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February 8, 2012
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Hiccups

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Causes of Hiccups

A very full stomach can cause bouts of hiccups that go away on their own. A full stomach can be caused by:

  • Eating too much food too quickly.
  • Drinking too much alcohol.
  • Swallowing too much air.
  • Smoking.
  • A sudden change in stomach temperature, such as drinking a hot beverage and then a cold beverage.
  • Emotional stress or excitement.

SOURCE:
Healthwise. Hiccups.

Hiccups Overview

Hiccups are sudden, involuntary contractions of the diaphragm muscle. As the muscle contracts repeatedly, the opening between the vocal cords snaps shut to check the inflow of air and makes the hiccup sound. Irritation of the nerves that extend from the neck to the chest can cause hiccups.

Although associated with a variety of ailments (some can be serious such as pneumonia or when harmful substances build up in the blood for example from kidney failure), hiccups are not serious and have no clear reason for occurring. Rarely, their presence causes health problems such as speech changes or interference with eating and sleeping.

Hiccups Causes

Many conditions are associated with hiccups, but none has been shown to be the cause of hiccups.

  • If a person eats too fast, he or she can swallow air along with food and end up with the hiccups.
  • Any other practices that might irritate the diaphragm such as eating too much (especially fatty foods) or drinking too much (alcohol or carbonated drinks) can make a person prone to having hiccups.
  • In these instances, the stomach, which sits underneath and adjacent to the diaphragm, is distended or stretched. Because they occur in relation to eating and drinking, hiccups are sometimes thought to be a reflex to protect a person from choking.
  • Strokes or brain tumors involving the brain stem, and some chronic medical disorders (such as renal failure) are reported to cause hiccups; trauma to the brain, meningitis, and encephalitis may also cause them.
  • Damage to the vagus or phrenic nerve may cause hiccups to last a long time.
  • Some medications that can cause acid reflux may also have hiccups as a side effect. Most benzodiazepines, including diazepam (Valium), alprazolam (Xanax) and lorazepam (Ativan) can cause hiccups. In addition, medications such levodopa, nicotine, and ondansetron (Zofran).
  • Noxious fumes can also trigger hiccup symptoms.
  • A baby may hiccup after crying or coughing. This is common in babies in the first year. In some instances, babies with gastroesophageal reflux (GERD) could be more prone to hiccups.
  • Anxiety and stress can induce both short and long-term hiccups
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Hiccups

Hiatal Hernia Overview

Hiatal hernia is a condition in which the upper portion of the stomach protrudes into the chest cavity through an opening of the diaphragm called the esophageal hiatus. This opening usually is large enough to accommodate the esophagus alone. With weakening and enlargement however, the opening (or herniation) can allow upward passage or even entrapment of the upper stomach above the diaphragm.

  • Hiatal hernia is a common condition. By age 60, up to 60% of people have it to some degree.
  • There are 2 types of hiatal hernia.
    • The sliding type, as its name implies, occurs when the junction between the stomach and esophagus slides up through the esophageal hiatus during moments of increased pressure in the abdominal cavity. When the pressure is relieved, the stomach falls back down with gravity to its normal position.
    • The fixed type (or paraesophageal) impli...

Read the Hiatal Hernia article »


Read What Your Physician is Reading on Medscape

Hiccups »

The term "hiccup" derives from the sound of the event. "Hiccough" erroneously implies an association with respiratory reflexes.

Read More on Medscape Reference »

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