A swallowing evaluation can be done by a speech therapist, probably at a local hospital, . It is called a "Modified Barium Swallow", and the person is given items of different consistencies to swallow while the action is observes by (I think) fluoroscopy. Not painful, and it can pinpoint the stage in the swallowing process where there is a problem. The problem, for PWPs especially, is the risk of aspiration pneumonia, when things "go down wrong" and get into the lungs. The esophagus doesn't close properly due to the PD, and there a an increased risk of food getting into the trachea instead.. The doc can order the test. >One of the members of my support group has swallowing problems from time >to time. It can be anything from salvia to pills to "food". Does anyone >have a helpful suggestion?. Could this problem be caused by anxiety >upon occasion? > >Sharon H Camilla Flintermann, CG for Peter 81/70/55 Oxford, Ohio http://www.newcountry.nu/pd/members/camilla/one.htm <[log in to unmask]> "Ask me about the CARE list for Caregivers of Parkinsonians ! "