Okay now I'm having trouble swallowing food in Dysautonomia Discussion Posted May 17 · Report reply On 5/13/2019 at 11:27 AM, Derek1987 said: I've almost choked several times. I'm wondering if this is part of dysautonomia or possibly a side effect of carvedilol. I looked up side effects of carvedilol and one of the side effects is hard to swallow. Is this a symptom of dysautonomia as well? Im hoping this is a medication side effect only. I have trouble getting all of my pills down every day. I tried Marijuana again for pain, just smoked a piece of it about the size of a pea. I was burping to the point of vomiting/gagging for a few hours, almost like my throat was going to close up and I was going to choke to death from hiccups. I think my throat is messed up from this condition too. I almost dialed 911 but somehow survived. If I skip my 40 mgs of Pepcid for even 3 hours, I start burping up food and stomach acid. I did it one day and then realized I had not had my nightly meds. It's like everything in the upper digestive area is going wild. Sometimes I choke on a drink of water and also on my own saliva. One night a few years back I had a pill go down the wrong way and I was hacking violently for several minutes and then a bloody pill came forcefully flying out of my lung. Other times it feels like someone is wringing my esophagus and it spasms and my neck too, but this could be left over from my 3'd bout with facial paralysis. I hope you're feeling better.