Hiccups That Won’t Settle

When persistent hiccups need medical attention

What hiccups are in plain terms

Hiccups happen when the diaphragm contracts suddenly and the vocal cords close, creating the familiar “hic” sound. Short episodes are common and usually harmless. Persistent hiccups describe episodes that last much longer than expected or keep returning and disrupting daily life.

Why hiccups usually stop on their own

Most hiccups relate to temporary irritation of the diaphragm or the nerves that control it. Eating quickly, carbonated drinks, alcohol, temperature changes, or excitement can trigger them. In these situations, hiccups settle as the irritation fades.

When hiccups become persistent

Hiccups that last for days or recur frequently suggest ongoing stimulation of the hiccup reflex. This can relate to reflux, chest or abdominal irritation, infection, medication effects, or problems affecting the nerves involved in breathing and swallowing. The longer hiccups persist, the more important it becomes to look for an underlying cause.

Why persistent hiccups affect wellbeing

Ongoing hiccups interfere with sleep, eating, speaking, and concentration. Over time, people may feel exhausted, frustrated, or anxious about why the hiccups are not stopping. These effects matter clinically because they signal that the symptom is no longer trivial, even if the cause turns out to be manageable.

Red flags that need a GP review

A GP review is important if hiccups last longer than expected, return repeatedly, or come with other symptoms. Extra attention is needed if hiccups are associated with chest pain, breathlessness, difficulty swallowing, vomiting, weight loss, fever, neurological symptoms, or recent surgery. These features guide whether investigations are needed.

How your GP approaches assessment

Your GP focuses on pattern, duration, triggers, and associated symptoms. Review includes looking at medicines, reflux symptoms, recent illness, and overall health context. Many causes are treatable once identified, and early assessment often prevents prolonged disruption.

This article provides general health information only and does not replace medical advice. Please speak with your GP for personalised care.