A 24-year-old man presents a dysphagia with intermittent symptoms for 4 years. The dysphagia occurs only with solid foods and never with liquids. He also observed mild, periodic heartburn and reflux without losing the 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 esophagography were also unremarkable.
A high-dose proton pumps therapy twice daily for 8 weeks got 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 is the next management step in this patient? *This case is from Docplexus Editorial Team for educative purpose only. Source: A Gastroenterology Journal
