A 24-year-old man presents for evaluation of dysphagia. He has had intermittent symptoms for 4 years. The dysphagia occurs only with solid foods and never with liquids. He notes mild, periodic heartburn and reflux but has not lost weight. He has gone to the emergency department on 3 occasions for food impactions. Findings on 2 previous EGDs have been normal.
Findings on barium oesophagography were also unremarkable. The patient began receiving high-dose proton pump therapy twice daily for 8 weeks with no change in his symptoms. His medical history is remarkable for seasonal allergies, for which he takes an over-the-counter allergy medication as needed. What would be the preferred management approach for this patient? *This case is from Docplexus editorial team for educative purpose only Source: Pearls in gastroenterology
