However, there are many remedies available. With less time for your stool to absorb water and bulk up, you're more likely to accidentally leak loose stool. Treatment for irritable bowel syndrome. Biofeedback. (2015). A personalized treatment plan targeted to your specific condition. There is no one-size-fits-all solution for stress incontinence. Proper instruction on how to perform pelvic floor muscle exercises. Women with urinary incontinence are less likely to be able to feel and contract their pelvic floor muscles and are Better outcomes. This includes the urethra, ureters, bladder, and sometimes the kidneys. A trained therapist will teach you how to locate the correct muscles and perform the exercises. It reduces respiratory rate and reduces emotional stress. These include: 2 Antimicrobial (reduces microorganisms, like bacteria or viruses) Anti-inflammatory (reduces inflammation) Antioxidant (protects cells from damage) Immunomodulating (supports the body's immune system) Essential oils: Their antibacterial properties and potential applications in food a review. Sometimes, however, constipation goes on for weeks, months, or longer. Frankincense comes from the resin of Boswellia trees. All information presented is purely research-based and correct at the time of publication. Vejdani, R., Shalmani, H. R., Mir-Fattahi, M., Sajed-Nia, F., Abdollahi, M., Zali, M. R., Amin, G. (2006, July 26). National Institute of Diabetes and Digestive and Kidney Diseases. Wormwood has historically been used to help with digestive problems. Pregnant and nursing women should also avoid essential oils as theres not enough research to ensure theyre all safe. Cleveland Clinic is a non-profit academic medical center. A 2013 study found that various essential oils, including thyme and tea tree oil, have antibacterial benefits that could help prevent intestinal bacterial overgrowth. This article covers the different types of essential oils, the causes of incontinence, and which oils are the best for incontinence. Choose brands carefully to ensure safe, pure products manufactured under optimum conditions. Repeated straining during bowel movements. You're most likely to experience pain when inflammation in your, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. It is available for $14.95 for a 10-ml bottle. But even if theyre diluted, you shouldnt apply these essential oils to your genitals or groin area, to your urethra, or put them on a catheter. It is suitable for vegans. Try to plan your bowel movements for the same time every day, if possible. You can do this by: If you have a UTI, or you get them frequently, talk to your doctor about treatments that can help. Follow guidelines carefully to ensure it is safe to do so. A number of factors may increase your risk of developing fecal incontinence, including: Complications of fecal incontinence may include: Depending on the cause, it may be possible to improve or prevent fecal incontinence. Individuals with Crohns disease are at a higher risk for liver damage. In general, it is best to use essential oils by: Though essential oils are considered natural remedies, all oils are not safe for everyone. 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. The oils can even be used for SIBO, another gastrointestinal infection. Here's how. Cover the area with a clean bandage for 24 hours. Do not use essential oils on infants without medical guidance. We avoid using tertiary references. Ginger oil. The exception is essential oils that have menthol, like peppermint or spearmint oils. Steroid-sparing effect of wormwood (. In fact, essential oils were used as early as 2000 BC in ancient Egypt for healing and religious rituals. After 8 weeks, 65 percent of the participants taking wormwood had remission of their Crohns symptoms, compared to none in the 20-person placebo group. The goal of dietary changes is that you avoid foods or drinks that may cause loose stools, including: Other foods thicken the stool, which may help fecal management. Always speak with a healthcare professional before using essential oils for Crohns disease. Feldman M, et al., eds. (https://www.niddk.nih.gov/health-information/digestive-diseases/bowel-control-problems-fecal-incontinence), (https://familydoctor.org/condition/fecal-incontinence/), (https://www.acog.org/womens-health/faqs/accidental-bowel-leakage), Visitation, mask requirements and COVID-19 information. Disposable T-Shape Pads these are similar to all-in-ones and are used to contain moderate to heavy bladder and bowel leakage. Research suggests some essential oils may offer a solution for treating constipation. Fecal incontinence ranges from an occasional leakage of stool while passing gas to a complete loss of bowel control. Researchers at Mayo Clinic are working to improve diagnosis and treatment of fecal incontinence. Elsevier; 2023. https://www.clinicalkey.com. Rosemary essential oil has a spasmolytic effect, meaning that it relaxes muscles and suppresses muscle spasms. This herbal extract contains ginger root to give relief from the occasional upset stomach and feelings of nausea. Last reviewed by a Cleveland Clinic medical professional on 11/30/2020. 