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i am physically unable to burp.

All my life i have been unable to burp. I have these awful embarrassing involuntary gurgles that are sometimes loud and others not as loud. As long as i could remember, i have felt bloated after i eat too much or drink anything. Many people have tried to teach me how to burp but i simply cant. Almost everytime i yawn though, i always seem to let out a tiny burp or maybe a gurgle and i feel a little relief. i have noticed i yawn a lot more than other people, maybe this is a way my body tries to get out the access air. I hardly throw up or get sick. I have thrown up maybe seven or eight times in my life and i am 17 now. I do remember everytime i throw up i belch really loud before doing so. It sounds horrific and i have never heard anyone burp the way i do when i am sick. No one believes i cant burp, even the people who have heard my gurgles. My mothier thinks i am weird and refuses to take me to any kind of docter because she thinks i am making this up. i am afraid that if i dont get help soon i might just blow up. Recently, i was curious if i was the only one with this problem so i did some research online. I have come to find that many people have experienced what i have but i have heard nothing about a cure or a name for this problem. If someone has an answer or the same or similar problem, please let me know (:


thank you so much,
paige.
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Avatar universal
In my experience, one has to be very politely aggressive to get the medical treatment one needs.  Download Dr. Bastian's paper and take it to your ENT. When you see the doctor he will ask you why you are there and you will say, "Because I am unable to burp, I have never been able to burp and the condition is seriously interfering with the quality of my work and social life." He will then say, :Hm, I have never heard of this problem before. "You get to reply, "That is because doctors never ask about whether a person can burp or not, and everyone who has the problem learned at a very young age to hide it. If people find out you cannot burp, they will either laugh at you and or try to teach you how to burp, because it is easy, see, like this. Or some other annoying and utterly useless exchange that is not worth your time and energy."

You then hand him Dr. Bastian's report, noting as you do it that the paper  was published in the Journal of the American Academy of Otolaryngology--Head and Neck Surgery, the most prestigious and very thoroughly peer-reviewed ENT publication. He will then flip through the paper, look impressed, say hmm a few more times, and tell you that he knows nothing about the topic and he will have to refer you to another doctor. Do not leave without a referral. I suggest insisting on going to the chair of the ENT department at your closest medical school. Yes, any doctor who performs botox injections for dysphagia can do the job, but a medical school doctor is more likely to publish another paper and more likely to spread the word of this very serious quality of life condition.

Be sure to describe your problem without leaping to a diagnosis. For me, that is a life long inability to burp, pain at the base of the throat, loud gurgling noises, excessive flatulence and difficulty vomiting--in short, everything that Bastian describes. Include how much time you spend coping with the problem. Let the doctor discover the diagnosis and treatment plan as he reads Bastian's paper.

For extra fun, count how many entries there are in this thread so you can say that there are at least that many people with the problem, so there is no excuse for saying that it is not a problem worthy of attention. Do not leave without a plan for treatment or another referral.

And while we are spreading the gospel, see if you can persuade every doctor you see to add the inability to burp to their health questionnaire and to agree to educate other doctors about this condition. Our suffering has gone on long enough.
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Avatar universal
The first publication which deals with how inability to belch can be treated-diagnosed :
https://journals.sagepub.com/doi/pdf/10.1177/2473974X19834553

Sites that you will also find useful :
https://www.reddit.com/r/noburp/
https://www.reddit.com/r/noburp/wiki/index

