Pooping blood after taking antibiotics - Possible causes of blood in the stool include: Inflammatory bowel disease (IBD). If you have bloody diarrhea and pain that goes on for weeks, along with weight loss, IBD might be the reason. This ...

 
If you suspect your dog has AHDS, take them to the vet immediately. Symptoms of Gastroenteritis in Dogs . Take your dog to the emergency vet if you see the signs of AHDS: Sudden onset of bloody diarrhea with no known cause, such as a change in diet. Vomiting, with or without blood. Lethargy (moving slowly, sluggish). Jav with eng sub

Comments for Dog’s recurring diarrhea after multiple antibiotics treatments. For Max to have suffered for so long with diarrhea, which I suspect is from colitis, (inflammation of the colon), it was probably triggered by a reaction to vaccines. Irritable or Inflammatory Bowel Disease can be immune mediated, secondary to ‘vaccinosis’.Yes: About one third of the solid matter in stool is dead bacteria. Also, the actions of bacteria on bilirubin influences the color of stool. We have trillions of bacteria in our intestines and antibiotics kill many of these bacteria, influencing the color of our stool. I advise taking probiotic supplements both during and after taking ...Yes: About one third of the solid matter in stool is dead bacteria. Also, the actions of bacteria on bilirubin influences the color of stool. We have trillions of bacteria in our intestines and antibiotics kill many of these bacteria, influencing the color of our stool. I advise taking probiotic supplements both during and after taking ...1. Hemorrhoids Hemorrhoids are inflamed anal blood vessels. They may develop on the outside or inside of the anus, appearing as small bumps that could occasionally bleed during bowel movements or...Amoxicillin and clavulanate combination may cause diarrhea, and in some cases it can be severe. It may occur 2 months or more after you stop using this medicine. Do not take any medicine to treat diarrhea without first checking with your doctor. Diarrhea medicines may make the diarrhea worse or make it last longer.3) Eating a Ton of Green Veggies or Fruit. The food you eat may also cause your poop to turn green. Fruits and vegetables that are green in color, like kiwi or kale, contain chlorophyll, the ...Feb 8, 2023 · Infectious colitis. Infectious colitis is an infection of the colon caused by bacteria, viruses, or parasites. The inflammation can cause bloody and/or mucousy diarrhea. Other possible symptoms include: Fever. The feeling that you need to pass stools when your bowels are already empty. Abdominal pain. Mar 9, 2016 · Dogs that have antibiotic-responsive diarrhea over time have an increase in the serum folate. If the levels look higher than normal after testing is complete, this may help the veterinarian in the diagnosis. Research is still being conducted on antibiotic-responsive diarrhea and the difficulty of diagnosing this disorder. Dec 21, 2020 · Side Effect #4: Vomiting. Sometimes children may throw up a dose of the antibiotics. If this happens once or twice, don’t worry. It’s probably just an aversion to the taste. Repeat the dose – if you child throws it up with 15 minutes of taking it. Contact your doctor if this continues more than three times. Jan 8, 2022 · This is a simple test that your pediatrician should be able to do in their office (stool guaiac test). If the stool test doesn't show any blood in the red stools, then you can likely continue the Omnicef. Since Omnicef is becoming more widely used because of its good taste, once a day dosing, and effectiveness against stubborn ear infections ... In most cases, the result is only a mild case of short-term diarrhea that goes away quickly after the antibiotic treatment ends. Occasionally, however, an antibiotic eliminates so many of the bowel's "good" and harmless bacteria that the aggressive "bad" ones are free to multiply out of control.Possible causes of blood in the stool include: Inflammatory bowel disease (IBD). If you have bloody diarrhea and pain that goes on for weeks, along with weight loss, IBD might be the reason. This ...Possible causes of blood in the stool include: Inflammatory bowel disease (IBD). If you have bloody diarrhea and pain that goes on for weeks, along with weight loss, IBD might be the reason. This ... Among the more common side effects for amoxicillin (Amoxil) are: diarrhea. stomach upset. headache. abnormal taste sense. skin rash. vaginal yeast infection. Less common side effects include ...Antibiotics & black stool. countryrose. I am wondering if anyone else gets black stool after treatment with antibiotics (cipro, zithromax). I took these for a mild UTI, and I had severe constipation too. Yesterday, my stool had normal texture, but it was almost black. I did take acidophilous during the antibiotic treatment.Black, tarry feces can also be a sign of intestinal bleeding or bleeding from the stomach. Straining during bowel movements can