What are the symptoms of diaphragm spasms?

May 23, 2025 Source: Cainiu Health
Disease description:

I have been experiencing uncontrollable hiccups recently. I feel a twitching sensation in my chest area, and my throat makes "hic" sounds as well. The hiccups occur more frequently while eating or drinking. Could this be diaphragmic spasm?

Doctor's answer (1)
Dr. Shen Yonghua

Hiccups, medically known as diaphragm spasms, are a common physiological phenomenon, usually characterized by continuous, involuntary contractions of the diaphragm, causing brief and repeated breathing interruptions and sudden closure sounds during inhalation.

Specific symptoms of diaphragm spasms include repeated, uncontrollable hiccups, which are the most typical symptom, although the sound of hiccups may vary from person to person. Muscle tension and contractions in the chest wall caused by diaphragm spasms may lead to a feeling of pressure or discomfort in the chest.

Diaphragm spasms may affect esophageal peristalsis, making it difficult for food to pass through, resulting in dysphagia (difficulty swallowing). Diaphragm spasms can increase the vertical diameter of the thoracic cavity and reduce thoracic volume, potentially causing dyspnea (difficulty breathing). Nocturnal episodes of diaphragm spasms may affect sleep quality, causing insomnia or interrupted sleep.

In most cases, diaphragm spasms are temporary and can be relieved through simple self-management techniques. If diaphragm spasms occur frequently or last for an extended period (more than 48 hours), medical evaluation may be necessary to rule out underlying conditions such as gastroesophageal reflux disease, neurological disorders, or medication side effects.