Editing Burping (section)

==Disorders==
*Chest pain associated with burping can occur, but is rare.<ref>{{cite journal|last1=Kahrilas|first1=PJ|last2=Dodds|first2=WJ|last3=Hogan|first3=WJ|title=Dysfunction of the belch reflex. A cause of incapacitating chest pain.|journal=Gastroenterology|date=October 1987|volume=93|issue=4|pages=818–22|pmid=3623025|doi=10.1016/0016-5085(87)90445-8|doi-access=free}}</ref>
*[[Retrograde cricopharyngeal dysfunction]] (R-CPD) or retrograde upper esophageal sphincter dysfunction (R-UESD),<ref name="Oude Nijhuis Snelleman Oors Kessing 2021 p. ">{{cite journal | last1=Oude Nijhuis | first1=Renske A.B. | last2=Snelleman | first2=Jurjaan A. | last3=Oors | first3=Jac M. | last4=Kessing | first4=Boudewijn F. | last5=Heuveling | first5=Derrek A. | last6=Schuitenmaker | first6=Jeroen M. | last7=ten Cate | first7=Liesbeth | last8=Smout | first8=Andreas J.P.M. | last9=Bredenoord | first9=Albert J. | title=The inability to belch syndrome: A study using concurrent high-resolution manometry and impedance monitoring | journal=Neurogastroenterology & Motility | publisher=Wiley | volume=34 | issue=5 | date=2021-08-26 | pages=e14250 | issn=1350-1925 | doi=10.1111/nmo.14250 | pmid=34435723 | pmc=9285907 | doi-access=free }}</ref><ref name="Kahrilas 2022 p. ">{{cite journal | last=Kahrilas | first=Peter J. | title=Retrograde upper esophageal sphincter function… and dysfunction | journal=Neurogastroenterology & Motility | publisher=Wiley | volume=34 | issue=5 | date=2022-02-04 | pages=e14328 | issn=1350-1925 | doi=10.1111/nmo.14328 | pmid=35122356 | pmc=9007908 }}</ref> also called "abelchia",<ref>{{Cite journal |last=Karagama |first=Yakubu |date=January 2021 |title=Abelchia: inability to belch/burp-a new disorder? Retrograde cricopharyngeal dysfunction (RCPD) |journal=European Archives of Oto-rhino-laryngology |volume=278 |issue=12 |pages=5087–5091 |doi=10.1007/s00405-021-06790-w |issn=1434-4726 |pmid=33893849 |doi-access=free|pmc=8553696 }}</ref> involves the [[Inferior pharyngeal constrictor muscle|cricopharyngeus muscle]] not being able to relax, leading to inability to burp. R-CPD was first discovered in 1987,<ref name="m566">{{cite web | title= | url=https://www.gastrojournal.org/article/0016-5085(87)90445-8/pdf?referrer=https%3A%2F%2Fen.wikipedia.org%2F | access-date=2025-04-09}}</ref> and further research gained attention in the mid to late 2010s.<ref>{{cite journal |last1=Bastian |first1=Robert W. |last2=Smithson |first2=Melissa L. |title=Inability to Belch and Associated Symptoms Due to Retrograde Cricopharyngeus Dysfunction: Diagnosis and Treatment |journal=OTO Open |date=15 March 2019 |volume=3 |issue=1 |pages=2473974X1983455 |doi=10.1177/2473974X19834553 |pmid=31236539 |pmc=6572913 }}</ref> Common symptoms include gurgling noises, bloating, and flatulence; lesser but common symptoms can be potentially painful hiccups, nausea, constipation, hypersalivation, or shortness of breath.<ref name="Bastian Smithson p. ">{{cite journal | last1=Bastian | first1=Robert W. | last2=Smithson | first2=Melissa L. | title=Inability to Belch and Associated Symptoms Due to Retrograde Cricopharyngeus Dysfunction: Diagnosis and Treatment | journal=OTO Open | year=2019 | volume=3 | issue=1 | pages=2473974X1983455 | pmid=31236539 | doi=10.1177/2473974X19834553 | pmc=6572913 }}</ref><ref name="Bastian 2021">{{cite web | last=Bastian | first=Dr. Robert | title=Can't Burp? Comprehensive Resources for R-CPD (in One Place) | website=Laryngopedia | date=2021-09-24 | url=https://laryngopedia.com/cant-burp-you-may-have-r-cpd-the-inability-to-burp/ | access-date=2022-08-24}}</ref> A [[high-resolution manometry]], [[esophageal manometry]] or [[fluoroscopy]] by an [[Otorhinolaryngology|ENT doctor]] is able to assess the issue.<ref name="Kahrilas 2022 p. "/><ref name="Oude Nijhuis Snelleman Oors Kessing 2021 p. "/> 80% of patients were successfully treated with [[botox]] after a single injection. If the injection is unsuccessful, an alternative is partial [[cricopharyngeal myotomy]].<ref>{{cite journal |last1=Bastian |first1=Robert W. |last2=Hoesli |first2=Rebecca C. |title=Partial Cricopharyngeal Myotomy for Treatment of Retrograde Cricopharyngeal Dysfunction |journal=OTO Open |date=January 2020 |volume=4 |issue=2 |pages=2473974X2091764 |doi=10.1177/2473974X20917644 |pmid=32328538 |pmc=7163242 }}</ref>