A 40 year old female patient with dysphagia to both liquids and solids and regurgitation for 3 months. The dysphagia was non-progressive. What is the most likely diagnosis?
Answer is C (Achalasia Cardia) Carcinoma Esophagus, lower esophagus ring and esophageal stricture are all associated with dysphagia for solids alone. Presence of dysphagia for both solids and liquids suggests a diagnosis of Achalasia cardia. Although dysphagia in Achalasia is progressive absence of progression does not exclude the diagnosis. Also amongst the options provided Achalasia is the single best answer of exclusion.
Carcinoma of the esophagus
Lower oesophageal mucosal ring
Achalasia cardia
Reflux esophageal with esophageal stricture