Hiccups for over 24 hours: Hiccups – Symptoms and causes

08.04.202214.07.2023 by alexxlab

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Chronic Hiccups: Causes, Treatments, and More

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Medically reviewed by Stacy Sampson, D. O. — By Diana Wells — Updated on May 22, 2023

Hiccups are caused by spasms in your diaphragm, the large muscle just below your lungs. Some people have chronic hiccups that last for days, weeks, or years.

Hiccups happen when your diaphragm contracts involuntarily, which is also known as a spasm.

The diaphragm is a muscle that helps you breathe. It’s located between your chest and your abdomen.

After the involuntary contraction, your vocal cords will rapidly shut. This is what causes the sound that comes with hiccups.

For most people, hiccups usually last a few minutes and are not a medical concern. However, if your hiccups last longer than 2 days, they’re considered chronic. They’re also referred to as persistent if they last over 2 days, but end within 1 month.

If you have multiple recurring episodes of hiccups over prolonged periods of time, this is also considered chronic hiccups.

Chronic hiccups can last for years in some people and are usually a sign of a medical issue. They can also cause health issues themselves.

You may experience exhaustion when they keep you awake most nights. Chronic hiccups can also lead to severe weight loss because they can affect your appetite or desire to eat.

Chronic hiccups are very rare, but people who may have a higher risk of getting chronic hiccups include those who:

have recently undergone general anesthesia
experience anxiety or other mental health issues
have had surgery in the area of the abdomen
have illnesses of the liver, bowel, stomach, or diaphragm
are pregnant
have cancer
drink alcohol excessively
have a nervous system disorder

Treating chronic or persistent hiccups will usually require more than just drinking a glass of water.

Since chronic hiccups cause health issues and can also be a sign of a larger health concern, the majority of treatments require the help of a medical professional.

You usually can’t treat the issue yourself or resolve the problem at home. Treatments depend on the underlying cause and may include:

treating the underlying health condition that’s causing the hiccups
taking medications prescribed by a doctor, such as baclofen, chlorpromazine, valproic acid, or metoclopramide
having surgery, such as implanting a device that electrically stimulates the vagus nerve
injecting the phrenic nerve with anesthetic
acupuncture

There are many things believed to cause hiccups, but the cause of chronic hiccups isn’t always known. The cause may also take an extended period of time to discover.

The following are just some of the possible causes:

recent abdominal surgery
general anesthesia
diseases of the esophagus, stomach, intestines, kidneys, or liver
cancer tumors
brain or spinal cord lesions
brainstem seizures
pneumonia
irritation of the nerves that control breathing

Related conditions

Conditions that are related to chronic hiccups may include any medical or health issue that involves the autonomic nervous system. This is the system that controls your body’s unconscious actions, like breathing, heartbeat, and digestive tract functions.

While one-time or occasional hiccups are common and resolve quickly, chronic hiccups are very rare and more difficult to treat.

It’s important that you see a medical professional if you have hiccups that last more than 2 days or you’ve had multiple hiccup episodes that are occurring more frequently over time, as they could be a symptom of a serious medical condition.

Even if the cause is not found, chronic hiccups alone can affect your quality of life as well as your health if they’re not treated.

You can connect with a primary care doctor in your area using the Healthline FindCare tool.

Read this article in Spanish.

Last medically reviewed on November 6, 2018

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

6.01 Singultus (hiccups). (n.d.).
ncemi.org/cse/cse0601.htm
Chronic hiccups. (2014).
rarediseases.info.nih.gov/diseases/6657/chronic-hiccups
Greenberger NJ. (2018). Hiccups.
merckmanuals.com/home/digestive-disorders/symptoms-of-digestive-disorders/hiccups
Hiccups, chronic. (2005).
rarediseases.org/rare-diseases/hiccups-chronic/
Mayo Clinic Staff. (2017). Hiccups.
mayoclinic.org/diseases-conditions/hiccups/basics/definition/con-20031471

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

May 22, 2023

Written By

Diana Wells

Edited By

Stella Miranda

Nov 6, 2018

Medically Reviewed By

Stacy Sampson, D. O.

