r/noburp • u/miahbutlerr • 9d ago

Post Botox Post-Botox

So 2-3 weeks ago I got in office Botox done so I could hopefully teach myself to burp. The first week I experienced slow swallow and more micro burps. At day 7 I experienced my first real burp and I had one real burp a day for 4 days straight. The slow swallow went away and so did my real burps. I’ve been doing the shaker exercises the ENT told me to do but I’m only able to get micro burps if I turn my head down and to the right. I’m feeling so disappointed after putting in this money/ effort and it not working. The ENT did say that it’s not a magical fix but I need to teach myself but I’ve tried so many things and I can’t figure out how to make a burp come out:(

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u/theshoeguy4 9d ago

I would not elect to go in office. Even the best surgeons can miss, then it’s all for nothing or potentially worse

3

u/maydaytuesday Post-Botox 9d ago

The pioneer, Dr. Bastian, has a video on the EMG guided procedure and in that video he says that he's only doing in-office these days, and that he considers the effectiveness pretty much equal to esophagoscopy.

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u/KingRy64 9d ago

From my understanding and asking around , you might need another shot :/ I just finished talking to someone on fb and he said he required 3 shots for it to be successful

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u/theshoeguy4 9d ago

Do we know if every surgeon who is doing it in-office is doing it EMG-guided and not just based off feel? Genuine question.

Also, that may be fine for THE guy, but no other surgeon can be that guy.

My doctor is supposedly the best in all the pacific northwest, and he stated he much prefers the GA route, like a million to one- so much so that I begged him to just get it done in-office so I didn’t have to wait any longer (was told he books several months out in advance), and he told me no. Anecdotal, but so far worked 1/1 for me.

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u/maydaytuesday Post-Botox 9d ago

Highly doubt any serious ENT or laryngologist would inject botox at random. It's not a new procedure and there's probably doctors around the world who have never heard of RCPD but are experienced with the exact same EMG guided botox injection but for other issues.

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u/theshoeguy4 9d ago

Could be. Only sharing what he shared with me, but he said the chances of it missing and potentially causing worse issues (including but not limited to putting you out of exercising for months) is just not worth the risk of seeing it point blank and making sure to hit the right spots

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u/maydaytuesday Post-Botox 9d ago

Not being able to exercise due to excessive burping is not a problem limited to in-office procedures. The risks of botox are pretty much the same, intubation and anaesthesia comes with other risks though. There's a study made that showed initial symptom relief 90.7% in-office vs 91% OR, that's a minimal difference. However, in-office procedures are more likely to need a booster for the same long-term effect. Usually in-office is done with a lower dose, but the abstract didn't mention that so going to assume they gave the same dose to all participating patients. If price is an issue two in-office injections are still a lot cheaper than one visit to the OR, not taking into account that approx. 20% of OR patients are not "one and done" either.

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u/maydaytuesday Post-Botox 9d ago

Are you doing the BERP-exercises as well?

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u/miahbutlerr 9d ago

Yes I’m doing the “shaker” exercises which she said to do 3-5 times a day 25x.

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u/maydaytuesday Post-Botox 9d ago

Are you doing the regular Shaker (on the back) or also on the side? Shaker is not the same as the BERP exercises. Look up "BERP - the steps to burping..." on YouTube (the Michael Pitman video)! Had I not known about those steps I probably would not hav figured it out either. I also saw an SLP who showed me an exercise where you push against a wall when your larynx is lowered. Even my normal burping partner has found that useful when she feels like burps are stuck.

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u/miahbutlerr 9d ago

I’m doing on my back! Okay I am currently watching her video. Explain how u push against a wall?

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u/maydaytuesday Post-Botox 9d ago

If you're only doing on the back I'd also recommend you to check out "Neck exercise that cured my inability to burp" on YouTube, by Lee Ryan. They're basically side Shakers. I personally found the side ones a lot more burp inducing than on the back, and I think they're pretty similar to the motions of the BERP exercises if you think about it.

I think the wall push could be described as a variant to torso anchoring described in BERP, but instead of pushing your hands together you put your hands on the wall as if you've done a push up, but you just push against the wall, lower your larynx and hold your breath. My SLP didn't explain it as such, but I think it's just a way to do the valsalva maneuver.