Abstract:
Persistent stridor in a preschool child could be due to variety of reasons like laryngomalacia,
laryngotracheomalacia, foreign body, subglottic tracheal stenosis, vascular ring, gastro
esophageal reflux, mediastinal mass compressing trachea and achalasia. Achalasia presents as
dysphagia for solids and liquids and may be accompanied by undernutrition or respiratory
symptoms; usually presents in school age children however rarely it can present in preschool
children. We report a 4.5 year old child who had persistent stridor since the age of 6 months and
was subsequently diagnosed to have achalasia.