Abstract
Hiccup is a condition caused by involuntary contraction of inspiratory muscles, especially
the diaphragm. Although it is generally considered as a physiological.
response, if hiccup persists for a long time, it can lead to many undesirable conditions
such as depression, weight loss, insomnia, and fatigue. A 35-year-old male patient
was admitted to our emergency department with hiccup lasting for 15 h. He had a history
of several hiccup attacks. Classical non-pharmacological and pharmacological therapies
were used to treat the condition without any response. As an alternative method, an
intradermal injection was applied. A mixture of thiocolchicoside and lidocaine was
administered intradermally to a depth of 1–3 mm at the epigastric region and adjacent
to the sternocleidomastoid muscle. The patient's hiccup ended after the intradermal
injection procedure. During 48 h of follow-up the hiccup attack did not develop again.
No complications related to the process were detected. This is the first case in the
literature demonstrating the use of intradermal injection to terminate hiccups. The
intradermal injection approach can be administered in cases of hiccups that do not
respond to medical treatment.
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Article Info
Publication History
Published online: March 25, 2020
Accepted:
March 21,
2020
Received:
January 26,
2020
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
