What causes excessive hiccups with vomiting in an infant?
Patient: my 28 months daughter hiccups alot , recently she started throwing up randomly without a pattern not everyday not even every week , she just vomit out of nowhere especially at night around sleeping time i tried to find any connection between these days but nothing everytime she d a different thing at dinner so what could be the reason Doctor: Thank you for posting your question.Hiccups occur due to diaphragmatic irritation and this could be due to a variety of reasons one of them being over distention of the stomach.Here hiccups and vomiting could be two unrelated symptoms or could be due to a condition called gastro oesophageal reflux.In this conditions the contents of the stomach regurgitate back to the food pipe manifesting occasionally as frank vomiting. This may be preceded and caused by gastric over distention leading to hiccups. This may also be due to dicreased tone of the lower oesophageal opening leading to recurrent regurgitation.I would suggest, you try some changes like putting him to sleep atleast half an hour after his meal, keeping the head end high or putting her to sleep on his left side.If there is no change then I suggest you take a medical consultation and consider taking medicines like proton pump inhibitors to decrease the acidity of the stomach and thus the reflux symptoms. If you have any more doubts, do write back.