Hiccups

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Singultus

There is no sure way to stop hiccups, but there are a number of common suggestions that may be effective:

• Breathe repeatedly into a paper bag.
• Drink a glass of cold water.
• Eat a teaspoon of sugar.
• Hold your breath.

Contact your health care provider if hiccups persist for more than a few days.

If hiccups persist to the point that you visit your health care provider, a medical history will be taken and a physical examination will be performed.

Medical history questions may include the following:

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• Do you get hiccups easily?
• How long has this episode of hiccups lasted?
• Have you recently eaten something that was hot or spicy?
• Have you recently drank carbonated beverages?
• Have you been exposed to any fumes?
• What have you done to try to relieve the hiccups?
• What has been effective for you in the past?
• How effective was the attempt at home treatment?
• Did the hiccups stop for a while and then restart?
• What other symptoms are present?

Diagnostic tests are rarely necessary unless a disease or disorder is suspected as the cause.

To treat persistent hiccups, the health care provider may perform gastric lavage or massage of the carotid sinus in the neck. Do not try carotid massage by yourself. This must be done by a health care provider.

If hiccups continue, medications such as phenothiazine (especially chlorpromazine), baclofen, or anticonvulsants may help. Tube insertion (nasogastric intubation) may also provide relief.

Very rarely, medical methods fail to treat persistent hiccups. Further treatment may include a phrenic nerve block. The phrenic nerve controls the diaphragm.

Review Date: 01/31/2011
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).