Diabetes is very much common in our country and most patients of Maturity onset type II Diabetes in their 30-50 years of age present as anorexia, belching, heartburn, discomfort after food taking, vomiting, regurgitation all features of classical dysphagia. These are often diagnosed and treated as the patient of acid peptic disorder as neither doctor nor patient pinpoint that they are diabetic as many times this is only their first symptom.

Lack of awareness in the society for diagnosis is so much that many hardly undergo blood tests routinely to know whether they are diabetic or not. So every general physician should keep this disease in mind if middle-aged or younger patients come to them with features of dysphagia, diabetes must be excluded as diabetic gastroparesis may include one or more features  as stated below: One of the most distressing components of diabetic autonomic…