Bastian Voice Institute

700 and counting!

We have successfully assisted our 700th patient in finding relief from R-CPD, or the inability to burp! Thank you to our patients who shared their success stories on places such as TikTok, Facebook and Reddit.  We will continue to offer tele-conversations, in-office consultations, and Botox injections for those who are interested in learning more, or […]

New video about babies who can’t burp

Babies and older children with this condition are in misery, and so are their parents, with the stress of it all. The answer might be a dysfunction of the upper esophageal sphincter (Retrograde Cricopharyngeus Dysfunction, or R-CPD).  

Ground-breaking publication by Dr. Brent Richardson about RRP

Dr. Brent Richardson is one of 4 clinicians at Bastian Voice Institute who together manage a large population of adult patients with recurrent respiratory papillomatosis (RRP). RRP is caused by the human papilloma virus (HPV), which in turn stimulates growth of benign proliferative lesions called papillomas, similar to warts. State-of-the-art management remains precise surgical removal […]

Dr. Bastian live on television!

We are grateful to FOX32 for hosting a live interview with Dr. Bastian about R-CPD, or the inability to burp.

BVI featured in local news

Over the weekend Bastian Voice Institute was featured in the local news source the Daily Herald. Dr. Bastian discussed R-CPD, or the in-ability to burp, and how it’s treated. Click on the link to view.

New video on YouTube!

Dr. Bastian makes extensive use of elicitation with his own voice in order to hear the “vocal phenomenology” of a voice under evaluation. He has named one phenomenon he has not heard described elsewhere as mucosal chatter. This post describes mucosal chatter and provides a video that demonstrates it in an injured voice.

New video on YouTube about COVID cough!

Those who contracted COVID-19 but are still experiencing coughing several days or weeks after recovery may have sensory neuropathic cough (SNC), a damaging of sensory nerve endings in the trachea, larynx, or pharynx.

New Photo Study on Laryngopedia

In persons with inability to burp (R-CPD), air is forced upwards against an unyielding upper esophageal sphincter (cricopharyngeus muscle). Over time, this constant pressure appears to stretch or dilate the esophagus. Go to ( for an impressive photo study of this finding.

New Noburp Video on YouTube

New noburp video on YouTube! Unable to burp your entire life? Embarrassed by audible croaking and gurgling noises? Plagued by abdominal bloating/distention and chest or low neck pressure? Distressed by excessive flatulence? Are you even laughed at by others you tell about your inability to burp? You may have a condition called “noburp” on social […]