Difference between revisions of "Hiccups"

(Treatment)
Line 19: Line 19:
 
**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==
 
==See Also==

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

See Also

References