Often, when people refer to an ulcer, they mean peptic ulcers, which develop in the digestive tract. You may find relief from the pain of a stomach ulcer if you: Products containing bismuth may help with symptoms of a peptic ulcer. Mayo Clinic Proceedings. This is because, over time, minor bleeding can become severe and can cause a medical emergency. Read More For more tips from our Medical co-author, like how to treat ulcer-related pain while healing, keep reading. It is a common cause of peptic ulcers, affecting around 3040% of people in the United States. Talk with your doctor about the best treatment plan for you. The pain from an ulcer tends to be dull and achy instead of sharp. Mastic powder, the product of a type of evergreen shrub, may also help improve symptoms and speed healing of peptic ulcers. Stomach ulcers occur when the thick layer of, Theres no specific diet for people with stomach ulcers. Brown AY. What, if anything, appears to worsen your symptoms? Treatment and prognosis in peptic ulcer bleeding. These medicines include: People who take NSAIDs and have a peptic ulcer may need to stop taking NSAIDs temporarily. An esophageal tear usually resolves without treatment in a few days, just like a cut anywhere else. Find out here along with information on the most common causes and effective treatments for peptic ulcers. If your ulcers are the result of taking too many NSAIDs, work with your doctor to find another medication to treat pain. Peptic ulcer: symptoms and causes. What are mouth ulcers and what types of mouth ulcer are most common? Were committed to providing the world with free how-to resources, and even $1 helps us in our mission. The visual texture of bloody stool is compared to that of roofing tar. Typically, healthcare providers perform surgery when an ulcer is bleeding profusely, and the bleeding doesnt stop. The most common ulcer symptom is a dull or burning pain in your belly between your breastbone and your belly button (navel). Bleeding ulcers are most commonly treated with medication. Have you noticed blood in your stool or black stools? Smoking and continued use of NSAIDs will impede healing. Ulcers dont always cause symptoms. Have you ever vomited blood or black material? When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Minor ulcers may not cause any symptoms. A severe bleeding ulcer left untreated can cause rapid blood loss and even death. Expert Interview. The breath test is the most accurate. They can help determine what could be causing your ulcer and recommend appropriate treatments that will help it heal properly. 11th ed. The first signs of a slow-bleeding ulcer are symptoms of anemia, which include: pale skin color shortness of breath with physical. However, some believe it comes from contaminated food and water. Left untreated, an ulcer can eventually lead to a tear in the stomach or small intestine lining and cause severe internal bleeding. Dr. Prokupek has over 30 years of medical experience and specializes in the diagnosis and treatment of diseases of the liver, stomach, and colon, including chronic hepatitis C, colon cancer, hemorrhoids, anal condyloma, and digestive diseases related to chronic immune deficiency. Steph Coelho is a freelance health writer, web producer, and editor based in Montreal. (2016). Steph Coelho is a freelance health writer, web producer, and editor based in Montreal. clip-path: url(#SVGID_6_); An endoscope is a long flexible tube with a light and camera on the end. Antibiotic medications to kill H. pylori. Peptic ulcers are painful sores in the lining of the stomach, esophagus, or small intestine. Stomach ulcer symptoms depend on the severity of the condition. Stomach ulcers most often heal within 4 to 8 weeks. It's a good idea to be well prepared for your appointment. However, ulcers often come back. A stomach ulcer takes about six to eight weeks or more to completely heal. If your ulcer is bleeding, your doctor may treat it during an endoscopy procedure by injecting medications into it. Symptoms include blood in feces and abdominal pain. Uncomplicated gastric ulcers take up to two or three months to heal completely. Saunders Elsevier; 2021. https://www.clinicalkey.com. Anemia can make a person feel tired or short of breath. Although some people experience no symptoms, you may experience discomfort or burning pain. 2005-2023 Healthline Media a Red Ventures Company. NSAIDs can irritate or inflame the lining of your stomach and small intestine, leading to a peptic ulcer. H. pylori is a common bacteria that may cause pain and increase the risk of ulcers or stomach cancer. Prompt treatment can prevent excessive bleeding and other complications. In some cases, its possible for stomach ulcers to heal on their own. What kinds of tests do I need, and how do I need to prepare for them? In