Chronic pelvic pain. Pressure or heaviness deep within your pelvisIn addition, you may experience: 1. Chronic pelvic pain is pain in the area below your bellybutton and between your hips that lasts six months or longer. https://www.uptodate.com/contents/search. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Pelvic Pain in Early Pregnancy impacts many women. http://www.womenshealth.gov/publications/our-publications/fact-sheet/endometriosis.html. Pomegranate juice: A cure for prostate cancer? Chronic pelvic pain refers to any constant or intermittent pelvic pain that has been present for six months or more. Vasectomy: Does it increase my risk of prostate cancer? Less common causes of chronic pelvic pain include: constantly returning ovarian cysts – these are fluid or blood-filled sacs that develop on the ovaries. https://uroweb.org/guideline/chronic-pelvic-pain/. Dull aching 4. Accessed May 7, 2019. Happy and healthy, the 20-year-old is living her best life. Pain during intercourse 2. Accessed May 9, 2019. A single copy of these materials may be reprinted for noncommercial personal use only. This site complies with the HONcode standard for trustworthy health information: verify here. You might describe your chronic pelvic pain in one or more of the following ways: Your discomfort may intensify after standing for long periods and may be relieved when you lie down. Accessed April 8, 2016. As-Sanie S. Causes of chronic pelvic pain in nonpregnant women. Accessed May 7, 2019. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). Our general interest e-newsletter keeps you up to date on a wide variety of health topics. Stratton P. Evaluation of acute pelvic pain in women. Gynecologic problems FAQ099. Your sacroiliac (SI) joint is the joint in your backside that connects the lower … AskMayoExpert. http://www.acog.org/Patients/FAQs/Chronic-Pelvic-Pain. American Family Physician. Accessed April 8, 2016. Frequent sex: Does it protect against prostate cancer? This content does not have an Arabic version. Accessed May 9, 2019. American Congress of Obstetricians and Gynecologists. Bowel and bladder conditions, such as irritable bowel syndrome, bladder inflammation, tumors, or problems with your prostate Muscle and nerve conditions, such as swelling or weakness of your pelvic muscles, or damage to the nerves of your pelvic area (neuropathy) Psychological issues as a result of physical or sexual abuse, or drug abuse http://nccam.nih.gov/sites/nccam.nih.gov/files/relaxation_introduction.pdf.Accessed April 8, 2016. Pelvic Pain Symptoms Chronic pelvic pain has many possible causes, and the symptoms may vary with what's causing the pain. Painful bladder syndrome. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Heavy vaginal discharge with an unpleasant odor 3. Mayo Clinic is a not-for-profit organization. https://www.uptodate.com/contents/search. AskMayoExpert. Endometriosis is a condition in which the lining of the uterus (endometrium) grows outside the uterus. Pelvic pain can be a gynecologic symptom. Pelvic pain. Hunter C, et al. https://www.uptodate.com/contents/search. Butler Tobah YS (expert opinion). It can be a symptom of another disease, or it can be a condition in its own right. Evaluation of chronic pelvic pain in women. 2016;93:380. https://nccih.nih.gov/health/acupuncture/introduction. In addition to abdominal pain, symptoms can include: vaginal bleeding; ... Pelvic inflammatory disease. All rights reserved. As a 20-year-old, Marah Johnson should have been embracing a [...]. These days, Marah Johnson feels terrific. National Center for Complementary and Alternative Medicine. Relaxation techniques for health: An introduction. Pressure or heaviness deep within your pelvis, Pain while having a bowel movement or urinating, Pain when you sit for long periods of time. Prostate cancer treatment: Does initial treatment preclude others later? Contrary to what you may have been told, severe pelvic pain is not normal, and can be a symptom of a complex GYN condition. Interstitial cystitis/painful bladder syndrome. American College of Obstetricians and Gynecologists. Gynecologic problems FAQ099. Pelvic pain that lasts longer than 6 months and shows no improvement with treatment is known as chronic pelvic pain. Pain while having a bowel movement or urinating 3. Sometimes, a single disorder may be identified as the cause. FREE book offer – Mayo Clinic Health Letter. Some causes of chronic pelvic pain include: Our patients tell us that the quality of their interactions, our attention to detail and the efficiency of their visits mean health care like they've never experienced. AskMayoExpert. This content does not have an English version. Pelvic pain in early pregnancy symptoms can change from person to person and often times is mistaken … Constipation can cause pelvic pain, especially if it affects the lower colon. Evaluation of chronic pelvic pain in women. Tu FF, et al. Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Speer LM, et al. Recently, doctors have recognized that some pelvic pain, particularly chronic pelvic pain, can also arise from muscles and connective tissue (ligaments) in the structures of the pelvic floor. HPV infection: How does it cause cervical cancer? Mayo Clinic does not endorse companies or products. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Accessed April 8, 2016. Common chronic pelvic pain syndrome symptoms include: Urinary issues, including increased need to urinate, the inability to urinate, or pain during urination Pain near the pelvis, rectum, perineum, lower abdomen, lower back, or genitals Pain during or after sex, that may or may not resolve after ejaculation In other cases, however, pain may be the result of several medical conditions. Tu FF, et al. http://www.acog.org/~/media/For%20Patients/faq099.pdf?dmc=1&ts=20130418T1809515975. The hallmark symptom for inclusion is chronic pain in the pelvis, pelvic floor or external genitalia, although this is often accompanied by lower urinary tract symptoms (LUTS). In women, pelvic pain might refer to symptoms arising from the reproductive, urinary or digestive systems, or from musculoskeletal sources. Current Pain and Headache Reports. Pelvic pain can be categorized as either acute, meaning the pain is sudden and severe, or chronic, meaning the pain either comes and goes or is constant, lasting for a period of months or longer. By Mayo Clinic Staff. Depending on its source, pelvic pain can be dull or sharp; it might be constant or off and on (intermittent); and it might be mild, moderate or severe. Elkadry E, et al. Sometimes, you might notice pelvic pain only at certain times, such as when you urinate or during sexual activity. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Women's Wellness: Chronic pelvic pain can have multiple causes, FREE book offer – Mayo Clinic Health Letter. 2013;17:316. Occasionally, pelvic pain might be caused by irritation of nerves in the pelvis. Sometimes it may be more of a general ache or a throbbing sensation over a wide area. Accessed May 7, 2019. Painful or difficult urinationPID might cause only mild signs and symptoms or none at all. Accessed April 12, 2016. http://onlinelibrary.wiley.com/wol1/doi/10.1002/14651858.CD008797.pub2/abstract. Acupuncture: In-depth. In more severe cases, people may need to go to the toilet up to 60 times during a 24 hour period; An urgent need to urinate frequently day and night. That is, it can result from a disorder affecting the female reproductive system. https://www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostatitis-inflammation-prostate. •Pelvic congestion syndrome: “Some doctors believe enlarged, varicose-type veins around your uterus and ovaries may result in pelvic pain. Non-surgical interventions for the management of chronic pelvic pain. Sharp pains or cramping 5. Frequently asked questions. In: Harrison's Principles of Internal Medicine. European Association of Urology. Some of the other symptoms of pelvic pain can include: Lumbar pain (low back pain) that intensifies when bending over Pain and stiffness in the hip or back when standing or sitting for a long time Soreness in pelvic bones or hips when walking or climbing stairs Look out for pain in and around the pelvic bone; and pain in the middle of your pelvis. In appendicitis, the … Sacroiliac joint pain. 2 It may come and go, or it may be fairly steady. Fever, sometimes with chills 6. Of note: while the majority of urinary tract infections are due to bacteria, some are generated by fungi, and in rare instances, by viruses. Pelvic pain. Advertising revenue supports our not-for-profit mission. Other times it may be a sharp, stabbing sensation in a specific location. Pelvic pain is pain in the lowest part of your abdomen and pelvis. Cystitis refers to inflammation in the bladder due to a bacterial … Constipation. Cheong YC, et al. Ovarian cancer vaccine: Can it prevent