Some individuals do not have the ability to belch or burp. This is associated with symptoms of gurgling throat noises, chest and abdominal discomfort and fullness and even excessive flatulence. This group of symptoms has recently been identified and titled “retrograde cricopharyngeal dysfunction”.
Retrograde cricopharyngeal dysfunction occurs when a muscle at the bottom of the throat, the cricopharyngeus muscle, is overly tight. This muscle circles around the bottom of the throat. When someone belches or burps, air is forced out of the stomach, through the esophagus and eventually must pass through the cricopharyngeus muscle. When this muscle is too tight, air cannot escape and belch does not occur. This is especially symptomatic after an affected person drinks a carbonated beverage.
Treatment of this is placement of Botox into the cricopharyngeus muscle. Botox is a medication that relaxes muscles. In the operating room with a patient asleep a small tube is placed in the mouth to identify the cricopharyngeus muscle. Botox is injected and patients experience benefit within 2-3 days. Initially swallowing can be a little challenging, but with time the ability to belch returns. The patient typically only requires one Botox injection, but occasionally a second one is needed 6-9 months later.
Throatdisorder.com is an online resource for patients and physicians to learn more about common voice, swallowing, breathing and throat disorders. Throat complaints, from cough to cancer, are a common reason for patients to seek medical treatment. This website developed as a result of Dr. Sunil Verma's passions: that of education, patient care, and interest in technology.
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Didn’t feel care for left the office feeling discouraged, dr didn’t seem interested in finding out why I’m having my symptoms. From his opinion I’m fine. When a doctor wants to really help they’ll try all test possible to find the problem, instead he said I need to see a pain specialist and I left.
I couldn’t ask for a better experience with a Doctor and staff. Dr. Verma put me at ease and walked me through the Vocal fold injection process. He made it an easy experience and he was always informative and willing to answer questions. I felt heard and never rushed.
Dr. Verma is awesome. He takes the time to answer any questions or concerns you may have without making you feel rushed. He’s very skilled at what he does, and his staff is very friendly. I highly recommend him!!
Dr. Verma was warm, kind, spent adequate time, seemed incredibly knowledgeable. Despite not knowing exactly what I'm experiencing, he was confident in a course of action. His staff was very nice as well.
All the Dr's, Nurse's & Staffs of the UCI are amazing!! They are very polite, loving, kind, and all around great Team!! Special thanks to Doctor Verma for all the work that you're done for my dad. Our family sincerely appreciate all of you very much!!
Dr. Verma and his staff were totally professional. I came in from Palm Springs and it truly was worth the ride. I have what’s called a ZINKER. He had to put a tube down my nose to examine me. I didn’t feel a thing.Forgot to mention I’m a big baby. All in all it was a very good experience. Thank you Dr. Verma
NOTE : The information presented on this site is for educational purposes only, and is not intended to replace consultation with a qualified physician. It may not be appropriate to your individual case, and should not be used in making treatment decisions, especially with regard to medication. Considerable effort is made to ensure that the information on this site is accurate, but medicine is a changing field, and this website is not responsible for errors or omissions. Use of this website acknowledges the above.