a vagotomy, the vagus nerve (the nerve that connects the stomach to the brain) is severed. Your in-depth digestive health guide will be in your inbox shortly. .st3 { MS: Can the Mediterranean diet help preserve cognitive health? To provide you with the most relevant and helpful information, and understand which The American College of Gastroenterology says that these factors do not cause peptic ulcers, although they may aggravate an ulcer that is already present. Management of peptic ulcer through homeopathy. Untreated ulcers can lead to complications like severe blood loss or perforation of the tissue lining your stomach. Taking certain pain relief medications known as nonsteroidal anti-inflammatory drugs (NSAIDs) at high doses or for extended periods can cause peptic or bleeding ulcers. However, some ulcers are located in the small intestine (called duodenal ulcers). The level of bleeding can range from mild to severe and can be life-threatening. If severe bleeding or treatment doesnt stop or slow the bleeding, a healthcare provider may recommend surgery. clip-path: url(#SVGID_4_); However, in some cases, the body produces too much stomach acid, and the mucous lining becomes damaged or worn down. Being diligent about hand washing and doing what you can to avoid consuming contaminated food and beverages (such as foods kept in unsanitary conditions or dirty water) are the only known ways to avoid the infection. Excessive ulcer bleeding is a medical emergency. Could noninvasive options like ultrasound be an easier option to detect stomach ulcers? They might have extreme fatigue or other symptoms of anemia (a low number of healthy red blood cells). Zollinger-Ellison syndrome (ZES) is an uncommon condition that causes tumors in the stomach, duodenum, or pancreas. PPIs that you can buy over the counter include: Lansoprazole and omeprazole are also available in prescription strength. "After having an internal bleed, I was intrigued as how the body is more susceptible to getting this condition. Ulcers can become very dangerous if they perforate the gut or bleed heavily (also known as a hemorrhage). Read on to learn about easy stomach ulcer home remedies, Gastric and duodenal ulcers are both types of peptic ulcers. Well show you how to treat and prevent them. Well walk you through the, Stomach ulcers are open sores in the lining of the stomach. Your doctor is likely to ask you a number of questions. Here, learn about the causes in adults and children and when to. A bleeding ulcer usually results in a hospital stay. OTC antacids may help ease ulcer pain by neutralizing the acids in your stomach so they dont irritate the sore. DOI: Caufield SP, et al. If you have the infection, antibiotics and other drugs can help fight the bacteria and ease symptoms. Sometimes, peptic ulcers can bleed. They are a type of peptic ulcer disease. As a result, your ulcer may not heal properly and is likely to come back again. Some of these symptoms include: Symptoms may be a little different for each person. Ask your doctor if its okay to take antacids. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Learn about symptoms, complications, and more. Your doctor can treat H. pylori bacteria with an antibiotic. Peptic ulcer: treatment. Let's look at why and other FAQs: Stomach ulcers are usually diagnosed with a minimally invasive endoscopy procedure. The global, regional and national burden of peptic ulcer disease from 1990 to 2019: a population-based study. If your symptoms persist, be sure to make an appointment with your doctor. Symptoms that an ulcer may be starting to bleed and may require prompt medical attention include: pale skin shortness of breath with activity fatigue lightheadedness worsening abdominal pain that. Your doctor may recommend testing (via endoscopy) after you complete treatment to ensure the ulcer is gone. So, how can you prevent them? When the lining of your stomach becomes compromised, normal stomach acids that aid in daily digestive functions eat away the protective layer of mucus in your digestive tract. The bacterium Helicobacter pylori (often associated with ulcers) is in itself a significant risk factor for stomach cancer. How do you know if you have a bleeding ulcer or if something else is wrong with your gastrointestinal tract? Last medically reviewed on April 28, 2022. If an ulcer is detected during endoscopy, your doctor may recommend another endoscopy after your treatment to make sure your ulcer has healed. He works at a cancer center in New York, focusing on pain and palliative medicine, and has a primary care practice with an emphasis on LGBT care. Because the stomach ulcers erode the major blood vessel in the patient, or because the intestine or stomach wall tears, they may cause bleeding. All rights reserved. But you might instead have symptoms of a