Family, Internal Medicine, General Medical Questions/2 Questions, hiccups and elevated D-Dimer

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Question
Hi,

I have two completely different questions to ask. First of all, I have been waking up with hiccups almost every single day for about a month and getting them frequently. I'm also getting acid up the back of my throat, do hiccups usually start from acid reflux?


Other question (which is totally unrelated) I was having sharp pains on my right side when breathing in the middle of the night last night. They eventually stopped but started again today, it was on the right in my rib cage. I called my Dr, who said go to urgent care, who did a few tests and sent me to the ER. I had a chest xray, EKG, blood work, and a CT scan. My D-Dimer score (? I don't really get how that one works) was 0.55 which I was told is high, which is why they did the CT with contrast.

They didn't see anything on the CT and the doctor didn't seem too worried after that. She said since all the other tests looked good, it isn't anything serious and sent me home. Should I be concerned that I do have a blood clot somewhere? She basically said that you can get an elevated D-dimer from a bruise, but I just wanted to ask another opinion. Should I still be concerned about that?

Answer
Dear Julia,

Regarding the first part of your question, did you see a gastroenterologist about the hiccups and GERD? If not, I strongly recommend that you do.

Regarding the second part of your question, a D.Dimer is a test that is used to identify fibrin in the blood. Any fibrin can elevate the number. Fibrin comes from clots. The cutoff at my hospital is 0.49. I have had people with a D.Dimer of 1.01 and they did not have a clot. If you are concerned, you can ask for an ultrasound of your lower extremities to assess for deep vein thrombosis. This is he generally where the clot would form. Other things like recent infection, recent surgery, and pneumonia can elevate the D.Dimer.  

Family, Internal Medicine, General Medical Questions

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Dr. Pamela M. Cipriano, DNP, APRN

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My name is Dr. Cipriano. I have a private practice specializing in adult health and wellness. I can answer questions associated with thyroid disease, cardiac disease, pulmonary disease, high blood pressure, muscular aches and pains, cholesterol levels, male/female sexual questions or questions on the sexual organs, gastrointestinal problems, healthy ways to lose weight and maintain a healthy lifestyle, and nearly anything else that pertains to medicine.

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I am on the Medical Staff at a local hospital where I work as a medical/surgical hospitalist as well as in the emergency department. I am certified in critical care and advanced cardiac life support. Prior to becoming a Nurse Practitioner, I was a certified critical care nurse (CCRN).

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Society of Hospital Medicine American Association of Critical Care Nurses American Association of Nurse Practitioners Connecticut Advance Nurse Practitioner Society

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Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Critical Care Certified 2014 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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Named as a World Wide Leader in Healthcare and was included in the 2013-2014 edition by the International Nurses Association.

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