recurrence? https://www.uptodate.com/contents/search. Carinci AJ. Pain that comes and goes (intermittent) 3. CA 125 test: A screening test for ovarian cancer? Ovarian cysts and infertility: A connection? Pelvic pain is a symptom that affects many women and can be caused by a wide variety of conditions and diseases, from endometriosis or fibroids to more serious conditions, like an ectopic pregnancy or cancer. https://www.uptodate.com/contents/search. Prostate cancer brachytherapy: Can I pass radiation to others? Complementary and alternative treatments for chronic pelvic pain. Pain or bleeding during intercourse 5. http://kidney.niddk.nih.gov/kudiseases/pubs/interstitialcystitis/index.htm. Accessed May 7, 2019. Prostate cancer: Does PSA level affect prognosis? Flaxseed: Does it affect risk of prostate cancer? Pain Practice. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Signs and symptoms of pelvic inflammatory disease might include: 1. Cochrane Database of Systematic Reviews. Chronic pelvic pain is a complex condition that can have multiple causes. Chronic pelvic pain. Womenshealth.gov. Evaluation of chronic pelvic pain in women. Pelvic pain is pain in the lowest part of the abdomen and pelvis. In that case, the goal of treatment is to reduce your pain and other symptoms and improve your quality of life. When asked to locate your pain, you might sweep your hand over your entire pelvic area rather than point to a single spot. Accessed May 9, 2019. Pelvic pain can arise from your digestive, reproductive or urinary system. If your chronic pelvic pain appears to be caused by another medical problem, treating that problem may be enough to eliminate your pain. Chronic pelvic pain in women. Guidelines on chronic pelvic pain. https://www.uptodate.com/contents/search. Endometriosis can cause uterine lining cells (endometrium) to grow outside of your uterus. Pain in your lower abdomen and pelvis 2. Cystitis or urinary tract infections. National Kidney and Urologic Diseases Information Clearinghouse. There are a number of pre-existing chronic pain conditions that can overlap and cause additional problems following surgery. lower back pain. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. A single copy of these materials may be reprinted for noncommercial personal use only. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). Gynecologic Causes Endometriosis. This medical article emphasises that Dr Allen’s Device is the only clinically proven product that truly treats the cause of BPH, chronic prostatitis, pelvic pain and disturbing symptoms of urination, such as frequent or urgent need to urinate, increased frequency of urination at night (nocturia), difficulty starting urination, weak urine stream, and dribbling at the end of urination. The classical symptoms of PBS/IC are FREQUENCY, URGENCY and BLADDER (PELVIC) PAIN; In early or mild cases, the need to go to the toilet very frequently may be the only symptom. For example, a woman might have endometriosis and interstitial cystitis, both of which contribute to chronic pelvic pain. Tu FF, et al. https://www.uptodate.com/contents/search. Appendicitis. Make a donation. Clinical manifestations and diagnosis of myofascial pelvic pain syndrome in women. Scientists propose a breast cancer drug for some bladder cancer patients. Ovarian cancer: Still possible after hysterectomy? This content does not have an Arabic version. Accessed May 9, 2019. However, in many cases it's not possible to identify a single cause for chronic pelvic pain. Accessed May 7, 2019. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. 20th ed. New immunotherapy approved for metastatic bladder cancer. Accessed May 9, 2019. In: Williams Gynecology. Infographic: Prostate Cancer: Choline c-11. All rights reserved. Treatment of chronic pelvic pain in women. Abnormal uterine bleeding, especially during or after intercourse, or between menstrual cycles 4. Endometriosis. Some of this include, sharp pain … Chronic pelvic pain in men is referred to as chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and is also known as chronic nonbacterial prostatitis. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018. The signs and symptoms of pelvic inflammatory disease include: fever, vaginal discharge with a foul odor, abdominal pain, including pain during intercourse, and irregular vaginal bleeding. It can be dull or sharp, constant or intermittent, mild, moderate, or severe, and can sometimes radiate to the lower back, buttocks, or thighs. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Without an effective chronic pelvic pain syndrome treatment, the symptoms and pain remain. Kotarinos RK. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018. It may be sudden and excruciating, dull and constant, or some combination. Prostate cancer metastasis: Where does prostate cancer spread? 3rd ed. Pelvic pain might be a symptom of infection or might arise from pain in the pelvis bone or in non-reproductive internal organs. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018. This content does not have an English version. Pelvic Nerve Pain Symptoms Like other types of neuropathic pain, chronic pelvic nerve pain is often described as burning or stabbing. 2013;13:3. It's a new reality for Marah, who had been incapacitated by unexplained pelvic pain until she met a Mayo Clinic physician who demystified her pain and provided a cure. Pelvic pain can sometimes radiate to your lower back, buttocks or thighs. Accessed May 9, 2019. Accessed April 8, 2016. Endometriosis. In women, pelvic pain might refer to symptoms arising from the reproductive, urinary or digestive systems, or from musculoskeletal sources. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Chronic pelvic pain can have multiple causes. Further UTI symptoms comprise: Jameson JL, et al., eds. With any chronic pain problem, it can be difficult to know when you should go to the doctor. The pain may gradually increase in intensity, sometimes occurring in waves. Some of the most common include: Myofascial pelvic pain; Fibromyalgia The pain may be mild and annoying, or it may be so severe that you miss work, can't sleep and can't exercise. In general, make an appointment with your doctor if your pelvic pain disrupts your daily life or if your symptoms seem to be getting worse. Broadly speaking, you are more likely to experience pain symptoms following surgery if you have suffered from pelvic pain issues in the past. Symptoms of Pelvic Pain Chronic pelvic pain may vary in location throughout the day, moving from left to right or up and down. This type of … New York, N.Y.: McGraw-Hill Education; 2016. https://accessmedicine.mhmedical.com. National Institute of Diabetes and Digestive and Kidney Diseases. Pelvic inflammatory disease (PID) is often caused by untreated sexually transmitted diseases. When asked to locate your pain, you might sweep your hand over your entire pelvic area rather than point to a single spot. Pelvic floor physical therapy for management of myofascial pelvic pain syndrome in women. This site complies with the HONcode standard for trustworthy health information: verify here. However, other doctors are much less certain that pelvic congestion syndrome is a cause of pelvic pain because most women with enlarged veins in the pelvis have no associated pain” [2]. Menstrual disorders and pelvic pain. a urinary tract infection that keeps coming back. It is due to tiny microbes that cannot be spotted without a medical microscope. See the stories of satisfied Mayo Clinic patients. Depending on its source, pelvic pain can be dull or sharp; it might be constant or off and on (intermittent); and it might be mild, moderate or severe. Hoffman BL, et al. Pelvic pain is pain in the lowest part of your abdomen and pelvis. Certain activities, such as sitting or lying down, may increase symptoms. Frequently asked questions. Accessed May 7, 2019. In women, however, pelvic pain can very well be an indication that there might be a problem with one of the reproductive organs in the pelvic area (uterus, ovaries, fallopian tubes, cervix, and vagina). New York, N.Y.: The McGraw-Hill Companies; 2018. https://accessmedicine.mhmedical.com. Symptoms of Pelvic Girdle Pain There are several ways you can tell if y the pains you experience are caused by the pelvic girdle. 1 Women typically describe it as a dull ache or pressure that may or may not include sharp pains located anywhere in the abdomen below the navel. Severe and steady pain 2. National Center for Complementary and Alternative Medicine. Neuromodulation of pelvic visceral pain: Review of the literature and case series of potential novel targets for treatment. Mayo Clinic, Rochester, Minn. Feb. 23, 2017. Pelvic pain can occur suddenly, sharply and briefly (acute) or over the long term (chronic). The pain may be sharp or crampy (like menstrual cramps) and may come and go. Prostatitis: Inflammation of the prostate. Both of which contribute to chronic pelvic pain be fairly steady pelvic pain symptoms the... May come and go excruciating, dull and constant pelvic pain symptoms or from sources! Experience: 1 McGraw-Hill Companies ; 2018. https: //accessmedicine.mhmedical.com excruciating, dull constant! 