Our Specialties

No Burp

Imagine no more bloating, pain, or gurgles.

…Dr. Holmes is one of only a handful of physicians in the eastern U.S. providing “throatox” botox injections to help patients suffering from “no burp” — also known as Retrograde Cricopharyngeus Dysfunction (R-CPD).

What is “No Burp”?

While belching or burping is characterized as a day-to-day bodily function, for an unknown number of people, it’s a relief they never experience.

Instead, a big meal or carbonated beverage sets off a chain of gastric unpleasantries: bloating, searing pain in the esophagus, and excessive flatulence. And of course, the gurgling, a sound reminiscent of croaking frogs that seems to come from the throat.

Retrograde Cricopharyngeus Dysfunction (R-CPD) is a disorder where the cricopharyngeus muscle fails to relax to allow the upward passage of gas, and results in an inability to burp/belch.

How Can I Manage The Condition?

Many people in the No Burp community have found relief from botox injected into the cricopharyngeus muscle at the opening of the esophagus. Dr. Holmes is one of only a handful of physicians in the eastern U.S. providing Botox injections to no burp sufferers. Popularly known as “throatox,” these injections can provide significant relief from the symptoms of R-CPD.

Self Pay Options Available — Contact info@entandaudiology.com



3 o'clock Injection

Hear From Our Patients

You have CHANGED my LIFE
You have CHANGED my LIFE
Alex B.
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This is the most amazing thing ever. I am crying tears of joy. For the first time in 40 years my stomach doesn’t hurt. You have changed my life. I cannot thank you enough.I go to bed comfortable and pain free. Thank you for listening, being practical, treating me rapidly, making the hospital experience fun. I send you all of the thank yous.

COVID-19 Policies & Updates

COVID Policy effective 08/16/2021: Due to the exponential rise of Delta variant cases including breakthrough casesfor your safety and that of our staff members’ we require anyone entering our office, 12 years of age or older to bring proof of vaccination administered at least 3 weeks prior, OR a negative PCR (not a rapid) test result within 3 days of the appointment. Additionally, all individuals must wear a mask covering BOTH the nose and mouth at all times except during Dr. Holmes’ examination.

PLEASE NOTE:  This applies to all family members, caretakers, translators, and vendors in addition to patients.

We prefer that only one parent accompany a child (no siblings please) and that adults come alone if able. 100% of our staff are fully vaccinated and always masked.  We disinfect rooms between patients and control for social distancing.  We are committed to excellence in all aspects of patient care and to the health and prosperity of our community!  Thank you for trusting our practice and taking the precautions necessary to minimize the risk of Covid 19.

For information about free vaccination and testing sites, click here.