It is in the mouth, but the worst is the gunk in her throat. Swallowing it ends up making her stomach queezy and caughing it up starts the gag reflex. Very frustrating. Lost her breakfast and once the stomach gets going it seems like a downhill cycle. Didn't trust herself to keep anything down for the rest of the afternoon and finally took 1 can of glucerna into the peg in the evening. The nausea / vomiting take her totally by surprise, without any warning at all. All she's trying to do is cough to start out with. Sure am hoping for a better day tomorrow.