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Hiccup

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throughout life it decreases in frequency with age. The location of the sensory nerves that trigger the reflex suggests it is a response to a condition in the stomach. The component of the reflex that suppresses peristalsis in the esophagus while the airway is being actively blocked suggests the esophagus is involved. Additionally, hiccups are only described in mammals, the group of animals that share the trait of suckling their young.
32: 748:. First, the subject must exhale completely, then take a deep breath. Then, they must hold their breath for ten seconds. After ten seconds, they must take another small breath without exhaling, then hold their breath for five seconds. Again, without exhaling, they must take another small breath and hold their breath for five seconds. Upon exhaling, the hiccups should be gone. 760:". This study supports the use of FISST as an option to stop transient hiccups, with more than 90% of participants reporting better results than home remedies. HiccAway stops hiccups by forceful suction that is being generated by diaphragm contraction (phrenic nerve activity), followed by swallowing the water, which requires epiglottis closure. 549:
muscles of breathing and relaxing the muscles of the esophagus, then closing the vocal cords to prevent air from entering the lungs. This creates suction in the chest, pulling air from the stomach up into the esophagus. As the respiratory muscles relax the air is expelled through the mouth, effectively "burping" the animal.
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British singer Christopher Sands hiccupped an estimated 10 million times in a 27-month period from February 2007 to May 2009. His condition, which meant that he could hardly eat or sleep, was eventually discovered to be caused by a tumor on his brain stem pushing on nerves causing him to hiccup every
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A leading hypothesis is that hiccups evolved to facilitate greater milk consumption in young mammals. The coordination of breathing and swallowing during suckling is a complicated process. Some air inevitably enters the stomach, occupying space that could otherwise be optimally used for calorie-rich
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Episodes of hiccups usually last under 30 minutes. Prolonged attacks, while rare, can be serious. Root causes of prolonged hiccups episodes are difficult to diagnose. Such attacks can cause significant morbidity and even death. An episode lasting more than a few minutes is termed a bout; a bout of
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The hypothesis suggests that the presence of an air bubble in the stomach stimulates the sensory (afferent) limb of the reflex through receptors in the stomach, esophagus and along the underside of the diaphragm. This triggers the active part of the hiccup (efferent limb), sharply contracting the
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There are a number of characteristics of hiccups that support this theory. The burping of a suckling infant may increase its capacity for milk by more than 15-25%, bringing a significant survival advantage. There is a strong tendency for infants to get hiccups, and although the reflex persists
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Drinking through a straw with the ears plugged is a folk remedy that can be successful. In 2021 a scientific tool with a similar basis was tested on 249 hiccups subjects; the results were published in the Journal of the American Medical Association (JAMA). This device is named
343: 344: 289:. They become less frequent with advancing age. Intractable hiccups, lasting more than a month, are more common in adults. While males and females are affected equally often, men are more likely to develop protracted and intractable hiccups. 268:
Hiccups may occur individually, or they may occur in bouts. The rhythm of the hiccup, or the time between hiccups, tends to be relatively constant. A bout of hiccups generally resolves itself without intervention, although many
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over 48 hours is termed persistent or protracted. Hiccups lasting longer than a month are termed intractable. In many cases, only a single hemidiaphragm, usually the left one, is affected, although both may be involved.
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Hiccups are normally waited out, as any fit of them will usually pass quickly. Folk 'cures' for hiccups are common and varied. Hiccups are treated medically only in severe and persistent (termed "intractable") cases.
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Histogram of period (in seconds) between each hiccup in a sequence of 50 samples in about 10 minutes. Mean: 11.40 s. Median: 10.715 s. Standard deviation: 2.88 s. Data set ranges from 6.28 s to 21.36 s.
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Straus C, Vasilakos K, Wilson RJ, Oshima T, Zelter M, Derenne JP, Similowski T, Whitelaw WA (February 2003). "A phylogenetic hypothesis for the origin of hiccough".
