Creative

How to Write Hiccups, Sneezing, and Coughing Without Making It Cartoonish

Realistic involuntary body functions: physical sensations, social awkwardness, and comedic or serious timing

By Chandler Supple14 min read
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AI helps you write realistic involuntary body function scenes that balance physical detail with pacing and tone

Your character gets hiccups during an important conversation. You write "hic" every few words and it's annoying to read. Or you ignore the hiccups after mentioning them once and readers wonder if they stopped.

Or character has sneezing fit but you're not sure how to write multiple sneezes without it sounding silly. "Achoo! Achoo! Achoo!" looks cartoonish on the page. But just saying "she sneezed several times" feels too clinical.

Involuntary body functions like hiccups, sneezing, and coughing fits are real parts of life that can add humor, awkwardness, or tension to scenes. But they're tricky to write. Too much detail and you slow pacing. Too little and you lose the disruption they create. Finding the balance makes them effective rather than annoying.

These moments work best when they serve story purpose: revealing character (how they handle embarrassment), creating timing (interrupting crucial moments), adding realism (bodies are unpredictable), or building tension (coughing fit when trying to hide). Random hiccups with no narrative function just slow pacing. Strategic use transforms them into effective tools.

Hiccups: Timing and Involuntary Interruption

Hiccups are involuntary diaphragm spasms causing sudden intake of breath and closure of vocal cords (creating the "hic" sound).

What They Feel Like

**Sudden spasm**: Chest jerks involuntarily. No warning. Can't control timing.

**Brief but disruptive**: Each hiccup lasts a second but interrupts speech, breath, thought.

**Rhythmic but irregular**: Often regular intervals (every 10 seconds) but can be unpredictable. Makes them hard to talk around.

**Mildly uncomfortable**: Chest tightness, throat sensation. Not painful but annoying.

How to Write Hiccups Without "Hic"

Don't write "hic" or "hiccup" every time. Instead:

**Establish pattern**: "She hiccupped. Then again. They weren't stopping."

**Show interruption**: "I need to tell you— *hic* —something important." Or: "I need to tell you something—" He hiccupped involuntarily. "Something important."

**Physical description**: "Her chest jerked with another hiccup. She closed her eyes in frustration."

**Others' reactions**: "'You okay?' he asked as another hiccup escaped her."

**Implied continuation**: Mention hiccups continuing without documenting every single one. "He tried to explain, hiccupping every few seconds, making the whole thing more awkward than it already was."

Comedic Timing

Hiccups are perfect for physical comedy through terrible timing:

**Interrupting confession**: "I love— *hiccup* —you." Ruins romantic moment.

**During stealth**: Trying to hide, hiccup gives away position.

**Important speech**: Public speaking interrupted by hiccups, embarrassing and frustrating.

**Serious conversation**: Trying to have grave discussion while hiccupping undermines gravitas.

Attempts to Stop Them

Common remedies (success varies):

**Holding breath**: "She held her breath, counting to thirty. Released. Waited. Another hiccup. Damn."

**Drinking water**: Specific methods (seven sips, drinking upside down, drinking from far side of glass).

**Being startled**: Someone tries to scare them. Sometimes works, often doesn't.

**Sugar, lemon, holding ears while drinking**: Various folk remedies of questionable effectiveness.

Show character trying remedies with limited or no success for realistic frustration.

When They Finally Stop

"She waited. Thirty seconds. A minute. No hiccup. They were gone. Finally."

Relief when they stop after being disruptive for extended period.

Individual Hiccup Variations

Different people hiccup differently - this can be character trait:

Sound: Some hiccups are loud and sharp, others quiet squeaks. High-pitched hiccups, deep hiccups, barely audible hiccups. "Her hiccups were these tiny squeaks that made her even more embarrassed."

Body movement: Some people jerk violently with each hiccup, others barely move. Full body spasm vs. subtle chest hitch.