Share this article

Medically reviewed by Stacy Sampson, D.O. — By Diana Wells — Updated on May 22, 2023

Persistent/Long-Lasting Hiccups

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By Sally Robertson, B.Sc.Reviewed by Susha Cheriyedath, M.Sc.

Hiccups occur as a result of the diaphragm suddenly involuntarily contracting. The diaphragm is the layer of muscle that separates the chest and abdominal cavities and plays an important role in controlling breathing. Tightening of the diaphragm causes the vocal cords to suddenly close, which results in the characteristic “hic” sound.

Illustration of diaphragm (yellow) in the body.

Hiccups are very common and affect almost everybody at some point in their lives. Often they occur in the absence of any trigger, although short episodes of hiccups have been linked to a number of causes such as drinking alcohol, eating large quantities of food, drinking fizzy or hot drinks, smoking, eating too quickly and becoming excited, stressed, or scared.

Chronic hiccups

Hiccups generally pass after a few minutes/hours or occasionally, a day or two. In some cases, however, they can last for an extended period of time. Episodes that do not pass within two days and last for up to one month are referred to as “persistent” and in the rare case of them lasting for even longer than one month, they are referred to as “intractable.” The longest episode of hiccups that has even been recorded lasted for 60 years.

Hiccups that recur over long periods are also referred to as “chronic” and depending on how long chronic hiccups last, people may suffer from disrupted sleeping or eating patterns. This can lead to exhaustion, dehydration, and weight loss.

Causes

Nerve damage or irritation

The underlying cause of chronic hiccups is often unknown and the condition is not thought to be inherited, with most cases occurring sporadically in individuals who have no family history of the problem. The most common cause of chronic hiccups is nerve damage or irritation. More specifically, the vagus nerve or phrenic nerve may be affected, which are nerves that serve the diaphragm. Examples of problems that may affect these nerves include the following:

Laryngitis

Gastroesophageal reflux

Growth in the neck such as a tumor or cyst

A hair touching the eardrum

Disorders of the central nervous system

A health problem that affects the central nervous system can interfere with the body’s ability to control the hiccup reflex. Some examples of these problems include the following:

Multiple sclerosis

Stroke

Encephalitis

Meningitis

Tumor

Traumatic brain injury

Metabolic disorders

Some examples of metabolic disorders that are associated with the development of chronic hiccups include:

Diabetes

Kidney disorders

Liver abnormality

Electrolyte imbalance

Fever

Uremia

Hyponatremia

Hypocalcemia

Drugs

The use of certain drugs is also associated with chronic hiccups and examples include:

Anesthesia

Short-acting barbiturates

Steroids

Tranquilizers

Other health problems

Further examples of health problems that are associated with chronic hiccups include:

Those that cause irritation to the diaphragm such as pneumonia, hiatal hernia, pleurisy, and pericarditis

Gastrointestinal diseases

Psychological conditions such as hysteria or shock

Diagnosis and treatment

A doctor can usually diagnose a case of chronic hiccups based on symptoms, but a full physical examination may be required, along with a range of blood tests and imaging studies to establish the exact underlying cause. Treatment then depends on the cause and may include the following:

Muscle relaxants

Anticonvulsants

Sedatives

Analgesics

Stimulants

In rare cases, medication may not be sufficient to resolve chronic hiccups and surgery may be performed to block the phrenic nerve, which controls the diaphragm.

Sources

http://www.nhs.uk/Conditions/Hiccup/Pages/Treatment.aspx

www.mayoclinic.org/…/con-20031471

www.mayoclinic.org/…/con-20031471

https://rarediseases.org/rare-diseases/hiccups-chronic/

https://rarediseases.info.nih.gov/diseases/6657/chronic-hiccups

Gikavka: causes, symptoms and preparations for healing

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Creation date: 06/22/2021
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Gykavka

Vydpovidno to the International classification ailment, gykavka – tse anomalous sickness. Vaughn blames through the judiciary shortness of the intercostal membranes and diaphragms, which subjugates the nerve structures of the brain. As a result, there is a short inhalation, a sharp breath again teasing the nerves and closing the vocal gap – the process itself is accompanied by a specific sound, which we call a whoop.

