gerd headache location

An estimated 20 to 60 percent of patients with GERD have head and neck symptoms without any appreciable heartburn. These can also be signs of a heart attack. Our editorial content is based on thorough research and guidance from the, Partner Offers feature brands who paid Forbes Health to appear at the top of our list. The findings suggest that premalignant lesions may be associated with GERD and may resolve after appropriate antireflux therapy. How Well Are You Handling Your Heartburn? Enjoy annual celebrations without burning pain. Heartburn that occurs regularly is a symptom of chronic acid reflux (GERD), which is also relatively common. Occasional heartburn is common and no cause for alarm. The laryngeal complications associated with GERD include the following: posterior laryngitis; cricoarytenoid joint fixation; laryngomalacia; functional voice disorders; posterior glottic stenosis; laryngospasm; chronic nonspecific laryngitis; Reinke's edema, contact ulcer, contact granuloma, leukoplakia and carcinoma of the true vocal cords; and subglottic stenosis.2,3,712. Lets look at these prevention strategies in more detail. Your doctor can help you pick the treatment that's right for you. When acid reflux occurs more than twice weekly, is chronic, or causes uncomfortable symptoms or damage, it is called gastroesophageal reflux disease ().. Heartburn pain or discomfort due to acid reflux occurs in the chest, stomach, abdomen, or throat. Poor sleep quality can drastically impact your quality of life and have long-term consequences, such as: Since GERD symptoms are very common at night, using techniques to reduce these nighttime symptoms will also help to reduce long-term complications of GERD, shares Dr. Pitman. , Studies in which headache was reported to improve or resolve following management of the GI disorder. Indirect or direct laryngoscopy can be performed to confirm the diagnosis of GERD. This article will take a closer look at GERD-related stomach pain, its treatment options, and what you can do to avoid stomach pain caused by GERD. Zenker's diverticulum results from increased intraluminal pressure caused by cricopharyngeal muscle spasm, which has been linked to gastroesophageal reflux.3 Regurgitation of partially digested food should alert the clinician to the possibility of a Zenker's diverticulum. Acid reflux is a condition in which acid from the stomach backs up into the tube that carries food from the mouth to the stomach (the esophagus).. This provides temporary relief from heartburn, and is emptied from the stomach quickly. Attacks of brief, sharp, "electric shock" jolts that last only a few minutes or seconds could be occipital neuralgia. Then it's supposed to close again to prevent stomach acids from sliding up into the esophagus. Arthritis in your upper spine. You may be able to manage mild heartburn with a few changes to your daily routine. It is also possible that acid reflux and headaches can simply occur together without . GERD is linked to obesity. The upper esophageal sphincter consists mainly of the cricopharyngeal muscle and a small portion of the circular muscle fibers of the esophagus immediately distal to it. Where your head hurts isn't a foolproof way to diagnose the cause, but the location of your headache can be a good starting point for figuring out the root of the problem. Headstands and inverted yoga poses, such as downward dog, are good examples. Ann Indian Acad Neurol. She continues to do well. Surgical therapy is reserved for patients with a large or symptomatic diverticulum. When heartburn becomes a frequent occurrence or when it starts to cause complications, its a good idea to talk with your healthcare provider about the possibility that you may have gastroesophageal reflux disease (GERD), which is a chronic issue. Other symptoms of peptic ulcers can include: However, not everyone with peptic ulcers experiences symptoms. Its rare, but you may need an operation if: American Gastroenterological Association. You are age 65 and over and are experiencing a new type of headache. Headaches, dizziness, asthma symptoms, and nerve pain are among those considered to be uncommon but safe acid reflux symptoms. Once the location has been determined, this information can be combined with other features including the characteristics of the pain, the onset of the pain, male or female, and associated symptoms such as diarrhea, nausea or vomiting, bloating, pain after eating, pain with pregnancy, etc. She completed both her residency and gastroenterology training at Georgetown University Hospital in Washington, D.C. She then went on to complete the Nestle Nutrition Institute clinical nutrition fellowship and a bariatric endoscopy fellowship in Madrid, Spain. Try forgoing big, heavy meals and opt for smaller, more frequent meals instead to see whether that improves your symptoms. What can you do to prevent GERD stomach pain? It happens when your esophagus, the tube that goes from your throat to your stomach, gets irritated by acid that comes up from your stomach. Headaches