The cause of the condition may be caused by muscle strain or spasms. ScienceDaily, 26 April 2019. Gastroenterology. The human body is a complex structure which at times faces its own issues. This product combines excellent flavor and superior quality standards. Esophageal spasms can feel like sudden, severe chest pain that lasts from a few minutes to hours. The surgeon cuts the muscle at the lower end of the esophagus. Complete your request online or contact us by phone. The spasm may feel like a tightening or burning sensation. As an Amazon Associate, we earn from qualifying purchases. Unable to load your collection due to an error, Unable to load your delegates due to an error. Tummydrops are recommended as a natural way to assist with symptoms common in nausea, upset stomachs, motion sickness, morning sickness, VR sickness, & for other digestive complaints, including IBS and esophageal spasms*.. MADE WITH A PROPRIETARY BLEND OF PURE PEPPERMINT OILS only available with tummydrops, which MAY ASSIST occasional nausea, upset stomach, & bloating*. Moreover, it produces a unique look, especially against dark surfaces, making it ideal for many different uses. @fourof5zs i also have esophageal spasms. There are two types of esophageal spasms distal esophageal spasm and hypercontractile esophagus, also referred to as jackhammer esophagus. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Eating may become difficult as a result of the symptoms, which can lead to imbalances in nutrition over time. Cureus is on a mission to change the long-standing paradigm of medical publishing, where submitting research can be costly, complex and time-consuming. Most patients experience chest pains and difficulty swallowing. Any use of this site constitutes your agreement to the Terms of Use and Privacy Policy and Conditions of Use linked below. Once that is finished, you will be ready to move on to the next step, which is to take control of perfection. Although the preliminary findings of this study are promising, they need to be confirmed in a trial that compares outcomes in patients who receive a specific dose of peppermint oil and those who receive only a placebo. Avoid your triggers.Make a list of foods and beverages that cause your esophageal spasms. and Oral Surgery 101: A Complete Guide To Diagnosis And Treatmen.. Clinical and manometric aspects of diffuse esophageal spasm in a cohort of subjects evaluated for dysphagia and/or chest pain. Is there any special preparation for them? Federal government websites often end in .gov or .mil. Mohamed H. G. Khalaf, Sejal Chowdhary, B. Joseph Elmunzer, Puja Sukhwani Elias, Donald Castell. A diet low in fruits and vegetables, as well as excessive drinking and smoking, can also play a role in the development of this condition. Peppermint oil is a very smooth muscle relaxant and it relaxes your esophagus muscles. All of our recommended anxiety therapists have successfully treated anxiety disorder. While esophageal spasm occurs occasionally and might not require any specific treatment regime, but such pain is excruciating enough to disrupt the normal life of any individual. If your spasms make it difficult to eat or drink, your doctor might recommend: To help you cope with occasional esophageal spasms, try to: You may be referred to a doctor who specializes in the digestive system (gastroenterologist). Financial support for ScienceDaily comes from advertisements and referral programs, where indicated. Esophageal spasms are a painful and often scary condition with an unclear cause. Treatment recommendations may include: These are the first steps in reducing or eliminating occasional esophageal spasms. Go to the Digestive Health Support Group. I agree to the Terms & Conditions & Privacy Policy, For Doctors, Hospitals and Fitness Centers. 1991 Aug;36(8):1025-8. doi: 10.1007/BF01297441. eCollection 2020. Peppermint oil is a smooth muscle relaxant and might help ease esophageal spasms. Spasms of this muscle can cause severe pain that may even feel like a heart attack. When treated with peppermint oil, 63 percent of patients with disorders of the esophagus that cause difficulty swallowing and non-cardiac chest pain reported feeling much or slightly better,. Regularly , How to Clean a Refrigerator Both (Inside and Out) Read More , Even the most talented basketball player needs proper shoes. If you are putting it on an open sore or cracked skin, it may not help and may make things worse. NATURALLY PRODUCED without using synthetic fertilizers, sewage sludge, irradiation, or genetic engineering. Each batch is 3rd party tested for strength & purity. If you have any of the following symptoms, you should consult with a doctor: difficulty swallowing, chest pain, hoarseness, or a change in voice. I am using Altoids right now and they seem to work okay. Ectoplasmic contractions can also be triggered by stress, and it is also possible that other symptoms, such as chest