ACHALASIA CARDIA DR.BANU CHANDER PANDIAN S

MBBS ,DNB FAMILY MEDICINE( RESIDENT)

47 yrs female came with chief complaints of Dysphagia 6 months(more for solid )Odynophagia 4 months Weigh loss 2 kg over 6 months Nocturnal coughRegurgitation on/off 4 months

Family history Maternal uncle died due GI cancer Further details unknown

General examinationConcious ,oriented ,afebrile No pallorNo icterusNo odemaNo lympadenopathyNo cyanosis

Systemic examinationRespi – B/L air entry presentCvs – s1 s2 heard P/A - soft ,non tender Cns - NFND

Provisional diagnosis

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Investigations Endoscopy Barium swallow Eosophageal manometry CT scan

Barium swallow

Endoscopy

CT scan

Final diagnosis

Achalasia cardia

Treatment Medical calcium channel blockerBotulinium toxinBallon dilatationSurgical heller myomectomy

Baloon dilatation

Follow upEvery 6 months with barium swallow