Frequency: Regular intervals (every 8-10 seconds) or irregular and unpredictable. Regular makes them easier to talk around, irregular makes them more disruptive.

Duration tendency: Some people get quick hiccups that last 5 minutes. Others get stubborn hiccups that last hours. Character who always gets marathon hiccup sessions - that's character trait.

Prolonged Hiccup Scenarios

When hiccups last extended time (30+ minutes), situation escalates:

Physical exhaustion: Chest muscles ache from repeated spasms. Throat gets sore. Breathing becomes tiring. "After an hour, the hiccups were painful. Her ribs hurt, throat burned, and she just wanted them to stop."

Desperate remedies: Trying everything. Holding breath, drinking water, sugar, being scared, standing on head, holding ears while drinking. Getting creative and increasingly ridiculous. Creates comedy through desperation.

Interference with life: Can't eat properly (food triggers hiccup mid-chew), can't sleep (hiccups wake you up), can't concentrate. Life disrupted by involuntary spasm every few seconds.

Others' reactions evolving: First: concern and helpfulness. Then: annoyance. Then: genuine worry if they last hours. "At first they'd tried to help. After two hours, they just looked at him with pity."

Medical intervention: Hiccups lasting days require doctor. Rare but real. Certain medications can stop intractable hiccups. Extreme cases need sedation.

Sneezing: Buildup and Explosive Release

Sneezes are involuntary explosive exhalations clearing nasal passages. Often come in multiples.

The Buildup

Distinctive sensation before sneeze:

**Tickling in nose**: "His nose tickled. He rubbed it, trying to stop what he knew was coming."

**Eyes watering**: Inevitable sneezing face - nose crinkled, eyes half-closed.

**Breath intake**: Sharp inhale before the explosion.

**Trying to stop it**: Sometimes works (rubbing nose, pressing finger under nose) but usually fails.

The Sneeze Itself

**Can't keep eyes open**: Reflex closes eyes during sneeze. Can't sneeze with eyes open (myth that eyes pop out if you try).

**Violent exhale**: Full body reaction. Head snaps forward.

**Loud or quiet**: Some people sneeze explosively, others have tiny sneezes. Character trait.

Writing Multiple Sneezes

Sneezes often come in clusters (2-5 in a row). Don't write "achoo" repeatedly:

**Pattern description**: "She sneezed once. Twice. A third time in rapid succession."

**Sound variation**: First sneeze strongest, others smaller. "He sneezed violently, then twice more, each weaker than the last."

**Aftermath**: "She grabbed a tissue, eyes watering, nose running. 'Sorry,' she managed between sneezes."

Sneeze Sounds and Styles

Like hiccups, sneeze style is character trait:

The cannon: Explosive, window-rattling "ACHOO!" that makes everyone jump. Impossible to ignore. "His sneezes were legendary. The entire office knew when Dave was having allergy problems."

The mouse: Tiny, high-pitched sneeze barely audible. "She sneezed - a sound like a kitten sneezing. Adorable but she hated it."

The multiple: Always comes in threes or fives. Never just one sneeze. "He sneezed once, and everyone waited. Two, three, four. There it was. He always sneezed four times."

The buildup-fakeout: Looks like about to sneeze, buildup, breath, then... nothing. False alarm. Then suddenly sneezes anyway. Frustrating for sneezer and watching audience.

The talker: Some people involuntarily make words: "Ah-SHOE!" or "Ah-TISSUE!" Real phenomenon, unconscious verbalization during sneeze.

Allergic Reactions and Sneezing Fits

Allergies create prolonged sneezing that's different from single cold sneeze:

Rapid-fire sneezes: Can't catch breath between them. Five sneezes in ten seconds. Exhausting. "She sneezed repeatedly, barely breathing between them. Eyes streaming, nose running, completely incapacitated for thirty seconds."