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An international respiratory research group composed of members from Canada, France, and Japan proposed that the hiccup is an evolutionary remnant of earlier
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Numerous medical remedies exist but no particular treatment is known to be especially effective, generally because of a lack of high-quality evidence.
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A breathing exercise called Supra-supramaximal inspiration (SSMI) has been shown to stop persistent hiccups. It combines the three principles of
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Alvarez, James; Anderson, Jane Margaret; Snyder, Patrick Larry; Mirahmadizadeh, Alireza; Godoy, Daniel Agustin; Fox, Mark; Seifi, Ali (2021).
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Lauterbach, E. C. (1999). "Hiccup and apparent myoclonus after hydrocodone: review of the opiate-related hiccup and myoclonus literature".
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Hiccups may be triggered by a number of common human conditions. In rare cases, they can be a sign of serious medical problems such as
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Seifi A, inventor. Hiccup relieving apparatus. US patent application publ. US 2020/0188619 A1. 18 June 2020. US20200188619A1.
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include pulling the knees up to the chest and leaning forward, sipping ice-cold water and swallowing some granulated sugar.
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Engleman EG, Lankton J, Lankton B (December 1971). "Granulated sugar as treatment for hiccups in conscious patients".
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The phylogenetic hypothesis may explain hiccups as an evolutionary remnant, held over from our amphibious ancestors.
192: 115: 96: 2200: 68: 2566: 421: 865:, it is said that hiccups occur when the person experiencing them is being talked about by someone not present. 1926: 53: 1810:
Odeh M, Bassan H, Oliven A (February 1990). "Termination of intractable hiccups with digital rectal massage".
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Although no clear pathophysiological mechanism has been described, hiccups is known to have been the initial
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are often used to attempt to shorten the duration. Medical treatment is occasionally necessary in cases of
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American Charles Osborne (1894–1991) had hiccups for 68 years, from 1922 to 1990, and was entered in the
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approved the vagus nerve stimulator in 1997 as a way to control seizures in some patients with
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Witoonpanich R, Pirommai B, Tunlayadechanont S (2004). "Hiccups and multiple sclerosis".
1278: 382:, of variable spacing and duration, and a brief (less than one half second), unexpected, 254: 213: 1783: 1141: 3019: 2831: 2810: 2805: 2790: 2630: 2609: 2605: 2535: 2518: 2247:"Singer who hiccupped 20 million times in three years cured after brain tumour surgery" 2185: 2119:
https://patentimages.storage.googleapis.com/c1/fa/54/c983a34c045f36/US20200188619A1.pdf
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Moretto, Emilia N; Wee, Bee; Wiffen, Philip J; Murchison, Andrew G (31 January 2013).
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gained media fame for hiccuping around 50 times per minute for more than five weeks.
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as the man with the longest attack of hiccups, an estimated 430 million hiccups.
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and inhibiting diaphragm activity by holding one's breath or rebreathing into a
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has been used with an intractable case of hiccups. "It sends rhythmic bursts of
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gulp air and water across their gills via a rather simple motor reflex akin to
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two seconds, 12 hours a day. His hiccups stopped in 2009 following surgery.
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Additionally, this group (C. Straus et al.) points out that hiccups and
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Journal of the Medical Association of Thailand (Chotmaihet Thangphaet)
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There are many superstitious and folk remedies for hiccups, including
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hiccuping. The motor pathways that enable hiccuping form early during
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Morris, Luc G.; Marti, Jennifer L.; Ziff, David J. (1 January 2005).
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Acupressure's Potent Points: A Guide to Self-Care for Common Ailments
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Guadarrama-Conzuelo, F; Saad Manzanera, A D (1 September 2019).
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Along with humans, hiccups have been studied and observed in
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Singultus, hiccough, synchronous diaphragmatic flutter (SDF)
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Curious Behavior: Yawning, Laughing, Hiccupping, and Beyond
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that may repeat several times per minute. The hiccup is an
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spend 2.5% of their time hiccuping, possibly gulping like
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development, before the motor pathways that enable normal
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Hiccups affect people of all ages, even being observed in
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A hiccup consists of a single or a series of breathing
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Steger, M.; Schneemann, M.; Fox, M. (November 2015).
