Is there a MD here?

[yossie]

» I don't know how it happened...but it is now her screensaver.

You'll be fired by your boss...

[Professor Twain]

I love being part of an international Board.

[bikeguy1]

» Thanks for your professional advice.

» I've also heard proton pump inhiibitor is better. I will request it my

» doctor. I'm not sure he accepts it or not though.

Yossie,

In the U.S., proton pump inhibitors are available over-the-counter without a prescription...check at your local pharmacy to see if they're available..I know pharmaceutical distribution is different in Japan.

[yossie]

» In the U.S., proton pump inhibitors are available over-the-counter without

» a prescription...check at your local pharmacy to see if they're

» available..I know pharmaceutical distribution is different in Japan.

Hi bikeguy. PPI needs prescrtion to buy. and Doctor can't sell more than 8 weeks in here.

I don't know why but It's true.

If I get it, I would like to challenge sir winston or vegas robaina's double corona:-)

[jqmunro]

» » Thanks for your professional advice.

» » I've also heard proton pump inhiibitor is better. I will request it my

» » doctor. I'm not sure he accepts it or not though.

»

» Yossie,

»

» In the U.S., proton pump inhibitors are available over-the-counter without

» a prescription...check at your local pharmacy to see if they're

» available..I know pharmaceutical distribution is different in Japan.

Try Prilosec OTC... it's an over the counter dose... you can probably double the dose if you are daring

[cls515]

Before you go pumping new meds into your system, try taking a couple antacids and see if it helps. If it doesn't, then look into the proton pump inhibitors.

[crossbow]

» Well, Currently My stomach is not so good. It may come from pressure.

» So, I take a drug called H2 blocker. With it, I can smoke some vitolas

» like robusto , CG, PC.

» They're very nice. Then I thought If my stomach is completely cured or

» becomes stronger , I will be able to smoke even churchil or double

» corona!

» IMHO, Basically Bigger cigars are more nice.

» So, I want to know how to fix my stomach or make stronger it.

»

» Thanks for reading it.

Yossie-san

The fact that your doctor prescribed an H2 Blocker for you means that you could have an increased production of Stomach acid that could result into Peptic Ulcer Disease, tomodachi.

What has your doctor prescribed for you in terms of a Proton Pump Inhibitors?

Gomen Nasai, Yossie-san but my Advice: Spicy food, alcohol, Nicotine and coffee usually prompts to stomach to create more acid. Like me, You might have to lay off the three for a few days before smoking the Churchill or Double Corona cigar. But in asia, spicy food is impossible to avoid, alcohol is also almost impossible to avoid. At least try to avoid the Asahi, Suntory and the Sakes several days prior to smoking. Wakarimasu? This is why I prefer smoking smaller vitolas because of my stomach too.

Draw LESS Frequently. Just enough to savor the flavors yet less enough to keep the acid production on a manageable level. Small frequent feeding to avoid the increase in the stomach acid which will damage the lining of your stomach. Have soda crackers on hand.

C

[yossie]

» Yossie-san

»

» The fact that your doctor prescribed an H2 Blocker for you means that you

» could have an increased production of Stomach acid that could result into

» Peptic Ulcer Disease, tomodachi.

» What has your doctor prescribed for you in terms of a Proton Pump

» Inhibitors?

»

» Gomen Nasai, Yossie-san but my Advice: Spicy food, alcohol, Nicotine and

» coffee usually prompts to stomach to create more acid. Like me, You might

» have to lay off the three for a few days before smoking the Churchill or

» Double Corona cigar. But in asia, spicy food is impossible to avoid,

» alcohol is also almost impossible to avoid. At least try to avoid the

» Asahi, Suntory and the Sakes several days prior to smoking. Wakarimasu?

» This is why I prefer smoking smaller vitolas because of my stomach too.

»

» Draw LESS Frequently. Just enough to savor the flavors yet less enough to

» keep the acid production on a manageable level. Small frequent feeding to

» avoid the increase in the stomach acid which will damage the lining of

» your stomach. Have soda crackers on hand.

»

» C

First of all, I'm surprised that you know Japanese things so much. Rob doesn't know even where Japan is:-D

And , I thank for your attention but .. There're not so much spicy foods in Japan. in Asia Yes, like Thailand, Korea.

