stopping the prednisone is not just enough. We need to take care of his stomach lining and early recovery by decreasing acid release to facilitate healing and by early stomach emptying to avoid these symptoms. If i were your doctor i would have suggested you, Cap. Omeperazole 20mg before meals twice daily for 14 days, along with Domperidone 10mg half hour before each meal thrice daily for 3 weeks minimum. I would also suggest to avoid greasy, oily and spicy foods, avoid junk foods, eat with some appetite to spare, eat less with increasing frequency of diets. Avoid strong irritants of stomach like high caffeine diets or extensive alcohol and hot beverages.
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What Are The Side Effects Of Prednisone?

Hi. I am Dr. Saddiq and i would like to respond to your query. First of all, Yes you have figured it out right. Prednisone can cause all these symptoms you have mentioned here. However, it would have been more appropriate if we had known that for what disease your husband had been prescribed steroids? Because it would let us figure out, whether, stopping the steroids so abruptly, secondary to its side effects, is it going to have some harmful implications on some other disease process which is otherwise needed to be adressed too, or not. Because there are ways to carry on using low dose steroids, with gastric protection and avoiding or solving the gastric side effects. Now is the time to have some discussion regarding his current symptoms. The symptoms like hiccups, regurges, bloating or gaseous distention are all indicating towards stomach irritation which is in turn irritating the diaphragm and vagus nerve leading to hiccups and heart burn. And stopping the prednisone is not just enough. We need to take care of his stomach lining and early recovery by decreasing acid release to facilitate healing and by early stomach emptying to avoid these symptoms. If i were your doctor i would have suggested you, Cap. Omeperazole 20mg before meals twice daily for 14 days, along with Domperidone 10mg half hour before each meal thrice daily for 3 weeks minimum. I would also suggest to avoid greasy, oily and spicy foods, avoid junk foods, eat with some appetite to spare, eat less with increasing frequency of diets. Avoid strong irritants of stomach like high caffeine diets or extensive alcohol and hot beverages.