193: 169: 2371: 1892:. The People's Pharmacy (Lifehacker). Archived from 184: 175: 2342:Shubin, Neil (February 2008). "Fish Out of Water". 1548: 163: 160: 56:. Unsourced material may be challenged and removed. 2245: 902:, a more serious form of hiccups found in equines 3069: 2362:Hiccup related to reflex in fish and amphibians. 1809: 1010:: CS1 maint: bot: original URL status unknown ( 696:coincided with terminating intractable hiccups. 622:, illustrating a possible shared physiology and 539: 2044:"Inventor Says His New Straw Will Cure Hiccups" 2005: 1784:"A Horrific Case of Hiccups, a Novel Treatment" 2562:"Skeptoid #914: Stopping Hiccups with Science" 19:"Hiccups" redirects here. For other uses, see 2590: 1161: 1159: 2189:(Sunrise ed.). 5 May 1991. p. 2.B. 406: 1638: 1195: 1193: 780:results from the association with the word 721:A simple treatment involves increasing the 511: 2597: 2583: 1555:Alimentary Pharmacology & Therapeutics 1378:The Permanente Journal – Kaiser Permanente 1302: 1156: 626:heritage. These proposals may explain why 556: 218: 2534: 2280:(in Hungarian). ujszo.com. Archived from 2183:"Survivor of 68-Year Hiccup Spell Dies". 2094: 2023: 1949: 1758: 1710:. Merck Sharp & Dohme. Archived from 1664: 1525: 1515: 1397: 1369:Rueckert, Kamiar Kersten (January 2020). 1225: 1050: 464:Pre-phrenic nucleus irritation of medulla 116:Learn how and when to remove this message 2516: 2302: 2037: 2035: 1781: 1368: 1190: 1073: 979: 977: 975: 973: 733:. Other potential remedies suggested by 534: 366: 16:Involuntary contraction of the diaphragm 2556: 2243: 1890:"MacGyver Tip: Cure hiccups with sugar" 1887: 1739:Cochrane Database of Systematic Reviews 3078:Symptoms and signs: Respiratory system 3070: 2341: 1701: 1589: 1165: 763: 584:ventilation form. Thus, the hiccup is 2578: 2303:Schersch, Ursula (17 November 2010). 2278:"A régi babonák napjainkban is élnek" 2133:. Oxford Dictionaries. Archived from 2041: 2032: 1950:Klosowski, Thorin (30 January 2014). 1444: 1442: 1440: 1199: 1024: 970: 681:, which passes through the neck. The 315: 2258:from the original on 12 January 2022 2233:from the original on 1 January 2011. 1914: 1782:Schaffer, Amanda (10 January 2006). 714:, either through actual function or 54:adding citations to reliable sources 25: 1855:The New England Journal of Medicine 885:Getting the wind knocked out of you 13: 2508:. 25 February 2008. Archived from 2327: 2079:10.1001/jamanetworkopen.2021.13933 1824:10.1111/j.1365-2796.1990.tb00134.x 1464: 1437: 1337: 1092:from the original on 8 August 2024 983: 602:gulping are inhibited by elevated 322: 14: 3094: 2367: 2244:Britten, Nick (11 January 2010). 2131:"Definition of hiccup in English" 1134:"Gastroesophageal Reflux Disease" 849:tradition, as well as among some 2305:"Schluckauf: Wer denkt an mich?" 2028:– via www.jem-journal.com. 1888:Boswell, Wendy (25 March 2007). 