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Science Quickly

The curious case of the nonburpers

Science Quickly

Scientific American

Science

4.41.4K Ratings

🗓️ 4 February 2026

⏱️ 17 minutes

🧾️ Download transcript

Summary

Can you imagine not being able to burp at all? In this episode of Science Quickly, we dive into the little-known but surprisingly serious “no burp” syndrome known as retrograde cricopharyngeus dysfunction (RCPD). Otolaryngologist Robert Bastian, who co-authored the paper that first defined RCPD in 2019, explains what causes this unusual condition and how it can make daily life miserable. But relief can come from an unexpected source: a Botox injection that gives patients the chance to “learn” how to burp—an experience many describe as life-changing. Recommended Reading: Explore a collection of articles and resources about RCPD by Robert Bastian E-mail us at sciencequickly@sciam.com if you have any questions, comments or ideas for stories we should cover! Discover something new everyday: subscribe to Scientific American and sign up for our daily newsletter. Science Quickly is produced by Kendra Pierre-Louis, Fonda Mwangi, Sushmita Pathak and Jeff DelViscio. This episode was edited by Alex Sugiura, with fact-checking by Shayna Posses and Aaron Shattuck. Our theme music was composed by Dominic Smith. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

The world moves fast. Your workday? Even faster. Pitching products, drafting reports,

0:07.0

analyzing data. Microsoft 365 copilot is your AI assistant for work, built into Word, Excel,

0:14.0

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0:21.6

So you can cut through clutter and clear a path to your best work.

0:25.6

Learn more at Microsoft.com slash M365 copilot.

0:29.6

For signings, For Scientific American Science Quickly, I'm Kendra Pure Lewis, in for Rachel Feltman.

0:52.9

You've probably been in this situation.

0:55.3

You just had a big lunch or a tall carbonated drink.

0:58.4

And out of nowhere, a burp rises in your throat, unbidden.

1:02.8

It's so magnificent, you can taste it.

1:05.4

If you're someone's annoying brother, you've probably summoned a burp and unleashed it on your sibling's face at least once.

1:11.5

But Parasdama can't relate to any of that.

1:14.3

Because I can't burp, and for as long as I can remember, I could never burp.

1:19.2

It may sound silly, but it leads to all kinds of discomfort.

1:23.0

So my whole chest and stomach, it becomes heavy.

1:26.6

It feels like some air is stuck inside.

1:30.2

And it becomes so uncomfortable that one time I was driving on a highway, I had to stop my car,

1:37.2

get outside, try to vomit on the side of the road in order to get that air out.

1:43.1

I just can't sit or walk or do anything.

1:46.2

This inability to burp, he thought it was a personal failing, like how some people can't whistle.

1:51.2

But what he's experiencing is actually due to a medical condition that doctors have only

1:55.5

recently begun to understand. To learn more, we spoke to Robert Bastion, an otolaryngologist and expert in treating this

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