All you have to do is to convince an EarNoseThroat Doctor or Speech Language Pathologist or Voice Doctor to do a  botox for dysphagia to you . Botox for dysphagia is a known procedure to a lot of Doctors . You do not need to fly to another country to do it . Just go to your nearest city and there will be a doctor who knows how to do botox for dysphagia .
As the paper indicates , every test you do will come back normal , so avoid doing any test if you do not want to waste money and time . Just show the paper publication which I linked to the doctor you visit to convince him .
For the vast majority of the cases  : No the root of the problem is nor dyspepsia nor psychological reasons as the doctors will try to suggest to you , its retrograde only neurological reasons in the UES which botox solves . Yes botox as it may sounds odd saves the problem permanently .
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3 Comments
Wow!  That's some very useful information.  Appreciate it!!  Have you had this problem before?
Yes I have this problem from since I remember myself . I will visit in my town a voice doctor really soon and show her this paper and try to convince her to write a diagnoses in which she will say that I have retrograde only cricopharyngeal dysfunction and that I need botox . Then I will go to city close to my town and and show that diagnoses to a doctor who does botox . Then I will eventually have botox .
Thanks so much for the additional info....I too was told that the reason I could not burp was due to a tight esophagus but Dr Calari from Ft Lauderdale who diagnosed it did not have a solution. Oddly enough the reason that he took me seriously was because he said he also could not burp but did not have complications from it so did not see it as a real problem....but at the time I was just so happy to understand why.....I would be a bit afraid of the injections....but wish I could learn how to make it happen.....
Avatar universal
Hi I'm a 25 year old female from the uk and I've always struggled with not burping. My stomach can get very very bloated especially after certain foods Or if I'm out drinking socially with friends. I've always been very self conscious about this as after a couple of drinks that include something fizzy I get this pain around my throat/chest area and the only way To release the pain is to sick my fingers down my throat (just to clarify I, never sick) but it does sound like I'm being sick and This is very embarrassing especially when your out in public. I often have to sit and wait in pain until I know the toilet is clear but now family and friends know what I'm doing. I live of rennys and The doctor gave me lansoprazole to take but I'm finding this doesn't help much. I often get a funny gurgle pain that you can hear inside once I've eaten or drank which is pretty loud to. I just wish there was something :(
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Avatar universal
I’ve had the same issue as the OP, as well as the hundreds of other posters on this thread. It’s great to know I’m not alone on this. I’m a 25 year old male, and have tried researching this periodically over the years, but this is the first time I’ve actually been able to find a name and possible cure. This is a very real problem for those who have it. We have a great deal of pressure in our chest almost constantly, and it just becomes the “norm” for us. It seems to have been getting worse for me over the past several years. I have had many GI appointments and tests done, and had been diagnosed with “IBS.” Even after telling all of my doctors and GI specialists that I physically couldn’t burp, never had before, and felt that a lot of my problems were contributed to that; they completely brushed it off and never mentioned anything about an upper esophageal sphincter, or specifically, retrograde-only cricopharyngeus dysfuction. I guess no one really cares about your own health the way YOU do. I am definitely going to do whatever it takes to have this treatment done. I’ll try to remember to pop back in here and report any results. Good luck to everyone suffering from this curse, you are not alone!
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Avatar universal
Hi I'm a 23 year old female with so many similar stories. This is is called upper esophageal dysfunction. Here is a really good medical description of what's going on: https://www.ncbi.nlm.nih.gov/m/pubmed/3623025/
Here's another one also with three different treatment options, the less invasive of which is Botox injections into the throat to relax the muscle that's not working correctly. It's usually a temporary fix.
https://laryngopedia.com/cricopharyngeal-dysfunction/
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Avatar universal
This is my life. I am so happy to know that I am not alone out there. This thing we have is a curse.

I have lived with it all my life (28 years, female, exercise daily, eat healthy etc etc) and it's getting to the point where I feel the only solution is getting a razor out and cutting my own throat. That way, all that air will have to come out!

I know that everything I eat and drink will make me feel like crap. I know that whenever there's a social event I won't be able to drink or eat in order to avoid feeling like that. Drinking fizzy drinks is absolutely prohibited. And drinking beer after a meal is the worst (especially after pizza). Another awful combination is dinner, dessert and alcohol. Then I really feel like I'm about to explode. I thought maybe it was an allergy or an intolerance so I had them tests done, and it was neither.

I cannot go out on dates where there's dinner or drinks involved, because the sounds my throat makes are such a turn off for everyone, and since the air can't come out that way, I will bloat and fart like there's no tomorrow, which is a no go for a date (or relationships in general). Oh, how many times have I gone out for dinners or dates and sleepovers where I have spent the entire night absolutely awake and alert in order not to fart! And whenever I go to the bathroom just to let them out, they magically disappear. The moment I sit down again on the couch or lie down in bed, BAM. There they are again, just to make me feel miserable.

Not to mention dinner + movie kinda dates. Where my throat makes such loud and annoying noises that even at the loudest Imax they will be heard, let alone on a nice couch at home watching a movie with a beau. And the rest of the night spent holding in the farts, resulting in the worse belly pains ever, to the point where I just want to go home and resign to the thought of being single forever. (and the hickups! Oh, the damn hickups, like I was a drunk- which, since I cannot drink, never am).

