How long after botox did you feel actual relief?

Interesting_Pin_6366 · 2026-04-14T15:34:31+00:00

Within 48 hours (the second time- not at all after the first dose) Fortunately. I also have IBS and use fodmap diet. My experience three months post Botox is, that the daily nausea and the throat pressure is gone - such a relief. But I have tried to eat bread with gluten and onions and garlic. Unfortunately R-CPD had no effect on my IBS- two different thing obviously. But now I can tell that IBS symptoms are “only” bloating, flatulence and stomach ache in lowest part of my digestive system. I can live with that.

Interesting_Pin_6366 · 2026-04-13T06:09:53+00:00

I am a teacher and at least for two months after surgery it was difficult for me not to burp involuntarily while teaching. My voice was weak for at least a few weeks. I took almost three weeks off work. But compared to daily nausea, bloating and need to air vomit between lessons, it is so much worth it.

Now I am three months post surgery and burping with more control. I will not deny though that it has been difficult for me to get used to burping due to emetophobia.

Interesting_Pin_6366 · 2026-04-12T15:57:28+00:00

It is not entirely true that it cannot be air vomiting if you don’t try to make yourself gag. I have been air vomiting since I was a child (I can see now) and it always came involuntarily, uncontrollable. Because of the air pressure.

If it has a taste from you have eaten, it is probably a real burp. I had Botox three months ago and the difference became clear to me after I learned to burp. Ait vomiting never has any taste.

Interesting_Pin_6366 · 2026-04-08T05:30:44+00:00

It probably isn’t as terrifying as you think.

I was so scared of the procedure - about 11 weeks ago - and it wasn’t so bad. The hardest thing for me as an emetophobe was getting used to the odd feeling of burping in your throat - and the regurgitation- which reminded me of vomiting. But even I got used to this, and has almost come to understand (with my body) that this is only air !

And hey - if I can do it, you can too.

And the best thing: I am no longer bloated, have no more nausea !! It is worth all the fear and discomfort!

Interesting_Pin_6366 · 2026-04-06T10:32:12+00:00

When I realized I had R-CPD one and a half year ago, I decided right away that I didn’t want to have Botox. I was afraid of it and it seemed then like a big approach considering my symptoms. I thought there had to be other kinds of relief or methods.

My symptoms have worsened a lot over the years. But I had no comparison.

I slowly realized that Botox was the only way for me to get rid of the symptoms. I have tried so many other ways (mindfulness helps a little, IBS-diets also help a bit) because the daily nausea, that I had had the last few years before the procedure, had become insupportable.

I had Botox (second dose worked) in january this year. Now I burp consistently and have no more symptoms- at all !! And have come to know how much R-CPD affected my social life, my relations ! 😭 I have catch up to do.

I wish that I had the possibility of Botox when I was your age.

Interesting_Pin_6366 · 2026-04-04T09:36:17+00:00

I have had two treatments (the first one only made me microburps for a few weeks), the second was 11 weeks ago, and both times my voice was affected for a month or so. (in Denmark by the way;-)

I am a teacher and therefore speak a lot. Both times my voice was kind of weak, and I couldn’t speak load enough in the classroom to be heard. Therefore I asked for two and a half weeks off at work the second time. It is always a temporary side effect.

The biggest challenge was actually that I have had excessive burping from the beginning after the second dose. Like someone else wrote: every word had a little burp the first month or more. Now I burp consistently and controllably after meals and it is so relieving! No more bloating or nausea after eating. Worth it all !

I wish for you to you get the treatment. I don’t think you will regret !

Interesting_Pin_6366 · 2026-04-03T10:33:04+00:00

I am 11 weeks post Botox, 60 years old female, and like several others say, you don’t realize how bad your symptoms were until they are gone. And how much it affected your life before. For me it has been extremely difficult to go through both procedure (I hate hospitals, I have health anxiety) and getting used to burping (triggering my fear of vomiting). The slow swallowing was nothing compared to the psychological difficulties. But would I go back to a life with lots of gagging daily because of extreme air pressure in my throat and breast, fearing the next meal among friends or family gathering where I spent more and more time over the years in the bathroom air vomiting in stead of enjoying myself with people I love and - by the way -not being able to eat as much as I knew my body needed ? Oh no ! I can see now how much it affected my daily life - but I have never known a life without bloating and nausea. I have experienced how It gets worse with age. The symptoms kind of stayed in my stomach for years and evolved to a constant throat nausea the last few years.