1317:10.1097/00002826-199903000-00004 744:, diaphragm immobilization, and 699: 530:in at least one documented case. 475: 358:Problems playing this file? See 338: 241:for "sob, hiccup"; also spelled 156: 30: 2296: 2270: 2237: 2215: 2207:. 16 March 2007. Archived from 2193: 2176: 2149: 2123: 2111: 2054: 1999: 1971: 1943: 1908: 1881: 1846: 1803: 1775: 1726: 1702:Porter, Robert S., ed. (2011). 1695: 1681: 1632: 1542: 1491: 1362: 1331: 1296: 1264: 1242: 1140:. PubMed Health. Archived from 1074:Hoffmann, Herbert (June 1982). 953:"Hiccups – Symptoms and causes" 497: 41:needs additional citations for 2025:10.1016/j.jemermed.2004.11.013 1751:10.1002/14651858.cd008768.pub2 1126: 1104: 1067: 1018: 945: 923: 776:. The alternative spelling of 1: 2042:Ellis, Ralph (22 June 2021). 2012:Journal of Emergency Medicine 1639:Kahrilas, P; Shi, G. (1997). 1452:. MayoClinic.com. 3 June 2011 916: 540:The burping reflex hypothesis 452:vigorously or for a long time 1812:Journal of Internal Medicine 1691:. BBC News. 6 February 2003. 1138:A.D.A.M Medical Encyclopedia 683:Food and Drug Administration 653: 280: 7: 1915:Gach, Michael Reed (1990). 1867:10.1056/nejm197112232852622 1250:"When are hiccups serious?" 868: 772:itself was created through 644: 412:Food stuck in the esophagus 350:The sound of a human hiccup 10: 3099: 1305:Clinical Neuropharmacology 692:In one person, persistent 638:are not yet fully formed. 18: 2901:Precordial catch syndrome 2883: 2819: 2801:Cheyne–Stokes respiration 2783: 2725: 2716: 2616: 2445: 2375: 407:Pathophysiological causes 401: 207: 148: 140: 135: 746:positive airway pressure 512:Other known associations 437:or carbonated beverages 2984:Charcot–Leyden crystals 2496:BBC News: Why we hiccup 1708:The Merck Manual Online 1252:. Ohio State University 557:Phylogenetic hypothesis 422:Gastroesophageal reflux 247:involuntary contraction 21:Hiccup (disambiguation) 2701:Whispered pectoriloquy 2517:Cymet TC (June 2002). 1218:10.1002/bies.201100194 1172:Modern Drugs Discovery 1043:10.1002/bies.201100194 1025:Howes, Daniel (2012). 791:Guinness World Records 694:digital rectal massage 667:vagus nerve stimulator 609:and may be stopped by 372: 327: 857:, for example in the 588:antecedent to modern 568:. Amphibians such as 535:Evolutionary theories 458:myocardial infarction 370: 326: 2979:Curschmann's spirals 2827:Respiratory distress 2666:Pleural friction rub 2560:(12 December 2023). 2137:on 25 September 2016 1957:Lifehacker Australia 1657:10.1136/gut.41.5.712 50:improve this article 2334:Provine, Robert R. 2284:on 20 December 2016 2252:The Daily Telegraph 2229:. 27 October 2010. 1641:"Why do we hiccup?" 1517:10.7759/cureus.5548 1350:on 25 November 2010 1340:"Causes of Hiccups" 1166:Willis, FM (2003). 