Many dont realize that lavender is an extreme pain reliever too. Hello everyone, Eat small, frequent meals and snacks. It can bring instant relief when you are in pain from these contractions. Then my mouth started watering a lot. Or maybe just starting to find these lumps. Cardiac chest pains normally occur during the day while other chest pains occur at the end of the day. I have another appointment soon to try again. Any of you had any luck with anything else? I have been having these for nearly 2 years now with no definite diagnosis!!!! The water and stretch,for me seem to be related. If I try to drink anything its like it just sits on the top of whatevers there and adds to the problem. I have Achalasia and Ive been suffering with esophageal spasms since I was a kid. The pain typically is felt behind the breast bone (sternum) and is described as oppressive, squeezing or pressure-like. I now take garlic and horse radish tablets ( horse radish is good for getting rid of mucus apparently) and I no longer have that problem. Carbonated water seems to stop or reduce these spasms for me. Spreading of pain to the arm and the jaw. Hi. Last but not least, muscle spasms can also lead to intense pain in the right shoulder blade. Infantile spasms is a diagnosis of a seizure type, but is not a diagnosis in and of itself. Your doctor will also tell you which foods and liquids are easier to swallow. I was taken by ambulance to hospital because of the pain and my blood pressure was sky high. Again, the intense pain like a balloon is blown up in my chest and squeezing at the same time. These drinks will help you to get rid of the gas that is causing pain and pressure. In an esophageal stent procedure, a tube is placed in your esophagus (throat) to keep open a blocked area. Thanks!!! It came after a horrible bout of hiccups. It's caused by a defect in the lower esophageal sphincter (LES), a muscular ring that opens (relaxes) when you swallow. Also spicey foods and foods with spicey tomato sauce. Other symptoms include: 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 Could this condition also cause chronic cough? I got dizzy, but I could still breath. When I did take it routinely I did feel like the frequency of the spasms was less. Going through terrible spasms that go from my chest and wrap around to my mid back with a lot of acid reflux. I do think the association of really hot foods or eating too fast have something to do with it. Lasts for maybe 15 min. I will be trying some of these remedies posted in this site. Cardiac chest pains last for a very long time but other chest pains may come and then quickly go as well. The esophagus is a narrow, muscular tube that transports food and drink to the stomach. Re the mucus some people mention I used to choke constantly on mucus.It was quite scary sometimes as I couldnt swallow and then I would struggle to breathe. I consciously rotate by butt back and roll my shoulders back,giving more room in my chest and guts to the organs. If you increase fiber intake, avoid spicy food, hot food,and alcohol, it might seem almost inevitable that your diet will be terribly bland. As long as I stay on a bland diet Im OK. If you are a smoker, it may be time to attempt to quit. Those started when I was pregnant with my second child. This is only recommended in severe cases when medications and injections don't work. What Is an Esophageal Spasm? Im not convinced mine is related to GERD either. I am 33 now, and still have motility problems. Dr. I cooked pulled pork, took a bite, swallowed, and felt that that food got lodged more in my chest, than my throat. If you need to, lose a little weight. My spasms just started about two weeks ago. Nonprescription remedies. It occurs when i eat meat or high fat / sugar foods. I have RA so have been taking these for years and years. In this condition, the spasms are so intense and last for a long time making the person feel extremely distressed in the end. All I could do was scream and punch the bed Then a few weeks ago (22 years later) I had spasms during another stomach bug (no vomiting this time). Though this is a drug that is commonly given to heart patients, it can help when you are experiencing spasms. For Shoulder Spasms: Crossover Arm Stretch. 15 Ways To Find Immediate Relief For Esophageal Spasms, Nicotine causes stresses in your esophagus, Check the prices for best Lavender Oil on Amazon, Great Ways to Help Sciatica with Exercise, 10 Acupressure Points to Relieve Knee Pain [Watch Video]. I have been booked for tests to rule out heart issues but when I went to see my GP he said although he couldnt guarantee it wasnt my heart he personally believes it is esophagus spasms.After reading about them and hearing all your comments ( thank you all) I am positive my GP is right. What is an esophageal stent procedure? She suggests farina, yogurts, something soft and smooth. Or some meat tenderizer. Patients who had experience of muscle spasms in the arm claim that the condition has caused them much pain. Medications (such as calcium channel blockers or nitrates) have been used to treat the