Home Remedies:

Breathe into a Plastic bag- held over nose and mouth.

Hold breath and long as possible 3-4 times.

Hold breath, pinch the nose and drink water.

If hiccups do not stop.

Mucain gel 2tsp 2-4 hourly (antacid + Oxethazine)

Tab. Baralgan 1 tds (Anti-spasmodic)

Tab. Largactil 50mg. 1stat and tds (Transquiliser)

Tab. ALPRAZOLAM 0.25mg tds if anxiety.

Give ice cold water, or Ice cream to eat.

If Hiccups are still nor controlled,

Inj. Baralgan 3cc IM or 5cc I.V. (Antispasmodic)

Xylocaine Viscous 30ml to drink, May be repeated after 4 hours.

Stomach wash with Ice-cold saline + 1% Sodabicard.

Inj. Largactil 50mg i.e 2cc IM.

If Hiccups are persistent or recurrent,

Ask for: Blood Urea and S. Creatnine,

              X-ray Cest, Xray KUB

              Gastroscopy

              Ultrasonography of Liver.

Young lady with hiccups:

Think whether they are Hysterical If suspected, Give Inj. Largactil 2cc IM.

Hiccups in a old male, are often due to prostatic enlargement causing rinay obstruction and raised clood urea. So, always ask for prostatic symptoms.

Mucain gel

Tab. Baralgan

Tab. Largactil

Inj. Baralgan