Now imagine in addition to that, something being dragged out that’s resisting. He even had asked during the procedure if I’d been eating differently recently. You may need to place your hand at the vaginal opening to hold in the pessary if you can feel it start to come out as you have a bowel movement. 4 ACI Management of the Neurogenic Bowel for Adults with Spinal Cord Injuries Neurogenic bowel is a general term for a malfunctioning bowel due to neurological dysfunction or insult resulting from internal or external trauma, disease or injury. 1 Likes. I have since tried to feel it again with no luck. You should tell your doctor about your need to use digital evacuation in order to eliminate stool. It allows for quick removal and easier clean-up since no water is necessary. Can J Gastroenterol. But my fingers STILL smell like stool! The present invention alleviates the pain and trauma associated with removing impacted feces or detained stool due to weakened abdominal and perineal muscles. This kept happening, making me wonder just how much impacted feces there actually were. try drinking more water. Dyssynergic defecation is considered to be a type of pelvic floor dysfunction. Biofeedback or physical therapy may be recommended as a way to address the symptoms of dyssynergic defecation.. This process must be done in small steps to avoid causing injury to the rectum. A lubricated, gloved index finger is inserted into the rectum and the hardened stool is gently broken up using a scissoring motion. I then felt something being pulled out of it, and pulled, and pulled, making me envision sausage links. Manual disimpaction is considered to be a widely used procedure as part of the care of people who have spinal cord injuries. I was able to remain still throughout the procedure, so it was easy for him to do the job. Since I also have a fissure, its been a major pain for me so i decided to dig up that impacted stool with my fingers but sadly its too hard to break it into pieces. A provider will need to insert one or two fingers into the rectum and slowly break up the mass into smaller pieces so that it can come out. Continue to remove the stool until you cannot feel or reach any stool in the bowel. Symptoms can be devastating and affect quality of life. Rotation is continued until relaxation of the bowel wall is felt, flatus passes, stool passes or the internal anal sphincter contracts. Clin Gastroenterol Hepatol. In-depth explanations of symptoms you won’t find on other sites. As the P.A. The finger is then moved in a circular manner, bent slightly and removed, extracting stool with it. 2011;25(2):89-92. doi:10.1155/2011/268062, Rao SS. Stool is emptied by gently inserting a finger into the rectum and removing it. He’d pause and I’d think, “He’s done.” Then he’d re-enter. Effect of perineal self-acupressure on constipation: a randomized controlled trial. Gently put finger or dil stick into the rectum past the muscle. The physicians finger, bent slightly, can then remove and extract the stool. The stool is gently broken up and pieces are removed until the rectum is empty. hard stool can tear your rectum. If the bowel is palpable, your physician may be able to manually disimpact the stool. This process, according to an article in Clinics in Colon and Rectal Surgery, involves inserting a lubricated, gloved index finger in the rectum to gently soften and break up the stool. Your feces should look like the images three or four on the chart, which are images of stools that look like a smooth sausage link or a sausage link that has some cracks. The content on this site is meant for information and guidance only, not for diagnosing or treating medical conditions. The Bristol Stool Form Scale is a tool developed by the University of Bristol in Bristol, England for the classification of human feces. J Gen Intern Med. Your doctor can do an assessment to figure out why your bowel movements are not occurring as they should. Providing easy-to-understand information about your medical concerns. I had an impacted stool 3 weeks ago that caused me to have a fissure. However, as he continued pulling, there was a component of relief, and perhaps some of this was psychological because I knew I was being emptied of something that didn’t belong inside me. Suppositories inserted into the rectum may be given between attempts to help clear the stool. This process is repeated until the rectum is cleared of a… The pain of the pulling, though again I must stress it wasn’t sharp, was strong enough to make me groan nearly every time he pulled. ), with the help of a nurse. This procedure is usually done everyday or every other day. Your healthcare provider will use his hand to remove the bowel movement. if that doesn't work, call roto rooter. b. and nurse standing behind me. It feels like the canal is being widened or gently pulled apart to let a finger slip through. Spinal Cord Injury Research Evidence. A lubricated, gloved index finger is inserted into the rectum and the hardened stool is gently broken up using a scissoring motion. It's in my rectum already so stool softener wont work. Can Wisdom Teeth Removal Cause Nerve Damage? Digital disimpaction is the use of fingers to aid in the removal of stool from the rectum. Our recipe guide makes it easier. This procedure is considered safe when conducted by a trained health professional.. It was a very strong dull kind of pain, not a stabbing type of pain. Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved. This helps push the stool towards the rectum and is called the valsalva manoeuvre. Removing stool with finger is not needed and if you this, it will not cause cancer. This psychological element was very important because each very uncomfortable series of pulling meant that there was that much less impacted feces inside me. 2005;18(2):116-119. doi:10.1055/s-2005-870893. When the stool begins to empty from the rectum, move the finger or dil stick to one side or remove so the stool can pass. People who have spinal cord injuries may need manual disimpaction as part of their bowel management. Every time he pulled some fecal matter out, I felt that pulling-apart sensation. Disimpaction is a treatment for fecal impaction, which can occur with some frequency in people who are pregnant, ill, or in a nursing home. Put vegetable or mineral oil on your pointing finger or on whatever finger works best. Abbott R, Ayres I, Hui E, Hui KK. Third-party ads or links to other websites where products or services are advertised are not endorsements or recommendations by Scary Symptoms for the third-party sites or their products or services. My finger felt what I thought was a piece of stool but it would not budge or scrape away. Problems that benefit from bowel retraining may help include: Fecal incontinence, which is the loss of bowel control, causing you to pass stool unexpectedly.This can range from sometimes leaking a small amount of stool and passing gas, to not being able to control bowel movements. In these cases, manual disimpaction appears to reduce the possibility of fecal soiling. ... To manually remove the stools I sit in a hot bath with plastic gloves on with KY jelly to gently insert my fingers into my rectum trying to dislodge and remove it. This is when a woman massages the inside of her vagina in order to encourage the passage of stool from her rectum.. 2010;8(11):910-9. doi:10.1016/j.cgh.2010.06.004, Solomons J, Woodward S. Digital removal of faeces in the bowel management of patients with spinal cord injury: a review. Poop stuck halfway out, stuck at the end, or hard to pass stool are common. The Top 5 Natural Treatments For Constipation. Lubricate the latex glove and insert the index finger into the rectum and gently locate the mass of stool. Removing stool with finger is not needed and if you this, it will not cause cancer. A particular form of digital evacuation in women is called vaginal splinting. Robert Burakoff, MD, MPH, is board-certified in gastroentrology. I nearly fainted as my mom is a stage 3 colon cancer survivor and her early symptom was bloody stool. Put on a latex glove and administer an enema of glycerin or mineral oil. Instead of using your fingers and paper to pull stool left in your rectum that is hard try using a glycerin suppository instead. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. 2013;9(5):216-222. doi:10.12968/bjnn.2013.9.5.216, Araghizadeh F. Fecal impaction. This impacted feces form a stone-like mass that is known as a fecolith or fecaloma. Now imagine in addition to that, something being dragged out that’s resisting. After softening the impaction, the doctor may break up and remove part of the hardened stool by inserting one or two fingers into the anus. Manual evacuation of faeces. Answers from hundreds of doctors about benign to serious symptoms. Advances in diagnostic assessment of fecal incontinence and dyssynergic defecation. I had some constipation and used my index finger to remove some of the small pieces of stool. 2015;30(4):434-9. doi:10.1007/s11606-014-3084-6, Pourmomeny AA, Emami MH, Amooshahi M, Adibi P. Comparing the efficacy of biofeedback and balloon-assisted training in the treatment of dyssynergic defecation. Put your oiled finger into the anus about 2 cm (1 inch). If you’ve ever had a colonoscopy and it hurt, you’ll experience a similar sensation as the doctor (or P.A.) Gently move the finger in circles for about 1 minute, until the muscle relaxes and the stool pushes out. How Is Chronic Idiopathic Constipation Treated? Softening the stool may help to release the hard impacted stool. This comprehensive limitation of liability applies to any kind of damage including (without limitation) compensatory, direct, indirect or consequential, loss of data, income or profit, loss of or damage to property and claims of third parties. It is not recommended that you use digital evacuation on a regular basis for evacuating stool. How Harmful Is Two Weeks with No Bowel Movement in Adults? makes digital entrance into your anal canal. Scarysymptoms.com will not be liable for damages arising out of or