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Colegio de Medicina Interna de México.

2021, Number 1

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Med Int Mex 2021; 37 (1)

Singultus, an update in causes, diagnostic protocol and treatment

Ezquerra-Osorio A, Vergara-Suárez A

Language: Spanish
References: 27
Page: 78-85
PDF size: 326.51 Kb.


ABSTRACT

The hiccup or singultus is a repetitive involuntary spasm that causes the closing of the glottis producing the characteristic sound. It is usually benign and self-limiting condition. There are many etiologies, the most frequent is the gastrointestinal and from this the gastric distension and gastroesophageal reflux. Most of the time it does not merit study, being always necessary to carry out diagnostic protocol in those that last more than 48 hours, since they could be serious or urgent diseases. There are multiple home remedies that can function, mainly in those that last less than 24 hours. The pharmacological treatment can be used whereas the etiological cause is diagnosed or if it is an untreatable hiccup. The most commonly prescribed drugs are baclofen, chlorpromazine and gabapentin. The intractable hiccup leads to deterioration in the quality of life, being associated with depression, sleep disorders and sometimes in the diet.


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