Achalasia cardia is a rare chronic neurodegenerative disorder of the oesophagus which causes progressive delay in contractility of lower oesophageal muscles during swallowing leading to regurgitation of food contents and fluids in advanced stages within the region of oesophagus. The underlying aetiology include autoimmune disorder, nervous degeneration due to loss of inhibitory ganglion in myenteric plexus of oesophagus, presence of inhibitory neurotransmitters such as nitric oxide and its receptors in lower oesophagus. Achalasia is characterised by oesophageal nonperistaltic contraction and incomplete relaxation of lower oesophageal sphincter. The common symptoms are dysphagia, regurgitation, and heartburn. Case report discussed below is of a 38 years old female patient presented with dysphagia for two years. The symptoms of which worsened for one month along with vomiting after consumption of food.

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