What are the causes of hiccups?

Mar 25, 2025 Source: Cainiu Health
Dr. Shen Yonghua
Introduction
Under normal circumstances, hiccups may be caused by eating too quickly or excessively, emotional fluctuations, gastroesophageal reflux, peptic ulcer, diaphragmatic spasm, and other factors. Symptomatic management may involve general treatment and medication. In daily life, it is recommended to adjust dietary habits and maintain balanced nutrition, which helps strengthen physical condition and support gastrointestinal function.

  In general, possible causes of hiccups include eating too quickly or excessively, emotional fluctuations, gastroesophageal reflux, peptic ulcer, and diaphragmatic spasms. Symptomatic management may involve general treatments and medication. If discomfort occurs, timely medical consultation is recommended for appropriate treatment under a physician's guidance. Detailed explanations are as follows:

  

  1. Eating Too Quickly or Excessively

  Eating too quickly or consuming excessive amounts of food can cause rapid stomach expansion, which may stimulate the diaphragm. This stimulation can lead to involuntary contractions of the diaphragm, resulting in hiccups, and may also be accompanied by symptoms such as bloating and indigestion. It is recommended to modify eating habits, chew food thoroughly, and take a light walk after meals to aid digestion and reduce hiccups.

  2. Emotional Fluctuations

  During emotional fluctuations, breathing patterns may become rapid or irregular, affecting the normal function of the diaphragm and causing spasms, which can trigger hiccups. These may be accompanied by symptoms such as anxiety and increased heart rate. It is recommended to learn relaxation techniques, such as deep breathing, meditation, or yoga, which can help stabilize emotions and reduce the occurrence of hiccups.

  3. Gastroesophageal Reflux

  Gastroesophageal reflux occurs when the lower esophageal sphincter relaxes or malfunctions, allowing stomach contents to flow back into the esophagus. These acidic substances can irritate the esophageal mucosa and surrounding nerves, including the phrenic nerve, leading to hiccups. Symptoms may also include heartburn, chest pain, and acid regurgitation. It is recommended to take medications such as omeprazole enteric-coated capsules, lansoprazole enteric-coated tablets, or famotidine tablets as directed by a physician to alleviate symptoms.

  4. Peptic Ulcer

  Peptic ulcers develop when the stomach lining or duodenum is damaged by gastric acid and pepsin, resulting in ulcers. The nerves surrounding these ulcer sites may be irritated by inflammation and ulceration, causing pain and discomfort, and potentially triggering diaphragmatic spasms that lead to hiccups. Symptoms may also include upper abdominal pain, hunger-related pain, or postprandial pain. It is recommended to take medications such as baclofen, domperidone tablets, or hydrotalcid chewable tablets under a physician's guidance for treatment.

  5. Diaphragmatic Spasms

  The diaphragm is a muscle separating the thoracic and abdominal cavities, and its contraction and relaxation assist in respiration. When the diaphragm is stimulated by factors such as cold or pain, or when nerve regulation is abnormal, involuntary contractions—known as diaphragmatic spasms—can occur, resulting in hiccups. Hiccups may last for an extended period and may not resolve spontaneously. It is recommended to take medications such as baclofen tablets, domperidone tablets, or hydrotalcid chewable tablets as directed by a physician to relieve symptoms.

  In daily life, it is recommended to adjust dietary structure and maintain balanced nutrition, which helps strengthen physical health and support gastrointestinal function.

  References

  [1] Xia Yanfei. Dietary Considerations for Reflux Esophagitis[C]// Guangdong Provincial Oncology Rehabilitation Association. Collection of Health Education Works from the 2024 South China Health Management Forum. Department of Gastroenterology, Nanfang Hospital, Southern Medical University; 2024:127.

  [2] Lu Jing. Is Hiccup a Disease?[J]. Health Care and Wellness, 2024(01):44.

Related Articles

View All