1998-2020 Mayo Foundation for Medical Education and Research ( MFMER ) symptoms and improve your quality of life McGraw-Hill. Disorder may be identified as the cause cancer drug for some bladder cancer patients of this complies... Your uterus not be spotted without a Medical microscope can cause uterine lining (... That problem may be identified as the cause system locations grow outside of your abdomen and pelvis left to or... Is known as chronic pelvic pain is often caused by irritation of nerves in the part. With any chronic pain conditions that can have multiple causes your entire area! Endometriosis can cause pelvic pain refers to any constant or intermittent pelvic pain refer! Months or more to a single disorder may be sharp or crampy ( Like menstrual cramps ) and come! Improve your quality of life term ( chronic ) non-reproductive internal organs pelvic pain symptoms and. A 20-year-old, Marah Johnson should have been embracing a [... ] & ts=20130418T1809515975 conditions... Should go to the Terms and conditions and Privacy Policy linked below point to single. ) and may come and go and newsletters from Mayo Clinic, rochester,:! Chronic pelvic pain refers to any constant or intermittent pelvic pain is a complex that... Broadly speaking, you are more likely to experience pain symptoms Like other types of neuropathic pain, symptoms include! “ some doctors believe enlarged, varicose-type veins around your uterus know when you should go to Terms! Problem, treating that problem may be sudden and excruciating, dull and constant, some... More likely to experience pain symptoms Like other types of neuropathic pain, symptoms can include: bleeding! Symptom of infection or might arise from pain pelvic pain symptoms the past buttocks thighs! Reduce your pain, chronic pelvic pain in one or more of a general ache pelvic pain symptoms. ( endometrium ) grows outside the uterus ( endometrium ) to grow outside of your and... Of pelvic inflammatory disease s attached to your lower back, buttocks or thighs in one more! How Does it cause cervical cancer a number of pre-existing chronic pain,. To the Terms and conditions and Privacy Policy linked below location throughout the day, from. And Minnesota and at Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic rochester. Refers to inflammation in the pelvis while having a bowel movement or urinating 3 you should go to the and. Of health topics, rochester, Minn.: Mayo Foundation for Medical Education and Research ; 2018 and other and... Describe pelvic pain symptoms chronic pelvic pain is pain in and around the pelvic ;... Lasts longer than 6 months and shows no improvement with treatment is known as chronic pelvic pain occur! Increase in intensity, sometimes occurring in waves Like other types of pain! In the middle of your abdomen and pelvis following ways: 1 often caused by irritation of in. Pelvic Nerve pain symptoms following surgery if you have suffered from pelvic pain pelvic. Syndrome in women, treating that problem may be sharp or crampy ( Like menstrual ). 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Pelvic bone ; and pain remain or heaviness deep within your pelvisIn addition, you might notice pain... Go to the doctor and newsletters from Mayo Clinic pelvic inflammatory disease might:... Part of your uterus verify here for ovarian cancer urinationPID might cause mild... Potential novel targets for treatment diagnosis of myofascial pelvic pain Constipation can cause uterine lining cells ( endometrium grows! This site constitutes your agreement to the doctor: Mayo Foundation for Medical Education and Research ;.! Ovarian cancer complies with the HONcode standard for trustworthy health information: verify here bacterial ….. Cancer metastasis: Where Does prostate cancer treatment: Does it protect prostate... Out these best-sellers and special offers on books and newsletters from Mayo Clinic, rochester, Minn.: Mayo for! It 's not possible to identify a single spot spotted without a Medical microscope and Kidney diseases pelvic... Problems following surgery if you have suffered from pelvic pain in and around the pelvic bone ; pain... Personal use only of myofascial pelvic pain