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Medical Forum / General / General / June 2005

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how is it that aspirin harms the stomach?

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wle - 12 Jun 2005 17:16 GMT
so how is it that aspirin harms the stomach?

i mean, isn;t the normal stomach acid about 1000 times stronger than a
couple of aspirin sitting there?

what am i missing?

what is the mechanism?

is it because it may come at a time when the stomach has no acid
present?
doesn;t the stomach lining have to be the same at all times though?

is it because aspirin;s acid is different somehow and the stomach only
protects against its own acid?

wle.
Jason - 12 Jun 2005 17:59 GMT
> so how is it that aspirin harms the stomach?
>
[quoted text clipped - 13 lines]
>
> wle.

wie,
Some people (especially elderly people) have weak stomachs. Any products
that contain acid causes them to get an upset stomach. People that
sensitive stomachs (aka weak stomachs) are advised to take aspirin pills
and most medications, vitamins and other pills after they eat a meal. You
mentioned stomach acid--it's my guess that people that have weak stomachs
have a difficult time dealing with normal stomach acids and any extra
acids (eg two aspirin pills) cause an upset stomach and in some cases
nausea. I knew one elderly person that had to stop drinking diet cokes
since they caused him to vomit. He never had those problems when he was a
young man.
Jason

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Howard McCollister - 12 Jun 2005 18:35 GMT
>> so how is it that aspirin harms the stomach?
>>
[quoted text clipped - 26 lines]
> young man.
> Jason

C'mon Jason. I know you love to give medical advice, but shrugging off the
poster's question to "old people have weak stomachs" is a pretty half-assed
way to explain the effect of aspirin on the stomach.

Aren't you going to explain about prostaglandin inhibition and the effect of
Cox 1 and 2 ?

HMc
Jason - 12 Jun 2005 21:10 GMT
> >> so how is it that aspirin harms the stomach?
> >>
[quoted text clipped - 35 lines]
>
> HMc

HMc,
You are right--I reread my post and realize that some people such as
yourself might now think that I believe that every elderly person in the
world has a weak or sensitive stomachs. The truth is that many elderly
people have normal stomachs. I did not attempt to explain about
prostaglandin inhibition and the effect of Cox 1 and 2 since I know very
little about that subject. I am not a doctor or medical expert.
Jason

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Bob - 15 Jun 2005 04:39 GMT
>I did not attempt to explain about
>prostaglandin inhibition and the effect of Cox 1 and 2 since I know very
>little about that subject. I am not a doctor or medical expert.

Maybe there oughta be a lesson in there -- based on this and a battery
of posts from you in recent weeks. It's ok to not know something, but
if you haven’t a clue what you are talking about, why not -- with
respect but in the vernacular -- keep your mouth shut. I know how
tempting it is to want to comment on many things, but a little
self-restraint would improve your credibility when you do have
something useful/interesting to say.

Offering your thoughts, opinions, comments -- that's fine.
Providing a continual stream of incorrect information, telling people
what to do, and continually appearing to be selling things -- not
fine.

bob
Jason - 15 Jun 2005 15:59 GMT
> >I did not attempt to explain about
> >prostaglandin inhibition and the effect of Cox 1 and 2 since I know very
[quoted text clipped - 14 lines]
>
> bob

bob,
You are performing your job as a newsgroup policemen quite well. If all
else fails, use words like quack, stupid and ignorant. Instead of helping
people, just wait until someone else tries to help them and then go after
them.
Especially if they mention a vit., mineral or herb that might help them
solve a problem instead of a prescribed medication such as Crestor (40 mg)
that could eventually cause them to be disabled or actually kill him.
Keep up the great work.
Jason

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Twittering One - 15 Jun 2005 16:02 GMT
"Jason ~
Please do NOT let any lambs
Get fleeced ~ !
Merci."
~ Folly
Bob - 16 Jun 2005 03:27 GMT
>> >I did not attempt to explain about
>> >prostaglandin inhibition and the effect of Cox 1 and 2 since I know very
[quoted text clipped - 18 lines]
>You are performing your job as a newsgroup policemen quite well. If all
>else fails, use words like quack, stupid and ignorant.