2020; doi:10.1007/s11894-020-00791-1. They can let you know about any potential risks or side effects. The term fecal incontinence is used if any of these situations occur: Several factors affect continence of stool or the ability to regulate bowel movement: If any of these body functions are not working properly, you may have fecal incontinence. Higgins, P. D., & Johanson, J. F. (2004, April). And while the FDA doesnt regulate essential oils, there are a few important things you can look for when purchasing these products. These less common remedies may also ease your symptoms. Essential oils used in aromatherapy: A systematic review. Ford AC. As such, its been researched as a therapy for the symptoms of a variety of digestive conditions, particularly irritable bowel syndrome (IBS). The severity of tissue damage was also reduced. Because of this, wormwood has been investigated as a potential therapy for symptoms of Crohns disease. People should speak to a doctor before using essential oils to treat IBS. Current Gastroenterology Reports. When peppermint oil is combined with a carrier oil and rubbed directly on the skin, it can help relieve pain and relax muscles. Another type of fecal incontinence occurs in people who are not aware of the need to pass stool. Get useful, helpful and relevant health + wellness information. Best for relaxation: Roman chamomile, rhododendron. Incontinence is a condition whereby the body has an uncontrollable urge to urinate. It is available to purchase for $19.95 for a 30-ml bottle. (2014). WebThe first step of treatment for reflex incontinence is determining the severity of the incontinence and what may trigger it. You should always mix a few drops of an essential oil with a carrier oil of your choice like coconut, sweet almond, or olive. Peppermint essential oil contains antispasmodic properties, which can relax the muscles in the digestive tract, making the bowels looser. You MUST consult a medical professional or healthcare provider if seeking medical advice, diagnoses, or treatment. Peppermint oil contains menthol, which is the component that gives it a cooling effect. Some natural or home remedies have traditionally been used to treat constipation, including diet changes, exercise, and fiber supplements. Bowel Control Problems (Fecal Incontinence). If you have Crohns disease, its important to have regular blood work, Those with Crohns disease frequently feel abdominal cramps or rectal discomfort. This can help relieve constipation. Traditional Chinese medicine (TCM) views irritable bowel syndrome (IBS) as a complex condition with several underlying imbalances leading to digestive irregularities such as alternating constipation and diarrhea; however, IBS presents differently in each individual depending on underlying constitutional weakness. Like sweet basil, rosemary is used as a spice in many types of food. This is essential for good symptom control," says Dr. Anil. Stool is seen in the underwear after a normal bowel movement. Mayo Clinic. Garza, A., Park,S., Kocz, R. Drug Elimination. Your doctor will ask you questions about your condition and then perform a physical exam and a rectal exam. When they are out of balance, problems such as constipation and diarrhea may occur. Stool leaks from the rectum without warning. Inconstant Cypress and ylang-ylang are essential oils used in the treatment of bowel incontinence. National Association for Holistic Aromatherapy (NAHA), naha.org/index.php/explore-aromatherapy/about-aromatherapy/, sciencedirect.com/science/article/pii/S2221169115001033?via%3Dihub, ncbi.nlm.nih.gov/pmc/articles/PMC6325525/, ncbi.nlm.nih.gov/pmc/articles/PMC4425476/, niddk.nih.gov/health-information/digestive-diseases/crohns-disease/all-content, ncbi.nlm.nih.gov/pmc/articles/PMC7520654/, thieme-connect.com/products/ejournals/abstract/10.1055/s-2001-10708, sciencedirect.com/science/article/abs/pii/S0944711309002682?via%3Dihub, ncbi.nlm.nih.gov/pmc/articles/PMC6111500/, ncbi.nlm.nih.gov/pmc/articles/PMC3203268/, sciencedirect.com/science/article/abs/pii/S0944711307000025?via%3Dihub, sciencedirect.com/science/article/abs/pii/S209549641460011X?via%3Dihub, journals.sagepub.com/doi/10.1177/2156587215616550?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed, ncbi.nlm.nih.gov/pmc/articles/PMC7313461/, ncbi.nlm.nih.gov/pmc/articles/PMC4367210/, ncbi.nlm.nih.gov/pmc/articles/PMC5525581/, Well Tested: 5 Uncommon Remedies for Crohns Disease, Understanding Intestinal Stricture in Crohns Disease. You can consist of high fiber-rich cereals in your breakfast like oat cereals, bran cereals, and natural muesli. Information provided on the site is for educational purposes only, and does not substitute for professional medical advice. Ease digestive discomfort after eating by chewing a DigestTab .*. Last medically reviewed on November 29, 2021, Irritable bowel syndrome (IBS) is a common disorder that can significantly affect a person's quality of life. The bacteria in the gut aid the function of the digestive system by helping to break down food and absorbing nutrients. To provide you with the most relevant and helpful information, and understand which
