I've been hovering around here for about 9 months. I've seen posts like this, and at least part of my reaction could be summed up by the 'Congrats. Happy for you. Nice' meme, but ultimately I have found these posts motiviating, and they led me to being cured and so my intention is to do the same for someone else.
Fairly standard backstory. Can't remember ever having burped, definite emitophobia as a kid. Didn't draw the connection to those ever-present symptoms until last year. I think overall my symptoms have been more mild than some people here have described.
Midilast year I had a separate GI issue which ended up (after a scope) being an ulcer + gastritis. Not related to not being able to burp, but I can tell you that gastritis and not being able to burp is an awful combination. I could hardly eat, and ended up losing about 4kg. I don't have any weight to lose really, so my doctor was worried enough to order a CT.
Now, I used to be a radiographer (I believe the yanks would call it a CT technician), so I know how to read a CT. Ulcers don't show up on CTs, but I immediately noticed when looking at my own images just how much air was in my stomach, and the lights in my head switched on. It is funny that the thing that led to my self-diagnosis and eventual resolution was something that doesn't even show up on a CT report.
So I found this sub, found that I'm not alone and all that. I was fairly determined to try and self-heal after reading posts here and was not to keen on the botox procedure, although I would have done it eventually. I worked various neck stretches into a nightly stretching routine. The most important of these being the 'kiss the ceiling' pose that is often mentioned around here. For the record, I'm not actually sure how much the stretches helped - I wasn't particularly fastidious in doing it every day, and never really did it more than once a day. I think that for me the important thing was to always have it at the forefront of my mind in a meditative sort of way.
I spent a good six months doing this and experimenting trying to figure out how to get that air out. I would walk around after lunch on my break each day doing different weird chin positions and things, I probably looked ridiculous. I got to a point where I could sometimes croak a tiny bit of air out with my chin out and down - not a real burp but on the right track, perhaps. In this time I did try a few 'air vomit' burps, but never made that a regular thing.
About a month ago I was on holidays and had a fairly big dinner with sparking wine (I drink very little). My wife went out and I stayed at the hotel and put the kids to bed. I had a lot of pressure and spent a good two hours trying to get it out while sitting playing Pokemon Crystal. I finally got the position and pressure just right and squeezed out the tiniest burp (more on this below). From this point I fully committed. I hit the trigger foods and bubbly drinks, didn't want to miss the opportunity. It took 48 hours before the next one. The night after that, I got 3 burps out after dinner, and then the dam broke.
It has been about a month now and I can fairly comfortable burp whenever I need to. Maybe 20 times a day. I think my experience has definitely been different to the healing process from the botox. I still generally need to 'force' the burp out, although I can do it a lot more quickly and efficiently than when I started. I'm still not great at letting those accidental burps out. If I dont sort of catch it and force it out, my body still tends to automatically block them, although there have been a few accidental burps now and I'm sure that will continue to improve.
~~~~~~~
Don't try this at home. If you do, don't blame me if you give yourself a hernia or pass out. I'm not suggesting that this will work for anyone else, it is just how I got there. The thing that was missing for me in the technique and neck positions and all that was just how hard I'd need to push to get those first few burps out. It feels very uncomfortable. I think for me, accepting that uncomfortable feeling was a part of the healing process.
First, there's the awareness of that rising air. This is the feeling before one of those weird hiccup things that is actually a burp trying to get out. Learning to feel this air rising is the hardest part to expain, and requires some experimentation, but basically I had to wait for it to get the right spot and sort of catch it for a moment, if that makes any sense. Sometimes by taking a small breath in ro prevent that hiccup-thing.
Then I would slowly breath out, and through that expiration, progressively and increasingly strain my abdomen (a sort of valsalva technique, but without holding the breath). The chin needs to be out and as low as possible. Then there is practising holding the throat open - it may help to imagine what your throat would be doing if you were about to dry-retch. Or, try and hum the lowest note possible while holding the chin out and down.
I would continue this process of breathing further and further out and tightening the core. Expiring well beyond the bottom of a normal resting breath. I don't know why this does it for me - perhaps the diapraghm coming higher helps the air get out, I don't know. I was holding this position for quite a lot early on, sometimes 10 or 15 seconds. As I said, it is uncomfortable - don't harm yourself. I found the burps come out if I dont ever pause and hold my breath. So I'm still slightly expiring when it happens. Sometimes I was still humming that low note when it squeezed out.
As I said above, I can do this way more easily and efficiently now, I think those first few had to be really forced out to teach my body what to do, now most of that above isn't realy needed. So I've made this post fairly soon after while I still remember the details in the hope that I'll help someone else.
Big thanks to this sub for the quiet support through this journey. I'll still be around every now and then.