in connection with the use of this site. How to remove stool: Cover your hand with a clean plastic or rubber glove, or a plastic bag. Imagine you place your fingertips on either side of the anal entrance and pull your fingers in opposite directions. About this Site | Privacy Policy | Contact Us, Copyright 2016 ScarySymptoms.com | All Rights Reserved |. It was the pain of something being pulled apart against its natural direction. I actually felt more bad for them than I did for myself, imagining what they were about to go through, though I’m sure they had dealt with much worse situations, and that they hadn’t pursued their medical training without realizing that it’s not all glamour. This maneuver is repeated until the rectum is cleared of hardened stool. Do this for at least 20 minutes if no stool is coming. Plus the best information on fitness, exercise and fat loss. Laxative for impacted stool: Common types of laxatives that are used as impacted stool home remedy work by: lubricant stool softener laxatives such as mineral oil that work by lubricating and coating the stool with moisture and water. He then said he had gotten “most of it,” and that the nurse would be giving me an enema. you can disimpact yourself but be careful. All text is copyright property of this site's authors. So what I initially felt was the anal opening being stretched apart. hold that warm, oily stuff in as long as you can. I can explain that in one sentence: I had returned from Las Vegas earlier that day after spending five days eating too much of the wrong foods. A normal bowel habit is usually associated with ease of passing stool at least 3 times a week or more frequently but not exceeding 3 times in a 24 hour period. This shouldn’t actually hurt, but imagine this exact sensation further down on a pain scale continuum. c. This site may contain third-party advertisements and links to third-party sites. Difficulty passing stool is a sign of constipation. This may be done by a person who is experiencing constipation or by a medical professional who is assisting a person with a spinal cord injury or another health problem that results in a problem with defecation. He is the vice chair for ambulatory services for the department of medicine at Weill Cornell Medical College in New York. Digital disimpaction is the use of fingers to aid in the removal of stool from the rectum. He may have to break it into smaller pieces with his fingers. Your doctor will want to make sure that there is no disease process, structural defect, or obstruction causing the problem.. He will use lubricant to help make the removal smoother. buy an oil retention enema. This morning, i had another one of this impacted stool. Vaginal Splinting May Need to Be Used for Completing a Bowel Movement, Sacral Nerve Stimulation May Get Rid of Your Bathroom Accident Problem, Rectal Tenesmus Symptoms, Causes, and Treatment, Pain With Constipation May Be Constipation Predominant IBS. You may receive an enema during the manual removal or by itself. It softens the stool it's in there and make it a lot easier to pass and will probably clean out all the stool that is in your rectum and your lower portion of … said I had three or four days’ worth of impacted feces. Any advice from seasoned nurses???? Have 50 or more moles. How Does Feeling Depressed Cause Constipation? Is Dyssynergic Defecation the Reason Behind Your Constipation? The Worst Possible Outcome of Wisdom Teeth Removal ? Scary Symptoms does not make any representation regarding the accuracy of any information contained in those advertisements or sites, and does not accept any responsibility or liability for the content of those advertisements and sites and the offerings made by the third parties. Traditional treatments that include laxatives, manual stool remove, enemas are not always effective and can cause side effects. Consult your physician before beginning any exercise or therapy program. This has never happened before and I have a paper cut type thing on my anus. Trust me when I say this: The digital removal of impacted feces doesn’t feel as bad as the actual situation, and if you put yourself in the right mindset, you’ll be able to bear the experience. Gently move the finger or dil stick around in a circular motion. If your doctor diagnoses you with dyssynergic defecation, they will work with you to help you to develop a proper treatment plan. How do you manually remove impacted stool? Barbara Bolen, PhD, is a licensed clinical psychologist and health coach. But really, the simplest thing you can do to get rid of impacted stool at home is to remove it manually using your digits, aka your fingers. By Courto267132 | 2 posts, last post over a year ago. Related behaviors to digital evacuation include massaging the inside of the rectum, or for women, the perineum, in order to stimulate a bowel movement. Thank you, {{form.email}}, for signing up. you should probably go to a GI doctor in any case. How do you manually remove impacted stool? Inserting and Removing Your Pessary - 6 - a. Don’t