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Well maybe I don't know the exact mechanism. Perhaps it is like a post nasal drip. Perhaps he has allergies, perhaps flovent (his asthma meds) also helps allergies.That is what I am talking about - the phelm. It doesn't go into the stomach without it being coughed up from the lungs into the digestive tract (perhaps, through these 'hairball' incidents?). There is literally no way I know of for it to get from one location to the other, elsewise.