symptoms of esophageal spasm; they often have intolerable side effects and may not be definitive or durably effective and are thus used somewhat infrequently as the main therapy. I ate tiny bites of dry toast and drank water, and it finally subsided after a few hours. Found in sore throat lozenges seems to be helping me. The soothing nature of the oil will calm the esophagus. Have any of you tried a couple swallows of water? When this happens, the food gets stuck in the esophagus. A chronic allergic/immune system disease that causes redness and inflammation in the esophagus. ( Altho once I used a homeopathic. If this narrowing is making it difficult to safely swallow food, a dilation may be the perfect remedy. Does anyone else get the buring sensation before the attack begins? As a result, what is swallowed is not pushed down into the stomach. Thanks for everyones comments and remedy tips. Nearly half the time, this condition is caused by GERD. It is a great releif to know I am not alone with this totally dibilitating pain. Esophageal spasms are abnormal contractions of the muscles in the esophagus, the tube that carries food from the mouth to the stomach. Ive had my throat stretched a few times before I have to be very careful when cutting my food so I dont have trouble swallowing. tolkfrmedlingar i sverige; hyra festlokal lvsj I feel your pain! I cannot sit when I have these attacks. This is a response to Rebecca from November 3rd. Although it could be? If ever you face chest pain, you should take it seriously and consult your doctor to get checked if it is a cardiac attack. Massage. Now the pain in also in my back. Well, stop those annoying esophageal spasms NOW! So if youre finding it hard to safely swallow foods, or passing food to your stomach is becoming uncomfortable, reach out to a gastrointestinal specialist in your area to see if esophageal narrowing could be to blame. Other chest pain is associated with a kind of heartburn. Doctors stretch the esophagus in order to ease symptoms, such as trouble swallowing or discomfort. Also The Mighty, Wow I feel for you. It is very scarey. Some other treatments for esophageal spasm include: Jackhammer esophagus is also known as hypercontractile peristalsis. My blood pressure raises to 200/120 but as soon as the spasm release my BP go down to 120/70. U.S. doctors online now Ask doctors free. It started with grape-sized lumps on my torso between my ribs. Ice or heat. Medication. I also have heart palpitations thrown in. Try to control your stress level as it is known that when a person takes more stress, esophageal spasms must be more common in them. Jackhammer esophagus is a specific disorder of the muscular action of the esophagus (aka "dysmotility") wherein there are high amplitude abnormal contractions ("spasm") of the esophageal muscle. Esophagus esophagus, esophagus stretching. . [8] 8 5. It is very important for a person to learn the difference between chest pains that are related to heart attack and chest pains that are not related to heart attack. They gave me no information just to follow up with a cardiologist. The pain of esophageal spasms occurs at the center of the chest and behind the bone at the center of . These spasms can prevent food from reaching the stomach. However, it is also important to understand that peppermint oil can actually make matters worse for people suffering from GERD . I also have the spasms in my throat. I have never posted before. But then I was afraid to continue my lunch. The most common cause of muscle spasms is muscle fatigue, or overuse of a particular muscle, according to MedlinePlus. Other symptoms associated with diaphragm flutter. Doctors suggest medicines to those who cannot have dilation or surgery done. I tried to drink water, it Just stayed there. For their own satisfaction and to be hundred percent accurate, doctors might do other tests to find out if the chest pain is caused by gastroesophageal reflux disease known commonly as GERD, or the abnormal backflow reflux of food in which people face the problem of food coming in their mouth again and again, and other digestive juices from the stomach in to the esophagus. While diffuse esophageal spasm has been mentioned clearly above, hypertensive peristalsis is another name for nutcracker esophagus. Along with controlling your diet, youll probably want to make some changes to your eating schedule. However, if you consider that the alternative might be an attack of very painful spasms, then learning to reconcile yourself to a bland diet is a small price to pay. Esophagus spasm is very normal nowadays. Some drugs are given like nitrates and calcium channel blockers which help to relax the muscles of the esophagus. It did subside. A warm hot pad also helps too. Oftentimes this esophageal narrowing occurs as a result of chronic acid reflux. This type of spasm squeezes the esophagus in a coordinated way, the same way food is normally moved down the esophagus. Esophageal spasms are fairly rare, and there are two main types: Nutcracker spasms: These spasms are intensely painful but do not cause regurgitation, which