Burping is often considered a “misstep,” because it can be embarrassing and disgusting, especially in social situations.
But for some, the inability to burp can be a problem that can cause discomfort. There's even a medical name for this condition: recurrent cricopharyngeal dysfunction (R-CPD), also known as “There is no belching syndrome“.
The cricopharyngeal muscle is the main muscle of the upper esophageal sphincter, which is the upper portal of the food pipe. With non-belching syndrome, this muscle does not relax, which interferes with burping, according to Neil Chedda, MD, associate professor, vice chair of the department of otolaryngology and chief of laryngology at UF Health in Gainesville, Florida.
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“Both men and women can be affected, and the risk factors for developing this condition are unknown,” Tschida told Fox News Digital.
The inability to burp may not seem like a big problem, but it can lead to serious challenges, the doctor said.
“Those who cannot burp may report quality-of-life issues, such as bloating, gurgling noises, and discomfort in some areas. Food and drinks“Like soft drinks,” Tschida said.
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Priya Krishna, MD, an otolaryngologist in the department of head and neck surgery at Loma Linda University in California, agreed that there is no belching syndrome that can cause “significant symptoms.” Psychological distress“In the infected person.
“It actually severely impacts an individual's life, making social situations awkward because the gurgling can be loud and the flatulence is excessive,” she told Fox News Digital.
“Those who cannot burp may report quality of life issues, such as bloating, gurgling noises, and discomfort when consuming certain foods and drinks.”
If the options are available without a prescription, Prescription medications Medical experts say that lifestyle modifications do not solve burping problems, and patients can turn to Botox for a possible cure.
Whether injected into the face for a cosmetic procedure or elsewhere in the body for a functional reason, Botox works by preventing a motor nerve from releasing the chemical transmitter that signals muscle contraction, explained Dr. Chedda of UF Health.
“When Botox is injected into the cricopharyngeal, the muscle cannot contract, so it relaxes and allows the esophagus to be ventilated.”
As a result, this can help the patient burp.
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Dr. Krishna of Loma Linda University told Fox News Digital that Botox injections can be a very safe procedure as long as it is injected into the correct and intended muscle.
“This means having a surgeon familiar with anatomy — as all otolaryngologists do — to inject the cricopharyngeal muscle,” she said.
The treatment was discovered by Robert Bastian, MD, an otolaryngologist (Ear, nose and throat Dr.) and director of the Bastian Vois Institute in Downers Grove, Illinois.
“I specialized in laryngology (the 'T' of ENT), which stands for Voice, Swallowing, Upper Airway, Sensory Nerve Cough and Inability to Burp, or R-CPD,” he told Fox News Digital. “So I describe myself as a laryngologist.”
Bastian said he pioneered the procedure that involves injecting Botox into the cricopharyngeal muscle, enabling it to relax and allowing for burping.
What to expect from this procedure
There are two ways to use Botox to induce burping, according to Bastian.
The first is a short procedure under general anesthesia in an outpatient operating room.
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The doctor told Fox News Digital: “The simple ‘endoscope’ procedure allows a person to see the sphincter muscle, at the junction between the bottom of the throat and the opening of the esophagus.” “Then a small needle is inserted into the muscle to inject Botox.”
Because of anesthesia, someone must drive the patient home after the procedure.
The second method is intramuscular injection while the patient is sitting in a chair Doctor's office.
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“A needle is passed into the muscle from the side of the neck. The surgeon uses surface landmarks and 3D visualization, and an electromyography machine monitors and verifies the position of the muscle,” Bastian described.
The patient can drive his car to and from the procedure as only local anesthesia is used.
Bastian said it was rewarding to be a pioneer in the Botox method.
“It was a great honor to be the one who ‘discovered’ and codified the diagnosis and helped disseminate the information to other doctors… Above all, it was an honor to work with and for amazing patients who had suffered so much.” “This terrible disruption has been prolonged,” he told Fox News Digital.
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One of Bastian's patients spoke about the effectiveness of the procedure, saying that it allowed them to burp, that “any gurgles had gone away,” and that “the bloating had almost completely diminished,” the doctor shared.
The patient also indicated that the procedure had occurred “drastically” improved. their daily lives.
Fox News Digital has reached out to the manufacturer of Botox and the US Food and Drug Administration (FDA) to request comment.