Nausea after eating causes in women pregnancy


Causes of nausea from fatty foods

Vomiting is usually preceded by a condition called nausea. This sensation is regulated by the center of the brain. If a person has eaten too much and feels sick, the reason is clear. When there is an excess of food, the brain receives a signal from the receptors of the stomach and “gives an order” to reduce the tone of its walls. At the same time, the area of ​​the duodenum becomes tense. The sphincter (valve) between the esophagus and stomach relaxes. The contents are easily thrown into the esophagus, causing heartburn.

Fatty food means fatty meat, fast food with cheese, French fries, chips, lard, cakes. A large portion of such food is difficult to digest. This requires a lot of gastric juice, pancreatic enzymes, and bile. As a result, food stays in the stomach and intestines for a long time. Stagnant undigested food causes an unpleasant pulling or sucking feeling in the epigastric region.

With nausea, the motor function of the stomach is impaired. Instead of moving food towards the intestines, it pushes it up into the esophagus and oral cavity.

Vomiting occurs, after which it becomes easier. This indicates poor nutrition or overeating.

Similar symptoms appear in a healthy person after drinking alcohol with a fatty snack. The stomach is not able to digest large amounts of heavy food and alcoholic drinks.

In case of poisoning

If a person has eaten too much fatty, stale or poorly prepared food, nausea is one of the symptoms of food poisoning. This usually applies to expired products and homemade canned goods.

In food poisoning, the stomach lining is irritated by bacteria. Microorganisms and the toxins they release, circulating in the blood, cause intoxication, one of the symptoms of which is nausea.

Vomiting is regarded as a protective reflex that frees the body of toxins and prevents their further absorption. Heaviness in the stomach and nausea persist until the person, through vomiting, frees himself from poor-quality food.

From the medicine

Nausea is often caused by side effects of medications that irritate the gastric mucosa:

  • antibiotics;
  • Aspirin (in tablets or soluble form);
  • hormonal medications;
  • iron-containing preparations;
  • poisonous homeopathic remedies;
  • non-steroidal anti-inflammatory tablets – Ibuprofen, Diclofenac;
  • vitamin complexes.

If you feel sick during a course of medication, you should read the instructions for use of the drug. Follow the method of use and storage conditions; consider the expiration date. Most tablets are taken after meals. The medicine leaflet contains information about side effects.

Gastrointestinal diseases

In some diseases, adults cannot digest certain food components. The causes of nausea after a fatty meal are most often gastrointestinal diseases:

  • cholelithiasis;
  • hepatitis;
  • peptic ulcer;
  • cholangitis;
  • enteritis;
  • cholecystitis;
  • biliary dyskinesia.
  • intestinal dysbiosis;
  • pancreatitis;
  • erosive gastritis;
  • gastroduodenal reflux.

If you feel sick after eating something fried, the reason lies in the dysfunction of the gallbladder. In healthy people, in response to food intake, bile is secreted, containing enzymes for digestion. When there is blockage or spasm of the bile ducts, juices either do not enter the intestines at all or enter in small quantities.

As a result, undigested food stagnates in the stomach, causing nausea followed by vomiting. In this case, the person feels better after freeing himself from the food bolus.

If your stomach hurts after eating fatty foods, the cause is gastroesophageal reflux disease (GERD). The problem with this pathology lies in the insufficiency of the valve between the esophagus and the stomach. The muscle ring does not close completely. Heavy food in the form of, for example, fatty pies is not digested, which causes nausea. The stomach reflexively throws stagnant food into the esophagus along with acid, which causes heartburn.

Bad things happen after fatty foods with appendicitis. Nausea and vomiting are accompanied by pain in the right half of the abdomen, which radiates to the lower back or navel. Sometimes the temperature rises.

I always feel sick after oily fish and drinking alcohol with pancreatitis. The pancreas produces enzymes for digesting food - amylase, lipase, trypsin. If the outflow is disrupted, the juice remains inside the organ and does not enter the intestine. In this case, enzymes digest gland tissue, causing inflammation. After eating fatty fish or meat, severe abdominal pain, nausea, and vomiting occur.

If you experience frequent nausea after fatty foods, you should be examined by a gastroenterologist.