Therapy of active Crohn disease with, Holtmeier W, et al. Protective effect of. Sweet basil essential oil was found to lower inflammation, as well as the severity of tissue damage in the colon. Effects of inhaled rosemary oil on subjective feelings and activities of the nervous system. 13 Oils to Try, Kerry Boyle D.Ac., M.S., L.Ac., Dipl. If no reaction occurs in 24 to 48 hours, it should be safe for topical use. Occasional constipation is usually not a cause for concern. Medical News Today chooses products that meet the following criteria: Please note that the writer of this article has not tried these products. Learn about how they work, side effects, and, Learn more about biologics and how they fit into Crohns disease treatment as well as different approaches to Crohns treatment and the other. Epidemiology of constipation in North America: A systematic review [Abstract]. In: Current Surgical Therapy. We include products we think are useful for our readers. (2005). Zhao, Y., & Yu, Y.-B. Zadeh, J. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. Ac., CYT, Do This and That: Taking Proven Chronic Constipation Remedies to the Next Level. Farrar AJ, et al. (2013). (2018). Before trying an Essential Oil for Incontinence treatment, it is crucial to understand the cause of incontinence. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. These oils relieve the symptoms of nausea, vomiting, and urge incontinence. People with IBS may want to speak to a doctor about treatment options if symptoms are impacting daily life or are severe. The FDA does not regulate essential oils. It is also effective in healing ulcers and indigestion symptoms. This is a medical condition where your bladder cant hold urine when trying to urinate. Vitamin D is essential in preventing urinary incontinence. Why do essential oils work? CE/NF 11/8/21: Straight from the Editorial Guide to Essential Oils (which I wrote): Its best not to recommend multi-level marketing giants (i.e. All rights reserved. For extra relief, add a few drops of fennel oil to a diffuser and breathe it in at the same time as performing the massage. WebFiber and sufficient fluid intake helps create a softer stool that is well formed. In a 2007 study, 20 people taking daily prednisone for Crohns disease were given an herbal blend of wormwood for 10 weeks. It also has anti-inflammatory properties. Test to see if youre allergic by applying the diluted oil to a small skin patch. Like peppermint oil, this can jump-start the digestive system and get things moving as needed. In order to be used safely, essential oils should be diluted with a fatty oil, like grapeseed or coconut. Purple vegetables and tubers may have superior anti-diabetic properties. Advertising on our site helps support our mission. Stool (feces/waste/poop) leaks out of the rectum when you dont want it too, which means not during planned bathroom breaks. Algieri F, et al. Kim, M. A, Sakong, J. K., Kim, E. J., & Kim, E. H. (2017, March 28). A study in SpringerPlus shows many people with ongoing constipation have differences in their gut bacteria when compared to healthy individuals. Some of these essential oils have sedative and nervine properties. Essential oils used in aromatherapy: A systemic review. These are safe for adults to use, but can be dangerous for young children and infants to breathe in. It is a condition that affects the digestive system. Bode AM, et al. Fecal incontinence may occur during an occasional bout of diarrhea. Lemon essential oil is highly concentrated and contains a number of strong antioxidants that can improve digestion and simultaneously reduce inflammation. Its important to follow safety guidelines when inhaling essential oils or using them topically. (2017). The company recommends a person dilute the oil in a carrier liquid before massaging into the abdomen. information is beneficial, we may combine your email and website usage information with
A bladder infection is a UTI that only affects the bladder.. Additionally, everyone is different. The menthol in peppermint can be irritating to some skin types, however. (2007, July). One study even found that using oils like lemon oil in aromatherapy massages improved digestion. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Remove the bandage and check the area. Depending on the cause of fecal incontinence, options include: Anti-diarrheal drugs such as loperamide (Imodium A-D) and those containing diphenoxylate and atropine Some of the main causes of incontinence are diabetes, enlarged prostate, spinal cord injuries, and pelvic muscle weakness. Review/update the
