Again, a late reply sorry.

Yes, yes, yes to the obstruction issue. Alex continues to struggle with this. Both the tumour,which was approx 4cm, and the radiation damaged his throat quite extensively. He complains of food getting stuck like it hits a ledge and then won't go further. Alex is still not eating properly. He came off his PEG in May, 12 months after it was inserted and continues to get the majority of his nutrition through liquid Ensure Plus (9 cartons per day).

Get your brother onto a speech pathologist when he is through his treatment and feeling well enough (but be prepared and allow him to take a breather from doctors as he may need a bit of space) and they may recommend a barium swallow. This marvellous technique allows them to video tape his swallowing mechanism and watch how food goes down including how and where it gets stuck. The speech therapist/pathologist will be able to give him exercises and tips to help him. There should be one allocated to his case as part of the multi-disciplinary team