Hiccups

Revision as of 08:09, 9 September 2015 by Mholtz (talk | contribs)

Background

  • Usually initiated by gastric distention from food, carbonated beverage, or air
  • Also known as Singultus

Clinical Features

  • Hiccups

Differential Diagnosis

Diagnostic Evaluation

  • Clinical diagnosis
  • Consider auditory canal exam (foreign body against TM can trigger hiccups)
  • Consider CXR

Management

  • Physical Maneuvers (stimulating pharynx blocks the vagal portion of the reflex arc)
    • Remove foreign body from ear
    • Swallow teaspoon of sugar
    • Sip ice water
    • Drink water quickly
  • Meds

Disposition

  • Discharge for uncomplicated hiccups

See Also

References