Chest pain during triple therapy for duodenal ulcer

Antibiotic-Induced Hiccups: A Case Report and Brief Literature Review

Hiccups, also called hiccoughs, are sudden, involuntary and rapid expulsion of air from the lungs with synchronous closure of the glottis causing blockade of the air flow. Hiccups may be induced by a multitude of etiologies such as central nervous disorders, gastrointestinal disorders, cardiovascular disorders, psychogenic factors, and metabolic disorders. Hiccups induced by medications are rare. The diagnosis of drug-induced hiccup is difficult. The exact mechanism responsible for this adverse drug reaction is still unknown. Herein, we report the first case of cefotaxime-induced hiccups and briefly review the literature on antibiotic-induced hiccups.

Efficacy and safety of Jiuwei Xiaoyang soup vs nizatidine tablets in treatment of duodenal ulcer patients with spleen-stomach dampness-heat syndrome

AIM

To compare the efficacy and safety of Jiuwei Xiaoyang soup and nizatidine tablets in the treatment of duodenal ulcer patients with spleen-stomach dampness-heat syndrome.

METHODS

Eighty duodenal ulcer patients with spleen-stomach dampness-heat syndrome treated from January 2015 to May 2016 were randomly divided into either an experimental group to receive Jiuwei Xiaoyang soup (n = 40) or a control group to receive nizatidine tablets (n = 40). The treatment lasted six weeks in both groups. The rates of clinical improvement, gastroscopic improvement, and recurrence were compared between the two groups.

RESULTS

The rate of clinical improvement (e.g., dry mouth and body weight) was significantly higher in the experimental group than in the control group (P < 0.05). The rate of ulcer recurrence was significantly lower in the experimental group than the control group (P < 0.05). The rate of gastroscopic improvement did not differ significantly between the two groups (P > 0.05).

CONCLUSION

Jiuwei Xiaoyang soup is superior to nizatidine tablets in improving clinical symptoms and reducing ulcer recurrence in duodenal ulcer patients with spleen-stomach dampness-heat syndrome.