If I do go out for a drink, after 2 or 3 drinks (whether beer or spirits) I have to stop, because my throat swells up so much that I feel like I cannot breathe. And when I go home, I sit on my bed with an empty cup on the bedside table just so I can spit the ridiculous amount of water my mouth produces incessantly in the cup, until I pass out. Only to wake up with a painful burning sensation still in my throat (how many times has this been dismissed with acid reflux!).

My friends have made fun of me all my life. I'm the one who can't burp and instead makes those funny noises. They don't know how painful and embarrassing it is. On those very rare occasions where I do manage a tiny burp (maybe once every two years) it feels like heaven. Like the weight of the world has finally been taken off of my shoulders. Like I were Frodo and had just finally managed to drop that ******* ring into the fire and were able to see the Shire again.

This life is a nightmare. I have had many tests done (some very painful ones too) and seen many doctors for nothing, as no one would take me seriously, so I stopped. Reading all your comments and messages has given me hope again. If we let our voices be heard, we can find a name, a cause and a solution to this awful curse. I will try the vinegar as one of you suggested, I will put my fingers down my throat, I will get in touch with Doctor Bastian, and I will keep reading this post in search of answers and stories and support and encouragement. Lots of love to you all x Jane
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3 Comments
Hi Jane, exactly the same here, I’m a 29 year old male. I recognize erything you say. Especially beer and pizza is a very bad combo indeed. Unfortunately I can’t really resist that always. It’s weird to just order a glass of water and some light food. It’s really bad.. even worse that most doctors won’t even recognize this. Maybe we could however go on a date together. We have at least one important thing in common , which no one else can understand ;). So we could drink some water together. Doesn't that sound romantic!
I’ve never related to anything more in my life! Omg, such a relief but so annoying that it’s more common than we think yet still seems to be unfixable.
I really loved your post, Jane.  Simply because it has been the same my whole life and you have a way with words!  The chest pain from the gas build up and horrible hiccups are just indescribable.  So, just sharing with you.  I did go to Dr. Bastian at Bastian Voice Institute in Downers Grove IL.  Don't know if you've made it there yet.  The botox injections worked beautifully for about 4 months, then wore off - - - - It didn't do any harm, and I absolutely would do it again, particularly if there was any hope of it being a permanent fix.  Some people have been able to learn to relax their UES in order to burp voluntarily, but I was unable to do that.  Now, my best bet is staying away from social engagements which include eating and/or drinking - - - - taking Gas-X, which helps move the gas DOWN rather than it getting trapped in my chest - - - - and suffering.  I'm 65.  Dr. Bastian recommended a laser slicing of my sphincter (or something like that) - - - - but a possible side effect could be choking on aspirated food or drink.  Nope.  I'll just live with the problem and adjust my lifestyle accordingly.  I do wish you the very, very best as you are so young.  I hope you find something that gives you permanent relief.
Avatar universal
I'm so glad I found this group of people.  Growing up I never burped (even my mom had a hard time burping me as a baby) but didn't really realize this wasn't normal until about high school.  I remember telling some people that I couldn't burp and they made fun of me by saying then I must fart a lot and that was gross.  But then it kind of clicked, I did seem to have more embarrassing moments involving farts, which ended up leading me to quit one of my passions of dancing ballet since I would feel too uncomfortable and bloated during each class.  Not to mention the awful embarrassing moments.  I've always just got that gurgling sound in my throat and my stomach makes a ton of noises.  I usually feel bloated in the evenings and then luckily overnight my body will reset unless I don't get enough sleep, then I might have an upset stomach the rest of the day.  I have a huge fear of vomiting and think maybe that is what has prevented me from being able to burp because of that fear setting in early on.  I have to close my eyes and ears any time it is in a movie and I freak out about situations where other people could potentially get sick (I never really went to parties for that reason).  Because of this fear of getting sick, I would never consider putting my finger down my throat to gag, I'd rather just live with the bloating and eventually they'll come out as farts.  

One thing I'm concerned about is that I would like to eventually get pregnant (I'm 29), and I'm afraid of how the morning sickness might be with me.  Has anyone who has dealt with this been pregnant and how was your morning sickness?  