So, I don't eat such a meal. To be honest, I like to eat strong taste one like french for cigars. I can't smoke even partagas for its spicyness so much.

Surelly, Such brands' beer is less strong than Kirin's that I love:-P Nevertheless I stop having when I'm sicked.

Then, heading to the main topic, I don't know why he sold an H2 blocker. I might say "I want it!" to him. Because I didn't know proton pump inhibitors.

If Habanos makes smaller version of sir winston and romeo churchil , I don't have this kind of problem. and they would be ecomic. :-)

At last, I really thank you dude.

[crossbow]

» » Yossie-san

» »

» » The fact that your doctor prescribed an H2 Blocker for you means that

» you

» » could have an increased production of Stomach acid that could result

» into

» » Peptic Ulcer Disease, tomodachi.

» » What has your doctor prescribed for you in terms of a Proton Pump

» » Inhibitors?

» »

» » Gomen Nasai, Yossie-san but my Advice: Spicy food, alcohol, Nicotine

» and

» » coffee usually prompts to stomach to create more acid. Like me, You

» might

» » have to lay off the three for a few days before smoking the Churchill

» or

» » Double Corona cigar. But in asia, spicy food is impossible to avoid,

» » alcohol is also almost impossible to avoid. At least try to avoid the

» » Asahi, Suntory and the Sakes several days prior to smoking. Wakarimasu?

»

» » This is why I prefer smoking smaller vitolas because of my stomach too.

» »

» » Draw LESS Frequently. Just enough to savor the flavors yet less enough

» to

» » keep the acid production on a manageable level. Small frequent feeding

» to

» » avoid the increase in the stomach acid which will damage the lining of

» » your stomach. Have soda crackers on hand.

» »

» » C

»

» First of all, I'm surprised that you know Japanese things so much. Rob

» doesn't know even where Japan is:-D

» And , I thank for your attention but .. There're not so much spicy foods

» in Japan. in Asia Yes, like Thailand, Korea.

» So, I don't eat such a meal. To be honest, I like to eat strong taste one

» like french for cigars. I can't smoke even partagas for its spicyness so

» much.

»

» Surelly, Such brands' beer is less strong than Kirin's that I love:-P

» Nevertheless I stop having when I'm sicked.

»

» Then, heading to the main topic, I don't know why he sold an H2 blocker. I

» might say "I want it!" to him. Because I didn't know proton pump

» inhibitors.

»

» If Habanos makes smaller version of sir winston and romeo churchil , I

» don't have this kind of problem. and they would be ecomic. :-)

»

» At last, I really thank you dude.

Doitashimashite

I know so much of Japan because my ex- girlfriend was Japanese. For 6 years....Serious relationship from college all the way to Cha-no-yu ceremony at her family house up North of Sapporo. She was gorgeous and plays sax in a big band. Unfortunately, her father does not like Iteki or Gaijin for a son in law. Very conservative up north.

Back to your problem ..Habanos does make a smaller version of Romeo y Julieta churchill...and Rob has it in stock. The romeo y julieta short churchill. Also the Upmann mag 46 can provide a temporary substitute for your sir winnie.

So Dame yopparai (no getting drunk), dame kara sumigasu (spicy food)

and less mix on the Ramen. Preferrably you must carry soda crackers and water (suinomi) for small frequent feeding. Call your doctor's office (iin) if you get the stomach pains or itami ga hidoku naru.(if the pain gets worse)

Oh I forgot..dame coca cola and other soft drinks, wakarimasu tomodachi?

Kangoshi C

[yossie]

» Doitashimashite

»

» I know so much of Japan because my ex- girlfriend was Japanese. For 6

» years....Serious relationship from college all the way to Cha-no-yu

» ceremony at her family house up North of Sapporo. She was gorgeous and

» plays sax in a big band. Unfortunately, her father does not like Iteki or

» Gaijin for a son in law. Very conservative up north.

»

» Back to your problem ..Habanos does make a smaller version of Romeo y

» Julieta churchill...and Rob has it in stock. The romeo y julieta short

» churchill. Also the Upmann mag 46 can provide a temporary substitute for

» your sir winnie.

