Mrs k 52 y diabetic presented with odynophagia for 3 days.She  took her anti diabetic tablet on dusshera day and could not take anything further.Just see what we got I  hrr esophagus. Y

ou can zoom the view near tip of scope.

This was metformin tablet with plastic and aluminium wrapper.We are seeing more and more old patients who accidently take medicines with wrapper and get esophageal obstruction.

So lessons for the patients is to 1. Take out tablet from wrapper and put in medicine dispensing box before swallow. 2. Take medicines one by one and not collectively in one go. 3. Take medicines with plenty of water. 4. Always swallow medicines in sitting or standing posture.