Hiccups
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
- 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
Source
Tintinalli