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CASE REPORT
Year : 2019  |  Volume : 8  |  Issue : 3  |  Page : 206-209

A rare ca(u)se of dysphagia


1 Department of Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
2 Health Centre, Central University of Tamil Nadu, Thiruvarur, Tamil Nadu, India
3 Department of Paediatrics, Government Villupuram Medical College, Villupuram, Tamil Nadu, India

Correspondence Address:
Dr. Prem Davis
Health Centre, Central University of Tamil Nadu, Thiruvarur - 610 005, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijhas.IJHAS_4_19

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Achalasia is a rare lower esophageal motility disorder, in which there is destruction of myenteric plexi leading to the loss of esophageal peristalsis and inadequate relaxation of the lower esophageal sphincter in response to swallowing. Although the etiology of achalasia cardia is unclear, it is likely to be caused by autoimmune etiology. It is characterized by dysphagia of solids and liquids, regurgitation, weight loss, chest pain, heartburn, and nocturnal cough. Achalasia can be diagnosed on the clinical history and confirmed by barium swallow, and esophageal manometry which is the gold standard technique for diagnosis. Even though achalasia cannot be cured permanently, pneumatic balloon dilatation and myotomy remain the definitive treatment of choice in spite of availabilities of pharmacological therapies. We report a case of 25-year-old male admitted with chronic dysphagia and weight loss, diagnosed to be having achalasia cardia and treated accordingly.


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