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Hiccoughs causes. Hiccups: Causes, Remedies, and When to Seek Medical Help

by alexxlab

What causes hiccups. How can you stop hiccups at home. When should you see a doctor for hiccups. What are some medical treatments for chronic hiccups.

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Understanding the Mechanism Behind Hiccups

Hiccups are involuntary contractions of the diaphragm, the muscular structure separating the chest cavity from the abdomen. These contractions cause a sudden intake of breath, which is then abruptly stopped by the closure of the vocal cords, producing the characteristic “hic” sound. But what triggers this peculiar bodily function?

The diaphragm plays a crucial role in our breathing process. During normal respiration, it contracts and relaxes rhythmically, allowing our lungs to take in oxygen and expel carbon dioxide. However, when the diaphragm contracts out of sync, it results in hiccups. This irregularity can be triggered by various factors, ranging from simple everyday activities to more complex medical conditions.

The Anatomy of a Hiccup

To better understand hiccups, it’s essential to break down the process:

  1. The diaphragm contracts suddenly and involuntarily.
  2. This contraction causes a rapid intake of air.
  3. The glottis (the opening between the vocal cords) closes quickly.
  4. The closure of the glottis produces the characteristic “hic” sound.

This sequence of events happens in a fraction of a second and can repeat at regular intervals until the hiccups subside. Can hiccups be predicted? Unfortunately, there’s no way to anticipate when hiccups will occur. However, some people may experience a slight tightening of the chest or throat just before making the hiccup sound.

Common Causes of Short-Term Hiccups

While the exact cause of hiccups isn’t always clear, several factors have been identified as potential triggers for short-term hiccups. These include:

  • Overeating or eating too quickly
  • Consuming spicy foods
  • Drinking carbonated beverages
  • Swallowing air while chewing gum or eating
  • Sudden changes in temperature
  • Emotional stress or excitement

Are certain individuals more prone to hiccups? Research suggests that some people may be more susceptible to developing hiccups. Factors that might increase your likelihood of experiencing hiccups include being male, experiencing intense emotional responses, and undergoing certain medical procedures such as abdominal surgery or general anesthesia.

Hiccups in Infants and Fetuses

Interestingly, hiccups can occur at any age, even before birth. Fetuses have been observed hiccupping in the womb, and newborns often experience hiccups. For babies, hiccups are typically harmless and rarely cause discomfort. In most cases, infant hiccups don’t require any treatment and will resolve on their own.

Home Remedies and Self-Help Techniques for Hiccups

While most cases of hiccups resolve on their own within a few minutes, there are several home remedies and techniques that people often use to try and stop hiccups more quickly. It’s important to note that while many find these methods helpful, there’s limited scientific evidence to support their effectiveness for everyone.

Popular Home Remedies

Here are some commonly suggested remedies for hiccups:

  • Breathing into a paper bag (without covering your head)
  • Pulling your knees up to your chest and leaning forward
  • Sipping ice-cold water
  • Swallowing a teaspoon of granulated sugar
  • Biting on a lemon or tasting vinegar
  • Holding your breath for a short time

Do these remedies actually work? While many people report success with these methods, their effectiveness can vary from person to person. The theory behind some of these techniques is that they may help to reset the nerve impulses involved in the hiccup reflex or distract the body from the hiccup mechanism.

Preventive Measures

To reduce the likelihood of developing hiccups, consider avoiding:

  • Alcoholic, fizzy, or hot drinks
  • Chewing gum or smoking
  • Eating spicy foods
  • Consuming food very quickly
  • Eating or drinking something very cold immediately after something hot

Can dietary changes help prevent hiccups? While there’s no guaranteed way to prevent hiccups, being mindful of your eating and drinking habits may help reduce their frequency. Eating slowly, avoiding trigger foods, and staying hydrated are generally good practices that might also help minimize hiccup occurrences.