I think that it is awesome there's a doctor that can fix this problem, I'm so happy for people that shared this info.  Maybe when I'm a bit older and making more money I will consider this procedure, but flying from Hawaii to Chicago on a graduate student salary isn't going to work.  I'm just really glad I've finally found other people like me.  I have searched a couple other times on the internet before without success so it's nice to finally know I'm not alone.  

P.S. just while typing this out I had the gurgling feeling 2 or 3 times.  I feel all your pain!
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Avatar universal
Wow this is amazing to find you all! I have the exact same problem. I avoid all carbonated drinks. If I have 2 beers I'm physically in discomfort and bloated. Miserable. The gurgle noises I make happens a lot when I lay down after having carbonation. I tell people "that's my crocodile in my throat!" lol.
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1 Comments
Oh also, I am a 29 yr old female. I randomly researched this like many of you lol.
Avatar universal
I can't believe I've waited until I was 26 to even look this up! I have not been able to burp since I was born. Maybe a tiny little burp here and there but never enough to give any relief! I know this may sound crazy but for myself to find any relief from horrible gas problems was to actually make myself gag. Being in front of the toilet and forcing myself to gag was the only way my body would let out a huge belch! It even smelled like a burp. Sorry if this is too much TMI but it truly has been the only thing to help me. Sometimes it would get so bad (the air build up in my body) I would have extremely painful "gas" cramps in my abdominal region. At this point the only way for relied was to expel the gas via flatulence. Again, sorry for TMI. :)
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Avatar universal
You guys I’m so glad I’m not the only one omg I’m 17 years old and literally never throw up either, bt I can’t burp. Everyone thinks I’m just embarrassed to burp infront of them but the truth is I actually have never burped and no one believes me. And I hate always being bloated I’m not going to lie my body is nice I’m 5’4 and 110 pounds and workout everyday I have 6 pack abs. As soon as I eat in the morning that is all gone due to bloating...there’s nothing worse than working for a nice body only to look pregnant most of the time
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Avatar universal
I am in the same boat as the rest of you guys. For whatever reason this is the first time I have ever researched the issue. I am 30 years old and have never been able to burp. Most people think I am just bs'ing them and it is hard for them to understand my plight. I too get the weird gurgling in my throat, usually after every meal or any carbonated drink. And that can last for hours. Heartburn is something else I deal with constantly. I love my beverages but drinking beer becomes miserable after one or two, especially after eating. The ONLY remedy I have found is to stick my finger down my throat and gag myself several times, which I usually only do when I feel like I am just about to pop. The sound effects are rather frightening, but the relief is amazing. If I am out having drinks and whatnot I usually have to sneak off several times throughout the evening to get my gaggings in, but it is the only thing I know to do that works. Glad to know there are others out there with the same issue, although I hate it for you guys! I know how ya feel. Sticking the finger down the throat is not the most pleasant thing in the world but you get used to it in a hurry. And given the relief it brings, it is definitely worth it.
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Avatar universal
Hi Paigey,
I m a 62 year old female and I’ve had this problem my entire life. As a matter of fact Itujustwent to the gastrointestinal doctor today because I’m setting up my colonoscopy appointment. The doctor listened and felt my stomach and without me saying a word she told me I was bloated. Ahhh...that’s typical for all of us who can’t burp. She’s the only doctor that’s ever noticed that or said anything about it. The only thing I do when I get bloated and have a that horrible feeling of not being able to burp I actually have to use a restroom to stick my finger down my throat and force out a burp...it’s very loud and obnoxious but I feel relief immediately and nothing but air comes out. I’ll udu flush the he toilet and do it then so no one else can hear me. It’s awkward but the only thing that has ever worked for me. I’ve never been told what the name of the problem is.
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15782437 tn?1471899915
Everyone who is still struggling with this dysfunction should go watch my video about this. I'll be happy to answer any questions.

https://youtu.be/P3_EtlGhFWs
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1 Comments
A little over a year ago my then-23 year old daughter shared with me her problem. She had no ability to burp and described the symptoms that so many have shared here. I knew she'd had GI issues and had undergone many tests, but this was news to me and it was immediately clear that this was causing her great distress and anxiety. She told me that specialists had basically blown off and even made light of her problem, dismissed it. I couldn't believe it so the next day I was making calls to various highly reputed  specialists myself, and got basically the same answers. They said she'd need more of the same testing. Botox had already occurred to me so I inquired about it. None of these doctors had done it for this condition or had interest in taking it on.

