Caused by spasms of your diaphragm that you can't control, hiccups are usually harmless. Rarely, hiccups may be a sign of an underlying medical problem.
Hiccups are repeated spasms or sudden movements of the diaphragm that you can't control. The diaphragm is the muscle that separates your chest from your stomach area and plays an important role in breathing. A spasm in your diaphragm causes your vocal cords to suddenly close, producing a "hic" sound.
Eating a large meal, drinking alcoholic or carbonated beverages, or getting excited suddenly may cause hiccups. In some cases, hiccups may be a sign of an underlying medical issue. For most people, hiccups usually last only a few minutes. Rarely, hiccups may continue for months. When they last that long, they can result in weight loss and extreme tiredness.
Spasms of your diaphragm that you can't control cause hiccups. The diaphragm is the muscle that separates your chest from your stomach area and plays an important role in breathing. This spasm causes your vocal cords to close briefly, producing a "hic" sound.
Symptoms include uncontrolled spasms in your diaphragm and a "hic" sound. Sometimes you may feel a slight tightening sensation in your chest, stomach area or throat.
Make an appointment to see your health care provider if your hiccups last more than 48 hours or if they're so severe that they cause issues with eating, sleeping or breathing.
The most common triggers for hiccups that last less than 48 hours include:
Issues that may cause hiccups to last more than 48 hours include nerve damage or irritation, central nervous system disorders, metabolic issues, and certain drug and alcohol problems.
A cause of long-term hiccups is damage to, or irritation of, the vagus nerves or phrenic nerves. These nerves supply the diaphragm muscle.
Factors that may damage or irritate these nerves include:
A tumor or infection in your central nervous system or damage to your central nervous system due to an injury can disrupt your body's normal control of the hiccup reflex.
Long-term hiccups may result when your body's metabolism doesn't work properly.
Examples of metabolic issues include:
Use of certain drugs or problems with alcohol may cause long-term hiccups.
Males are much more likely to develop long-term hiccups than females. Other factors that may increase your risk of hiccups include:
Ongoing hiccups may interfere with eating, drinking, sleeping and speaking. Hiccups also can worsen pain.
During the physical exam, your health care provider may perform a neurological exam to check your:
If your health care provider thinks that an underlying medical condition may be causing your hiccups, the provider may recommend one or more of the following tests.
Samples of your blood may be checked for signs of diabetes, infection or kidney disease.
Imaging tests may be able to detect issues inside your body that may be affecting your diaphragm or the nerve that controls your diaphragm, called the phrenic nerve. Or these tests may show issues with a main nerve in your nervous system, called the vagus nerve. Imaging tests may include a chest X-ray, a CT or an MRI.
These procedures use a thin, flexible tube called an endoscope that contains a tiny camera that is passed down your throat and into your esophagus, sometimes called your food pipe. The purpose is to check for issues in your esophagus or your windpipe.
Most cases of hiccups go away on their own without medical treatment. If an underlying medical condition is causing your hiccups, treating that condition may stop the hiccups.
If your hiccups last longer than two days, medicines or certain procedures may be needed.
Drugs used to treat long-term hiccups include baclofen, chlorpromazine and metoclopramide.
If less invasive treatments aren't effective, your health care provider may recommend an injection of an anesthetic to block your phrenic nerve to stop hiccups.
Another option is to surgically implant a battery-operated device to deliver mild electrical stimulation to your vagus nerve. This procedure is most commonly used to treat epilepsy, but it also has helped control long-term hiccups.
There's no certain way to stop hiccups. But if your hiccups last longer than a few minutes, these home remedies may provide relief, although they are not proven:
If you have ongoing hiccups, lifestyle changes may help, such as:
When long-term hiccups don't respond to other remedies, alternative treatments, such as hypnosis and acupuncture, may help.
You may initially talk with your family health care provider about your ongoing hiccups. Your health care provider may refer you to a specialist if you have long-term or severe hiccups.
Consider writing a list that includes:
Your health care provider may ask:
Preparing for questions will help you make the most of your time with your health care provider.