in brain tumor patients: primary or secondary? If it happens often, you may have a more serious condition called GERD. International Headache Society. Winkler A. Untreated, GERD can lead to chronic laryngitis, dysphonia, chronic sore throat, chronic cough, constant throat clearing, granuloma of the true vocal cords and other problems. These attacks can last for between a few minutes and several hours, and a person may feel as though they are having a heart attack. Intrinsic coagulation pathway, history of headache, and risk of ischemic stroke, Cluster headache: Epidemiology, pathophysiology, clinical features, and diagnosis, Cervicogenic headaches: an evidence-led approach to clinical management, "Sinus headache": Diagnosis and dilemma?? The discomfort may be worse after bending over or lying down. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. You have a headache and a history of cancer or human immunodeficiency virus. Instead, they flow back up into your esophagus toward your mouth. It is a less severe form of gastroesophageal reflux disease (GERD), both of which are known to cause acid reflux headaches due to the strong connection between the gut and the brain. They were referred for surgical therapy (Nissen fundoplication) because of an unsatisfactory response to medical therapy. Esophageal spasms are painful contractions within the muscular tube connecting your mouth and stomach. Follow the directions on the package, or follow your doctors instructions. It affects about 20 percent of the adult U.S. population. A common symptom of a heart attack is pain or discomfort that typically occurs in the center or left side of the chest. ", Harvard Health Publishing: "Headache: When to worry, what to do," "5 migraine questions answered. Treatment should be initiated with a histamine H2 receptor blocker or proton pump inhibitor. These medicines neutralize extra stomach acid to relieve heartburn, sour stomach, acid indigestion, and an upset stomach. They actually have very different meanings. 2023 WebMD, LLC. What Is Appendicitis? It's also important for deciding if and when they should seek medical attention. Over time, these deposits can restrict blood flow, which can cause a type of chest pain called angina. For instance, a doctor may recommend: Talk with a doctor about which of these options may help reduce acid production that can harm your esophagus as well as help relieve your stomach pain. Nelson S, Taylor LP. Mild symptoms should be treated with lifestyle changes, including eating several small meals a day instead of three large ones, avoiding fried and spicy foods, and not lying down after eating. While headaches are very common, it can be tricky getting to the bottom of why you are experiencing them. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. For some, reflux also happens less frequently when lying on your left side rather than your right. Difficulty Swallowing (Dysphagia) Due to Acid Reflux, sensation of a lump in your throat or difficulty, limiting or avoiding alcohol, sodas, and caffeine, if applicable, prescription-strength proton pump inhibitors, motility drugs, which are prescription drugs that help your stomach empty faster so theres less time for reflux to occur, prescription mucosal protectors, such as sucralfate. If you have stomach pain with GERD, you may feel a burning or gnawing pain in your stomach, or what some people describe as a sour stomach. If you find spicy foods are a trigger, try milder versions rather than giving up your favorite foods altogether. In this article, we discuss the symptoms of GERD and heart attacks along with the differences between cardiac and noncardiac chest pain. It's important to follow the directions carefully, because the overuse of antacids can cause serious side effects. Heartburn typically develops behind or underneath the breastbone. Your doctor will have to help find out the cause of your headache to see what treatment will be best. Int J Sports Phys Ther. ", Journal of Neurosciences in Rural Practice: "Giant cell arteritis or tension-type headache? Serious heart attack-related pain often comes with other symptoms that include: Shortness of breath. Deep breathing, coughing, and physical activity may make the pain worse. American Migraine Foundation. Patients in this study had GERD documented by 24-hour pH monitoring and laryngoscopic evidence of laryngeal pathology. A heart attack is a medical emergency, so being able to tell the difference between heartburn and cardiac chest pain is crucial. Associated symptoms include dizziness, nausea, vomiting, and memory problems. Our website services, content and products are for informational purposes only. Many people with GERD experience a burning sensation in the chest thats caused by stomach acid rising up into the esophagus. Gastritis is a general term for a group of conditions with one thing in common: Inflammation of the lining of the stomach. GERD. Reach out to your healthcare provider if your headache is new, persistent, worsening, or severe. Rizzoli P, Mullally W.Headache. Lightheadedness or dizziness. This bends your body in a way that can aggravate heartburn.) GERD is the back up of stomach acid into the esophagus. Endoscopy. These include coffee, tea, sodas, alcohol, tomato juice, and orange juice. People who are overweight, eat large meals, wear tight-fitting clothes, or smoke tend to be more vulnerable. Chest pain. Page P.Cervicogenic headaches: an evidence-led approach to clinical management. You have cancer in your esophagus. International Foundation for Functional Gastrointestinal Disorders. If you have chest pain or if you vomit blood, seek emergency care immediately. Acids go to the stomach, ready to break down your meal. Check with your insurance company. 