Successful treatment of intractable hiccups by oral application of lidocaine |
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Authors: | Thomas Neuhaus Yon-Dschun Ko Sebastian Stier |
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Affiliation: | 1. St. Vincenz-Hospital, Auf dem Schafsberg, 65549, Limburg, Germany 2. Johanniter-Hospital, Bonn, Germany 3. Private Practice for Hematology and Oncology, Brühl, Germany
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Abstract: | Background 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. Case reports 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. |
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