also lead to inflammation of the rectum and anus, and blood in the stool. That said, sometimes your dogs stool may be red from something hes eaten that has red dye.Rectal Bleeding What is rectal bleeding? Looking down into a toilet and seeing blood in your stool (poop) can be alarming. Your mind might go to many places as warning bells ring that something’s wrong. Rectal bleeding is a symptom of many different conditions, some more serious than others.Heart problems. Fluoroquinolone antibiotics can cause serious side effects in people who are at risk of heart valve problems. Stop taking fluoroquinolone treatment straight away and see your GP if you get a serious side effect including: swollen ankles, feet and legs (oedema) new heart palpitations (heartbeats that suddenly become more noticeable) Jul 5, 2018 · Some bacteria produce vitamin K, which the body needs to make the blood clot. To reduce the impact of antibiotics on vitamin K levels, people can eat: kale. spinach. turnip greens. collards. Swiss ... During pregnancy. In babies and children. Summary. Green stool, also referred to as green poop or green feces, can be a temporary condition that results from eating certain foods or taking specific medications or supplements. Green stool happens when feces has a green coloring or tint. The usual color of feces is light to dark brown.Aug 1, 2023 · Ciprofloxacin may cause diarrhea, and in some cases it can be severe. It may occur 2 months or more after you or your child stop taking this medicine. Do not take any medicine to treat diarrhea without first checking with your doctor. Diarrhea medicines may make the diarrhea worse or make it last longer. Hemorrhoids are most likely the cause of the rectal bleeding. You can have external hemorrhoids or internal ones. Bright red blood is suggestive of hemorrhoids and dark red blood suggests colon polyps, cancer, peptic ulcers, etc. Rectal bleeding is never normal and should always be medically invesgtigated. When in doubt, always consult your veterinarian. There are many reasons why a dog may develop loose stools, but most of the time, dog diarrhea is caused by: Dietary indiscretion: Eating too much ...Pseudomembranous colitis. Pseudomembranous colitis refers to swelling or inflammation of the large intestine (colon) due to an overgrowth of Clostridioides difficile ( C difficile) bacteria. This infection is a common cause of diarrhea after antibiotic use. Not all cases of diarrhea associated with antibiotic use are due to C difficile or will ...Check with your doctor immediately if any of the following side effects occur: bloating or swelling of the face, arms, hands, lower legs, or feet. bloody or cloudy urine. difficult, burning, or painful urination. numbness or tingling in the hands, feet, or lips. unusual tiredness or weakness.May 31, 2018 · When we take antibiotics, there is a very good chance that the medication will be able to kill some of these beneficial bacteria found in our intestines. [ 3 ] Typically, this is just a minor change and after a patient stops taking the antibiotic, it is likely that the healthy flora in the intestines will return to normal proportions over time. Bright red blood coming from the rectum: This most commonly appears during a bowel movement or right after. Pressure or discomfort in the rectum; Black or maroon stools: If the blood is coming from higher up in the intestine contained within the stools, the stools will appear black or maroon in color.Duration of symptomsRectal bleeding (also called hematochezia, meaning bright red blood in the stool) is a symptom of a problem in the digestive tract. Common causes of rectal bleeding include hemorrhoids, anal fissure, diverticulosis, infection, inflammation (IBD or irritable bowel disease, Crohn's disease, colitis), blood vessel problems (angiodysplasia). Other causes may include polyps, tumors, trauma, an ...Nancy C. Caralla, Founder & Executive Director of the C Diff Foundation. Nancy C. Caralla is a three time C. difficile infection survivor who has 23 years’ experience in the nursing profession blended with over 25 years experience in international construction management. Over the past two years, Nancy in partnership with Foundation members ...Advertisement. After taking antibiotics, it is important to take probiotics and eat the proper foods to prevent gastrointestinal upset and help restore gut flora. A course of antibiotics can upset the delicate flora in your gut because they destroy both the bad and good bacteria. Foods like plain yogurt, bananas, and whole-grain cereals help to ...I’m 38 and have this exact symptom. Sometimes blood droplets in the bowl, sometimes just blood on the tp after wiping. Has been going on for about 5 years. Comes and goes. Sometimes can go a year or more with no sign of blood, then it happens for a month, then disappears. Figured it was fissures/hemaroids from abnormally hard stool due to a ... Dec 21, 2020 · Side Effect #4: Vomiting. Sometimes