Hello friend! This spasmodic episodes are because of the myesthenia gravis. it appears you have class 3 and above symptome. moderate to severe myesthenia. are you eye muscles also imvolved? All you need is a management for your myesthenia and some tips to avoid exacerbations. But first treatment with medicines 1-Ache inhibitors pyridostigmine/neostigmine, short term use of steroids azathioprine for maintenance cyclosporine methotrexate if severe 2-IVIGs - Intra Venous Immunoglobulins 3-Plasmapheresis to be used if above two cant control symptoms or plan for surgery or crisis 4-Thymectomy if you are above 10 or below 55 years age , this is a must done procedure. we doctors recommend it prophylactically. Now some tips - thicken your fuids abit. too thin fluids will continue the dysphagia symptoms you currently have -stay as active as possible. -take a lot of breaks in activities for rest. i would say every 15 mins breaks after every 30 mins work. -avoid sustained physical activity, as exercise induced fatiguabality will worsen your symptoms. -watch out for complications like osteoporosis, cataracts, hyperglycemia, weight gain, avascular necrosis of hip, hypertension, opportunistic infection because of the immunosuppression required to manage myesthenia. I am sure this will be a help. i wish you good luck and get well soon. I will be here if you need me. Regards Dr Shafi Ullah Khan My Patient Is My family