Typically, upper abdominal pain is caused by something relatively minor, such as a pulled muscle, and will go away on its own in a few days. But there are some other underlying conditions that ...They rarely affect large muscle groups, but more commonly several fibers of one of the muscles, which is called fasciculation, or more popularly – twitching or jittering. Here are some of the most common causes of abdominal muscle twitching. Stress. Stress is a very common trigger of muscle twitching.In a highly competitive housing market, fixer-uppers are making up a greater share of the housing market. By clicking "TRY IT", I agree to receive newsletters and promotions from M...To help you recognize the surprising signs of lung cancer, this article details the symptoms you should bring to your health care provider’s attention: Back pain. Shoulder pain. Dizziness. Clubbed fingers and toes. Raspy voice. Eye changes. Stomach issues. Swelling or bloating.Aug 30, 2021 · A feeling of bloating or fullness, particularly in the abdomen, is a common symptom of digestive conditions including irritable bowel syndrome or indigestion as well as infections of the digestive tract. Muscle twitching may be present due to electrolyte imbalances or other conditions such as neurologic diseases. The build-up of gas in your stomach can cause your intestinal muscles to contract. If you have gas, you can also experience cramps below the ribs when bending over. Additionally, you can have: Flatulence or gas. Acute stomach ache. Cramp in the upper abdomen when bending over. Upper stomach spasms. Feeling full. Burp. Dystonia can affect your whole body or just 1 part. It can start at any age. Symptoms of dystonia include: uncontrolled muscle cramps and spasms. parts of your body twisting into unusual positions – such as your neck being twisted to the side or your feet turning inwards. shaking (tremors) uncontrolled blinking. Dramamine (dimenhydrinate) Sudafed (pseudoephedrine) Ritalin (methylphenidate) At other times, having too little of a certain electrolyte, such as magnesium or calcium, can cause a spontaneous twitch. Benign fasciculations can also occur at times of stress or illness and even during exercise. Exercise is, in fact, one of …Muscle twitches can occur for many reasons, such as a lack of sleep, nutrient deficiencies, overexertion, and stress. Depending on the cause, treatments and remedies may help a muscle twitch. A ...Enlarged spleen. A swollen spleen may be the cause of upper left abdominal pain. Infections and liver disease are common causes. If you’ve been injured near your spleen, beware that it may rupture and bleed. A ruptured spleen can cause dangerous internal bleeding and is a life-threatening medical emergency.The information here has been so helpful since I was diagnosed last year with Neurosarc (spine). I've just recently begun having PVC's, and I've also started having twitching and spasms in my abdomen - mainly the right front side. The twitching had gone away when I first got on Prednisone at a higher dosage (60mg every day).Sep 16, 2023 · Peptic Ulcer. Bowel Obstruction. Diverticulosis. Heart Attack. Pneumonia. Pulmonary Embolism. Trauma. Upper abdominal pain has many causes from indigestion and heartburn to gallstones or a liver abscess. Much of the time, the pain is temporary and resolves on its own. When affected muscles stretch, spasticity may also cause them to twitch or jerk in an uncontrolled way – a spasm. If muscles twitch or jerk repeatedly, this is ...The spasms most often originate in the lower abdomen. Spasms can be at times so severe that people double over in pain and become temporarily incapacitated. Changes in bowel habits accompany spasms. The cramps may cause diarrhea and constipation. Some people intermittently suffer from both. Stools may be loose or hard.Any muscle can be affected but spasms and spasticity affecting the arms, legs or back are most common. Spasticity and spasms can range from mild to severe and ... An abdominal muscle strain may increase your risk of getting a hernia. A hernia and a pulled stomach muscle can both cause abdominal pain. Hernias cause a lump or bulge at the hernia site, which may ache or burn. A hernia can also cause constipation or nausea and vomiting (abdominal strains don’t cause these problems). Alcohol can irritate and break down your stomach lining. This makes your stomach more vulnerable to digestive juices. Excessive alcohol use is more likely to cause acute gastritis. Stress. Severe stress due to major surgery, injury, burns or severe infections can cause acute gastritis. Cancer treatment.A Verified Doctor answered. 