What should you know about repeated hiccups?

A hiccup is an involuntary spasm of the diaphragm followed by rapid closure at the top of the airway. Episodes can be triggered by eating quickly, a large meal, fizzy drinks, alcohol, sudden temperature changes, excitement or swallowed air.

Recurring or prolonged hiccups may accompany Acid Reflux or Gastritis, particularly when there is burning behind the breastbone, sour fluid, nausea or upper abdominal discomfort. A clinician will also consider medicines, nerve irritation and other health problems when the pattern is unusual.

Eat slowly, choose smaller meals and avoid fizzy drinks if they trigger episodes. Sit upright after eating and notice whether particular foods, stress or temperature changes precede the hiccups. Keep a record of timing, sleep disruption, reflux symptoms and medicines.

Do not use frightening or forceful methods to stop hiccups. If reflux symptoms are present, ask a clinician whether Acid Reflux Medication is appropriate rather than borrowing treatment or changing a prescribed medicine yourself.

Arrange medical advice when hiccups persist, return frequently, prevent sleep, or make eating, drinking or speaking difficult. Seek urgent help for severe breathing difficulty, chest pain, new weakness, confusion, repeated vomiting or inability to keep fluids down.

Ask whether reflux or stomach irritation could explain the pattern, whether a medicine may be contributing, which home measures are sensible, and what duration or symptom change should prompt urgent review.