Monday, August 30, 2010

What are hiccups?


Causes and Symptoms

A hiccup is caused by an involuntary, spasmodic contraction of the diaphragm, the large partition of muscles and tendons that separates the chest from the abdomen. The diaphragm draws air into the lungs through rhythmic contractions. When it contracts suddenly, an opening located toward the top of the trachea (windpipe) between the vocal cords in the larynx (voice box) called the glottis snaps shut abruptly. The combination of air being forced through the vocal cords in the larynx and the abrupt closure of the glottis causes the sound associated with hiccups.


There are a number of causes of hiccups, the most common being overdistension of the stomach. Other causes include gastric irritation from spicy or rich foods and nerve spasms. There is some indication that hiccups are controlled by the central nervous system.


Hiccups generally last for a very short time, usually stopping within minutes. People who suffer from hiccups for more than twenty-four hours or who have repetitive attacks are said to suffer from chronic hiccups. This condition is very rare.


People of all ages can suffer from hiccups. Pregnant women report that fetuses sometimes have hiccups in the womb.




Treatment and Therapy

An attack of hiccups is not serious and is generally self-limiting. A number of techniques to stop are practiced, including holding one’s breath, drinking a glass of water, breathing deeply, or breathing into a paper bag.


Babies often suffer from hiccups, particularly during nursing. Some mothers report that feeding the baby a quarter of a teaspoon of sugar mixed in 4 ounces of water calms the hiccups. Doctors suggest that hiccup-prone babies be fed before they are overly hungry and when they are calm.




Bibliography


Gluck, Michael, and Charles E. Pope II. “Hiccups and Gastrointestinal Reflux Disease: The Acid Perfusion Test as a Provocative Maneuver.” Annals of Internal Medicine 105 (1996): 219–220.



Heuman, Douglas M., A. Scott Mills, and Hunter H. McGuire, Jr. Gastroenterology. Philadelphia: W. B. Saunders, 1997.



Howes, Daniel. "Hiccups: A New Explanation for the Mysterious Reflex." BioEssays 34, 6 (June, 2012): 451–453.



Hurst, Duane, Catherine Purdom, and Michael Hogan. "Use of Paced Respiration to Alleviate Intractable Hiccups (Singultus): A Case Report." Applied Psychophysiology & Biofeedback 38, 2 (June, 2013): 157–160.



Kaneishi, Keisuke, and Masahiro Kawabata. "Continuous Subcutaneous Infusion of Lidocaine for Persistent Hiccup in Advanced Cancer." Palliative Medicine 27, 3 (March, 2013): 284–285.



Launois, J. L., W. A. Bizec, J. C. Whitelaw et al. “Hiccup in Adults: An Overview.” European Respiratory Journal 6 (1993): 563-575.



Shay, Steven D. S., Robert L. Myers, and Lawrence F. Johnson. “Hiccups Associated with Reflux Esophagitis.” Gastroenterology 87 (1984): 204–207.

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