Intestinal infections

Rotavirus infection manifests itself as a combination of intestinal and respiratory syndrome. Since the initial signs of the disease are a sore throat and accompanied by an increase in temperature, the pathology in everyday life is called intestinal flu. In the advanced stage of the disease, abdominal colic, nausea, vomiting, and frequent diarrhea occur.

Enterovirus infection occurs with the same symptoms in the warm season. That's why it's sometimes called summer flu. Infection with enterovirus occurs in preschool institutions through toys and household items. After an illness, strong immunity develops.

Transmitted diseases are treated by an infectious disease specialist. You should contact him for abdominal pain with fever, nausea and vomiting.

Pregnancy

Nausea in expectant mothers often occurs due to increased acidity of gastric juice. The reason is the pressure of the fetus on the digestive organs - the stomach and intestines.

Vomiting after fatty foods occurs due to toxicosis in pregnant women. More often, this condition occurs in the early stages of pregnancy. Women feel disgust even at the sight of fatty foods or onions. Most people react to different smells. To reduce nausea, it is recommended to eat fruits and nuts.

Preeclampsia develops in late pregnancy. Called late toxicosis, it is accompanied by increased blood pressure, edema, and the appearance of protein in the urine. This condition may also be accompanied by nausea and vomiting at the sight or smell of fatty foods.

Treatment is carried out only in a hospital setting.

Disorders of the vestibular apparatus

Nausea after fatty foods if a person has disorders of the vestibular system. The gag reflex occurs when abruptly getting out of bed or taking a horizontal position immediately after a meal.

The problem is accompanied by dizziness, tinnitus, loss of balance, and visual disturbances. The condition is relieved by drinking water and lemon juice.

Diet errors

Nausea after fatty foods sometimes occurs as a result of an unhealthy lifestyle. Usually in this case the rules of nutrition and cooking are violated:

  • snacks on the go with sandwiches with butter and cheese;
  • abuse of fast food, sunflower seeds;
  • overeating eggs, full-fat milk;
  • eating large amounts of lard;
  • the predominance of fatty, fried and spicy foods, sweet dishes in the diet;
  • lack of diet;
  • not fully cooked or fried meat food;
  • excessively cold or hot coffee, tea.

Poor nutrition and lack of routine are the main causes of gastritis, ulcers, cholecystitis, and stomach cancer.

Symptoms

The main sign of an unpleasant condition is a painful sensation in the epigastric region, spreading through the gastrointestinal tract to the upper part of the throat. Nausea is mainly accompanied by vomiting. Other symptoms accompanying the disease depend on its type. Reflex - worries when the nerve endings of human organs (stomach, pancreas, pharynx, inner ear) are irritated. Reflex eruption of stomach contents is often accompanied by an increase in blood pressure.

The most dangerous type of disease is the toxic one. The main symptoms are severe headache and weakness. Toxic vomiting is caused by poisoning of the body. The condition in question is a defense mechanism. The human body is trying to get rid of toxins. When intoxicated during infectious diseases, fever is present. Toxic vomiting is associated with taking medications and undergoing chemotherapy. When taking medications (especially painkillers), you begin to feel dizzy and dizzy.

When the body is poisoned, lightheadedness is accompanied by chills, diarrhea, rapid breathing and pulse. The reasons for the discomfort probably lie in the woman's pregnancy. This type of lightheadedness is vestibular. The reasons are psycho-emotional state, menopause.

Pale skin, increased salivation, cold extremities, darkening of the eyes - this is an incomplete list of associated symptoms.

Symptoms of nausea

Manifestations of individual diseases are associated with a damaged organ, but there are general symptoms:

  • heaviness in the stomach;
  • nausea;
  • vomit;
  • intestinal colic;
  • heartburn;
  • feeling of fullness in the stomach;
  • bloating.

If nausea is accompanied by pain in the epigastrium or on the right side of the lower ribs, cholecystitis or cholangitis can be assumed. With diseases of the liver and bile ducts, the skin and sclera become yellow. There is a bitterness in the mouth in the morning, bloating, and belching of air.

If pain is felt around the navel, accompanied by vomiting or diarrhea, this indicates food poisoning or an infectious disease. Intoxication in these diseases is accompanied by the following symptoms:

  • weakness;
  • headache and muscle pain;
  • temperature increase.

Pancreatitis is manifested by nausea, sharp pain radiating to the right hypochondrium or back. Inflammation of the pancreas is characterized by sudden weight loss and unstable stools.