Itchy nose and eyes: Allergic sneezing comes with intense itching. Rubbing eyes and nose compulsively, which makes it worse. "Her nose itched impossibly. She rubbed it, making her eyes water more, triggering another sneeze."

Predictable triggers: Character knows they're allergic to cats/dust/pollen. Enters room, starts sneezing immediately. Can create tension: "She opened the door and smelled it instantly. Cats. This was going to be miserable."

Antihistamines: Pop a Benadryl but takes 30 minutes to kick in. Character suffering meanwhile. Or forgot to take allergy medicine - paying for it now.

Seasonal variations: Spring pollen, fall ragweed. Character miserable certain times of year. Can be character trait: "Summer meant freedom. Spring meant sneezing."

Inopportune Moments

Silent situations: Library, theater, funeral, job interview. Desperate attempt to suppress sneeze while everyone stares. The buildup is visible, the fight is obvious, usually the sneeze wins.

Hiding situations: Trying not to be discovered, allergic to dust/cats in hiding spot, sneezing gives away position. Classic tension creator. "He pressed his hand over his nose, trying to stop it. The tickle intensified. No no no. The sneeze burst out despite his efforts."

Close quarters: Sneezing during intimate moment, having to pull away from kiss, spraying someone accidentally. Embarrassing and momentum-killing. "She felt the sneeze building. No. Not now. She turned her head just in time, sneezing away from him. Romance dead."

Food preparation: Sneezing while cooking or serving food. Everyone notices, food potentially contaminated. Character's horror at timing.

Professional situations: Presenting to clients, sneezing mid-pitch. Teaching class, sneezing while writing on board. Job interview. Trying to maintain professionalism while body betrays you.

Suppressing Sneezes

Can be partially suppressed but usually sneeze wins:

Pinching nose: "He pinched his nose shut, trying to stop it. The sneeze came anyway, a strangled sound that hurt his sinuses and made his ears pop."

Pressing finger under nose: Sometimes works if caught early enough. Hard pressure on upper lip below nose can stop building sneeze. Doesn't always work once buildup passes certain point.

The stifle: Keeping mouth closed, directing sneeze through nose. Quieter but painful. "She stifled the sneeze, keeping her mouth shut. It hurt, pressure behind her eyes, but at least it wasn't loud."

Health warning: Suppressing sneezes can cause ear problems (ruptured eardrums), blood vessel strain, even rib injuries. Not recommended medically but characters might not know/care in crucial moment.

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Coughing Fits: Duration and Severity

Coughing is body's reflex to clear airways. Fit means repeated, uncontrollable coughing.

What Triggers Fits

**Irritation**: Smoke, dust, strong smell, chemical fumes.

**Choking**: Food or drink "going down wrong pipe" (entering trachea instead of esophagus).

**Illness**: Cold, flu, respiratory infection causing persistent cough.

**Asthma attack**: Wheezing, difficulty breathing, severe coughing.

**Laughing**: Laughing too hard triggers coughing fit.

Physical Experience

**Can't speak**: During coughing fit, can't talk. If character needs to communicate, they have to wait for fit to subside.

**Painful**: Throat burns, chest aches, ribs hurt after prolonged coughing. Exhausting.

**Eyes watering**: Involuntary tears from force of coughing.

**Breathless**: Hard to catch breath between coughs. Can be frightening.

Writing a Coughing Fit

**Start**: "He coughed. Then coughed again, harder. Couldn't stop. The coughs came in waves, wrenching his chest."

**Duration**: "The fit lasted nearly a minute - brutal, exhausting. Finally he caught his breath, throat raw."

**Others helping**: "She pounded his back. 'Breathe,' she said. He tried, coughed harder."

**Aftermath**: "His eyes were watering. His throat burned. 'I'm fine,' he croaked, voice rough."

Different Types of Coughs

Not all coughs are the same. Type reveals cause:

Dry cough: Hacking, unproductive. Nothing comes up. Irritating and painful, doesn't relieve anything. "He coughed dryly, throat scratching, chest aching. No relief, just exhaustion."