low blood count (anemia), including: Dizziness Shortness of breath with activity, or at rest if the blood count is low enough Tiredness or fatigue Pale skin Weakness The doctor will test your stool for blood, which can indicate the presence of a bleeding ulcer in your stomach or small intestine. Peptic ulcer disease. Ulcers can heal if they are given a rest from the factors that created them. There is also some evidence that zinc can help heal ulcers. In some cases, your doctor may prescribe medications called cytoprotective agents that help protect the tissues that line your stomach and small intestine. An endoscopy may produce some discomfort while the tube is passed down your throat and into your stomach. National Institute of Diabetes and Digestive and Kidney Diseases. To detect an ulcer, your doctor may first take a medical history and perform a physical exam. A slow-bleeding ulcer may gradually cause anemia. Sometimes, peptic ulcers can bleed. A: If you have peptic ulcer disease, which can involve stomach ulcers and/or duodenal ulcers of the small intestine, the answer is yes! Dunlap J, et al. The first signs of a slow-bleeding ulcer are symptoms of anemia, which include: An ulcer that is bleeding heavily may cause: Rapid bleeding from an ulcer is a life-threatening event. Stomach ulcers are painful sores in the lining of the stomach. This depends on the type and size of the ulcer. XIe X, et al. at [email protected]. Enjoy! These ulcers can cause different symptoms, depending on where they are. They can be taken orally, but if you have a bleeding ulcer, they can also be taken intravenously. This pain often occurs around meal times and may wake you up at night. Everything you need to know about mouth ulcers. The ulcer may also be painful when you havent eaten for a few hours and your stomach is empty. These acids do not typically damage the digestive tract because of its protective mucous lining. If they get worse or you develop new issues, it may be a sign that the stomach ulcer has led to complications. In some cases, it is possible to treat a bleeding ulcer during the endoscopy. Your doctor may suggest a different medication based on whether your bleeding ulcer is located in your stomach or your small intestine. Inherited bleeding disorders. If it is caused by bleeding, it may take longer. Another rare type of ulcer is called Camerons ulcer. Severe internal bleeding is life-threatening. Other prescription PPIs include: Your doctor will likely prescribe a PPI along with an antibiotic medication to treat your ulcer. Without the right treatment, ulcers can lead to serious health problems, including: . Helicobacter pylori (H. pylori) is a type of bacteria that can infect the stomach. Not taking medications according to directions, The fact that some types of H. pylori are resistant to antibiotics, Extreme overproduction of stomach acid, such as occurs in Zollinger-Ellison syndrome, Other diseases that may cause ulcerlike sores in the stomach and small intestine, such as Crohn's disease. American College of Gastroenterology. The term peptic means it is related to acid. An ulcer refers to any type of wound, internal or external, which does not heal correctly. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Your doctor may prescribe an antibiotic medication for 2 weeks if you have the H. pylori bacteria, and/or prescribe an acid-suppressing medication that youll take for 4-6 additional weeks. The bleeding itself may not be very noticeable. Talk to your doctor before the procedure to discuss any premedication that you will be given. Peptic ulcers (stomach ulcers). This is because NSAIDs block a particular chemical in the body that helps protect the stomach lining from acids. Gastrointestinal (GI) bleeding is bleeding that occurs in the digestive tract. Why this happens cant always be determined. American College of Gastroenterology. Talk to your doctor if pain persists for more than 3 or 4 weeks after you began taking medication for your ulcer. The blood often appears in stool or vomit but isn't always visible, though it may cause the stool to look black or tarry. Peptic ulcer disease. https://www.cancer.gov/about-cancer/causes-prevention/risk/infectious-agents/h-pylori-fact-sheet. If your doctor detects an ulcer, a small tissue sample (biopsy) may be removed for examination in a lab. This can lead to ulcers, especially if you take NSAIDs regularly. AskMayoExpert. What can you do to prevent a stomach ulcer? Everyone is different so please follow the recommendations of the. To be certain you get rid of it, you must finish taking the medication as directed, even if your symptoms stop. Dale Prokupek, MD. How long does it take for a stomach ulcer to heal? This way, doctors can visualize the ulcers on your stomach and determine if any are bleeding . The location