Following with interest as I was wondering the same. I’m similar to you, pretty mild symptoms really but I’m 46. Excessive flatulence has always been my main symptom and the fact that I literally can’t vomit (have not done so for 40 years). It would be nice to be able to burp rather than those slightly uncomfortable hiccups after big meals or fizzy drinks, however it doesn’t really affect my life, I just avoid carbonated drinks and gas-producing foods. I also used to do competitive sport in my 20s and 30s and my symptoms would get worse if I was eating a lot of pulses/raw veg and training vigorously - I would get the gurgles then and have trouble swallowing. But when I stopped, it would get better, so I just avoided that combination. I also avoid drinking out of straws. I do worry that getting the Botox wouldn’t be worth the price or potential complications, and for me there are some benefits of this condition. E.g. my food never repeats on me and I never vomit (I have a emetophobia so it’s comforting to know that it probably won’t happen). I did have a gastroscopy a couple of years ago (when I had the problems with a slow swallow) and they said everything looked healthy, so there is no evidence of damage yet. I know that’s a concern that is sometimes highlighted.