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What Causes Hiccups After Surgery For Hernia?

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Posted on Thu, 22 Jun 2017
Question: I had the Nissin surgery done to repair my hernia and GERD.. it has been 2 weeks now and I am experiancing hiccups and dry heaving that last for a long time (1-2hrs) and I feel super nauseas.. it comes randomly ..and I don't like taking my pain meds cause they are strong for me ; I take it once a day... any ideas ? I am having troubling swollowing after I dry heave and hiccup and all I have been able to eat since my surgery is yogurt and applesauce.
Thanks
doctor
Answered by Dr. Sunil (55 minutes later)
Brief Answer:
Take medicine and see result.Post surgery hiccups are due to nerve irritati

Detailed Answer:
Persistent hiccups can sometimes be a common symptom of GERD or can be a complication after surgery..
Post surgery most likely cause of hiccups is irritation of a nerve supplying diaphragm.The diaphragm gets irritated due tio mild inflammation in nerves leading to hiccups.
In fact the pain relievers used after surgery can increase acid production in stomach causing hiccups and reflux symptoms. Feeling of nausea is also because of recurrent hiccups.

There are a number of medications available for the treatment of hiccups,However success of medication depends and varies from one patient to other.
Some of the most commonly used medicines are chlorpromazine,haloperidol ,baclofen,metoclopramide and gabapentin.
I would suggest you to go for Baclofen.Baclofen is commonly used as a second-line therapy to chlorpromazine.It is a muscle relaxant and is very helpful in treating hiccups.A study conducted a study following 37 patients with chronic hiccups treated with baclofen (5-25 mg three times daily). Baclofen treatment resulted in cessation of hiccups in 18 patients (49%) and marked improvement in hiccups in 10 patients (27%).

Advice
Lioresal 5mg thrice daily (after consulting you gastroenterologist),However dosage may be increased to 10mg to 25mg thrice daily by your Gastro as per your response to the medicine.Continue them for at least 3-5 day.

Other medicines are tried only when Baclofen is ineffective!

Thanks
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Sunil (13 hours later)
What about the dry heaving ? It happenes randomly, so not just after I eat or taking my pain meds. And the dry heavs make my surgergical site hurt way worse.. like someone stabbing me. I have anit nausea meds but even that doesnt do anything. I then feel nauseous for hours after. I cant even be at work cause of all the pain and dry heaving.
doctor
Answered by Dr. Sunil (10 hours later)
Brief Answer:
Follow up.

Detailed Answer:
Hi again,

Dry heaving is an involuntary retching action similar to vomiting but when nothing comes up but mechanism is same as that of vomiting.
Therefore take Lioresal thrice daily for 3 days.It will take care of both dry heaves and hiccups.

Once heaving and hiccups are controlled nausea would settle down by itself.

Start medicine as adviced and follow up after 3 days.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Sunil

Gastroenterologist

Practicing since :1982

Answered : 351 Questions

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What Causes Hiccups After Surgery For Hernia?

Brief Answer: Take medicine and see result.Post surgery hiccups are due to nerve irritati Detailed Answer: Persistent hiccups can sometimes be a common symptom of GERD or can be a complication after surgery.. Post surgery most likely cause of hiccups is irritation of a nerve supplying diaphragm.The diaphragm gets irritated due tio mild inflammation in nerves leading to hiccups. In fact the pain relievers used after surgery can increase acid production in stomach causing hiccups and reflux symptoms. Feeling of nausea is also because of recurrent hiccups. There are a number of medications available for the treatment of hiccups,However success of medication depends and varies from one patient to other. Some of the most commonly used medicines are chlorpromazine,haloperidol ,baclofen,metoclopramide and gabapentin. I would suggest you to go for Baclofen.Baclofen is commonly used as a second-line therapy to chlorpromazine.It is a muscle relaxant and is very helpful in treating hiccups.A study conducted a study following 37 patients with chronic hiccups treated with baclofen (5-25 mg three times daily). Baclofen treatment resulted in cessation of hiccups in 18 patients (49%) and marked improvement in hiccups in 10 patients (27%). Advice Lioresal 5mg thrice daily (after consulting you gastroenterologist),However dosage may be increased to 10mg to 25mg thrice daily by your Gastro as per your response to the medicine.Continue them for at least 3-5 day. Other medicines are tried only when Baclofen is ineffective! Thanks