Danny, That's interesting about the GERD being a culprit in this matter. I know my husband has had reflux and gastro-intestinal problems even before the diagnosis of cancer. Thanks for the tip - maybe he can talk to the doctor about this on his next visit. You seem to be doing better, and although I understand your concern about taking something that may not be needed - the therapist must have seen situations such as yours, and that's why the Nexium was recommended. At this point, I'm sure John would try just about anything if it could help his swallowing abilities. Good luck to you and let us know if this RX is working out for you.