Hi,
Kris suffered from incessant hiccups after his cisplatin chemo. They started the evening of the chemo and steadily got worse.

He would get about 45 in a row - this is constant spasm of the diaphragm and it is impossible to take a breath in while this is occurring. Then he would get a minute or so respite and away he would go again.

This was very frightening for him and for anyone who was watching. He did actually lose conciousness at times and I had to shake and yell at him to get breathing restored again. We never left him alone as a result.

Initially we were reassured that this was common and given chlorpromazine. It didn't work. Kris ended up in hospital with bilateral collapse of his lung bases due to the inability to get a decent breath in.

He was so terrified he refused to do the second round of Cisplatin and it took much encouragement form me to do so.
We also insisted that the Chemo docs put a plan in place to deal with it.

So Kris took 20 mgs metaclopramide 4-6 hourly. Chlorpromazine 25mgs 4 - 6 houly, Haloperidol 0.5mgs 4-6 houly, and Lorazepam 1 mg 6 hourly. I alternated the meds so that he was taking something every 2 hours. We even had to do this through the night, they were relentless - and terrifying.

The hiccups lasted about 2 weeks. And we got though this.
Talk to your medical oncologist and ask for a plan.

The dexmathasone is essential to control the nausea vomiting that goes with Cisplatin. We were told he wouldn't get through it without it.

Good luck and we are thinking of you,
Tammy


Caregiver/advocate to Husband Kris age 59@ diagnosis
DX Dec '10 SCC BOT T4aN2bM0 HPV+ve.Cisplatin x3 35 IMRT.
PET 6/11 clear.
R) level 2-4 neck dissection 8/1/11 to remove residual node - necrotic with NED
Feb '12 Ca back.. 3/8/12 total glossectomy/laryngectomy/bilat neck dissection/partial pharyngectomy etc. clear margins. All nodes negative for disease. PEG in.
March 2017 - 5 years disease free. Woohoo!