Retrograde Cricopharyngeal Dysfunction
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Retrograde Cricopharyngeal Dysfunction
Retrograde cricopharyngeus dysfunction (R-CPD; also known as the inability to belch syndrome) is a medical condition first identified by gastroenterologist, Dr Peter Kahrilas, in 1987. However, the condition only began to receive more attention following a 2019 report by ENT surgeon, Dr Robert Bastian, which described a very high rate of symptomatic relief from injection of botulinum toxin into the cricopharyngeus muscle. Uniquely, awareness of the condition has spread predominantly through patients themselves rather than the medical community via numerous social media forums. Awareness of the condition amongst primary care physicians and specialists remains low and patients report needing to seek out specialists who are familiar with and can treat the condition through online research. Symptoms The condition is characterised by chronic gastrointestinal symptoms relating to excessive gas retention including abdominal bloating with distension, flatulence, audible gurgling sounds, ...
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A Wide Esophagus Due To Trapped Air
A, or a, is the first Letter (alphabet), letter and the first vowel letter of the Latin alphabet, used in the modern English alphabet, and others worldwide. Its name in English is ''English alphabet#Letter names, a'' (pronounced ), plural ''aes''. It is similar in shape to the Ancient Greek letter alpha, from which it derives. The uppercase version consists of the two slanting sides of a triangle, crossed in the middle by a horizontal bar. The lowercase version is often written in one of two forms: the double-storey and single-storey . The latter is commonly used in handwriting and fonts based on it, especially fonts intended to be read by children, and is also found in italic type. In English, ''English articles, a'' is the indefinite article, with the alternative form ''an''. Name In English, the name of the letter is the ''long A'' sound, pronounced . Its name in most other languages matches the letter's pronunciation in open syllables. History The earliest know ...
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