Hiccup- A Clinical Analysis Study
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 9
Abstract
Hiccups are repeated involuntary spasm of diaphragm followed by sudden rush of air in to the lung causing closure of the glottis which chokes the inflow of further air and produce the characteristic sound, Because of its commonest occurrence and sometime lead to disturbing condition and annoyment. The present study was undertaken to clinically analyse them and treat accordingly. The materials and methods in this study was 95 cases (age varying 8-68yr Mean±SD = 44.5±9.8yrs M; F 1:16:1) who were attending the clinic mainly for Hiccup were included in this study. They were subjected to routine examination of blood, urine, stool, and X-ray/Screening chest PA view and where ever needed they were subjected to blood chemistry for hepatic, renal function test, electrolyte, blood sugar ultrasonography of abdomen and CT scan. The observation was Most of them were from 3rd (27.3%) 4th (21.11%) and 5th (26.4%) decades Females were mostly from 3rd decades of life (17 out of 26 cases or 65.3%) otherwise males predominated the series clinically presented as – (i) Benign transient self limiting with avoidable factors(50cases), (ii)Benign self limiting form and often of duration more than one hours and occasionally with other associated factors.[26 cases] and (iii) Persistent untreatable from [19cases] with prolong duration and associated with disturbing element and organic cause [8cases]. Predisposing factor were mostly spicy chilly food (28 cases) carbonated beverage (25cases) and emotional factor (2cases). Most common associated symptom observe, were gastric distension flatulence, dyspepsia and altered bowel habit (25cases), conversion reaction (14cases) and hysterical (10caese). Organic causes were seen in 8 cases which were fatal with 2 deaths in cases of obstructive Jaundice with hepatic malignancy; Moderate anaemia was seen in 30 cases with leucocytosis in 12 cases. Renal functions were altered in 5 cases and 5 cases were diabetics (hyperglycemia). All of them responded well to home remedies and pranayam yogas. Few of them of moderate severity (26cases) and severe cases (19cases) responded to it pride, Antacid, sedation and antidepressant. Prognosis was good and few children develop stamring who needed speech therapy. In conclusion Hiccups are most common disorder and every person has experienced at some time of life, Hiccups are most benign self limiting and transient with predisposing factor. Female were mostly suffer from hysteria which responded to psychotherapy. Organic causes will lead to severe Hiccup; which is distressing and disturbing and occasionally lead to fatality. Keywords: Hiccup, Benign self limiting, persistent intractable, gastric distension conversion reaction
Authors and Affiliations
A. B. Mowar, Rajendra Chaudhary, Rakesh Kumar
Keywords
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