What is RCPD?

Retrograde cricopharyngeal dysfunction (RCPD) is a condition that makes it difficult or impossible to burp.

Typical symptoms include abdominal bloating and a feeling of pressure in the abdomen and chest, uncomfortable trapped gas, abdominal pain and social distress due to the inability to relieve the pressure.

Many people report having been unable to burp throughout their lives. Over time, this can significantly affect their quality of life and general wellbeing.

What causes the problem?

The cause of cricopharyngeal dyskinesia (CD) is that a small muscle in the pharynx, the cricopharyngeal muscle, is unable to relax when it should.
Normally, this muscle contracts to expel air, as when burping. In patients with CPhD, the muscle remains tense and the air remains in the stomach.

The consequences can be both physical and social:

• Painful bloating after meals
• Pain and discomfort that worsen throughout the day
• Difficulty participating in social situations involving food and drink
• Reduced quality of life and stress related to the symptoms

Treatment of RCPD

At Lysaker, consultant ENT specialist Magnus Hilland offers surgical treatment under general anaesthesia.

The treatment involves a small injection of Botox into the cricopharyngeal muscle. This temporarily relaxes the muscle and enables the patient to burp again. The procedure is carried out on an outpatient basis and the patient can go home the same day.

Results following treatment

Many patients experience an improvement within the first few days after treatment.

• The ability to burp returns.
• Less swelling and pain.
• Better sleep and energy levels.
• Greater confidence in social situations.
• Overall, a better quality of life.

Studies and experience show that a large proportion (up to 80%) experience a lasting effect, whilst some may need repeat treatment after a while.

Get in touch with us

If you have difficulty burping (RCPD), we recommend that you consult an ENT specialist to assess your symptoms.
You can contact us for an assessment and treatment by calling 63 79 66 33 or via the contact form.