A 35-year-old male presented with a history of difficulty of swallowing solids and liquids of 4 weeks duration. He denied weight loss and loss of appetite. Clinical examination was normal. Baseline investigations were normal
UGI endoscopy revealed no mass lesion in the oesophagus. Barium meal follow-through was done as shown below
The barium meal shows parrot beak appearance suggestive of Achalasia cardia.
Failure of relaxation of lower end of the oesophagus
This condition can be managed with Endoscopic methods or by Surgery previously was manged by medications alone