The next thing I did was get on online to do my own research. There was very little useful information. I found this board and read dozens of posts, all describing the same issue and various ways people had learned to deal with it--none of them ideal or definitive. Not good enough, I was looking for the cure. Then I read DJM05's post and it was exactly what I was hoping to find. Then I contacted Dr Bastian and received his personal reply. He is a world-class physician who cares about his patients and listens to them. His credentials are beyond reproach. He'd done the procedure on DJM and I believe one other person. I saw little downside and had her send all of her tests sent to him while I booked the appt with Dr B's wonderful assistant. She was flying to Chicago within weeks for the procedure. Once done she could burp. She had a few tough weeks in terms of swallowing, but that dissipated and then disappeared. She is a fully functional belcher today, a year later.  

DJM05, through his own determination, found the right doctor, the cure, and then showed us the path to Dr Bastian. They are both great men. There is a cure and it works. It is a shame that so many medical specialists, are so callous and incurious. My strong advice is to do whatever it takes to get this treatment because it will probably be the best investment you ever make.  Best wishes to everyone.
Avatar universal
Hi everyone! I am 21 years old and have never been able to burp. I really started to notice the pain and uncomfortable feeling since i was about 15/16. I have been following this thread for a while 9'e thing I have not seen that happens to me is that i get woken up regularly(3-4 times a week) at about 3-4 AM with a very uncomfortable nauseous feeling, sometimes I get past the nausea and just sit there and swallow air a lot until I'm not nauseous anymore, and other times when I can't get past it I just dry heave. I never throw anything up its just air, even though I feel like I'm going to lose my stomach. It's like I'm dry heaving the excess air out. Does this happen to anyone else??
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Avatar universal
Its honestly so cool to find other people that have the same problem.. it's honestly like a community. Not being able to burp should be researched. I wish I knew or had some kind of name for all of it. All I can tell people is I can't burp, I gurgle. No I don't fart more just because I can't burp. I know the air has to go somewhere. What do you mean does it hurt? Yes it hurts. I never have been able to. And when I was an infant, my mom said when she tried to burp me I'd just puke instead. I'd never ever burp. Every few months or so (usually longer) I burp. It's small and very short, but it's there. I just never know what induced it, or how I even did it. I look it up about semiannually just to see if there are any new developments on the issue. There never is. Quick question though, does anyone else's feel like they have a lot of acid reflux because of it? Maybe one day, everyone can burp.
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Avatar universal
My son can't burp either and as an infant he suffered from constant constipation. His stools were little round rocks, usually a turquoise green with little spots of blood. He outgrew that, but he still has constipation issues.When he was a small child, he would hold his chest and say his heart hurt. He is now well into drinking age and struggles with beer. He is managing his condition but I can't understand why Doctors see to believe we just are missing the moments when they burp. I would like to know from anyone who comes back and follows up on this if they have also experienced other bowel type issues or other issues, that are quite possibly associated to this condition.
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2 Comments
I have the exact same issue, I am 18 years old and cannot burp, I suffer from constipation every day, and basically pass stool about every 2/3 days, I get unbelievabl bloated each time I eat and drink - especially something fizzy, I can’t drink beer or fizzy drinks with spirits anymore due to the discomfort so I now just drink vodka and cranberry instead, I can’t handle the awful discomfort and constant bloated. It also really effects my self esteem as I can’t wear low jeans, high tops or any tight dresses if I’ve eaten before hand, if I go out clubbing I don’t eat before so that I can wear normal clothes without looking bloated, which obviously isn’t good before drinking alcohol - I need a solution!!
So I have the exact issue from the original post on this thread. I have IBS and when it hits its really bad. I'm going to get a referal to see a specialist soon. I am always bloated and having constipation or opposite. Its ridiculous.
Avatar universal
I know how you feel I'm 13 and I'm going to get horrible pain I'm always sick because I have IBS every time I throw up I Bouch really loud my family tells me that's when  they know that I'm throwing up. I could never have pop you have to watch what you're eating it's a hassle with not being able to Barb my mom is researching everything to find a cure or a surgery to go through it is a hassle  good luck to you  
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Avatar universal
I'm also having this "unable to burp" problem ever since I realized that burping does exist. I have lots of friends who tried to teach me how to burp but whenever I try it just turns out to be an awkward cough like puking sound. A friend once told me that maybe I have a problem in my gastro. By analyzing my everyday habits, I think being satisfied with one to three glass of water a day is connected to my burp problem. Does anyone also notice that?
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Avatar universal
hey burp-disabled comrades. im max! this is my story.

