Don't Hiccup Yourself Silly Understanding & Managing Chemo-Induced Hiccups
                     Don't Hiccup 
Yourself Silly: 
Understanding & 
Managing 
Chemo-Induced 
Hiccups
www.sklarchiro.com
Introduction
Cancer treatment brings essential but challenging 
aspects, and one unexpected side effect is 
chemotherapy-induced hiccups, or "Chemo Hiccups." 
These involuntary contractions of the diaphragm can be 
bothersome during or after chemotherapy. The precise 
cause is not fully known, but nervous system impact 
and diaphragm irritation are contributing factors. To 
navigate Chemo Hiccups, staying hydrated, practicing 
breathing exercises, considering medications, exploring 
acupressure, and engaging in distractions can offer 
relief. While typically benign, persistent, or severe 
hiccups should prompt consultation with healthcare 
providers. Understanding and addressing Chemo 
Hiccups contribute to a more manageable and 
supportive cancer treatment journey.
Understanding Chemo Hiccups
Chemo hiccups are involuntary contractions of the diaphragm occurring 
during or after chemotherapy treatment. Though not life-threatening, 
they can be persistent and bothersome, affecting both the physical and 
emotional well-being of patients.
Causes:
The exact cause of Chemo Hiccups is not fully understood, but 
chemotherapy's impact on the nervous system is believed to play a role. 
Additionally, irritation to the diaphragm and surrounding nerves can 
contribute to the onset of hiccups.
Managing Chemo Hiccups:
1. Stay Hydrated:
Dehydration can exacerbate hiccups. Ensure you stay well-hydrated before, during, and 
after chemotherapy to alleviate the frequency and intensity of hiccups.
2. Breathing Exercises:
Practice slow, deep breaths to relax the diaphragm. Techniques such as pursed-lip 
breathing and diaphragmatic breathing can be effective in calming hiccups.
3. Medication:
Consult your healthcare team about medications that may help control Chemo Hiccups. 
Medications like chlorpromazine or baclofen are sometimes prescribed to manage hiccup 
symptoms.
4. Acupressure:
 Explore acupressure techniques, such as gently massaging the pressure point between 
the thumb and forefinger, to alleviate hiccups potentially.
When to Seek Medical 
WAhtilte eChnemtoi oHicncups are typically benign, persistent or severe hiccups may warrant 
medical attention. If hiccups persist for an extended period or become painful, consult 
your healthcare team for further evaluation.
Thank you 
very much!
(215) 498-5825 
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Wissahickon Spine Center
Philadelphia, PA 19118