I am starting to wonder if part of my problem with swallowing is due in part because I don't have enough saliva in my mouth lately. I have read that anxiety can cause you to have a dry mouth. I have been taking a muscle relaxer for the twitches and a side affect is dry mouth also. Right now my mouth is so dry that I can't even get the food (cracker crumbs) off of my tongue. They are sticking to it. Another reassuring thing I have thought of is that someone said that if I did have bulbar symptoms, the swallowing issues shouldn't just come and go. I don't think I could swallow something dry ok one time and not ok the next. Is that correct?I also had some good news this afternoon. The neurologist office called and I can get in next Tuesday. If I end up getting a clean bill of health, I am considering an anti-anxiety medication. I am really sick of going thru this type of thing. Anyone have a good medication that helps with health anxiety?Thanks.