Hiccups
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
Hiccups are characteristic sounds produce by involuntary contraction of diaphragm, the muscle that separates your chest from your abdomen and plays an important role in breathing. This involuntary contraction causes your vocal cords to close very briefly, which produces the characteristic sound of a hiccup.
Hiccups may result from a large meal, alcoholic or carbonated beverages or sudden excitement. In some cases, hiccups may be a sign of an underlying medical condition. For most people, a bout of hiccups usually lasts only a few minutes. Rarely, hiccups may persist for months. This can result in weight loss and exhaustion.
Symptoms
Hiccupping is a symptom. It may sometimes be accompanied by a slight tightening sensation in your chest, abdomen or throat.
Treatment
Non-pharmacological therapy:
Valsalva maneuver
Carotid sinus massage
Digital Ocular Globe pressure
Breath holding
Hyperventilation
Mental distraction
Pharmacological therapy:
Inj Chlorpromazine (Largactil) 25m IM Stat, then Tab Largatil 25mg PO x TDS
Inj Metoclopramide (Metomide) 10mg IV Stat or Tab Metomide 10mg 1x TDS PO
Baclofen (Baclin)10mg 1x TDS
Inj Xylocaine 1amp in glass of milk and drink