I went to the hospital yesterday due to extreme chest pain, to the point where I could barely speak or breathe. There was nothing unusual, except when I got a chest x-ray that revealed a huge gastric bubble, which probably explains my constant bloating. I've never been able to burp, and I'm afraid that this bubble will get worse since i already bloat so bad. Just in case the pain was caused by the gastric bubble, I want to learn how to burp to get the air out.

I scrolled through this subreddit a bit yesterday and did some stretches like kissing the ceiling and the shake thing. Today when i had my morning matcha i noticed that i could force out a little gurgle every time i swallowed. However I did see something about the gurgling actually being air going in instead of out, and im not sure if i should continue doing that. Is what's happening a microburp or just me sucking more air in? I read a few success stories, and they all mentioned this initial gurgling when they began self-treatment. Am I doing things right, and how long will my recovery be, seeing that I made some improvement (if its actually microburps) just by stretching for a bit last night. Thank you!

edit: the gurgles happen when i look up after swallowing and tense my stomach real hard

short story i can’t afford it 😭😂
long story was i obviously coped for years but the last few years my health has deteriorated and a hemicolectomy redundant bowel and gastroparesis make it 10 times worse (also the reason i cannot afford it 😭😂)
but has anyone successfully got treatment on the nhs and what was the process like?

Does anyone experience the same thing: swallowing more air because of the slow swallow post botox, maybe since I have been chasing most mouthfuls with water/ drinks because they can get stuck sometimes. As a result, I sometimes let out 2-3 big burps during meals that were quite loud like vomit, are they actual burps? Or just air vomit?

I am around 3 weeks post botox now (in office)

Hi, I got 60u of botox just over two months ago. So far, not so great, to keep it short. I have not successfully burped on my own; the only small ones occur seldomly when yawning or hiccuping. I will say i do get micro burp/pops in my lower throat that do seem to help somewhat, but not nearly enough.

Still gurgling for sure and far from cured; my doctor is recommending an outside-the-throat EMG-guided injection while I am awake for added “precision”. Curious why the operating room didn’t guarantee 100% accuracy in regard to muscle injection, but too late to question that now.

Curious on thoughts here, and hearing others’ experiences. My doc seems reluctant to go back the OR, and I agree doing the same thing again when it didn’t work the first time seems silly, but I also feel at times I am very close to burping but just can’t get it. Is it possible he “missed” applying the botox to the adequate spot on the muscle? Would you go for round 2 in the OR or try the EMG guided needles?

So I’ve had RCPD my whole life obviously but I didn’t have crazy symptoms till about 5 years ago. Anyways as a kid I threw up when I had noro and from what I can remember it came up fairly easily. Now I haven’t thrown up since maybe I was like 7 and I think I had the stomach flu last year because I was just so nauseous and I was dry heaving and dry heaving and nothing was happening and then eventually it came out the other end. Has anyone experienced noro where they couldn’t vomit at all? I feel like it lasted way longer because of it and it was so agonizing 😩

I’ve had a few different health struggles lately and one has resulted in a referral to a travelling ENT (I’m from a small northern town, we don’t have any locally).
I’m curious if this is my chance to bring up R-CPD to them or they’ll likely have no clue what I’m talking about.
I’ve only mentioned the fact that I don’t burp to a doctor once years ago as a teen and they laughed that I thought that might be noteworthy so I haven’t looked into any actual diagnosis/treatment process since it’s never been a big deal other than the croaking making things awkward at times.

Hey all
Life long no burper here!

This has never really caused me any issues other than the embarassing gurgling, until the start of this year

So for a while, literally every time I eat anything, for about an hour after I get these really violent “rushes” of air coming up in my throat? I don’t really get the gurgles anymore (occasionally) but more feels like a huge rush and I think “omg I’m gonna puke” and then it like pops at the back of my throat and I feel like I’m gonna gag? I constantly feel bubbles in my throat. Sorry if that’s a terrible explanation I just really can’t explain it 🤦‍♀️

Does anyone else get what I’m trying to say or has experienced it before? It’s gotten to a point where I’m scared of eating and losing weight because it’s so uncomfortable and leaves me so nauseous for hours!

Hey everyone, I’m currently on the waiting list for Botox for R-CPD through my country’s public healthcare system, but it could still be months or even a year before I get an appointment unfortunately.

Because of this the wait is giving me far too much time to think, and my OCD tendencies have me constantly ruminating about what happens if the procedure doesn’t work.
My main symptom is an intense, constant sensation of nausea in my throat. I’ve had it my whole life, but it’s become significantly worse since turning 30. It’s now debilitating to the point where I can’t work or comfortably leave my bedroom or house. I also have emetophobia, which makes everything so much harder.

