Difference between revisions of "Hiccups"

(Treatment)
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==Differential Diagnosis==
 
==Differential Diagnosis==
  
==Diagnosis==
 
*Auditory canal exam (foreign body against TM can trigger hiccups)
 
*CXR
 
  
==Treatment ==
+
==Diagnostic Evaluation==
 +
*Clinical diagnosis
 +
*Consider auditory canal exam (foreign body against TM can trigger hiccups)
 +
*Consider CXR
 +
 
 +
==Management==
 
*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
Line 21: Line 23:
 
**[[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
 +
 +
==Disposition==
 +
*Discharge for uncomplicated hiccups
  
 
==See Also==
 
==See Also==
  
 
==References==
 
==References==
 +
<references/>
  
 
[[Category:GI]]
 
[[Category:GI]]

Revision as of 08:09, 9 September 2015

Background

  • Usually initiated by gastric distention from food, carbonated beverage, or air
  • Also known as Singultus

Clinical Features

  • Hiccups

Differential Diagnosis

Diagnostic Evaluation

  • Clinical diagnosis
  • Consider auditory canal exam (foreign body against TM can trigger hiccups)
  • Consider CXR

Management

  • 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

Disposition

  • Discharge for uncomplicated hiccups

See Also

References