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[Dysphagia] chronic hiccups
Balcofen 10 mg doses is a more benign drug to try first IMHO, and the
literature on it is pretty old but here is one article:
Am J Gastroenterol. 1992 Dec;87(12):1789-91. Related Articles, Links
Treatment of intractable hiccup with baclofen: results of a double-blind
randomized, controlled, cross-over study.
Ramirez FC, Graham DY.
Department of Medicine, Baylor College of Medicine, Houston, Texas.
Four patients with intractable hiccup were treated in a double-blind,
randomized, placebo, cross-over study with an analogue of
gamma-aminobutyric acid, Baclofen. There was a consistent and
statistically significant (p = 0.03) improvement in hiccup severity with
Baclofen, both subjectively (p = 0.03) and by hiccup-free periods (p =
0.003). The actual frequency of hiccup was not significantly altered by
the medication. We propose that the mechanical aspects of hiccup are
reduced by Baclofen, leading to a perceptual blockage and a decrease in
the reflex severity induced by the gamma-aminobutyric acid analogue. We
conclude that this medication may be useful for the treatment of
intractable hiccup.
Vikki Stefans, M.D., pediatric physiatrist (rehab doc for kids) at UAMS
and Arkansas Children's Hospital. Working Mom of Sarah T. and Michael C.,
and wife of Henry Stefans. Every mom is a working mom!- OK, dads too.
On Wed, 4 Aug 2004 Caroline.Johnson@med.va.gov wrote:
> Usually Thorazine here- I would hope that's already been tried, but I try
> not to assume too much!
>
> Caroline Johnson
> Speech-language Pathologist
> Lexington , KY VAMC
> 859-281-4972
>
>
> -----Original Message-----
> From: P Clarke [mailto:pbdysphagia@yahoo.com]
> Sent: Wednesday, August 04, 2004 4:06 PM
> To: dysphagia@medonline.com
> Subject: [Dysphagia] chronic hiccups
>
> Hi -
>
> I have a pt with hx CVA, DM. Pt admit with pneumonia, poss aspiration
> pneumonia. MD orders bedside swallow. At bedside very dysarthric. Reduced
> oral motor and with severe hiccups (near constant hiccups). Nursing said
> that pt suffers from chronic hiccups and has had them for many years (I
> assume since his old stroke). Hiccups made swallow function difficult to
> assess. Curious as to tx for chronic hiccups. Suggestions?
>
>
> Any suggestions,
> Paul B. MS-CCC-SLP
> Salisbury, MD
>
>
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