<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have been experiencing some back pain, hoarse voice and chest tightness. Also, Ive had a persistent cough. Can you tell me whats going on?  <response>: Based on your symptoms, it is possible that you have Achalasia, which is a condition where the muscles in your esophagus dont function properly. It can cause difficulty swallowing and chest pain, alongside the symptoms that youve mentioned. 