When to Seek Medical Attention for Hiccups

In most cases, hiccups are a benign and self-limiting condition. However, there are instances when hiccups may warrant medical attention. It’s advisable to consult a healthcare professional if:

  • Your hiccups last longer than 48 hours
  • Hiccups recur frequently and are affecting your quality of life
  • You experience additional symptoms along with hiccups, such as severe abdominal pain or fever

Why might prolonged hiccups be a concern? Persistent hiccups can sometimes be a sign of an underlying medical condition or a side effect of certain medications. In rare cases, they may indicate more serious issues such as infections, tumors, or nervous system disorders.

Medical Evaluation for Chronic Hiccups

When you consult a doctor for persistent hiccups, they will typically:

  1. Take a detailed medical history
  2. Perform a physical examination
  3. Review any medications you’re currently taking
  4. Possibly order diagnostic tests to rule out underlying conditions

The goal of this evaluation is to identify any potential causes of your chronic hiccups and determine the most appropriate treatment approach.

Medical Treatments for Persistent Hiccups

If hiccups persist beyond 48 hours or recur frequently, medical intervention may be necessary. The treatment approach will depend on the underlying cause, if one can be identified. Here are some potential medical treatments for persistent hiccups:

Medications

Several medications have been used to treat chronic hiccups, including:

  • Chlorpromazine: Often the first-line medication for persistent hiccups
  • Baclofen: A muscle relaxant that may help reduce diaphragm contractions
  • Gabapentin: An anti-epileptic drug that has shown effectiveness in some cases
  • Metoclopramide: A medication that increases the movement of the stomach and intestines

How effective are these medications? The efficacy of these treatments can vary from person to person. While some individuals find relief with medication, others may require alternative approaches or a combination of treatments.

Other Medical Interventions

In cases where medications are ineffective or unsuitable, other interventions may be considered:

  • Nerve blocks: Injecting anesthetic into specific nerves to interrupt the hiccup reflex
  • Acupuncture: Some studies suggest acupuncture may help alleviate chronic hiccups
  • Surgical interventions: In rare, severe cases, surgical procedures targeting the phrenic nerve may be considered

It’s important to note that these more invasive treatments are typically reserved for cases where other methods have failed and the hiccups are significantly impacting the patient’s quality of life.

The Impact of Chronic Hiccups on Quality of Life

While occasional hiccups are usually nothing more than a minor annoyance, chronic hiccups can have a significant impact on an individual’s daily life. Persistent hiccups can affect various aspects of a person’s well-being, including:

  • Sleep quality: Hiccups may disrupt sleep patterns, leading to fatigue and decreased daytime functioning.
  • Eating and drinking: Chronic hiccups can make it difficult to eat and drink normally, potentially leading to nutritional issues.
  • Speech: Continuous hiccups may interfere with communication and social interactions.
  • Mental health: The persistent nature of chronic hiccups can lead to frustration, anxiety, and even depression in some cases.

How can individuals cope with chronic hiccups? Coping strategies may include stress management techniques, seeking support from friends and family, and working closely with healthcare providers to find effective treatments. In some cases, psychological support may be beneficial to address the emotional impact of chronic hiccups.

Long-Term Outlook for Chronic Hiccup Sufferers

The prognosis for individuals with chronic hiccups can vary depending on the underlying cause and the effectiveness of treatment. Many people find relief through a combination of medical interventions and lifestyle adjustments. However, in some cases, managing chronic hiccups may be an ongoing process that requires patience and persistence.

It’s important for those experiencing chronic hiccups to work closely with their healthcare providers to develop a comprehensive management plan. This may involve regular follow-ups, adjusting treatments as needed, and addressing any related health concerns.

