A 50-year-old female comes to general physician with complaints of difficulty in swallowing of both solids and liquids that progressively worsen over the last 3 months. Occasionally she has regurgitation of undigested food and night cough. she recently lost 5 kg. On physical examination, no remarkable findings were found. However, a chest x-ray reveals widened mediastinum. Your diagnosis?
- A. GERD
- B. Achalasia
- C. Pharyngeal pouch
- D. Esophageal CA
- E. Benign Stricture
0 voters
Answer: This patient presentation suggests achalasia
Description: Achlasia typical presentation is dysphagia for both liquids and solids, heartburn, food regurgitation, weight loss and nocturnal cough. Best initial is barium swallow and the confirmatory test is esophageal manometry