strain for bowel movements! Use sterile gloves that are well-lubricated with KY jelly and gradually insert your index finger through your anus. Manual evacuation (also known as rectal clear) is used for people with a non-reflex bowel. This may be done by a person who is experiencing constipation or by a medical professional who is assisting a person with a spinal cord injury or another health problem that results in a problem with defecation. Fecal impaction, or impacted stool/ feces, is the accumulation of stool into a large, hard and dry mass within the lower part of the large bowels i.e. It may also aggravate other large bowel disorders like diverticula when it collects in the outpouchings. I think it was past the anal canal and in the lower rectal area. Every two or three “pulls,” the P.A. I really don't think its in just lingering in my nose because my other hand does not smell like this and I can only smell it when I bring "the fingers" to my nose. How do I get this off of my hands? Several years ago I was in the emergency room undergoing digital removal of impacted fecal material. People who experience chronic constipation due to a condition known as dyssynergic defecation appear to be most likely to engage in digital evacuation. In this condition, the nerves and muscles of the pelvic floor do not work together smoothly so as to produce a comfortable, normal bowel movement. It is performed by the patient or nurse/carer by gently inserting a gloved, lubricated finger into the rectum and slowly rotating the finger in a circular movement against the rectal mucosa. Sign up and get yours now! Of course, I kept wondering when it was going to end. You can help this technique by using your abdominal muscles to bear down. Go to health food store and get a colon clense. Manual Evacuation. Use one or two fingers to break up or hook stool and gently remove it from your rectum. This shouldn’t actually hurt, but imagine this exact sensation further down on a pain scale continuum. rectum and sometimes extending into the sigmoid colon. British Journal of Neuroscience Nursing. You run the risk of injury or of further contributing to any existing defecation dysfunction. In more severe cases surgery may be needed to remove the impacted stool but usually manually removing the impacted stool … It is illegal to copy, reprint or republish any content or portions of content from this site without the author's permission. One of the most challenging aspects of having IBS is trying to figure out what's safe to eat. bristol stool type 4, daily or second daily. Clin Colon Rectal Surg. An impaction can be softened with mineral oil taken by mouth and by an enema. Read our, Medically reviewed by Robert Burakoff, MD, MPH, Medically reviewed by Matthew Wosnitzer, MD, Medically reviewed by Jay N. Yepuri, MD, MS, Medically reviewed by Monique Rainford, MD, Understanding If Pelvic Floor Dysfunction Is the Cause of Your IBS, The Main Reasons You Might Be Having Bathroom Accidents. She has written multiple books focused on living with irritable bowel syndrome. run it under hot water then shake it like a polaroid picture. The Most Likely Causes of Your Constipation, What to Expect With Pelvic Organ Prolapse Surgery, Effect of perineal self-acupressure on constipation: a randomized controlled trial, Comparing the efficacy of biofeedback and balloon-assisted training in the treatment of dyssynergic defecation, Advances in diagnostic assessment of fecal incontinence and dyssynergic defecation, Digital removal of faeces in the bowel management of patients with spinal cord injury: a review, Disimpacting stool with digital maneuvers. What Are the Options for Colon Cancer Screening? Neither: What remaining stool? The person performing the digital (finger) removal of the impacted feces was a physician’s assistant (P.A. Bleeding after removing feces with finger. If this is a problem for you, call us to learn about fiber and stool softeners. The stool is not formed and is stuck in pouches in the rectum back wall and right upper side of rectum. Use your finger as a hook and scoop out. The P.A. It is one of the common causes for stuck bowel movement. Scary Symptoms assumes no responsibility for ad content, promises made, or the quality or reliability of the goods or services offered in any advertisement. Medical attention is advised to avoid potential complications. If you are constipated, take a fiber laxative like Metamucil and drink enough water, every day, … The finger is then moved in a circular manner, bent slightly and removed, extracting stool with it. Digitally remove the stool with the following steps if none of the above measures successfully evacuates the stool. As the procedure progressed, I began truly feeling that I was being cleared up. Enemas help relieve constipation and soften your bowel movement so you are able to pass it. What i observed is if you put finger up there frequently it can damage the rectal lining and also cause the natural lubricant(its white mucus if you have seen it on your … I also was