34 year old male with vomiting, hiccups and cough
A 34 year old male patient lorry driver by occupation resident of chitiyala came to opd with chief complaints of Vomiting, Hiccups and Cough since 3 days HOPI- Patient was apparently asymptomatic 3 days back then he had vomiting 10 episodes per day which is sudden in onset,non bilious,non projectile,food and water as the contents. Vomiting is present immediately after food,water and alcohol intake.After vomiting he was associated with generalized weakness for which he went to local hospital and was under normal saline 3 days back. There is history of dark stools 3 days back lasted for 1 day, which is non blood stained. Hiccups Since 3 days continuously and associated with mild difficulty in swallowing Cough- dry since 3 days not associated with fever sore throat cold. Similar complaints --3 months back he had vomiting and was diagnosed with jaundice ---10 years ago he met with an accident and was in coma for 2 days. Past History- Not a known case of Dm,Tb, epilepsy, asthma,HTN No h