Persistent Hiccups and Bloating: Gastrointestinal Issues - Gastroenterology and Hepatology

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There is a constant feeling of gas rising?


Hello doctor, I have been experiencing hiccups for a week.
After overeating once, I felt a constant urge to burp and had to move my throat to expel the gas.
After vomiting a bit, I felt some relief that day.
However, the next night, I woke up with persistent hiccups and vomited several times, feeling bloated and uncomfortable in my stomach.
I decided to see a doctor.
I explained my symptoms and mentioned that I was having difficulty with bowel movements.
The doctor said my gastrointestinal tract was still inflamed.
After taking medication for three days, I felt some improvement, but I continued to have frequent hiccups.
I visited the doctor again, took another three days of medication, and was advised to eat lighter foods.
For the past few days, I have been eating plain toast, white rice, and a banana.
The doctor also asked if I often feel anxious and advised me to relax.
Now, whenever I eat, I still experience gas buildup, but it’s not as severe as before.
I also have hiccups a couple of times a day when I’m not eating, but it’s less frequent than it used to be.
Most of the gas is expelled upwards, with very little passing downwards.
Do I need to undergo an endoscopy? When can I expect to return to a normal diet?

Jiang, 20~29 year old female. Ask Date: 2021/09/06

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: It is important to differentiate whether the symptoms are due to slow intestinal motility with gas accumulation or fast intestinal motility.
The treatment approach will vary accordingly.
In terms of diet, a balanced and light diet is advisable, and it is best to avoid irritating foods for now.
Whether further examinations are necessary should be determined by a clinical physician.
You may consider consulting a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2021/09/06

More Info


Persistent hiccups and bloating can be quite distressing and may indicate underlying gastrointestinal issues. Based on your description, it seems that you have been experiencing a combination of symptoms, including persistent hiccups, bloating, and difficulty with bowel movements. These symptoms can be associated with various gastrointestinal conditions, and understanding the potential causes can help guide your treatment and management.

Firstly, persistent hiccups can be caused by irritation or stimulation of the diaphragm, which can occur due to several factors, including overeating, gastroesophageal reflux disease (GERD), or even stress and anxiety. In your case, it seems that the hiccups began after a period of overeating, which could have led to gastric distension and irritation of the diaphragm. The fact that you experienced relief after vomiting suggests that the pressure in your stomach was alleviated, but the recurrence of hiccups indicates that the underlying issue may not have been fully resolved.

Bloating, on the other hand, is often associated with the accumulation of gas in the gastrointestinal tract. This can be due to various reasons, including dietary choices, food intolerances, or gastrointestinal motility disorders. You mentioned that you have been eating a bland diet consisting of white toast, rice, and bananas, which is generally easy on the stomach. However, if you are still experiencing bloating and gas, it may be worth considering whether you have any food intolerances or sensitivities that could be contributing to your symptoms.

The fact that you are having difficulty with bowel movements is also concerning. If your stools are not forming properly, it could indicate an issue with your gastrointestinal motility or the absorption of nutrients. Conditions such as irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD) could be potential causes, and these conditions often require further investigation.

Regarding your question about whether you need to undergo a gastroscopy (endoscopy) or colonoscopy, it would depend on the persistence and severity of your symptoms. If your symptoms continue despite dietary modifications and medication, or if you experience additional symptoms such as significant weight loss, blood in your stool, or severe abdominal pain, it would be advisable to consult with a gastroenterologist for further evaluation. These procedures can help visualize the gastrointestinal tract and identify any abnormalities, such as inflammation, ulcers, or other pathological changes.

In terms of when you can return to a normal diet, it is essential to listen to your body and gradually reintroduce foods. Start with easily digestible foods and slowly incorporate a variety of foods while monitoring your symptoms. Keeping a food diary can help identify any specific triggers that may exacerbate your symptoms. Additionally, managing stress and anxiety through relaxation techniques, such as deep breathing exercises or mindfulness, can also be beneficial, as stress can significantly impact gastrointestinal function.

In summary, while persistent hiccups and bloating can be uncomfortable, they often have manageable causes. It is crucial to work closely with your healthcare provider to monitor your symptoms and determine the best course of action, which may include dietary changes, medications, or further diagnostic testing. If your symptoms persist or worsen, do not hesitate to seek further medical advice.

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Hiccup

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Bloating

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