40 years experience. Yes: Anxiety whether transient or as a chronic disorder is a successful mimic of a multitude of physiologic reactions; muscle twitching is just one of the ... Read More. Created for people with ongoing healthcare needs but benefits everyone.Apr 26, 2022 · What are back spasms? A spasm is when your muscles suddenly and against your will. They may painfully twinge, seize or contract. The muscles in your upper, middle and lower back are divided into three types: intrinsic/deep muscles, superficial muscles and intermediate muscles. Lower back spasms are more common, but any muscle can contract. Abdominal Muscle Spasms! upper abdominal spasms and sore throat Painful stomach spasms Ongoing, worsening, severe, upper right abdominal pain that Left Upper Quadrant Pain with Spasm muscle spasms in my sleep severe painful neck spasms Esophageal spasms spasms in upper stomach between ribs Having nose spasms sudden and random pain spasms The main symptom of benign fasciculation syndrome (BFS) is frequent muscle twitching. The twitching happens when your muscle is at rest (relaxed). The …Jun 27, 2022 ... What Causes Our Muscle Spasm? ... Myofascial trigger points (TrPs) are ropy bands of tissue that form when soft tissue injuries (like a sprain or ...The information here has been so helpful since I was diagnosed last year with Neurosarc (spine). I've just recently begun having PVC's, and I've also started having twitching and spasms in my abdomen - mainly the right front side. The twitching had gone away when I first got on Prednisone at a higher dosage (60mg every day).belching. sharp abdominal spasms or cramping. chest pain. nausea. constipation. diarrhea. fever. While symptoms from splenic flexure syndrome may not be life threatening, this condition can cause ...Many muscles extend to the upper stomach. Pain from a mild muscle injury or spasms can cause temporary pain in the upper abdomen. The pain often gets better with gentle massage and rest. Some ...Non-medical drugs and substances: Examples include alcohol, amphetamines, cocaine, ecstasy, heroin and more. Inhalants like toluene and gasoline can also cause myoclonus. Prescribed medications: Over a dozen different types of medication can cause myoclonus. These include anti-seizure medications, antidepressants, blood …Abnormal muscle spasms in the esophagus are called esophageal spasms. The esophagus is the tube that connects your mouth and stomach. On either end of the esophagus are sphincter muscles that flex and contract as part of the digestive process. Within the tube are valves that work to move food from the mouth to the stomach.However, muscle twitches in the legs can sometimes trigger muscle cramps. Cramps are very common, affecting roughly 60% of adults from time to time. Depending on the cause of the leg twitching, a ...Excessive physical activity can lead to muscle twitching. This is more likely to affect the legs and arms. However, the abdominal muscles can also be strained when swimming, walking or running as these muscle stabilize the torso at the hips. Naturally strain will also occur with abdominal muscle exercises like sit ups and abdominal crunches.Myoclonic seizures are characterized by brief, jerking spasms of a muscle or muscle group ... The mechanism is similar to a myoclonic jerk, the sudden spasm ...Summary. A muscle spasm — also known as a charley horse, muscle cramp or twitch — is a sudden, involuntary movement in one or more muscles. Common causes include stress, exercise, or ...It usually begins gradually around one eye and may eventually spread the muscles around the mouth and neck on the same side. These muscle spasms are very brief ...Not Enough Water. 5 /16. If you don’t get enough to drink, your muscles will be more likely to twitch and spasm. It’s not just the water -- when you sweat a lot or lose body fluids when you ...For example, before an exam, presentation, or on a first date, you might undergo fluttering in your upper stomach just because of anxiety and nervousness. Don’t worry, it is normal. Conclusion. Fluttering in upper right abdomen is not a serious thing. It can be due to muscle spasms, indigestion, ovulation, and anxiety.Online Primary Care Doctors Accepting New Patients. $44 video appointments available today with a membership as low as $15/month. Book a Video Appointment. Ask your question. why am i having spasms in upper left abdomen?: Don't know: This can't be diagnosed with the information that is avail.The muscles of the abdomen protect vital organs underneath and provide structure for the spine. These muscles help the body bend at the waist. The major muscles of the abdomen include the rectus ...The fluttering feeling in the stomach can be caused by a variety of reasons. The most common ones are anxiety, nervousness, diaphragmatic spasms, hiccups, etc. Some uncommon causes include diaphragmatic flutter, cardiac arrhythmias, surgical injury, phrenic nerve irritation, and inflammation, etc.In the Ge study, researchers were able to reproduce