764:Society and culture 214:Otorhinolaryngology 3020:pulmonary embolism 2992:chronic bronchitis 2832:Respiratory arrest 2811:Ataxic respiration 2806:Kussmaul breathing 2796:Biot's respiration 2791:Agonal respiration 2687:Elicited findings 2631:Respiratory sounds 2610:respiratory system 2606:Signs and symptoms 2446:External resources 2186:Omaha World-Herald 1896:on 2 December 2009 1789:The New York Times 1714:on 14 October 2013 1610:10.1002/bies.10224 1390:10.7812/TPP/20.180 1284:on 10 January 2012 1200:Howes, D. (2012). 487:Multiple sclerosis 373: 328: 316:Signs and symptoms 259:involuntary action 3065: 3064: 2879: 2878: 2491: 2490: 2211:on 18 March 2007. 2067:JAMA Network Open 1567:10.1111/apt.13374 1450:"Hiccups: Causes" 1272:"Hiccups Happen!" 1168:"Chronic hiccups" 1144:on 4 January 2014 628:premature infants 345: 233:(scientific name 227: 226: 130:Medical condition 126: 125: 118: 100: 3090: 2750:Hyperventilation 2723: 2722: 2608:relating to the 2599: 2592: 2585: 2576: 2575: 2571: 2548: 2538: 2523:J Natl Med Assoc 2513: 2512:on 22 July 2014. 2373: 2372: 2361: 2356: 2321: 2320: 2318: 2316: 2300: 2294: 2293: 2291: 2289: 2274: 2268: 2267: 2265: 2263: 2249: 2241: 2235: 2234: 2219: 2213: 2212: 2197: 2191: 2190: 2180: 2174: 2173: 2171: 2169: 2153: 2147: 2146: 2144: 2142: 2127: 2121: 2115: 2109: 2108: 2098: 2058: 2052: 2051: 2039: 2030: 2029: 2027: 2003: 1997: 1996: 1994: 1992: 1975: 1969: 1968: 1966: 1964: 1947: 1941: 1940: 1912: 1906: 1905: 1903: 1901: 1885: 1879: 1878: 1850: 1844: 1843: 1807: 1801: 1800: 1798: 1796: 1779: 1773: 1772: 1762: 1730: 1724: 1723: 1721: 1719: 1699: 1693: 1692: 1685: 1679: 1678: 1668: 1636: 1630: 1629: 1593: 1587: 1586: 1561:(9): 1037–1050. 1546: 1540: 1539: 1529: 1519: 1495: 1489: 1488: 1468: 1462: 1461: 1459: 1457: 1446: 1435: 1434: 1432: 1430: 1424: 1418:. 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Home Remedies 929: 928: 924: 919: 871: 766: 728: 702: 656: 647: 614: 607: 559: 542: 537: 514: 500: 478: 466: 409: 404: 394:, or full body 365: 364: 356: 354: 353: 352: 351: 348: 339: 336: 329: 323: 318: 283: 217: 203: 197:-əp, -⁠up 194: 180: 159: 155: 131: 122: 111: 105: 102: 59: 57: 47: 35: 24: 17: 12: 11: 5: 3096: 3086: 3085: 3080: 3063: 3062: 3060: 3059: 3054: 3049: 3048: 3047: 3035: 3034: 3033: 3028: 3016: 3015: 3014: 3002: 3001: 3000: 2988: 2987: 2986: 2981: 2969: 2968: 2967: 2955: 2950: 2945: 2940: 2935: 2930: 2925: 2920: 2915: 2910: 2909: 2908: 2903: 2898: 2887: 2885: 2881: 2880: 2877: 2876: 2874: 2873: 2868: 2863: 2861:Breath holding 2858: 2853: 2848: 2843: 2834: 2829: 2823: 2821: 2817: 2816: 2814: 2813: 2808: 2803: 2798: 2793: 2787: 2785: 2781: 2780: 2778: 2777: 2772: 2767: 2762: 2757: 2752: 2747: 2742: 2741: 2740: 2729: 2727: 2720: 2714: 2713: 2711: 2710: 2709: 2708: 2703: 2698: 2693: 2685: 2684: 2683: 2678: 2673: 2668: 2663: 2658: 2653: 2648: 2643: 2638: 2628: 2622: 2620: 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London. 