I think the reason it works, is it dampens the power the spasms have, by doing a pattern interrupt. 'Oh looks like we can't do spasms anymore, this person is running out of oxygen, let's re-allocate resources to things like breathing properly'.
> SSMI (Supra-SupraMaximal Inspiration), as the medical profession’s predilection for abbreviations has it, boils down to a simple breathing exercise. First, exhale completely, then inhale a deep breath. Wait 10 seconds, then—without exhaling—inhale a little more. Wait another five seconds, then top up the breath again. Finally, exhale. Generally, you will find that your singultus is gone.
> ...the SSMI technique is just a more sophisticated take on the old folk remedy that poses that the cure for hiccups is simply to hold your breath.
Just look up "digital rectal massage". Digital here means with fingers.
Our health-care system is not designed to promote free cures. Patent laws allow innovators to profit from the discoveries they make or inventions they create, but only if those discoveries or inventions can be packaged as a product that enables some form of commercial gatekeeping. SSMI has no such market potential: It can be described in a couple of sentences, and copyright doesn’t cover it.
It’s hard to suppress the feeling that the crucial difference between SSMI and HiccAway is that only one of them can be monetized. I don’t at all think Seifi is motivated primarily by profit; he seems rightly proud to help people avoid a major minor nuisance. And he worked exceptionally hard for years to make the HiccAway straw a success.
But with that same motivation, could someone have done the same for the breathing technique? Maybe, for all the challenges of building a successful company, publicizing valuable but free information is even harder.
It has same effect: pressure on the diaphragm. It worked ... ish, or it was at least occasionally successful or gave some relief, better than nothing.
It also does work while being inebriated