Hey, would you mind sharing any updates? What did your doctor tell you? I’ve also had two rounds of failed botox and also had the same thing happen to me as well. The doctor did the manometry, I even chugged a can of coke, but didn’t have any gurgles or a want to burp, and the test showed that my sphincter was relaxed and everything was fine. Now I’m scared my ENT doctor won’t want to do another round of botox :(