FAQ for professionals

Why should I get a training on R-CPD?

The R-CPD is significantly underdiagnosed despite its prevalence. As a healthcare professional, you are likely already encountering patients affected without knowing it. Targeted training helps you avoid overlooking this treatable condition and spares your patients years of diagnostic wandering.

How does this training improve my clinical practice?

One simple question - "Can you burp (a real burp, not just air moving)?" - can reveal a diagnosis that years of paraclinical examinations have not identified. This training provides you with the tools to effectively identify, guide, and support these patients.

What are the risks of missing out on an R-CPD?

Patients undergo inappropriate dietary restrictions, repeated diagnostic procedures, and sometimes ineffective surgical interventions. The psychosocial impact is also significant: social anxiety, isolation, emetophobia, and frustration due to medical misunderstanding.

How can I identify specialists trained in R-CPD?

You have access to the updated list of clinicians providing R-CPD treatment available on this platform. The training helps you understand when and how to effectively refer to these specialists, as not all of them are yet familiar with this recently described condition (2019).

What is the credibility of this training?

The training is developed by Catherine Boudreau, Dt.P., a nutritionist member of ODNQ, author of a peer-reviewed scientific article on R-CPD, and having personal and clinical experience with this condition. She collaborates with specialized doctors and relies on the latest scientific literature.

Why should I get a training on R-CPD?

The R-CPD is significantly underdiagnosed despite its prevalence. As a healthcare professional, you are likely already encountering patients affected without knowing it. Targeted training helps you avoid overlooking this treatable condition and spares your patients years of diagnostic wandering.

How does this training improve my clinical practice?

One simple question - "Can you burp (a real burp, not just air moving)?" - can reveal a diagnosis that years of paraclinical examinations have not identified. This training provides you with the tools to effectively identify, guide, and support these patients.

What are the risks of missing out on an R-CPD?

Patients undergo inappropriate dietary restrictions, repeated diagnostic procedures, and sometimes ineffective surgical interventions. The psychosocial impact is also significant: social anxiety, isolation, emetophobia, and frustration due to medical misunderstanding.

How can I identify specialists trained in R-CPD?

You have access to the updated list of clinicians providing R-CPD treatment available on this platform. The training helps you understand when and how to effectively refer to these specialists, as not all of them are yet familiar with this recently described condition (2019).

What is the credibility of this training?

The training is developed by Catherine Boudreau, Dt.P., a nutritionist member of ODNQ, author of a peer-reviewed scientific article on R-CPD, and having personal and clinical experience with this condition. She collaborates with specialized doctors and relies on the latest scientific literature.

FAQ for the community

FAQ for professionals

FAQ for the community

I can't burp : is that normal?

No, this is not normal. Many people live with this condition without knowing that there is a name and treatment options available.

What is R-CPD?

A disorder of the cricopharyngeal muscle that prevents belching, causing bloating, pharyngeal gurgling, and flatulence.

Since when is this known?

The first scientific publications date back to 2019.

Is there a treatment?

Yes: the injection of botulinum toxin, performed by an experienced ENT specialist, relieves the majority of patients.

Can it be confused with other disorders?

Yes: reflux, irritable bowel syndrome, anxiety, aerophagia, etc. Hence the importance of good training for clinicians!

Can I consult a professional directly for this issue?

In Quebec, you must see a doctor to get a referral to consult an ENT with experience in R-CPD. Please check the directory for Quebec (the rest of Canada will follow).

Is it only in a private clinic?

In Quebec, it is free through the health network.

My entourage thinks that I exaggerate: how can I explain this to them?

The R-CPD is little known, even in the medical field. Sharing reliable resources (like this site or scientific articles) can help your loved ones understand better.

Can I have a normal life with R-CPD?

Yes, even though the symptoms can be very uncomfortable. A clear diagnosis and appropriate treatment greatly improve quality of life!

I can't burp : is that normal?

No, this is not normal. Many people live with this condition without knowing that there is a name and treatment options available.

What is R-CPD?

A disorder of the cricopharyngeal muscle that prevents belching, causing bloating, pharyngeal gurgling, and flatulence.

Since when is this known?

The first scientific publications date back to 2019.

Is there a treatment?

Yes: the injection of botulinum toxin, performed by an experienced ENT specialist, relieves the majority of patients.

Can it be confused with other disorders?

Yes: reflux, irritable bowel syndrome, anxiety, aerophagia, etc. Hence the importance of good training for clinicians!

Can I consult a professional directly for this issue?

In Quebec, you must see a doctor to get a referral to consult an ENT with experience in R-CPD. Please check the directory for Quebec (the rest of Canada will follow).

Is it only in a private clinic?

In Quebec, it is free through the health network.

My entourage thinks that I exaggerate: how can I explain this to them?

The R-CPD is little known, even in the medical field. Sharing reliable resources (like this site or scientific articles) can help your loved ones understand better.

Can I have a normal life with R-CPD?

Yes, even though the symptoms can be very uncomfortable. A clear diagnosis and appropriate treatment greatly improve quality of life!

© 2025, Catherine Boudreau, Dt.P., ODNQ. All rights reserved.