HICCUPS : understanding, symptom, Cause, diagnosis, Treatment and complication

Definition Of Hiccups

Hiccups or singultus is a discharge of a typical sound like 'hic' due to closing of the vocal cords suddenly triggered by the contraction of the diaphragm. The diaphragm is the muscle membrane separator thoracic and abdominal cavity which has an important role in the respiratory system.
Hiccups can be experienced by all ages, including infants. The duration of the time when someone hiccups vary greatly, but most are just a few minutes.
HICCUPS : understanding, symptom, Cause, diagnosis, Treatment and complication

There are several things that can cause the diaphragm to contract thus causing the hiccups, among them:
  • Soft drink
  • hot drinks
  • Alcoholic beverages
  • Spicy food
  • cigarette
  • Bloated
  • Changes in temperature that occurs suddenly
  • Overeat
  • Eating too fast
  • Swallowing the food is too hot or too cold
In addition to the above matters, hiccups can also be triggered by our emotional state, such as feelings of happiness, sadness, or stress.

The Right Time to the Doctor Checking Yourself

See your doctor if you often run into hiccups or hiccups experienced lasted more than two days. This condition can occur as a result of:
  • Metabolic disorders  (such as hypoglycemia, hyperglycemia, or diabetes ).
  • Vagus nerve disorders (such as in the case of meningitis, pharyngitis, and mumps ).
  • Interference system nerve  (such as severe injury to the brain, brain tissue inflammation or encephalitis, tumors , and stroke).
  • Respiratory disorders  (eg, disease pleurisy , pneumonia , and asthma ).
  • Digestive disorders  (such as intestinal obstruction, colitis , and gastroesophageal reflux disease (GERD).
  • Psychological reactions  (eg, stress, happiness, sadness, fear, or shock).
In addition as a result of these conditions, the hiccups that lasted a long time can also be a side effect of the use of drugs, for example:
  • Chemotherapy drugs (drugs used to kill cancer cells).
  • Class of opioid pain medications (eg, methadone and morphine).
  • Benzodiazepines (tranquilizers group to address anxiety attacks).
  • Anesthetic (a drug that causes a numbing effect or blackouts are usually given before undergoing a surgical procedure).
  • Methyldopa (a drug that is usually prescribed in the treatment of hypertension).
  • Barbiturates (a type of sedative is sometimes given to treat seizures).
  • Corticosteroids (drug used to treat swelling and inflammation).

diagnosis Hiccups

Inspections will be conducted by a doctor to determine the cause of the hiccups that lasted long. First of all, the doctor may need to perform a neurological exam to measure reflexes, coordination and general balance, the ability to feel touch, tone and muscle strength, as well as the patient's eyesight.
If the doctor suspects a patient hiccups caused by a health problem, then further investigation needs to be done. One is a blood test to detect signs of infection, kidney disease, or diabetes. In addition to blood tests, your doctor may suggest to do:
  • Endoscopy. Examination using a small hose-shaped device equipped with lights and a camera that is done if the hiccup allegedly associated with digestive disorders , such as diseases of stomach acid or gastroesophageal reflux (GERD)
  • Scanning with CT scans, MRI scans, or X-ray. This method is carried out to ascertain whether there was interference with the diaphragm, phrenic nerve and vagus nerve caused by anatomical abnormalities.

treatment of Hiccups

In the case of the hiccups that lasted a long time, doctors need to address the underlying problem that can stop hiccups. For example, if the hiccup is a complication of asthma based on the diagnosis, the treatment of asthma will be a top priority doctor. Naturally, hiccups will subside after asthma was controlled. If hiccups arising from the reaction of a drug is used, then the doctor needs to adjust the drug dosage or even replace it with another drug that does not cause side effects hiccups.
If the hiccups was not caused by an underlying condition or reaction to drugs, then the hiccups will usually subside by themselves without the need for medical attention. There are several ways you can do to help stop hiccups more quickly, among them:
  • Bent towards the front so that your chest feels like pressure.
  • Pull your knees up to your chest.
  • Breathe in bags made of paper.
  • The vinegar.
  • Swallowing sugar.
  • Lemon bite.
  • Holding his breath in a relatively short time.
  • Drinking cold water slowly.

Hiccups Treatment of Unknown Causes

If hiccups lasting no known cause, although the checks have been carried out, it is possible that the doctor will prescribe medication to stop it. Several types of drugs that may be available hiccup is gabapentin, metoclopramide, baclofen, haloperidol and chlorpromazine.
Be sure to always obey the rules of use recommended by doctors to avoid unwanted side effects. If hiccups re-occur after the dose is reduced or after the completion of drug use, see a doctor back.

