@jimhd Hi Jim: Because of a paralyzed vocal cord, I've had swallowing problems off and on for several years. When I'm having a difficult day with things "going down the wrong pipe" so to speak, I've developed a few tricks. One thing I've done is to hold my breath when drinking - sounds odd I know but it helps me, I've heard this method discussed at seminars for ALS (I don't have ALS but this is a common problem with ALS patients). Also eating as slow as possible is always a good. Teresa