i had endoscopy done on dec 2007 w/ result of mild esophagitis, mild gastritis, neg. h. pylori, neg for cancer. Even on medications, dietary modifications, i m still experiencing reflux.This may 2008 i started experiencing dysphagia to both solids and liquids up to this time.Im having an IV q day and i noticed that i can toletare liquids if i just woke up in the morning. Barium swallow done last may 29, 2008w/ result as Fluoroscopic evaluation demonstrates distal esophageal spasm, ulceration, mass, stricture cannot be excluded on the current examination.Motility test done on june 16,2008 w/ result of LOWER ESOPHAGEAL SPHINCTER; it was obvious during the beginning of this exam that this patient could not tolerate the indwelling manometry for any prolonged length of time. Accordingly, it was felt that atleast part of a body study should be performed to rule out achalasia. If all peristaltic contractions were noted, then achalasia could be excluded. This was done but the findings were inconclusive. Approx.70 to 80 % of all the swallows taken were completely nonpropagated. In other words, no contraction of any type was noted. Abt. 20 to 30% of the swallows taken were followed by normal peristaltic contractions. The amplitude of these contractions was normal At 90.2mmHg. CONCLUSION: inconclusive partial study. This patient probably does not have achalasia, as occasional peristalsis is seen, and no simultaneous contractions. A definite esophageal dysmotility is present, due to the great majority of the contractions being completely nonpropagated. The lack of any simultaneous contractions also would make diffuse esophageal spasm doubtful. QUESTION: If not achalasia or DES, what's causing my dysphagia? What will i do next? My doctor referred me to a surgeon but was not reffered to ENT or speech pathologist. I had on and off vaginal yeast infection last year and treated w/ one dose of diflucan. I read that esophageal or oral candidiasis can cause dysphagia too.Pls. help!