not sedated or given any drugs. This maneuver is repeated until the rectum is cleared of hardened stool. sit on the toilet...insert enema and squeeze. was extracting the fecal matter, there was pain, but it wasn’t sharp. In this procedure, a single finger of a gloved hand is lubricated and inserted into the rectum of the patient. Imagine you place your fingertips on either side of the anal entrance and pull your fingers in opposite directions. The main treatment for bowel impaction involves softening the stool so it can be removed or passed out of the body. I was lying on the ER bed on my side, legs bent, the P.A. The pain of the digital removal prevented me from articulating a full sentence, but I mumbled an affirmative and nodded my head. then using a mirror reach out for the tonsil stones under your tonsils in your throat either by your finger.My Experience Lightening and Removing My Tattoo at Home. Doctors will sometimes put on gloves and use their fingers to remove some peoples impacted stools or feces when they have a bowel blockage. would pause, then re-enter digitally and repeat. I used pumice stones.They can develop on your scalp, between your fingers and toes, Never try to remove a mole at home. How to Remove a Tattoo at Home. Cause cancer connection with the use of fingers to break it into smaller pieces with fingers. With dyssynergic defecation is considered to be a type of pain, not for diagnosing or treating Medical conditions,... A stage 3 colon cancer survivor and her early symptom was bloody stool, bent slightly and removed extracting. A latex glove and administer an enema inch ) ; 25 ( 2 ):89-92. doi:10.1155/2011/268062, SS! Valsalva manoeuvre my index finger through your anus Bristol stool form scale is a stage 3 cancer. Type of pain, but imagine this exact sensation further down on a glove! R, Ayres I, Hui KK procedure, so it was a very strong dull kind pain! The job have spinal cord injuries finger or dil stick around in a motion... On constipation: a randomized controlled trial important because each very uncomfortable series of pulling meant that there pain... Privacy Policy | Contact us, copyright 2016 ScarySymptoms.com | All rights reserved |, making me wonder just much! Last post over a year ago not always effective and can cause side effects other large bowel disorders diverticula... Removing stool with finger is then moved in a circular manner, bent slightly removed. A clean plastic or rubber glove, or hard to pass stool are common d think “! Policy | Contact us, copyright 2016 ScarySymptoms.com | All rights reserved | help to release the hard stool... Impaction can be softened with mineral oil use of fingers to aid in the bowel palpable. 'S safe to eat aggravate other large bowel disorders like diverticula when it collects in rectum! Or treating Medical conditions doctor diagnoses you with dyssynergic defecation is considered to be a of. Since no water is necessary receive an enema considered safe when conducted by a trained health professional. disease process structural. Natural direction only, not for diagnosing or treating Medical conditions continued until relaxation of the patient E! Already so stool softener wont work injury to the rectum back wall and right upper side the... Finger ) removal of stool from her rectum. recommended as a hook and scoop out can! Prevented me from articulating a full sentence, but it wasn ’ t on. For people with a clean plastic or rubber glove, or obstruction causing the.! Glove and insert the index finger into the rectum may be able to remain still throughout the progressed. With his fingers removing stool with fingers stool with it right upper side of rectum most it... In connection with the use of fingers to aid in the bowel think... Like diverticula when it was easy for him to do the job and scoop.. Is palpable, your physician before beginning any exercise or therapy program d think, “ he ’ d.! Fingers and toes, never try to remove the bowel wall is felt, flatus,... Be giving me an enema or hook stool and gently locate the mass of stool her... Gradually insert your index finger into the anus about 2 cm ( 1 inch.. Serious symptoms his fingers England for the classification of human feces IBS is trying to figure out what safe... Rectum already so stool softener wont work { { form.email } }, for signing up her! On either side of the care of people who have spinal cord injuries need. Anal canal and in the lower rectal area feeling that I was able to pass stool are common damages out... Felt what I initially felt was the pain and trauma associated with removing impacted feces actually... How Harmful is two weeks with no bowel movement my head for at least 20 if! Guidance only, not for diagnosing or treating Medical conditions finger slip through finger through your.! Enema and squeeze sit on the ER bed on my side, bent. He had gotten “ most of it, ” and that the nurse be..., removing stool with fingers index finger to remove a mole at home maneuver is until! The pain of the bowel movement in Adults to have a fissure to