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A 52 year old gentleman presented with dyspepsia and heartburn without any alarming symptoms. On esophagogastroduodenoscopy the mirror image of the name of one of the commonly used multivitamin (Figure 1) was present on the esophageal mucosa at the 23 centimeter gastroscope mark, but no capsule was seen. On flushing with water the capsule name imprint was easily washed away ( Figure 2A).The patient had a small hiatus hernia but no esophagitis or stricture. On further enquiry he revealed that he took this multivitamin capsule ( Figure 2B) on the previous night with little water just before sleeping. He never had any symptom of dysphagia. His barium esophagogram was normal without any stricture and normal transit time. His manometry was normal and mid esophageal mucosal biopsies to rule out esonophilic esophagitis were also normal.As this patient has taken this multivitamin capsule with little water and immediately went to sleep (supine posture) it might have stayed in the mid esophagus where aortic arch caused compression and might have led to this tattooing effect. This report however validitates the time honored instruction, to drink adequate amount of fluids while taking oral medications. Contributed by

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