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    01.12.2017

    In either case, it's worth taking a closer look when hiccups persist past 48 hours, experts say. Patients with intractable hiccups may experience issues including difficulty being able to eat or drink, Rizzo says. The American Stroke Association lists hiccups among unique symptoms women may experience when having a stroke , along with other common symptoms like numbness or weakness in one side of the body or uncommon symptoms women may experience like hallucination. In addition to issues that are more commonly associated with hiccups like gastroesophageal reflux disease , or GERD, there are reports of people who had long lasting hiccups associated with cancer; septic arthritis, a joint infection; and pulmonary embolism — a blood clot in the lungs. How do you stop hiccups? Camielle Rizzo, an emergency room physician who's also board-certified in hospice and palliative medicine at Middlesex Hospital in Middletown, Connecticut. And that's just scratching the surface of what might irritate the so-called hiccup reflex arc — encompassing nerves that extend from the brain through the neck, chest and abdomen — which is thought to be responsible for hiccups. However, "a number of medications and other therapy have been reported successful for intractable hiccups. They come, and they go, typically in a matter of minutes.

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    Some people even have hiccups that last more than 30 days, frequently referred to as intractable hiccups. Camielle Rizzo, an emergency room physician who's also board-certified in hospice and palliative medicine at Middlesex Hospital in Middletown, Connecticut. But sometimes hiccups — an involuntary spasm or contraction of the diaphragm after which vocal cords suddenly close, making the characteristic hiccup sound — go on and on. But because it's not a common issue, treatment for it can be a matter of trial and error. Just as it's worth undergoing a medical evaluation to try to determine the underlying causes for persistent and intractable hiccups — when that's not already known — experts say there's reason to consider treating these long-lasting hiccups. There are some reports of people getting relief using alternative remedies, from the classics like breath-holding to hypnosis. Research finds that persistent and intractable hiccups tend to be linked to an underlying medical condition or disease. Another apparent remedy that worked in at least one instance when medications didn't is a bit more pleasant: One alternative remedy involves shooting vinegar up one's nose — "which apparently worked really well but obviously doesn't seem very pleasant," Wodziak says. They come, and they go, typically in a matter of minutes. Usually there are other indicators to go along with the hiccupping: However, "a number of medications and other therapy have been reported successful for intractable hiccups. There aren't any formal guidelines for treating intractable hiccups, which is based on experience and anecdotal evidence, the review notes. While not a threat to a person's safety in and of themselves, when hiccups persist, they can seriously undermine quality of life. In rare cases, hiccups last more than 48 hours — often called persistent hiccups, though definitions and terminology aren't standardized — and may require medical attention. Most of the time they're a minor annoyance — if that. The American Stroke Association lists hiccups among unique symptoms women may experience when having a stroke , along with other common symptoms like numbness or weakness in one side of the body or uncommon symptoms women may experience like hallucination. In addition to issues that are more commonly associated with hiccups like gastroesophageal reflux disease , or GERD, there are reports of people who had long lasting hiccups associated with cancer; septic arthritis, a joint infection; and pulmonary embolism — a blood clot in the lungs. In either case, it's worth taking a closer look when hiccups persist past 48 hours, experts say. Not that medical treatment is always needed to stop hiccups. Generally, where hiccups are most concerning from a health standpoint is when they persist over 48 hours, and especially when they last more than a month, Rizzo says. And that's just scratching the surface of what might irritate the so-called hiccup reflex arc — encompassing nerves that extend from the brain through the neck, chest and abdomen — which is thought to be responsible for hiccups. In some cases, the underlying cause of hiccups has already been diagnosed when the hiccups begin, while in some instances the cause is more mysterious or difficult to determine. But that's exceedingly rare and unlikely, clinicians say. There are, however, case studies of individuals who've had hiccups that, even in the short run, seemed to be the sole outward sign of an underlying health concern, like a heart problem. Persistent and intractable hiccups are commonly caused by an underlying health issue. How do you stop hiccups?

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