Uncommon Ailment: Insight into the Infrequent Ailment Known as "No-Burp Syndrome"

In the realm of medical conditions, some are more common than others. However, there are those that, while rare, can significantly impact a person's quality of life. One such condition is Relationship-Contingent Personality Disorder (RCPD), a lesser-known disorder that affects a person's ability to burp or belch.

RCPD is thought to be a problem with the body's function, not its structure. The cricopharyngeal muscle, located at the top of the esophagus, is responsible for opening and closing to allow food and liquid into the esophagus and stomach. In individuals with RCPD, this muscle does not relax as it should, causing air to get stuck in the esophagus and stomach.

A study published in 2019 described symptoms and successful treatment of RCPD for 51 people. The research revealed that symptoms can include abdominal swelling, severe abdominal pain, chest pain, difficulty vomiting, farting a lot, loud gurgling noises, nausea, and social anxiety. People with RCPD may also take measures such as fasting before important events or scheduling time to relieve gas to avoid offending others.

Gastroenterologist Alison Schneider, MD, discusses RCPD, explaining that it is a condition that primarily affects individuals experiencing symptoms of RCPD or those who identify with the described emotional and behavioral patterns related to attachment and dependency issues. In recent years, more people have been seeking treatment for RCPD after reading about it on social media platforms.

If you're having trouble burping and think you may have RCPD, it's important to talk to a healthcare provider. If RCPD is suspected, the recommended treatment is Botox injections into the cricopharyngeal muscle to relax it and allow burping. The paralyzing action of Botox injections may last approximately three months, but can be longer.

Alternative treatments for RCPD may include balloon catheter dilation and working with a speech-language pathologist who specializes in swallowing disorders. If RCPD symptoms return after treatment, talk to your healthcare provider.

It's crucial to remember that RCPD is a rare condition, and it's essential to seek professional help if you suspect you may have it. By understanding and addressing this condition, individuals can alleviate symptoms, improve their quality of life, and reduce feelings of self-consciousness and social anxiety.