مريض يشتكي من صعوبة بلع السوائل والأكل معاً من شهور، ويرجع الأكل غير المهضوم وهو مستلقٍ. ما الحالة المتوقعة؟

A client has had difficulty swallowing both liquids and solids for months and regurgitates undigested food when lying down. What is the likely condition?

1. Chronic duodenal ulcer
2. Acute drug-induced gastritis
3. Irritable bowel syndrome
4. Achalasia

Answer: D) Achalasia. Achalasia is failure of the lower oesophageal sphincter to relax with poor oesophageal motility, causing dysphagia to both liquids and solids from the start and regurgitation of undigested food, especially lying down.