WEBVTT - BrainStuff Classics: Why Do We Get Hiccups?

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<v Speaker 1>Welcome to brain Stuff, a production of I Heart Radio.

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<v Speaker 1>Hey rain Stuff. I'm Lauren Vogelbaum, and today's episode is

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<v Speaker 1>another classic. In this one, we go into the widely

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<v Speaker 1>annoying but surprisingly confounding causes and hears of hiccups. Hey

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<v Speaker 1>brain Stuff, I'm Lauren Vogelbaum, and today's question is how

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<v Speaker 1>do we get hiccups? Science isn't sure, actually, but it's

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<v Speaker 1>not that medical science has been ignoring hiccups. When these

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<v Speaker 1>spasms are frequent or persistent in adults, they can indicate

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<v Speaker 1>over a hundred different diseases and disorders, from multiple sclerosis

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<v Speaker 1>to cancer to appendicitis, and hiccups themselves can get serious

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<v Speaker 1>and what's called intractable cases. Hiccups don't stop for more

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<v Speaker 1>than a month and can go on for years without relief,

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<v Speaker 1>leading to complications like a regular heartbeat, weight loss, insomnia,

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<v Speaker 1>and emotional distress. Understandably, but okay, science isn't totally ignorant here.

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<v Speaker 1>We know the basics. Hiccups are reflexive spasms of the

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<v Speaker 1>diaphragm and glottis and more on both of those in

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<v Speaker 1>a second caused by irritation to any of several nerves.

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<v Speaker 1>Throughout your body. During normal, non hiccuppy breathing, you move

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<v Speaker 1>air into and out of your lungs, partially thanks to

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<v Speaker 1>contractions of your diaphragm. It contracts pulling downward as you inhale,

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<v Speaker 1>giving your lungs room to expand, then releases, relaxing upward

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<v Speaker 1>and letting your lungs contract as you exhale, and all

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<v Speaker 1>that air moves through your throat and importantly through your glottis,

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<v Speaker 1>which is the opening between your vocal cords. But during

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<v Speaker 1>a hiccup, at least half of your diaphragm for some

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<v Speaker 1>reason contracts sharply about eighty percent of the time, it's

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<v Speaker 1>just the left half. Go figure that contraction starts pulling

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<v Speaker 1>in a deep breath, but that breath gets cut short

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<v Speaker 1>by the glottis snapping shut about three hundreds of a

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<v Speaker 1>second later. The hicck sound comes from that sudden closure.

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<v Speaker 1>In most cases, hiccups are caused by irritation of the

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<v Speaker 1>fhrenic nerves, which control the motion of the diaphragm and

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<v Speaker 1>send your brain sensory information about what's going on in

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<v Speaker 1>various parts of your neck and body. That irritation is

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<v Speaker 1>usually from your stomach distending when you accidentally swallow air,

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<v Speaker 1>or when you eat or drink too much too fast,

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<v Speaker 1>especially carbonated beverages like soda or beer. In rarer cases,

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<v Speaker 1>lots of other irritations can be at fault more serious

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<v Speaker 1>than having over drank soda or beer, such as infections

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<v Speaker 1>of or trauma to anything that the fhrenic nerves touch,

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<v Speaker 1>like a tumor pressing against them in your neck, or pericarditis,

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<v Speaker 1>which is the swelling of the membrane around your heart.

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<v Speaker 1>Irritations of the vagus nerve can also be hiccup culprits,

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<v Speaker 1>possibly due to its connection to the larynx, along with

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<v Speaker 1>everything from your small intestine to the inside of your ear,

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<v Speaker 1>and lots of stuff in between. If you're looking to

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<v Speaker 1>get rid of hiccups, some of the most common home

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<v Speaker 1>remedies really are worthwhile. They work by either overloading the

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<v Speaker 1>frenic or vagus nerves or by interrupting your involuntary breathing cycle.

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<v Speaker 1>For nerve overload, try biting into a lemon, placing a

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<v Speaker 1>spoonful of sugar on the back of your tongue, pulling

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<v Speaker 1>on your tongue, or having a friend tickler scare you

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<v Speaker 1>on the respiratory and try holding your breath, gulping down

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<v Speaker 1>a glass of water, or breathing into a paper bag

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<v Speaker 1>and if nothing works, hiccups generally go away on their own.

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<v Speaker 1>If they do stick around for more than forty eight hours,

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<v Speaker 1>see a doctor just in case. The purpose behind this

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<v Speaker 1>reflex is still a mystery. Some researchers say that they

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<v Speaker 1>could be vestigial spasms related to how our amphibian ancestors

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<v Speaker 1>controlled their gills. Others postulate that they help with breastfeeding.

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<v Speaker 1>Hiccups can release small amounts of air from the stomach

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<v Speaker 1>into the esophagus, where it can be exhaled, so hiccups

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<v Speaker 1>might serve to get air out of baby stomachs, making

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<v Speaker 1>more space for milk. Today's episode is based on a

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<v Speaker 1>script that I wrote for a brain stuff video for

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<v Speaker 1>how stuff works dot Com. The brain Stuff is production

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<v Speaker 1>of I Heart Radio in partnership with how stuff Works

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<v Speaker 1>dot Com, and it's produced by Tyler Clang. Four more

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