You are a great Aunt for trying to help your nephew. Welcome to Neuro talk, and I hope there will be good advice to you. An upper GI Specialist is who you should try to get an appointment with.A Gastrointerologist.{sp} is the one who can do a proper evaluation. This issue you are very correct, is not something that is normal. If there is a blockage, or anything else wrong in the esophogus, or stomach, this type of doctor will find it. I had my first endoscopy not too long ago, and this was not a proceedure to be fearful of. I had trouble swallowing. Please try to get him a referal, maybe from his primary care physician. A community advocate service is also in many hospitals that may lead you in the right direction too. I sure wish him the best. You are a very caring Aunt, and I am glad he has you in his corner. Neruo Talk will be here to talk to, anytime you need a question answered, there will be someone herre for you. I wish you all the best, and a speedy resolution for this medical condition. ginnie