Can’t Burp? It’s no joke.

Mar 27

This condition is known as retrograde cricopharyngeus dysfunction (R-CPD). It occurs when the small, band-like muscle at the top of the esophagus—responsible for functioning as the upper esophageal sphincter—spasms and fails to relax properly. As a result, individuals with R-CPD are unable to burp.

Because gas cannot be released upward, it is forced to exit the gastrointestinal tract through flatulence, often in greater amounts than usual. The buildup of trapped gas can also lead to persistent abdominal discomfort and is frequently linked to emetophobia (a fear of vomiting).

One treatment option involves injecting Botox into the affected muscle to help it relax. Some patients may require more than one injection, but for many, the relief is significant and can be life-changing.

I’m sharing a story by Sasha von Oldershausen that’s worth reading if you or someone you know may be experiencing this condition.

https://www.texasmonthly.com/news-politics/no-burp-syndrome-my-search-for-cure

David Russ

Dr. David Russ is a licensed psychologist and President of Carolinas Counseling Group in Charlotte, North Carolina. He specializes in treating anxiety disorders, including Obsessive-Compulsive Disorder (OCD), panic disorder, phobias, and emetophobia (fear of vomiting), using evidence-based approaches like Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP).

Dr. Russ earned his Ph.D. from Georgia State University and has advanced training in OCD treatment from the Behavior Therapy Training Institute (BTTI). He is also the co-creator of the Turnaround Program, a widely-used resource for helping children manage anxiety, and author or co-author of several books on emetophobia. Dr. Russ is dedicated to helping individuals of all ages overcome anxiety and lead fulfilling lives. He provides both in-person and teletherapy services for clients. Dr. Russ is an authorized PsyPact holder and can practice telepsychology in participating states.

Can’t Burp? It’s no joke.

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