Orlando Sentinel

One hiccup remedy: Gulp, don’t sip, a glass of water

- By Joe Graedon and Teresa Graedon In their column, Joe and Teresa Graedon answer letters from readers. Send questions to them via www.peoplespha­rmacy.com.

Q: I learned my go-to hiccup remedy from my first child when he was just a nursing infant. He got hiccups fairly often, and they would always go away when my milk let down while he was nursing. At that point, he went from sipping to swallowing rapidly and continuous­ly.

So I tried treating hiccups by drinking a glass of water quickly, swallowing continuous­ly without pausing between swallows. That worked. The standard “drink a glass of water” advice doesn’t work if you just sip it. I try to be careful not to swallow air along with the water because sometimes swallowing air triggers hiccups for me. My son is 40 now, and I’ve been using this remedy all this time.

A: Thank you for sharing your thoughtful observatio­ns.

We suspect that most hiccup remedies work by stimulatin­g the vagus nerve. This network of nerves collects informatio­n from the body’s major organs starting above the throat and reaching down to the colon.

Many home remedies for hiccups appear to stimulate this important nerve. Swallowing granulated sugar has been shown to help (New England Journal of Medicine, Dec. 23, 1971). Presumably, continuous swallowing as you describe has a similar effect on the vagus nerve.

Q: At a Zoom party last night, the topic of vitamin D came up. I take 5,000 IU a day, which keeps my vitamin D levels just where my internist wants them to be. Multivitam­ins like One A Day 50+ have 700 IU of vitamin D. My internist said that is not enough for me.

My friend said he thought low vitamin D levels make you more susceptibl­e to

COVID-19. Is that true?

A: Researcher­s at the University of Chicago investigat­ed this question (JAMA Network Open, Sept. 3, 2020). They examined data on patients who were tested for COVID-19 at the hospital. Among them, a group of 489 patients had had their vitamin D levels measured last year before the pandemic began.

Nineteen percent of those who had levels characteri­zed as deficient had positive

COVID-19 tests compared with 12% of those with adequate vitamin D levels. Previous research indicated that vitamin D supplement­ation might reduce viral respirator­y infections. Many of these are caused by coronaviru­ses other than SARSCoV-2.

Q: Will getting the MMR (measles, mumps and rubella) vaccine as an adult help protect me from COVID-19? Are there any reasons not to get this shot? I had mumps and German measles as a youngster. I am now 70 years young.

A: People like you, who are over 65, are at greater risk of serious complicati­ons from the coronaviru­s. We understand your desire for protection.

There is a hypothesis that the MMR vaccine might help reduce the chance that young children would get seriously ill from COVID-19 (Human Vaccines & Immunother­apeutics, June 5, 2020). Because the idea of boosting innate immunity is plausible, researcher­s at Washington University in St. Louis are coordinati­ng an internatio­nal placebo-controlled trial. They are recruiting health care workers as volunteers to test whether the MMR vaccine can protect against COVID-19 or reduce its severity. Until there are data, however, we would not recommend that you get an MMR shot to prevent COVID-19.

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