children may throw up a dose of the antibiotics. If this happens once or twice, don’t worry. It’s probably just an aversion to the taste. Repeat the dose – if you child throws it up with 15 minutes of taking it. Contact your doctor if this continues more than three times. Apr 19, 2019 · Many antibiotics cause stomach upset or other gastrointestinal side effects. These can include: nausea. vomiting. cramps. diarrhea. Macrolide antibiotics, cephalosporins, penicillins, and ... Heart problems. Fluoroquinolone antibiotics can cause serious side effects in people who are at risk of heart valve problems. Stop taking fluoroquinolone treatment straight away and see your GP if you get a serious side effect including: swollen ankles, feet and legs (oedema) new heart palpitations (heartbeats that suddenly become more noticeable) This is a simple test that your pediatrician should be able to do in their office (stool guaiac test). If the stool test doesn't show any blood in the red stools, then you can likely continue the Omnicef. Since Omnicef is becoming more widely used because of its good taste, once a day dosing, and effectiveness against stubborn ear infections ...Hemorrhoids are most likely the cause of the rectal bleeding. You can have external hemorrhoids or internal ones. Bright red blood is suggestive of hemorrhoids and dark red blood suggests colon polyps, cancer, peptic ulcers, etc. Rectal bleeding is never normal and should always be medically invesgtigated.What Does Blood in a Dog’s Poop Look Like? Bloody stool can appear several different ways. The color and appearance of the blood helps determine which part of the digestive tract the blood is coming from. Hematochezia: Bright Red Blood in a Dog’s Poop “Hematochezia” is the term used to describe when there is bright red blood in a dog ...Blood in or on the stools. Change in bowel habits (pooping more or less frequently) Constipation. Diarrhea. Fatigue. Growths in the anal canal. Pain, irritation, or itching in the anal area. Unintended weight loss. Treatments for colon and rectal cancer can include surgery, radiation, chemotherapy, or immunotherapy.Many antibiotics cause stomach upset or other gastrointestinal side effects. These can include: nausea. vomiting. cramps. diarrhea. Macrolide antibiotics, cephalosporins, penicillins, and ...Aug 4, 2015 · A blood chemistry panel; Complete blood cell count; Urinalysis; Urine culture and antibiotic sensitivity testing; Abdominal X-rays and/or ultrasound; Appropriate treatment will depend on the results of these tests and the eventual diagnosis. Some of the more common disorders that cause hematuria in dogs are: Belly Pain or Discomfort. This is the most common side effect of colonoscopy. You might feel cramping or bloating afterward. Your doctor may use air to inflate your colon so they can get a better ...Takeaway. Black stool can result when a person eats certain foods, such as licorice or takes iron supplements. Black, tarry stools are usually a sign of gastrointestinal bleeding, due, for ...Signs of allergic reactions range from mild to severe and may occur immediately after taking the antibiotic (anaphylaxis) or later on. During an allergic reaction, dogs may experience one or more of the following signs: Swelling of face or muzzle. Skin rash or hives. Difficulty breathing.During pregnancy. In babies and children. Summary. Green stool, also referred to as green poop or green feces, can be a temporary condition that results from eating certain foods or taking specific medications or supplements. Green stool happens when feces has a green coloring or tint. The usual color of feces is light to dark brown.Clostridioides difficile (klos-TRID-e-oi-deez dif-uh-SEEL) is a bacterium that causes an infection of the large intestine (colon). Symptoms can range from diarrhea to life-threatening damage to the colon. The bacterium is often referred to as C. difficile or C. diff. Illness from C. difficile typically occurs after use of antibiotic medications. Black, tarry feces can also be a sign of intestinal bleeding or bleeding from the stomach. Straining during bowel movements can also lead to inflammation of the rectum and anus, and blood in the stool. That said, sometimes your dogs stool may be red from something hes eaten that has red dye.Bright red blood coming from the rectum: This most commonly appears during a bowel movement or right after. Pressure or discomfort in the rectum; Black or maroon stools: If the blood is coming from higher up in the intestine contained within the stools, the stools will appear black or maroon in color.Duration of symptomsNancy C. Caralla, Founder & Executive Director of the C Diff Foundation. Nancy C. Caralla is a three time C. difficile infection survivor who has 23 years’ experience in the nursing profession blended with over 25 years experience in international construction management. Over the past two years, Nancy in partnership with Foundation members ...Until 2 months of age, they may pass a stool after each feeding. But, if stools suddenly increase in number and looseness, suspect diarrhea. If it lasts for 3 or more stools, the baby has diarrhea. If the stools contain mucus, blood or smell bad, this points to diarrhea. Other clues to diarrhea are poor eating, acting sick, or a fever.Advertisement. After taking antibiotics, it is important to take probiotics and eat the proper foods to prevent gastrointestinal upset and help restore gut flora. A course of antibiotics can upset the delicate flora in your gut because they destroy both the bad and good bacteria. Foods like plain yogurt, bananas, and whole-grain cereals help to ...Clostridioides difficile (klos-TRID-e-oi-deez dif-uh-SEEL) is a bacterium that causes an infection of the large intestine (colon). Symptoms can range from diarrhea to life-threatening damage to the colon. The bacterium is often referred to as C. difficile or C. diff. Illness from C. difficile typically occurs after use of antibiotic medications. Bright red blood coming from the rectum: This most commonly appears during a bowel movement or right after. Pressure or discomfort in the rectum; Black or maroon stools: If the blood is coming from higher up in the intestine contained within the stools, the stools will appear black or maroon in color.Duration of symptomsAmoxicillin and clavulanate combination may cause diarrhea, and in some cases it can be severe. It may occur 2 months or more after you stop using this medicine. Do not take any medicine to treat diarrhea without first checking with your doctor. Diarrhea medicines may make the diarrhea worse or make it last longer.Nov 28, 2022 · Some drugs, like the antibiotic penicillin or the cancer drug cyclophosphamide, can cause blood in your urine. It also might happen if you take medications like aspirin or the blood thinner ... Common symptoms of proctitis include. tenesmus, which means feeling a constant urge to have a bowel movement even though your bowel may be empty. an urgent need to have a bowel movement. diarrhea or constipation. cramping and pain in your anus, rectum, or the left side of your abdomen, which may occur during bowel movements.Hard stools. Hemorrhoids (swollen and inflamed veins in your anus or rectum) Less common causes of rectal bleeding include: Anal cancer. Angiodysplasia (abnormalities in the blood vessels near the intestines) Colon cancer. Colon polyps. Crohn's disease. Diarrhea.A burning sensation around the anus is an uncomfortable symptom that can have many different causes, such as hemorrhoids, anal tears, or irritation from traces of stool. Anal burning and itching can be painful and interfere with work or daily activities. It occurs in up to 5% of the population, affects men more than women, and is more commonly ...Some bacteria produce vitamin K, which the body needs to make the blood clot. To reduce the impact of antibiotics on vitamin K levels, people can eat: kale. spinach. turnip greens. collards. Swiss ...Advertisement. After taking antibiotics, it is important to take probiotics and eat the proper foods to prevent gastrointestinal upset and help restore gut flora. A course of antibiotics can upset the delicate flora in your gut because they destroy both the bad and good bacteria. Foods like plain yogurt, bananas, and whole-grain cereals help to ...Takeaway. Poop can turn green for many reasons, including a diet rich in high chlorophyll plants. Other possible causes include antibiotic use and bacterial infections. Poop is generally brown ...Jan 6, 2022 · Hard stools. Hemorrhoids (swollen and inflamed veins in your anus or rectum) Less common causes of rectal bleeding include: Anal cancer. Angiodysplasia (abnormalities in the blood vessels near the intestines) Colon cancer. Colon polyps. Crohn's disease. Diarrhea. Hard stools. Hemorrhoids (swollen and inflamed veins in your anus or rectum) Less common causes of rectal bleeding include: Anal cancer. Angiodysplasia (abnormalities in the blood vessels near the intestines) Colon cancer. Colon polyps. Crohn's disease. Diarrhea.However, the researchers state that the gut microbiota of the subjects recovered—‘almost’ to original levels—within 1.5 months. It’s important to note, though, that nine common species, which were present in all subjects before the treatment, remained undetectable in most of the subjects after 180 days (Source: DX DOI). Dogs that have antibiotic-responsive diarrhea over time have an increase in the serum folate. If the levels look higher than normal after testing is complete, this may help the veterinarian in the diagnosis. Research is still being conducted on antibiotic-responsive diarrhea and the difficulty of diagnosing this disorder.Antibiotic-associated diarrhea is defined as having loose, watery stools three or more times per day while taking antibiotics. This may begin about a week after starting antibiotics.Oct 19, 2022 · Avoid straining too hard when you poop while your body is recovering. Use a stool softener if you’re having trouble passing a bowel movement. Do not have sex or masturbate for the first 48 hours ... 