I am 57. Quit smoking 21 years ago when throat cancer was found. Thanks to Mayo Clinic clinical research trial, I am cancer free....but: I have had dysphagia probably this whole time and did not know until 3yr ago. Have had trouble swallowing since. 7yrs ago was diagnosed with copd, at some point add brochiactasis. I am so very thankful for those 21 years and overall stay fairly positive, many days this is not easy. I have every tool I can find in my toolbox in order to live the best life I can. I have never met anyone else young{ as I think I am} with a similar problem. Have you ever used an airway clearance therapy vest? Mine helps me a lot, still been hospitalized 6 x this year but not long stays.