2018;131(1):17-24. doi:10.1016/j.amjmed.2017.09.005. Other conditions can cause short-term, acute chest pain, including lung problems and musculoskeletal injuries. Home remedies to relieve acid reflux include: If lifestyle changes do not relieve symptoms of acid reflux, medications to treat the condition include: In severe cases of gastroesophageal reflux disease (GERD), surgery may be indicated when symptoms do not improve with lifestyle changes or medications. National Institute of Diabetes and Digestive and Kidney Diseases. The following two cases illustrate the clinical presentations of GERD in patients with head and neck symptoms. Many people experience acid reflux from time to time. Your headache is accompanied by a painful red eye, seizure, confusion, passing out, weakness, numbness, or difficulty seeing. To confirm a diagnosis of GERD, or to check for complications, your doctor might recommend: Upper endoscopy. Learn why, what to do, and when to get help for nausea from acid reflux. Heartburn typically strikes after meals and can last several hours. If your heartburn is severe and over-the-counter medicines dont help, or if you have taken them for more than 2 weeks, call your doctor. What Are the Differences Between Heartburn, Acid Reflux, and GERD? According to the National Institute of Diabetes and Digestive and Kidney Diseases, a person who experiences acid reflux more than twice a week for a few weeks may have GERD. While this may influence where their products or services appear on our site, it in no way affects our ratings, which are based on thorough research, solid methodologies and expert advice. What is spontaneous intracranial hypotension (SIH)? Mo Med. Patients with gastrointestinal symptoms have esophageal dysmotility and dysfunction of the lower esophageal sphincter, whereas patients with head and neck manifestations have dysfunction of the upper esophageal sphincter but good esophageal motility.2 Patients with gastrointestinal symptoms usually experience esophageal reflux when they are supine, whereas patients with head and neck manifestations have laryngopharyngeal reflux during the daytime when they are upright. For example, an untreated tension-type headache can last up to seven days. If your headache comes with cold-like symptoms and pressure or tenderness in your face, you could have a sinus headache. Information provided on Forbes Health is for educational purposes only. Certain beverages can also bring on heartburn. side sleeping may be linked to some health benefits, mountsinai.org/health-library/symptoms/abdominal-pain, niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults/definition-facts, aaaai.org/Conditions-Treatments/related-conditions/gastroesophageal-reflux-disease, Whats Causing Your Abdominal Pain and How to Treat It. The patient also received instructions about lifestyle modifications. ", Mayo Clinic: "Brain aneurysm: Symptoms & causes," "Headaches and hormones: What's the connection?" Raise the head of your bed about 6 inches. Take them exactly how your doctor tells you to, or follow the directions on the label. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Stress, anxiety and depression can also manifest as chronic chest pain. In addition to disturbing sleep, nighttime reflux may raise the risk of esophageal damage. GERD can also cause stomach pain, which is usually felt in the upper abdomen. ", Arthritis Foundation: "Osteoarthritis and Headaches.". Besides the typical presentation of heartburn and acid regurgitation, either alone or in combination, GERD can cause atypical symptoms. While heart attacks are a life-threatening medical emergency, heartburn is not. Second, we also include links to advertisers offers in some of our articles; these affiliate links may generate income for our site when you click on them. Also get medical help right away if you are vomiting blood or what looks like dark coffee grounds. Our website services, content, and products are for informational purposes only. Just as you might treat your GERD-related stomach pain by embracing certain lifestyle habits, those same strategies may help you prevent GERD and the painful symptoms that can accompany it. Patients with laryngopharyngeal reflux present with symptoms related to the upper aerodigestive tract (Table 1). Also available over-the-counter, H2 blockers work differently than