I swallow so many pills every morning, maybe 20 with breakfast? 3 or 4 at a time. Sometimes they catch in my throat and I start to black out, but I can usually force them down with a strong gulp of water, or lean over the sink this mucus will start comming into my throat so that with a lot of straining and awful gurgling noises I can get them down. Usually don't have a problem though. I didn't notice my pills sticking in my throat more than usual this morning. Took the breakfast pills, sat down at the computer, chewed one potato chip and swallowed it, and then I could feel this huge "pill jam" in my throat. I tried gulping water, but that just put more pressure in my throat and I started to black out, tried to run to to the bathroom in case I was going to barf. But I woke up later halfway between the computer room and the bathroom feeling like I'd just had my bell rung. I hit my chin and face in falling, and seem to have landed on my thumb some how, so that it hurts to move it. I can breathe during a pill jam - I think. Don't know why it would make me pass out like this. I even start to pass out when gulping too much WATER at one time, get a pain in throat or chest and everything goes dark. Why? Right now I just feel lucky that I didn't choke.