What should you know about over the counter medicine to stop hiccups?

There is no routine over-the-counter medicine that reliably stops brief hiccups, and persistent hiccups need assessment for an underlying cause. Hiccups are repeated involuntary contractions of the diaphragm followed by a quick closure of the voice box.

Eating quickly, swallowing air, fizzy drinks, alcohol, sudden temperature changes and emotional stress can trigger a short episode. Reflux or irritation of the stomach lining may also be relevant, including acid reflux or gastritis.

Products marketed for digestion or reflux are not automatically hiccup treatments. They may help only when a clinician identifies acid-related symptoms, and some medicines can cause side effects or interact with regular treatment.

Pause eating, breathe slowly, sip cool water and avoid fizzy drinks or alcohol until the episode settles. Eat slowly at the next meal and take smaller mouthfuls. Do not frighten yourself, hold your breath for a long time, or swallow substances that could cause choking.

A pharmacist can review any medicine you already take and explain whether an acid reflux medication is appropriate. Do not start someone else’s prescription medicine for hiccups.

Arrange medical advice when hiccups persist, repeatedly interrupt sleep or eating, or occur with severe abdominal pain, vomiting, trouble swallowing, chest pain, breathlessness, confusion or weakness. Urgent help is needed for severe breathing difficulty, collapse or new neurological symptoms.

Ask what may be triggering the hiccups, whether reflux or stomach irritation needs treatment, and whether any current medicine could be contributing. Describe when the hiccups started and what makes them better or worse.