- 888-4UT-DOCS | 888-488-3627
- Request an Appointment
- Pay My Bill
- MyUTHealth Houston
- Find a Doctor/Provider
Find a Doctor/Provider
- Search Doctors/Providers
- Specialties
- Directory A-Z
- Request An Appointment
- MyUTHealth Houston
- Find Locations
Select an area
- Central Houston/Medical Center
- North Houston
- Southeast Houston/Pearland
- Southeast Texas
- Southwest Houston/Bellaire
- West Houston
Search All Locations
- Patient Care
Patient Care
UT Physicians provides primary and specialty care for patients of all ages. We have over 2,000 health care providers with expertise in more than 80 specialties and subspecialties. From routine visits to advanced services, our physicians practice at more than 100 locations across the Greater Houston area. Find the care you need and schedule an appointment with us today.
Adult Health
- Adult Primary Care
- Adult Specialty Care
Children's Health
- Children's Primary Care
- Children's Specialty Care
Women's Health
- Overview
- Women's Specialty Care
Patient Resources
- Health Education Library
- Adult Health Resources
- Children's Health Resources
- Women's Health Resources
- Patient Information
New Patient?
If you are a patient of UT Physicians, the information below outlines our process and facilities to facilitate a relaxed and successful experience.
- Search Doctors
- Request an Appointment
- About Your Visit
Billing
Patient Services
1-855-877-2808
Customer Service Hours
Mon – Thu, 8 a.m. to 8 p.m.
Fri, 8 a.m. to 5 p.m.
Sat, 9 a.m. to 1 p.m.
CST time zone
- Pay My Bill
- MyUTHealth Houston
- Text Messaging Enrollment
- No Surprises Act
More
- Clinical Trials
- Dental Care
- International Patients
- Legal Billing Records
- Medical Records
- Refer a Patient
- Giving
- Why UT Physicians
Why UT Physicians?
With more than 2,000 clinicians certified in more than 80 medical specialties and subspecialties, UT Physicians provides multispecialty care for the entire family.
- About Us
- Health Programs/Services
- UTHealth Houston Research
- Patient Stories
- Videos
- Contact Us
Play Video about Why UT Physicians Video
- Careers
Request AN Appointment
Call (713) 486-5000
REQUEST AN APPOINTMENT
CALL (713) 486-5000
Retrograde Cricopharyngeus Dysfunction (RCPD)
The Texas Voice Performance Institute at UTHealth Houston provides comprehensive care for patients experiencing “no-burp syndrome,” formally known as Retrograde Cricopharyngeus Dysfunction (RCPD). RCPD is a relatively uncommon condition in which affected patients are unable to burp. For the majority of these patients, symptoms have usually been present for as long as they can remember.
Symptoms
Aside from the principal symptom of an inability to burp, RCPD patients will often suffer from these additional complaints:
- Gurgling noises from the throat or neck, often uncontrollable, and audible to others
- Uncomfortable pressure sensations in the chest or neck
- Abdominal bloating
- Excessive flatulence
Many RCPD patients struggle with social interaction because of these symptoms, and will often have to carefully watch what they eat or drink to avoid worsening their symptoms, like carbonated beverages and beer.
Diagnosis and office-based care
RCPD is primarily a clinical diagnosis, meaning that your doctor will likely be able to diagnose you based on your symptoms after performing a standard office evaluation and physical exam. Oftentimes, a flexible laryngoscopy is part of that exam. This relatively painless procedure takes less than a minute and allows your physician to get extra information about your anatomy. While uncommon, additional testing may be required depending on your doctor’s evaluation.
Treatment
Botulinum Toxin (Botox®) injection to the Cricopharyngeus muscle remains the standard treatment for this condition and is curative in 80-90 percent of patients. This quick injection is performed through the mouth, and is traditionally done in the operating room under general anesthesia. The procedure can also be performed in the office with local anesthesia for select patients who are deemed candidates for this option.
FAQ
RCPD has likely existed for a very long time, and there is a good chance you know several people who have struggled quietly with these symptoms. It is not unusual to hear from RCPD patients who had to undergo numerous, non-diagnostic tests, or who were met with disbelief from their doctors after seeking care. It wasn’t until just recently in 2019 that Dr. Robert Bastian published the first scientific paper on the topic, formally identifying these symptoms as a new medical condition called RCPD.
The cricopharyngeus muscle is the circular gate between the throat and the esophagus. It normally remains tightly closed, but opens to allow the passage of foods and liquids while swallowing. It should also open to allow the release of excess gas in the form of a burp. In RCPD patients, this does not happen, and gas becomes trapped in the esophagus or stomach leading to many of the symptoms listed above.
Patient Success Story
Treating Retrograde Cricopharyngeal Dysfunction, AKA No-Burp Syndrome
For as long as she can remember, Taylor Frazier, 26, had no ability to burp. Her mother remembers burping her as a baby, and at some point in her early teens, she started noticing bubbling and gurgling sounds in her chest.
“It was never an issue for me until I was 22 and started having really terrible abdominal pains after eating a substantial amount of any type of food. Sometimes the pains came at random,” Frazier says. “I had a lot of flatulence and abdominal bloating to the point that it looked like I was pregnant. On occasion I had chest pain and some pretty painful hiccups.”
Meet the Physician
Andrew G. Tritter, MD
Andrew G. Tritter, MD, is an assistant professor in the Department of Otorhinolaryngology-Head and Neck Surgery. He directs the department’s laryngology division and the Texas Voice Performance Institute. His experiences have given him extensive training in voice, airway, and swallowing disorders for patients of all ages. His clinical interests include care for the professional voice, vocal fold paralysis, spasmodic dysphonia, management of early-stage laryngeal cancer, benign vocal fold lesions, respiratory papillomatosis, tracheal stenosis, laryngeal stenosis, swallowing disorders, chronic cough, and numerous other conditions affecting the throat.
UT Physicians Otorhinolaryngology - Texas Medical Center
6400 Fannin St, Ste 2700
Houston, TX, 77030-1539
(713) 486-5000
Schedule an Appointment
If you are experiencing symptoms that are urgent or life threatening in nature, please contact your primary care physician, the nearest urgent care facility, or call 911. To speak with a patient access representative, please call 888-4UT-DOCS (888-488-3627).
New Patients
For new patients, welcome to UT Physicians and your first visit.
Schedule a NewPatient Appointment
Existing Patients
Thank you for choosing UT Physicians again for your care. You can schedule an appointment in the MyUTHealth patient portal.
