Termination of intractable hiccups with digital rectal massage.
Odeh M, Bassan H, Oliven A.
Department of Internal Medicine, Bnai Zion Medical Center, Haifa, Israel.
A 60-year-old man with acute pancreatitis developed persistent hiccups after
insertion of a nasogastric tube. Removal of the latter did not terminate the
hiccups which had also been treated with different drugs, and several
manoeuvres were attempted, but with no success. Digital rectal massage was then
performed resulting in abrupt cessation of the hiccups. Recurrence of the
hiccups occurred several hours later, and again, they were terminated
immediately with digital rectal massage. No other recurrences were observed.
This is the second reported case associating cessation of intractable hiccups
with digital rectal massage. We suggest that this manoeuvre should be
considered in cases of intractable hiccups before proceeding with