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The doctor will perform a physical exam. The doctor may note decreased muscle tone, a missing or decreased gag reflex, missing or decreased deep tendon reflexes, and eyelid drooping.
A stool sample from the baby may be examined to check for the botulinum toxin or bacteria.
Electromyography (EMG) can be done to help tell the difference between muscle and neurological problems.
Arnon SS. Botulism (Clostridium Botulinum). In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 207.
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