I have had trouble swallowing, too. After much testing, I was diagnosed with Nutcracker Esophagus. The doc is treating it with Procardia. That is a heart medication, but one of the side effectts is to relax smooth muscles. It works like magic! I finally got fed up with the costs of investigating all of my symptoms, and chalked it up to "how lupus effects me." Now, I do what I can, eat right, exercise, get support when needed and accept the rest. Meditation and helping others works well for me.