How do you manage intractable hiccups from radiation?

Hiccups can be extremely vexing for patients while they receive radiotherapy. I gauge my need for medical intervention based on their history of hiccup frequency and pattern through the day (e.g., night-time hiccups only), as well as the kind of other interventions the patient may have attempted. I ...

In addition to chlorpromazine, several low cost interventions such granulated sugar (NEJM 1971), lemon with angostura bitters (NEJM 1981), or digital rectal exam (J Intern Med 1990), or perhaps acupuncture, may be successful in interrupting the hiccup cycle. Gabapentin has also been reported as effe...