2141:8 February 1937:1035683945 1928:0553349708 1344:Livestrong 1182:12 October 1118:6 February 937:5 November 917:References 890:Mr. Hiccup 863:Luo people 632:amphibians 492:Meningitis 360:media help 263:reflex arc 76:newspapers 2938:Epistaxis 2846:Trepopnea 2841:Platypnea 2837:Orthopnea 2775:Bradypnea 2765:Tachypnea 2760:Hyperpnea 2718:Breathing 2471:emerg/252 2466:eMedicine 2087:2574-3805 1979:"Hiccups" 1718:7 October 1704:"Hiccups" 1598:BioEssays 1575:1365-2036 1416:232066350 1256:18 August 1206:BioEssays 1112:"Hiccups" 1031:BioEssays 990:eMedicine 986:"Hiccups" 931:"Hiccups" 823:Hungarian 801:teenager 797:In 2007, 774:imitation 768:The word 731:paper bag 654:Treatment 600:amphibian 574:mammalian 563:amphibian 377:diaphragm 281:Incidence 277:hiccups. 255:diaphragm 251:myoclonic 235:singultus 209:Specialty 3083:Reflexes 2918:Cyanosis 2906:Pleurisy 2856:Asphyxia 2770:Hypopnea 2706:Egophony 2671:Fremitus 2646:Crackles 2567:Skeptoid 2545:12078929 2358:19986878 2256:Archived 2231:Archived 2227:CBS News 2162:BBC News 2105:34143196 2048:Medscape 2008:"Errata" 1840:20742803 1795:24 April 1769:23440833 1626:14200209 1618:12539245 1583:26307025 1536:31695971 1485:15560692 1408:33635776 1384:(5): 1. 1325:10202603 1236:22377831 1096:8 August 1087:Archived 1061:22377831 1006:cite web 869:See also 859:folklore 847:Albanian 831:Romanian 778:hiccough 758:HiccAway 687:epilepsy 645:Duration 620:agonists 617:receptor 570:tadpoles 450:Laughing 384:shoulder 245:) is an 243:hiccough 65:"Hiccup" 2871:Snoring 2784:Pattern 2745:Dyspnea 2656:Stertor 2651:Rhonchi 2636:Stridor 2536:2594386 2425:D006606 2315:3 April 2096:8214157 1875:5122907 1832:2299306 1760:6452787 1675:9414986 1666:1891574 1527:6820320 1456:10 July 1399:8817908 1354:2 April 1288:2 April 1227:3504071 1148:18 July 1114:. WebMD 1052:3504071 996:29 June 875:Choking 861:of the 839:Turkish 799:Florida 673:to the 528:malaria 519:symptom 435:Alcohol 388:abdomen 302:rabbits 275:chronic 237:, from 90:scholar 2973:asthma 2953:Hiccup 2928:Sputum 2661:Squawk 2641:Wheeze 2543:  2533:  2482:Hiccup 2460:003068 2355:  2168:2 June 2103:  2093:  2085:  1935:  1925:  1873:  1838:  1830:  1767:  1757:  1673:  1663:  1624:  1616:  1581:  1573:  1534:  1524:  1504:Cureus 1483:  1414:  1406:  1396:  1323:  1234:  1224:  1059:  1049:  900:Thumps 895:Sneeze 851:tribes 835:Slavic 827:Indian 819:German 815:Baltic 770:hiccup 545:milk. 482:Stroke 402:Causes 396:tremor 392:throat 380:spasms 310:horses 308:, and 231:hiccup 216:  200: 136:Hiccup 92:  85:  78:  71:  63:  2923:Cough 2884:Other 2820:Other 2733:Apnea 2506:Wired 2414:786.8 2399:R06.6 2352:INIST 2205:MSNBC 