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Case Report

Intractable hiccups (Singultus) of psychogenic origin- a case report.

Javed Ather Siddiqui, Shazia Farheen Qureshi, Adel Allaithy, Talal Abdullah Mahfouz.

Hiccups are repeated involuntary, intermittent spasmodic contractions of the diaphragm and inspiratory intercostal muscles that results in sudden inspiration followed by a sudden closure of the glottis. It is naturally benign, self-limited but may be most of the time organic in nature and in some cases chronic, debilitating and psychogenic.

Here we report a case of a 16 year old female student who developed hiccups of a psychogenic origin started by stress, which lasted for more than weeks sometime for a month and is successfully treated by antipsychotics haloperidol and psychological interventions. Physicians always face a diagnostic challenge, especially when no identifiable organic cause is elicited. However, such cases are invariably referred for psychiatric evaluation and treatment.

Key words: Persistent hiccups, singultus, psychogenic, antipsychotics.

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