Hiccups are self-limiting disorder caused due to involuntary spasms of the diaphragm and intercostal muscles leading to sudden inspiration and a characteristic sound. Hiccups are known to occur in patients with Chronic kidney disease but usually get corrected on dialysis and rectification of electrolyte imbalance. Here we describe a 60 year old male with Diabetic Nephropathy with intractable hiccups which persisted even after regular haemodialysis and electrolyte management. On Upper GI endoscopy, we found a gastric diverticulum in fundus with pus oozing from within which was confirmed to be Gastric diverticulitis. Hiccups got alleviated with antibiotic course. Incidence of Gastric Diverticulum is very rare (0.01-0.11%) on endoscopy. Presenting with hiccups is even more rare and has not been described till now. This case also highlights the importance of full inflation while performing an endoscopy.

Keywords: Hiccups; Chronic Kidney Disease; Diabetic Nephropathy; Endoscopy; Gastric Diverticulum.