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Hiccups (hiccoughs) are the characteristic sounds produced by the involuntary contractions of the diaphragm terminated by sudden closure of the glottis. In the majority of patients, it is a self-limiting condition. The most common cause of hiccups is thought to be gastric distension after rapid ingestion of food, fluid or air. The causes of intractable persistent hiccups are listed below, with aetiology characterised by the hiccup reflex pathway.
Pharyngitis/laryngitis
Foreign body
Goitre
Oesophageal carcinoma
Lung tumour
Thoracic surgery
Asthma
Bronchitis
Lower lobe pneumonia
Empyema
Subphrenic abscess
Diaphragmatic hernia
Gastric distension
Gastritis
Irritable bowel disease
Pancreatitis
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