Management of intractable hiccups ?

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Hiccoughs due to many causes.any thing relates to vagus and phrenic nerve. Brain lesion ,uremia,dyselectrolemia, chronic GI and liver disorders. Based on history suggested MRI brain,ct chest,OGD scopy ,,CBC,RFT,LFT,serum electrolytes. Management of intractable hiccups include ryles tube decompression,panto injection inj.perinorm.baclofen,iv fluids.find out the cause.

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Chlorpromazine appears to be the drug of choice. Haloperidol and metoclopramide have been used successfully. Several anticonvulsant agents (eg, phenytoin, valproic acid, and carbamazepine) have effectively treated intractable hiccups in typical anticonvulsant doses.

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