»

» So Dame yopparai (no getting drunk), dame kara sumigasu (spicy food)

» and less mix on the Ramen. Preferrably you must carry soda crackers and

» water (suinomi) for small frequent feeding. Call your doctor's office

» (iin) if you get the stomach pains or itami ga hidoku naru.(if the pain

» gets worse)

»

» Oh I forgot..dame coca cola and other soft drinks, wakarimasu tomodachi?

»

» Kangoshi C

Oh, I am so sorry to hear your sad memory.

Well, In the first, Let me excuse that You may think Japanese is exclusive.

But I don't think It's true.

In every nation, People in a rural area are conservative. For example, like citizens in the central US.

So, Please never disappoint at Japanese. I'm sure there must be good guys in here too like you.

I've never tasted but I have romeo short churchill in my humidor. It came yesterday from Lisa. and I have a SLB of Magnum46 too.

Since unfortunately the Upmann maybe bad blend (or counterfeit :crying: ), I don' think It doesn't become behalf of sir winston. It's still a good cigar though.

So, I'm looking forward to smoking the short churchil :-D

OK. I will go to a clinic to talk about it next week.

Hmmm.. I didn't know coke is bad. Yeah, I've known that It's bad for body.

[jqmunro]

» Before you go pumping new meds into your system, try taking a couple

» antacids and see if it helps. If it doesn't, then look into the proton

» pump inhibitors.

Considering he failed on an H2 blocker, I don't think antacids will work. PPI's are the next step.

If the main symptom is pressure you can try something like Maalox or Mylanta, which is an antacid, but if reflux is the problem, or ulcer disease, you should not rely on antacids for relief. The risks involved with the adverse outcomes of undertreated reflux and gastritis/PUD are too many and too much to not be on appropriate therapy.

[Colt45]

Okay Yossie, you've received some sound (and not so sound) medical advice. But in the words

of Chopper Reid, I think it's time to "Harden The F@*k Up!!" Grab a DC and smoke away.

In case you don't know who Chopper is:

Have a nice day :-)

[yossie]

» Okay Yossie, you've received some sound (and not so sound) medical advice.

» But in the words

» of Chopper Reid, I think it's time to "Harden The F@*k Up!!" Grab a DC and

» smoke away.

» In case you don't know who Chopper is:

»

»

»

» Have a nice day :-)

This morning I smoked punch DC out. It's not so good , Because I dislike this brand.

Almost of it had been ash for you guys' help. I really thank.

Then, I try sir winston , romeo churchil or VR DC next :-D

I have been dreaming to smoke them.

[Colt45]

» Then, I try sir winston , romeo churchil or VR DC next :-D

» I have been dreaming to smoke them.

Yossie, just my opinion, but go for the Sir Winston :-)

[cls515]

» » Before you go pumping new meds into your system, try taking a couple

» » antacids and see if it helps. If it doesn't, then look into the proton

» » pump inhibitors.

»

» Considering he failed on an H2 blocker, I don't think antacids will work.

» PPI's are the next step.

»

» If the main symptom is pressure you can try something like Maalox or

» Mylanta, which is an antacid, but if reflux is the problem, or ulcer

» disease, you should not rely on antacids for relief. The risks involved

» with the adverse outcomes of undertreated reflux and gastritis/PUD are too

» many and too much to not be on appropriate therapy.

H2 blockers and PPIs work for the same cause, reducing secretion of acid from parietal cells, where H2 blockers block histamine released from ECL cells. The Histamine activates the H/K pump via a signalling cascade, where PPIs also inactive the same pump. But, there are other signalling molecules that also act to activate the H/K pump. So....PPIs are the best treatment as they inhibit the signalling cascades of all secretagogues (histamine) by inhibiting their target. The antacids work even farther downstream, acting to neutralize acid itself. So I don't see how you can say since histamine antagonists have not worked effectively, antacids will also not work. The best case scenario would be to try antacids before a cigar to see if they help. If they don't, PPIs would be the next step up.

[yossie]

» » Then, I try sir winston , romeo churchil or VR DC next :-D

» » I have been dreaming to smoke them.

»

» Yossie, just my opinion, but go for the Sir Winston :-)

Sir winston is one of the best cigars for me. But I have only aged 6 sticks of sir winston. On the other hand, I have a young box of VR DC..

