Difference between revisions of "Hiccups"

Line 3: Line 3:
 
*Also known as Singultus  
 
*Also known as Singultus  
  
==Workup==
+
==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)
+
*Physical Maneuvers (stimulating pharynx blocks the vagal portion of the reflex arc)
##Remove foreign body from ear
+
**Remove foreign body from ear
##Swallow teaspoon of sugar
+
**Swallow teaspoon of sugar
##Sip ice water
+
**Sip ice water
##Drink water quickly
+
**Drink water quickly
#Meds
+
*Meds
##Chlorpromazine 25–50mg IV; 25–50mg PO TID  
+
**Chlorpromazine 25–50mg IV; 25–50mg PO TID  
##Metoclopramide 10mg IV or IM; 10–20mg PO TID x 10d
+
**Metoclopramide 10mg IV or IM; 10–20mg PO TID x 10d
 +
 
 +
==See Also==
  
==Source==
+
==References==
Tintinalli
 
  
 
[[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

See Also

References