Bolsonaro to have second medical intervention on Monday for persistent hiccups after initial block
Former President Jair Bolsonaro is slated for a second anesthetic procedure on Monday, December 29, 2025, to address a persistent and severe bout of hiccups. This follow-up intervention comes just 48 hours after an initial procedure performed on Saturday, December 27, 2025, which targeted the right side of the former mandatary’s phrenic nerve. The medical team, closely monitoring his condition, has determined the necessity of a similar treatment on the left side, aiming to provide complete relief from the debilitating symptoms. This series of specialized treatments underscores the complexity and persistence of the former leader’s medical challenge, requiring targeted neurological interventions in a controlled hospital environment. The medical bulletin confirmed the new procedure, indicating a concerted effort to stabilize his health post-hernia surgery.
The phrenic nerve, a crucial component extending from the cervical spine down to the diaphragm, plays a pivotal role in controlling diaphragm movement and, consequently, breathing. Disruptions to this nerve can lead to involuntary contractions, manifesting as persistent hiccups that can significantly impact a patient’s comfort and recovery. The delicate nature of this nerve necessitates precise medical intervention to ensure both efficacy and patient safety.
Cláudio Birolini, a general surgeon overseeing the former president’s care, highlighted that these procedures involve a temporary anesthetic block. While considered a safe method, there is a controlled risk of temporary respiratory difficulty, for which artificial ventilatory support is prepared. This precaution emphasizes the careful planning by Bolsonaro’s medical team to manage any potential side effects.
Second hiccup intervention slated for Monday
The medical team’s primary focus now shifts to the left side of former President Bolsonaro’s phrenic nerve for a targeted anesthetic block. This intervention, scheduled for Monday, December 29, 2025, aims to replicate the earlier procedure to provide comprehensive relief from his persistent hiccup episodes. The decision to proceed follows a thorough 48-hour observation period after the initial treatment.
On Saturday, December 27, 2025, Bolsonaro underwent the first phase of this treatment, receiving an anesthetic block to the phrenic nerve located on his right side. This initial procedure was part of a planned strategy to progressively address the complex neurological triggers behind his prolonged discomfort. Physicians are cautiously optimistic about the cumulative effect of these interventions.
Understanding the phrenic nerve block
The procedure, known as a phrenic nerve block, involves the temporary numbing of the nerve responsible for diaphragm control. Physicians target specific points along the nerve’s pathway from the cervical spine to the diaphragm, administering an anesthetic agent to interrupt nerve signals. This interruption aims to break the cycle of involuntary contractions causing the hiccups.
According to Dr. Cláudio Birolini, a general surgeon attending to Bolsonaro, the intervention is designed to induce a temporary paralysis of one side of the diaphragm. This temporary state, while crucial for breaking the hiccup cycle, necessitates preparedness for potential respiratory support. In instances where difficulty breathing arises, artificial ventilation may be required until the anesthetic’s effects subside completely.
Procedure deemed safe despite invasiveness
Bolsonaro’s medical team categorizes the phrenic nerve block as an invasive procedure, given its direct targeting of a specific nerve bundle. Despite this classification, the medical professionals emphasize its safety profile, particularly when conducted under controlled hospital conditions with continuous patient monitoring. Every precaution is being taken to minimize risks associated with the anesthesia and the nerve manipulation.
Recovery expectations and discharge considerations
While the medical team has not provided a definitive date for former President Bolsonaro’s hospital discharge, they maintain a guarded optimism regarding his recovery timeline. The current expectation is that he could be released within seven days, contingent upon his post-procedural clinical evolution and overall stability. This timeframe allows for close monitoring of his response to the treatments and any potential side effects.
His eventual discharge from the hospital hinges significantly on two critical factors: the ongoing clinical progress following the nerve blocks and his ability to resume basic self-care activities. This includes tasks such as bathing and other personal hygiene routines, indicating a comprehensive assessment of his functional independence before he can return home. The medical team stresses that patient comfort and full recovery are paramount in their decision-making process.
Recent hernia surgery details
Prior to the current series of treatments for persistent hiccups, former President Bolsonaro underwent a significant surgical procedure on Thursday, December 25, 2025, Christmas Day. He was admitted for the correction of a bilateral inguinal hernia, a condition unrelated to his subsequent struggles with hiccups. The surgery, which began around 9:30 AM and lasted approximately four hours, was performed without any reported complications and proceeded as anticipated by the medical team.
The intervention involved a conventional surgical approach, where the medical team corrected both hernias and reinforced the weakened abdominal wall area with a polypropylene mesh. This standard technique aims to prevent recurrence and ensure long-term structural integrity. The procedure itself had received necessary authorization from Justice Alexandre de Moraes of the Supreme Federal Court (STF) on Monday, December 23, 2025, clearing the way for the planned surgical event.
Broader medical oversight and public statements
Throughout former President Bolsonaro’s hospitalization, a comprehensive medical oversight plan has been in place, ensuring continuous monitoring and coordinated care. The medical bulletins released to the public reflect a transparent approach to his health updates, keeping interested parties informed about his condition and treatment trajectory. This consistent communication underscores the seriousness of his medical journey.
Family members have also offered insights into the former president’s status. Michelle Bolsonaro, for instance, confirmed his return to the operating room for the hiccup treatments, underscoring the family’s direct involvement and awareness of his medical needs. Such statements help provide a more personal perspective on his ongoing recovery process, supplementing the official medical communiqués.
Further demonstrating his active recovery, Carlos Bolsonaro shared that his father undertook walks within the hospital facilities. This activity is crucial for patient well-being, particularly after surgery, as it helps mitigate risks such as deep vein thrombosis. The emphasis on mobility highlights a proactive approach to his recuperation, integrating various aspects of care beyond surgical interventions.
His medical journey, encompassing both the hernia repair and the current hiccup treatments, illustrates a multi-faceted approach to healthcare for a prominent public figure. The coordinated efforts of specialists, coupled with family support and public updates, define the current phase of his convalescence.
Jair Bolsonaro, hiccup treatment, phrenic nerve block, medical intervention, former president’s health