Choosing a stick from them is too tough for me.

Then, I may escape from this problem to smoke RDM lunch club.:-P

[Colt45]

Well, I just saw "my" post with the pic of nurse Lisa and baby PJ..........

I hope we all realize that our malevolent leader can manipulate the forum as he so desires -

though I can't understand why he would do this to one of the rank and file members, especially

with Ken back in town.

But, hypothetically speaking, if I had actually made such a post, it would not be the first time that

I found myself suffering from tainted cigars.....

[crossbow]

» » » Before you go pumping new meds into your system, try taking a couple

» » » antacids and see if it helps. If it doesn't, then look into the

» proton

» » » pump inhibitors.

» »

» » Considering he failed on an H2 blocker, I don't think antacids will

» work.

» » PPI's are the next step.

» »

» » If the main symptom is pressure you can try something like Maalox or

» » Mylanta, which is an antacid, but if reflux is the problem, or ulcer

» » disease, you should not rely on antacids for relief. The risks

» involved

» » with the adverse outcomes of undertreated reflux and gastritis/PUD are

» too

» » many and too much to not be on appropriate therapy.

»

» H2 blockers and PPIs work for the same cause, reducing secretion of acid

» from parietal cells, where H2 blockers block histamine released from ECL

» cells. The Histamine activates the H/K pump via a signalling cascade,

» where PPIs also inactive the same pump. But, there are other signalling

» molecules that also act to activate the H/K pump. So....PPIs are the best

» treatment as they inhibit the signalling cascades of all secretagogues

» (histamine) by inhibiting their target. The antacids work even farther

» downstream, acting to neutralize acid itself. So I don't see how you can

» say since histamine antagonists have not worked effectively, antacids will

» also not work. The best case scenario would be to try antacids before a

» cigar to see if they help. If they don't, PPIs would be the next step up.

Yossie-san

Before your medical case goes into discussion on Grand Rounds :-D :-D

May I suggest you go see your doctor since he will be on hand to assess you further and in detail than all of us. He will be in a better position to prescribe the proper medication for your abdomen.

Domo. Arigato Gozeimashite

Crossbow RN BSN

[yossie]

» Yossie-san

»

» Before your medical case goes into discussion on Grand Rounds :-D :-D

»

» May I suggest you go see your doctor since he will be on hand to assess

» you further and in detail than all of us. He will be in a better position

» to prescribe the proper medication for your abdomen.

»

» Domo. Arigato Gozeimashite

»

» Crossbow RN BSN

Their interest already has been changing from me. ;-)

It's OK. Because I don't know why but now that I can smoke cigars well.

Indeed, This morning I smoked Punch DC as I wrote above.

And am smoking Bolivar BF.

I realized after cured that Having cigars is a great pleasure in human's life.

[jqmunro]

Well, of course one can take any advice in the end, but there is a reason antacids are not considered an effective treatment. Thank you for the review of basic physiology, but unfortunately basic physiology rarely gives us the clinical answers we are looking for. I'm glad we can quote physiology books, but more importantly we should quote the clinical literature

[cls515]

» Well, of course one can take any advice in the end, but there is a reason

» antacids are not considered an effective treatment. Thank you for the

» review of basic physiology, but unfortunately basic physiology rarely

» gives us the clinical answers we are looking for. I'm glad we can quote

» physiology books, but more importantly we should quote the clinical

» literature

Yossi, nice to hear you are feeling better.

JQ-antacids are first line for cost effectiveness. Although I agree PPIs are the best, they may not be needed and are more expensive.

[marco polo]

Just my two cents, but your stomach may not can tolerate the

tobacco juice your saliva is producing as you smoke. Try spitting

frequently as you are smoking and drink a favorite beverage too.

[Professor Twain]

» I realized after cured that Having cigars is a great pleasure in human's

» life.

Yossie, I think that you were cured by the love, kindness, and concern of your Brothers on this great Board. It has been great to see your query turn into a world wide effort to allow you to smoke the biggest, baddest cigars on the planet--complete with consultation from eminent medical specialists.

[yossie]

complete with consultation from eminent medical

» specialists.

doctor about stomach? or brain ? :-D

[El Presidente]

After all the advice....I am just surprised you are still alive