# Living with R-CPD: The Condition That Prevents Burping A 32-year-old woman finds relief from chronic symptoms after specialized medical treatment. - **Source:** [Expressen](https://www.expressen.se) - **Published:** 2026-11-08 - **Topic:** [health](https://brifing.si/c/health) - **Original article:** - **On Brifing:** https://brifing.si/s/001c634b-bd00-40c6-8aff-efede85de742 ## The Mystery of No-Burp For 32 years, Caroline lived with the inability to burp, a condition that caused severe daily discomfort. She experienced chronic stomach pain, dizziness, and significant bloating that often made her appear pregnant by the end of the day. This physical distress eventually led her to avoid social dining and work meals. ## Identifying the Condition Caroline discovered her condition through online forums after searching for 'I can't burp.' She identified with Retrograde cricopharyngeal dysfunction, or R-CPD, a condition where the cricopharyngeus muscle fails to relax to allow gas to escape. This muscle functions normally during swallowing but remains closed when pressure builds in the esophagus. ## Medical Recognition Timeline Although scientific literature mentioned individuals unable to burp as early as the 1980s, the formal diagnosis of R-CPD was only established in 2019. Dr. Elin Marsk, an expert at Karolinska University Hospital, began treating patients for this condition in 2020 and has since managed over 100 cases, noting a significant rise in awareness. ## The Botox Intervention Caroline underwent a specialized procedure in London involving Botox injections into the cricopharyngeus muscle to force relaxation. While the first attempt was unsuccessful, the second treatment enabled her to burp within 24 hours. The procedure, which cost approximately 16,000 Swedish kronor, provided her with the ability to release trapped gas. ## Diagnostic Challenges Dr. Marsk highlights that R-CPD is frequently misdiagnosed as Irritable Bowel Syndrome or anxiety-related disorders. Patients often develop social phobias due to the unpredictable nature of their symptoms and the physical discomfort caused by trapped gas. Many patients now arrive at clinics having self-diagnosed through platforms like TikTok, Reddit, or Facebook. ## Treatment Mechanism Explained In Sweden, the standard treatment involves injecting Botox into the throat while the patient is under anesthesia. The Botox effect eventually wears off after several months, but by that time, 80 to 90 percent of patients have successfully learned the motor function required to burp on their own without further medical intervention. ## Impact on Daily Life Following her successful treatment, Caroline reported a dramatic improvement in her quality of life. She no longer experiences the constant anxiety associated with leaving her home or eating in public. The ability to burp has allowed her to enjoy restaurant visits and spontaneous social activities without the persistent fear of illness. ## Clinical Outlook The prevalence of R-CPD remains largely unknown, but medical professionals suspect a significant number of undiagnosed cases exist globally. As awareness grows through digital communities, more patients are seeking professional help. For those affected, the Botox procedure offers a high success rate, effectively resolving the physical and psychological burdens of the condition. ## Sources covering this story - https://www.expressen.se/nyheter/sverige/caroline-kunde-inte-rapa-pa-32-ar/ — --- _Summary written by Brifing from the original reporting. Copyright in the original article belongs to its publisher; read the full piece at the link above._