3) Eating a Ton of Green Veggies or Fruit. The food you eat may also cause your poop to turn green. Fruits and vegetables that are green in color, like kiwi or kale, contain chlorophyll, the ...Risk factors Complications Prevention Overview Antibiotic-associated diarrhea refers to passing loose, watery stools three or more times a day after taking medications used to treat bacterial infections (antibiotics). About 1 in 5 people who take antibiotics develop antibiotic-associated diarrhea.Aug 1, 2023 · Ciprofloxacin may cause diarrhea, and in some cases it can be severe. It may occur 2 months or more after you or your child stop taking this medicine. Do not take any medicine to treat diarrhea without first checking with your doctor. Diarrhea medicines may make the diarrhea worse or make it last longer. Aug 30, 2021 · Little by little, the consistency of the dog’s stools should improve. All in all, it will be at least a couple of days until the dog starts feeling OK. In most cases, vets put dogs on a 5-10 days course of antibiotics to treat diarrhea. If the situation is really severe, the vet might prescribe 14 days of metronidazole. Until 2 months of age, they may pass a stool after each feeding. But, if stools suddenly increase in number and looseness, suspect diarrhea. If it lasts for 3 or more stools, the baby has diarrhea. If the stools contain mucus, blood or smell bad, this points to diarrhea. Other clues to diarrhea are poor eating, acting sick, or a fever.Treatment usually involves taking antibiotics for 4 to 12 weeks. This type of prostatitis is hard to treat and the infection may come back. If antibiotics don’t work in 4 to 12 weeks, you may need to take a low dose of antibiotics for a while. Rarely, you may need surgery to remove part or all of the prostate. This is a simple test that your pediatrician should be able to do in their office (stool guaiac test). If the stool test doesn't show any blood in the red stools, then you can likely continue the Omnicef. Since Omnicef is becoming more widely used because of its good taste, once a day dosing, and effectiveness against stubborn ear infections ...So last Friday she gave me some of her Super Colon Cleanse (about 3/4-5/8 of a scoop/serving) mixed with Metamucil in a water bottle. And I drunk half the mixture. I still haven’t stopped pooping. I’m pooping for hours again, just like with c.diff. No blood this time though. And the stool is pellet like. I keep waking up to poop, or try to ...3. At what stage of your life you take them. Our first years seem to be crucial for setting up a healthy microbiome for life. One study found an association between antibiotics given in the first year of life and later neurocognitive difficulties, such as ADHD, depression and anxiety (Source: Wiley), and others have found that the more courses of antibiotics a person receives during childhood ...Side Effect #4: Vomiting. Sometimes children may throw up a dose of the antibiotics. If this happens once or twice, don’t worry. It’s probably just an aversion to the taste. Repeat the dose – if you child throws it up with 15 minutes of taking it. Contact your doctor if this continues more than three times.You have bowel movement or foul-smelling discharge leaking from your vagina or in your urine. You have severe diarrhea. You urinate less than usual or not at all. You are not able to have a bowel movement. You cannot stop vomiting. You have severe abdominal pain, a fever, and your abdomen is larger than usual. You have new or increased blood in ...Pediatrics 43 years experience. Mucus in stool: Is usually nothing to be worried about unless, it is happening on a regular basis,there is blood or change in bowel habits. Usually seen in intestinal... Read More. Created for people with ongoing healthcare needs but benefits everyone.puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. rash. red, irritated eyes. redness, soreness, or itching skin. shortness of breath. sore throat. sores, ulcers, or white spots in the mouth or on the lips. sores, welting, or blisters. sudden decrease in the amount of urine.Colitis. Colitis means inflammation in your colon, where digested food becomes poop. Inflammation in your colon can make your poop more urgent, painful, runny or bloody. You can get temporary colitis from an infection. Some people have chronic colitis. Symptoms and Causes. Diagnosis and Tests. Management and Treatment.Rectal bleeding (also called hematochezia, meaning bright red blood in the stool) is a symptom of a problem in the digestive tract. Common causes of rectal bleeding include hemorrhoids, anal fissure, diverticulosis, infection, inflammation (IBD or irritable bowel disease, Crohn's disease, colitis), blood vessel problems (angiodysplasia). Other causes may include polyps, tumors, trauma, an ...

