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Ask a doc: ‘What causes hiccups, and how can I get rid of them?'

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Ask a doc: ‘What causes hiccups, and how can I get rid of them?'

Most of us get the hiccups from time to time. While they can be annoying, they generally go away on their own before too long.

But sometimes a stubborn case of the hiccups can go on for minutes or even up to an hour. If you’re at work or in a social situation, it can be embarrassing and a nuisance. 

To better understand the cause of hiccups and how to get rid of them, Fox News Digital reached out to two doctors who are experts on the condition.

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Here are revealing insights. 

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What causes hiccups?

Hiccups are an involuntary and rapid contraction of the diaphragm muscle and the muscles between the ribs that expand the lungs to breathe, followed immediately by closure of the glottis. 

That’s the muscular flap that closes the airway after swallowing, said Mark Loafman, M.D., a board-certified family physician with Cook County Health in Chicago, Illinois.

Hiccups are an involuntary and rapid contraction of the diaphragm muscle and the muscles between the ribs that expand the lungs to breathe, followed immediately by closure of the glottis — the muscular flap that closes the airway after swallowing. (iStock)

“The glottis closing is what causes the ‘hic’ sound,” he told Fox News Digital.

Most hiccup episodes are short-lived and are not cause for concern, according to Loafman.  

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“Longer episodes are associated with a wide variety of conditions, ranging from benign to serious, though sometimes we never find the cause for persistent bouts of hiccups,” he said.

Some people do have a greater susceptibility than others, he noted. 

One strategy to get rid of hiccups is to hold your breath as tolerated for five or even 10 seconds, a doctor said. (iStock)

“Routine hiccups are most common among older and taller men,” he said. 

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“There are a few theories about why that is — perhaps the long body type affects the various neuromuscular tissues involved, but no one knows for certain.”

Tips for getting rid of hiccups

While home remedies exist for hiccups, there is variable evidence on what actually works, said Natasha Bhuyan, M.D., a family doctor with One Medical in Phoenix, Arizona.

“Hiccups are essentially a reflex, so many of the remedies are trying to interrupt the signals causing the reflex,” she said. “This is why so many cures involve odd ways of drinking or eating.”

Sipping or gargling icy-cold water, biting into a lemon, swallowing a teaspoon of dry sugar or pulling on your tongue are other home remedies that the doctor suggested.  (iStock)

Although there are no clinical trials on home remedies, Loafman noted that some patients have found some benefit from several of the methods.

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One strategy is to hold your breath as tolerated for five or even 10 seconds, he suggested.

Another idea is to try a Valsalva maneuver, which is usually done by closing one’s mouth and pinching one’s nose shut while expelling air, per the National Institutes of Health.

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Sipping or gargling icy-cold water, biting into a lemon, swallowing a teaspoon of dry sugar or pulling on your tongue are other home remedies that Loafman suggested. 

“Keep in mind that hiccups are most always self-limited and will stop no matter what you do, so any remedy will appear to work eventually because the hiccups stop on their own,” the doctor said. 

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Experts advise seeking medical attention if hiccups persist for hours at a time, are frequently recurring or interfere with basic, everyday functions. (iStock)

When it comes to the age-old tactic of “scaring someone” out of their hiccups, Loafman said that is folklore and probably doesn’t work. 

“But hiccups are almost always going to stop on their own anyway, so scaring someone could appear to be effective at times,” he said.

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Dietary choices can also play a role in controlling hiccups, said Loafman — particularly overeating.

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“If someone notices a pattern with certain foods, we would suggest making a change there as well,” he said. 

When should you seek medical attention?

It’s advised to seek medical attention if hiccups persist for hours at a time, are frequently recurring or interfere with basic function, Loafman said.

While hiccups are short-lasting and totally benign most of the time, persistent episodes are associated with some chronic and sometimes serious health conditions

These can include central nervous disorders, diabetes, kidney disease and esophageal issues, per the Mayo Clinic. 

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A medical provider can assess the situation further.

For more Health articles, visit www.foxnews.com/health.

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Americans are giving up multivitamins for a different daily health habit, study finds

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Americans are giving up multivitamins for a different daily health habit, study finds

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Americans are popping more supplements – and fewer multivitamins – than ever before, a new study found.

Research published in JAMA Network Open, led by researchers at Memorial Sloan Kettering Cancer Center in New York and the Harvard T.H. Chan School of Public Health in Boston, looked at 25 years of U.S. dietary supplement use data from 1999 to 2023.

