There are two types of hiccups, as they are called in common parlance. One is “hiccups,” which are caused by spasms of the diaphragm and are uncontrollable, audible movements with frequent, rapid, short, loud sounds in the throat. The rapid pulling of the diaphragm causes physical and psychological discomfort to the patient. Most of the eructations will disappear spontaneously after a period of time without much concern. A small number of patients may have prolonged erratic reflux, also known as persistent erratic reflux. The other type of hiccup, known medically as “belching,” is the overflow of gas through the mouth. It may also be accompanied by other indigestion symptoms, such as upper abdominal discomfort and acid reflux. Sometimes gas escapes from the stomach, but it is usually due to the accumulation of more gas in the stomach or the relaxation of the cardia at the junction of the stomach and esophagus, so the gas inside the stomach easily escapes to form belching. In this case, it is necessary to make lifestyle adjustments by not eating too much or being too full, eating a light and easily digestible diet, and not eating foods that produce gas easily. Gastric stimulants can be used to speed up the emptying of the stomach, which can also help to relax the cardia. There is also a condition in which gas is spilled from the esophagus, which is mostly functional, called gas swallowing syndrome or functional belching, in which the patient involuntarily swallows air and then actively forces the gas out of the body, which can occur repeatedly. It is more likely to occur with stress and anxiety. Patients in this category should try to control their tension and anxiety, divert their attention, need to pay less attention to chest discomfort, get a good night’s sleep, and make a conscious effort to actively control the reduction of belching movements.