What to do - how to quickly relieve signs of nausea?

It is believed that treatment of nausea is not advisable, since it is not an independent disease. This is just one of the symptoms of the underlying disease. Despite this, there is one proven and universal way to relieve such an unpleasant sign of the disease. It is necessary to take a horizontal position. Namely, lie on your stomach. The right hand is clenched into a fist and placed under the peritoneum directly into the navel area.

You need to lie on the formed fist for 5-10 minutes and take sharp, deep breaths. In most cases, during the specified time, a reflex relaxation of the muscle fibers responsible for spasm and vomiting occurs. This method is indicated for everyone except pregnant women and children under 6 years of age.

The feeling of discomfort in the stomach is provoked by many factors. The cause of nausea after eating can be either harmless irritation of the mucous membrane of internal organs by spicy dishes, or an ulcerative process in the gastrointestinal tract (gastrointestinal tract). If the unpleasant feeling arose once and was not accompanied by painful sensations or severe vomiting, then there is nothing to worry about. In the case when you feel nauseous after almost every meal or in between meals, you need to contact a specialist and undergo examination. The attending physician will diagnose the problem, prescribe treatment and a rational diet.

First aid for nausea from fatty foods

In case of poisoning, there is no need to get rid of nausea. On the contrary, you need to induce vomiting.

To do this, you need to take the following measures:

  1. Drink 3-4 glasses of warm water with soda, press on the back third of your tongue. Repeat gastric lavage 2-3 times until clean lavage water comes out.
  2. Take 4 tablets of activated carbon or Enterosgel to prevent the absorption of bacteria and poisons.
  3. Then drink small amounts of bottled water regularly.
  4. To restore electrolytes, you will need to take dissolved Glucosolan or Regidron powder.

If symptoms do not go away after the measures taken, call an ambulance. It is possible that poisoning is associated with the ingestion of toxic substances or dangerous bacteria into the body. Nausea may be a sign of appendicitis. If the ambulance is called late, the appendix may burst with the development of peritonitis.

Nausea in early pregnancy

Nausea in early pregnancy, especially in combination with vomiting, is most often called early toxicosis, although not all doctors agree with this definition.

Translated from Greek toxikon - poison. This is nothing more than intoxication of the body or autopoisoning, which can be caused by a number of different diseases.

But if you are among the 70% of pregnant women suffering from toxicosis, do not be discouraged: this condition will last about 15 weeks, and then everything will fall into place! During this period, the formation of all the main organs and systems of the baby occurs, and a kind of struggle flares up in the mother’s body: the immune system tries to protect itself from the “invader” that has invaded the body (don’t be surprised, but at the biological level the embryo is perceived by it in the early stages), and the fetus, in turn, tries with all its might to stay in the uterus in order to get a chance at life. Such battles, of course, do not go unnoticed for a woman. And doctors call the fact that she feels sick in the morning a natural, and even useful, reaction of the body. So don't be angry for nothing.

Remember about the child: after all, he will not feel sick with you, but your bad mood may not have a very good effect on his condition. Let him hear pleasant words from you rather than: “I’m tired of this toxicosis!” Stay calm - everything will pass soon.

Treating nausea from fatty foods

Help for nausea after fatty foods varies depending on the underlying disease:

  • For peptic ulcers and gastritis, Motilium and Cerucal relieve nausea. These drugs stimulate the motor function of the stomach and intestines, moving food to the exit.
  • Unsweetened tea with mint, ginger, and lemon helps reduce nausea after overeating.
  • The enzymes Panzinorm and Pancreatin, as well as the proton pump inhibitors Pantoprazole and Omeprazole, help neutralize fatty foods in the stomach.
  • In cases of vestibular dysfunction, motion sickness or seasickness, nausea is relieved by the drug Dramamine.
  • Stressful nausea is relieved by the tranquilizer Tazepam or sedative herbal remedies - motherwort, valerian.

Meals for nausea should be divided, in small portions. The intervals between meals are usually 4 hours. Drink more water to normalize the balance of essential electrolytes in your body. Liquid promotes better digestion of food.

Do not indulge in carbonated drinks, strong tea and coffee. Clockwise abdominal massage and exercises help the digestive organs.

Why do you feel nauseous after eating?

