Achalasia is a motility disorder of the esophagus characterized by absence of peristalsis and failure of relaxation of the lower esophageal sphincter. This causes obstruction at the esophagogastric junction. The cause is unknown but may involve the degeneration of inhibitory neurons in the esophageal wall. Patients experience dysphagia, regurgitation, chest pain, weight loss, and coughing when lying down. Diagnosis involves barium swallow, endoscopy, and manometry. Treatment aims to reduce lower esophageal sphincter pressure and may include botulinum toxin injections, medications, surgery, or dilation. Complications can include weight loss, pneumonia, esophagitis, and es