Debbie, I cannot put my hands on the document I prepared regarding PEGs for patients my docs refer to me, but when I do, I will send it to you. In a nutshell, there are a few things that will help. One, already mentioned, is to run the food in very slowly. Another important one is to sit up, as though sitting at a table, and remain upright for some time after eating. And you must know by now that anything injected into the PEG must be room temperature or better to avoid discomfort. Finally, many small meals during the day and evening will usually go down more easily. Any OTC meds that the doctors okay can be crushed, mixed with distilled water, and injected into the tube to alleviate his discomfort. Take heart -- Dan is now most probably more than half way through!