A one-time attack of nausea may indicate poisoning. You ate something wrong or consumed a product that was not in accordance with your diet. What to do when you are sure that the food is fresh, but after eating your stomach hurts and you feel nauseous. You should be wary if this does not go away. There can be danger hidden in attacks of nausea. Possible causes of nausea after eating:

  • inflammation of the gastric mucosa (gastritis), ulcer;
  • problems with the pancreas (pancreatitis);
  • cholelithiasis, inflammation of the gallbladder (cholecystitis);
  • diseases of the cardiovascular system;
  • appendicitis;
  • kidney disease;
  • heart problems, myocardial infarction.

Nausea after eating - causes in women

Changes constantly occur in the female body, which often no one suspects. He is more susceptible to diseases than men. When you want to vomit and have a headache, it's a migraine. What to do with prolonged migraines? In the fight against the disease, triptans will help - effective anti-migraine analgesics, during the treatment of which violation of the dosage is not allowed. Causes of nausea after eating in women:

  • pregnancy;
  • advanced cystitis, which caused complications on the kidneys;
  • after a fatty meal you feel sick;
  • drinking caffeine on an empty stomach;
  • neuroses, worries.

Child vomits after eating

If adults find it difficult to tolerate nausea, what can we say about children? Determining the cause of childhood nausea is not easy. Children cannot say what was the reason, what they ate before the unpleasant symptom. Parents have to guess and look for the reason why their child feels sick after eating. There are a number of reasons for this, but it is wiser to consult a doctor. It is difficult to make a diagnosis on your own, but there is no need to put a child’s life at risk. What to do if your child feels nauseous after eating and the heaviness in the stomach does not give rest:

  1. Intoxication of the body. Pain in the left side of the body and I want to vomit.
  2. Disruption of the gastrointestinal tract, pain in the navel and right side, obstruction in the intestines.
  3. Stomach infections. A child can become infected through toys, water, and food. Irritability, nausea, bloating, vomiting are the first symptoms of the disease.
  4. ARVI and pyelonephritis affect the intestines and children's stomach, causing attacks of nausea.
  5. Nervous system disorders – inflammation of the membranes of the brain (meningitis, encephalitis). Signs after nausea will be incessant vomiting and fear of light.
  6. The baby ate something inedible. Children often put everything in their mouths; parents need to control this. Plasticine, lipstick, cream - all objects smaller than a child's mouth should be kept away.

Nausea in children

The vomiting center in children is very sensitive to various odors and unusual tastes. Cause of nausea:

  • Intestinal infections caused by rotavirus or enterovirus, pathogenic Escherichia coli, salmonella. The source of infection is a sick person, dogs, cats, tap water, toys.
  • Food poisoning occurs when eating food contaminated with microbes, especially dairy products. This happens when using expired products or when storage rules are violated.
  • Acute respiratory diseases not directly related to the stomach - bronchitis, pneumonia.

Nausea can be caused by a disease of the nervous system, brain tumors, or appendicitis.

Nausea and heaviness in the stomach

Nausea may be accompanied by heaviness in the stomach.

If the feeling of heaviness predominates, then most likely the reason is the following:

  • Binge eating. Too large portions of food lead to stretching of the stomach walls. It is better to eat more often, but little by little;
  • Insufficient chewing. Poorly chopped food is more difficult to digest, and therefore the body has to expend more resources;
  • Irregular meals and long breaks between meals;
  • Dishes that irritate the gastric mucosa (spicy, salty, cold, hot).

Prevention

In the absence of diseases, to prevent nausea from overeating, it is enough to eliminate provoking factors or bad habits:

  • reduce the consumption of fatty, fried foods, marinades;
  • eat food 5 times a day, but little by little;
  • do not “seize” the problem so as not to cause overeating;
  • during pregnancy, spend more time outdoors;
  • give up carbonated drinks;
  • have dinner no later than 2.5 hours before bedtime;
  • take your time at the table, chew your food thoroughly;
  • After a hearty lunch, do not lie down, but take a walk.

If the problem is related to overeating, these measures are enough to avoid nausea. For diseases of the digestive system, these measures will help prevent the occurrence of the gag reflex.

Since nausea is often a symptom of a disease, it is important to identify and eliminate the cause. To do this, you need to be examined by a gastroenterologist. If the disease is not detected, the doctor will recommend eliminating the provoking factors.