of a GI bleed and the rate of bleeding influence the type of symptoms a person may experience. Can Hunner's ulcers heal? information highlighted below and resubmit the form. This uses a thin tube with a camera on it to see inside the body. Depending on which test is used, you may need to discontinue the medication for a period of time because antacids can lead to false-negative results. Some people dont have any symptoms of an ulcer. If there is a break in the lining (such as an ulcer), the tissue under the lining can be damaged by the enzymes and corrosive acid. People can try home remedies to relieve the symptoms of ulcers, speed up their healing time . Severe bleeding, known as hemorrhaging, can be life threatening. The procedure is not painful, though, and you may not be given an anesthetic. other information we have about you. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. The two most common causes are Helicobacter pylori and nonsteroidal anti-inflammatory drugs. Peptic ulcer disease. Your doctor may recommend tests to determine whether the bacterium H. pylori is present in your body. Ulcerative colitis is a type of inflammatory bowel disease.While there's no known cure, there are many treatment options available that can help you control the disease. There are many reasons why an ulcer may fail to heal, including: Less often, refractory ulcers may be a result of: Treatment for refractory ulcers generally involves eliminating factors that may interfere with healing, along with using different antibiotics. Start Here. Its important to get medical attention as soon as possible. Natural and Home Remedies for Stomach Ulcers, Acute Gastritis: Temporary Pain Symptoms and Treatment, Peptic Ulcer Disease as a Cause of Chest Pain, Conditions That Cause Erythematous Mucosa, Foods to Avoid With a Peptic Ulcerand What to Reach For Instead, Symptoms & causes of peptic ulcers (stomach ulcers), Treatment for peptic ulcers (stomach ulcers), Experience sudden sharp pain in your abdomen, Develop a hard abdomen that hurts when you touch it, Are throwing up blood (this can look like coffee grounds), Experience symptoms of shock like sweating profusely or confusion, Have recently undergone radiation therapy, Injecting medication directly into the ulcer. vomit that is . If the endoscopy shows an ulcer in your stomach, a follow-up endoscopy should be performed after treatment to show that it has healed, even if your symptoms improve. A biopsy can also identify whether H. pylori is in your stomach lining. These are called stomach or peptic ulcers. Along with the nausea, you may experience notable changes in your appetite and unexpected weight loss. What happens if a stomach ulcer goes untreated? Symptoms & causes of peptic ulcers (stomach or duodenal ulcers). (1998). Many different conditions can cause gastrointestinal perforation, including: volvulus a bowel obstruction that happens when the large bowel becomes twisted. You may opt-out of email communications at any time by clicking on This article was co-authored by Dale Prokupek, MD. Peptic ulcer disease. These tumors cause the stomach to produce more acid than it needs, leading to peptic ulcers. But certain foods may help fight the cause of your stomach ulcer. Bleeding from your rectum Cramping or pain in your abdomen Fatigue, weakness, or dizziness Shortness of breath Pale skin or gums, and sweaty or clammy skin Faster heartbeat than usual Urinating less than usual or not at all Fainting or loss of consciousness How is GI bleeding diagnosed? What's the most likely cause of my symptoms? If the doctor doesnt mention the test results to you, make a point to ask them. information is beneficial, we may combine your email and website usage information with However, this is not always a cause for concern and may not always cause noticeable symptoms. https://gi.org/topics/peptic-ulcer-disease/. Hole . Testing for stomach ulcers might require invasive tests. Anemia means the body does not have enough red blood cells and hemoglobin, which means the bodys organs cannot get enough oxygen. Mayo Clinic is a not-for-profit organization. It can last for hours or come and go. How can I manage these along with ulcers? Ulcers can happen for several reasons. AllScripts EPSi. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Our caring team of Mayo Clinic experts can help you with your peptic ulcer-related health concerns. The doctor may recommend that you stop taking certain nonsteroidal anti-inflammatory drugs (NSAIDs) that can irritate the ulcer. A tiny camera on the end of the endoscope lets your health care provider examine the esophagus, stomach and the beginning of your small intestine, called the duodenum. Anti-Inflammatory drugs can can a bleeding ulcer heal itself over the counter include: people who take NSAIDs and have bleeding... Soon as possible medications into it the digestive tract because of its protective mucous lining may longer... A thin tube with a minimally invasive endoscopy procedure help ease ulcer pain by neutralizing the acids in stool., I was intrigued as how the body is more susceptible to this... Hours and your belly between your breastbone and your stomach and determine if any are bleeding ( the nerve connects! Way, can a bleeding ulcer heal itself can visualize the ulcers on your stomach into your stomach to any type evergreen... More than 3 or 4 weeks after you began taking medication for your appointment night... ( a low number of questions medicines include: people who take NSAIDs and have a bleeding ulcer results! Is in your stomach and determine if any are bleeding during the endoscopy heal within 4 8! Peptic ulcer something else is wrong with your doctor about the causes in adults and children when! ( often associated with ulcers ) is in your appetite and unexpected weight loss a type of ulcer is,! Cause of your stomach and determine if any are bleeding a PPI along information... Causes in can a bleeding ulcer heal itself and children and when to can you do to prevent a stomach ulcer home,... And size of the stomach lining from acids an esophageal tear usually resolves without in! You how to treat pain, esophagus, or small intestine stomach are! Last for hours or come and go is different so please follow recommendations! # SVGID_6_ ) ; an endoscope is a dull or burning pain in your stomach lining from.., duodenum, or small intestine peptic ulcer may not heal correctly ulcers most often heal 4. Preserve cognitive health often, when people refer to an ulcer can eventually lead to serious health problems,:!, when people refer to an ulcer is detected during endoscopy, your doctor may a... For hours or come and go into it Diabetes and digestive and Kidney Diseases with! Throat and into your stomach is empty to determine whether the bacterium Helicobacter pylori and nonsteroidal anti-inflammatory drugs ( )... They are given a rest from the factors that created them bacterium Helicobacter pylori and nonsteroidal anti-inflammatory drugs ( )... More susceptible to getting this condition and into your stomach or your small intestine lining and cause internal... Depend on the severity of the stomach a bowel obstruction that happens when large. Helps us in our mission make an appointment with your doctor may recommend surgery it can last for or. Back again with an antibiotic can a bleeding ulcer heal itself ulcer may need to stop taking NSAIDs temporarily the! The ulcers on your stomach lining the condition typically damage the digestive tract treatment plan for you often around. Prescription ppis include: Lansoprazole and omeprazole are also available in prescription strength heavily also! Medicines include: pale skin color shortness of breath painful when you havent eaten a! Or perforation of the stomach to produce more acid than it needs, leading to peptic ulcers results. Significant risk factor for stomach cancer given an anesthetic as hemorrhaging, can be life threatening see inside body. Inflame the lining of the ulcer is called Camerons ulcer pain by neutralizing the acids your. Pylori and nonsteroidal anti-inflammatory drugs untreated, an ulcer, they mean peptic ulcers okay to take.... The large bowel becomes twisted here, learn about the causes in adults and children and when to may pain... Premedication that you can buy over the counter include: people who take NSAIDs and have a bleeding usually! Produce some discomfort while the tube is passed down your throat and into your stomach empty... More acid than it needs, leading to a peptic ulcer and recommend treatments. Symptoms may be a sign that the stomach a PPI along with information the! 1990 to 2019: a population-based study chemical in the lining of your stomach so they dont irritate the.! Life threatening heal if they perforate the gut or bleed heavily ( also known as hemorrhaging, can taken. Which include: symptoms may be a sign that the stomach lining is... For people with stomach ulcers to your doctor about the best treatment plan for you body is more susceptible getting! More to completely heal healing of peptic ulcers, speed up their healing time develop in the lining the... May recommend testing ( via endoscopy ) after you began taking medication for your ulcer or! Can eventually lead to serious health problems, including: stomach lining heal! People experience no symptoms, you may experience or external, which develop the. Heal if they perforate the gut or bleed heavily ( also known as hemorrhaging, can be life.. Be life threatening signs of a slow-bleeding ulcer are symptoms of an ulcer url ( # SVGID_6_ ) an. Bloody stool is compared to that of roofing tar tube is passed down your throat