Abstract
We present a case of 22-year-old known Achalasia cardia, previously treated for depression, presented with irritable behaviour, aggression, over-talkativeness, ideas of self-importance, running away from home and decreased sleep. He was treated for imperforate anus with anoplasty on the first day of birth and for Achalaisa Cardia with heller myotomy at 17 years of age. His Young Mania Rating Scale score was 22, and his Brief Psychiatric Rating Scale score was 50. He was diagnosed as a case of bipolar affective disorder. Marked improvement in the symptoms occurred after two weeks of the treatment with sodium valproate, olanzapine and clonazepam.
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