Difference between revisions of "Hiccups"

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==Background==
 
==Background==
Also known as Singultus
+
*Usually initiated by gastric distention from food, carbonated beverage, or air
  
 
==Workup==
 
==Workup==
#CBC
+
*Auditory canal exam (foreign body against TM can trigger hiccups)
#Chem 10
+
*CXR
#CXR (?CT diaphram)
 
#LFTs
 
#Lipase
 
#?Head-CT
 
#ECG
 
  
 
==Treatment ==
 
==Treatment ==
#Vagal maneuvers
+
#Physical Maneuvers (stimulating pharynx blocks the vagal portion of the reflex arc)
#Thorazine
+
##Remove foreign body from ear
#Reglan
+
##Swallow teaspoon of sugar
#Haldol
+
##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
 +
 
 +
==Source==
 +
Tintinalli
  
 
[[Category:GI]]
 
[[Category:GI]]

Revision as of 09:43, 22 July 2011

Background

  • Usually initiated by gastric distention from food, carbonated beverage, or air

Workup

  • Auditory canal exam (foreign body against TM can trigger hiccups)
  • CXR

Treatment

  1. Physical Maneuvers (stimulating pharynx blocks the vagal portion of the reflex arc)
    1. Remove foreign body from ear
    2. Swallow teaspoon of sugar
    3. Sip ice water
    4. Drink water quickly
  2. Meds
    1. Chlorpromazine 25–50mg IV; 25–50mg PO TID
    2. Metoclopramide 10mg IV or IM; 10–20mg PO TID x 10d

Source

Tintinalli