Hiccups: What Is A Hiccups? Symptoms causes and Home Remedies By listening to this article, you can find out how to stop persistent hiccups, through various treatments after knowing the signs and symptoms that occur.
What Is A Hiccups?
Hiccups or singultus are conditions when a person makes an accidental ‘hic sound’ sound. Hiccups can occur for several seconds or minutes (temporarily) for up to more than 48 hours (prolonged). Everyone has experienced this condition, including infants and children.
In addition to causing ‘hic sound’ sounds, hiccups also cause pressure in the chest, abdomen, pain fever shortness of breath vomiting and throat. Immediately contact the doctor if hiccups are accompanied by dizziness, the limbs feel weak or stiff and lose balance.
Causes of Hiccups
Cases of hiccups occur when the muscles separating the abdomen and chest (diaphragm) contract accidentally. The diaphragm (phrenic nerves) plays an important role in the human respiratory system. This is because the body relies on contractions and diaphragm movements for the breathing process to take place normally.
Hiccups are also quite common in babies. Some studies have shown that hiccups in infants may be normal and part of their growth process.
Hiccups include one of the signs a person is having a pregnancy at the end of the first trimester and the beginning of the second trimester of pregnancy
When breathing, the diaphragm muscles will drop (contractions) and will rise again (relaxation) as we exhale. In hiccups, the diaphragm muscles contract suddenly, causing air to enter the lungs too quickly, causing the respiratory valve to close and causing a hic sound
This sudden involuntary contractions of the diaphragm muscles can be triggered by a variety of things, either that last only temporarily or prolongedly. Temporary hiccups can be triggered by several conditions, such as spicy foods, carbonated and alcoholic beverages, chewing or sucking candy, smoking, and eating too much or too fast. In addition, sudden temperature changes, being nervous, overzealous, or being stressed can also trigger temporary hiccups.
Long term hiccups more than 48 hours are categorized according to the type of irritant that caused the episode. The majority of sedentary hiccups are caused by injury or irritation of the frenic nerve or vagus nerves. Nervous system vagus and frenicus control the movement of the diaphragm
For prolonged chronic hiccups more than 2 days can be triggered by:
- Digestive system disorders, such as gastritis, peptic ulcers, pancreatitis, pancreatic cancer, gastric cancer, inflammatory bowel disease, intestinal blockage, or inflammation of the liver.
- Nerve disorders, for example, are due to inflammation of the airways, and growing tumors or cysts in the neck.
- Disorders of the brain, such as stroke bleeding, inflammation, and infection of the brain, brain tumors, multiple sclerosis, and hydrocephalus.
- Disorders in the chest cavity, such as pneumonia, bronchitis, tuberculosis, asthma, chest injury, and pulmonary embolism.
- Heart disorders, such as heart attacks and inflammation of the heart membranes.
- Mental disorders, such as anorexia and schizophrenia.
In addition to the above medical conditions, prolonged hiccups can also occur due to side effects of drug use, including:
- Sedatives, like diazepam.
- Chemotherapy drugs, such as carboplatin.
Temporary hiccups will disappear on their own without further examination or treatment. Meanwhile, prolonged hiccups require further examination to find the cause. First of all, the doctor will perform a physical examination on the patient, especially a neural examination related to balance and coordination, muscle strength, reflexes, sensory nerves, and vision.
Several supporting examinations are needed to find the cause of hiccups, namely:
- Blood test, to see signs of infection as a trigger for hiccups.
- Imaging tests, to detect the presence of abnormalities that affect the nerves. Some types of imaging tests can be done, namely X-rays, CT scans, or MRI.
- Endoscopy, to see the condition of the esophagus or respiratory tract.
- Electrocardiography (ECG), to check for heart conditions.
How to Get Rid of Hiccups (Home remedies)
Temporary hiccups can disappear on their own without special handling. Several ways can be done to relieve it faster, such as:
- Breathing into a paper bag
- Drinking Glass of water warm and honey
- Holding your breath
- Taking a deep breath
- Breathe using a paper bag
- Eating fresh ginger
- Sucking lemon slices
Special treatment needs to be done if the hiccup lasts a long time or is caused by a disease. Treatment for prolonged hiccups can be done through the administration of the drugs chlorpromazine, metoclopramide, baclofen, gabapentin, or scopolamine to calm the diaphragm. If the above drug administration has not been able to overcome the hiccups, then the doctor will inject an anesthetic directly into the nerves that control diaphragm contractions.
For hiccups that cannot be treated by administering the drug, the doctor will provide electrical stimulation to the nerves around the neck using a special tool. And keep in mind, hiccups due to a disease, it is necessary to treat the disease.
Complications of Hiccups
Complications that can arise from hiccups are:
- Sleep deprivation
- Difficult when eating food
- Gastric acid reflux disease (GERD)