No Burp Syndrome

This is more correctly known as Retrograde cricopharyngeus dysfunction (RCPD) or cricopharyngeal dysfunction.

This is a rare condition that has only recently been identified where the cricophargyngeus muscle that constitutes the Upper Oesophageal Sphincter doesn't relax properly.

(The cricopharyngeus is described in this chapter: Globus.)

Symptoms

The following symptoms are associated with this condition:

• Difficulty swallowing solids or liquids

• Sensation of a lump in the throat

• Coughing or choking when swallowing

• Regurgitation of food or liquid

• Pain or discomfort in the throat or chest while swallowing

Treatments

• Swallowing therapy: Techniques to improve swallowing coordination and muscle function.

• Medications: Such as muscle relaxants or botulinum toxin injections to help relax the cricopharyngeus muscle.

• Surgery: In cases of severe dysfunction or structural abnormalities, surgical procedures such as cricopharyngeal myotomy may be considered to alleviate symptoms.

Page updated 10 March 2024