What Causes Hiccups?

iStock/damircudic
iStock/damircudic

The cause of hiccups depends on whom you ask. The ancient Greek physician Galen thought hiccups were violent emotions erupting from the body, while others thought they were a sign of liver inflammation. Today, evidence points to spasms in the diaphragm, the large muscle between the chest and abdomen that aids airflow during breathing. This involuntary contraction can be brought on by a number of things that might irritate the nerves that control the movement of the muscle. A full stomach, heavy boozing, rapid shifts in temperature either inside or outside of the stomach, and certain emotions like shock or excitement are all common culprits.

No matter the cause, the result is the same: The diaphragm spasms and causes us to take a quick breath. The sudden rush of air causes the epiglottis (the flap that protects the space between the vocal cords) to shut and interrupt the breath, which makes the familiar "hic" sound.

WHAT CURES THEM?

The best cure for hiccups also depends on the person you ask. Almost all cures are based on one of two principles: One type works its magic by overwhelming the vagus nerve with another sensation. The vagus nerve is a cranial nerve that innervates the stomach and conveys sensory information about the body's organs to the brain. When distracted by overwhelming information of another sort, it basically tells the brain that something more important has come up and the hiccuping should probably be stopped (vagus nerve stimulation is also used to control seizures in epileptics and treat drug-resistant cases of clinical depression). The other method for curing hiccups is to interfere with the breathing, increasing the amount of carbon dioxide in the blood, and causing the body to focus on getting rid of the of the CO2 and not making hiccups.

Swallowing a spoonful of sugar is probably the most commonly prescribed hiccup cure and falls into the first category. A teaspoon of sugar is usually enough to stimulate the vagus nerve and make the body forget all about the hiccups. Even ardent supporters of the sugar cure disagree if the sugar should be taken dry or washed down with water, though.

If this home remedy doesn't work, and your hiccups are both severe and persistent, you may need to bring out the big guns. For chronic cases like this, doctors sometimes use a cocktail of Reglan (a gastrointestinal stimulant) and Thorazine (an anti-psychotic with sedative properties) to quiet things down. In some cases that resist these drugs, Kemstro, an anti-spasmodic, is also used. Other doctors have used vagus nerve stimulators implanted in the upper chest of patients. The pacemaker-like devices send rhythmic bursts of electricity through the vagus nerve to the brain to keep the hiccup cycle in check.

Many people prefer home remedies to battle their hiccups, which may include holding your breath, gargling ice water, or breathing into a paper bag. While the same people will swear by the treatment they've been using all these years, there's no firm scientific consensus that any of them actually work. But if it helps you, isn't that all that matters?

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An earlier version of this article appeared in 2012.

Why Are Shower Doors in Hotel Rooms Getting Smaller?

sl-f/iStock via Getty Images
sl-f/iStock via Getty Images

Shower doors are shrinking in posh hotels, and minimalism is to blame, Condé Nast Traveler reports.

In lieu of hanging shower curtains or providing full shower doors, many newer hotels are opting for glass panels that cover only half the length of the shower. That’s frustrating for many travelers, who complain the growing trend is inconvenient and leaves bathroom floors sopping wet and slippery after shower use.

According to Condé Nast Traveler, the half-door trend began in European hotels in the 1980s. “A lot of it comes down to people trying to design hotel rooms with limited space,” boutique hotel designer Tom Parker told the magazine. “It’s about the swing of the shower door, because it has to open outward for safety reasons, like [if] someone falls in the shower. You have to figure out where the door swing’s going to go, make sure it’s not [hitting] the main door. It’s just about clearances.” A smaller door also has the added benefit of making the space appear larger than it really is, according to the magazine.

The trend is also connected to the birth of minimalist “lifestyle hotels,” which cater to a younger, hipper clientele that gravitates toward sleek lines and modern design. Plus, half-size glass doors are easier to clean than shower curtains, which tend to trap bacteria and need to regularly be replaced, which can add up to significant additional costs for a hotel.

Theoretically, even half-door showers are designed to minimize water spillage. Designers try to level the floors in bathrooms so water doesn’t pool in random areas, and they place shower heads and knobs in areas that are more protected by glass paneling. And where design doesn’t work, hotels try to pick up the slack.

“Hotels tend to mitigate the risks by offering non-slip interior shower mats, cloth bath mats for stepping out of the shower, grab bars, [and] open showers or no-sill showers which avoid having to step up and over the ledge,” designer Douglas DeBoer, founder and CEO of Rebel Design Group, told Condé Nast Traveler.

But the half-door trend still has yet to gain much love from hotel guests. “The older generation much, much prefers having a shower door,” Parker told Condé Nast Traveler. “I’m like a 70-year-old man at heart anyway. I like [a shower door] if it’s in keeping with the style of the rest of the room.”

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Does Pushing the Button at a Crosswalk Actually Do Anything?

Pressing this crosswalk button may or may not do something.
Pressing this crosswalk button may or may not do something.
David Tran/iStock via Getty Images

Since crosswalk signals rarely seem to give you the green light (or more accurately, the white, human-shaped light) right after you press the button, you may find yourself wondering if those buttons actually work. The potentially exasperating answer is this: It depends.

First and foremost, it’s important to understand that crosswalk buttons aren’t designed to have an immediate effect; they’re just supposed to tell the system that a person is waiting to cross. As CityLab explained, some systems won’t ever give pedestrians the crossing signal unless someone has pressed the button, while others are programmed to shorten the wait time for walkers when the button has been pressed. No matter what, the system still has to cycle through its other phases to give cars enough time to pass through the intersection, so you’ll probably still have to stand there for a moment.

During busy traffic times or under other extenuating circumstances, however, cities can switch the system to what’s known as “recall mode,” when pedestrian crossings are part of the cycle already and pressing the button quite literally changes nothing. Unfortunately, there’s no way to tell if a particular button is in recall mode, short of calling your city officials and asking an expert to come inspect it.

But if you feel like a button isn’t doing anything, there’s a pretty good chance it’s been permanently deactivated. As congestion has increased and the systems to manage it have become more advanced over the years, cities have moved away from using crosswalk buttons at all. In 2018, for example, CNN reported that only around 100 of New York City’s 1000 buttons were still functioning. Since actually removing the buttons from crosswalks would be a costly endeavor, cities have opted to leave them intact, just waiting to be pummeled by impatient pedestrians who don’t know any better.

What about 'close door' buttons on elevators, you ask? That depends, too.

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