Species of the whooping

Mentally divide the whooping into three types:

Short-hour (episodic) – sound three times no more than 15 whilins.
Stay – foretell the day by stretching for a few days or tyzhnіv past, you can save yourself by stretching for a long time and navit deb.
Pathological – whooping, which trembles for months and inspires with fates.

The drive to get to the doctor is a stalk and a pathological whoop. Most of the fluctuations stink about the presence of a traumatic poshkodzhennya or illness, as if calling out a sharp shortness of the diaphragm.

Stikka and pathological hiccups fallowly depending on the localization of the pathological fossa are subdivided into: nkovo-intestinal ailments;

central – due to the result of stimulation to the center of the whooping after damage to the spinal cord and / or the brain;

toxic – develops in the aftermath of metabolic disorders, infusion of certain medicinal properties, smoking, alcohol abuse.

Causes of whooping

Episodic whooping is a natural reaction to the teasing of the bulging nerve – this is how the excess of the tube bulges every once in a while. And the purchase of a cold wind can be maddened by the survival of dry food (baking, bagels, crackers), sprago, quick hedgehog, overdating, or by hunger, overcooling, severe stress. Causes of whooping in children and adults are similar.

In newborns, the hiccup is a wider phenomenon, the shards in the first months of life are the mechanisms that regulate the short-lived function of the diaphragm, supra-lingually awake. This is explained by the fact that they are not able to adapt to the necessary world. In most cases, in the little ones, the hiccup vinikaє through the supra-mundane stretching of the walls of the sluice to show that they spent the first hour of the year, or even when they were transferred. Also, the whooping can winknut through overcooling, or a strong perelyak.

Like a baby’s whooping, it’s on its own and it’s not good, it’s not good to show off. However, if you blame it regularly, or save three hours, you need to consult a doctor to rule out the possibility of a serious illness.

Possible causes of permanent hiccups of the central gait:

encephalitis;
meningitis;
circulatory disorders;
newborn or trauma to the brain;
cerebral artery aneurysm;
Russian sclerosis and in.

Peripheral hiccup – part of the “companion” of patients from:

diaphragmatic hernia;
with puffs for a stravokhod or a hose;
ailments and newly formed pidshlunkovoy vines;
virazkovy ailment of the slough and twelve-fingered intestines;
zhovchnokam’yanoy twig;
gastroesophageal reflux;
disruption of the rhythm of the heart, yakі vymagayut setting electrocardiostimulator;
myocardial infarction;
ailments of dichal organs (especially laryngitis, pneumonia and middle dorsal swellings) and in.

Trivala toxic hawk in an adult human is affected by metabolic disorders. These can include diabetic neuropathy on aphids, cerebrodiabetes, hypokalemia (prolapsed diarrhea, vomiting), hypocalcemia, uremia, etc.

The cause of hiccups in older people can be the use of drugs, for example, morphine, azithromycin, tranquilizers, barbiturates, chemotherapeutic drugs.

Diagnosis of hicks

The presence of hicks is essential for a definite diagnosis of the whole organism, in order to establish the cause of the pathological state. We prescribe consultations of a cardiologist and a neurologist to exclude myocardial infarction and cerebral stroke. For obstezhennya, it is necessary to conduct an electrocardiogram and magnetic resonance imaging.

Depending on the clinical picture, the following investigations may be needed: radiography, computed tomography, gastroscopy, spirography, electroencephalography, bronchoscopy, esophagomanometry, as well as calcium blood count, for creatinine, functional state of the liver and other.

Geek at the newlyweds: what’s the job?

Even though it is cold in the house, it is necessary to wrap up the little one and take it in your arms to warm it with its warmth.

Like a whoosh started on the first hour of the day, or right after the birthday, next to vilify the lack of a vertical position, stroking on the back. Tse to speed up the exit too much again from the hose.

Like a whoosh at a child’s trival, it is necessary to turn to the doctor.

Treatment of the hoot in mature adults

Trivala of the boar in any case does not become ill, as a symptom of a serious pathology, therefore the scheme of treatment is stale only in the case of the main problem of health.

Tablets in the form of a hive of the central movement, which should be used exclusively for symptomatic therapy (when a person has taken hicati): haloperidol, chlorpromazine, sodium valproate, gabapentin, pregabalin, nifedipine, methylphenidate. The stench teases the diaphragm and normalizes the work of the central nervous system.