Over time, these pouches can push through your bowel wall, causing rectal bleeding, abdominal pain, and a change in bowel habits. The first-line treatment for diverticulitis is antibiotics; however, more severe cases may need IV antibiotics or fluids. Anal Fissures. Anal fissures can also cause bright red blood in the stool.. P ebt tennessee

pooping blood after taking antibiotics

Blood in urine: You may have blood in the urine for several days if you have a bladder infection. It is important to see if it is decreasing on antibiotics (A). If it... Read More. Created for people with ongoing healthcare needs but benefits everyone. Learn how we can help.Risk factors Complications Prevention Overview Antibiotic-associated diarrhea refers to passing loose, watery stools three or more times a day after taking medications used to treat bacterial infections (antibiotics). About 1 in 5 people who take antibiotics develop antibiotic-associated diarrhea.Rectal Bleeding What is rectal bleeding? Looking down into a toilet and seeing blood in your stool (poop) can be alarming. Your mind might go to many places as warning bells ring that something’s wrong. Rectal bleeding is a symptom of many different conditions, some more serious than others.Treatment usually involves taking antibiotics for 4 to 12 weeks. This type of prostatitis is hard to treat and the infection may come back. If antibiotics don’t work in 4 to 12 weeks, you may need to take a low dose of antibiotics for a while. Rarely, you may need surgery to remove part or all of the prostate.You have bowel movement or foul-smelling discharge leaking from your vagina or in your urine. You have severe diarrhea. You urinate less than usual or not at all. You are not able to have a bowel movement. You cannot stop vomiting. You have severe abdominal pain, a fever, and your abdomen is larger than usual. You have new or increased blood in ...This section lists a few of the possible reasons. 1. Viral or bacterial illnesses. Viral or bacterial infections and parasitic infections can affect digestion and cause foul-smelling stool or ...Treatment usually involves taking antibiotics for 4 to 12 weeks. This type of prostatitis is hard to treat and the infection may come back. If antibiotics don’t work in 4 to 12 weeks, you may need to take a low dose of antibiotics for a while. Rarely, you may need surgery to remove part or all of the prostate.Treatment usually involves taking antibiotics for 4 to 12 weeks. This type of prostatitis is hard to treat and the infection may come back. If antibiotics don’t work in 4 to 12 weeks, you may need to take a low dose of antibiotics for a while. Rarely, you may need surgery to remove part or all of the prostate.Inflammatory bowel disease. Foreign bodies that have been ingested. Drugs or toxins. Infections. She notes that there are different types of infections that result in a dog pooping blood, such as bacterial, viral (including parvo) or fungal. And, there are several different types of parasites that can cause blood in dog stool, says Dr. Peacock.Blood in urine: You may have blood in the urine for several days if you have a bladder infection. It is important to see if it is decreasing on antibiotics (A). If it... Read More. Created for people with ongoing healthcare needs but benefits everyone. Learn how we can help.Signs of allergic reactions range from mild to severe and may occur immediately after taking the antibiotic (anaphylaxis) or later on. During an allergic reaction, dogs may experience one or more of the following signs: Swelling of face or muzzle. Skin rash or hives. Difficulty breathing.May 25, 2023 · Bloody diarrhea. Weight loss. Mouth sores. Joint pains. Inflammatory bowel disease (IBD) is inflammation of the bowel. There are two types: Crohn’s disease and ulcerative colitis. It is due to multiple factors, including genetics, the environment, and your body’s immune system. Symptoms may develop gradually or occur suddenly. Digestive symptoms. A person may experience gas and bloating when first using probiotics. When first using probiotics, some people experience gas, bloating, or diarrhea. Changes in the gut ....

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