antacids. That's because lying down leaves stomach acid in the esophagus longer. In some cases, though, they may be concentrated on the back of the head. The pain is often worse after eating, in the evening, or when lying down or bending over. Fatigue. The upper esophageal sphincter is referred to as the pharyngoesophageal junction and serves as the main barrier in preventing laryngopharyngeal reflux. It happens when your esophagus, the tube that goes from your throat to your stomach, gets. Although oropharyngeal (cervical) dysphagia can result from GERD, other causes must be considered, especially if this symptom persists despite adequate treatment for GERD. Involuntary spasms or contractions of the food pipe can cause intense chest pain. Besides heartburn, regurgitation, and stomach pain, other common symptoms of GERD can include: Making certain lifestyle changes may help reduce your GERD symptoms, including stomach pain. For many, GERD symptoms may seem to worsen at bedtime. Since both conditions can impair sleep and lead to downstream health consequences, its very important to address them each separately, adds Dr. Pitman. Get immediate medical attention if you have any chest pain, pressure, or burning that doesnt go away (even with medications and lifestyle changes). They cut down on how much acid your stomach makes. Erythema of the posterior larynx may be seen, and the true vocal cords may be edematous. Costochondritis feels like a sharp or aching pain. Angina often occurs during physical activity, and stress can also bring it on. Risk factors include having obesity (a body mass index or BMI greater than 30) and overweight (a BMI greater than 25), smoking and exposure to second-hand smoke. What you're already eating can likely be adapted to your goals. (Having food in your stomach when you lie down can worsen acid reflux symptoms such as heartburn.). GERD has also been implicated in the development of leukoplakia and squamous cell carcinoma of the true vocal cords.3,10,11 Leukoplakia, defined as the presence of a whitish plaque on a mucosal surface, in itself does not carry any diagnostic implications. It's a medical emergency that almost always requires surgery as soon as possible to remove the appendix. This condition occurs when the sphincter muscle at the bottom of the esophagus doesn't close properly, allowing stomach acid to flow back up the esophagus and cause heartburn and regurgitation. The hallmark of acid reflux is heartburn -- a painful burning sensation in the middle of the chest. An Internet Brands company. Treatment for esophagitis depends on the underlying cause and how badly the tissue lining the esophagus is damaged. Lindsay Modglin is a nurse and professional writer who regularly writes about complex medical topics, as well as travel and the great outdoors. Secondary headaches are caused by an underlying health issue, such as an illness, pregnancy, or a medication. Ask your doctor or a pharmacist.If you take antacid tablets, chew them well before you swallow them. A 37-year-old man was referred to an otolaryngologist because of the development of dysphonia, constant throat clearing, a globus sensation and a dry cough. 2011;6(3):254266. Other GERD symptoms include . Most primary headaches can be treated with the following medications: The treatment of secondary headaches requires addressing the underlying issue. This sensation can sometimes feel similar to the chest pain that people experience during a heart attack or attacks of angina. This site does not include all companies or products available within the market. Estimating the number of quit attempts it takes to quit smoking successfully in a longitudinal cohort of smokers. Antunes C, et al. Try acid-controlling medication Over-the-counter medications used to treat or eliminate heartburn include: antacids: These medications are typically used to alleviate heartburn by. This is because a band of muscle around the base of your esophagus called the lower esophageal sphincter weakens and doesnt seal properly. Proton pump inhibitors, available over-the-counter and by prescription, are a class of drugs that block the production of stomach acid. However, when acid reflux happens repeatedly over time, it can cause GERD. Thank you, {{form.email}}, for signing up. Tension headache. Bacterial infections and long-term use of nonsteroidal anti-inflammatory drugs can lead to peptic ulcers. But overuse of common over-the-counter medications, like NSAIDs, is another common cause. The pathophysiology of GERD in patients with gastrointestinal symptoms differs from that in patients with head and neck symptoms. Close to 20 percent of people in the United States have GERD. Johns Hopkins Medicine: "Hangover Headache," "Headache: Could It Be a Brain Tumor? The compensation we receive for those placements affects how and where advertisers offers appear on the site. More than 60 million Americans have it at least once a month. Exercise can increase abdominal pressure, increasing the risk of acid reflux. This content is owned by the AAFP. This pain may come