A 40 year old female patient presented with dysphagia to both liquids and solids and regurgitation for 3 months. The dysphagia was non-progressive was non-progressive. What is the most likely diagnosis?
Carcinoma of the esophagus
Lower esophgeal mucosal ring
Achalasia cardia
Reflux esophagitis with esophageal stricture
Presence of dysphagia to both solids and liquids suggests the diagnosis of achalasia Functional Grades of Dysphagia: Grade Definition I Eating Normally II Requires liquids with meals III Able to take semisolids but unable to take any solid foods IV Able to take liquids only V Unable to take liquids, but able to swallow saliva VI Unable to swallow saliva Ref: Sabiston 20th edition Pgno: 1049
G.I.T