Hypnosis

Quick summary
- Hypnosis is the only thing apart from Botox and surgery with a published case of R-CPD getting better.
- It's one person. In 2024, US doctors reported that after hypnosis, a young man was able to burp small amounts of air (opens in a new tab).
- It's low risk, but it hasn't been properly tested. On the NHS, hypnotherapy is offered for some other gut problems like IBS.
What happened in the hypnosis case?
In 2024, two US doctors wrote up the case of a 19-year-old lifelong R-CPD sufferer (opens in a new tab). They used hypnosis, and thereafter, the patient was able to burp small amounts of air (opens in a new tab). He was told to keep using hypnosis when he needed it.
The suggestions that helped him were to:
- imagine applying a numbing cream to his throat (opens in a new tab) when he tried to burp, so he wouldn't gag; and
- ask his subconscious to relax his throat muscles (opens in a new tab).
The authors think hypnosis and other gentle treatments should be used for R-CPD before (opens in a new tab) Botox. That's their opinion, from one case.
Why might hypnosis help?
Hypnosis is a calm, focused state where you're more open to suggestions. A 2026 review says this case suggests R-CPD can be a functional disorder amenable to behavioral therapy (opens in a new tab). That means that, for some people, the throat may be able to learn to relax. It's the same idea behind relaxing into the burp.
How could I try it?
- Talk to your GP first, so they know your symptoms.
- Find a qualified hypnotherapist. Ask about their training, and whether they've worked with gut or throat problems.
- Tell them about R-CPD and any fear of being sick. The NHS says you should tell your therapist if you have any medical conditions (opens in a new tab).
- Share the case report (Anbar and Spence 2024 (opens in a new tab)) so they can see the suggestions that were used.
- Give it a few sessions, and keep going with your other self-help if you like.
Can I get hypnotherapy on the NHS?
Not for R-CPD. The NHS says it may offer hypnotherapy for people with irritable bowel syndrome if treatment has not worked (opens in a new tab). It also says therapies like this are not tested in the same way as standard medicines (opens in a new tab).
What do people with R-CPD say?
What does the evidence say?
- One published case report (Anbar and Spence 2024 (opens in a new tab)). A single case can't show how well something works for most people.
- A 2026 review says that, apart from this case, there are no published reports of R-CPD going away other than with Botox or surgery (opens in a new tab).
Frequently asked questions
Can hypnosis cure R-CPD?
One 2024 case report says a young man was able to burp small amounts of air (opens in a new tab) after hypnosis. It hasn't been tested on more people, so we don't know how often it works.
Is hypnotherapy available on the NHS for R-CPD?
No. The NHS may offer it for IBS if treatment has not worked (opens in a new tab), but not for R-CPD.
Is hypnosis safe?
For most people it's low risk. Tell your therapist about any medical or mental health conditions, as the NHS advises (opens in a new tab).
Sources
- Anbar and Spence 2024, Am J Clin Hypn (opens in a new tab)
- Lehmann and Kahrilas 2026, narrative review (free full text) (opens in a new tab)
- NHS: Herbal medicines and complementary therapies (opens in a new tab)
Other things people try
- Shaker exercise (head lift)Lie flat and lift your head to look at your toes. The exercise people mention most.23 of 120 people mention it
- Relaxing into the burpNotice the gurgle, relax your throat and let it come up. Don't force it.78 of 120 people mention it
- Side neck sit upsLie on your side and lift your head towards the ceiling. Often done with the Shaker.12 of 120 people mention it
- Throat massage and pressureGentle massage around the voice box. Never hitting or squeezing your neck.21 of 120 people mention it
- Back, chest, yoga and postureGym work, yoga, physio for the back, and sitting up straight.23 of 120 people mention it
- Fizzy drinks and positionsLying on your left side, chin tucks, head turns, and practising with a fizzy drink.47 of 120 people mention it
- Swallowing airA few people gulp air to practise. It can make bloating worse, so read the warnings.25 of 120 people mention it
- Diet: less gasLow FODMAP, fewer fizzy drinks, eating slowly. Can ease symptoms while you try other things.7 of 120 people mention it
- HypnosisThe only non-Botox, non-surgery case in the medical papers so far.Backed by one published case
- Speech therapy and physio (BERP)A therapist teaches you positions to let a burp out. Tested in a small study.7 of 120 people mention it
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