@nannybb
For years I had aspirated on occasion or dry foods stuck in my throat. I had a barium swallow early on that showed premature spillage. Then 11 years ago suddenly I was aspirating food every time I ate. After 50 times in 3 weeks I quit eating and just had a couple protein drinks a day. I lost 25 pounds in a month and went into afib. I thought I had ALS. Had nerve testing, two neurologists ruled out ALS, MS, MG, and determined it was my genetic HNPP causing it (hereditary neuropathy with pressure palsies) and they added with cranial involvement to that dx. My son has HNPP too per genetic test and symptoms. He chokes on food a lot and occasionally aspirates more than I did at his age. I did have another barium swallow but never again as the foods they give you do not represent real life. I have trouble controlling many textures in my mouth and the muscles get super fatigued fast so I can’t eat too much solid food. Foods stick in my throat too. Lots of water. All seen on the tests. I learned to keep my head down when eating for help with gravity as food would slip down my throat before I was ready. Sorry you have issues too.