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What Causes Constant Hiccups After Treatment Of Multiple Myeloma?

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Posted on Fri, 23 May 2014
Question: My 63 yr old husband has just started treatment for multiple myeloma. He is taking 40mg of dexmethasone, four days on and four off. He has developed constant hiccups and cannot sleep. He is in his second day off tabs. Can he take 15mg of oxazepam tonight to try and get some sleep.
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Answered by Dr. Muhammed Aslam (2 hours later)
Brief Answer:
It need evaluation for the cause before treatment

Detailed Answer:
Hello dear,welcome to HealthcareMagic forum.

I am Dr Aslam here to help you.

Constant hiccups as you mentioned is neither a direct symptom of multiple myeloma,nor a side effect of dexamethasone.So we need to exclude any underlying cause,along with treatment.Usual causes include intestinal obstruction,renal dysfunction etc.

Regarding treatment,in such case, I usually gives a metoclopramide shot,followed by metoclopramide tablets 3-4 times a day for 4-5 days,after excluding any intestinal obstruction.You can discuss this with your treating doctor.

Regarding oxazepam,though it may give sedation,it may not help in constant hiccups.
Hope I have answered your query.If you have further questions,I will be happy to help.
Thank you.
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Above answer was peer-reviewed by : Dr. Shanthi.E
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Dr. Muhammed Aslam

General & Family Physician

Practicing since :2010

Answered : 987 Questions

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What Causes Constant Hiccups After Treatment Of Multiple Myeloma?

Brief Answer: It need evaluation for the cause before treatment Detailed Answer: Hello dear,welcome to HealthcareMagic forum. I am Dr Aslam here to help you. Constant hiccups as you mentioned is neither a direct symptom of multiple myeloma,nor a side effect of dexamethasone.So we need to exclude any underlying cause,along with treatment.Usual causes include intestinal obstruction,renal dysfunction etc. Regarding treatment,in such case, I usually gives a metoclopramide shot,followed by metoclopramide tablets 3-4 times a day for 4-5 days,after excluding any intestinal obstruction.You can discuss this with your treating doctor. Regarding oxazepam,though it may give sedation,it may not help in constant hiccups. Hope I have answered your query.If you have further questions,I will be happy to help. Thank you.