Hiccups

Treatment:

First line:

  • Breath holding
  • Sipping cold water
  • Valsalva manoeuvre

Second line:

If it’s likely gastric dilatation is the problem

  • Use antacid like Gaviscon
  • Metaclopramide
  • Domoeridone.

These are both given to try and reduce gastric dilation

Third line

  • Baclofen 5mg bd
  • Nifedipine 10mg tds
  • Chlorpromazine 10-25mg 6-8hourly