This included more than 63,000 adults over the age of 20 who reported their supplement usage.

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When tracking patterns over time, the analysis revealed that overall supplement use increased from 51% of U.S. adults to 60%. The largest rise – from 62% to 78% – was identified in adults 65 and older.

Supplement use was found to be more common in women, people with a higher income or education, and those with insurance.

Supplement use was found to be more common in women, people with a higher income or education, and those with insurance. (iStock)

During the same period, multivitamin use decreased from 35% to 31%, while intake of vitamins and minerals outside of multivitamins increased.

Some of the largest increases in intake were seen in vitamin D, zinc, magnesium, vitamin B12 and turmeric. Other emerging supplements include ashwagandha, elderberry, collagen, hyaluronic acid, probiotics and prebiotics, according to the research.

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The later post-pandemic period saw an influx of immune support-based products, like zinc and vitamin D (outside of multivitamins).

The rise in supplement use aligns with the longevity movement, as more people seek products tailored to specific health goals, such as immune support, inflammation, gut health, skin health and joint health.

The study only shows that people are taking more supplements, but does not prove that they’re effective for these uses, the researchers noted.

Those on a GLP-1 medication should factor in a multivitamin to counteract the risk of nutrient gaps or deficiencies, an expert recommended. (iStock)

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In an interview with Fox News Digital, Los Angeles-based registered dietitian nutritionist Ilana Muhlstein gave her take on the emerging supplement movement.

“I love that people are getting more educated and more intentional – I just wish they were being advised by more doctors and dietitians and less by ‘wellness influencers’ who are likely not doing the due diligence on the quality and efficacy of the supplements they’re promoting,” she said.

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Muhlstein expressed concern that all-in-one-multivitamin use has “slipped,” despite the rise in GLP-1 weight-loss medications.

“A multivitamin is where I think people should start as the foundation to help bridge nutrient gaps, especially for people on a GLP-1 who are eating about 15% to 30% less, and therefore likely consuming 15% to 30% less vitamins and minerals,” she said. “I recommend that everyone on a GLP-1 medication [should] take a multivitamin daily.”

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A daily probiotic, magnesium and vitamin D3 are also “smart for many of us,” the nutritionist added. She also recommends elderberry as an effective supplement for boosting the immune system when fighting a cold.

A nutrition expert cautioned against taking supplements that have not gone through third-party testing for safety and quality. (iStock)

Collagen has also been shown to benefit the skin and joints, which Muhlstein said is “worth considering as we get older.”

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“My real concern is the unregulated market,” she cautioned. “I can’t tell you how many calls I’ve received over the years of people pitching me new supplements … because the margins are high and the market is huge.”

“That’s why I’m extremely picky about what I take and what I recommend to my family and clients.”

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Muhlstein warned against taking a supplement that hasn’t gone through third-party testing for safety and quality.

“The best ones go further and test for pesticides, arsenic and heavy metals, especially for protein powders,” she said. “If a product has many ingredients, I like to see that they do testing on each individual ingredient.”

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America’s national parks could add years to your life — here’s how they boost health

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America’s national parks could add years to your life — here’s how they boost health

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As the United States celebrates its 250th anniversary, many Americans are taking extra notice of all the things the country has to offer.

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One such case is our access to vast wilderness. Today, the nation’s national parks are bustling tourist attractions, but they may also serve as vital resources for public health, experts say.

The most immediate health boost comes from physical movement.

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Guidelines from the Centers for Disease Control and Prevention show that regular physical activity is crucial for reducing obesity, improving sleep quality and lowering the risk of chronic illnesses.

The nation’s public lands include parks, trails and open spaces that encourage outdoor recreation and physical activity.

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Beyond physical fitness, national parks contribute to documented mental health benefits. (iStock)

A review by the Community Preventive Services Task Force (CPSTF) found that implementing park, trail and greenway infrastructure directly increases physical activity across communities.

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When people walk, hike or bike through national parks, they are actively lowering their blood pressure, boosting immune function and reducing overall mortality, data shows.

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Beyond physical fitness, national parks may contribute to documented mental health benefits.

Previous research has demonstrated that direct exposure to nature significantly reduces physiological stress, lowers heart rates and decreases levels of stress hormones, like cortisol.

Engaging in educational activities and lifelong learning preserves brain function, improves memory and helps stave off age-related cognitive decline, research shows. (iStock)

This research also shows that natural environments boost attention span, combat mental fatigue and improve cognitive performance.

