Q:

A 32 year old man presented with slow progressive dysphagia. There is past history of retro- sternal discomfort and he has been treated with prokinetics and H2 blockers. What is the probably diagnosis?

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A 32 year old man presented with slow progressive dysphagia. There is past history of retro- sternal discomfort and he has been treated with prokinetics and H2 blockers. What is the probably diagnosis?


  1. Foreign body
  2. Plummer vinson syndrome
  3. Pharyngeal puch
  4. Peptic stricture
  5. Esophageal Ca

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The key is D. Peptic stricture. [Progressive dysphagia (to mostly solid) is suggestive of peptic stricture which is supported here by the use of prokinetic drugs and H2 blockers which are used for reflux oesophagitis].

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