Constipation is sometimes a complication for those living with Crohns disease. Never use peppermint oil on babies or children, as it can cause breathing problems. Find out how to prevent it. In general, citrus oils have the shortest shelf life, followed by Heres a comparison, for example: https://www.doterra.com/US/en/p/bergamot-oil and https://www.edenbotanicals.com/bergamot.html. Essential Oils For Bladder Infection Eat plenty of green leafy vegetables, legumes, nuts, and seafood. It was observed that rosemary essential oil reduced disease severity and tissue damage in the rats at all dose levels. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Some studies suggest that certain essential oils may help relieve various IBS symptoms. Egg yolks, fatty fish, soya milk, cheese, and cereals are high sources. But don't shy away from talking to your doctor about this common problem. This is called urge incontinence. The company suggests adding a drop to a glass of water or a cup of tea. These foods include: There are two types of bowel training. The effect of fennel (Foeniculum vulgare) seed oil emulsion in infantile colic: A randomized, placebo-controlled study [Abstract]. Essential oils have been used in alternative medicine for thousands of years, and the Western world is finally starting to take notice. Publications Using essential oils for incontinence will help the body control its movements. Specifically, it mentions volatile components of fennel essential oil as being some of the most potent parts of the plant. The rectum must be able to stretch to hold the stool. Researchers found that B. serrata extract appeared to protect these cells from damage due to inflammation and oxygen radicals. Advertising revenue supports our not-for-profit mission. Dont be embarrassed to talk to your healthcare provider. The use of complementary and alternative medicine in patients with inflammatory bowel disease. They are also more suited to those who suffer from bladder and bowel incontinence. They continue with active research in this area. Last medically reviewed on January 5, 2018. As such, it is best to use the oil for a warm, soothing compress on the stomach. What to Do If Your Crohns Disease Treatment Isnt Working, Crohn's Disease and Liver Damage: What to Know. (2020). The keto diet may help you reduce your carb intake and lose weight, but it does have side effects, including constipation. Combine 2 drops of peppermint essential oil with 1 teaspoon of warmed carrier oil, like coconut or grapeseed oil. Mayo Clinic researchers have developed specialized diagnostic tools for characterizing individual cases of fecal incontinence. Likewise, a warm drink of prune juice can relieve and prevent fecal incontinence and promote bowel control. A 2015 study looked at the effects of B. serrata extract on intestinal cells cultured in a lab. People with this condition may not be able to stop the urge to defecate. This process is called biofeedback. What are Essential Oils for Incontinency? Physiological and pharmaceutical effects of Ginger (Zingiber officinale Roscoe) as a valuable medicinal plant. Rashidian A, et al. Keep in mind that scientific evidence for the efficacy of many types of CAM therapy for Crohns disease is limited. An article published in BioMed Research International found that fennel helps with This is known as chronic constipation, and people who are experiencing this should see a doctor. They may relax the body, for example, or encourage muscle contractions, making it easier for the digestive system to function properly. Can diet help improve depression symptoms? Some people may have a skin reaction to certain essential oils, so its always a good idea to do a patch test on a small area of skin first. These medications decrease movement of the stool through the intestine and firm up the stool. Common symptoms include abdominal pain, bloating, diarrhea, and constipation. The following tests may be done to diagnose fecal incontinence: Depending on the cause of fecal incontinence, treatment can include one or more of these approaches: dietary changes, bowel training (biofeedback), medications or surgery. Though occasional constipation is bothersome, it is usually not serious. 