1836:S2CID 1622:S2CID 1423:(PDF) 1412:S2CID 1374:(PDF) 1282:(PDF) 1275:(PDF) 1090:(PDF) 1079:(PDF) 880:Cough 855:Kenya 843:Greek 782:cough 754:FISST 725:of CO 675:brain 636:lungs 578:fetal 287:utero 239:Latin 97:JSTOR 83:books 2959:COPD 2726:Rate 2541:PMID 2436:5887 2420:MeSH 2409:9-CM 2317:2018 2290:2016 2264:2020 2170:2013 2143:2018 2101:PMID 2083:ISSN 1993:2017 1965:2016 1933:OCLC 1923:ISBN 1902:2009 1871:PMID 1828:PMID 1797:2008 1765:PMID 1743:2019 1720:2011 1671:PMID 1614:PMID 1579:PMID 1571:ISSN 1532:PMID 1481:PMID 1458:2013 1431:2020 1404:PMID 1356:2012 1321:PMID 1290:2012 1258:2024 1232:PMID 1184:2016 1150:2016 1120:2014 1098:2024 1057:PMID 1012:link 998:2023 964:2023 939:2011 911:Yawn 845:and 611:GABA 590:lung 582:lung 306:dogs 298:rats 294:cats 69:news 2531:PMC 2405:ICD 2390:ICD 2348:117 2091:PMC 2075:doi 2020:doi 1863:doi 1859:285 1820:doi 1816:227 1755:PMC 1747:doi 1661:PMC 1653:doi 1645:Gut 1606:doi 1563:doi 1522:PMC 1512:doi 1394:PMC 1386:doi 1313:doi 1222:PMC 1214:doi 1178:(6) 1047:PMC 1039:doi 853:in 813:In 689:." 521:of 446:use 195:HIK 52:by 3074:: 2564:. 2539:. 2527:94 2525:. 2521:. 2504:. 2480:: 2469:: 2458:: 2434:: 2423:: 2412:: 2397:: 2394:10 2346:. 2307:. 2250:. 2225:. 2203:. 2159:. 2099:. 2089:. 2081:. 2069:. 2065:. 2046:. 2034:^ 2016:28 2014:. 2010:. 1981:. 1954:. 1931:. 1869:. 1857:. 1834:. 1826:. 1814:. 1786:. 1763:. 1753:. 1741:. 1737:. 1706:. 1669:. 1659:. 1649:41 1647:. 1643:. 1620:. 1612:. 1602:25 1600:. 1577:. 1569:. 1559:42 1557:. 1553:. 1530:. 1520:. 1508:11 1506:. 1502:. 1477:87 1475:. 1439:^ 1410:. 1402:. 1392:. 1382:24 1380:. 1376:. 1342:. 1319:. 1309:22 1307:. 1230:. 1220:. 1210:34 1208:. 1204:. 1192:^ 1174:. 1170:. 1158:^ 1136:. 1085:. 1081:. 1055:. 1045:. 1035:34 1033:. 1029:. 1008:}} 1004:{{ 988:. 972:^ 955:. 841:, 837:, 833:, 829:, 825:, 821:, 817:, 784:. 665:A 604:CO 595:. 460:. 398:. 390:, 386:, 312:. 304:, 300:, 296:, 229:A 179:,- 2839:/ 2598:e 2591:t 2584:v 2570:. 2547:. 2407:- 2392:- 2382:D 2360:. 2319:. 2292:. 2266:. 2172:. 2145:. 2107:. 2077:: 2071:4 2050:. 2022:: 1995:. 1967:. 1939:. 1904:. 1877:. 1865:: 1842:. 1822:: 1799:. 1771:. 1749:: 1722:. 1677:. 1655:: 1628:. 1608:: 1585:. 1565:: 1538:. 1514:: 1487:. 1460:. 1433:. 1388:: 1358:. 1327:. 1315:: 1292:. 1260:. 1238:. 1216:: 1186:. 1176:6 1152:. 1122:. 1100:. 1063:. 1041:: 1014:) 1000:. 966:. 941:. 727:2 613:B 606:2 362:. 249:( 188:/ 185:p 182:ʌ 176:p 173:ə 170:k 167:ɪ 164:h 161:ˈ 158:/ 119:) 113:( 108:) 104:( 94:· 87:· 80:· 73:· 46:. 23:.

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/ˈhɪkəp,-ʌp/
HIK-əp, -⁠up
Specialty
Otorhinolaryngology
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involuntary contraction
myoclonic
diaphragm
involuntary action
reflex arc
home remedies
chronic
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