Jonathan has never been able to make grapes.
And it became a serious medical problem
The inability to burp may not sound like an interest to write about in the health section, but the truth is that it is a serious problem, which can cause severe pain in the chest and abdomen.
This is what happened to 37-year-old Jonathan, who suffered for years, until he came to a doctor from Kaplan Medical Center who was able to help him - in a rather surprising method
Walla!
health
19/05/2022
Thursday, 19 May 2022, 06:10 Updated: 06:21
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Jonathan Makrov, 37, of Moshav Nataf, has never been able to burp, or make grapples as most of us call it.
"Even when we were kids, and all my friends would do grappling competitions - I could not participate," he says.
This may sound like a very small problem, maybe even amusing, but the truth is that Jonathan suffered greatly from the inability to burp.
After each meal he suffered from chest and abdominal pains and avoided fizzy drinks.
"It affected my whole life. Every time I ate I suffered excruciating pain and had to lie down for almost an hour after. All the doctors I visited did not find the source of the problem, and many of them even underestimated my feeling."
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To the full article
Jonathan decided not to give up, and started looking for information on the net about the phenomenon.
He discovered that there was no information on the subject in Hebrew, but managed to reach a page on reddit called "no burp", where he discovered an English article by an American researcher who injected Botox into 50 patients who suffered from similar symptoms and also reported an inability to burp.
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On the verge of despair, he turned to Dr. Yael Shapira Glitz, director of the sound and swallowing clinics at Kaplan Medical Center, and asked her to provide him with the treatment. Dr. Shapira Glitz, who knew the article, first asked Jonathan to undergo a series of tests, on To make sure there is no other medical problem.
"Before we made a final decision on how to treat, we performed comprehensive tests on the patient, including gastroscopy, to rule out other causes for his complaints, such as a hernia or reflux disease," she says. Improvement. "
Since the improvement was marginal, Dr. Shapira Glitz decided to perform the innovative treatment and inject Jonathan Botox into the esophagus.
Investigate the subject until you find an answer.
Jonathan Makrov (Photo: courtesy of the photographers)
"Most of the patients did not need another injection."
Dr. Shapira Glitz (Photo: Tomer Jacobson)
"In the process of swallowing, whether we are aware of it or not, air is swallowed, which we release through burping. If a lot of air accumulates, then the stomach walls stretch and this produces discomfort, abdominal bloating, pain and excessive gas," explained Dr. Shapira Glitz. The esophagus actually has two gatekeepers - the upper and the lower - the upper connects the pharynx to the esophagus and the lower between the esophagus and the stomach.
Both goalkeepers need to open up in order for us to be able to burp.
In patients like Jonathan, for a reason that is not entirely clear to us, the top gate does not open during burping.
Botox paralyzes the upper annular muscle, making it possible to burp. "
Today, three weeks after the procedure, Jonathan feels a significant change." The next day I was a different person - suddenly I can perform what others see as a very basic function.
It was as if they had turned on a button and arranged something for me.
A drastic change of life. "And he is not satisfied with that, and wants to spread the gospel:" I have already turned to D. "
And what next?
Dr. Shapira Glitz says that "Botox is a temporary treatment, but despite this, the American study shows that most of the patients did not need another injection.
We are fully monitoring Jonathan to see how he will progress and whether he will need additional treatment. "
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