fibromyalgia muscle pain—those seemingly random pains that crop up in areas where nothing is wrong with the tissues—by manipulating TrPs. They concluded that TrPs caused muscle spasms which were largely responsible for fibromyalgia pain. Of course, a single study is never …Dramamine (dimenhydrinate) Sudafed (pseudoephedrine) Ritalin (methylphenidate) At other times, having too little of a certain electrolyte, such as magnesium or calcium, can cause a spontaneous twitch. Benign fasciculations can also occur at times of stress or illness and even during exercise. Exercise is, in fact, one of the more common causes.An abdominal muscle strain may increase your risk of getting a hernia. A hernia and a pulled stomach muscle can both cause abdominal pain. Hernias cause a lump or bulge at the hernia site, which may ache or burn. A hernia can also cause constipation or nausea and vomiting (abdominal strains don’t cause these problems).involuntary muscle twitching; loss of appetite; paralysis; ... Slipping rib syndrome occurs when the cartilage on the lower ribs slips and moves, leading to pain in the chest or upper abdomen.Involuntary muscle movements refer to body movements that are outside of your control. These movements may be mild, such as a slight eye twitch. They can also be quite pronounced, affecting the arms, trunk, or neck. Involuntary movements may be caused by chronic conditions, nerve damage, drug reactions, or brain injury.Dec 5, 2023 · The twitching is normally attributed to the transversus abdominis, which is the deepest layer of muscles in the abdominal area. Although uncommon, twitching in the upper abdomen can also be caused by strenuous exercise. It is a sign that the body is over-exerting itself. In these situations, the twitching will normally stop within a relatively ... Creative industries are flocking to Twitch in the wake of the pandemic. Twitch, the world’s largest livestream platform, looks very different in the wake of the coronavirus pandemi...Muscle fasciculation; Muscle twitch; Clinical Information. Involuntary contraction of the muscle fibers innervated by a motor unit. Fasciculations can often by visualized and take the form of a muscle twitch or dimpling under the skin, but usually do not generate sufficient force to move a limb. They may represent a benign condition or occur as ...Table of Contents. Painless stomach twitching refers to involuntary contractions or spasms of the muscles in the abdominal area that do not cause any pain or discomfort. These twitches are often harmless and can occur for various reasons, including muscle fatigue, dehydration, stress, or certain medical conditions.If it's actually the muscles of the abdominal wall, it could possibly be a sign of a neurologic condition like ALS (Lou Gehrig's disease) or multiple sclerosis, or a sign of thyroid problems, potassium deficiency, or vitamin deficiency. The best thing to do is have a doctor examine you and decide if blood work and an abdominal ct are in order.Enlarged spleen. A swollen spleen may be the cause of upper left abdominal pain. Infections and liver disease are common causes. If you’ve been injured near your spleen, beware that it may rupture and bleed. A ruptured spleen can cause dangerous internal bleeding and is a life-threatening medical emergency.Mar 1, 2024 · Causes can include multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS), thyroid disease, and more. This article provides an overview of muscle twitching and its common causes, as well as symptoms of other, potentially more serious conditions and advice on when to seek medical care. Sep 25, 2020 · Diverticulitis is a condition that affects the digestive tract. It causes uncomfortable symptoms like bloating, diarrhea, and constipation. It can also cause pain and muscle cramps in your abdomen ... The most common symptom of both acute and chronic pancreatitis is pain in the upper abdominal area, usually under the ribs. This pain: The abdominal pain may also differ depending on the cause of ...Online Primary Care Doctors Accepting New Patients. $44 video appointments available today with a membership as low as $15/month. Book a Video Appointment. Ask your question. why am i having spasms in upper left abdomen?: Don't know: This can't be diagnosed with the information that is avail.Involuntary muscle movements refer to body movements that are outside of your control. These movements may be mild, such as a slight eye twitch. They can also be quite pronounced, affecting the arms, trunk, or neck. Involuntary movements may be caused by chronic conditions, nerve damage, drug reactions, or brain injury.spasms of the intercostal muscles; tenderness in the area between the ribs; Intercostal muscle strain vs. other upper body pains. Typically, injuries rarely occur to the upper back because it is ...1. Bulge. One of the easiest ways to tell if your pain is caused by a hernia or pulled stomach muscle is if you have a bulge or not. A hernia will usually cause a distinct bulge where the tissue or organ pushes through the muscle wall. Abdominal muscle strains don’t cause a bulge or visible lump. 2.Twitch has updated its misinformation policies and says it will ban those who frequently share falsehoods. Under the new rules, the platform will block “harmful misinformation supe...As you can see, the cause of upper left abdominal pain varies significantly. It can be caused by something as minor as heartburn, or it could be a sign of a heart attack, for example. If your pain ...A Verified Doctor answered. 