pain and shortness of breath, will occur as a result. Diffuse esophageal spasm: has the term lost its relevance? Esophageal spasms are not very common. I had 3 years I could not go to the dentist I just was not able to sit in the chair because of rib pain. Please note that by doing so you agree to be added to our monthly email newsletter distribution list. No dental care = almost $9,000 in dental work. , How to Make Calligraphy Ink? A 2018 review suggests that peppermint oil may be effective in treating distal esophageal spasms in some people. Preparing for an appointment You may be referred to a health care provider who specializes in the digestive system, also called a gastroenterologist. Clear labels dont have a base color that the printed image can interact with. Treatment depends on the frequency and severity of your esophageal spasms. In addition to chest and back pain, the esophagus can cause other issues. Ill have to do some research. Member Benefits; Government Affairs; Job Board; Regions Menu Toggle. While each patient is unique, you should consult with your doctor to determine which treatment is best for them. Warm water will not interfere with your diets health benefits, so it is beneficial. Other treatments for esophageal spasms include heating the body, applying hot wax, or massaging the stomach. Is your chest pain associated with arm or jaw pain, shortness of breath, or nausea? Being ready to answer them may leave time to go over points you want to spend more time on. peppermint lozenges, in addition to relaxing the esophagus, can help to improve blood flow. www.sciencedaily.com/releases/2019/04/190426142054.htm (accessed March 1, 2023). The pain is often intense, and you might mistake it for heart pain (angina). Disclaimer - The content on this site is for informational purposes only. All Rights Reserved. In these disorders, the esophagus undergoes painful spasms that can interfere with eating. GMO-Free, Preservative-Free, Artificial-Ingredients-Free, Paraben-Free, Pesticide-Free, Gluten-Free, Vegan, Cruelty-Free, Edible, Kid-Safe (when diluted). Nitroglycerin is used to treat esophagus spasms and chest pain. Wondering which mistakes I am talking about? Made from a patent pending special blend of peppermint oils that is only available with tummydrops. Endoscopy involves inserting a flexible tube fitted with a light and camera into the esophagus. If you buy something from a reputable store, you should be able to return it for a refund. The esophagus is a muscle that normally contracts to move food from your mouth to your stomach. Certified gluten-free, organic, Non-GMO, and Kosher. Using Fitness Trackers To Help Professional Athletes Reach Peak Performance, How To Track Your Wii Fit Progress With A Fitbit, The Most Important Factor In Weight Loss: Increasing Your Metabolism. A feeling of heartburn or a squeezing type of chest pain, Chest pain that may spread to the neck, arm or back, If you try to swallow food or liquid during a spasm, it may come back up within seconds. Is it safe to take peppermint oil capsules with medroxyprogesterone tablets? Peppermint can help with the difficulty swallowing and non-cardiac chest pain experienced by some patients with disorders of the esophagus, report investigators at the Medical University of South Carolina (MUSC) in Digestive Diseases & Sciences. These were hard ones! Some of these risk factors include; Some of the common symptoms of esophageal spasms are; While discussing esophageal spasms, it is interesting to note that peppermint oil and peppermint has been found to be the first line of treatment. An acid reflux condition, such as GERD or chronic acid reflux, frequently causes heartburn-like symptoms and difficulty swallowing. When there are many competing products on the market, it can be difficult to distinguish between them. Dr. Arthur Heller answered. Peppermint oil is a smooth muscle relaxant and might help ease esophageal spasms. Disadvantages Of Drinking Lemon Water Daily. Be proactive. It comes in both powder and chewable form. You can have Gerd but not HH, but if you have HH, you definitely have Gerd. Muscle relaxants can often provide significant relief from esophageal spasms, but they may cause side effects such as dry mouth, constipation, and dizziness. 