In India, 60% - 70 % of people were suffering from digestive disorders and cause significant mortality. Narrated 50% of the rural populations are unaware of the diagnostic procedure and not willing to come forward because of anxiety. Education of the patient prior to the procedure about the things they will see, feel and hear during the procedure has a significant role in reducing anxiety and fear. Objectives to assess the pretest and posttest level of salivary cortisol and anxiety among patients undergoing endoscopy. Assess the effectiveness of peppermint inhalation on salivary cortisol and anxiety among patients undergoing endoscopy. to establish the relationship between salivary cortisol level and anxiety among patients undergoing endoscopy. And to associate the posttest level of salivary cortisol and anxiety among patients with their selected demographic variables.

Methodology: A True experimental study design using targeted sampling techniques was used to conduct a 30 patients undergoing endoscopy. The data was collected with the help of structured questionnaires. Confidentiality was maintained throughout the process. The data collected was analyzed using descriptive and inference statistics.

Results: The demographic characteristics of the patients are presented in according to which no significant difference was observed between the intervention group in terms of the evaluated variables. Regarding the results of beck anxiety inventory scale, the level of anxiety was significantly decreased in group at the post-intervention phase Show ever, there was a more significant reduction in the level of anxiety in the patient in the intervention group. Furthermore, a significant difference was observed between the group after salivary cortisol in terms of the level of anxiety.

Conclusion: According to the result of the current study, salivary cortisol with peppermint reduced the level of anxiety in patients before endoscopy. In addition to the medicinal effect of peppermint, the process adds a mental impact and distracted the attention of patients resulting in reduced level of anxiety in the subjects before and invasive procedure. Therefore, it is suggested to use this method as a non-pharmacological, low risk, and pleasant technique in patients before invasive procedures such as endoscopy.