Objective:To report a case of retrograde cricopharyngeal dysfunction (R-CPD) and the use of
botulinum toxin injection for its diagnosis and therapy.

Methods:
Design:Case Report
Setting:Tertiary Private University Hospital
Patient:An 18-year-old female college student who presented with inability to burp, associated with awkward gurgling noises from the chest, abdominal discomfort and excessive flatulence.

Results:Our patient gained the ability to belch and the relief of associated excessive flatulence and awkward gurgling noises from the chest, after cricopharyngeal muscle Botulinum toxin injection.

Conclusion:Botulinum toxin injection may serve as both a diagnostic and therapeutic intervention for R-CPD.

Human ; Female ; Adolescent: 13-18 Yrs Old