A 6 year old, castrated male Labrador Retriever presented for a chief complaint of pain while eating of two months or greater duration. The dog's signs were refractory to prior treatment with famotidine, metoclopramide, and an 18" high elevated food bowl. The signs were also refractory to treatment with Phenobarbital after the signs were misdiagnosed as seizures by another veterinarian. Complete blood count, serum chemistry, urinalysis, and thoracic radiographs were within normal limits. Abdominal ultrasound revealed splenic enlargement secondary to sedation and bilaterally asymmetric small kidneys. Esophagitis and esophageal dysmotility were diagnosed by endoscopy. An esophagram using fluoroscopy and an abdominal pressure wrap diagnosed esophageal dysmotility and hiatal hernia.