40 years experience. Yes: Anxiety whether transient or as a chronic disorder is a successful mimic of a multitude of physiologic reactions; muscle twitching is just one of the ... Read More. Created for people with ongoing healthcare needs but benefits everyone.Treatment. Summary. Pain in your upper abdomen is usually due to a temporary, minor problem, such as indigestion or gas. However, ongoing or severe upper abdominal pain may indicate a potentially serious condition. Contact a doctor for severe pain or pain that does not go away within 2 days.A doctor has provided 1 answer. muscle or smtg spasm in upper right abdomen behind rib. no pain, comes and goes. good blood test. what can it be?: ? Gallbladder: Right upper abdominal pain behind the rib pain could be.Pain in the upper abdomen, including below the left ribs and the upper, middle abdomen; Feeling full during a meal; Feeling uncomfortably full after a meal; Nausea; Bloating; Heartburn; Indigestion (dyspepsia) is an inflammation of the stomach, which starts on the left side of the abdomen and ends in the middle, upper section of …Aug 9, 2022 ... Muscle twitching is typically a minor, harmless occurrence in the body unrelated to any illness. Abdominal pain, cramping, and spasms are ...First steps to consider. If you have the most common causes of stomach spasms—heartburn or peptic ulcers—it can usually be treated with OTC antacids. You should also try to avoid foods that make your symptoms worse, like greasy, spicy, high-fat foods, alcohol, and coffee. Get stomach spasms treatment today. 2.Muscle cramps and body aches during pregnancy may occur in any muscle or muscle group but is most commonly experienced in the legs. Muscle spasms that occur in the back or abdomen are also possible. A muscle cramp or spasm is characterized by the following: Involuntary contraction or tightening of a muscle. Usually sudden.Lower Right Abdominal Pain. Constantly Feeling Full. Black Stool. Sudden Pulsing Pain. Strong Hunger Pangs. Constant Diarrhea. Gastrointestinal (GI) symptoms affect most people from time to time. The gastrointestinal tract is the body’s digestive system. Common GI symptoms include bloating, indigestion, and heartburn.Fluttering/twitching in upper left abdomen. no pain, similar to an eye twitch. should i be concerned? Dr. David Duncan m.d. answered. Family Medicine 44 years experience. Cramps and vibration: The feelings of twitching is usually caused by small muscle contractions and relaxations just as in the eye.Esports is booming and its players are raking in the cash, and now the Fortnite star Ninja's magazine cover is a cultural touchstone. Tyler “Ninja” Blevins is a Fortnite legend, ha...Hernias are bulges that occur when increased pressure in the body causes an organ to push through weak areas of muscle or tissue. Hernias are bulges that occur when increased press...If it's actually the muscles of the abdominal wall, it could possibly be a sign of a neurologic condition like ALS (Lou Gehrig's disease) or multiple sclerosis, or a sign of thyroid problems, potassium deficiency, or vitamin deficiency. The best thing to do is have a doctor examine you and decide if blood work and an abdominal ct are in order.Dec 3, 2019 · Around 4 to 5 weeks ago i noticed a fluttering/spasm/twitching feeling coming from my upper right abdomen, it feels deep inside and is not painful just worrying. accompanied with this i have excess wind and a feeling of bloating but i cant say i have pain, well maybe a very slight ache. I also have so much gurgling going on all over my abdomen ... Shakes or spasms due to anxiety or exercise. Infant muscle twitching during sleep or after a feeding. Essential myoclonus. Essential myoclonus occurs on its own, usually without other symptoms and without being related to any underlying illness. The cause of essential myoclonus is often unknown. In some cases, the cause is hereditary, …Pelvic muscle twitches are a very common occurrence. They can range from mildly irritating to downright painful and can cause numerous pelvic pain symptoms.Summary. A muscle spasm — also known as a charley horse, muscle cramp or