YOGYAKARTA - Not being able to burp may sound like a trivial thing. However, if you can hardly ever burp since the beginning and often experience bloating, a rumbling sound from the throat, or more often farting, this condition can be related to the inability to burp syndrome. In the medical world, this condition is known as retrograde cricopharyngeus dysfunction (R-CPD), which is a disorder in the ability of the muscle at the top of the esophagus to expel air through burping.
Why does the body need to burp?Burping is a natural way for the body to expel air that is swallowed while eating, drinking, or talking. This process involves a ring-shaped muscle at the top of the esophagus called the cricopharyngeal muscle. When the air needs to come out, the muscle should relax for a moment so that the air can move to the mouth.
In people with R-CPD, the muscle cannot relax properly when air is about to come out. As a result, the air that should be expelled through belching is held up in the digestive tract. This condition can trigger various complaints, especially if it occurs in the long term.
What happens when you can't burp?When air can't come out through burping, the body still needs to get rid of it in other ways. The retained air can make the stomach feel full, bloated, or uncomfortable, while some of the air moves into the lower digestive tract and is eventually expelled as flatulence. In some people, the pressure from the air can also be felt up to the chest or neck.
One of the fairly typical signs is the appearance of a rumbling sound or a sound like gurgling from the throat and chest. The sound can occur when air tries to move in the upper digestive tract but cannot come out through burping. If it continues, this condition can interfere with comfort, even making a person feel insecure when around others.
Recognize the symptoms of the inability to belch syndromeOne of the main characteristics of the inability to belch syndrome is the inability to belch that lasts a long time, even since childhood or adolescence. This condition can be accompanied by bloating, a strange sound from the throat, a feeling of fullness in the stomach, and more frequent bowel movements. Complaints usually get worse after someone eats or drinks foods or drinks that make more air enter the digestive tract.
Because this condition has not been widely recognized for some time, some people may have previously thought that their complaints were related to other digestive disorders. In fact, R-CPD is related to a disorder of the function of the cricopharyngeal muscle when air needs to be expelled upwards. If you really can't burp and have persistent complaints, you should consult a doctor to find out the cause.
How is this syndrome treated?According to ColumbiaDoctors, Monday, August 3, the syndrome of not being able to belch can not always be overcome just by changing the diet or daily habits. One of the treatments that can be used is the injection of botulinum toxin or Botox into the cricopharyngeal muscle. This action aims to make the muscle more relaxed so that air can come out through belching.
This treatment needs to be carried out by a doctor who understands R-CPD because not everyone who has difficulty burping has the same condition. Therefore, consultation with a doctor is important. Because, the doctor will determine the choice of treatment based on the condition and complaints of each patient.
In the end, not being able to burp is not always just a different body habit. If you almost never burp and experience bloating, a rumbling sound in the throat, or more frequent wind, the condition should not be ignored. The syndrome of not being able to burp or R-CPD can be one of the possibilities that need to be checked by a doctor, especially if the complaints are permanent and interfere with daily activities.
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