Hiccups in Special Populations

While hiccups can affect anyone, certain populations may experience them differently or require special considerations in their management. Let’s explore hiccups in some specific groups:

Hiccups in Pregnancy

Pregnant women may experience an increase in hiccup frequency due to several factors:

  • Hormonal changes affecting the diaphragm
  • Increased pressure on the stomach as the uterus grows
  • Changes in eating habits or gastroesophageal reflux

Are hiccups harmful during pregnancy? In most cases, hiccups during pregnancy are harmless and do not affect the baby. However, if hiccups become persistent or are accompanied by other symptoms, it’s important to consult with a healthcare provider.

Hiccups in the Elderly

Older adults may be more susceptible to chronic hiccups due to:

  • Age-related changes in the nervous system
  • Increased likelihood of underlying medical conditions
  • Greater use of medications that may trigger hiccups

Management of hiccups in the elderly may require a more comprehensive approach, taking into account other health conditions and medications.

Hiccups in Individuals with Neurological Disorders

People with certain neurological conditions, such as multiple sclerosis or Parkinson’s disease, may experience hiccups more frequently or have difficulty managing them. In these cases, treatment may need to be tailored to the individual’s specific neurological condition and overall health status.

The Science Behind Hiccup Research

Despite being a common phenomenon, hiccups remain a subject of ongoing scientific research. Scientists are continually working to better understand the mechanisms behind hiccups and develop more effective treatments. Some areas of current research include:

  • Neurological pathways involved in the hiccup reflex
  • Genetic factors that may predispose individuals to chronic hiccups
  • Novel pharmaceutical approaches for treating persistent hiccups
  • The potential evolutionary purpose of hiccups

What have recent studies revealed about hiccups? Recent research has suggested that hiccups may play a role in fetal development, potentially helping to strengthen the muscles used for breathing. Other studies have explored the connection between hiccups and the gut-brain axis, investigating how digestive processes might influence hiccup occurrence.

Future Directions in Hiccup Treatment

As our understanding of hiccups grows, so do the possibilities for new treatments. Some promising areas of investigation include:

  • Targeted neurostimulation techniques to interrupt the hiccup reflex
  • Development of more specific and effective medications
  • Exploration of complementary and alternative therapies
  • Personalized treatment approaches based on individual factors

While these potential advancements offer hope for those suffering from chronic hiccups, it’s important to note that research takes time, and new treatments must undergo rigorous testing before becoming widely available.

In conclusion, hiccups, while often a minor inconvenience, can sometimes become a significant medical issue requiring professional attention. Understanding the causes, remedies, and potential complications of hiccups can help individuals better manage this common but sometimes perplexing bodily function. As research continues, we may gain even more insights into the nature of hiccups and develop more effective ways to address them when they become problematic.

Hiccups – NHS

Most people get hiccups sometimes. They should only last a few minutes. You can usually wait for them to go away or treat them yourself without seeing a GP.

Things you can do yourself to stop or prevent hiccups

Although many people find these things helpful for stopping hiccups, there’s no evidence that they work for everyone.

Do

  • breathe into a paper bag (do not put it over your head)

  • pull your knees up to your chest and lean forward

  • sip ice-cold water

  • swallow some granulated sugar

  • bite on a lemon or taste vinegar

  • hold your breath for a short time

Don’t

  • do not drink alcoholic, fizzy or hot drinks

  • do not chew gum or smoke – these can cause you to swallow air

  • do not eat spicy food

  • do not eat food very quickly

  • do not eat or drink something very cold immediately after something hot

Why we get hiccups

There’s often no obvious reason why you get hiccups, but some people find certain things trigger their hiccups, such as:

  • stress
  • strong emotions, like excitement
  • eating and drinking

In rare cases, hiccups that last longer than 48 hours can be due to a medical condition or a medicine you’re taking.

Non-urgent advice: See a GP if:

  • hiccups last longer than 48 hours
  • hiccups come back very often and are affecting your life

Treatment for hiccups from a GP

A GP will want to find out if your hiccups are caused by a health condition or medicine you’re taking.

Treating the condition or changing your medicine should stop your hiccups.

