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Persistent Singultus: Addressing Complexity With Simplicity.

Nidhi Patel1, Kevin O'Brien1

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This summary is machine-generated.

Continuous positive airway pressure (CPAP) masks can cause aerophagia, leading to gastric distention and hiccups. Stopping CPAP mask use resolved the patient's singultus, highlighting a potential iatrogenic cause.

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Area of Science:

  • Neurology
  • Gastroenterology
  • Sleep Medicine

Background:

  • Singultus, or hiccups, is a reflex involving the brainstem and associated nerves.
  • Numerous factors can trigger hiccups, including organic, psychogenic, idiopathic, and iatrogenic causes.

Observation:

  • A 69-year-old man presented with persistent hiccups.
  • The hiccups were temporally associated with the use of his Continuous Positive Airway Pressure (CPAP) mask.

Findings:

  • The patient's singultus resolved completely after discontinuing the use of the CPAP mask.
  • This case suggests CPAP use can lead to iatrogenic aerophagia, gastric distention, and subsequent hiccups.

Implications:

  • CPAP therapy may be an unrecognized cause of iatrogenic singultus.
  • A thorough patient history is crucial for diagnosing hiccup causes, including potential iatrogenic factors related to medical devices.