In case of suputnіh slutkovo-intestinal disorders, it may be recommended to treat hives in mature adults, which normalizes etching, for example, domperidone, metoclopramide, simethicone, or a drug from the group of proton pump inhibitors.

Complimentary

Trivala hawk suddenly worsens the quality of a person’s life, causing insomnia, stress, nervous exhaustion. Porushuєtsya vmoktuvannya їzhi in the slunkovo-intestinal tract, scho lead to waste vaga. Іsnuє risky development of esophagitis, dehydration.

Prevention

There are only two ways that you can protect yourself from the attacks of the whoop:

ї, hot or cold;
unique overcooling.

List of references

Shtulman D.R., Levin O.S. Neurology: practical doctor’s guide. – 6 types. – 2008. – 1024 p.
WHO.

More information about the boom

How to fix the boom?

What to do with episodic whooping? To wake up, you can drink a glass of cold water, drink sour (a slice of lemon, for example) or licorice (a spoonful of honey), and do dichal gymnastics.

Which drug helps against hicks?

It’s a pity, we still don’t know how to look for a hawk, yak would help by stretching the shortest possible period of an hour. You can take over-the-counter zasib, which will normalize the poisoning.

Which body is responsible for the hack?

At the mechanism of the boom, the back of the diaphragm and the intercostal membranes.

How much money can you get?

Episodic – up to 15 hvilin (one and a half years old), stay – sprat of years or days.

Respect! Symptom card is recognized as exclusive for lighting purposes. Do not engage in self-deception; with good food, as if you are suffering from illness and ways of yogo rejoicing, go to the doctor. Our site does not bear any responsibility for the references, caused by the wrong placement on the new information.

Hiccups after alcohol: how to get rid of drugs and folk remedies

Many people are familiar with the state of a hangover. After drinking or binge drinking, a person experiences pressing pain in the temporal part and a state of weakness, faces nausea and weakness. Sometimes there is hiccups after alcohol, which is inconvenient. It comes on suddenly and lasts for a long time. There are different ways to alleviate the condition – folk remedies and medicines.

Causes of hiccups

Everyone experiences hiccups. A sharp sound occurs at the moment when the muscle tissues of the diaphragm and larynx contract. This process cannot be controlled, so a person is faced with uncomfortable sensations.

Hiccups are a physiological process that does not have a negative effect. It continues reflexively. Hiccups help to remove excess air, which for various reasons accumulates in the gastrointestinal tract.

Natural hiccups

It occurs due to a large intake of oxygen in the stomach. There is also increased gas production. The syndrome occurs abruptly and unexpectedly, passes without the use of drugs and folk remedies. This syndrome does not cause discomfort.

When the syndrome occurs, the epiglottis opens. In this case, the diaphragm relaxes. When air enters the lungs, the epiglottis slams shut and a rather sharp sound is made.

Hiccups after drinking alcoholic beverages

Hiccups due to drinking alcohol are different from physiological ones. Symptoms occur when the body is poisoned in excess with ethyl alcohol and poisons. There are several main causes and factors that lead to the formation of hiccups:

Distribution of toxic toxins in the body. They affect all systems and internal organs. With excessive use of ethyl, there is a sharp deterioration in well-being.
Enlargement of the liver. When the organ expands, there is increased pressure on the muscles of the diaphragm.

Alcohol hiccups require special attention. Often it indicates danger. The syndrome can continue for a long time, cause discomfort. Internal organs wear out faster, cease to function normally.

A person has a severe headache. The body gradually weakens. There are situations when hiccups provoke more serious and negative consequences. When a person consumes a large amount of alcohol, the actions become uncontrollable. In a horizontal position, bouts of vomiting often occur. In severe alcohol intoxication, suffocation with one’s own vomit may occur.

Often, hiccups with a hangover occur against the background of hidden pathological conditions. They develop in the body when a person consumes alcohol for a long time, is in a binge. There are several common diseases that provoke the appearance of this syndrome:

Polyneuritis. Pathology develops as a result of toxic damage to the nerves. A person feels weakness in the muscles, paresis of various shapes, impaired sensitivity.
Microinfarction. If hiccups do not stop for a long time, then it may indicate that an emerging microinfarction is taking place.

