Post-Surgery Hiccups: Symptoms After Lung Lobectomy - Pulmonology

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After a lobectomy, experiencing hiccups?


Hello, doctor.
My mother underwent a left lower lobectomy for a tumor in the left lower lobe at the beginning of November.
The surgery was successfully completed, but she has been experiencing a sensation of needing to burp but being unable to do so.
Is this a postoperative complication? Since her follow-up visit after discharge was normal, does she need to seek medical attention again for a lung examination? Or how can we improve this situation? Thank you for your consultation.

Miss Huang, 30~39 year old female. Ask Date: 2020/11/23

Dr. Yang Wenda reply Pulmonology


Hello: It is recommended that you consult directly with the surgeon.
Additionally, you should monitor for any gastrointestinal bloating or bowel movement issues, and you may seek an evaluation from a gastroenterologist.

Reply Date: 2020/11/23

More Info


After undergoing a left lower lobectomy due to a tumor, it is not uncommon for patients to experience various symptoms during the recovery phase. The sensation of wanting to hiccup but being unable to do so can be perplexing and may be related to several factors associated with the surgery and the healing process.

Firstly, it's important to understand that surgical procedures involving the lungs can lead to changes in the diaphragm and surrounding structures. The diaphragm is a muscle that plays a crucial role in breathing and is also involved in the reflex that causes hiccups. After surgery, the diaphragm may be irritated or inflamed, which can lead to abnormal sensations, including the feeling of needing to hiccup. This could be a temporary condition as the body heals.

Additionally, the surgical manipulation of the lungs and surrounding tissues can lead to changes in nerve function. The phrenic nerve, which innervates the diaphragm, may be affected during surgery, leading to altered sensations or reflexes. This could explain the sensation of wanting to hiccup without being able to do so.

Regarding whether this symptom is a post-surgical complication, it is generally not considered a serious issue unless accompanied by other concerning symptoms such as severe pain, difficulty breathing, or persistent coughing. Since your mother has had a follow-up appointment and was deemed normal, it is likely that this sensation is part of the normal healing process. However, if the sensation persists or worsens, it would be prudent to consult with her healthcare provider for further evaluation.

To alleviate the sensation of wanting to hiccup, there are several home remedies that may help. These include drinking water slowly, holding one's breath for a short period, or swallowing a teaspoon of sugar. These methods can sometimes stimulate the diaphragm and help reset the reflex that causes hiccups.

In terms of follow-up care, if your mother is otherwise feeling well and her recovery is progressing without complications, additional lung examinations may not be necessary at this time. However, it is essential to monitor her symptoms closely. If she experiences any new or worsening symptoms, such as increased shortness of breath, chest pain, or significant changes in her overall health, she should seek medical attention promptly.

In summary, the sensation of wanting to hiccup after lung surgery can be attributed to irritation of the diaphragm or changes in nerve function. It is typically not a cause for concern unless accompanied by other serious symptoms. Encouraging her to stay hydrated and try simple remedies may provide relief. Regular follow-ups with her healthcare provider will ensure that her recovery remains on track and any potential issues are addressed promptly.

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