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What Causes Hiccups and Why Does Sugar Cure Them?

The cause depends on who you ask. The ancient Greeks thought hiccups were violent emotions erupting from body. Today, evidence points to spasms in the diaphragm, the large muscle between the chest and abdomen that aids airflow during breathing (the medical term for hiccups is synchronous diaphragmatic flutter). A spasm of the diaphragm can be brought on by any 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?

A good cure 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 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 in 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-psychotics 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.

Sugar has always worked on our web editor Jason's hiccups. I prefer to hold my breath until they go away. What method do you use?

* While the causes mentioned above are pretty common, there have been specific cases of hiccups attributed to skull fractures, tuberculosis and constipation (a winning combination if there ever was one).

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Big Questions
What Are Curlers Yelling About?
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WANG ZHAO/AFP/Getty Images

Curling is a sport that prides itself on civility—in fact, one of its key tenets is known as the “Spirit of Curling,” a term that illustrates the respect that the athletes have for both their own teammates and their opponents. But if you’re one of the millions of people who get absorbed by the sport once every four years, you probably noticed one quirk that is decidedly uncivilized: the yelling.

Watch any curling match and you’ll hear skips—or captains—on both sides barking and shouting as the 42-pound stone rumbles down the ice. This isn’t trash talk; it’s strategy. And, of course, curlers have their own jargon, so while their screams won’t make a whole lot of sense to the uninitiated, they could decide whether or not a team will have a spot on the podium once these Olympics are over.

For instance, when you hear a skip shouting “Whoa!” it means he or she needs their teammates to stop sweeping. Shouting “Hard!” means the others need to start sweeping faster. If that’s still not getting the job done, yelling “Hurry hard!” will likely drive the point home: pick up the intensity and sweep with downward pressure. A "Clean!" yell means put a brush on the ice but apply no pressure. This will clear the ice so the stone can glide more easily.

There's no regulation for the shouts, though—curler Erika Brown says she shouts “Right off!” and “Whoa!” to get her teammates to stop sweeping. And when it's time for the team to start sweeping, you might hear "Yes!" or "Sweep!" or "Get on it!" The actual terminology isn't as important as how the phrase is shouted. Curling is a sport predicated on feel, and it’s often the volume and urgency in the skip’s voice (and what shade of red they’re turning) that’s the most important aspect of the shouting.

If you need any more reason to make curling your favorite winter sport, once all that yelling is over and a winner is declared, it's not uncommon for both teams to go out for a round of drinks afterwards (with the winners picking up the tab, obviously). Find out how you can pick up a brush and learn the ins and outs of curling with our beginner's guide.

Have you got a Big Question you'd like us to answer? If so, let us know by emailing us at bigquestions@mentalfloss.com.

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Why You Should Never Take Your Shoes Off On an Airplane
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What should be worn during takeoff?

Tony Luna:

If you are a frequent flyer, you may often notice that some passengers like to kick off their shoes the moment they've settled down into their seats.

As an ex-flight attendant, I'm here to tell you that it is a dangerous thing to do. Why?

Besides stinking up the whole cabin, footwear is essential during an airplane emergency, even though it is not part of the flight safety information.

During an emergency, all sorts of debris and unpleasant ground surfaces will block your way toward the exit, as well as outside the aircraft. If your feet aren't properly covered, you'll have a hard time making your way to safety.

Imagine destroying your bare feet as you run down the aisle covered with broken glass, fires, and metal shards. Kind of like John McClane in Die Hard, but worse. Ouch!

Bruce Willis stars in 'Die Hard' (1988)
20th Century Fox Home Entertainment

A mere couple of seconds delay during an emergency evacuation can be a matter of life and death, especially in an enclosed environment. Not to mention the entire aircraft will likely be engulfed in panic and chaos.

So, the next time you go on a plane trip, please keep your shoes on during takeoff, even if it is uncomfortable.

You can slip on a pair of bathroom slippers if you really need to let your toes breathe. They're pretty useless in a real emergency evacuation, but at least they're better than going barefoot.

This post originally appeared on Quora. Click here to view.

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