Botox injections are preliminary used to reduce the appearance of wrinkles and fine lines. These injections contain a toxin called OnobotulinumtoxinA, which prevents muscle movement. It is a neurotoxin produced by the Clostridium botulinum bacteria.
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Please suggest treatment for hyperhidrosis.
Query: Hi doctor, I believe that I have extreme hyperhidrosis. My entire body sweats profusely when I experience even the slightest change in temperature, start exercising and even when I am simply resting. My back, armpits, forehead, and buttock sweat the worst and this affects my entire body. It has prev... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query and can well understand your concern. For hyperhidrosis, it is important to rule out causes like anxiety and hyperthyroidism. Other causes may also be present. For this you may visit a physician to get adequately examined and tested. The... Read Full »
I have urinary sphincter dysfunction. Will Botox injections help?
Query: Hello doctor, I have urinary external sphincter void dysfunctioning. The doctor had suggested Botox injection 200. Is this permanent cure or you suggest other medicine or tablets? Read Full »
Answer: Hi, Welcome to icliniq.com. Hope you are fully evaluated with the urodynamic study. Botox injection for urinary external sphincter void dysfunction is not a permanent cure. It has a 70 to 90 % success rate with 5 to 12 months duration with a mean of nine months duration of action by various studie... Read Full »
Is surgery advisable for abductor spasmodic dysphonia?
Query: Hello doctor, I suffer from abductor spasmodic dysphonia diagnosed nearly 11 years ago and I have received Botox injections every three to four months since then. Generally, they did work over the years until the last two years or so outcomes have been very poor. The last Botox shots by GA (six uni... Read Full »
Answer: Hi, Welcome to icliniq.com. First of all, you have to know that among spasmodic dysphonias, abductor variety is the least common type. In this, your vocal cord is away from the other vocal cord and the muscle is in unrestricted contraction resulting in voiceless or breathy voice. So, the treatment... Read Full »
Is it normal to have twitching of both the eyelids?
Query: Hello doctor, I am 24 years old, my height is 6 feet and I weigh 200 pounds. Is it normal for both the eyelids to twitch? Bottom left eyelid and top right eyebrow twitch whenever I blink. It is worrisome. I drink caffeine but I am well rested. I had a negative brain CT scan done last month. I have n... Read Full »
Answer: Hello, Welcome to icliniq.com. Even though the eyelid twitches are very commonly associated with stress and they usually go away on their own without any treatment, the involvement of both eyelids could also be an early sign of blepharospasm which requires treatment. If symptoms are getting worse... Read Full »
Will botox help in the healing of scars after a scar revision surgery?
Query: Hi doctor, My scar revision surgery is not healing well, and it seems worse than last week. Please see the attached picture. Involuntary frowning causes lines to run through the scar, can this be causing problems? Is it worth taping my forehead, so I cannot make frown lines? Is it worth getting a bo... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for the query. I have seen the attached picture (attachment removed to protect patient identity). It looks like it is a very early stage following scar revision. It looks good right now. But, it will take time for the scar to get better. The following might... Read Full »
Can any medications reduce the excess salivary flow in my mother who is a Parkinson's patient?
Query: Hello doctor, My mother has been a Parkinson's patient for ten years. For the past two years, she has been taking tablet Ropark 1 mg twice daily and tablet Syndopa 250 mg thrice daily. For the past year, she has been producing a lot of saliva and has difficulty swallowing and closing her mouth prop... Read Full »
Answer: Hello, Welcome to icliniq.com. I suggest your mother take tablet Syndopa (Levodopa and Carbidopa) in a fractionated dose; five times daily (125 mg) half an hour before food and tablet Ropark (Ropinirole) 1 mg twice daily with food. This will help regulate her balance but will not control the sali... Read Full »
Can Botox injection for bruxism cause Sjogren's syndrome?
Query: Hello doctor, A month ago, I was tested for Sjogren's syndrome based on my symptoms. Early Sjogren's panel CA-6 (carbonic anhydrase VI) was positive. However, the lip biopsy was negative. Everything else was normal. I then remembered my Botox treatment for bruxism two months ago. One month after the... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and would like to explain that your symptoms could be related to the Botox injections as they may persist up to six months after the injection. On the other hand, the tablet Duloxetine can cause dry mouth due to its anticholinergic adverse e... Read Full »
Apart from surgery, how can spasmodic dysphonia be treated?
Query: Hi doctor, Few years ago, I had spasmodic dysphonia. My voice was husky and high pitched. I took medicines and speech therapy. There was slight improvement in my voice but after that my voice is high pitched. I want deeper voice that is manly voice. What should I do? Is there any way to get deeper ... Read Full »
Answer: Hi, Welcome to icliniq.com. Spasmodic dysphonia is one of the difficult conditions to treat and patient motivation is most important. Speech therapy is tried always and some benefit is there. Botox injection in spastic muscle will give best results, but speech therapy has to be followed. Botox ha... Read Full »
I have constant irritation in my bladder due to weak detrusor muscle. Kindly help me.
Query: Hello doctor, I have been told that I have a weak detrusor muscle and an overactive bladder. I feel constant irritation in the bladder and sometimes, my lower abdomen area swells up. I had negative urine cultures, and I have been told Botox may help me, but I can only have 50 % or so strength due to... Read Full »
Answer: Hello, Welcome to icliniq.com. Botox is used for overactive bladder, once oral anticholinergic medication fails to give benefit. Botox gives benefit for 6 to 9 months, so it has to be repeated after a year. There is a risk of detrusor acontractility after injection, for which you might have to use C... Read Full »
What causes lumps on botox injection sites?
Query: Hello doctor,I have been injecting Botox into my forehead for three years now and never had a reaction. Two days ago I visited a different dermatologist and right after the session, I developed hard lumps on every injection site. I returned to the same dermatologist and she told me this is nothing t... Read Full »
Answer: Hi, Welcome to icliniq.com. Kindly send image and revert back. Without clinical photographs, it is difficult to comment. Is there a change in color of skin? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist Read Full »