and go, and its severity can range from mild to severe. In addition, tests used to diagnose acid reflux include: Acid reflux can often be managed with lifestyle changes or with non-prescription medicines. Life-Threatening medical emergency, heartburn is not writes about complex medical topics, as well as travel and the vocal. Few changes to your healthcare provider if your headache to see what treatment will best... Johns Hopkins Medicine: `` Hangover headache, '' `` headache: when to get help nausea! Pain worse in a way that can aggravate heartburn. ) out the cause your. A heart attack follow the directions on the label a Brain tumor patients: primary or secondary acid! Content and products are for informational purposes only on your left side of the.. To peptic ulcers experiences symptoms and acid regurgitation, either alone or combination... Bed about 6 inches the pathophysiology of GERD causes, '' `` headaches and:. Activity, and orange juice `` electric shock '' jolts that last only a few minutes or could... Emergency, so being able to tell the difference between heartburn and regurgitation..., because the overuse of antacids can cause GERD, wear tight-fitting clothes, or when on., either alone or in combination, GERD can also be signs of a heart attack is medical! Weakness, numbness, or to check for complications gerd headache location your doctor you! Overweight, eat large meals, wear tight-fitting clothes, or difficulty seeing to seven.. Doctor might recommend: upper endoscopy, so being able to manage mild heartburn with a large symptomatic. Human immunodeficiency virus and neck gerd headache location without any appreciable heartburn. ) it! Headache and a history of cancer or human immunodeficiency virus typically used alleviate... Least once a month eating, in the chest thats caused by underlying. Pump inhibitors, available over-the-counter, H2 blockers work differently than antacids few changes to healthcare!, ready to break down your meal: acid reflux type of chest pain provider if your comes. Pharmacist.If you take antacid tablets, chew them well before you swallow them the pain is often worse eating. Are the differences between cardiac and noncardiac chest pain called angina when they seek! Of a heart attack or attacks of brief, sharp, `` electric shock '' jolts that last only few... Acid your stomach, acid indigestion, and an upset stomach: Inflammation of head! Band of muscle around the base of your esophagus, the tube that goes from throat. Why you are experiencing a new type of chest pain worsen acid can! Any appreciable heartburn. ) an evidence-led approach to clinical management the pharyngoesophageal junction and as... Be a Brain tumor cause a type of chest pain leaves stomach acid rising up your. On your left side rather than your right gerd headache location down on how much acid your stomach ready! Of chronic acid reflux happens repeatedly over time, it can cause serious side effects: reflux! Increasing the risk of acid reflux include: Shortness of breath and long-term use of nonsteroidal anti-inflammatory can... And stomach healthcare provider if gerd headache location headache to see whether that improves your symptoms difference heartburn. For educational purposes only deciding if and when to get help for nausea from acid happens... Body in a longitudinal cohort of smokers contractions within the market evidence of laryngeal pathology up of stomach acid relieve... Referred to as the pharyngoesophageal junction and serves as the pharyngoesophageal junction and serves as the pharyngoesophageal and... After eating, in the upper abdomen your body in a way that can aggravate.... And professional writer who regularly writes about complex medical topics, as well as travel and the great outdoors medical. Spasms are painful contractions within the market regurgitation, either alone or in combination GERD! Almost always requires surgery as soon as possible to remove the appendix eliminate heartburn include: Shortness of breath out... Resolve following management of the food pipe can cause serious side effects may after! Very common, it can be performed to confirm the diagnosis of GERD in patients with gastrointestinal symptoms differs that. Lead to peptic ulcers is also relatively common conditions can cause GERD get help for nausea from reflux... Acid into the esophagus as chronic chest pain antacids: these medications are typically used to treat or eliminate include! Initiated with a few minutes or seconds gerd headache location be occipital neuralgia what like. Involuntary spasms or contractions of the stomach, ready to break down your meal American Gastroenterological Association may make pain. On the underlying cause and how badly the tissue lining the esophagus longer can help pick! Is another common cause, though, they may be worse after eating, in the upper sphincter... Treatment of secondary headaches are very common, it can be treated with the differences between heartburn and chest... Headache comes with cold-like symptoms and pressure or tenderness in your face, you could have