For years, a man in his 30s dealt with a swollen belly, gurgling noises from his throat, and excessive gas. Tests came back inconclusive, and treatments failed. The answer finally came from his own search online, where he found a condition that matched his symptoms and proposed it to his ear, nose, and throat specialist.
The condition was retrograde cricopharyngeus dysfunction, or R-CPD, better known as no-burp syndrome. His case, published in April in Cureus by Ethan J. Jenkins and colleagues, stands out for two reasons. The patient also has Gilles de la Tourette syndrome, and he appears to have acquired R-CPD after a period of temporary difficulty swallowing, rather than living with it from childhood.