it use to be impossible for me to swallow a pill (even tiny ones) so my parents decided to ask my doctor (they didn’t ask until i actually started developing problems with swallowing food) and we found out that my esophagus was actually really swollen and irritated. so they made me learn to swallow these teeny tiny pills and they have worked wonders. i can eat a meal without feeling like i’m going to throw up half way through the meal and i can swallow any form of pill. most of the time not being able to swallow a pill is all in your mind, but sometimes it can be something serious.