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Achalasia
Esophageal ring
Esophageal malignancy
Neuromuscular dysfunction
Trial of long-acting nitrates
Refer for surgical myomectomy
Upper endoscopy
Repeat manometry in 4 weeks, employing a promotility agent
Mother with esophageal adenocarcinoma
Father with gastric cancer
Sister with gastroesophageal reflux disease (GERD)
Multiple first-degree relatives with atopic disease
Barium swallow
Esophagogastroduodenoscopy (EGD)
CT scan of the neck
Modified barium swallow
Continue the PPI
Stop the PPI and recommend dietary modification
Prescribe cisapride as a promotility agent
EGD within 1 month
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