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Eating with general slowness and difficulties in chewing and swallowing has become a major and time-consuming problem. On several occasions food bolus has become lodged in the esophagus and required an endoscopy to remove. We have tried a number of things with some success: Italian Ice (lemon) between bites; small bite sizes; mashing the food (would pureeing help?); and liquid diet substances. We are looking for any suggestions to avoid the step of a feeding tube. How does that work? When do you decide it is necessary? Thanks in advance. Allanros