medigraphic.com
ISSN 1684-1824 (Electronic)

2013, Number 6

<< Back Next >>

Rev Méd Electrón 2013; 35 (6)

Persistent hiccup as a presentation form of the disease for gastro-esophageal reflux

del Valle LP, Ramos PCM

Language: Spanish
References: 15
Page: 614-621
PDF size: 122.64 Kb.


ABSTRACT

The persistent hiccup (singultus) is the one that shows up as a prolonged attack or recurrent attacks during a determinant period of time, generally, more than 48 hours. It uses to resolve without a pharmacological treatment, but it could be necessary a treatment and posing its etiological study. This infrequent entity is presented in a man, aged 63 years, with a history for three years, appearing mainly after the food intake and persisting for several minutes or hours, every day. The singultus’s causes may be gastrointestinal (gastro-esophageal reflux, hiatal hernia, esophagitis, gastric ulcer, pancreatitis, esophageal carcinoma, hepatica masses, ascites, abdominal surgery), neurological, vascular, thoracic, metabolic, toxic, medicine, and others. We performed a questioning and a meticulous physical examination, an electrocardiogram, thorax and abdominal X-rays, blood analyses, abdominal ultrasound, superior endoscopy, thoracic and abdominal tomography, in addition to esophageal manometry and the therapeutic test with Omeprazol, diagnosing a gastro-esophageal reflux disease. We prescribed a treatment based on popular measures, and medication for the main symptom with chlorpromazine (25 mg tablets): 1 tablet each 8 hours, achieving a clear improvement of the symptom until the moment when the etiological cause was diagnosed and a specific treatment for the gastro-esophageal reflux disease was ordered with omeprazole (20 mg): 1 capsule each 12 hours and domperidona, reaching the disappearance of the symptom that caused the patient´s initial consultation.


REFERENCES

  1. ¿Qué es el hipo persistente? [citado 22 Mar 2013]. Disponible en: http://www.fisterra.com/guias-clinicas/hipo-persistente/

  2. Llanio Navarro R. Propedéutica Clínica y Semiología Médica. TII. La Habana: Editorial Ciencias Médicas; 2005.p.856-57.

  3. Martínez Rey C. Villamil Cajoto L. Hipo (singultus): revisión de 24 casos. Rev Méd Chile[Internet]. 2007[citado 2 Jun 2013]; 135(9): 1132-38. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034- 98872007000900006

  4. Wilkes G, MBBS, FACEM; Chief Editor: Steven C Dronen, MD, FAAEM. Medscape: Hiccups, pathophysiology; 2012. [citado el 2 Feb 2012]. Disponible en: http://emedicine.medscape.com/article/775746-overview#a0104

  5. García S, Bixquert M, Andreu J, Martínez M, Cervera V, Medina E. Hipo persistente: desarrollando un protocolo de actitud diagnóstica y terapéutica. Rev Soc Val Pat Digest. 1998; 17 (3): 109.

  6. Martínez Rey C, Viallamil Cajoto L. Hipo (singultus): revisión de 24 casos. Rev Med Chile[Internet].2007[citado 2 Jun 2013];135;9[citado 14 Feb 2013]. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S003498872007000900006

  7. Bilotta F, Pietropaoli P, Giovanni R. Nefopam for Refractory Postoperative Hiccups. Anesth Analg. 2001;93(5):1358-60. Citado en PubMed;PMID:11682430.

  8. Piontelli A. Development of Normal Fetal Movemts. Department of Maternal/Fetal Medicine. Italia: University of Milan; 2010.

  9. Jiménez O. Entorno biomédico. Tecnología digital. Una sorprendente terapia para el hipo. Rev Jano[Internet]. 2007[citado 20 Ene 2012];(1649).Disponible en:. http://www.jano.es/ficheros/sumarios/1/0/1649/23/1v0n1649a13101873pdf001.pd f

  10. Kuusniemi K, Ville Pyylampi. Phrenic nerve block with ultrasound-guidance for treatment of hiccups: a case report. J Med Case Reports. 2011; 5:493. Citado en PUbMed; PMID:21968133.

  11. Asociación Española de Gastroenterología. Manual de Tratamiento de las Enfermedades Gastroenterológicas. 3ra ed. España; 2010.

  12. Fiorentinon R. Sistemáticas de los grandes síndromes de la gastroenterología. Hospital de Gastroenterología C. B. Udaondo; 2011.

  13. García S, Bixquert M, Andreu J, Martínez M, Cervera V, Medina E. Hipo persistente: desarrollando un protocolo de actitud diagnóstica y terapéutica. Rev Soc Val Pat Digest. 1998; 17 (3): 109.

  14. KOloodzik PW, Eilier MA. Hiccups (singultos) Review and approach to anagement. Ann Emerg Med. 1991; 20(5):565-73. Citado en Pubmed; PMID:2024799.

  15. Enfermedad por reflujo gastroesofágico: epidemiología, diagnóstico y tratamiento. Vol.31. España:Asociación Española de Gastroenterología; 2008.




2020     |     www.medigraphic.com