Sorry, that wasn't really helpful!

Have you tried taking sips of cooler water between bites or segments of food? Do you try to keep food not too hot or too cold? Are there some foods that make things worse? Like more "chewy" or hard ones. Maybe have more mushy foods for awhile that don't require a lot of repetitive chewing.

Have you ever had a sleep study? Do you clench your jaw/mouth muscles while you sleep? That could contribute to any bulbar muscle weakness.

Sometimes it helps to sleep with your mouth open. Or while you're sitting around, just let your jaw/mouth go slack.

Anyone else have suggestions on how to lessen stress on the bulbar muscles?

Annie