Hiccups

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