A drinker often perceives hiccups on the background of alcohol intoxication as a natural physiological process. The body through this symptom indicates the development of serious pathologies.

Ways to help

When hiccups from alcohol appear, traditional medicine or a qualified doctor will tell you how to get rid of it. There are proven methods that have been developed by folk healers. The main task is to help the internal organs and the body. It is important to use all means to remove toxins and other poisons. To do this, you need to induce a gag reflex.

How to get rid of hiccups after alcohol by proven folk methods:

Drink plain water. To eliminate hiccups use water without gas. You need to drink in slow sips, gradually. This is a safe and easy way. Water helps to eliminate irritation on the nerves that are in the gastrointestinal tract. You can go to the sink, tilt your torso forward and drink the liquid.
Eating bitter or sweet foods. When they enter the digestive system, spasms stop. You can drink a teaspoon of apple cider vinegar, put a slice of lemon on your tongue.
Mixing a small amount of sugar with beer. This mixture helps relieve spasms.
Getting rid of hiccups by reflex. To do this, put your finger in your mouth, cause a gag reflex. It does not need to be brought to extreme measures to cause vomiting. This method helps to eliminate the rhythm of hiccups.

Another effective option is to hold on to your tongue. When hiccups attack, you need to open your mouth, grab your tongue, pull it slightly. It must be held in this position for 3-4 seconds.

Helpful hints

Drinking water while lying on the floor can sometimes help. Hiccup reflexes begin to gradually switch to swallowing, so the syndrome stops. You can sit down and do breathing exercises. First, take a deep breath, draw air into the lungs, hold your breath for a few seconds. The method is used in the event of alcoholic and physiological hiccups.

Mint or chamomile tea can be brewed weakly. It has a calming effect on the body. During the day, you are allowed to drink no more than three cups of tea. If you exceed the established norm, then there is an increased load on the work of the cardiovascular system. You need to drink tea slowly, in small sips.

You can chew some black bread croutons. They cannot be drunk with water. Dry food helps eliminate hiccups. It is allowed to apply a warm heating pad to the chest area. It shouldn’t be hot. The duration of the procedure is 25 minutes.

The use of medicines

When traditional methods have not been effective and have not brought the expected result, it is necessary to resort to the use of medicines. First you need to pass all the tests, make an appointment with a doctor, undergo a comprehensive examination. Therapy is prescribed after the diagnosis is made.

In most cases, prolonged hiccups are associated with diseases of a neurological nature. For treatment, doctors can prescribe the following sedative medications to the patient:

Antipsychotics. They have a sedative effect, stop the increased sensitivity of the vagus nerve.
Muscle relaxants. These are good medicines that act on the body in a relaxing way. After use, the negative impact on muscle tissue and the diaphragm is minimized.
Enzyme preparations. These medicines not only calm the body, but also improve the functioning of the gastrointestinal tract. Additionally, inflammatory processes of various etiologies are stopped.

It is important to remember that you cannot buy medicines on your own and use them without consulting your doctor. All medicines have their indications and contraindications for use.

How not to help with hiccups?

When a person is in a state of hangover, he experiences a sharp deterioration in health and well-being. Many have heard that fear helps to alleviate the condition. But this is not an effective and dangerous way. Often it leads to a sharp deterioration in the condition. There is a possibility of a nervous breakdown.

It is important to take into account that after prolonged and prolonged use of alcoholic beverages, the human body and all internal organs are depleted. The nervous system also weakens, so the reaction to fear can be unpredictable. Another common mistake is drinking carbonated drinks.

Such water does not help to minimize excessive strain on muscle tissue. Soda exacerbates the situation. You can’t overeat with a hangover. When to see a doctor:

prolonged hiccups that last more than 60 minutes;
attacks recur several times a day;
along with hiccups, the chest begins to hurt, heartburn or discomfort occurs when swallowing.

You should never eliminate hiccups and fight a hangover syndrome with alcoholic beverages. In this case, there is a possibility of a prolonged binge. It leads to serious violations of all internal organs and systems.

Preventive measures

When hiccups stop, it is necessary to see a doctor to assess the state of the body.