Wet cough: Productive, bringing up phlegm. Sounds rattling and gurgling. Gross but actually more relieving than dry cough. Character spitting into tissue.

Wheezing cough: High-pitched whistling sound. Indicates narrowed airways (asthma, bronchitis). Sounds concerning, character struggling to breathe. "Each cough ended in a wheeze. Her chest felt tight, breathing difficult."

Barking cough: Sounds like seal or dog. Often from croup or inflammation. Distinctive and harsh. Children especially but adults too.

Smoker's cough: Deep, rattling, productive. Morning cough especially bad. Character who smokes has characteristic cough that gives away habit.

Tickle cough: Single small tickle sets off cascade. Can't stop once started even though nothing seriously wrong. "Tiny tickle in her throat. She coughed once to clear it. That made it worse. Coughed again. And again. Couldn't stop."

Choking vs. Coughing

Important distinction:

**Coughing (airway partially blocked)**: Person can cough, usually can speak somewhat, making sound. Coughing will likely clear obstruction.

**Choking (airway fully blocked)**: Can't cough, can't speak, can't breathe. Silent or only wheezing. Immediate emergency requiring Heimlich.

Universal choking sign: hands to throat. If character is coughing loudly, they're not fully choking.

Illness-Related Coughing

Persistent cough from illness:

**Interrupts everything**: Trying to work/talk/sleep, interrupted by coughing. Exhausting and frustrating.

**Social consideration**: Covering mouth, turning away, apologizing. Others concerned or worried about catching it.

**Worsens at night**: Lying down often triggers coughing. Character can't sleep.

Social Awkwardness and Reactions

These involuntary functions create social dynamics.

Embarrassment

Character mortified by body betraying them at wrong moment. Hiccups during date, sneezing during speech, coughing fit during interview.

"'Sorry,' she said for the third time, another hiccup escaping. Her face burned with embarrassment."

Others' Concern

Prolonged coughing or choking makes others worried:

"'Are you okay?' 'Should I call someone?' 'Do you need water?'"

Character waving them off while still coughing/hiccupping, trying to signal they're fine.

Annoyance

Character annoyed at own body not cooperating. Others potentially annoyed by disruption (rude but realistic).

"He sighed as another hiccup interrupted. 'Can we just— *hic* —forget I said anything?'"

Humor

Physical comedy from timing. Character trying to maintain dignity while body won't cooperate.

Laughter from others (affectionate or mocking depending on relationship and context).

When to Use These Reactions

Adding Realism

Real people hiccup, sneeze, cough. Occasional involuntary reaction makes characters feel human.

Physical Comedy

Interrupting serious moment with hiccup. Sneezing fit during stealth. Timing creates humor.

Revealing Illness

Persistent cough signals character is sick (whether they admit it or not). Hiding symptoms then coughing fit reveals truth.

Vulnerability

Loss of physical control creates vulnerability. Character who's usually composed undone by uncontrollable hiccups.

Tension and Timing

Sneeze at wrong moment gives away position. Coughing fit during speech creates tension. Involuntary reaction creates stakes.

What Not to Do

**Sound effects every time**: "Hic" or "Achoo" repeatedly is annoying. Establish pattern then describe impact without constant sound effects.

**Forgetting they exist**: Mention hiccups then never reference again. If they have hiccups, show them continuing or stopping.

**Making it cute**: Real hiccups/sneezing/coughing aren't adorable. They're awkward, disruptive, sometimes painful.

**Instant remedies**: Hiccup cures rarely work immediately. Show realistic frustration of trying multiple remedies.

**Ignoring aftermath**: Prolonged coughing leaves throat raw and voice rough. Hiccupping for 20 minutes is exhausting. Show residual effects.

