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Re:Second Botox injection therapy

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I never had ANY tenderness with my Botox injection -- frankly, I'm surprised that anyone did. I have had two dilations and one Botox, and the Botox was completely painless (as well as being completely ineffective).

I did have tenderness when swallowing for a few days after a dilation, but with the Botox I never felt a single thing -- I never even woke up during the procedure (I've woken up for both of my dilations b/c they are so violent to the body).

I never noticed any change with the Botox, not in my swallowing ability and not in my NCCPs.

Debbi in Michigan

Hi, I had my first Botox injection about two years ago with one yr of relief. I had my second theraphy 2 days ago and I'm still experiencing a lot of pain and difficulty eating. I can't remember how long it took after the first therapy to be able to eat pain free. I would like to hear from anybody who has recently had this therapy or remembers how long it usually takes for it to take effect. Thank you.Rosie

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Debby--explain your experience with dilations--when did you have your first one--how long did it last and how long has your second one lasted--I had one three years ago and am still fine--many thnaks!! from BostonDebbi Heiser <imahockeymom@...> wrote: I never had ANY tenderness with my Botox injection -- frankly, I'm surprised that anyone did. I have had two dilations and one Botox, and the Botox was completely painless (as well as being completely

ineffective). I did have tenderness when swallowing for a few days after a dilation, but with the Botox I never felt a single thing -- I never even woke up during the procedure (I've woken up for both of my dilations b/c they are so violent to the body). I never noticed any change with the Botox, not in my swallowing ability and not in my NCCPs. Debbi in Michigan Hi, I had my first Botox injection about two years ago with one yr of relief. I had my

second theraphy 2 days ago and I'm still experiencing a lot of pain and difficulty eating. I can't remember how long it took after the first therapy to be able to eat pain free. I would like to hear from anybody who has recently had this therapy or remembers how long it usually takes for it to take effect. Thank you.Rosie

Everyone is raving about the all-new beta.

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Hello, Debbi.

Debbi wrote:

I never had

ANY tenderness with my Botox injection -- frankly, I'm surprised that

anyone did. I have had two dilations and one Botox, and the Botox was

completely painless (as well as being completely ineffective).

Pain fallowing a treatment is more common with dilatation than with

Botox but it is not uncommon with either. The pain can mean

inflammation from either an injury or an immune response to a foreign

substance (Botox). Inflammation can result in fibrosis (scarring). I

know some people here have expressed either doubt or interest in Botox

causing scarring. If there is pain, and there often is, it can be a

sign that fibrosis may occur. Of course you can get a lot of fibrosis

from surgery, which is one of the reasons that redo surgeries sometimes

need to be done open, but it is nice to have that first surgery without

prior fibrosis.

notan

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Notan,

Most of us have heard about the fibrosis (scarring) after Botox,

but it reminds me of a question I've had about the fibrosis. I've

been curious about this for a while and wondered if you would have any

knowledge of this: Can the fibrosis (scarring) be seen

endoscopically? At 's last EGD last month, his gastro. doc said

his E looked great, no irritation or scarring. I was a little

sceptical, after his 3 rounds of Botox. Do you know if the scarring

is superficial, or is it in the muscle layer and thus can't be seen

during EGD? Just curious.

in Michigan

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let45ride wrote:

.... Do you know if the scarring

is superficial, or is it in the muscle layer and thus can't be seen

during EGD? ...

There is still controversy about this topic. Much of what is written

seems to be speculative and anecdotal. One pathologist who was

"blindly" given tissues from myotomy patients could not see fibrosis

differences between those who had prior Botox and those that did not.

That has to be weighed against the reports of surgeons who say that it

can obliterate the planes making it difficult to see where one tissue

layer ends and another begins. Some Botox patients do report pain and

you have to wonder what process is causing it.

If it is there, I suspect that it can not be seen endoscopically. The

belief is that it is caused by an

inflammatory reaction to the Botox in the muscle not the insertion of

the needle. If it was seen endoscopically then reports of it should be

coming from GIs, but that does not seem to be the case.

notan

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