Frequently asked questions about the issue of the disease

  • Hiccup almost a week

hellow HZRTG .. Doc I want to ask my dad to experience the hiccup is almost a week does not disappear, he hooked the hiccups experienced because of the effects can / poison of animals that had bitten his legs, whether the effect can / poison there is an impact hiccup? I search on the Internet there is no clear information and support it, or the cause of his hiccups because of diaphragm disorders? Incidentally my father smokers are active as well. Please kindly reply dad thank you

Hiccups that in medical terms known as hiccups are a disturbance in the abdominal diaphragm that causes a sudden closure of the sound pity and causes a 'hic' sound. Complaints may be felt, such as abdominal wheeze, abdominal pain, or respiratory disorders.
Some of the following conditions may cause these complaints, such as:
1. stress
2. stomach disorders
3. liver disorders
4. drugs
5. eat too fast
6. eat too much
7. spicy foods, soda, alcohol, cigarettes
8. lack of sleep
So the existence of animal bite riayat, may not be the trigger of this hiccup, especially if we do not know the animal cause. But in general, there is no information to control the toxins that increase hiccups.
If the complaint is still disturbing, you should consult a doctor of internal medicine, the digestive tract. Required investigation, such as blood or ultrasound examination.
Treatment will be given when the complaint is more disturbing.
What patients need to do is:
1. Avoid spicy, coffee, cigarettes
2. avoid stress
3. adequate sleep
Similarly info we can convey, read also hiccup.
  • cope with chronic hiccups

Hellow doctor. what the medicine is already 13 yrs yes hiccups?

Hello ....... Thank you for your question. Conditions that you experienced in the form of hiccups or in medical language called singultus is a condition whereby when the diaphragm or membrane of the muscle that separates the chest cavity and abdominal rogga contraction. In general, most of the hiccups that occur will stop by itself. It is usually caused by eating too much, drinking alcohol in excess, consumption of soft drinks, chewing gum, psychological stress, etc. However, if the hiccups experienced continuously, the suspected cause is a: irritation of the eardrum, gastric acid disease (GERD), tumors or cysts in the throat, enlargement of thyroid gland, inflammation of the throat, diabetes, Parkinson's disease, cancer, etc. Because this condition is disturbing you, see a doctor Specialist Neurology / Neuroscience that conducted a series of further tests so that the exact cause of the onset of the condition of continuous hiccups you experience unknown and ultimately the appropriate treatment can be given. Doctors usually give treatment may include: administration of drugs such as chlorpromazine, haloperidol and metoclopramide. If it is not give good results, then the doctor will recommend an injection of anesthetic action on the phrenic nerve in the neck and chest as well as the placement of the implant on the vagus nerve tool to stop hiccups. 

  • Overcome baby hiccups

good afternoon doctor .. Want to ask my son aged 1mo knp yes he often hiccup? And if sleep snoring and breathing as people run out of cape tp it sometime and not long ..What factors can be like that? Thank you doctor in waiting for replies

Hello, Hiccups on babies are a common thing to happen. This is because the amount of air in the baby's digestive tract, which stimulates the diaphragm so that there is hiccup. The amount of air in the gastrointestinal tract may be due to excessive crying, or accidentally swallowing air during breastfeeding, for example due to inappropriate attachment to the breast or to the pacifier (if using a pacifier), or poor sucking. Hiccups are not a dangerous thing, and more worrying about the parent than the baby. Over time, the frequency of hiccups will decrease. When baby hiccups, no need to provide special handling. Simply make the baby feel relaxed, and hiccups will disappear by themselves. If the hiccups are more than 10 minutes and the baby becomes fussy, You can try to give milk or sufor slowly, hiccups do not interfere with baby feeding process. Avoid giving it water during an exclusive breastfeeding period. The baby's breathing is natural when it is irregular and sounds like grok-grok or ringing, as long as it does not happen continuously and the baby looks healthy. Irregular breathing in infants in the early weeks is due to an insufficient center of breath. Sometimes the baby can also stop breathing for a few seconds and then breathe normally again. The sound in the breath due to the baby's airway is still narrow. But if this happens continuously, the baby looks weak and does not want to breastfeed, fever, or any other symptoms, you should immediately consult a doctor or pediatrician. Breathing sounds can also be caused by asthma / allergies or infections.


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