A Case of Achalasia Cardia.

نویسندگان

Smita Gupta

Ashish Gupta

چکیده

1Assistant Professor, Department of Internal Medicine, 2Assistant Professor, Department of Radiology, Sri Ram Murti Institute for Medical Sciences, Bhojipura, Bareilly, Uttar Pradesh Received: 02.01.2013; Revised: 06.01.2014; Accepted: 10.01.2014 3 years old farmer, admitted to our hospital with history of difficulty in swallowing for the last 2 years which was progressive over the years along with regurgitation of food, which was both for the solid and liquids and pain in the retrosternal region. He had weight loss of around 10 kilograms in the last 2 years. There was no history of fever, cough, nasal regurgitation or throat pain. He had dysphagia severity of grade 5. He also noticed that these symptoms increased on lying down position and on taking large meals. He was a non smoker and an occasional alcoholic. Clinically he had mild pallor and systemic examination was within normal limits. Blood parameters were within normal limits except haemoglobin which was 10.50 gm%. A plain chest X-ray (P-A view) was done which showed a double mediastinal stripe with absence of fundal gas. An upper gastrointestinal endoscopy was performed in view of progressively increasing dysphagia which showed a dilated non peristaltic oesophagus filled with food particles. Mucosa and A Case of Achalasia Cardia

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