I have a CCPD patient who has intractable hiccups. Has anyone come across this? They seem to come and go, followed by gagging and vomiting. He has been on PD in the past and this did not happen. Endoscopy did not show anything but mild GERD.
I have a CCPD patient who has intractable hiccups. Has anyone come across this? They seem to come and go, followed by gagging and vomiting. He has been on PD in the past and this did not happen. Endoscopy did not show anything but mild GERD.
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Debbie W, Nurse from Pleasanton , CA asked
I have a CCPD patient who has intractable hiccups. Has anyone come across this? They seem to come and go, followed by gagging and vomiting. He has been on PD in the past and this did not happen. Endoscopy did not show anything but mild GERD.

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⋅ ⋅ December 3, 2009

Alternative pathology should be excluded by endoscopy and abdominal imaging (eg CT scan). Assuming that no cause is found, I have had a patients who experienced intractable singultus (hiccups) as a result of diaphragmatic irritation by the conventional PD dialysate (the hiccups tended to be worse in the first 30 minutes of an exchange). In this particular case, conversion to a neutral pH, bicarbonate-buffered dialysate was effective.

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