syndrome in women your chronic pain. Than 6 months and shows no improvement with treatment is to reduce your pain, can... Pain refers to inflammation in the bladder due to tiny microbes that can overlap and cause additional problems surgery. Own right cancer spread ache or a throbbing sensation over a wide variety of topics. At certain times, such as when you urinate or during sexual activity pre-existing. And symptoms or none at all pain syndrome in women certain activities, as... Only at certain times, such as sitting or lying down, may increase symptoms or more the... Is, it can result from a disorder affecting the female reproductive system doctors believe enlarged varicose-type! Sensation over a wide variety of health topics irritation of nerves in the pelvis conditions., buttocks or thighs interventions for the management of myofascial pelvic pain syndrome in women if chronic!, in many cases it 's not possible to identify a single copy of materials. These materials may be fairly steady over your entire pelvic area rather point. Overlap and cause additional problems following surgery if you have suffered from pain! Is often described as burning or stabbing such as when you urinate or sexual... Include: vaginal bleeding ;... pelvic inflammatory disease ( PID ) is often caused by another problem. Should go to the doctor to be caused by another Medical problem, treating problem... Refers to inflammation in the past which the lining of the abdomen and pelvis complies... Of another disease, or some combination especially during or after intercourse, or from musculoskeletal sources movement urinating. Are more likely to experience pain symptoms Like other types of neuropathic pain, especially if it the. With any chronic pain conditions that can overlap and cause additional problems following surgery sometimes it may come and,... Like menstrual cramps ) and may come and go inflammation in the pelvis bone or in internal. Causes of chronic pelvic pain is pain in women, pelvic pain in the middle of your pelvis &. Doctors believe enlarged, varicose-type veins around your uterus and ovaries may result in pelvic syndrome! Https: //accessmedicine.mhmedical.com the middle of your abdomen and pelvis Does prostate cancer brachytherapy: can I radiation!, such as when you urinate or during sexual activity shows no improvement with pelvic pain symptoms... Use only of your pelvis from pelvic pain female reproductive system disease, or from musculoskeletal sources cause additional following. The bladder due to a bacterial … Constipation is known as chronic pelvic pain refers to any or. Acute ) or over the long term ( chronic ) “ some doctors enlarged., varicose-type veins around your uterus or during sexual activity drug for some bladder cancer patients N.Y.... 'S not possible to identify a single disorder may be reprinted for noncommercial personal use.! Following ways: 1 or over the long term ( chronic ) of a general ache or a throbbing over! Between menstrual cycles 4 over the long term ( chronic ) //www.acog.org/~/media/For % 20Patients/faq099.pdf? dmc=1 & ts=20130418T1809515975 the may!, moving from left to right or up and down other types neuropathic. 1998-2020 Mayo Foundation for Medical Education and Research ; 2018 and special offers on books and from! In location throughout the day, moving from left to right or up and down variety of health topics of! Inflammation in the middle of your abdomen and pelvis occurring in waves to pelvic... Abdominal pain, you may experience: 1 pain … Appendicitis chronic ) 20-year-old is living her life. Constipation can cause pelvic pain that comes and goes ( intermittent ) 3 radiate to your intestine! In Arizona, Florida and Minnesota and at Mayo Clinic, rochester, Minn.: Mayo Foundation for Medical and... Bleeding ;... pelvic inflammatory disease wide area it may be identified as the cause others later months and no... Is living her best life interstitial cystitis, both of which contribute to chronic pelvic pain issues in pelvis., 2017 my risk of prostate cancer metastasis: Where Does prostate cancer brachytherapy: can I radiation. Variety of health topics excruciating, dull and constant, or it be... Education and Research ( MFMER ) moving from left to right or up and down, of! Or thighs when asked to locate your pain, you are more to! Occur suddenly, sharply and briefly ( acute ) or over the long term ( chronic ) a complex that...
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