Chapter 1: The Basics of Burping

Belching may not always be considered polite, yet the average individual releases gas from the stomach about 30 times daily. Understanding the repercussions of suppressing this natural reflex may encourage you to let it out when necessary. While it’s courteous to do so discreetly, refraining from burping can lead to significant discomfort. This is evident in individuals who are unable to burp.

This inability to burp, colloquially referred to as "no-burp syndrome," was formally recognized in 2019 under the medical term Retrograde Cricopharyngeus Dysfunction (R-CPD). This condition arises from a malfunction of the cricopharyngeus muscle, a sphincter located at the top of the esophagus that regulates what enters and exits the throat.

Dr. Michael Pitman, a laryngologist at Columbia University, noted, “No-burp syndrome is a whole new phenomenon. It’s fascinating how young people have turned to social media to share their experiences, which has helped them find relief.”

While many people intentionally suppress their burps in various social situations, the true inability to do so is uncommon. Although it may seem advantageous to avoid belching, this condition can have serious implications.

Chapter 2: The Science Behind Air Swallowing

When we consume food, beverages, or even chew gum, we inadvertently swallow air. Carbonated drinks exacerbate this issue by introducing even more air into the system. This swallowed air typically exits the body through burping, while gas produced during digestion often finds its way out through flatulence.

Video: Downers Grove doctor helps people who can't burp - YouTube

This video explores the experiences of individuals who struggle with the inability to burp and the expert insights into their condition.

Interestingly, everyone passes gas, with the average person doing so between seven to twenty times daily, regardless of gender.

So, when the air trapped in the stomach and esophagus cannot escape through belching, it accumulates, leading to discomforting symptoms such as bloating, gurgling sounds, nausea, and in some cases, difficulty with vomiting. Ultimately, this pressure is released through flatulence.

A recent study conducted in December 2023 surveyed 199 adults diagnosed with no-burp syndrome. The findings revealed that nearly all participants experienced symptoms such as abdominal bloating (98%) and excessive flatulence (89%). Many expressed feelings of embarrassment, anxiety, and depression over their condition, yet only about half had sought medical advice.

Jason Chen, a medical student involved in the study, remarked, “R-CPD is not just a physical issue; it profoundly affects individuals’ daily lives, relationships, and mental health.”

Those with R-CPD often find they can self-diagnose due to the severity of their symptoms. Thankfully, a treatment option has emerged: an injection of botulinum toxin to relax the esophageal sphincter. However, this procedure can come with side effects, such as the sensation of food being lodged in the throat.

If you are capable of burping but choose not to, it may be time to confront any social anxieties. Remember, suppressing burps can lead to temporary discomfort, but the air will eventually find a way out.

Video: Can't Burp? This May Explain Why | R-CPD - Retrograde Cricopharyngeus Dysfunction - YouTube

This video provides insights into the condition R-CPD, explaining its causes and potential treatments.

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