Hello All. Been away a long time. I am a retired colonel diagnosed with MG in 2006. I have used Mestinon and Imuran for most of the past seven years. Anyway, starting about six months ago I have serious swallowing problems and have to wash down each bite of food with a drink. I went to a specialist who doesn't think the problem stems from MG, but rather acid in the digestive system. The medicine she prescribed does not help a bit so I am still wondering if MG has a hand in this.