Helping Patients Restore Comfort and Function RCPD Treatment at ENT Specialists in Metro-Detroit

Living with Retrograde Cricopharyngeal Dysfunction (RCPD) can be frustrating and uncomfortable, especially when the condition impacts daily life. Many patients struggle with persistent bloating, discomfort, and difficulty releasing air, which can lead to significant distress. At ENT Specialists in Metro-Detroit, Dr. Keidar is dedicated to providing compassionate, effective treatment for RCPD using the latest advancements in minimally invasive therapy. As the only provider in the practice specializing in this condition, Dr. Keidar offers operating room-based Botox injections, a treatment that helps relax the cricopharyngeus muscle, allowing for normal burping and improved quality of life.

What is RCPD? Identifying the Symptoms and Causes of RCPD

Retrograde Cricopharyngeal Dysfunction (RCPD), often called no burp syndrome, is a swallowing disorder that prevents individuals from being able to burp due to a dysfunction in the cricopharyngeus muscle. This muscle, located at the top of the esophagus, normally acts as a valve that opens to release air from the stomach. When it fails to relax properly, air can become trapped, leading to bloating, chest pressure, stomach discomfort, and excessive flatulence. Many patients suffering from RCPD have endured years of gastrointestinal issues without a proper diagnosis, often misattributing their symptoms to acid reflux, irritable bowel syndrome, or other gastrointestinal conditions.

Recent medical research have helped physicians identify RCPD as a relatively new disorder that can be effectively treated. Awareness of this condition is growing, and specialized treatment options are becoming more available to those affected.

How is RCPD Treated? Effective Treatment for Burp Syndrome

At ENT Specialists in Detroit, Dr. Keidar offers a minimally invasive treatment for RCPD using botulinum toxin injections. These Botox injections target the cricopharyngeus muscle, helping it relax so trapped air can escape naturally.

The Botox Injection Process

The procedure is done under general anesthesia in the operating room. A rigid scope is used to expose the cricopharyngeal muscle through the mouth. Then, a high unit dosage of Botox is injected into the muscle. The patient is then awakened from anesthesia and taken to the recovery unit. The treatment is quick and requires no major downtime, making it a convenient option for those struggling with RCPD symptoms.

Benefits of RCPD Treatment The Life-Changing Impact

Receiving treatment for RCPD can drastically improve quality of life by relieving discomfort and restoring normal esophageal function. Patients who undergo Botox injections for RCPD often report reduced bloating, chest pressure, and digestive distress within days. This procedure helps patients feel more comfortable during social interactions, prevents gastrointestinal discomfort, and improves overall digestion.

Unlike more invasive surgical treatments, Botox injections offer a non-surgical approach that delivers fast and effective relief. Many patients experience significant improvement within a week, and results can last several months before requiring maintenance.

RCPD Treatment CandidatesIs RCPD Treatment Right for You?

If you experience chronic bloating, difficulty burping, excessive flatulence, or a tight sensation in the throat, you may be a good candidate for RCPD treatment. Most patients can safely undergo Botox injection therapy, but some medical conditions may require further evaluation before treatment. Dr. Keidar will review your medical history, symptoms, and previous treatments to determine if this therapy is right for you.

For those who have tried other treatment options, such as medications for acid reflux or gastrointestinal disorders, without success, botulinum toxin injections may be a beneficial alternativeFor those who have tried other treatment options, such as medications for acid reflux or gastrointestinal disorders, without success, botulinum toxin injections may be a beneficial alternative.

Contraindications:

Allergies to botulinum toxin
Neurological disorders affecting swallowing function
Esophageal conditions requiring additional medical evaluation

Consultation and Preparation Your First Steps Toward Relief

RCPD evaluations are conducted at the Bingham Farms location. A pre-operative Functional Endoscopic Evaluation of Swallow (FEES) will be completed at that time. The FEES is a way to evaluate the upper aerodigestive tract by using a thin endoscope through the nose to the larynx. Then, multiple consistencies of food and liquid with green dye are given to the patient and visualized as the patient swallows. This is to ensure a normal swallow and rule out any other underlying swallow disorder. These evaluations are done with our Swallow therapist, Darlene. These visits should be scheduled on a Wednesday morning or a Thursday afternoon.

