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Probably.I have talk to someone with terrible problems solve by it.Apparently,it should last 3 months but for G.I. disorders,it can be a permanent fix.There a possibility of incontinence as a side effect but nothing show that it will happen.I have posted in the news section about a research on it.
 

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Discussion Starter · #4 ·
Spasman,Thanks for the links. I didnt find anything about BOTOX treatment in any of them though, especially as relates to post surgical complications or even other lower abdominal pain. Did I perhaps miss something??
 

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http://content.karger.com/ProdukteDB/produ...&Ausgabe=225606 Botulin Toxin in the Treatment of Nonrelaxing Puborectalis SyndromePurpose: To evaluate the results of botulin toxin injection in the external anal sphincter for the treatment of nonrelaxing puborectalis syndrome. Method: 15 patients (13 women, 2 men; aged 36-48 years) were treated with botulinum A toxin injection, using a dose of 25 IU diluted in 1 ml normal saline injected into the top loop of the external anal sphincter at the 3 and 9 o'clock positions. The mean follow-up period was 14.6 � 3.3 (SD) months. Results: Two patients did not respond to the treatment while improvement occurred in 13. Straining at defecation disappeared and stool frequency was normalized. Improvement was maintained for a mean of 4.8 � 1.4 SD months, after which time reinjection needed to be done. No adverse side effects were encountered. Conclusions: Botulin toxin injection is a simple, easy and safe method for the treatment of nonrelaxing puborectalis syndrome. It is to be considered after biofeedback has failed.
 

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I was offered botox last year, but not in connection with my ibs..I had to have a hysterectomy when i was in my thirties, hence hot flashes, insomnia set in.I was soooo depressed because my body actually felt as if it were on fire, the frustrating thing was that my doc kept on saying "oh it will pass" no bloody surprise there, thats all i ever get oh it will pass
However it didnt pass, i was getting th the stage that i didnt want to leave the house, the sweating was just unreal, i became paranoid, and i kept asking friends do i smell? it was awful, i became obsessed with showering up to 6 times a day ( im not kidding)Anyway after my doc finally started to listen she realised that there was a genuine problem, she said ill refer you for botox injections, they are injected in the underarms, this process i was told by the specialist was very painful and it was not just a case of 1 injection for each underarm i may have needed up to a dozen, i settled for another remedy, you roll on a deodorant ( a special kind that was prescribed) the day after you rub on a cream (steroid based) and you repeat this procedure for 3 weeks... Did it work??? did it hell.My underarms were red raw,it was as if someone had burned me with a blow torch, it was very painful,, im still going through this rather long episode, dont know what else to do. Help!
 

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Discussion Starter · #8 ·
Spasman,Thanks for the info. I was wondering how botox would effect the abdominal wall. I have heard of it being done in the rectal area as that article describes but I cant find any info about it on the abdomen.Thanks also for that web site. I know a ton of people from that group and have even been to see Dr. Lahr in South Carolina. I was one of the first members and its really a great group with very special people.Joolie, I am so sorry to hear about your bad experience. Thats the problem with medical procedures, there are so many risks. How are you doing now?
 

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2btrue, You say abdominal pain. I found something for epigastric or right upper quadrant abdominal pain.Botox has been used for SOD which presents itself as abdominal pain. SOD refers to an abnormality of sphincter of Oddi (SO) contractility. It is a benign, noncalculous obstruction to flow of bile or pancreatic juice through the pancreaticobiliary junction. "Abdominal pain is the most common presenting symptom of patients with SOD. The pain is usually epigastric or right upper quadrant, may be disabling, and lasts for 30 minutes to several hours. It may radiate to the back or shoulder and be accompanied by nausea and vomiting. Food or narcotics may precipitate the pain. The pain may begin several years after a cholecystectomy was performed for gallbladder dysmotility or stone disease and is similar in character to the pain leading to the cholecystectomy. Alternatively, patients may have continued pain that was not relieved by a cholecystectomy. Jaundice, fever, or chills are rarely observed. The Rome II diagnostic criteria[3] for SOD are episodes of severe steady pain located in the epigastrium and right upper quadrant, associated with all of the following: (1) symptom episodes last 30 minutes or more with pain-free intervals, (2) symptoms have occurred on one or more occasions in the previous 12 months, (3) the pain is steady and interrupts daily activities or requires consultation with a physician, and (4) there is no evidence of structural abnormalities to explain the symptoms. Physical examination is characterized by the paucity of any abnormal findings. The most common physical finding is mild, nonspecific abdominal tenderness. The pain is not relieved by trial medications for acid-peptic disease or irritable bowel syndrome. Laboratory abnormalities consisting of transient elevation of liver function tests, typically during episodes of pain, are present in less than 50% of patients. After initial evaluation, patients are commonly categorized according to a modified Hogan-Geenen SOD classification system.[2] Patients with SOD may also present with typical pancreatic pain (epigastric or left upper quadrant radiating to the back) and recurrent pancreatitis."Botulinum toxin (Botox), a potent inhibitor of acetylcholine release from nerve endings, has been successfully applied to smooth muscle disorders of the GI tract such as achalasia(affects the esophagus). In a preliminary clinical trial, Botox injection into the SO resulted in a 50% reduction in the basal sphincter pressure and improved bile flow.[65] This reduction in pressure may be accompanied by symptom improvement in some patients.Although further study is warranted, Botox may serve as a therapeutic trial for SOD with responders undergoing permanent sphincter ablation. One such study has recently been reported.[66] Twenty-two postcholecystectomy Type III patients with manometric evidence of SOD underwent Botox injection into the intraduodenal sphincter segment. Overall, 11 of the 12 patients who responded to botulinum toxin versus 2 of 10 patients who did not gain pain relief later benefitted from endoscopic sphincterotomy (p < 0.01).""Adverse effectsComplications have been remarkably rare and minor. In a large study, the adverse effects of anorectal use of BTX in 105 patients with chronic anal fissure and 34 patients with functional outlet obstruction were analyzed prospectively.[105] Patients received at least 25 IU of Botox or 150 IU of Dysport. Flatus incontinence occurred in 6%, fecal incontinence (mild) in 4%, hematoma in 4%, flu-like illness in 2%, and occasional other cases of uncertain association"
 

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Discussion Starter · #10 ·
Bonniei,Thanks for the info. My problem is in the Lower Left and Right Quadrant and doesnt effect any of the upper abdominal organs or muscles.My pain is probably as a result of post surgical complications like scar tissue/adhesions after having my colon removed. I also have a bile problem which may be as a result of not having the colon because my gall bladder is OK. I'm sure I also have spasms or my organs are stuck together because there is such pulling and tightness/pressure.Thanks for the info, its a little hard to understand however I really appreciate it
 

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hi 2b true, no i cant get an appointment till next week (my doc is very popular) im deffo gonna ask for the patches, i woke up this morning and i was soaking wet, you'd have thought that id just stepped out of the shower.
 
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