Hiccups After Cerebral Thrombosis: Causes and Effective Management

Experiencing hiccups after a cerebral thrombosis is not uncommon and is often linked to a condition known as central hiccups. This type of hiccuping usually indicates an issue within the central nervous system, particularly involving the brainstem. When hiccups are caused by neurological changes following a stroke, prompt treatment is essential to improve patient comfort and overall recovery.

Medical Treatments for Central Hiccups

One of the most commonly prescribed medications for managing central hiccups is Metoclopramide, also known by the brand name Reglan. It can be administered either orally or through injection. A typical oral dose ranges from 5 to 10 mg, taken three times a day. Alternatively, when quicker relief is needed, a 10 mg intramuscular injection may be given directly.

Alternative Therapies: Acupuncture and Injection at Zusanli Point

If conventional medication does not provide sufficient relief, another option is the Zusanli (ST36) acupoint injection, a technique rooted in traditional Chinese medicine. This method involves injecting a small dose of Promethazine, usually 12.5 mg, into the Zusanli point located on the lower leg. The point lies approximately three finger-widths below the outer ankle, about 1 cm lateral to the tibial crest.

The injection is typically performed with a fine needle inserted to a depth of around 1 cm. Depending on the patient's condition, the injection can be given on one side only, or alternately on both legs, with each side receiving 12.5 mg of the medication. This approach has shown promising results in alleviating persistent hiccups that do not respond well to standard pharmacological treatments.

Conclusion

While hiccups may seem like a minor symptom, they can be a sign of more serious underlying neurological issues following a cerebral thrombosis. Managing them effectively requires a combination of medical evaluation and targeted interventions, including both pharmaceutical and alternative therapies. If hiccups persist, it is crucial to consult a healthcare provider to explore the most suitable treatment plan based on individual patient needs.