I’ve had 3 opinions to find out what is causing my randim chest pains. I also have a recurring hiatal hernia. Thev3rd doc thinks I mifht have esophageal spasms. I need more tests, but he said it could mean surgery, meds, or both. Some people get telief from Alroids mints! Natural peppermint is a natural muscle relaxer. So while I wait for more tests, I am going to keep a tin of altoids by my bed. It can’t hurt. I will be following. Good luck. This is painful and frustrating.