Patient's Query
Hello doctor,
My father is 68 years old. He takes Novorapid (Insulin aspart) 3 times a day (8 units in the morning, 8 units at midday, and 12 units in the evening) and Lantus at night (18 units). He also takes Olmesor (Olmesartan) 40, Rozucor ASP (Rosuvastatin and Aspirin) 10, and Cilacar (Cilnidipine) 10. For the past eight to nine months, he has experienced a new problem with hiccups occurring while eating and drinking water, which almost stops his breathing. If he takes Nukast (Levocetirizine and Montelukast) 10, it helps. His allergy test for IgE is 229, and full panels have also been done. What is the solution for this?
Kindly suggest.
Hello,
Welcome to icliniq.com.
I understand from your query that your father, who is diabetic and hypertensive, has been experiencing hiccups for the past eight months, particularly while eating or drinking water.
Can I get more details? Does he have hiccups or a cough? They are different conditions. Are his blood sugar and blood pressure levels under control? Does he eat very spicy food? Is there a lump sensation in his throat? Does he smoke or drink? When he takes Nukast 10, do his hiccups completely disappear? Does he have any other allergy symptoms, such as a runny nose, headache, nasal congestion, or a scratchy throat?
Please provide these details so I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
He only experiences hiccups, and they are severe enough that he is unable to breathe for a while. While eating or drinking water, he feels that the food and water are not going down to the stomach but instead coming back up into his throat.
His blood sugar and blood pressure are under control, and he usually does not eat spicy food. He has noticed some lumps in his throat, but only when hiccups occur. When he takes Nukast 10, the hiccups completely disappear, and he experiences no other problems. He does not have any additional allergy symptoms. Other tests, such as endoscopy and a barium X-ray, have been done. An ENT specialist examined his throat with a camera and found nothing abnormal. Although the eosinophil report is not available, it is likely high.
My concern is how long he should continue taking Nukast 10. Is there any treatment for his allergy, and what foods should he avoid based on the complete allergy test report I attached earlier?
Hello,
Welcome back to icliniq.com.
All the reports, except for the echo, appear normal (attachment removed to protect patient identity). Since the endoscopies and barium swallow tests are normal, I do not suspect any neurological defect causing the symptoms. You can continue using Nukast (Montelukast sodium and Levocetirizine) for an extended period. It is safe to use. After a few weeks, you may try using it every other day and monitor if the symptoms persist. If they remain controlled, continue this regimen for a few weeks or months, then reduce to twice per week for the following months before gradually stopping.
If needed, you can substitute Fexofenadine for Nukast. Is there a significant amount of mucus during the hiccups?
You can always come back and reach me at icliniq.com.
Thank you for consulting me
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Answered byDr. Shyam Kalyan N
Medically reviewed byDr. Vinodhini J.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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