[Dysphagia] aerophagia not associated with eating

[Anneds at tvcc.on.ca (Anne Dworschak-Stokan)]

Middle aged woman, no sig. PMHX.  Presents with 1.5 year hx of belching.
 Describes small burps, 30 sec in duration, off and on for up to a few
hours.  Usually toward the end of day, yet can happen first thing in the
morning.  Not assoc with meals.  

No hx of GERD.  
ENT evaluated - WNL.  
MBS- essentially WNL, insufflated esophagus but no obv air swallowed
with the bolus.  
Ba Swallow WNL.  
Seen by GI- no scoping as Ba Swallow negative. 
Client unaware of swallowing air, and unable to mimic it.  Not observed
during 90 min assessment.  

Recommendations already- esophageal manomtery.  Any other
recommendations?  Is this the scope of an SLP?  Is there a treatment
approach?  Relaxation tech?  Biofeedback?

Thanks in advance
Anne


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