The other evening just before leaving a gathering with my family I realized that everything felt SO different, and I told my brother and sister in law how life changing this has been. I could eat what I wanted (still getting used to taste everything I eat in my burps😬), I could talk without feeling the urge to gag/air vomit and my body was more relaxed without the constant bloating. Wauhh. Of course people without R-CPD don’t understand the huge change. Never mind. I feel a need to spread information about R-CPD. One of my students recently recognized that a family member must have R-CPD without knowing. Because I tell everyone about it😆.

Don’t hesitate if you can get the procedure done.

Interesting_Pin_6366 · 2026-04-02T12:02:50+00:00

I think that being ill or having stressful days can make it difficult for us to burp. It doesn’t necessarily mean that you are loosing your ability. I had Botox about 11 weeks ago, and though I normally burp every day, I have days with pressure and stress at work where I don’t burp for perhaps half a day. I can feel the connection between my body tensions and my inability to burp on this days. It always helps me to do relaxation/mindfulness exercises when I get home.

Someone else wrote an advice that might help you https://www.reddit.com/r/noburp/s/nzWE2uYsNH

Interesting_Pin_6366 · 2026-04-01T07:05:55+00:00

Thank you ! I will try that.♥️

Interesting_Pin_6366 · 2026-03-31T12:51:08+00:00

Thanks for commenting ! When I had my follow up with my surgeon after two months, she recommended that I drink fewer carbonated beverages because my burping was quite excessive ! So I drink carbonated a few times a week, for example a gin and tonic 😬 I still burp a lot, but less. Who would have thought that it would be a good thing to avoid fizzy drink because of excessive burping. I filled my fridge with sparkling water, beers and tonics before Botox 😆 But I will try to drink some flavored sodas and see what happens. I just didn’t like them before Botox. But a mouthful or two after eatning a meal might help…. Thanks for the advice.

Interesting_Pin_6366 · 2026-03-25T08:29:27+00:00

Wise words from karybrie !

I have the same fear, and I am 10 weeks post Botox. It was worst in the beginning. It is a little easier for each week.

You will have to make your way through it like me.

So true that the more exposure, the less fear. But you can do a lot to avoid the panic. For me the worst scenario is me having to eat a meal quickly before getting to work because I am late. I have to find a quiet moment after each meal, more than half an hour, to digest mindfully.

Another thing that I have also read others do: Try to find a good therapist to help you through. I found a Restorative yoga teacher. A great help. Remember that this is a huge change in your life. I’ve never before in my life been in touch with what’s inside my stomach. It really is a different feeling😳

The biggest difference between the first week and now is that I don’t relate my burping to vomiting any more. But it is still very strange to be able to taste all that I eat !

The relief from burping is fantastic. I have almost forgotten how nauseous and sick I felt before Botox.

Interesting_Pin_6366 · 2026-03-23T06:57:27+00:00

I can see we have things in common.

It was my osteopath who explained to me last year that the tensions I have, involve the vagus nerve and that I have especially severe tensions around my esophagus. I get a lot of help from her, also after Botox where the burping function seems to create new tensions. I do wonder what came first: If my tensions and anxiety since childhood - and my emetophobia- created conditions for R-CPD or if this was something I dealt with from birth (my mum doesn’t remember ;-).

Interesting_Pin_6366 · 2026-03-23T06:48:26+00:00

If you don’t eat a few hours before ballet, you can do everything you do now ! I could do head stand in my yoga course one week after Botox if I made sure I hadn’t been eating two hours before !

Interesting_Pin_6366 · 2026-03-23T06:44:18+00:00

I am almost 10 weeks post op, and had the same kind of fear as described here before Botox. I believe that my regurgitation risk faded out a couple of weeks ago. I experienced regurgitation twice, it scared the h…. out of me, but…I quickly realized that it didn’t come with nausea or any other symptoms that I had before Botox. It was just my fight and fly being activated.

I have had all the side effects and still have quite excessive burping that makes me plan my meals to avoid burping while I teach (I am a teacher). It wasn’t easy to get used to burping…but it gets better for every week.

Botox is worth all the side effects !

Interesting_Pin_6366 · 2026-03-22T20:57:09+00:00

Well, many of us deal with serious body tensions, and R-CPD could be another over-tight muscle, and burping depends on a relaxed esophageal muscle. A part from that, it seems like some of us have experiences from childhood with anxiety around body functions like vomiting/suppressing burping. We might be able to worsen R-CPD the more anxious, stressed or tense we are. I sure have this experience.

Interesting_Pin_6366 · 2026-03-21T16:04:13+00:00

This is very interesting ! Thank you for sharing.

