A case of persistent hiccups was resolved when an active tuberculosis infection was treated. A 61 year old male patient presented with intractable hiccups ,vomiting,breathlessness and cough for 3 months. His HRCT THORAX and XRAY showed thick walled cavitary lesions in the right upper lobe. Acid fast bacilli smear tested positive - Grade 2 and he was started on anti-tubercular therapy following which his hiccups, that lasted for months, improved. He was discharged in a stable condition.