78 patients aged 17 to 82, regardless of gender, have expressed difficulty swallowing lasted at least one month, not by sinusitis and tonsillitis, treated with regimens GERD as follows: User mode Clarithromycin 500 mg 2 times per day orally one tablet, esomeprazole 40 mg 2 times per day drink 1 capsule, 2 times a day orally Elthon 1 capsule during 8 consecutive weeks.