Hiccups: Difference between revisions
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*Also known as Singultus | *Also known as Singultus | ||
== | ==Clinical Features== | ||
*Hiccups | |||
==Differential Diagnosis== | |||
==Diagnosis== | |||
*Auditory canal exam (foreign body against TM can trigger hiccups) | *Auditory canal exam (foreign body against TM can trigger hiccups) | ||
*CXR | *CXR | ||
==Treatment == | ==Treatment == | ||
*Physical Maneuvers (stimulating pharynx blocks the vagal portion of the reflex arc) | |||
**Remove foreign body from ear | |||
**Swallow teaspoon of sugar | |||
**Sip ice water | |||
**Drink water quickly | |||
*Meds | |||
**Chlorpromazine 25–50mg IV; 25–50mg PO TID | |||
**Metoclopramide 10mg IV or IM; 10–20mg PO TID x 10d | |||
==See Also== | |||
== | ==References== | ||
[[Category:GI]] | [[Category:GI]] | ||
Revision as of 09:49, 3 June 2015
Background
- Usually initiated by gastric distention from food, carbonated beverage, or air
- Also known as Singultus
Clinical Features
- Hiccups
Differential Diagnosis
Diagnosis
- Auditory canal exam (foreign body against TM can trigger hiccups)
- CXR
Treatment
- Physical Maneuvers (stimulating pharynx blocks the vagal portion of the reflex arc)
- Remove foreign body from ear
- Swallow teaspoon of sugar
- Sip ice water
- Drink water quickly
- Meds
- Chlorpromazine 25–50mg IV; 25–50mg PO TID
- Metoclopramide 10mg IV or IM; 10–20mg PO TID x 10d