Just like everything else, it takes practice to learn how to swallow pills. I learned by using M&Ms. It works. Start with one and keep doing one until you can do it every time. Then try two and do the same thing. Work your way up. There is a limit to how many pills one can swallow at the same time. Remember they have to go down the esophagus, too. I still have issues with the big pills, like Ibuprofen 800s.