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

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Marked Man

Warts and All

Cracker Jack

Names Will Never Hurt You?

War on the Warts

Rub a Drug Flub

Déjà Vu

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Patrolling the Borders

AIDSpeak

Instruments of Infection

Hiccup Blues

A New Kind of Waisting

.38 Caliber

The Labors for Your Fruits

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At the End of My Hope

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I Got All My Sistahs With Me

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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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