Abstract: Achalasia -a rare motility disorder characterized by obstruction of the distal part of the esophagus. Among its symptoms are dysphagia and frequent complaints of chest pain as well as weight loss. We present a 30 year old female with one year history of recurrent low grade fever, cough, difficulty in breathing, chest pain and weight loss diagnosed as achalasia. Plain radiography and endoscopy played a vital role in the diagnosis.