Hi Guys, Thanks for the replies. YOu are right in that the saliva must be causing the cough. The doc prescribed some saliva medicine today so we will see if that makes any difference. BTW is saliva production more in ALS patients or is it just that the normal saliva which a healthy person swallows (probably subconciously) does not now go in and just stays in the mouth ? Also the doc is insisting on feeding tube but dad says he can still swallow stuff. However he is eating less mostly because the mouth fills with saliva when he puts food in the mouth which completely kills the taste. He says eating is a torture not so much because of swallowing issues but because there is no taste (Must admit though that he has always been picky with food, a habbit that has come to bite him mow). ANy expreiences on how to deal with this situation ?