twitch — is a sudden, involuntary movement in one or more muscles. Common causes include stress, exercise, or ...Eggs. Milk. Peanuts. If you’re allergic to certain foods, it’s best to avoid them. A dangerous allergic reaction called anaphylaxis can cause a sudden drop in blood pressure, trouble ...Twitching in the upper abdomen can be the result of peritonitis, acute pancreatitis, acute cholecystitis, choledocholithiasis, intestinal obstructions or duodenal perforation, as r...Muscle cramps are sudden, involuntary contractions or spasms in one or more of your muscles. They are very common and often occur after exercise. Some people get muscle cramps, especially leg cramps, at night. They can be painful, and they may last a few seconds to several minutes. You can have a cramp in any muscle, but they …A muscle cramp is a sudden, unexpected tightening of one or more muscles. Sometimes called a charley horse, a muscle cramp can be very painful. Exercising or working hard, especially in heat, can lead to muscle cramps. Some medicines and illnesses also might cause muscle cramps. Muscle cramps aren't usually harmful.Sep 16, 2023 · Peptic Ulcer. Bowel Obstruction. Diverticulosis. Heart Attack. Pneumonia. Pulmonary Embolism. Trauma. Upper abdominal pain has many causes from indigestion and heartburn to gallstones or a liver abscess. Much of the time, the pain is temporary and resolves on its own. Online Primary Care Doctors Accepting New Patients. $44 video appointments available today with a membership as low as $15/month. Book a Video Appointment. Ask your question. why am i having spasms in upper left abdomen?: Don't know: This can't be diagnosed with the information that is avail. The diaphragm is a muscle just below your lungs that separates your chest and upper abdomen. It’s the primary muscle responsible for pushing ... Episodes of chest muscle spasms can begin ...Muscle cramps and spasms happen when a muscle spontaneously contracts. The reason for this isn't well understood, but some researchers believe cramps and spasms may be related to muscle fatigue, muscle strain, or other factors like dehydration. A muscle spasm or muscle cramp can cause minor discomfort to severe …Dystonia is a movement disorder that causes the muscles to contract involuntarily. This can cause repetitive or twisting movements. The condition can affect …SECTION 1. A 39-year-old lawyer presented with intermittent spasms and pain in his abdominal muscles, particularly the right upper quadrant. These had occurred since his mid-20s and there had been long asymptomatic periods, including 8 years prior to the most recent 4-month exacerbation. Trivial movement triggered a spasm of the …According to MedGuidance, these are all potential causes that can initiate stomach twitching: ( 5) » Dehydration. Muscles often twitch when deprived of hydration and electrolytes. » Muscle overuse. A too-intense workout can cause over-exhausted muscles to twitch involuntarily as they heal. » Bowel issues.1. Bulge. One of the easiest ways to tell if your pain is caused by a hernia or pulled stomach muscle is if you have a bulge or not. A hernia will usually cause a distinct bulge where the tissue or organ pushes through the muscle wall. Abdominal muscle strains don’t cause a bulge or visible lump. 2.A feeling of bloating or fullness, particularly in the abdomen, is a common symptom of digestive conditions including irritable bowel syndrome or indigestion as well as infections of the digestive tract. Muscle twitching may be present due to electrolyte imbalances or other conditions such as neurologic diseases.Muscle twitches can occur for many reasons, such as a lack of sleep, nutrient deficiencies, overexertion, and stress. Depending on the cause, treatments and remedies may help a muscle twitch. A ...
You should see your doctor if the twitches are continuous, cause weakness or muscle loss, affects multiple body parts, begin after a new medication or new medical condition. A muscle twitch (also called a fasciculation) is a fine movement of a small area of your muscle. It is caused by tiny muscle contractions and is not something you can control.. Pine az elevation
