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Clay impaction causing acute dysphagia
  1. Monica Gupta,
  2. Atul Sachdev,
  3. S S Lehl,
  4. Kamal Singh
  1. Department of Medicine, Government Medical College and Hospital, Chandigarh, India
  1. Correspondence to Dr Monica Gupta, monicamanish2001{at}

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A 50-year-old woman presented to the emergency department with history of lower retrosternal chest discomfort and acute dysphagia. Questioning revealed that she had consumed large pieces clay (∼200 g) half an hour prior to the chest pain. She had made desperate attempts to relieve the dyspagia by drinking water which made her condition worse. She worked in a boutique and used these dry clay pieces as a cheap alternative to ‘tailor's chalk’.

On examination she was anxious, restless and saliva was drooling from her mouth. The hemodynamic parameters and bedside ECG were within normal limits. An upper gastrointestinal endoscopy (UGIE) …

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