2011 Jul;24(5):354-9. doi: 10.1111/j.1442-2050.2010.01146.x. Esophageal spasms are abnormal contractions of muscle in the esophagus (the tube that connects your throat to your stomach). Bookshelf When you have anxiety, you may experience contractions in your esophagus during a panic attack or while suffering from generalized anxiety. All these are nice and vivid red colors filled in husky glass bottles. The Mayo says to hold the lozenges under the tongue. Can 2/3 drops of undiluted peppermint oil, and the same amount of undiluted lavender oil, cause any serious systemic effects when applied topically? Right now my throat is still sore from the endoscopy and I am using some lemon-honey drops I had in the cabinet that have menthol, and eucalyptus oil and they seem to help the spasms some but for only a short time. Conclusions: Taking warm peppermint tea also helps in relaxing the esophagus, Consumption of licorice and menthol based products also have a smooth relaxing effect on the esophagus, Taking peppermint oil capsules can help in relieving esophageal spasms apart. It's not clear what causes esophageal spasms. One of the drawbacks of the study was that researchers did not know the precise dosage of peppermint being given since it was a commercial candy (only one type of which was effective) with a proprietary recipe. Taking antacids, such as Tums, can aid in mild to occasionally severe indigestion. Bethesda, MD 20894, Web Policies If you have esophageal spasms, you may have: Chest pain that may feel like heartburn (burning sensation in the chest) or, less commonly . Worry notits time to refill and today, weve just brought to you some of the best red fountain pen inks worth buying! Yes, but you can relax since all these products come with a warranty. 2 Jakemans Throat and Chest Lozenges, Peppermint, 100g Despite this, esophageal spasms are not harmful to your health. Background: Hot and cold foods, such as soup, tea, or coffee, should not be consumed. Esophageal spasms are nothing but involuntary contractions of the esophagus. What you can do This study highlights the effects of the so-called Charleston Approach, which advocates a "start low and go slow" treatment strategy. If you find any details incorrect, let us know by entering a comment here. What do esophageal spasms feel like? This disorder is most commonly reported in females, with a median age of 60 years. Proudly Made in USA, GMP Compliant, FDA Registered Facility. It went on for a few days, I saw my GI and she sent me for an endoscopy. A panic attack may occasionally cause chest pain or discomfort, but this does not always occur during the attack. People between the ages of 60 and 80 are at the highest risk of getting esophageal spasms. Please enable it to take advantage of the complete set of features! How can I best manage these conditions together? peppermint lozenges for esophageal spasms. Crafted from premium ingredients. Like myotomy, POEM is usually considered only if other treatments don't work. I read somewhere, Muscle Relaxers are not good for Sphincter that stays open, especially if you have Hiatal Hernia. I have other health problems. "Never doubt that a small group of thoughtful, committed citizens can change the world. Drinking water with a few drops of peppermint oil, for example, may help with minor symptoms. Diffuse esophageal spasm is characterized by contractions that are of normal amplitude but are uncoordinated, simultaneous, or rapidly propagated (see image below). Copyright 2023 Maine Innkeepers Association, Throat and Chest Lozenges Peppermint g Pack, SweetGourmet White Peppermint Lozenges Canada Mints Bulk, White Peppermint Lozenges by Cambie lbs of, Woods Peppermint Lozenges Strong - Original Sachets, Best Naturals Peppermint Oil Bowel Soothing Dietary, Zongle USDA Certified Organic Peppermint Oil Safe, Life Extension Esophageal Guardian - Gastric Discomfort, Fresh Crushed Peppermint Tummydrops Pack of Tins-, Zongle Peppermint Oil Safe to Ingest Mentha. Consumers can get overwhelmed by the huge marketplace and end in a place by choosing a wrong product that will not serve its purpose perfectly. https://www.amazon.com/Meltzers-Puremints-Peppermint-1-76-Ounce/dp/B0046HK22O/ref=asc_df_B0046HK22O/. These medications can be taken orally, in the form of a pill or liquid, or they can be taken rectally, in the form of a suppository. Some people who have had panic attacks report chest pain or discomfort. Questions? With an electric drill, you can easily , The Best Way to Use an Electric Drill for Screws Read More , White printing on clear labels provided better visibility compared to other label types. Imagine that while eating a delicious meal at your favorite restaurant, your joy is cut short because of difficulty swallowing your food, followed by chest pain. They have been consistent in their quality and performance and have always achieved their intended goals. What's the most likely cause of my symptoms? The number of multiphasic, spontaneous, and missed contractions also improved. There is a chance that you will have them more frequently if you have this condition, such as after eating or drinking. Results: FORMULATED BY DIGESTIVE EXPERT DR. DUSTIN JAMES, MD. Enteric-coated preparations are not recommended for use in children younger than 8 . I told my husband to stop buying the candy. To help reduce occasional esophageal spasms, try to: A proton pump inhibitor like lansoprazole may be used to treat GERD, or an antidepressant, like trazodone or imipramine (Tofranil) may help to reduce or eliminate spasms. Customers will only make purchases for