There are many pathological conditions which warrants the clinical evaluation and intelligent history taking to reach the correct diagnosis rather than battery of investigation either done in walk in patients and the referred patients.Similar happened in the patients those who are evaluated and screened for dysphagia – Difficulty in swallowing as chief as well as associated complaints taken and given by the patients and his attendants. Lot of patient which are referred to gastroenterologist by peripheral circulation when they undergone upper GI endoscopy didn’t find any organic illness and need the judicious history taking and evaluation from time to time to reach the exact pathology. Here is the data collected and screened patients which have the non GI manifestation of the dysphagia later on found to have the neurological manifestations. The statistic reveals that all dysphasia doesn’t belong to the esophageal gastro disorders the more they happen with the neurological manifestations.