anything slight we'll go down the list fully but basically start at the top what's urgent what could

be more serious and eliminate that one by one and then also there's a list of what's likely

most likely dehydration second most likely asthma and achalasia is right at the bottom

and heart is lower down the list but less a bit more likely than achalasia just by statistics

but that's not known and importance heart is obviously higher so within weeks she's going to

have a heart scan and a 24-hour ECG for reassurance achalasia is so unlikely statistically

and she's not actually regurgitated

and um it's statistically unlucky and also the tests for that is like the only

way to know

is barium swallow and we don't want to expose it to 10 000 x-rays unnecessarily