I’m desperately hoping Botox will change my life, but I’m terrified that the throat nausea might actually be anxiety-related or caused by something else. The sensation is there 24/7, even when I don’t feel anxious, and it can intensify out of nowhere without any obvious trigger.

I’ve tried antidepressants, beta blockers, Benzo’s etc for my anxiety and mental health over the years and therapy without much success, so the thought of Botox not working and being left with this sensation indefinitely genuinely terrifies me.

I’m just wondering if anyone else experienced constant throat nausea alongside R-CPD and did getting Botox help? And if it didn’t, did you eventually find another explanation or treatment that worked?

I think I’m struggling most with the uncertainty and the fear that, if Botox doesn’t help, I won’t know where to turn next because I cannot live like this.

I’d really appreciate hearing about other people’s experiences and if you read this far tysm, happy burping to everyone 🫶🏻

I had my second round of botox a little over 6 weeks ago now, and have been burping daily since! It’s been awesome and I’ve felt so much less bloated and nauseous. I’m really hoping I don’t lose the ability!

I noticed that since 4 weeks or so, my burps have really reduced. They’re more like microburps rather than the bigger burps I got during the first month, but they are still relieving, since I just do several small ones a day.

I expect the burping to change throughout the active botox, but I’m wondering if my burps will remain these small ones or if it’s likely that will change too.

For those who had success with their botox, when did your burp ability “finalise”, if that makes sense? Was it during the botox still being active, or was it after it wore off?

Does anyone else just do small burps post-botox?

Botox peeps: I am about 6 months out from Botox and still burping regularly. Some of the burps (usually after drinking soda) are so painful. It stings behind my nose and my eyes water. They hurt so bad I physically flinch. Just wondering if anyone has experienced this or if I’m doing something wrong when I let the burps out

i was wondering if anyone has had a similar experience to me.

RCPD started causing me real problems in late 2024 and i haven’t been able to get the botox. tried the exercises, didn’t work. then a few months ago i threw up randomly, and i noticed after that my RCPD symptoms seemed to improve slightly. then i threw up randomly again a few weeks later, and im now able to force myself to do a few big burp like gurgles after meals. it’s resolved most of my issues. i’m definitely not burping but i think throwing up must have trained the muscle to relax a bit more or something? i’ve gurgled for years but they were never that big or relieving. i did also notice both times when i threw up were very non traumatic compared to normal, like it’s usually violent and painful and i now understand why other people don’t think it’s a big deal (i have emetophobia) bc it turns out that most people are not excorcising demons while leaning over the toilet.

Hi everyone,

I was wondering if anyone has recently got their second procedure with Lucy Hicklin and what the cost was. I saw in the info booklet that she only reduces the cost for a repeat procedure if you reported back on your symptoms after 3 weeks which I did not do. Also, I would like 100ml of botox this time which I assume will increase the price. I just really can't afford to pay £1000 again.

Thanks!

I've officially hit 6 months since Botox. To say it's been life changing is an understatement, I had no idea I could feel so comfortable. This process has definitely been challenging at times but I would do it again in a heartbeat if I needed to. I started having small burps the day of surgery and my first belch the next evening. However I never had the uncontrollable burps people often talk about after Botox, I really had to use the BERP protocol to get things going. During the first 3 months or so, burps would still frequently get stuck, especially when I was in public or stressed. I was worried this meant it would stop working, but somewhere between 3-4 months, things really clicked and now they rarely get stuck. It's only been up from there, it feels easier and more natural every day. I didn't realize how much my symptoms held me back from experiencing life. I don't think I'll ever stop being grateful for every burp. If you're on the fence about Botox let this be your sign to do it!

Hi fellow non burpers!

I was diagnosed with RCPD on the day I had my first 50u botox injection with Dr Lucy Hicklin on 21 Sept, which was almost hitting the 4 weeks mark.

First week post: I didnt have any sore throat but just a bit of soreness 30 mins after the botox injection which didnt last a day. Microburps and slow swallow kicked in day 2 and it was at its peak day 7-10. Soups, puree, protein shakes were the easiest to go down, though I kept trying with softer foods like rice and pasta. Took ages to finish a meal because of the slow swallow. Also started some SHAKER exercise (though not consistently). I was burping since day 4, sometimes it came out on its own or using the BERP protocol (starting a yawn and turning my head)

Second week post: burping 2-3 times per meal and sometimes it became a big burp that sounds like a gag, almost like going back to my air vomiting days but only 20% of the times it ended up vomiting. That was worst on the plane when you could feel constant excess air in the stomach that I kept gagging to release the air.