How to avoid nausea after eating: prevention

Prevention of the development of nausea should be aimed at eliminating the causes of its occurrence. The rules of a healthy lifestyle often help to avoid this unpleasant phenomenon.

  • eat small meals every 4 hours;
  • drink enough fluid for the normal functioning of the stomach and intestines;
  • drink unsweetened drinks, give preference to pure or mineral water without gas. Green tea and compotes are useful;
  • After lunch, walk a little, take a walk in the fresh air. Provide the body with regular exercise to help stabilize metabolism;
  • give up irritating foods (spices, flavorings, fried foods);
  • reduce the consumption of flour products;
  • to refuse from bad habits;
  • if the cause of discomfort is the vestibular system, do not eat before moving on vehicles;
  • Before taking the drug, carefully read the instructions; a side effect may be nausea;
  • during pregnancy, minimize stress factors, fatigue, and physical activity;
  • be careful in your movements to avoid bruises and injuries;
  • if you have an allergic reaction to certain products or external irritants, avoid them if possible;
  • Maintain personal hygiene, regularly ventilate your living space and workplace;
  • Be sure to watch your weight and don’t overeat.

Everyone has experienced nausea - an unpleasant, heavy feeling in the epigastric region. Often preceded by reflex eruptions of stomach contents - vomiting. The disease progresses in different ways. Some people feel sick all day. Others - after eating.

It's worth finding out the reasons. The field of medicine that studies the physiology of nausea, vomiting, and elimination mechanisms is given the name emetology. If you experience indigestion after eating, you need to find out the cause. Many people experience discomfort in the pancreas, regardless of meals. Sometimes people feel sick after eating.

What to do?

In some cases, nausea is explained by the physiological characteristics of the human body and is not a symptom of a serious illness.

An episodic attack may occur after a heavy dinner. The state of health worsens if a person skips breakfast and dinner, and in the evening eats a large amount of high-calorie food. Fried and spicy foods are not suitable for the daily menu.

You should not rush to the gym eye immediately after eating. It is better to let the body digest the food calmly and reschedule the workout or cancel it altogether. In addition, food eaten before exercise inhibits the body's ability to use subcutaneous fat during exercise.

Some medications affect the functioning of the digestive system. Carefully study the official instructions for medications and pay attention to the list of possible adverse reactions.

Try to improve your emotional state so that the slightest stress does not cause nausea, vomiting and diarrhea. Spend time in the fresh air more often, drink herbal teas, take mild sedatives and stop getting upset over trifles.

Nausea in the morning is a sure sign of pregnancy. In case of severe toxicosis in the later stages, consultation with a gynecologist is necessary. Due to constant weakness and nausea, the woman cannot lead her usual lifestyle.

The expectant mother should not prescribe medications on her own, because pregnancy is a contraindication for taking many pharmacological groups. For example, antibiotics have a teratogenic effect and affect the embryonic development of the fetus. Antibiotic therapy carried out in the first trimester is especially dangerous.

During menstruation, many women are bothered not only by severe nagging pain in the lower abdomen and lumbar region, but also by mild nausea.

GASTRITIS AND ULCER DISEASE

There are diseases that immediately appear and make themselves felt with heaviness in the stomach. What to do? Do not ignore these manifestations and do not put your health at risk. A one-time occurrence of nausea during a long journey is nothing to worry about. If, while sitting at home, after eating your usual food, you experience constant nausea or suddenly feel nauseous, you should immediately call an ambulance.

Find out what diseases cause nausea to appear suddenly and haunt you.

  1. Inflammation of appendicitis. The pain is difficult to define and is often felt in the right side of the lower abdomen. After nausea, vomiting may begin and the temperature rises to 38 degrees.
  2. Ulcer and gastritis. Nausea after eating, heartburn, pain in the upper abdomen.
  3. Worms are helminths.
  4. Cardiac system disorders. You often feel nauseous after eating and when you don’t eat anything anymore. May be a symptom of myocardial infarction.
  5. Kidney diseases and renal failure. In acute pyelonephritis, dull pain in the lower back, nausea and vomiting are manifested.
  6. Traumatic brain injury. Nausea occurs with a concussion and damage to its tissues and blood vessels.
  7. Liver problems. Nausea can occur in the initial stages of diseases such as hepatitis, cholecystitis, and cirrhosis of the liver.
  8. Pancreatitis – indigestion, lack of appetite, nausea.
  9. Duodenitis is characterized by prolonged nausea.

