Hiccups for over 24 hours. Chronic Hiccups: Causes, Treatments, and Long-Term Effects

07.04.202214.07.2023 by alexxlab

What are chronic hiccups. How long do chronic hiccups last. What causes persistent hiccups. How are prolonged hiccups treated. Who is at risk for chronic hiccups. What health issues can chronic hiccups cause. When should you see a doctor for hiccups.

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Understanding Chronic Hiccups: More Than Just an Annoyance

Hiccups are a common occurrence that most people experience from time to time. However, when hiccups persist for an extended period, they can become more than just a minor inconvenience. Chronic hiccups, also known as persistent hiccups, are defined as episodes that last longer than 48 hours or recur frequently over prolonged periods.

What exactly causes chronic hiccups? The root of the problem lies in involuntary contractions of the diaphragm, the large muscle separating the chest cavity from the abdomen. These contractions are followed by a rapid closure of the vocal cords, producing the characteristic “hic” sound.

Duration of Chronic Hiccups

How long can chronic hiccups last? Unlike regular hiccups that typically resolve within minutes or hours, chronic hiccups can persist for days, weeks, or even years in some cases. This prolonged duration is what sets them apart from ordinary hiccups and makes them a medical concern rather than a mere nuisance.

The Underlying Causes of Persistent Hiccups

What triggers chronic hiccups? While the exact cause isn’t always clear, several factors have been identified as potential culprits:

Recent abdominal surgery
General anesthesia
Diseases affecting the esophagus, stomach, intestines, kidneys, or liver
Cancer tumors
Brain or spinal cord lesions
Brainstem seizures
Pneumonia
Irritation of nerves controlling breathing

It’s important to note that chronic hiccups can sometimes be a symptom of an underlying medical condition, particularly those affecting the autonomic nervous system. This system controls involuntary bodily functions such as breathing, heartbeat, and digestion.

Risk Factors for Developing Chronic Hiccups

Who is more likely to experience chronic hiccups? While they can affect anyone, certain factors may increase the risk:

Recent general anesthesia
Anxiety or other mental health issues
Surgery in the abdominal area
Liver, bowel, stomach, or diaphragm illnesses
Pregnancy
Cancer
Excessive alcohol consumption
Nervous system disorders

Understanding these risk factors can help individuals and healthcare providers identify potential causes and develop appropriate treatment strategies.

Health Implications of Chronic Hiccups

Can chronic hiccups cause health problems? Indeed, persistent hiccups can lead to various health issues if left untreated:

Exhaustion due to sleep disturbances
Severe weight loss from decreased appetite or difficulty eating
Dehydration
Malnutrition
Speech difficulties
Psychological distress and reduced quality of life

These potential complications underscore the importance of seeking medical attention for chronic hiccups rather than dismissing them as a mere inconvenience.

Diagnosing and Treating Persistent Hiccups

How are chronic hiccups diagnosed and treated? The process typically involves a thorough medical evaluation to identify any underlying causes. Treatment approaches may include:

Addressing the underlying health condition causing the hiccups
Prescription medications such as baclofen, chlorpromazine, valproic acid, or metoclopramide
Surgical interventions, including implantation of a device to electrically stimulate the vagus nerve
Anesthetic injections to the phrenic nerve
Alternative therapies like acupuncture

It’s crucial to note that self-treatment methods effective for ordinary hiccups are usually insufficient for chronic cases. Professional medical intervention is typically necessary to resolve persistent hiccups effectively.

When to Seek Medical Attention for Hiccups

At what point should you consult a doctor about hiccups? While occasional hiccups are normal, you should seek medical attention if:

Your hiccups last longer than 48 hours
You experience multiple hiccup episodes that occur more frequently over time
Your hiccups are interfering with eating, sleeping, or daily activities
You’re experiencing other symptoms alongside the hiccups

Early intervention can help identify and address any underlying issues, potentially preventing more serious complications.

The Rarity and Complexity of Chronic Hiccups

How common are chronic hiccups? Chronic hiccups are relatively rare compared to ordinary hiccups. This rarity, combined with the potential complexity of underlying causes, can make diagnosis and treatment challenging. It often requires a multidisciplinary approach involving various medical specialists to effectively manage persistent hiccups.

The Impact on Quality of Life

How do chronic hiccups affect daily life? Beyond the physical discomfort, chronic hiccups can significantly impact an individual’s quality of life. They can interfere with work, social interactions, and overall well-being. The persistent nature of the condition can lead to frustration, anxiety, and even depression in some cases.

Research and Future Directions in Chronic Hiccup Management

What advancements are being made in treating chronic hiccups? Ongoing research is exploring new treatment options and seeking to better understand the mechanisms behind persistent hiccups. Some areas of focus include:

Novel pharmacological approaches
Advanced neuroimaging techniques to identify brain regions involved in hiccup generation
Exploring the potential of neurostimulation therapies
Investigating the role of the gut-brain axis in chronic hiccups

These research efforts aim to provide more effective and targeted treatments for individuals suffering from chronic hiccups.

The Role of Patient Education

Why is patient education important in managing chronic hiccups? Educating patients about the nature of chronic hiccups, potential causes, and available treatment options is crucial. This knowledge empowers individuals to seek timely medical attention and actively participate in their treatment plan. It also helps reduce anxiety and misconceptions about the condition.

Coping Strategies for Living with Chronic Hiccups

How can individuals cope with persistent hiccups in their daily lives? While medical treatment is essential, there are some strategies that may help individuals manage the impact of chronic hiccups:

Maintaining a regular sleep schedule to minimize fatigue
Eating smaller, more frequent meals to reduce discomfort
Practicing stress-reduction techniques such as meditation or deep breathing exercises
Joining support groups or online communities for individuals with chronic hiccups
Working with a mental health professional to address any psychological impacts

These coping strategies, combined with proper medical care, can help improve quality of life for those living with chronic hiccups.

