Persistent hiccups (>48 hours) can be due to multiple causes, including gastric irritation, steroid use, infections, or neurological issues. Since the hiccups have not improved despite medications and are disturbing sleep, this needs a detailed evaluation rather than just symptomatic treatment.
Next Steps
Visit a hospital where a complete workup can be done — including blood tests, chest X-ray,
liver/
kidney function tests, and possibly an upper GI assessment.
• Review all medications with a doctor — dexamethasone may sometimes trigger hiccups.
• Continue baclofen only under medical supervision.
• If hiccups worsen, or if there are symptoms like vomiting, breathing difficulty, confusion, or chest pain, seek emergency care immediately.