 [ Symptoms ] what is this thing on my upper inner lip how do i remove it  can anyone tell me what this is and how i can get rid of it  i imgur comofp4p jpg [ Disease ] cialis can cause decreased tone of the les in the distal esophagus predisposing to active gerd symptoms particularly in patients whose systolic bp decreases for the initial 2 3 hours following ingestion while not considered to be an absolute contraindication except in those with known ihd the patient should discuss this tendency with his pcp before continuing to take cialis at any dose