[A woman with inspiratory stridor].

An 80-year-old woman presented with inspiratory stridor after eating. Imaging revealed a decompensated esophagus. Endoscopy showed food retention and a narrowed lower esophageal sphincter. Achalasia, a rare motility disorder, was diagnosed and a botulinum toxin injection was administered. Treatment options include botox, pneumatic dilation, or surgery, the patient opted to await botox effects.