At first, it was a little humorous. A huge hiccup interrupted you mid-sentence at dinner and got a few laughs. But now? It’s been hours. And they’re still coming. You’ve tried the classics: holding your breath, drinking water upside down, even getting someone to scare you (twice). No luck. Now you’re starting to wonder: Should I go to urgent care for persistent hiccups?
Really?
Believe it or not, hiccups are not always a laughing matter. For one thing, they make laughing almost impossible for the sufferer. For another, if they overstay their welcome, they could be more than just annoying—they might be your body’s way of waving a red flag.
What Are Hiccups?
Hiccups, or singultus, happen when the diaphragm (the muscle that helps you breathe) suddenly contracts. Your vocal cords subsequently snap shut, producing the trademark spasm and sound.
Most hiccups last only a few minutes and go away on their own. When they continue longer than 48 hours, though, they’re considered persistent hiccups. If they continue beyond two months, they’re categorized as intractable. At that point, they require medical evaluation.
What Causes Persistent Hiccups?
Most hiccups are caused by harmless triggers. Persistent hiccups, however, can signal something more serious. Potential causes include:
- Gastrointestinal irritation, like acid reflux or a distended stomach.
- Respiratory conditions such as pneumonia or asthma.
- Central nervous system issues, including stroke, meningitis, or brain injury.
- Irritation of the phrenic or vagus nerve, which helps control diaphragm function.
- Electrolyte imbalances, including low sodium or calcium.
- Certain medications, like steroids, sedatives, or chemotherapy drugs.
- Psychological factors, including anxiety or stress.
Symptoms and Risks to Watch For
Aside from the rhythmic “hic” sound, persistent hiccups can lead to:
- Fatigue and disrupted sleep.
- Difficulty eating or drinking.
- Sore throat or chest discomfort.
- Dehydration or weight loss.
- Embarrassment or social anxiety.
Hiccups that persist over time may mask or indicate more serious health issues, particularly when accompanied by other symptoms.
Common Myths and Misunderstandings
Persistent hiccups are often misunderstood. A few common myths include:
- “It’ll go away eventually.” Sometimes. Not always. Long-lasting hiccups can be a symptom of a deeper issue.
- “It’s just something I ate.” This can also be true, but persistent hiccups often have less obvious causes.
- “There’s nothing doctors can do.” Nope! Medical professionals can offer targeted treatments once the cause is understood.
When to Go to Urgent Care for a Persistent Hiccup
You should visit urgent care if:
- Your hiccups last longer than 48 hours.
- You are experiencing chest pain or vomiting, or are having trouble breathing.
- Hiccups interfere with eating, drinking, or sleeping.
- You’ve tried home remedies without relief.
- Your symptoms began after surgery or new medications.
How FirstCall Medical Center Can Help
At FirstCall Medical Center, we take persistent hiccups seriously, especially when they’re interfering with your comfort or daily routine.
Our providers will:
- Conduct a full evaluation to determine the cause of your hiccups.
- Assess for red flags like GERD, infection, or neurological complications.
- Offer treatment options such as muscle relaxants, nerve-calming medications, or antacids.
- Recommend at-home lifestyle changes to prevent future episodes.
- Refer you for imaging or specialist care if the hiccups are part of a more complex condition.
No appointment necessary. Just walk in and let us help get the hiccups under control.
Most hiccups are just a harmless nuisance. But if they are hanging around for days or making it hard to eat, sleep, or relax, it’s time to take them seriously. Let the team at FirstCall Medical Center help stop the cycle and bring lasting relief.