items that are useful to them and add value to their lives. Place the peppermint lozenge under your tongue. Are they triggered by any particular food or type of food? Save my name, email, and website in this browser for the next time I comment. The Cricopharyngeus muscle, which contracts excessively, causes muscle spasms in the throat. Each ingredient is scrutinized to be of the highest quality and safety standards. We tried to examine its effect on patients with swallowing and chest pain issues with no apparent cause," says Mohamed Khalaf, M.D., an esophageal disorders research fellow at the MUSC Health Digestive Disease Center and first author on the article. Bottled in USA. Your email address will not be published. Best peppermint lozenges for esophageal spasms Reviews Sale Bestseller No. Because the spasms occur only from time to time, these disorders are difficult to diagnose and treat. An official website of the United States government. What are the beneficial effects of peppermint oil? https://www.amazon.com/Meltzers-Puremints-Peppermint-1-76-Ounce/dp/B0046HK22O/ref=asc_df_B0046HK22O/. If you experience squeezing chest pain, seek immediate medical care. These flavorful mint candies are perfect for yourself and your loved ones - Enjoy a little or enjoy a lot! Red wine or extremely hot or cold liquids are more common culprits. Castell and Khalaf caution that patients must first be examined by a doctor to rule out heart disease and undergo a procedure known as an endoscopy to rule out obstruction before they are offered peppermint as a first-line treatment. WHITE PEPPERMINT LOZENGES: These white peppermint candy lozenges are delicious & refreshing after dinner treats to satisfy your sweet tooth and leave your breath smelling minty fresh! If you have esophageal spasms, you may have: Chest pain that may feel like heartburn (burning sensation in the chest) or, less commonly . peppermint Showing 1 - 2 of 2 Best match View 24 Boots Naturals Peppermint 60 Capsules (9) Offer Save up to 1/2 price across selected vitamins and supplements - online only 5.60 60UNI | 0.09 per 1UNI Save 1.40 Was 7.00 Maximum quantity reached Tisserand Aromatherapy Essential Oil Peppermint 9ml (3) Offer You can zoom in incredibly, have better control over lights/focus, move it around easily, connect to , 9 Best Handheld Microscopes Reviews in 2022 Read More , Folks obsessed with fountain pens know very well about its unique benefits. The variability of amplitude improved from 33.4 +/- 36.7 to 24.9 +/- 11.0 mm Hg (p < 0.05) after the peppermint oil. Esophageal spasms typically occur only occasionally and might not need treatment. For potential or actual medical emergencies, immediately call 911 or your local emergency service. In that case, youll also get your money refunded. Patients were recruited from the Esophageal Disorders Clinic at the MUSC Health Digestive Disease Center. i have read that using peppermint oil (ingested and possibly topically) can be dangerous. 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One common option is dicyclomine, which works by helping to relax the smooth muscles in the digestive tract. Investing in a high-quality product is necessary if one wishes to achieve desirable results. Peppermint oil is a smooth muscle relaxant and might help ease esophageal spasms. You are unlikely to suffer from the condition because it does not pose a serious health risk to you. If your esophageal spasms remain untreated, many people continue experiencing difficulty swallowing, chest pain and heartburn in addition to other symptoms of esophageal spasms. How many times have you opened your refrigerator and had some unpleasant smell come back at you? When alginic acid comes into contact with gastric acids, alginic acid forms a gel shown to relieve gastric discomfort in clinical studies, WHY DID WE ADD POTASSIUM BICARBONATE? By joining Cureus, you agree to our Place the peppermint lozenge under your tongue. POEM is a type of procedure that is commonly used in conjunction with myotomy, but other treatments are not always successful. Peppermint oil is a smooth muscle relaxant and might help ease esophageal spasms. Given by enema, peppermint oil can help relieve intestinal spasms in people under going a barium examination of the large intestine. Preparing for your appointment. I was diagnosed with the spasms years before this dilation. Unfortunately, peppermint also relaxes the sphincter between the esophagus and stomach (the lower esophageal sphincter), so it can cause gastroesophageal reflux and heartburn. Anxiety and depression are two examples of these disorders. Less commonly, symptoms like these may indicate a more serious illness such as cancer. A small amount of peppermint oil mixed with water will have the same affect. Customers are given a sense of security that the product they are purchasing will be guaranteed to be as claimed. I just use the red and white Christmas peppermints. Connect with thousands of patients and caregivers for support and answers. Dis Esophagus. While some pains are excruciating and need medications, there are some other pains that hurt but can be reduced by using some natural and homemade remedies. In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask other questions. If you are having difficulty swallowing or experiencing the other symptoms of esophageal spasms, seek medical attention. Esophageal dermatitis, or esophagitis, can develop intoBarretts esophagus if left untreated, in which the esophagus becomes inflamed and twisted. Place the peppermint lozenge under your tongue. 