Overview
Most hiccups are self-limited. Persistent hiccups (>48 hours) or intractable (>1 month) can signal reflux, phrenic nerve irritation, or CNS causes.
Treatment
Techniques: hold breath while swallowing water 10 times, breathe into paper bag, cold water gargle, sugar under the tongue, Valsalva maneuver. Persistent: baclofen, gabapentin, chlorpromazine, or investigate cause.
When to book a visit
Book for hiccups lasting more than 48 hours.
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