He also describes regurgitation that sometimes wakes him from sleep. When asked about medication use, he tells you that heartburn drugs have never worked for him. Now he takes no medications regularly. He has a good appetite and reports less than a 5-pound weight loss. His only other medical problem was recurrent chest pain a few years ago that has now disappeared.
Physical exam discloses a tall, somewhat thin male, with no appreciable abnormalities.
Achalasia All of the above Answer 2. He will only respond to anti-reflux surgery Answer 3. These symptoms are not suggestive of a motility disorder Answer 4. Left side down supine after meals Answer 5. Typical and atypical presentations of gastroesophageal reflux disease.