I have had the pills go up instead of down and yes they do burn when this happens. I don't think the swallowing thing is in my head or caused by anxiety, because it will take me by surprise when I am sitting there eating like I think I am a normal person. It doesnt happen every time i eat, so i think i forget that i have this problem and am thinking more about the food than the swallowing.

Usually the first couple of bites go down fine and on about the third bite, trouble with things getting stuck. A lot of times the tongue and jaws get fatigued at the same time so I just sit there with this wad of food in my mouth waiting for strength to come back so I can swallow.