@birdierobin ..Robin.. I do not have trouble swallowing... I just have to realize when to stop eating... don't eat too much.. as it will not go down to the stomach.. Gravity plays a role here... on occasion a foam forms in the stomach and comes up.... it has to be expelled ...When food gets caught part way down... it has to come up to get relief.... my condition was the result of a "Nissen" surgery that was to reduce reflux... the gastroparesis was post operative..... . so I had to go up to Mayo to get that diagnosis after I had lost 50 pounds.. down to 150... I am 5'10"... It is not fixable...but Mayo gave me a way to cope ... now I am back to 175... so doing much better.. Ken