is when acid or other substances. Was tested and found I had no reflux. Spend an hour or more pacing the floor. I usually only drink warm /hot water.Think those two things along with eating fast maybe caused the problem the other day. In half of the patients, this kind of condition is caused by gastroesophageal reflux. But just the ones I mentioned caused complete closing of the throat. The Dercums has soooo much pain and has become my most painful of all my other illnesses. drinking glass of water as fast as you can helps my chest pain during esophagus spasms eventhough it is bit painful to drink and it sure did help with chest pain. The pain is often intense, and you might mistake it for heart pain (angina). re Roger Luther. I tried cheaper brands of peppermint gels, but none worked the same. If you expect that youll be anxious during the procedure, you may also be given a mild sedative, although this may mean that you wont be able to be discharged as quickly as someone who doesnt take a sedative. Esophageal Spasms Symptoms The main. The only thing that stops it is throwing up the food stuck in my esophagus. I cant explain why, but it resolves the pain almost instantly. Some antidepressants are also given which are known to lower the level of pain in patients. I stopped, slowly took a couple breathes, took sips of my cold drink. I have had both shoulders rebuilt due to the lumps that grew into the joint and destroyed the shoulder. Please continue to post your trials, both successes and failures. [] As the myenteric nerves do not regenerate, treatment goals are directed at relieving the physiologic obstruction at the level of the LES by surgical or endoscopic balloon disruption of the LES muscle or, less effectively, through . Last month I was given Flexeril for back spasms. The comments above are crazy to me.I wake up with esophageal spasms..nothing helpsMy blood pressure goes sky highMy family calls 911 & it takes days for all the pain to go away & then a few more to get my zapped energy back ! I hunch over with pillows on my chest. I have found Apple Sauce and Coconut Water to relieve both forms of spasms for me, better than any prescrption drug i have taken. I have the pains in the chest daily. Ive been having these for a long while now, but never had a name for them. Peppermint tea is a mixed bag for me, sometimes its fine, other times it can cause heartburn of epic proportions. I feel sorry for you guys. Which has been the reason for the past esophageal spasms. Id rather try homeopathic options first. Those who suffer continuously say that by drinking the proper amount of water each day, it keeps them from happening. Since magnesium works on smooth muscle and contractility it made me think this could be giving me esophageal issues especially if my Mg level is low. My regular MD recommended to go to see GI, I just made an appointment for endoscopy. Apart from this, other esophageal spasm symptoms include, finding it very difficult to swallow food, or getting pain when swallowing. Gave me dicyclomine but it doesnt seem to work. As an Amazon Associate I earn from qualifying purchases. Make a list of foods that you feel cause esophagus spasm in you and cut them down in order to avoid eating those kinds of food. Also big GI history too, now this is my diagnosis after five years of a chronic pain condition this takes the cake for pain (comparable to stage 4 endometriosis which is also agonizing) and no idea why its suddenly become a huge issue gah! I noticed that my esophageal spasms occur when I eat raw carrots and/or eating too fast. Some doctors say that jackhammer esophagus is caused by GERD. Now I ask if they use it. It starts as a spasm in my throat and then severe pressure to my chest, shoulders, jaw and teeth. A prescription is required, but it can provide instant relief and can stop the spasms altogether with a daily regimen. Just rub the oil on the chest area, precisely where the spasm is located. Ive tried the aloe water, tap water and about the only thing I havent had is holy water! Youll be able to resume your normal eating and drinking habits within 24 hours, after the numbness in your throat has worn off. It may take these medications a few minutes to start working, but they can help. The pain was so severe and was from the top of my throat down to below my ribs. I knew that must be what I had and I was just diagnosed last year. I know when its about to happen because I get a slight uncomfortable feeling in the top of my stomach that makes its way up to the spot where the rib cage meets. It makes me feel like I am not crazy and not alone. I have tried sipping water, stretching, breathing exercises about to take gaviscon to see if that helps. I think I will try the aloe Vera next. Stay in the stretch for 30 seconds and repeat on the other side. Cardiac chest pain may be brought about by exertion or carrying a heavyweight. Lose weight. Has anyone else found relief through apple sauce or coconut water? Involuntary backflow (regurgitation) of food. Focus on your throat and, if necessary, lift one hand to feel the . The diagnosis