ha! We tried a patency capsule, there was no way he was getting it down, but still wasn't a great pill taker and is good now. I am not sure I could do it, it's pretty large, like grape size. The GI inserted the patency capsule when under anesthesia during his endoscopy/colonoscopy and we walked and walked after and lots of fluids and food after, but it didn't pass in the 24 hour timeframe (did in 48 hours) so it was totally inconclusive for us. Even the xray wasn't clear if it was stuck or dissolving or what. We ended up going MRI route. For regular pills, what finally did the trick was practicing with mini m&ms for like a month and using warmish water in a small medicine/dosing cup (like comes with liquid tylenol).