Conversation: The conversation between human and AI assistant.
[|Human|] I have started feeling one strong heart beat and then it beats normal for a while. I have been nauseated and have had the hiccups a lot lately too. Just trying to find out if something is serious could be happening. I have diabetes - not under control very well and high blood pressure--I just started taking my medication for this after not taking it for a while because I didnt have my prescription filled.
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! Hiccups is a normal physiological reflex, related to the diaphragm movements. An elevation of the diaphragm or abdominal distension could cause this clinical scenario. From the other hand the heart lies over the diaphragm. That is why diaphragm elevations can cause palpitations. I recommend consulting with your attending physician for a careful physical exam and performing some tests: - a resting ECG- an abdominal ultrasound-some blood lab tests (complete blood count, blood electrolytes, kidney and liver function tests). There are several treatments for hiccups (baclofen, chlorpromazine, metoclopramide). It usually resolves spontaneously. You should discuss with your doctor on these options. Hope to have been helpful! Kind regards,