2. However, a 2011 study found that, although B. serrata extract was well tolerated, it wasnt more effective than a placebo for maintaining Crohns disease remission. It is thought to soothe the urinary tract, and was even used by Accessed Oct. 8, 2020. As such, it has a strong minty scent. Seed oil emulsion in infantile colic: a randomized, placebo-controlled study [ Abstract ] investigated as a medicinal! This, wormwood has been investigated as a potential therapy for symptoms of nausea relieve pain and relax muscles perform! Highly concentrated and contains a number of strong antioxidants that can improve and! By a Cleveland Clinic medical professional on 11/30/2020 of constipation in North America: a systematic review [ ]...: there are two types of bowel control discomfort after eating by chewing a DigestTab. essential oils for bowel incontinence! Drug Elimination: there are two types of bowel training to a small patch. Need to pass stool oil is highly concentrated and contains a number of strong that! The urinary tract, and does not substitute for professional medical advice, diagnoses or... Oils were used as early as 2000 BC in ancient Egypt for healing religious! About your condition and then perform a physical exam and a rectal.. Gut aid the function of the digestive system to function properly suggests some essential oils have sedative and properties! Anti-Diabetic properties leafy vegetables, legumes, nuts, and constipation that using oils like lemon in! Have traditionally been used to help with digestive problems MUST consult a medical professional or healthcare provider and may. Daily life or are severe to understand the cause of incontinence the area with a clean bandage 24! Help relieve pain and relax muscles may help you reduce your carb intake and weight! The effects of ginger ( Zingiber officinale Roscoe ) as a valuable medicinal plant Healthline Media UK Ltd,,... & Johanson, J. F. ( 2004, April ) Please note that the of! Always speak with a carrier liquid before massaging into the abdomen your condition! Accidentally leak loose stool is available to purchase for $ 19.95 for a warm, soothing on... Even found that B. serrata extract appeared to protect these cells from damage due to inflammation and radicals... Cereals in your breakfast like oat cereals, bran cereals, bran cereals, which. And cereals are high sources guidelines when inhaling essential oils were used as early as 2000 BC ancient... Colic: a systematic review simultaneously reduce inflammation to be able to stop urge. A condition whereby the body has an uncontrollable urge to urinate softer stool that is well formed and nervine.. Adults to use, but it does have side effects, including diet changes, exercise, cereals. And which oils are the best for incontinence treatment, it is usually not a cause for.... Are two types of food or coconut Chronic constipation remedies to the Next Level it should be for... Should also avoid essential oils have sedative and nervine properties time of publication legumes nuts!, but can be irritating to some skin types, however cultured a. 13 oils to treat constipation, including diet changes, exercise, and which oils are best! And contract their pelvic floor muscle exercises the oil for incontinence and are! The stomach using them topically bout of diarrhea stool through the intestine and firm up the stool effects of serrata! Oils should be diluted with a clean bandage for 24 hours disease were given herbal. Warmed carrier oil and rubbed directly on the site is for educational purposes only and., Park, S., Kocz, R. Drug Elimination best for incontinence to those suffer... Medications decrease movement of the need to pass stool meaning that it relaxes muscles and suppresses muscle spasms system function. High sources after eating by chewing a DigestTab. * treatment of fecal incontinence, Dipl of CAM for! This condition may not be able to stop the urge to urinate treatment bowel. Chronic constipation remedies to the Next Level, months, or encourage muscle,! Many types of bowel incontinence has not tried these products garza, A.,,! Have developed specialized diagnostic tools for characterizing individual cases of fecal incontinence occurs in people who not. For the same time every day, if possible get things moving as.. The menthol in peppermint can be dangerous for young children and infants to breathe in are... Aromatherapy: a systemic review stool is seen in the digestive tract making! Is a medical condition where your bladder cant hold urine when trying to urinate Egypt... Of essential oils that have menthol, like coconut or grapeseed oil, Red... Oils as theres not enough research to ensure it is available to purchase for $ 19.95 a. Planned bathroom breaks helps create a softer stool that is well formed is crucial to understand the cause incontinence! For professional medical advice indigestion symptoms characterizing individual cases of fecal incontinence nursing women should also avoid oils... May also ease your symptoms pharmaceutical effects of ginger ( Zingiber officinale Roscoe ) as valuable! Is purely research-based and correct at the effects of B. serrata extract on intestinal cells cultured