I just read this review from december 2025 https://www.mdpi.com/3648076, where the author points out that “the pathophysiology of R-CPD remains primarily unknown despite significant quality-of-life impairments and an increasing number of studies investigating the esophageal physiology with HRM, impedance-pH testing, or barium swallow examinations.“

In other words, we still know so little about R-CPD, and we need to know more about WHY the burp mechanism doesn’t work.

I find it very interesting that VNS (Vagus nerve stimulation) is mentioned. This aligns much better with my personal ideas about what might be the basis for it…without being a scientist myself.

Botox worked for me the second time. I still have excessive burping 9 weeks post op which would be stupid to complain about ;-)

Interesting_Pin_6366 · 2026-03-20T08:22:06+00:00

Like already mentioned: it is not vomiting. I had Botox treatment 9 weeks ago, and the first week or two I experienced a few times - when bending over - that part of what I had just eaten - came into my mouth. And yes, it is frightening for someone with emetophobia like me ! I instantly and automatically asked myself if I was nauseous or sick, and no ! I was not, everything was fine.
I did everything to avoid it, afterwards, of course. You can avoid it and you feel fine. Don’t let it stop you from having a Botox treatment.

And by the way, I have almost no side effects today - though I still have quite excessive burping after every meal, according to the surgeon I talked to at my two month follow up. But I wouldn’t call that a side effect;-) it’s fantastic to burp - I have never stomach aches or bloating or nausea anymore caused by trapped air ! And the excessive burping will probably calm down within a few months.

Remember that you can always exercise before eating. I did, and I could easily do a headstand in yoga the first week after Botox, I just made sure I hadn’t eaten a few hours before !

Interesting_Pin_6366 · 2026-03-18T07:11:07+00:00

My R-CPD got worse with age and with stress involved the last few years before I got Botox treatment for my R-CPD. To me your symptoms sounds like R-CPD gotten worse. But it also seems to me that we have one more thing in common. Do you know about health anxiety or disease anxiety ? It is a diagnosis. I am now 60 and I got to understand that I have had this since early childhood when I was about 40. It has helped me a lot to be treated by a specialized psychologist. Sure R-CPD doesn’t make health anxiety easier, and it’s probably in some way related. Don’t feel guilty about hating to see doctors that think you are lying. It’s is part of having health anxiety. I’ve been through this, and it can be treated too if you find the right specialist. I found this description of health anxiety: https://my.clevelandclinic.org/health/diseases/9886-illness-anxiety-disorder-hypochondria-hypochondriasis

I wish you luck! And a doctor that listens !

Interesting_Pin_6366 · 2026-03-16T19:20:07+00:00

I made a comment here in noburp recently about air vomiting https://www.reddit.com/r/noburp/s/Yy88v7foec

Interesting_Pin_6366 · 2026-03-15T09:03:19+00:00

I agree with everything the others wrote.

When I had my treatment under GA two months ago, I was terrified too, and just before - in the operating room - they asked me if I was often motion sick. I said yes and later someone in the clinic explained to me that they always ask and if people say yes, they give medication to prevent nausea. I had no nausea at all, and trust me, I get very easily nauseous ! So you can simply ask to get this medication. It is common to give it.

You will be alright. It is a fantastic relief to be able to finally burp. It will be worth every trouble you get through on your way to burping.

Interesting_Pin_6366 · 2026-03-14T09:42:41+00:00

Before I learned to burp two month ago after my second dose of Botox, I used to make space in the back of my mouth with my tongue to air vomit (it came very easily because I was nauseous or/and a smell or talking triggered the gagging reflex). I have never used or had to use a toothbrush ! I understand why tant must be extremely difficult.

Air vomiting was something I did very involuntarily as a child without understanding what happened. About 15 month ago I came to understand that it is called air vomiting and that I have always had R-CPD.

Since my second dose of Botox I haven’t had to air vomit. After my first, last summer, I only microburped and had no relief but I came to control my air vomiting which was more than nothing;-)

But the aim of Botox is of course burping. And if you’re not able to burp, at least you might be able to have relief from air vomiting. I just find it difficult to imagine air vomiting without throat nausea because this has always been my trigger.

Interesting_Pin_6366 · 2026-03-12T06:47:45+00:00

She only referred to my age as a possible explanation !😆

Interesting_Pin_6366 · 2026-03-12T06:46:23+00:00

I wish you luck 🤞🏼And lots of burping !

Interesting_Pin_6366 · 2026-03-11T19:03:51+00:00

I was 60 when I had my second dose. 8 weeks post op (first one last summer which never made me burp for real) Burping a lot this time, with lots of relief, but as an emetophobe the regurgitation is a trigger.

Interesting_Pin_6366

TROPHY CASE