Hi SB

the medication is treating reflux which, if not working, means it may not be reflux.

Could it be that your gastro-intestinal tract is actually going into spasm?

I would suggest getting a referral to a speech pathologist and asking for a modified barium swallow. This will allow the pathologist to see in real time what is happening whilst you are swallowing.

Alex had similar problems - but not quite. He also complained of the "landing". For him, it manifested as heartburn AND nausea. For him Maxolon (metoclopramide - think it might be called Reglan in the US???) worked in combination with the anti-reflux medicine. It is a short acting anti-nausea medication that works by stimulating clearance of stomach contents. Sort of like clearing a blocked drain. He took it 30 minutes before he planned to "eat" (nutrients through PEG and later swallowing liquid formula)and then did it very slowly.

My only other suggestion is Gaviscon which is used for heartburn but works differently from other antacids and anti-relux medicines by forming a barrier when it hits the stomach that stops the stomach contents heading north. It is available over the counter so might be worth a try after discussing it with your pharmacist?

good luck