The Importance of Follow-up Care

Why is ongoing medical follow-up important for chronic hiccup patients? Regular follow-up appointments allow healthcare providers to monitor the effectiveness of treatments, adjust management strategies as needed, and address any new concerns or complications that may arise. This continuous care is crucial for optimizing outcomes and ensuring the best possible quality of life for individuals with chronic hiccups.

Dispelling Myths About Chronic Hiccups

What are some common misconceptions about chronic hiccups? There are several myths surrounding persistent hiccups that need to be addressed:

Myth: Chronic hiccups are always harmless.
Reality: They can be a sign of serious underlying conditions and can cause health problems if left untreated.
Myth: Home remedies that work for regular hiccups will cure chronic hiccups.
Reality: Chronic hiccups typically require medical intervention and cannot be resolved with simple home remedies.
Myth: Chronic hiccups will eventually go away on their own.
Reality: Without proper treatment, chronic hiccups can persist for extended periods and significantly impact quality of life.
Myth: Chronic hiccups only affect the elderly.
Reality: While more common in older adults, chronic hiccups can affect people of all ages.

Dispelling these myths is crucial for encouraging timely medical attention and appropriate treatment for chronic hiccups.

The Role of Interdisciplinary Care

Why is an interdisciplinary approach important in managing chronic hiccups? Given the complex nature of chronic hiccups and their potential underlying causes, a team-based approach involving various medical specialists can be beneficial. This may include neurologists, gastroenterologists, pulmonologists, and pain management specialists working together to provide comprehensive care.

Preventive Measures and Lifestyle Considerations

Can chronic hiccups be prevented? While not all cases of chronic hiccups can be prevented, certain lifestyle modifications may help reduce the risk or frequency of episodes:

Avoiding triggers such as carbonated beverages or spicy foods
Managing stress through relaxation techniques
Maintaining a healthy diet and weight
Limiting alcohol consumption
Quitting smoking
Practicing good posture to reduce pressure on the diaphragm

While these measures may not guarantee prevention, they can contribute to overall health and potentially reduce the likelihood of developing chronic hiccups.

The Psychological Impact of Chronic Hiccups

How do chronic hiccups affect mental health? The persistent nature of chronic hiccups can take a significant toll on an individual’s mental well-being. It may lead to:

Anxiety and depression
Social isolation due to embarrassment or discomfort
Frustration and irritability
Sleep disturbances and resulting mood changes
Decreased self-esteem and confidence

Addressing these psychological aspects is an important part of comprehensive care for individuals with chronic hiccups.

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.

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

Persistent/Long-Lasting Hiccups

Download PDF Copy

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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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 in adults and children. How to stop hiccups – clinic “Dobrobut”

Main

Medical Library Dobrobut

Publication date: 2020-02-17

Causes of hiccups in adults and children, how to get rid of

Hiccups in children and adults are often perceived as normal. But you need to know that in some cases it can be a sign of serious pathological problems. With constant and prolonged hiccups, a doctor’s consultation is necessary. A pediatrician will help to understand the causes of this problem in a child. Adults are advised to consult a neurologist.

Causes of hiccups

If the problem has affected the child and worries regularly, then it is necessary to exclude pathologies and only after that look for the cause. Perhaps the baby just overate, but hiccups in newborns may be due to an imperfect connection between the diaphragm and the brain, or swallowing air during feeding. The problem can also begin with hypothermia, so babies need to be dressed slightly warmer than an adult.

Hiccups in adults may occur due to:

overeating;
intake of carbonated drinks;
hysterics and sobs;
fits of laughter.

Hiccups often occur during pregnancy due to increased intra-abdominal pressure. In addition, the condition under consideration can occur as a manifestation of stress, drug poisoning, and excessive consumption of alcoholic beverages.

No matter what causes hiccups, you need to know how to quickly stop an attack of convulsive contraction of the muscles of the diaphragm – this is how this problem is classified in medicine.

How to get rid of hiccups

Hiccups in a small child are not harmful to health, but you need to make every effort to ensure that the attack ends. In no case should you scare the baby – the grandmother’s way of quickly getting rid of hiccups can provoke disorders of the nervous system, since it is not yet fully formed. Boiled water will be the best solution – just a few sips and after 10-30 seconds the diaphragm will stop convulsively contracting.

How to get rid of hiccups in adults and older children:

suck and chew/swallow a slice of lemon slowly;
Slowly drink a glass of water at room temperature in small sips;
Eat 1-2 teaspoons of sugar with water (better – dissolve 2 pieces of refined sugar).

How to quickly get rid of hiccups: take a deep breath, opening your mouth wide. Hold your breath with your mouth open for a few seconds. Usually the attack stops immediately, but the reception can be repeated several times. If the problem is triggered by hypothermia, dress warmly, drink hot tea or cover yourself with a blanket.

What should I do if I have hiccups that occur frequently and are characterized by a prolonged attack? There are specific drugs:

Cisapride – taken 1 tablet before meals and 1 tablet at night;
Baclofen – an average of 10 mg 3 times a day;
Chlorpromazine – 25 mg intramuscularly 4 times a day.

Such appointments are made by a doctor, since self-administration of medicines is fraught with undesirable consequences, severe side effects.

You can find out how to stop hiccups on your own and what will help your child at an appointment with a neurologist or pediatrician. And you can sign up for a consultation with specialists on our website dobrobut. com

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