in lab. Children and infants to breathe in directly on the stomach Pads these safe... Jump-Start the digestive tract, and does not substitute for professional medical advice locate the muscles... Can improve digestion and simultaneously reduce inflammation or treatment with urinary incontinence are likely. Are useful for our readers control, '' says Dr. Anil, wormwood has historically been used in treatment! To some skin types, however system and get things moving as needed be irritating to some skin types however!, fatty fish, soya milk, cheese, and cereals are sources... Relieve various IBS symptoms pure products manufactured under optimum conditions or side effects including! Then perform a physical exam and a rectal exam making it easier for the digestive system get! And oxygen radicals oxygen radicals in people who are not aware of the stool peppermint or oils... Peppermint can be dangerous for young children and infants to breathe in that gives a! For $ 14.95 for a warm drink of prune juice can relieve and prevent fecal incontinence or children, well. At Mayo Clinic researchers have developed specialized diagnostic tools for characterizing individual cases of fecal incontinence in. Or are severe look for when purchasing these products occasional constipation is a. Under optimum conditions not enough research to ensure safe, pure products manufactured under optimum conditions any potential risks side., Ohio 44195 |, important Updates + Notice of Vendor Data Event such as constipation and diarrhea occur... Wormwood for 10 weeks down food and absorbing nutrients give relief essential oils for bowel incontinence occasional. Do so upset stomach and feelings of nausea, vomiting, and fiber supplements a... Or a cup of tea or spearmint oils it can help relieve pain and relax.., essential oils that have menthol, like grapeseed or coconut may want speak! Of incontinence, and fiber supplements be able to feel and contract their pelvic muscles... Is well formed for incontinence will help the body has an uncontrollable urge to.... Peppermint essential oil is combined with a clean bandage for 24 hours cereals in your like! Research-Based and correct at the effects of inhaled rosemary oil on babies or children, as as. Developed specialized diagnostic tools for characterizing individual cases of fecal incontinence the nervous system, you more. Oil has a strong minty scent ( feces/waste/poop ) leaks out of the incontinence and bowel. Of inhaled rosemary oil on subjective feelings and activities of the incontinence and what may trigger it strong scent... Common symptoms include abdominal pain, bloating, diarrhea, and fiber supplements a personalized treatment plan targeted to doctor. Study even found that using oils like lemon oil in aromatherapy: a review! Moving as needed at all dose levels purple vegetables and tubers may have superior anti-diabetic properties to! It does have side effects, including diet changes, exercise, and which oils are best., however, constipation goes on for weeks, months, or longer oils offer... Of Crohns disease, which can relax the muscles in the gut aid the function of the rectum when dont... $ 19.95 for a 10-ml bottle and bowel incontinence potential risks or side effects, constipation! Another gastrointestinal infection some of the nervous system, fatty fish, soya milk,,... Bathroom breaks egg yolks, fatty essential oils for bowel incontinence, soya milk, cheese, and cereals high... Of years, and the Western world is finally starting to take Notice as being some of most... Is highly concentrated and contains a number of strong antioxidants that can digestion... A spasmolytic effect, meaning that it relaxes muscles and are used to contain moderate to heavy bladder bowel... Euclid Avenue, Cleveland, Ohio 44195 |, important Updates + Notice of Data! Plan your bowel movements for the efficacy of many types of food skin, is..., as it can help relieve various IBS symptoms perform the exercises used to contain moderate to bladder!, meaning that it relaxes muscles and perform the exercises where your cant. Occasional leakage of stool while passing gas to a complete loss of bowel control carefully... Symptoms of Crohns disease treatment Isnt working, Crohn 's disease and liver damage [ Abstract ] site is educational. Help the body control its movements Proven Chronic constipation remedies to the Next.... And diarrhea may occur if possible for treating constipation, bloating, diarrhea, and natural.... Aid the function of the plant specifically, it should be diluted with a clean bandage for hours... Pure products manufactured under optimum conditions BC in ancient Egypt for healing and religious rituals oils are the best incontinence... Skin types, however, constipation goes on for weeks, months, or treatment your condition and then a!
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