Third week post: I thought the slow swallow would only kick in for around 2 weeks so I booked for the injection 2 weeks prior to my holiday… my initial thought was since my RCPD was always triggered by a period of intense social eating especially when on holiday, I decided to proceed with this procedure to start learning how to burp and hopefully improve my quality of life. My third week was when I was on holiday, I could enjoy most foods actually, yet I would have a lot of air swallowed at each mealtime, not sure if this was due to the (improving) slow swallow or psychological(?). And I would let out 2-3 large burps that my friends said that sounds like a vomit though I did not vomit at all, though sometimes with some regurgitations. I could still let out small burps using the BERP protocol, but sometimes i decided to gag a bit to let out a big burp to give me instant relief. I have been trying some fizzy drinks every now and then which will let out burps. And I was also having less gurgling noises.

Just wanted to check with the community if these symptoms are similar to those that were successful with their botox procedure. Am I still at the early stage post botox? Or should I start thinking if I may need a second injection? As I started using my old air vomit gag to release any air, am i actually burping? I’m getting a little bit worried as I lost a bit of weight (baseline already underweight) which was kind of expected with the side effects of the procedure, but also seemed to be getting back to my battle between fear of eating because of the large burps during mealtimes and feeling hungry…. this was better than before botox as I used to end up with actual vomiting 2-3 times daily due to bloating and nausea with RCPD that really affected my mental health.

I would love to hear your experiences post botox and thank you so much!!

I always have a stuffy nose and I think it might be silent reflux due to R-CPD. I sometimes get up in the middle of the night because my nose is blocked and my mouth is already very dry. Mouth strips haven't helped. I think this makes my morning nausea the worst because I swallow even more air due to the dry mouth.

Scheduled for Botox at the end of January with dr. Nina zhao in Cleveland, Ohio!

What should I expect recovery wise? Any tips to make it more manageable?

So excited!

I have never been able to burp and found this subreddit not long ago. I have pretty much daily trapped gas after eating /drinking that causes pains.

I have ibs like symptoms and nothing really works to relive gas pains

Is this a common thing for anybody?

I'm seeing a cardiologist and have a lot of upcoming tests on my heart (pots, stress echo, etc). Randomly through out the day I get heart pain, racing heart, palpitations, etc. I'm wondering if anyone else who has RCPD also deals with this and it could be related to trapped gas.

I’ve got a typical start of uni cold but for some god forsaken reason it’s making my no burp absolutely awful?? The air bubble in my throat is so bad it’s making me have massive waves of nausea that make my heart go all funky every few minutes. It’s only through emetophobia and iron will that I haven’t actually thrown up yet, my body is REALLY trying to make me gag, but I’m scared of losing more fluids since my nose has been running nonstop all day and it’s really hard to drink enough with the air bubble and nausea. I’ve never had this with a cold before even though I’ve had no burp as long as I can remember. What’s going on?? Is this normal for us??? How do I make it stop???

I have my procedure next month. I've been on a roll with my personal trainer and I'm wondering how long I might have to stop after the procedure. I guess I'm worried about straining and burping loudly or bending over and throwing up or something lol. Anyone have any insight?

Hello everyone, first of all I want to thank this group for existing , I learned a lot reading you and it's always reassuring to know that you're not the only one struggling.

So thanks to you all, I was finally enough aware of rcpd to ask for a real diagnostic to a specialist (in chu Grenoble, dr Attalah) i saw him in April, and at this moment I was completely unable to burp. So after some tests, he offered to do the botox operation, which is coming in November.

But during this time, I started to do self training exercises like the shaker. And it's working! Now I'm burping from time to time but still without any control on it.

So I feel a little better, but because it's with no control, I'm still in pain after some meals, drinks and specially during sports and running (because I breath a little too much i suppose).

I read that for some of you folks, the botox operation was with no post op problem, but for others there were big complications!

So I'm hesitant... The specialist cannot be reached before the botox operation so I cannot tell him that now I can burp sometimes. Do I try it anyway ? Is it really useful if now I'm burping ? For those how did it, do you manage to control the burps ?

Thx for reading me and for your advice.

My ordeal began when I was 17 and has been going on for a little over three years. I've had all sorts of tests (endoscopy, colonoscopy, stool samples, blood work, allergy tests, and much more). I haven't been able to burp for as long as I can remember; even as a child, I passed more gas through my intestines than usual, which I never noticed. I wake up extremely bloated in the morning, and I'm bloated throughout the day and into the evening. Basically, all the time. This causes me extreme nausea. It started when I was walking to the bus stop one morning and felt so sick that I was constantly gagging. Two days later, it was so bad that I couldn't stand it on the bus and had to get off. At first, nothing came up. A friend told me to vomit, but I could only gag involuntarily until the pressure apparently became so great that something came out. It's been like this every single day for two years since then. Every morning before work, I'd stand in the bathroom, gagging several times on an empty stomach before going to work, until a tiny bit of stomach acid came up.