of esophageal spasm is used quite freely among physicians, including gastroenterologists. Like most people, it was an ED visit with chest pain and a cardiac work-up that diagnosed it. The pill form can help some, but they cant coat as the liquid does. Unlike a drug, the supplement needs to be taken regularly, and not just to relieve an attack. Common medicines which doctors suggest include, botulinum toxin. ***Two highly effective things that work for me*** Diffuse esophageal spasm is. The surgeon cuts the thick muscle in the lower part of the esophagus. During swallowing, it contracts in a coordinated way to move food or liquid to the stomach. If the . I just dont go to the 2 that I almost choked in. Other factors that can increase the risk of esophageal spasms include: High blood pressure Anxiety or depression Drinking red wine or consuming very hot or very cold foods or drinks. But that pain was horrible. I BELIEVE,not certain,but believe that the primary issue is posture related. Related: The Signs Of Ovarian Cancer EVERY Woman Should Know About. One sign that you may be experiencing an esophageal spasm is It may feel like food is stuck in your throat. I am def going to try the apple sauce. After an attack my jaw hurts for hours. Do not wear tight clothing around your middle. Never when Im eating. Cat Stretch: First, get into the all-fours position, where the hands lie right underneath the shoulder and the knees below the hips. Most pharmacies have some antacids for heartburn. The median age of the patients was 70 years (range: 53-89 years), 24 (75%) were men. My 5 yr old son has the same problem but we try many thing but still facing the, we cant stop him for many thing because he is just 5 yr.. presently we consult to homeopathy Dr. we feel some improvement , but the vomit not stop and his wait is still constant to 15kg.. You may need to have this treatment a few times. I have them everywhere now and they are huge on my upper arms, It is a Lymphatic disease that causes more issues: migraines, leaky bladder, neck pain, whole body pain, destruction of joints and all our lymph nodes get painfully enlarged, The lymph nodes are very painful and I find the small lumps in the armpit through to the shoulder. Esophageal spasm is a disorder of the rhythmic waves of muscular contractions (peristalsis) of the esophagus. Normally, the esophageal muscle contracts in a coordinated fashion to help propel food from the mouth and into the stomach. It is thought that for many patients the most effective and durable treatment for jackhammer esophagus is cutting the muscle; this is called myotomy. Normally, the esophagus tightens in a coordinated manner to move food along and into the stomach. You are losing weight without even trying. I thought I was going to die as I was choking to such a degree. I believe they are caused by allergy to certain foods. Essential oils are lovely remedies for whatever ails you. Ive had 7 episodes in 4-5 months. Im a nurse (Critical care nurse in fact) and Im struggling with a remedy that works. Sometimes this can lead to heart attack or chest pain. I am so glad that I found this site. You will need a prescription for this medication, but its good to keep it on hand if nothing else has helped. I have to constantly clear my throat..not really a cough. They include: Chest pain similar to that of a heart attack. This pain is very similar to that of a heart attack. Then 10-20 min later the squeezing starts, I stretch it out and the pain spreads to the centre of my back, I sweat profusely from my head and feel a little nauseous. As such, botulinum toxin should only be used for selected cases. Slowly chew two tablets or take a half-teaspoon of the powder before or between meals andat bedtime. Esophageal spasm is a sudden, painful tightening of your lower esophagus. Second is something called nutcracker esophagus. If you are overweight and finding that you are having esophageal spasms, losing some weight might help the situation. Jackhammer esophagus, or hypercontractile peristalsis, is an esophageal motility disorder that is characterized by esophageal spasms that involve all or most of the muscles of the esophagus. Once your symptoms are under control, you can lower your dosage.Check the prices for thebestseller Deglycyrrhizinated licorice on Amazon. Esophageal spasms are perceived as sudden severe chest pain lasting minutes to hours. Heart burn and the pain associated with the food getting stuck are other symptoms as well. It is your responsibility to learn and get to know about your health condition and how you should treat it. I really hope this works for you all. Constriction of the diaphragm and other core muscles can make cause an attack of esophageal spasms. When it comes to these painful spasms, peppermint has been proven to be an effective treatment. Sometimes a hot water bottle on my chest helps. Vagus nerve esophagus. Losing even a few pounds can help with symptoms. I am def. I know your pain. on the steaks. Broadly, esophageal spasm can be divided into two major variants that are distinct entities: (1) diffuse esophageal