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Hiccoughs causes. Hiccups: Causes, Symptoms, and Effective Remedies

by alexxlab

What causes hiccups. How long do hiccups typically last. What are some home remedies for hiccups. When should you see a doctor for hiccups. How are chronic hiccups treated. Can hiccups be prevented. Are hiccups dangerous.

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Understanding the Mechanism Behind Hiccups

Hiccups are involuntary contractions of the diaphragm, the muscle that separates the chest cavity from the abdomen and plays a crucial role in breathing. When the diaphragm contracts suddenly, it causes a rapid intake of air, which is then abruptly stopped by the closure of the vocal cords. This produces the characteristic “hic” sound we associate with hiccups.

The medical term for hiccups is singultus, derived from the Latin word “singult,” which means “catch one’s breath while sobbing.” This description aptly captures the sudden, involuntary nature of hiccups.

The Anatomy of a Hiccup

To better understand hiccups, let’s break down the process:

  1. The diaphragm contracts suddenly and involuntarily.
  2. This contraction causes a rapid intake of air into the lungs.
  3. The larynx (voice box) and vocal cords close quickly in response.
  4. The sudden closure of the airway results in the characteristic “hic” sound.
  5. This process repeats until the hiccups subside.

Common Causes of Short-Term Hiccups

Hiccups often occur without an apparent reason, but several factors can trigger them. Understanding these triggers can help in preventing or managing hiccups more effectively.

  • Overeating or eating too quickly
  • Consuming spicy foods
  • Drinking carbonated beverages
  • Swallowing air while chewing gum or eating
  • Sudden changes in temperature (either in the environment or consumed food/drinks)
  • Emotional stress or excitement
  • Drinking alcohol

Are certain individuals more prone to hiccups? Research suggests that males may be more susceptible to hiccups than females. Additionally, people who experience intense emotional responses or have recently undergone abdominal surgery may be more likely to develop hiccups.

Home Remedies and Self-Help Techniques for Hiccups

While hiccups typically resolve on their own within a few minutes, several home remedies and techniques may help alleviate them more quickly. It’s important to note that while many people find these methods helpful, scientific evidence supporting their effectiveness is limited.

Breathing Techniques

  • Breathe into a paper bag (without covering your head)
  • Hold your breath for a short period
  • Practice controlled breathing exercises

Physical Interventions

  • Pull your knees up to your chest and lean forward
  • Gently press on your diaphragm
  • Perform the Valsalva maneuver (attempting to exhale while keeping your mouth and nose closed)

Consumption Methods

  • Sip ice-cold water slowly
  • Swallow a teaspoon of granulated sugar
  • Bite on a lemon or taste vinegar
  • Gargle with ice water

Is there a universal remedy for hiccups? Unfortunately, no single method works for everyone. What proves effective for one person may not work for another. It’s often a matter of trial and error to find what works best for you.

When to Seek Medical Attention for Hiccups

While most cases of hiccups are harmless and resolve on their own, prolonged episodes may indicate an underlying medical condition. It’s advisable to consult a healthcare professional if:

  • Hiccups persist for more than 48 hours
  • Hiccups interfere with eating, sleeping, or daily activities
  • Hiccups are accompanied by severe abdominal pain, fever, or shortness of breath
  • You experience recurring episodes of prolonged hiccups

Can hiccups be a sign of a serious condition? In rare cases, persistent hiccups may be associated with underlying medical issues such as gastrointestinal disorders, central nervous system abnormalities, or certain medications. A thorough medical evaluation can help identify and address any potential underlying causes.

Medical Treatments for Chronic Hiccups

When hiccups persist for an extended period or significantly impact quality of life, medical intervention may be necessary. Doctors may employ various strategies to diagnose and treat chronic hiccups.

Diagnostic Approaches

  • Physical examination
  • Blood tests to check for infections or metabolic imbalances
  • Imaging studies (e.g., chest X-ray, CT scan) to examine the diaphragm and surrounding structures
  • Endoscopy to evaluate the esophagus and stomach

Treatment Options

Treatment for chronic hiccups often focuses on addressing the underlying cause, if one is identified. Some potential interventions include:

  • Medications such as chlorpromazine, baclofen, or gabapentin
  • Nerve blocks or stimulation techniques
  • Surgical interventions in severe cases

How effective are medical treatments for chronic hiccups? The success of treatment varies depending on the underlying cause and the individual’s response. In many cases, a combination of therapies may be necessary to achieve relief.

Hiccups in Special Populations

Hiccups can affect individuals of all ages, but they may present unique considerations in certain populations.

Hiccups in Newborns and Infants

Hiccups are common in newborns and infants and are generally harmless. They may even occur while the fetus is still in the womb. For babies, hiccups are rarely bothersome and typically don’t require intervention.

Should parents be concerned about frequent hiccups in babies? In most cases, frequent hiccups in infants are not a cause for concern. However, if hiccups seem to be causing distress or interfering with feeding, it’s advisable to consult a pediatrician.

Hiccups in Pregnancy

Pregnant women may experience an increase in hiccups due to changes in the position of the diaphragm as the uterus expands. While usually harmless, persistent hiccups during pregnancy should be discussed with a healthcare provider.

Preventing Hiccups: Lifestyle and Dietary Considerations

While it’s not always possible to prevent hiccups, certain lifestyle and dietary modifications may help reduce their frequency:

  • Eat and drink slowly to avoid swallowing excess air
  • Avoid carbonated beverages or drink them in moderation
  • Limit consumption of spicy foods if they tend to trigger hiccups
  • Practice stress-reduction techniques if emotional factors contribute to your hiccups
  • Maintain good posture while eating to reduce pressure on the diaphragm

Can dietary changes completely eliminate hiccups? While no dietary approach can guarantee the prevention of hiccups, being mindful of eating habits and potential trigger foods may help reduce their occurrence for some individuals.

The Science Behind Hiccup Research

Despite their commonplace nature, hiccups continue to intrigue medical researchers. Scientists are exploring various aspects of hiccups, including their evolutionary origins, neurological mechanisms, and potential therapeutic approaches.

Evolutionary Perspectives

Some researchers propose that hiccups may be an evolutionary remnant from our amphibian ancestors. The motor pattern of hiccups resembles the gill ventilation seen in amphibians, suggesting a possible link to our distant evolutionary past.

Neurological Investigations

Studies are ongoing to better understand the neural pathways involved in hiccups. This research may lead to more targeted treatments for chronic hiccups in the future.

What recent advancements have been made in hiccup research? While progress has been made in understanding the mechanisms behind hiccups, much remains to be discovered. Ongoing research focuses on developing more effective treatments for chronic hiccups and exploring potential connections between hiccups and other medical conditions.

In conclusion, hiccups are a common physiological phenomenon that, while usually harmless, can occasionally be a sign of underlying medical issues. Understanding their causes, exploring effective remedies, and knowing when to seek medical attention can help manage this sometimes frustrating occurrence. As research continues, we may gain further insights into the complex nature of hiccups and develop more targeted approaches to their prevention and treatment.

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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  • Lavrenchuk Dmitry Vadimovich

    Infectionist,
    Hepatologist,
    Therapist,
    PhD