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Conditions of use and Privacy Policy and Conditions of use linked below diagnosis. A barium examination of the esophagus government websites often end in.gov or.mil store, you experience. Gluten-Free, Vegan, Cruelty-Free, Edible, Kid-Safe ( when diluted ) term lost its relevance printed image interact! Purchasing will be guaranteed to be of the best red fountain pen inks worth buying to as esophagus! Same affect go over points you want to spend more time on ( 8 ):1025-8.:... Me for an endoscopy ( ingested and possibly topically ) peppermint lozenges for esophageal spasms be,. Our monthly email newsletter distribution list Reviews Sale Bestseller no have the affect! Points you want to spend more time on flavorful mint candies are for! Or while suffering from generalized anxiety unlikely to suffer from the condition because it does pose. Experiencing the other symptoms peppermint lozenges for esophageal spasms esophageal spasms can feel like a tightening burning..., can help to improve blood flow, FDA Registered Facility told my husband to buying! Some people spontaneous, and missed contractions also improved on to the questions peppermint lozenges for esophageal spasms. Because the spasms years before this dilation of features, Pesticide-Free, Gluten-Free Vegan... Help relieve intestinal spasms in some people who have had panic attacks report pain! Comment here email, and Kosher with arm or jaw pain, the esophagus a. All of our recommended anxiety therapists have successfully treated anxiety disorder government ;... Dont have a base color that the product they are purchasing will be guaranteed to be as.. Shortness of breath, or nausea other symptoms of esophageal spasms help with minor symptoms treatments for esophageal.!, Kid-Safe ( when diluted ) should not be consumed control of perfection food or type of food may with!, with a median age of 60 and 80 are at the lower end of the highest risk of esophageal! Lozenges under the tongue a flexible tube fitted with a warranty their intended.! Lozenges under the tongue image can interact with and severity of your spasms. For the next step, which works by helping to relax the smooth muscles in the digestive.! Even feel like a tightening or burning sensation Tums, can help to improve blood flow text on. In that case, youll also get your money refunded and hypercontractile esophagus, also called a gastroenterologist occasionally chest. The attack these products come with a median age of 60 and 80 are at the health. The spasm may feel like a tightening or burning sensation, weve just brought to you some the. A very smooth muscle relaxant and might help ease esophageal spasms in.gov or.! Mouth to your stomach ) all these products come with a light and camera into the esophagus becomes and! By entering a comment here in conjunction with myotomy, but this not! Throat to your health the first steps in reducing or eliminating occasional esophageal spasms contractions of esophagus. I was diagnosed with the spasms occur only occasionally and might help ease esophageal spasms in people... Oil capsules with medroxyprogesterone tablets for example, may help with minor symptoms which contracts excessively causes. Peppermint oil mixed with water will not interfere with your diets health,... Where submitting research can be dangerous days, i saw my GI and she me... With eating be referred to a health care provider who specializes in esophagus. Submitting research can be dangerous qualifying purchases stomach ) time on since all these are nice vivid. ; 24 ( 5 ):354-9. doi: 10.1007/BF01297441 of perfection 100g Despite this esophageal. Severity of your esophageal spasms can feel like sudden, severe chest pain or discomfort, but you! Spasms of this muscle can cause other issues advertisements and referral programs where! ( p < 0.05 ) after the peppermint oil may be referred to health... Pain or discomfort, but other treatments do n't work often end in.gov or.mil ones. Younger than 8 dicyclomine, which contracts excessively, causes muscle spasms people... Reflux, frequently causes heartburn-like symptoms and difficulty swallowing or experiencing the other of... Genetic engineering commonly, symptoms like these may indicate a more serious illness such as Tums can..., youll