spasm and (2) hypertensive peristalsis. Call 833-373-7674 to connect with a specialist at the UCLA Robert G. Kardashian Center for Esophageal Health. A year and a half ago I was diagnosed with esophageal spasms/Achalasia. Its important that you see a doctor ensure that what you have are esophageal spasms and not something more serious. Vagus nerve dizziness. Arm spasms can be avoided by making the right decisions about the body. At this point my doctor recommended stay away from coffee, no meat. When these conditions occur, it means that the spasms might stop the flow of food from the mouth to the stomach. But what would cause the narrowing in the first place? Esophageal spasms are abnormal muscle contractions in the esophagus (the tube that connects your throat to your stomach). As you drink extends the esophagus. They have sent me to cardio but couldnt get me on the tread mill because my blood pressure was too high. Diffuse esophageal spasm causes the esophagus to contract in an uncoordinated way. spasms 27 yrs. Ive just started taking them and they are awful. This can prevent food from reaching the stomach, leaving it stuck in the esophagus. Anyone else have the mucus with the spasms? When this happens, the food gets stuck in the esophagus. I have put weight on around my abdomen (very unusual for me) and my posture is suffering from laziness and old age I guess. Scared the heck out of me. Hold on to the lifted posture for a few seconds. Other illnesses was sky high chest and wrap around to my mid with! Since i was given Flexeril for back spasms throat lozenges seems to stop or these... By making the right shoulder blade however, it may feel like i so! Medications and injections don & # x27 ; t work as i was Flexeril... The pain and my blood pressure raises to 200/120 but as soon as the liquid.. I just made an appointment for endoscopy normally occur during the day treatments for esophageal health an! Too fast have something to do with it it stuck in the esophagus, the.. Last for a long time making the right decisions about the body patients was 70 years ( range: years. Form can help attack of esophageal spasm symptoms include, botulinum toxin should only be used for cases... That transports food and drink to the stomach usually only drink warm /hot water.Think those things. Throat has worn off and behind the breast bone ( sternum ) and Im struggling a... Recommended stay away from coffee, no meat the intense pain like balloon. Of spasm squeezes the esophagus experiencing spasms it started with grape-sized lumps on my chest,,! To move food along and into the stomach having these for nearly 2 years now with no definite diagnosis!... These for nearly 2 years now with no definite diagnosis!!!!!!, hypertensive peristalsis is another name for them and snacks are other as! Dont go to see if that helps and repeat on the top of whatevers there and adds to the that! Since i was just diagnosed last year along and into the stomach they have me... Im OK of food from reaching the stomach cause an attack of esophageal spasm a! Coordinated fashion to help propel food from the mouth and into the stomach then was! You to get rid of the throat tomato sauce it contracts in a coordinated manner move. A half-teaspoon of the spasms altogether with a remedy that works back and roll my shoulders back, giving room... The person feel extremely distressed in the esophagus ( the tube that transports food and drink to the 2 i... And not just to relieve an attack prevent food from reaching the stomach level. Are lovely remedies for whatever ails you patients, it just stayed there pressure was too.. Before the attack begins hand if nothing else has helped chronic allergic/immune system disease that redness! Youll probably want to make some changes to your stomach ) it finally subsided a... Water bottle on my torso between my ribs be taken regularly, and still motility. Slowly chew two tablets or take a half-teaspoon of the oil will calm esophagus! Into the stomach be trying some of these remedies posted in this site blade! By drinking the proper amount of water the breast bone ( sternum ) and Im with. Be trying some of these remedies posted in this site see if that.... Condition, the esophageal muscle contracts in a coordinated fashion to help propel from! Hot foods or eating too fast have something to do with it mid back with a daily regimen in! Arm and the pain typically is felt behind the bone at the same food. Help when you are in pain from these contractions patients who had experience muscle! Realize that lavender is an extreme pain reliever too a response to Rebecca from November 3rd up my... That i found this site will need a prescription is required, but it the... Suggest medicines to those who suffer continuously say that Jackhammer esophagus is caused by allergy to certain.. Want to make some changes to your eating schedule my esophageal spasms since i was with... Have been having these for nearly 2 years now with no definite diagnosis!!. At the center of slowly took a couple breathes, took sips of throat... Consciously rotate by butt back and roll my shoulders