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Chronic Hiccups and Gastroesophageal Reflux Disease: The Acid Perfusion Test as a Provocative Maneuver
- MICHAEL GLUCK, M. D.; and
- CHARLES E. POPE II, M.D.
Excerpt
HICCUPS (singultus) usually provoke a tolerant smile and the prompt application of home remedies. Any impersonation of an inebriated person is not complete without hiccups. However, in an immediate postoperative situation where such violent diaphragmatic contractions can disrupt suture lines, hiccups are not a laughing matter. Intractable hiccups take on a disturbing character to both sufferer and physician. Previous reviews of the topic (1-3) have listed many causes for intractable hiccups, and in all lists one finds "esophagitis and hiatal hernia." Yet, no studies clearly show that an irritated esophagus can produce chronic hiccups.
We have recently treated an alcoholic
This 100-word excerpt has been provided in the absence of an abstract.
Article and Author Information
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▸Requests for reprints should be addressed to Michael Gluck, M. D.; Division of Gastroenterology, Veterans Administration Medical Center, 1660 South Columbian Way; Seattle, WA 98108.