i realized i had a problem around sophomore year of high school. it was December. all the stores were decorated for thanksgiving... lights were shining. everyone was carolling. it seemed too good to be true. that is, until i realized... i wasnt like my other friends at school.

i didnt know how to burp.

i realized at a burp competition. it was a wednesday, just your typical wednesday burp competition among friends. but when it came to my turn.....silence. nothing. pure, gaping, unadulterated silence.

ten years later, here i am. 47 years old. ive been in 5 marriages but they all left me because of my incompetence. not in the bedroom, at the dinner table.

im reaching out to all of you hoping for some support but mostly because im trying to settle down and find a sixth marriage, but this time with someone else who cant burp. together, we can and will find a cure.

if youre single and hot give me a call: 510-914-1123
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Avatar universal
It's so nice to know that I'm not the only one with this problem.  I too have these strange gurgles.  I'm currently 14 years old and I really want to get rid of this problem.  My parents don't know and I'm planning on telling them soon but there just gonna thing I'm crazy, any suggestions?
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Avatar universal
I had this problem for years, would always feel sick after eating or drinking and had to sit and gurgle to let it pass. Not anymore! Sounds disgusting but I worked out if I gag a little bit (I am never sick) only the super loud burp comes out that a few people they have described having before being sick (not a real burp) this causes instant relief! My close friends and boyfriend know and are always shocked when I have to do it infront of them, and grossed out lol, could never do it in public! I would say I have to do this 3-7 times a day depending on how much I'm eating or drinking but it has become part of my life and I would rather gag-burp than sit around feeling sick every time I eat!! Hope this helps :)
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Avatar universal
I have the exact same problem. I am 12 years old and the other day I burped for the first time since my mum use to wind me when I was a baby. I got really excited over this but I haven't been able to burp since. I call the gurgling sound inner burps and it messes up my breathing a bit. In class when my "inner burps" go off everyone looks at me and I go bright red. My 'condition' makes me really insecure and it's nice to know I'm not the only one that this happens to. xx
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Avatar universal
Also, when I get it real bad- eventually my body will 'leak' water up to my mouth which I have to spit out consistently because I can't swallow anything. Note that I call it water instead of saliva because it is completely fluid, no slime etc.

Anyone else with this problem in connection to previously discussed issues?
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2 Comments
^ Never been able to burp, the water thing just started happening to me right before I decided to search for this thread again.. Weird.
Wow. This hit home. Hi, I'm Candice. I seldom comment but this is a problem that's gotten progressively worse even to this day. I am 31 years old and your explanation about water leakage was spot on for me. I've always heavily salivated and when I'm to the point of death ( no joke intended) i have to spit out the accumulation otherwise digesting that would just increase the pain and cramping. Cannabis is very helpful and can almost instantaneously relieve all my pain. All that is felt after is soreness from all the cramping and muscle movement. It isn't a cure but it does do some incredible things when I'm lying in the fetal position moaning. I have thoughts to what could be my reasons for this issue and (for me) it comes down to genetics. My mom has ulcerative collitis and in 4 years I'll be the age she was when she was diagnosed. Her and I have similarities in health. I truly feel my best when I don't eat the older I get but that always leads to problems. But food just doesn't settle well with me in general. I've had multiple endoscopies a hida scan, ultrasound, ct scan. I have been told I digest liquids slowly and have a hiatel hernia. At this point in my life my body is the one in charge. I eat what it can digest comfortably. I am a lover of food and this is very depressing for me to go through given I have to limit myself so much. All in all, I hope this helps in some small way. Take care and stay strong.
Avatar universal
Do any of you find that you crave especially salty food when the worst part of the episode is over?
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