Hiccups: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
== | ==Diagnostic Evaluation== | ||
*Clinical diagnosis | |||
*Consider auditory canal exam (foreign body against TM can trigger hiccups) | |||
*Consider CXR | |||
==Management== | |||
*Physical Maneuvers (stimulating pharynx blocks the vagal portion of the reflex arc) | *Physical Maneuvers (stimulating pharynx blocks the vagal portion of the reflex arc) | ||
**Remove foreign body from ear | **Remove foreign body from ear | ||
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**[[Chlorpromazine]] 25–50mg IV; 25–50mg PO TID | **[[Chlorpromazine]] 25–50mg IV; 25–50mg PO TID | ||
**[[Metoclopramide]] 10mg IV or IM; 10–20mg PO TID x 10d | **[[Metoclopramide]] 10mg IV or IM; 10–20mg PO TID x 10d | ||
==Disposition== | |||
*Discharge for uncomplicated hiccups | |||
==See Also== | ==See Also== | ||
==References== | ==References== | ||
<references/> | |||
[[Category:GI]] | [[Category:GI]] | ||
Revision as of 08:09, 9 September 2015
Background
- Usually initiated by gastric distention from food, carbonated beverage, or air
- Also known as Singultus
Clinical Features
- Hiccups
Differential Diagnosis
Diagnostic Evaluation
- Clinical diagnosis
- Consider auditory canal exam (foreign body against TM can trigger hiccups)
- Consider CXR
Management
- Physical Maneuvers (stimulating pharynx blocks the vagal portion of the reflex arc)
- Remove foreign body from ear
- Swallow teaspoon of sugar
- Sip ice water
- Drink water quickly
- Meds
- Chlorpromazine 25–50mg IV; 25–50mg PO TID
- Metoclopramide 10mg IV or IM; 10–20mg PO TID x 10d
Disposition
- Discharge for uncomplicated hiccups