Successful treatment of intractable hiccups by oral application of lidocaine
- 818 Downloads
Persistent and intractable hiccups are a rather rare, but distressing gastrointestinal symptom found in palliative care patients. Although several recommendations for treatment are given, hiccups often persist.
We describe a new pharmacological approach for successfully treating hiccups in four cancer patients. In the first patient, chronic and intractable hiccups lasted for more than 18 months, but disappeared immediately after swallowing a viscous 2 % lidocaine solution for treatment of mucositis. Based on this experience, we successfully treated three further patients suffering from singultus using a lidocaine-containing gel. To our knowledge, this is the first report about managing hiccups by oral application of a lidocaine solution.
KeywordsHiccups Treatment Lidocaine Oral application
Conflict of interest
- 5.Kim WO, Yoon KB, Kil HK et al (2004) Successful treatment of persistent hiccups with baclofen and gabapentin: a case report. Korean J Anesthesiol 47:142–145Google Scholar
- 8.Seker MM, Aksoy S, Ozdemir NY et al (2011) Successful treatment of chronic hiccup with baclofen in cancer patients. Med Oncol Mar 26Google Scholar