Hi Kathy

Sorry to hear about your husband with MSA.

I have not personally come across hiccupping associated with MSA. I would suggest perhaps talking to a Gastroenterologist. Are you in Sydney? – I understand they have a good Neurology service at Westmead Hospital.

I have copied this reply to Vera James who is an MSA support specialist in the USA who may be able to shed some light on this symptom.