Conversation: The conversation between human and AI assistant.
[|Human|] my father is having hicups, and burps since the last 2and half days . We showed him to our GP in India , who has given him an injection and has also done a chest xray. The reports show that his left lung/diaphgram is raised. Sorry we dont have the report with us as we are overseas. Please suggest He is 69 years old,weight approx 60kgs, height about5ft 5inches.Is diabetic , has blood pressure and gout. Since the last 3 days he was on antibiotics for throat infection
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Elevated left sided diaphragm on chest x-ray can be due to 1. Pulmonic effusion 2. Splenomegaly. Both of these can cause diaphragm irritation and this intern causes hiccups, burping etc. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Ultrasound examination of chest for pleural effusion 3. Ultrasound examination of abdomen to rule out splenomegaly. If it is effusion then he will need aspiration of pleural fluid and fluid reports to identify the cause. If it is splenomegaly then get done blood tests to rule out malaria, dengue etc. Don't worry, he will be alright. But first diagnose him and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.