Making It Work in Your Fiction

Use involuntary body functions strategically for realism, timing, physical comedy, and character vulnerability. Establish the reaction clearly, show its impact on scene and character, then suggest continuation without documenting every single instance. Balance detail with pacing - readers don't need every hiccup described but should feel the disruption it causes.

Match the description level to story purpose. Quick interruption needs brief mention. Extended disruption (hiccups lasting an hour, severe coughing fit, allergy attack) justifies more detail and character reaction. Never let the body function overwhelm the scene unless that disruption is the point.

Let these moments humanize characters through embarrassment, frustration, and loss of control. Bodies don't always cooperate, and showing that grounds characters in physical reality. The composed businessman undone by hiccups during pitch. The tough warrior allergic to the palace cats. The romantic hero whose coughing fit ruins the moment. Vulnerability through involuntary physical reactions makes characters relatable.

Use them for timing and story function. Hiccups interrupting confession create comedy and delay. Coughing fit during hiding creates tension and risk of discovery. Sneezing fit revealing character's location when trying to stay hidden. The body function should affect plot or character, not just exist for its own sake.

Avoid common pitfalls: constant sound effects that annoy readers, forgetting the reaction exists after mentioning it once, making it unrealistically cute or controlled, ignoring the physical aftermath of prolonged reactions, or including these moments randomly without story purpose. Each hiccup, sneeze, or cough should justify its presence on the page.

Show realistic reactions from other characters. Initial concern, offers of help, eventual annoyance if prolonged, worry if severe. How characters respond to someone else's hiccups or coughing fit reveals personality and relationships. Close friend offers water and pats back. Stranger looks uncomfortable and avoids eye contact. Enemy might mock or take advantage of vulnerability.

Remember individual variation makes these character traits. Loud sneezers, quiet hiccupers, the person whose cough always sounds worse than it is, the person who downplays serious coughing. These small details distinguish characters and create recognition: "There's Dave's sneeze - must be spring again." Consistent traits build characterization through physical details.

Frequently Asked Questions

How do I write hiccups without writing 'hic' every time?

Establish pattern ('She hiccupped. Then again.'), show interruption in dialogue ('I need to— *hiccup* —tell you'), describe physical sensation ('His chest jerked involuntarily'), reference continuation without documenting each one ('He tried to explain, hiccupping every few seconds'). Suggest the disruption without constant sound effects.

How do I write multiple sneezes without it looking cartoonish?

Avoid repeated 'achoo.' Instead: 'She sneezed once. Twice. A third time in rapid succession.' Or describe pattern: 'He sneezed violently, then twice more, each weaker than the last.' Focus on physical buildup, aftermath (watering eyes, grabbing tissue), and character reaction rather than sound effects.

What's the difference between coughing and choking?

Coughing: airway partially blocked, person can cough and usually speak somewhat, makes sound, coughing will likely clear it. Choking: airway fully blocked, can't cough or speak or breathe, silent or wheezing only, hands to throat (universal sign), immediate emergency requiring Heimlich. If they're coughing loudly, they're not fully choking.

How long should hiccups last in a scene?

Real hiccups can last minutes to hours. For fiction, match duration to story purpose. Quick interruption: few minutes. Comedy or frustration: longer. Show attempts to stop them. When they finally stop, show relief. Don't need to document entire duration - can time-skip or summarize 'After ten more minutes of failed remedies...'

When should I include involuntary body functions in scenes?

Use for: realism (humans hiccup/sneeze/cough), physical comedy through timing, revealing illness, creating vulnerability, interrupting key moments for tension. Skip when: it would slow pacing unnecessarily, doesn't serve story purpose, would be repetitive. Balance adding human detail with keeping scene moving.

Chandler Supple

Co-Founder & CTO at River

Chandler spent years building machine learning systems before realizing the tools he wanted as a writer didn't exist. He founded River to close that gap. In his free time, Chandler loves to read American literature, including Steinbeck and Faulkner.

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