There are diseases that are necessarily accompanied by nausea. This happens because, due to certain illnesses, the stomach begins to work incorrectly. Nausea with intestinal diseases occurs reflexively. Among the chronic diseases of the digestive system with the manifestation of nausea are atrophic gastritis (the condition of the stomach before cancer) and polyadenomatous gastritis (cysts develop in the stomach). Making such diagnoses requires examination by a gastroenterologist and gastroscopy.

The vestibular apparatus is necessary for a person’s orientation in space and maintaining balance. If it doesn't work properly, it makes you feel sick after eating, causing you to vomit. Slight dizziness appears, coordination of movements is impaired. Symptoms are periodic and mild. You can feel similar effects with seasickness and hangover. Other causes of vestibular disorders:

  • diseases of the inner ear;
  • vestibular neuritis;
  • problems of the auditory artery;
  • drug intoxication;
  • epilepsy;
  • multiple sclerosis.

DETAILS. Nausea increases after eating, as does bloating or heaviness in the stomach, heartburn. Pain or burning sensation in the upper abdomen on an empty stomach and after eating.

WHAT TO DO. Gastroscopy, general and biochemical blood tests, as well as a test for antibodies to the bacterium Helicobacter pylori, which causes ulcers. You will also need an ultrasound of the abdominal organs. You may be prescribed antibiotics. In any case, you have to change your eating style - not to get carried away with spicy, fatty and other non-dietary foods.

Causes of occurrence in older women

At an older age, the body weakens and is more often susceptible to various diseases. Pathologies of the gastrointestinal tract, cardiovascular system and neurological problems are usually encountered.

With age, the condition of the epithelium of the mucous membrane of the stomach and intestines worsens, so the feeling of nausea in elderly women may occur due to:

  • minor irritation;
  • stress;
  • pressure rise;
  • failure in daily routine;
  • unusual nutrition.

Indigestion in the elderly should not be ignored, since it can also be a manifestation of a stroke, cancer, heart attack or serious poisoning.

How can women get rid of the disease?

To get rid of unpleasant sensations, you need to identify their cause, on which treatment will depend.

  1. Gastritis. It is necessary to eat a diet that excludes dishes that can irritate the gastric mucosa (spicy, salty, hot, cold).
  2. Ulcer. A diet similar to that prescribed for gastritis is required, and in some cases, surgery.
  3. Anemia. It is recommended to increase the amount of meat, liver and apples in the diet. You can take medications containing iron.
  4. Problems with the liver and pancreas. Be sure to cross out fried and fatty foods from the menu, take tablets that improve digestion and protect these organs.
  5. Pregnancy. During pregnancy, they try to combat nausea and vomiting without prescribing medications. To reduce discomfort, you need to eat right, avoid strong odors and rest more often.

Nausea after eating mainly indicates the presence of acute or chronic ailments in the body. The factors causing this condition may be of a psychological nature, as well as a phenomenon of a post-traumatic state. Let's take a closer look at the causes of nausea.

Nausea in the morning or evening

Morning sickness in young girls is often attributed to pregnancy. However, this is not always true. Such a symptom may also indicate alcohol intoxication, poisoning with hazardous substances - for example, at work, or an attack of arterial hypertension. Morning intoxication is possible due to problems with the intestines or liver. In this case, you should contact a gastroenterologist and undergo appropriate examination. Sometimes the cause of disturbances is problems with the intestinal microflora.

If nausea, on the contrary, occurs closer to the night, then this may be a sign of chronic pathologies of the digestive system or inflammation of the appendix. Also, the problem may lie in the cardiovascular system, so it is advisable to undergo an ECG to make sure there are no serious problems.

Important! Older people have their own reasons for nausea. For example, the body of an elderly person is more sensitive to stress, changes in diet and diet.

Thus, nausea can be either a fairly harmless nuisance or a sign of a serious disorder. If nausea occurs rarely and goes away on its own, it means that this is a single reaction of the body to stress or food. However, if nausea has a certain pattern and occurs regularly, then you should consult a doctor to determine its causes. It is better to first visit a therapist, who will refer you to specialist doctors for additional examinations.

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