It is known that a symptom of difficulty swallowing is associated with B12 deficiency. How I experienced it was not accepted by the medics I hired.
At times usually at night I would aspirate/choke on food and sometimes fluid my whole life. This is often called having go down the wrong tube. It was not consistent and can be extremely painful and bring me to my knees. The fear is constant and effort must be made to go past the fear. This takes energy.
When I started supplementation it became acute and constant due to my neurological system starting to heal. I could not eat any solids which caused all sorts of issues. With time it has worked out for the most part.
Loss of appetite was not accepted by the medics I hired. Their check box was see a nutritionist in 2 months. I was losing weight, my muscles were wasting and had lost 7 stones is 4 +- months. The check box for that was unintentional weight loss.
I was not ever hungry and not having a sense of smell and taste made it hard to eat.
I came up with the concept of "a hungry". The reason was I came across "a hungry" was because being able to eat was not related to any accepted cause and was likely related to my neurological system. It started to come on strong in that I had to eat right then or it was be distressing. Eating was not enjoyable very often it was a matter of alleviating distress. I would be hanging out with friends and telling them I needed to eat but was not hungry and then would be able to eat and then immediately sleep.
The best way I can describe the experience of not being able to eat is it would be like forcing yourself to eat after having a large meal and eating too much and then knowing you had to eat. It does not follow that I could not intake enough calories as it is not consistent. When I am hungry I eat as much as I can as I know it may be 24 hours before I am hungry again.
Right now I am working on waiting on a wanting to eat and not going past it. If I go past a hungry than I am not hungry anymore. This can go on for 24 hours until I have a headache. I have food ready to eat as much as possible. It is all difficult.
My eustation tubes become clogged or most likely stay clogged to some degree. Most suggestions are based on the idea of popping the ears with positive pressure which was effective in mitigating the clogging. including the popping of my ears, popping my ears using "Otovent", popping my ears with diving underwater.
Note: Medics look at the ear and determine the color to see if there is fluid behind the ear. Different humans have different abilities to differentiate the hue, value and chroma and saturation of colors. That is science not applied science. It is measurable and repeatable. My experience is medics know that color is diagnostic and do not often have the innate ability to "see" colors in the way necessary. They are trained to believe they have abilities they do not. Sometimes it seems they believe they have all abilities and only need knowledge.
What solves my eustachian tube issue and does not just mitigate it is to create negative pressure when swallowing. It is a practice thing. Chugging fluids helped to experience swallowing correctly.
My swallowing was affected my whole life by B12 deficiency, the fear of choking and lack of appetite contributed to the way I swallow.
I believe that I could not have figured this out and what works now would not have worked if I did not supplement correctly including enough B12 with enough frequency.
Notes:
---It does help sometimes to yank on my earlobes in a way that I can hear a crack.
---It helped to apply heat to my face.
---It helped to drink warm fluids.
--Physical exercise exasperated the fluid retained behind my ears.
--My jaw pain and teeth pain was caused by the build up of fluid. WWWdot what do you think?
--Showers helped.
--Being in the cold without doing exercise made things worse.
--Humid hot weather exacerbated the issue.
--I noticed that if I read while eating I tend not to swallow properly.
--I am hopeful this understanding will lead to an understanding of mucusy.
So this understanding that I now have is not from collecting facts or referencing "experts"
It is born out of imagination most importantly imagining my eustachian tubes closed until they are opened when I swallow. The knowledge is nessary, it is not enough by itself because it is complicated not just complex.
I am aware I may be incorrect in my understanding. Critical thinking demands that.
This writing is not a woe is me. It is part of my exploration and discovery which I celebrate and treasure, when I am able.
All the above is related to my neurological system!!!! Which cannot be separated from anything.