I do think you should tell your doc. I go through periods where I have trouble swallowing food and pills. Now that Twinkletoes mentioned it, I must say I can take my pills much easier with coffee than cold water. I can't tell you how many times when taking pills with cold water I've had a stupid vitamin just stuck in my throat and I'm unable to swallow, trying my best not to panic or breathe. Hmm, you might want to try drinking some warm water before you eat.