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Parks also act as natural venues for mindfulness and social connection.

Research shows that practicing mindfulness in quiet outdoor spaces lowers stress and mitigates feelings of loneliness and social isolation.

Research highlights that practicing mindfulness in quiet outdoor spaces lowers stress and mitigates feelings of loneliness and social isolation. (iStock)

Additionally, because parks protect cultural and historical resources, they can inspire lifelong learning.

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According to the data, engaging in educational activities and lifelong learning preserves brain function, improves memory and helps stave off age-related cognitive decline.

The National Park Service was established in 1916 to conserve the nation’s natural and historic resources for future generations, according to the organization.

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Today, that mission has expanded, as parks are recognized not only for their scenic and cultural value, but also the opportunities they provide for recreation and physical activity.

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Doctors thought man had brain cancer — they found live tapeworms instead

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Doctors thought man had brain cancer — they found live tapeworms instead

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Doctors thought a 60-year-old man had metastatic brain cancer after scans revealed multiple tumors – but further testing revealed a shocking diagnosis.

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The Spanish man, who was not named, was found to have a parasitic tapeworm larvae lodged in his brain — a case of neurocysticercosis, a parasitic infection of the central nervous system caused by the pork tapeworm (Taenia solium).

The patient, a lifelong resident of Castellón, Spain, had not traveled to any regions where the disease is endemic, according to the case report published in the CDC journal Emerging Infectious Diseases.

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The man had initially come to the hospital after suffering two weeks of progressive headaches and mild behavioral changes.

Radiologic findings from a study of autochthonous neurocysticercosis brain lesions mimicking metastatic disease. (Emerging Infectious Diseases)

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CT scans showed multiple abnormal spots that looked like tumors that had spread from cancer elsewhere in the body, leading doctors to suspect advanced brain cancer.

However, whole-body scans, a colonoscopy and specialized imaging failed to identify cancer anywhere in the patient’s body, the case report stated.

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When doctors performed a more detailed MRI, they discovered several fluid-filled cysts in the brain, some of which contained the head of a tapeworm. A blood test confirmed the diagnosis of neurocysticercosis.

The man was treated with a combination of albendazole and praziquantel (two antiparasitic medications), as well as corticosteroids to reduce inflammation. He successfully recovered with no complications, according to the case report.

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CT scans (not pictured) showed multiple abnormal spots that looked like tumors that had spread from cancer elsewhere in the body, leading doctors to suspect advanced brain cancer. (iStock)

The authors suggested that the patient may have gotten the infection after accidentally ingesting microscopic tapeworm eggs years earlier.

The exposure may have occurred while working a construction job with migrant coworkers from regions where neurocysticercosis is endemic.

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People can catch the pork tapeworm in two different ways. Eating undercooked infected pork usually leads to an intestinal tapeworm, but accidentally swallowing the parasite’s eggs — typically through food or water contaminated with feces — can send the larvae into the bloodstream, where they may form cysts in the brain and other organs. This can cause the disease the patient in the case report acquired.

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A photomicrograph shows histopathologic features in a brain tissue specimen from a case of neurocysticercosis caused by the pork tapeworm Taenia solium. The image documents pathological changes associated with this parasitic infection. (Smith Collection/Gado/Getty Images)

As this was just a single case, the source of transmission could not be proven, the researchers acknowledged, and the findings cannot be generalized to a wider population. The report shows that there is a possibility of local transmission in non-endemic settings, but cannot establish how often this occurs.

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In the United States, less than 2% of neurocysticercosis cases are considered domestically acquired, according to the case report.

A prior systematic review identified only 18 confirmed locally acquired cases in Western Europe between 1990 and 2011.

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The authors suggested that the patient may have gotten the infection after accidentally ingesting microscopic tapeworm eggs years earlier. (Associated Press)

In some cases, NCC can cause serious symptoms, including seizures, stroke, neurological deficits and cognitive decline.

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“Our case emphasizes that the absence of travel history should not preclude NCC from the differential diagnosis of multiple ring-enhancing brain lesions, even in regions where metastatic cancer is statistically much more likely,” the researchers concluded in the case study.

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Detecting the worms earlier could have prevented “unnecessary invasive oncologic procedures and led to prompt, targeted antiparasitic therapy,” they added.

Fox News Digital reached out to the researchers for comment.

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