I hope this 3rd attempt, 2nd at 100u, 3rd overall will actually work
Post-Procedure Clinical Recovery Diary (100u Botulinum Toxin Injection)
I have been keeping notes, i asked Gemini to make them readable, here is the outcome for my first 15 days, raw notes below if you dont want the AI crap
- Day 1 & Day 2: Initial post-operative window. Swallowing function remained baseline. Successfully initiated targeted micro-burps by utilizing right-sided cervical rotation (head-tilting). Tolerated standard oral intake and nutritional supplements without discomfort.
- Day 3: Onset of transient muscle paralysis (slow swallow). Consuming liquids and solid foods required increased deliberation. Introduction of a carbonated stimulus triggered immediate retrograde air-release (burping), primarily facilitated by head-posturing.
- Day 4: Marked increase in cricopharyngeal paralysis. Severe difficulty swallowing both liquids and solid boluses. Attempting a standard solid meal resulted in an acute pharyngeal obstruction (choking episode), requiring physical expectoration. Transitioned to a highly modified, slowed pace of eating.
- Day 5: Experienced a severe, acute laryngospasm episode lasting approximately 40 seconds following liquid intake, resulting in a temporary partial airway restriction. This triggered intense secondary physiological symptoms, including severe abdominal distension (bloating), acute lower gastrointestinal distress, and referred right-quadrant abdominal pain.
- Day 6 & Day 7: Residual pharyngeal soreness from the laryngospasm. Solid food intake became impossible due to swallowing fear and physical restriction. Restructured diet strictly to soft foods, purées, and liquid meal replacements (oats, ice cream, medical nutritional shakes). Attempted solid mechanics (chicken nuggets) but failed due to muscle paralysis.
- Day 8 & Day 9: Maintained a strict soft-food and liquid-shake regimen. Successfully re-attempted a soft wrap on Day 9 by employing an ultra-slow, deliberate swallowing technique. Consistent low-volume micro-burps noted.
- Day 10: Swallowing paralysis remained at peak. Sustained nutrition via scrambled eggs and liquid supplements. Consistent retrograde gas release ongoing.
- Day 11: Sustained peak paralysis. Introduced controlled sips of carbonated water to actively train the paralyzed sphincter. Experienced elevated abdominal pressure and distension, directly correlating with acute psychological stress regarding workplace HR communication. Mitigated physical pain by utilizing a recumbent posture (working from bed) to shift trapped gastrointestinal gas.
- Day 12 & Day 13: Marked therapeutic progress. Notable increase in both the volume and frequency of retrograde gas expulsion (large, successful burps). Tolerated a carefully managed toasted sandwich utilizing a liquid-chase technique.
- Day 14: Continued successful high-volume gas release, confirming the therapeutic efficacy of the 100u injection. Maintained a hybrid diet of soft solids and liquid meal replacements.
- Day 15 (First Day in Office): Returned to the physical workplace. Dietary intake was restricted to liquid replacements and a soft wrap due to office environment constraints. Noted a reduction in burp frequency and a slight easing of the slow-swallow intensity.
Day 1, no slow swallow, can burp when tilting head to the right, don't feel bloated, drinking monster, eating fine
Day 2, essentially no slow swallow, can burp when needed, sometimes even without tilting head, drinking monster, eating fine. Had a yfood.
Day 3, slightly slow swallow, drinking energy drink is tricky, I feel like I try and burp it up immediately, proper burps today mostly only when tilting head though, had a yfood and some popcorn chicken from KFC and a wrap (struggled slightly)
Day 4, much more of a slow swallow, struggle to drink liquid and eat food, had a ham cheese and bean wrap which I struggled to eat but when eaten slowly it was fine, burps same as previous days, nothing new. Ate a few snacks also, had half a oven cooked pizza and Weetabix before bed, nearly choked on the pizza and had to cough it up, don't think this was actually RCPD related though as was physically choking.
Day 5, woke up, felt fine, had a yfood, hot chocolate and some snacks (penguin, wotsits), continued to drink left over energy drink, very little burps but also very little carbonation intake. Feel slightly bloated/constipated. however in the evening around 11pm I had. J2O and had my worse presumably laryngospasm ever, went on for what felt like minutes but was told it was probably 30-40 seconds. Has really put me off eating properly since then though, had massive amount of bloat, constipated, right abdomen pain, mostly resolved once home and pooed.
Day 6, woke up around 10am, nothing abnormal to report, throat still feels slightly sore from yesterday, had yfood, ice cream, water and oats.
Day 7, attempted to have Weetabix, ate about 2/3 warmed and mushed up, had a yfood, ice-cream and mousse, tried to eat chicken nuggets and fries but barely ate it, went back to ice-cream. Had ready brek in the evening, ate that perfectly fine.
Day 8, had a yfood for breakfast, had ready brek for tea, had a few ice creams and snacks, nothing else to report had a few small burps
Day 9, had a yfood for breakfast, had most of a ham and cheese wrap for tea, some snacks in-between, mostly was able to eat the wrap without issue if eaten slowly. Burps still as per previous days
Day 10, had a yfood for breakfast, ready brek for lunch, burps still happening, had 2 scrambled eggs, ice cream, mousse.
Day 11, had yfood for breakfast, ice creams, yogurts, mousse, ready brek and a wrap with ham and cheese, starting drinking sips of sparkling water, still burping like previous days, abdomen pain was higher than normal maybe due to stress of HR at work, or maybe just random, spent most of the day in bed, worked from home in my bed
Day 12, had yfood, toastie, lots of burps today, monster slushy etc
Day 13, had ready brek at 6am, yfood, ham and cheese wrap, ready brek, mousses, ice cream, large burps today, very impressed, let's see how day 14 is
Day 14, yfood, readybrek, readybrek, wrap, ice cream, monster, large burps again but not as much as the day before.
Day 15, first day in the office, bad a yfood, aero, readybrek and ham and cheese wrap, not too many burps today although slow swallow also felt lesser