Athletes and people who participate in strenuous upper-body workouts are more prone to muscle spasms in the rib area. ... Gallstones, hernias, and ruptured abdominal aortic aneurysm may also cause muscle spasms. If abdominal muscle spasms are caused by strenuous exercise, the problem is not serious and can be …A common manifestation of the condition is a "rippling" of the muscles beneath the lower eyelid, maybe spreading to the muscles beneath the upper eyelid. Myokymia is treated with a warm compress to relieve muscle tension, or a small dose of antihistamine to induce relaxation, or bed rest with no use of handheld electronics or computer screens ...A muscle cramp is a sudden, unexpected tightening of one or more muscles. Sometimes called a charley horse, a muscle cramp can be very painful. Exercising or working hard, especially in heat, can lead to muscle cramps. Some medicines and illnesses also might cause muscle cramps. Muscle cramps aren't usually harmful.Summary. People may feel a pulse in their abdominal aorta, a large artery that runs through the stomach area. People may feel pulsing in the stomach during pregnancy or when pressing on the ...A hiatal hernia happens when the upper part of the stomach bulges through the large muscle that separates the abdomen and the chest. The muscle is called the diaphragm. The diaphragm has a small opening called a hiatus. The tube used for swallowing food, called the esophagus, passes through the hiatus before connecting to …A back spasm is an involuntary contraction of the back muscles. Moving in a certain way may trigger a back spasm. More often than not, spasms happen because of muscle weakness, overuse, or injury. A back spasm may last for several hours to several days. Chronic back spasms may be the result of an underlying condition.Online Primary Care Doctors Accepting New Patients. $44 video appointments available today with a membership as low as $15/month. Book a Video Appointment. Ask your question. why am i having spasms in upper left abdomen?: Don't know: This can't be diagnosed with the information that is avail.Abdominal Muscle Spasms! upper abdominal spasms and sore throat Painful stomach spasms Ongoing, worsening, severe, upper right abdominal pain that Left Upper Quadrant Pain with Spasm muscle spasms in my sleep severe painful neck spasms Esophageal spasms spasms in upper stomach between ribs Having nose spasms sudden and random pain spasmsFor acute abdomen pain see also the separate article abdominal Pain . Acute abdominal pain has painful severe symptoms. Read about Acute Abdomen and abdominal pain Try our Symptom ...Dec 12, 2023 · What it feels like. The MS hug is a tight, uncomfortable, sometimes painful sensation that wraps around your body, like you’re being squeezed. Some people report no pain, instead feeling ... Muscle cramps and spasms happen when a muscle spontaneously contracts. The reason for this isn't well understood, but some researchers believe cramps and spasms may be related to muscle fatigue, muscle strain, or other factors like dehydration. A muscle spasm or muscle cramp can cause minor discomfort to severe …Myoclonus is sudden muscle spasms you can’t control. They can be normal, or they may be a sign of a health problem such as multiple sclerosis, dementia, or Parkinson's disease. Learn more about ...Loss of consciousness and body tone, followed by twitching and relaxing muscle contractions. Loss of control of body functions. May be a short 30-second period of no breathing and the person may turn a shade of blue. After this type of seizure, a person may be sleepy and experience a headache, confusion, weakness, numbness, and sore …Muscle cramps and body aches during pregnancy may occur in any muscle or muscle group but is most commonly experienced in the legs. Muscle spasms that occur in the back or abdomen are also possible. A muscle cramp or spasm is characterized by the following: Involuntary contraction or tightening of a muscle. Usually sudden.A fasciculation, or muscle twitch, is a spontaneous, involuntary muscle contraction and relaxation, involving fine muscle fibers. They are common, with as many as 70% of people experiencing them. ... Small twitches of the upper or lower eyelid, for example, are not tics, because they do not involve a whole muscle, but rather are unsuppressible ...7. Infectious colitis. Colitis can cause abdominal cramping due to irritation and inflammation of the colon, which causes it to spasm. Some bacteria that can cause colitis include Clostridium ...SmartAsset compared the inflows and outflows for upper-middle-class people for each state and Washington, D.C. and ranked where they are moving to in 2021. Calculators Helpful Guid...Charley horses are cramps that are caused by muscle spasms, involuntary contractions of one or more muscles. Learn more about the causes, risk factors, diagnosis, treatment, and prevention of ...PD is a neurological disease that results from the loss of dopamine-producing brain cells. It usually occurs in people between the ages of 50 and 70. People with PD may experience some of the ...Muscle twitching can have a number of different causes. Common causes are often benign, meaning the twitching is not due to an underlying disease or abnormality. In rare cases, muscle twitching can …Is Muscle spasm in lower right abdomen your major concern? Solve your problem quick & easy with online consultation. Get your query answered 24*7 with ....
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