Inability to Burp: Retrograde Cricopharyngeus Dysfunction (R-CPD)

There is a very rare condition called retrograde cricopharyngeus dysfunction (R-CPD) or "no burp syndrome" that prevents afflicted individuals from being able to burp no matter how much they want or need to. Formally described by Dr. Robert Bastian, this condition is anatomically described in this video as well as how botox is used to potentially cure this problem.

For more info on this condition:

Normal Swallow (0:10)
Normal Burping (0:33)
R-CPD (0:49)
Symptoms of R-CPD (1:11)
R-CPD Treatment (1:29)

This video produced by Dr. Chris Chang:

References:
The Long-term Efficacy of Botulinum Toxin Injection to Treat Retrograde Cricopharyngeus Dysfunction. Open . 2020 Jun 29;4(2):2473974X20938342. doi: 10.1177/2473974X20938342. eCollection Apr-Jun 2020.

Inability to Belch and Associated Symptoms Due to Retrograde Cricopharyngeus Dysfunction: Diagnosis and Treatment. OTO Open. 2019 Jan-Mar; 3(1): 2473974X19834553.

Dysfunction of the belch reflex: a cause of incapacitating chest pain. Gastroenterology. 1987;93:818-822.

Chest pain and inability to belch. Gastroenterology. 1989;96:274-275.

A case of inability to belch. J Gastroenterol Hepatol. 2001;16:349-351.

#noburp #cantburp #unabletoburp #noblech #cantbelch #unabletobelch #medicalanimation

[fauquierent]

*For great throat-related care products*

[maddieford]

my whole life i thought this was just me y’all have no idea how much relief i felt when i found out that it’s an actual condition

[Ayzlxn]

I just found this out today! So glad! Ever since I can remember I wasn’t able to burp, I could drink tons of carbonated drinks and while my friends would burp like 5 times I wouldn’t burp at all. If anything I only burp 5 times a year and they are small burps. Instead I get very painful chest pain, heart burn, bloating and a strange gurgling noise that is extremely awkward, especially in school during a quiet test! It especially happens after I’ve eaten something spicy (which sadly makes me not able to eat spicy food as I get pain), or even after eating. For years I’ve went to doctors and they had no idea so finding this out today is a huge relief and basically 80% of the symptoms of R-CPD I have. This condition has kept me up so many nights and woken me up during sleep from the pure pain I felt. Hopefully I can see a doctor soon and mention this!

[shadyavich]

I have this and I only burp like 5 times a year if that. I think I have gone a whole year without burping at all. On the one hand I do like being unique, where I can drink a whole bottle of soda in company and not burp at all. But on the other hand, it can sometimes get uncomfortable.

[_kcgaudsx]

i'm pretty certain that i have this condition. i rarely burp, and when i do it's a big shock.. whereas some people burp like 20 times a day, i probably burp like 20 times a year if that. it's awful. i get these horrible, uncomfortable gurgling noises non stop, everyday, after every meal and drink, i also feel warm acid come up to my throat sometimes, so i either have gerd or rcpd. i'm getting it checked out in 16 days tho, which im pleased about. i have had difficulty burping ever since i was a baby, and my symptoms are chest pain, stomach pain, bloating, and that gurgling sound. it's so awful to live with, i hope i can get treated very soon!

[mooonblooom]

I thought not being able to burp was just a weird little quirk I had. I've always had pretty severe emetophobia, and it made me absolutely hate burping, so I didn't think anything of it. I thought those strange gurgling noises were normal. It wasn't until a month or two ago that I finally decided to google my symptoms and found out R-CPD existed. I can't believe the term was only coined in 2019, since this has been affecting me and so many others for such a long time.

[Jimbob]

On a particularly bad day I have to stick my fingers down my throat to trigger the gag reflex. Then I "vomit" the air out without actually vomiting. Do that 2-3 times and the relief is incredible. It makes a horrendous noise though.

[markrichley]

After ten years of going to doctors and getting no answers, I got formally diagnosed with this yesterday. Treatment starts soon and I can’t wait to get back to a normal life ❤

[LolloBieberever]

broooo i literally thought " yeah i cant burp, i SQUEEZE my stomach to PRESS the air out of my throat and make an awkward noise yeah thats totally normal " I HAD NO IDEA IT WAS A WHOLE ASS CONDITION TF

[Rkive]

I am 22 and I have never burped before and it never felt like an issue until this year I started having this urge to burp and being unable to do or forcefully burping sucks + I feel like my doctor is really unaware of what I’m talking about I am even scared of bringing this condition up of fear that he will tell me not to depends on internet to get diagnosed, I truly do have problems swallowing sometimes too and lets not talk about bloating and heartburns

Edit: I even started noticing a ticking sound coming from my throat

[toribrady]

I had the Botox treatment six days ago and I'm not feeling any relief. It's a miserable condition, but if you can afford the Botox treatment to try to fix it, I highly suggest it.

[tophatdoge]

I'm pretty certain that I have this condition cause I have never burped in my entire life as I remember it. Usually when I eat lots of food, I only get very quiet gurgling noises constantly for like half an hour, which can sometimes get annoying. When I drink carbonated drinks, I never burp or anything. Luckily it hasn't caused me any pain so I'm not too worried.

[lightningblue]

In the last one year and a half its been hard for me to burp, and because of that I often get really bloated and it suck a lot especially at night when I'm trying to sleep. I just have so many excess air in my stomach and sometimes get shortness of breath, chest pain, constipation, gurgling sounds in my throat and more. I don't know how I will be able to get rid of this condition for good...

[HHH]

I actually burp but it's always half not complete. It feels like as if I threw out half of air and half remains in chest. It feels like getting heart attack so that's why I came here. Thanks for explanation!

[chesterlester]

I have this, gives me weird
Croaky noises

[strukitru]

Yes, I really thought I am the only one ..

[rhyanshelby]

I have literally never burped in my life outside of infancy, and even then I really only projectile vomited when my mom tried to burp me. Not one little burp for any reason no matter what I tried

[ahmadkafi]

If you're a no burp like me and desperate for a burp to relief of ur gas.
Then u can do it manually. By putting a finger in ur mouth and taping the area down. I burped lauder than a cow.
Doing it incorrectly may cause vomitting(i never did)
Proceed with caution.

[francescosautto]

I discovered the name of this condition only today, and I'm 22. I'm from Italy and I don't know if here we have the Botox treatment but I noticed that this symptoms occur only when I drink even only water, and especially coca cola, before, while or right after eating. If you can't cure it, for whatever reason, try to not drink water while eating but only right after and in small quantities. Let me know if this helps!

[fighterflight]

Do you provide this Botox treatment at your offices?