If there’s no obvious cause, they might be able to prescribe a medicine called chlorpromazine to treat your hiccups. This does not work for everyone.

Page last reviewed: 23 June 2023
Next review due: 23 June 2026

How to Make Them Stop and More

Hiccups are caused by the diaphragm involuntarily contracting. Some common causes for this contraction include drinking carbonated beverages, eating a large meal, swallowing too much air, or stress.

Hiccups are repetitive, uncontrollable contractions of the diaphragm, the muscle structure just below your lungs.

The diaphragm marks the boundary between your chest and abdomen, and it also regulates breathing. When your diaphragm contracts, your lungs take in oxygen. When your diaphragm relaxes, your lungs release carbon dioxide.

The diaphragm contracting out of rhythm is what causes hiccups. Each spasm of the diaphragm makes the larynx (voice box) and vocal cords close suddenly. This results in a sudden rush of air into the lungs. Your body reacts with a gasp or chirp, creating the sound characteristic of hiccups.

There’s no way to anticipate hiccups. With each spasm, there’s usually a slight tightening of the chest or throat prior to you making the distinctive hiccup sound.

Most cases of hiccups start and end abruptly, for no noticeable reason. Episodes generally last only a few minutes.

Did you know?

The medical term for hiccups is singultus.

Numerous causes of hiccups have been identified. However, there’s no definitive list of triggers. Hiccups often come and go for no apparent reason.

Common causes of short-term hiccups may include:

  • overeating
  • eating spicy food
  • consuming alcohol
  • drinking carbonated beverages, like sodas
  • consuming very hot or very cold foods
  • a sudden change in air temperature
  • aerophagia, which is swallowing too much air
  • swallowing air while chewing gum
  • excitement or emotional stress

There are several factors that can increase your likelihood of developing hiccups. You may be more susceptible if you:

  • are male
  • experience intense mental or emotional responses, ranging from anxiety to excitement
  • have had surgery, especially abdominal surgery
  • have received general anesthesia

Hiccups and your baby

Hiccups can occur at any age. They can even occur while a fetus is still in the womb.

Hiccups are also normal in newborns, are rarely bothersome for them, and don’t typically require home remedies or treatment.

Was this helpful?

Most hiccups aren’t an emergency or anything to worry about. However, a prolonged episode can be uncomfortable and disruptive to your daily life.

Contact a doctor if you have hiccups that last longer than 2 days. The doctor can determine the severity of your hiccups in relation to your overall health and other conditions.

There are numerous options for treating hiccups. Typically, a short-term case of hiccups will take care of itself. However, the discomfort may make waiting out hiccups unbearable if they last longer than a few minutes.

Home remedies

Not all of these have been proven to stop hiccups, but you can try the following potential treatments for hiccups at home:

  • Breathe into a paper bag.
  • Eat a teaspoon of granulated sugar.
  • Hold your breath.
  • Drink a glass of cold water.
  • Pull on your tongue.
  • Lift your uvula, which is the fleshy piece of tissue that’s suspended above the back of your throat, with a spoon.
  • Attempt to purposefully gasp or belch.
  • Bring your knees to your chest and maintain this position.
  • Try the Valsalva maneuver by shutting your mouth and nose and exhaling forcibly.
  • Relax and breathe in a slow, controlled manner.

Medications

Treating any underlying causes of your hiccups will usually make them go away.

If your hiccups last for a while and have no obvious cause, a doctor may recommend several anti-hiccup medications. The more commonly used medications include:

  • antipsychotic medications chlorpromazine and haloperidol
  • benzodiazepines, a class of tranquilizers
  • seizure medications, such as gabapentin (Neurontin)
  • diphenhydramine (Benadryl), an antihistamine
  • metoclopramide (Reglan), an anti-nausea drug
  • baclofen, a muscle relaxant
  • nifedipine (Procardia, Procardia XL), a blood pressure medication

The Food and Drug Administration (FDA) hasn’t approved any prescription medications for the treatment of hiccups. If a doctor recommends any of the prescription medications above, it’ll be an example of off-label drug use.

