Brief Answer:
I see no benefit from the BOTOX; may be better to discontinue

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. I completely understand your predicament and would like to start by listing all the possible side effects after the botox injections to the bladder, just for your reference:

+Increased urinary incontinence (mainly due to loss of muscle control)
+Blurring of vision
+Difficulty swallowing
+Difficulty breathing
+Headaches
+Difficulty in speaking or change in voice
+Generalised weakness (mainly muscular)
+Difficulty in pronouncing or phonating certain words

Now that I have listed the possible side effects for you, from your given presentation blurring of vision, headaches and increased incontinence are both art of the side effects and are quite possibly due to the botox injections. The mild cramps to the lower abdomen are specific for botox injections to the bladder and should subside in a while.

But the headaches are something that may require attention, migraine headaches can get worse or appear more frequently due to various factors and certain medications (including botulinum) can contribute to that.

If any of the above mentioned side effects are experienced then they must be reported and so I would urge you to report your presentation to your prescribing doctor ma'am. Your doctor may choose to either discontinue the botox injections therapy or substitute therapy with other alternatives, but in my opinion I do not see them benefiting you so far ma'am.

As for the migraine headaches, they should be better controlled once the botox injections are discontinued, but for now please speak to a neurologist for medications to help better manage them. I hope you find my response both helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help you.

Best wishes.

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