Conversation: The conversation between human and AI assistant.
[|Human|] I m a 29 year old female. I had open heart surgery in January 2015 to replace my tricuspid valve due to endocarditis, and a pacemaker placed in 3 days later. Then I got a new pacemaker (biventricular) a few weeks ago in July 2015 due to continuing heart failure. I ve had the hiccups daily for the last week. Pretty much every time I stand up and move around. Each day I m taking: Methadone 12.5mgs Xarelto 20mgs Tizanadine 4mgs Today i started taking Carvedilol 3.125mgs twice daily. I ve heard hiccups can be related to heart problems. Any advice?
[|AI|]  Hello, I have gone through your query. Thanks for using Chat Doctor. Hiccups have many causes .most of the time it is due to metabolic or electrolyte disturbances. But it can originate due to inferior wall ischemia. But at your age it is unlikely. You should check for any pacemaker lead In right ventricle producing irritation. But it is very rare. In your case it may be due to electrolyte disturbances or Infection above or below diaphragm. If your hiccup is persistent inspire of PPI and antacids. You should he investigations in the form of X-ray chest, Ultra sound upper abdomen and electrolytes. My best wishes Chat Doctor.