Off-label drug use

Off-label drug use means a drug that’s approved by the Food and Drug Administration (FDA) for one purpose is used for a different purpose that hasn’t yet been approved.

However, a doctor can still use the drug for that purpose. This is because the FDA regulates the testing and approval of drugs, but not how doctors use them to treat their patients. So your doctor can prescribe a medication however they think is best for your care.

Massage

A doctor may perform a carotid sinus massage to help stop long lasting hiccups. This involves rubbing the main carotid artery in the neck.

Invasive procedures

There are also more invasive options, which can be used to end extreme cases of hiccups. They include:

  • nasogastric intubation, which is the insertion of a tube through your nose into your stomach
  • gastric lavage (stomach pumping)
  • an anesthetic injection to block the phrenic nerve, which is located in the diaphragm
  • surgical implantation of a diaphragmatic pacemaker, a battery-powered device that stimulates your diaphragm and regulates breathing

Hiccups that last longer than 48 hours are considered persistent. Hiccups that last longer than 2 months are considered intractable, or difficult to manage.

These types of long-term hiccups are categorized by the type of irritant that caused the episode.

Nerve injury or irritation

The majority of persistent hiccups are caused by injury or irritation to either the vagus or phrenic nerve. The vagus and phrenic nerves control the movement of your diaphragm. These nerves may be affected by:

  • irritation of your eardrum, which may be caused by a foreign object
  • throat irritation or soreness
  • goiter
  • gastroesophageal reflux disease (GERD)
  • an esophageal cyst or tumor

Central nervous system (CNS) damage

Other causes of hiccups may involve the central nervous system (CNS). The CNS consists of the brain and spinal cord. If the CNS is damaged, your body may lose the ability to control hiccups.

CNS damage that may lead to persistent hiccups includes:

  • stroke
  • multiple sclerosis (MS)
  • tumors
  • head trauma or brain injury
  • meningitis and encephalitis, which are infections that can cause swelling in the brain
  • hydrocephalus, or the accumulation of fluid on the brain
  • neurosyphilis and other brain infections

Other causes

Hiccups that last for longer periods can also be caused by:

  • misuse of alcohol
  • tobacco use
  • a reaction to anesthesia after surgery
  • certain classes of medications, including barbiturates, steroids, and tranquilizers
  • electrolyte imbalance
  • diabetes
  • kidney failure
  • arteriovenous malformation, a condition in which arteries and veins are tangled in the brain
  • Parkinson’s disease
  • cancer and chemotherapy treatments

Medical procedures

Sometimes, a medical procedure can accidentally cause you to develop long-term hiccups. These procedures are used to treat or diagnose other conditions and include:

  • use of catheters to access the heart muscle
  • placement of an esophageal stent to prop open the esophagus
  • bronchoscopy, in which a doctor uses a thin, lighted tube with a camera on the end to examine your lungs and airways
  • tracheostomy, or the creation of a surgical opening in the neck to allow breathing around an airway obstruction

Diagnosis

If the cause of your hiccups is unclear, a doctor may recommend tests. These can help detect any underlying disease or condition.

The following tests may be useful in determining the cause of persistent or intractable hiccups:

  • blood tests to identify signs of infection, diabetes, or kidney disease
  • liver function tests
  • imaging of the diaphragm with a chest X-ray, CT scan, or MRI
  • echocardiogram to assess heart function
  • endoscopy, in which a doctor uses a thin, lighted tube with a camera on the end to investigate your esophagus, windpipe, stomach, and intestine
  • bronchoscopy

A long-term episode of hiccups can be uncomfortable and even harmful to your health. If left untreated, prolonged hiccups can disturb your sleeping and eating patterns, leading to:

  • sleeplessness
  • exhaustion
  • malnutrition
  • weight loss
  • dehydration

There’s no proven method for preventing hiccups. However, if you experience hiccups frequently, you can try to reduce your exposure to known triggers.