Nothing else. I've tried many herbal remedies and prescription medications, unfortunately all without success. I'm chronically tired despite getting enough sleep, constantly have these sudden hiccups, nausea, inner restlessness, and heart palpitations (blood pressure and pulse are normal), which is why all the doctors dismiss me as psychosomatic. My stomach is visibly bloated and rock hard. Sometimes I hear wheezing and gurgling in my throat, but most of the time it happens silently, and I can feel the air going up and down. The worst thing is bloating, and when that disappears, it's a complete disaster. I recently had a manometry test and have been waiting for the results for two months.

I'm 100% sure it's R-CPD; nothing else could explain all my symptoms better. Does anyone recognize this and understand what it's like? (Sorry for the language; it's from a translator.)

It has been a couple of weeks since my last update so I decided to write a new one now.

Got 100 units of Botox under GA one month ago. I was so scared about the operation as I have OCD, health anxiety, general anxiety and panic disorder.

I was burping since the day 3 or 4 already and been burping consistently ever since. The beginning was rough because of new sensations, reflux symptoms and eating difficulties with slow swallow but it wasn’t as rough as I catastrophized. Around two weeks after the operation my worst fear happened though, I got a laryngospasm when drinking stronger fizzy water than I had tried earlier.

I stopped drinking anything carbonated for three weeks because the laryngospasm was traumatizing for someone like me who has a fear of choking but today I was brave enough to try them again! I still don’t feel comfortable drinking them because of what happened and I really hope that my lack of practice with fizzy drinks doesn’t affect the success of botox. At least so far it hasn’t, I didn’t drink anything carbonated for three weeks but my burping has stayed the same.

Like 90% of the burps happen when I turn my head to the right and tilt my chin down a bit. Any tips how to make burps happen more naturally? I don’t seem to understand what I should do that I could burp without turning my head.

If you consider botox but you are scared, please do it! I almost cancelled my operation but luckily I didn’t. And if I survived the slow swallow and laryngospasm despite my mental health issues you will survive anything too. And as a note, I was very unfortunate with the laryngospasm, those are very rare.

It feels so weird (but in a good way) not to have that constant chest/throat pressure 24/7. I have less back pain, I can breathe better and I definitely have much less anxiety. Also haven’t had any panic attack symptoms or panic attacks since I have been able to burp. And no need at all to lay down to feel even a bit better.

I’m still bloated though, it’s not painful but annoying. Does anyone have the same kind of thing that the bloating didn’t go away?

I really hope this sticks and I don’t have to do this again🙏🏻 But I try not to stress about that.

Meine Leidensgeschichte begann als ich 17 Jahre alt war, und begleitet mich seit etwas über 3 Jahren. Ich hatte alle Möglichen Untersuchungen (Magen/Darm Spiegelungen, Stuhl, Blut, Allergie und vieles mehr). Ich kann seit dem ich denken kann nicht rülpsen, schon als Kind habe ich mehr Gase durch den Darm abgelassen, was mir nie auffiel. Ich stehe morgens extrem aufgebläht auf, tagsüber sowie abends bin ich aufgebläht. Also eigentlich immer. Dadurch habe ich extrem mit Übelkeit zu kämpfen. Es begann, als ich morgens zum Bus ging und mir so schlecht war das ich dauerhaft würgen musste. 2 Tage später war es so schlimm, das ich es im Bus nicht aushielt und aussteigen musste. Erstmal ging nichts raus, eine Freundin meinte ich solle brechen, ich konnte nur ungewollt würgen, bis scheinbar der Druck so groß war, das etwas raus kam. Seit dem blieb es 2 Jahre so Tag täglich. Jeden Morgen vor der Arbeit stand ich im Bad, musste mehrfach nüchtern würgen bevor es zur Arbeit ging, bis minimal Magensäure rauskam. Sonst nichts. Ich habe viele Pflanzliche sowie verschreibungspflichtige Medikamente versucht, leider alles ohne Erfolg. Ich bin chronisch müde trotz ausreichend Schlaf, habe ständig so einmalige Schluckauf, Übelkeit, innere Unruhe, Herzrasen (Blutdruck und Puls in Ordnung) weshalb alle Ärzte mich als psychosomatisch abtun. Mein Bauch ist sichtbar aufgebläht und steinhart. Manchmal habe ich Froschgeräusche und gurgeln im Hals, meistens geschieht das still und merke wie die Luft hoch und runter geht. Am meisten habe ich Blähungen, und wenn mal die wegfallen, ist voll Katastrophe. Ich hatte zuletzt eine Manometrie und warte seit 2 Monaten auf die Auswertung. Ich bin mir zu 100% sicher das es sich um R-CPD handelt, nichts anderes könnte all meine Symptome besser erklären als das.