Hiccup

Clinical Description

Common causes (see relevant chapter for details)

In advanced disease this is often caused by sub-diaphragmatic irritation e.g. from invasive tumour. it can be a troublesome distressing symptom and maybe difficult to control

Non-pharmacological

• Manage and relieve anxiety
• Reduce gastric distention (e.g. ascetic tap, small frequent meals etc.)

Pharmacological

• Haloperidol 5-10mg by mouth STAT, maintenance 1.5-3mg at bedtime
• Chlorpromazine 10-25mg by mouth (maintenance 25-50mg 8 hourly)