Dear @myabby1 - I completely understand your swallowing issues post cervical surgery. I see from the doctor report you had an ACDF at C4-7. I had that exact procedure two weeks after you in 2023. I certainly remember struggles with swallowing - struggles that I still experience at times, today. Though nothing like what you describe.

I find I need to really chew my foods, I take much smaller bites, and there are still times where swallowing feels awkward. But your gag reflex responses seem much more involved. I'm certain you've tried all the above "basic" strategies?

The docs said all the hardware is in place? That's a good result. I also think it's a great idea to pursue the gastroenterology avenue. There may still be something in that area as exact diagnoses can be hard to come by in those situations.

Peri-implant fractures (PIF) are rare but can occur secondary to the hardware insertion you experienced from your ACDF. PIF can cause persistent inflammation which could explain some of your restricted throat and swallowing experiences. PIF is a real condition and the doc's report you attached seems to suggest you might have this?

How did the docs leave it with you? Did they schedule additional diagnostic tests? Follow-up discussion with you? My suggestion would be to doggedly pursue getting to a diagnosis and treatment strategy.

Best of luck and please share what you're planning to do.