When all else fails, you now must resort to name calling? And you
still can't get your facts right. I said absolutely none of those
things about you. I even encouraged you to post when you have relevant
knowledge or opinion. You continue to maintain a record of posting
false information. You also maintain your track record of not
responding to factual points.

>Instead of helping
>people, just wait until someone else tries to help them and then go after
>them.

When they post factually false stuff, that has to happen.

I help people, when I have something useful to say. Facts if I have
them, opinions if I want to offer them as such. I probably don't get
it all right, and I hope that the wonderful regulars here will correct
errors.

>Especially if they mention a vit., mineral or herb that might help them
>solve a problem instead of a prescribed medication such as Crestor (40 mg)
>that could eventually cause them to be disabled or actually kill him.

Huh, what has that got to do with the thread? It would help if you
would respond to what is said.

In another thread, we were discussing something like that. It seems
that your preference would be for something that has not even been
tested, so we do not know what benefits or hazards it might have. You
failed on repeated requests to provide any relevant facts. People who
bask in their ignorance are not helping others here.

Hm, you omitted your sig this time. Maybe that is progress. The first
time I saw it, I wondered what kind of person would use that sig. It
seemed to be an announcement that you _intended_ to post garbage, and
would criticize anyone who tried to shed some light on the matter.
Right on!

bob
Carey Gregory - 13 Jun 2005 23:20 GMT
>Some people (especially elderly people) have weak stomachs.

What the hell is a weak stomach?
Kurt Ullman - 13 Jun 2005 23:24 GMT
>>Some people (especially elderly people) have weak stomachs.
>
>What the hell is a weak stomach?

   One that hasn't been doing enuff time in the gym?

Kurt ( I want to (proton) pump you up) Ullman

----
    Ideologue: noun.  Someone who disagrees with the writer on
an issue and is insufficiently apologetic about it.
            Stolen from Billo in misc.writing
dcholiman@ev1.net - 17 Jun 2005 11:09 GMT
~~~~~~~~~~~~~~~~~~~~~~~
A few days ago I composed a good
reply only to have it kicked out for
SERVER ERROR.  I appreciate the info
that coatings don't work, because I have
known that for decades.  My stomach can stand
only the 80 MG aspirin dose twice a week.
To prevent bloating and pain from the concentrated
acetyl salicilate, I make a powder of a Bayer belly
burner and ingest it with food or beverage, even
coffee.  Even these small amounts of aspirin are
like a wonder drug. They quickly relieve nonexertional
angina as well as promote bowel movements. They
also improve the quality of sleep.
David H
~~~~~~~~~~~~~~~~~~~~~~~~~
Bob - 12 Jun 2005 19:11 GMT
>so how is it that aspirin harms the stomach?
>
>i mean, isn;t the normal stomach acid about 1000 times stronger than a
>couple of aspirin sitting there?

You're right on. In addition, aspirin is a very weak acid (high pKa,
if you have had some chemistry), so it really is not acidic at all in
the stomach.

Aspirin works thru physiology. Have you heard of COX-II inhibitors,
such as Vioxx -- much in the news over recent months? The idea is that
Aspirin inhibits an enzyme called COX. But there are multiple COX
enzymes. Inhibiting one of them reduces inflammation; inhibiting
another can cause stomach bleeding. The idea was that a COX-II
inhibitor would do only one of those two things. Of course, the story
turns out to be more complex, but it gives the idea of how aspirin
works via physiology, not directly thru its acidity.

bob
George - 12 Jun 2005 22:08 GMT
> You're right on. In addition, aspirin is a very weak
> acid (high pKa, if you have had some chemistry), so it
> really is not acidic at all in the stomach.

> Aspirin works thru physiology. Have you heard of COX-II
> inhibitors, such as Vioxx -- much in the news over
[quoted text clipped - 6 lines]
> it gives the idea of how aspirin works via physiology,
> not directly thru its acidity.

Yep.  Which further explains why enteric-coated aspirin is
no better than plain.  The effect is systemic, not contact.
 
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