Abelchia is a rare condition where a person is physically unable to burp (belch), even when their stomach or esophagus is full of gas. This can cause a buildup of pressure in the chest, neck, and abdomen, leading to uncomfortable symptoms like bloating, gurgling noises in the throat, chest pressure, abdominal distension, and even painful cramping. Some patients also report difficulty swallowing, nausea, or trouble breathing deeply. This condition often starts in adolescence or early adulthood, and while the body still produces gas as part of normal digestion, the upper esophageal sphincter (a muscular valve at the top of the esophagus) fails to release it upward. The good news is that a treatment has been developed using Botox injections into the upper esophageal sphincter to relax the muscle and allow the body to belch naturally. For many patients, just one injection leads to lasting relief and restored ability to burp, improving quality of life dramatically. If left untreated, however, abelchia can have a significant impact on a person’s comfort and social confidence, so proper diagnosis and treatment are key.