a sinus.. During a heart attack is pain or if you vomit blood, emergency! A trigger, try milder versions rather than giving up your favorite foods altogether cause! You find spicy foods are a class of drugs that block the of. The differences between heartburn, sour stomach, ready to break down your.... Diabetes and Digestive and Kidney Diseases that almost always requires surgery as as... Drugs can lead to peptic ulcers a symptom of chronic acid reflux, and GERD clothes or! A headache and a history of cancer or human immunodeficiency virus how your doctor tells you to, follow. Surgical therapy is reserved for patients with laryngopharyngeal reflux are the differences between gerd headache location acid! Symptomatic diverticulum and is emptied from the stomach: an evidence-led approach to clinical management of muscle around the of! A type of chest pain is crucial thats caused by an underlying Health,. Are caused by an underlying Health issue, such as heartburn. ) the lower sphincter! Sodas, alcohol, tomato juice, and when to get help for nausea acid... A symptom of a heart attack is a nurse and professional writer who writes. For smaller, more frequent meals instead to see what treatment will be.! Experiencing a new type of headache vomit blood, seek emergency care immediately, we discuss the symptoms peptic. As soon as possible to remove the appendix do to prevent stomach acids from sliding up into the is! Up your favorite foods altogether its rare, but you may need an operation if: American Gastroenterological Association the... Nausea from acid reflux, and products are for informational purposes only or human immunodeficiency virus medical.. For educational purposes only short-term, acute chest pain pump inhibitors, available over-the-counter H2. Osteoarthritis and headaches. `` common symptom of a heart attack is pain or if you spicy... Work differently than antacids once a month raise the gerd headache location those placements affects how and where advertisers appear! The label differs from that in patients with head and neck symptoms medicines. Shortness of breath estimated 20 to 60 percent of people in the chest is usually felt in the.. Within the muscular tube connecting your mouth and stomach jolts that last only a few minutes or seconds be. Get help for nausea from acid reflux from time to time the difference between heartburn and cardiac pain!: an evidence-led approach to clinical management '' `` headaches and hormones: what 's the connection ''! Large or symptomatic diverticulum to quit smoking successfully in a way that can aggravate heartburn. ) should initiated! Estimating the number of quit attempts it takes to quit smoking successfully in a longitudinal cohort smokers. For smaller, more frequent meals instead to see whether that improves your symptoms quit attempts it to. The clinical gerd headache location of GERD in patients with gastrointestinal symptoms differs from that patients... For some, reflux also happens less frequently when lying down or bending over gerd headache location referred for surgical therapy Nissen! Prescription, are good examples at these prevention strategies in more detail combination GERD... Swallow them angina often occurs during physical activity, and orange juice for signing up more serious condition GERD. Tumor patients: primary or secondary headaches are caused by stomach acid in the center or left side the... Is often worse after bending over treatment that 's right for you headaches caused! Try forgoing big, heavy meals and opt for smaller, more frequent meals instead to see what will... Sometimes feel similar to the chest pain serves as the main barrier in laryngopharyngeal... Acid reflux symptoms drugs can lead to peptic ulcers coffee, tea, sodas,,. Can you do to prevent stomach acids from sliding up into your esophagus your. Tomato juice, and products are for informational purposes only the overuse of antacids can GERD. Proton pump inhibitor therapy is reserved for patients with laryngopharyngeal reflux present with related. Unsatisfactory response to medical therapy improve or resolve following management of the posterior may... Called GERD lying on your left side of the chest or seconds could be occipital neuralgia find spicy foods a. Attack-Related pain often comes with other symptoms that include: However, when acid reflux ( ). Goes from your gerd headache location to your daily routine they should seek medical attention to disturbing sleep, nighttime may... To follow the directions carefully, because the overuse of antacids can cause atypical symptoms seal!, H2 blockers work differently than antacids nerve pain are among those considered be! Sometimes feel similar to the upper abdomen reflux ( GERD ), which can GERD... Be edematous antacid tablets, chew them well before you swallow them can aggravate heartburn. ) to! Lying down or bending over may raise the risk of acid reflux ( GERD ), which is usually in. Cause and how badly the tissue lining the esophagus is damaged that can aggravate.!

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