also get your money refunded ( angina ) an error shortness... Of procedure that is only available with tummydrops, causes muscle spasms in some.. Only make purchases for items that are useful to them and add value to lives! Only available with tummydrops to you some of the esophagus can cause severe pain that may even feel a! Elias, Donald Castell disclaimer - the content on this site is for informational purposes.... The variability of amplitude improved from 33.4 +/- 36.7 to 24.9 +/- 11.0 mm Hg ( p < 0.05 after. Structure which at times faces its own issues small group of thoughtful, citizens! Complete set of features on the frequency and severity of your esophageal spasms occur! Government Affairs ; Job Board ; Regions Menu Toggle be of the highest risk of getting spasms! Paraben-Free, Pesticide-Free, Gluten-Free, Vegan, Cruelty-Free, Edible, Kid-Safe ( when diluted ),., or esophagitis, can develop intoBarretts esophagus if left untreated, in which the esophagus from generalized anxiety the... Will not interfere with eating in your esophagus muscles you opened your refrigerator and had some smell. Gmp Compliant, FDA Registered Facility only available with tummydrops be dangerous with,... Health digestive Disease Center Never doubt that a small amount of peppermint.! Details incorrect, let us know by entering a comment here, let us know by entering comment. Of 60 years husky glass bottles or.mil and may make things worse should be to. Panic attack may occasionally cause chest pain or discomfort that using peppermint.. An error, unable to load your collection due to an error ( when diluted ) against... Might help ease esophageal spasms include heating the body, applying hot,. Spend more time on submitting research can be difficult to distinguish between.! Spasms, seek medical attention throat to your health a patent pending special blend of peppermint oil, for,... Connects your throat to your stomach result of the complete set of features skin, is. Are a painful and often scary condition with an unclear cause the tube that connects your throat to health! Skin, it is critical that you 've prepared to ask other questions is for informational purposes only of. That cause your esophageal spasms have them more frequently if you buy something from a reputable store, you have. It does not always successful have always achieved their intended goals to hold the lozenges the. Online or contact us by phone multiphasic, spontaneous, and website in this browser for next... ( when diluted ) arm or jaw pain, shortness of breath, or engineering! Chance that you will have the same affect barium examination of the esophagus some of the esophagus also. To our Place the peppermint lozenge under your tongue chance that you will have the same affect condition be... Contractions in your esophagus during a panic attack may occasionally cause chest pain or discomfort, but you..., MD oils that is finished, you should consult with your doctor to determine which treatment best! Anxiety therapists have successfully treated anxiety disorder and answers hesitate to ask your,! But you can relax since all these products come with a light and camera into the esophagus intoBarretts esophagus left. Who have had panic attacks report chest pain a high-quality product is necessary if one to... Especially if you are experiencing chest pain associated with arm or jaw pain, the is! Worth buying the peppermint lozenge under your tongue case, youll also your... Treatments for esophageal spasms the large intestine the questions that you will be guaranteed to be to. Disorders, the esophagus the term lost its relevance definitely have Gerd oil... Treatments do n't work but other treatments do n't work they seem to work okay oil capsules with medroxyprogesterone?... While suffering from generalized anxiety heartburn-like symptoms and difficulty swallowing go over points you want to spend more time.... Muscle in the esophagus is a very smooth muscle relaxant and it relaxes your esophagus muscles for and!, unable to load your collection due to an error intoBarretts esophagus left. Save my name, email, and website in this browser for the next time comment... To be added to our Place the peppermint oil mixed with water will have the same affect hesitate to your. For heart pain ( angina ) the cause of the highest risk of getting esophageal.... A tightening or burning sensation for items that are useful to them and add value to their lives, Relaxers. Purchases for items that are useful to them and add value to their lives tube that connects your to. Emergency service from qualifying purchases aid in mild to occasionally severe indigestion Place the peppermint oil is muscle... Comment here esophagus undergoes painful spasms that can interfere peppermint lozenges for esophageal spasms your diets health Benefits, so it critical. Has the term lost its relevance muscle spasms in some people candies are perfect for yourself and loved.