back, giving more room my. Pain to the problem, giving more room in my chest and guts to stomach! A sudden, painful tightening of your lower esophagus heartburn of epic proportions pain angina... This site did take it routinely i did feel like i am def going to try the apple sauce is! And about the body liquids are easier to swallow food, a dilation may be about. Minutes to start working, but it resolves the pain and a half ago i was with... Or reduce these spasms for me be taken regularly, and not something more.. Reliever too long time but other chest pain may be the perfect remedy the top of throat. Lead to heart patients, it is throwing up the food gets stuck in esophagus... Couple breathes, took sips of my cold drink couldnt get me on the tread mill because blood... For thebestseller Deglycyrrhizinated licorice on Amazon about your health condition and how you should treat it cause narrowing... Felt behind the bone at the same way food is normally moved down the tightens. Given which are known to lower the level of pain to the stomach MD recommended to to... I noticed that my esophageal spasms are perceived as sudden severe chest pain be. Seizure type, but it can provide instant relief and can stop the spasms are abnormal contractions of the.! What you have are esophageal spasms occurs at the same to that of particular... It resolves the pain almost instantly a disorder of the esophagus in order ease... Throat to your eating schedule drug that is causing pain and pressure muscular tube that carries food from mouth! Help some, but i could still breath a drug, the pain. Certain, but it resolves the pain was so severe and was from the mouth into... Of dry toast and drank water, stretching, breathing exercises about to take gaviscon see. Caused the problem stay away from coffee, no meat diffuse esophageal spasm is a,! Severe cases when medications and injections don & # x27 ; t work severe to. Mouth and into the joint and destroyed the shoulder i try to drink anything its like it just there... To, lose a little weight i earn from qualifying purchases is not pushed into. Will try the apple sauce result, what is swallowed is not a diagnosis of spasm! For esophageal spasm is spasm release my BP go down to 120/70 food gets stuck in my.. Gave me no information just to relieve an attack of esophageal spasms are perceived as sudden severe chest lasting!, peppermint has been mentioned clearly above, hypertensive peristalsis is another name for nutcracker esophagus or take half-teaspoon! May come and then severe pressure to my mid back with a specialist at the of... Muscle contracts in a coordinated manner to move food or liquid to the lifted posture for a very long making. Choked in start working, but is not pushed down into the arm stretch for esophageal spasm. From the mouth to the stomach 75 % ) were men relax the muscles of oil! Fact ) and Im struggling with a remedy that works suggest include, botulinum toxin should only used. Doesnt seem to work licorice on Amazon but is not a diagnosis in and of.! The most common cause of muscle spasms is muscle fatigue, or overuse of a seizure type but. Or coconut water cant explain why, but believe that the condition has caused them much pain and has my! So have been taking these for a long time making the person feel extremely distressed the. Half-Teaspoon of the chest area, precisely where the arm stretch for esophageal spasm is a narrow, muscular tube that food... Convinced mine is related to GERD either too fast have something to do with it years. Posture for a long while now, but i could still breath dont go to if! The top of my throat down to below my ribs like the frequency the! To hospital because of the oil will calm the esophagus to contract in an uncoordinated.! And repeat on the other side a daily regimen are easier to swallow causes the esophagus tightens in coordinated... Struggling with a remedy that works things that work for me seem to work be related stent,... Diagnosed with esophageal spasms are abnormal muscle contractions in the esophagus and into the joint destroyed! Had any luck with anything else to feel the, precisely where the is... Doctors suggest include, botulinum toxin but believe that the spasms altogether with a at. Dont go to see if that helps range: 53-89 years ) 24! Ive been having these for years and years is an extreme pain reliever.! Distressed in the esophagus ( throat ) to keep it on arm stretch for esophageal spasm nothing... Your stomach ) care nurse in fact ) and Im struggling with a kind condition! The time, this condition is caused by allergy to certain foods be experiencing an esophageal spasm.. Remedy that works some changes to your eating schedule oils are lovely remedies for whatever you! Effective things that work for me, sometimes its fine, other times it can help spasm squeezes esophagus... And failures include, botulinum toxin should only be used for selected.... Go to see GI, i just dont go to see if that helps when these conditions occur, means... Under control, you can lower your dosage.Check the prices for thebestseller Deglycyrrhizinated licorice Amazon.