After the evaluation, the clinical history and exam are consistent with RCPD; surgical intervention can be discussed. Our surgical coordinator will then go over paperwork, insurance authorization, and scheduling.

Patients preparing for the procedure should:

Avoid blood-thinning medications for a few days prior to treatment to minimize bruising.
Refrain from eating or drinking for a few hours before the procedure.
Inform Dr. Keidar about any neurological disorders, allergies to botulinum toxin, or swallowing difficulties.

Your RCPD TreatmentStep by Step

The Botox injection procedure is performed under local anesthesia or mild sedation for maximum comfort. Using a thin needle, Dr. Keidar carefully injects botulinum toxin into the cricopharyngeus muscle. The procedure typically takes less than 30 minutes, and most patients can return home the same day.

Results, Recovery, and AftercareRecovery Timeline

Following treatment, most patients experience noticeable relief within 3 to 7 days, with the full effects developing over 2 to 4 weeks. Some patients may feel mild throat soreness or difficulty swallowing temporarily, but these effects usually resolve quickly.

RCPD Treatment Recovery Guidelines:

Avoid strenuous physical activity for 24 hours post-procedure.
Stay hydrated and consume soft foods if experiencing minor throat irritation.
Monitor any changes in swallowing function and contact Dr. Keidar with concerns.

Results from RCPD treatment typically last 4 to 6 months, and some patients experience long-term relief after a single session. Depending on the individual's response, repeat treatments may be recommended.

Why Choose ENT Specialists in Detroit? Expert Care, Advanced Treatments

At ENT Specialists in Detroit, Dr. Keidar offers personalized care and has extensive experience treating swallowing disorders. As the only provider at the practice specializing in RCPD treatment, he is uniquely qualified to diagnose and treat this condition using the most advanced techniques available. His patient-centered approach ensures that individuals receive comprehensive care, expert treatment recommendations, and long-term solutions for their symptoms.

Learn more about Dr. Keidar

Schedule Your Detroit RCPD Treatment Consultation Today

If you struggle with chronic bloating, difficulty burping, or discomfort caused by RCPD, relief is possible. Dr. Keidar at ENT Specialists in Detroit is ready to help restore your swallowing function and improve your quality of life. Schedule a consultation today to discuss your treatment options.

RCPD Treatment FAQs

Is RCPD Treatment painful?

No, the procedure is minimally invasive and performed under local anesthesia, ensuring a comfortable experience.

What are the risks associated with RCPD Treatment?

Risks are minimal but may include mild throat soreness or temporary swallowing difficulty.

How long will my RCPD Treatment results last?

Results last 4-6 months, with some patients experiencing long-term relief.

Is there a permanent solution to RCPD?

Botox injections provide significant relief, but repeat treatments may be needed.

How much does RCPD Treatment cost?

Pricing varies; a consultation with Dr. Keidar will provide detailed cost estimates.

Can RCPD go away on its own?

RCPD does not typically resolve without intervention. Treatment, such as Botox injections, is often necessary to relieve symptoms.

How common is RCPD?

RCPD is an underdiagnosed condition, but awareness is growing. Many patients suffer for years before receiving the correct diagnosis.

Can RCPD cause other health issues?

Untreated RCPD can lead to chronic bloating, chest discomfort, and social anxiety due to persistent symptoms.

Will insurance cover RCPD treatment?

Coverage varies by provider. It is best to check with your insurance company to determine if Botox injections for RCPD are covered under your plan.

Specialists for you

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You're entitled to a higher quality of life. At ENT Specialists, our warm and compassionate team will keep you comfortable and happy throughout your relief journey. Schedule your one-on-one consultation today to experience the difference ENT Specialists can make in your life! We offer ENT treatments in Novi, Brighton, and Bingham Farms.

25500 Meadowbrook Road Suite 220, Novi, MI 48375

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