Persistent hysterical hiccups: A possible pathophysiological mechanism

Persistent hysterical hiccups: A possible pathophysiological mechanism

Blog Article

Background: Persistent hysterical hiccups are not a usual presentation in medicine.Both, the rational of choosing a specific modality of intervention and the possible biological mechanism behind hysterical hiccups are often ambiguous.Case description: A 37-year old married female with history of hiccups since the past two weeks was referred to the Department of Psychiatry Set Screw for further management.

She was extensively evaluated for other medical causes for hiccups and later diagnosed as a kids sweatpants case of persistent hysterical hiccups.She improved with chlorpromazine which is an antidopaminergic drug.Discussion: This case responded well with antidopaminergic medication.

The case suggests the possible role of dopamine in the biological mechanism of a specific clinical category of persistent hysterical hiccups.Conclusion: Our case demonstrates the use of chlorpromazine to effectively treat hiccups of psychogenic origin.