Following this advice may also help reduce your susceptibility to hiccups:

  • Try not to overeat.
  • Avoid carbonated beverages.
  • Protect yourself from sudden temperature changes.
  • Don’t drink alcohol.
  • Remain calm, and try to avoid intense emotional or physical reactions.

Hiccups have a wide range of possible triggers, from drinking soda and eating certain foods to medication use and underlying conditions. A number of possible treatments are also available.

In rare instances, hiccups can last longer than 48 hours. If your hiccups last longer than 48 hours, don’t respond to treatment, or you aren’t sure what’s causing them, see a doctor for a diagnosis.

Also, see a doctor or seek emergency help if you’re having numbness and coordination issues alongside your persistent hiccups. These may be symptoms of a stroke.

Causes and Quick Remedies

Hiccups: Causes and Quick Remedies

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  • Hiccups: Causes and Quick Remedies

Hiccuping is an uncontrolled physiological reaction, in the development of which the phrenic nerve, vagus nerve, and centers of the brain are involved. During hiccups, the intercostal and diaphragmatic muscles tighten, as when inhaling, but the airways overlap, so there is a short breath hold. People hiccup with a characteristic sound, which is caused by the sharp closing of the vocal folds.

Why hiccups occur

Hiccups help to remove excess air from the stomach, so its periodic appearance is not considered a problem. It can occur with a hasty meal, talking while eating. Also, the symptom occurs during laughter, accompanied by a series of quick breaths and overflow of the stomach with air.

The second physiological reason for the appearance of hiccups is irritation of the fibers of the phrenic and vagus nerves, which triggers a specific reflex. The situation most often occurs when the stomach is overdistended with a large amount of food, when swallowing large pieces that hardly pass through the esophagus, after taking spicy, too hot or cold food. In some people, hiccups are provoked by hypothermia, stress, and drinking alcohol.

Long-term hiccups that occur frequently and without association with typical precipitating factors usually indicate a health problem. Possible causes of an unpleasant symptom:

● gastroesophageal reflux disease (GERD), diaphragmatic hernia and other diseases of the esophagus;

● diseases of the liver, pancreas, stomach and intestines;

● diseases of the chest organs – pleurisy, pneumonia, pericarditis, myocardial infarction;

● pathology of the nervous system: encephalitis, intracranial hypertension, traumatic brain injury, tumors of the posterior cranial fossa.

How to deal with hiccups

There are quite a few ways to quickly eliminate hiccups:

● breath holding for 20-30 s;

● a series of deep and slow breaths;

● drinking several sips of water;

● torso tilt forward;

● sucking on an ice cube;

● eating a piece of lemon or other product with a sharp taste;

● inhalation of ammonia;

● pulling the tongue forward for a few seconds.

These simple actions have one of two goals: to stimulate the vagus nerve to stop pathological impulses, or to increase the concentration of carbon dioxide in the blood, as a result of which the nervous regulation of the respiratory system normalizes. Usually a person needs to try several methods and choose the most suitable for himself.

Short-term hiccups pass without a trace and do not have a negative effect on the body, so it is not at all necessary to use the above methods. The person may simply wait a few minutes for the symptom to subside and then return to daily activities.

When to see a doctor

Hiccups that last for several hours and do not disappear after all the methods described in the previous section may be one of the first signs of an organic disease. In such a situation, patients are advised to visit a doctor in order to exclude or confirm the presence of a pathology, to start treatment on time.

The initial consultation is conducted by an ID-Clinic therapist who receives patients at the clinic and provides online consultations via video link. The doctor will analyze the symptoms, ask clarifying questions, refer you for an extended examination and consultation of highly specialized specialists, if necessary.

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