Q. Please review my dad's report and let me know if hiccups and burping are to be worried.

Answered by
Dr. Vivek Pillai
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 10, 2017 and last reviewed on: Apr 21, 2021

Hi doctor,

My dad recently was admitted to hospital after a heart attack, and he was in the hospital for almost a week. Currently, he was discharged and taking rest at home. The doctor advised that his heart pumping rate is around 23% and require improvement. Since morning he has been having hiccups, and he is burping a lot. I would like your help to review the results and also let me know if hiccups and burping are to be worried. Please suggest anything that needs to be done from our end. I appreciate your response.



Welcome to icliniq.com.

I saw your dad's reports (attachment removed to protect patient identity).

He has severe heart failure due to supposedly decreased blood supply to the heart (ischemic left ventricular dysfunction).

The cause of hiccups and burping could be due to gastritis induced by Clopidogrel or Aspirin.

It could also be caused the by ischemic inferior wall that is the portion of the heart, which is adjoining the diaphragm, incessant contraction of which may cause hiccups or due to the accumulation of fluid in the lungs (subpleural effusion) which could also irritate the diaphragm.

I suggest you take an ECG and chest x-ray to rule out these conditions.

The Probable causes:

1. Inferior wall ischemia.

2. Subpleural effusion.

3. Renal failure.

Investigations to be done:

Renal function tests, ECG and chest x-ray.

Probable diagnosis:

1. Ischemic LV dysfunction.

2. Intractable hiccups.

Treatment plan:

Rule out cardiac cause of hiccups (with the above tests) as well as renal disturbance. I suggest you tablet Metoclopramide or tablet Baclofen 10 mg twice daily for hiccups, preferably after seeing a physician.

Regarding follow up:

For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Heart Attack Explained

When blood supply gets decreased than the demand of the heart, it causes pain in the chest ... The symptoms of a heart attack are: The patient may feel pressure, tightness, ...   Read full

My mother is suffering from severe back pain and upper foot pain. Please advice.

Hello doctor, My mother has pain in lower back joints, and upper foot, earlier she has felt current in the left arm ... Pain is severe ...   Read full

Why am I having frequent chest pains and shortness of breath?

I have been having sharp upper right chest pains, that are very frequent ... But now, I have bad sharp pains at night ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»
Nighttime Skin Routine for Clear Skin
A skin that gets all the attention during the day requires a chance to repair, rejuvenate and replenish from day damage ...  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.