Wenn das Zwerchfell zickt: Was hilft denn nun bei Schluckauf?

The sensation of a tight chest, known as "hicks," can be a sudden and puzzling occurrence. Medics clarify that this feeling arises when the esophagus contracts abruptly and involuntarily. This muscle and tendon plate, separating the chest and abdominal cavities, triggers a closure of the voice box, creating a blockage for inhaled air. The resulting small buildup of air produces the characteristic hicks sound, according to the German Society of Otolaryngology website.

While hicks often strike without warning, certain triggers can prompt it. These include eating quickly, consuming carbonated drinks, drinking large amounts of alcohol, experiencing stress, performing on stage, or taking specific medications. Even alternating between cold and hot foods can lead to a contracted esophagus. Typically, hicks subsides on its own within minutes. However, if the sensation persists for an unusually long time or is accompanied by other symptoms, medical attention may be warranted.

Typical remedies for hicks include distraction techniques. These might involve counting to 20 while holding one's breath, startling oneself, sipping cold water in small sips, or reflecting on the contents of the previous day's meal or seven perfect men. Such distractions aim to ease the mind and relax the esophagus and breathing. Methods that specifically target breathing tend to be particularly effective. They can help the individual relax, thereby allowing the esophagus and respiratory system to function normally again.

Seeking medical help for hicks is rarely necessary, as it is usually harmless. However, there are instances where it may signal an underlying issue. This could be related to the esophagus, stomach, small intestine, hormonal or nervous system disorders. Warning signs include hicks occurring more frequently than usual, lasting beyond a day, or being accompanied by symptoms like heartburn, abdominal pain, nausea, swelling in the throat area, or significant fatigue.

If hicks is accompanied by weakness, speech or vision problems, headaches, dizziness, or vomiting, immediate emergency assistance via the 112 hotline is recommended. These could be signs of a stroke, which requires urgent medical intervention.