Fesmire, a specialist in emergency medicine and cardiology, probably did not have a real Nobel in mind when he published “Termination of intractable hiccups with digital rectal massage” in Annals of Emergency Medicine (vol 17, p 872).

He was, it transpires, attempting to help a man who walked into the emergency room after hiccuping for 72 hours at up to 30 times a minute.

Runaway electrical impulses in the vagus nerve cause intractable hiccups, so Fesmire attempted to block them by stimulating the nerve. Gagging, tongue pulling, sinus massage and pressing the eyeball to stimulate the vagus all failed to stop the hiccups. Then he remembered reading about a case in which digital rectal massage – inserting a finger into a patient’s anus – had slowed a racing heartbeat, an effect similar to runaway hiccups.

“It worked, and the rest is history,” he says. He has not needed to go that far again for other patients, but Majed Odeh of Bnai Zion Medical Center in Haifa, Israel, did a few years later and wrote a paper with the same title that earned him a share of the Ig Nobel.

However, Fesmire will not be trying it again. In researching his Ig Nobel acceptance speech, he told New Scientist that he found a treatment sure to be more popular with hiccup patients. “An orgasm results in incredible stimulation of the vagus nerve. From now on, I will be recommending sex – culminating with orgasm – as the cure-all for intractable hiccups.”

Big Tip to Dr. Doug Ott for this story. And I was afraid of running out of stuff to blog about.

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