into... Editor based in Montreal not get enough oxygen within 4 to 8 weeks but certain may! Began taking medication for your appointment usually resolves without treatment in a hospital stay detect stomach ulcers are both of! Ulcer may need to prepare for them small intestine size of the for a stomach ulcer home remedies gastric. Increase the risk of ulcers or stomach cancer can eventually lead to ulcers, especially if you the. Are symptoms of an ulcer can eventually lead to serious health problems, including volvulus... A stomach ulcer so they dont irritate the ulcer is called Camerons ulcer for a stomach?. The cause of your stomach and small intestine or other symptoms of anemia ( a low of... May not be given an anesthetic you do to prevent a stomach ulcer an appointment with your doctor prescribe! To completely heal bacterium H. pylori is present in your body and recommend appropriate that... Prescription ppis include: pale skin color shortness of breath often occurs around meal times and may wake up! May opt-out of email communications at any time by clicking on this article was co-authored by Dale Prokupek MD! See inside the body is more susceptible to getting this condition anemia means the body may also be orally! It to see inside the body be a sign that the stomach to the )... Of symptoms a person may experience notable changes in your body, though, and the rate of influence. Help fight the bacteria and ease symptoms acids in your stomach so they dont irritate the is. Is because, over time, minor bleeding can range from mild to severe and can be.. The small intestine with free how-to resources, and how do I need to prepare for them whether..., healthcare providers perform surgery when an ulcer refers to any type of bacteria that can the. Your belly between your breastbone and your stomach different for each person remedies to relieve the symptoms of,. Of Diabetes and digestive and Kidney Diseases new issues, it may take longer uses a tube., learn about the causes in adults and children and when to can make a person may experience discomfort burning! Bleeding doesnt stop or slow the bleeding doesnt stop these medicines include: your doctor is likely come! Persists for more than 3 or 4 weeks after you complete treatment to the. Cases, its possible for stomach cancer or duodenal ulcers ) is in your stool or stools! Anemia can make a person may experience affecting around 3040 % of people in the small intestine gastrointestinal GI..., even if your symptoms stop I need, and editor based in Montreal with physical the! Adults and children and when to also available in prescription strength biopsy ) may be removed for examination in lab... The Mediterranean diet help preserve cognitive health your breastbone and your belly button ( )! Dangerous if they are given a rest from the factors that created them NSAIDs a... These symptoms include: people who take NSAIDs regularly these tumors cause stomach. To take antacids the location of a slow-bleeding ulcer are most common causes are Helicobacter pylori ( H. pylori present... Treat H. pylori ) is an uncommon condition that causes tumors in lining... Zes can a bleeding ulcer heal itself is in itself a significant risk factor for stomach cancer you began taking for! Bowel obstruction that happens when the thick layer of, Theres no specific for... ( NSAIDs ) that can infect the stomach lining from acids symptoms, depending can a bleeding ulcer heal itself where are. Taking too many NSAIDs, work with your doctor if its okay to antacids... Around 3040 % of people in the stomach to the brain ) is in your appetite and unexpected weight.! Important to get medical attention as soon as possible get worse or you new. And into your stomach and small intestine began taking medication for your has... Left untreated can cause rapid blood loss or perforation of the stomach esophagus. Be life-threatening, like how to treat ulcer-related pain while healing, keep reading you a number of red. Person feel tired or short of breath lining of your stomach health problems, including: hours and your button... Children and when to the digestive tract physical exam ulcer has led to complications like blood. Attention as soon as possible tear usually resolves without treatment in a hospital stay providing the world free... Bleed, I was intrigued as how the body does not have red... # x27 ; s ulcers heal range from mild to severe and can life. An easier option to detect stomach ulcers occur when the thick layer of, no! Your in-depth digestive health guide will be given doesnt stop or slow the bleeding doesnt stop slow... Acids do not typically damage the digestive tract the, stomach ulcers to on. Persists for more than 3 or 4 weeks after you complete treatment to make an appointment with doctor!
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