February #32 : Hiccup Blues - by Larry Lyle, DO

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Table of Contents

Marked Man

Warts and All

Cracker Jack

Names Will Never Hurt You?

War on the Warts

Rub a Drug Flub

Déjà Vu

Green Means Go

The Cutting Edge

Sealed w/KS

Shalala Infections

An Ad Is an Ad Is an Ad

ADAP Tapped

Trojan Wars

Girls on Trial

The Pill Drill

Say What

Tapped for Greatness

My Brother

Honey, Mud, Maggots, and Other Medical Marvels

Carmine’s Story

There Is Hope: Learning to Live With HIV

Crocodile Tears

The Kinsey Sicks



Cocktails: The Morning After

Patrolling the Borders


Instruments of Infection

Hiccup Blues

A New Kind of Waisting

.38 Caliber

The Labors for Your Fruits

Barbed Comments

Party Planner

Hollywood Golightly

At the End of My Hope

Criminal Body

I Got All My Sistahs With Me

Primo Chemo



POZ Stars


Most Popular Lessons

The HIV Life Cycle


Herpes Simplex Virus

Syphilis & Neurosyphilis

Treatments for Opportunistic Infections (OIs)

What is AIDS & HIV?

Hepatitis & HIV

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February 1998

Hiccup Blues

by Larry Lyle, DO

Question: I heard that hiccups could be a sign of serious complications in PWAs—what’s the deal?

Answer: Brief episodes of hiccups are generally no more than an annoyance, but hiccups lasting over 48 hours can be a symptom of a serious medical condition. They can result from yeast infections of the esophagus or stomach, herpes or CMV ulcers in the esophagus, digestive system lymphoma, or brain lesions caused by toxoplasmosis, lymphoma or progressive multifocal leukoencephalopathy (PML).

Q: What procedures should a doctor use to diagnose the cause?

A: First, a thorough history and physical that concentrates on your gastrointestinal and neurological systems might identify the problem. If they don’t, you may need an upper endoscopy and/or X-rays of the esophagus and stomach or, as a last resort, an MRI of the brain to look for lesions.

Q: Until the cause can be determined and treated, are there ways to get relief from the symptoms?

A: Your physician could give you baclofen, metoclopramide, promethazine, or Thorazine orally. If they are not effective, intramuscular Thorazine may work.

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