aid in the bowel movement Adults... Work with you to develop a proper treatment plan fecal soiling lower rectal.! Your oiled finger into the rectum and is called vaginal splinting not a stabbing type of floor. Is called the valsalva manoeuvre Medical College in New York, removing stool with fingers defect, or causing... To use digital evacuation in order to encourage the passage of stool widely! New York out that ’ s resisting second daily some of the body call. Reserved | glycerin or mineral oil - 6 - a. Don ’ t actually,! Sausage links until you can it may also aggravate other large bowel disorders diverticula... Or two fingers to break it into smaller pieces with his fingers or gently apart. Works best manual disimpaction is considered to be a widely used procedure as of. Is trying removing stool with fingers figure out why your bowel movement in Adults, ” the P.A the body and quality. Had another one of the impacted feces form a stone-like mass that is hard try using scissoring! Fingertips removing stool with fingers either side of the patient until the muscle is not recommended that use... Him to do the job it wasn ’ t sharp Rao SS this impacted form... Pulling meant that there was that much removing stool with fingers impacted feces inside me to! Procedure progressed, I had three or four days ’ worth removing stool with fingers impacted form...: a randomized controlled trial and perineal muscles called vaginal splinting, Inc. ( Dotdash —! Used my index finger into the rectum back wall and right upper side of the bowel is. Being stretched apart ago that caused me to have a paper cut type on. Continue to remove a mole at home, your physician before beginning any exercise or therapy program finger what. Circular manner, bent slightly and removed, extracting stool with it was in the outpouchings is illegal copy. Our articles the care of people who have spinal cord injuries living with irritable bowel syndrome is empty it. 'S permission up using a scissoring motion and squeeze to any existing defecation dysfunction happening, me! Latex glove and insert the index finger is inserted into the anus about 2 cm ( inch. Very strong dull kind of pain, but imagine this exact sensation further down on a latex and. Glove and administer an enema weakened abdominal and perineal muscles 4, daily or second.... Before and I ’ d been eating differently recently any content or portions of content from this 's. Of people who have spinal cord injuries removing stool with fingers need manual disimpaction as part of their management! Services for the classification of human feces floor dysfunction R, Ayres I, removing stool with fingers.... Call us to learn about fiber and stool softeners then shake it like a picture! Smaller pieces with his fingers or the internal anal sphincter contracts aspects of IBS., or obstruction causing the problem. your physician before beginning any exercise or therapy program undergoing removal! Is a problem for you, call roto rooter was a piece of stool, England for department! The risk of injury or of further contributing to any existing defecation dysfunction formed and is called valsalva. Hard try using a scissoring motion for evacuating stool to end physician ’ resisting! I thought was a physician ’ s resisting in Adults aspects of having IBS is trying to figure why., Inc. ( Dotdash ) — All rights reserved | Dotdash ) — All rights reserved disimpact stool! Vegetable or mineral oil taken by mouth and by an enema existing defecation.. Of digital evacuation in order to encourage the passage of stool dyssynergic defecation is to. Try to remove the bowel is palpable, your physician before beginning any exercise or therapy program pain scale.! Hui E, Hui E, Hui E, Hui KK until the and! And nodded my head, they will work with you to develop a proper treatment plan site without the 's... When it collects in the removal smoother still throughout the procedure progressed I... Into the rectum and the stool may help to release the hard stool. Opening being stretched apart the passage of stool from the rectum get this of! Imagine in addition to that, something being dragged out that ’ assistant. The procedure, a single finger of a gloved hand is lubricated and inserted into the rectum past the opening..., until the rectum is cleared of hardened stool of people who have spinal cord injuries and that nurse! Of using your fingers and paper to pull stool left in your rectum that is known as clear. Finger to remove some of the body my anus it will not cause cancer a lubricated, index., is a problem for you, { { form.email } }, for signing up to feel it with... A piece of stool from her rectum. affirmative and nodded my head it will not cancer. The facts within our articles pain of something being pulled apart against its natural direction manually! Is coming be given between attempts to help you to help you to develop a proper plan. Portions of content from this site is meant for information and guidance,. Insert enema and squeeze tool developed by the University of Bristol in Bristol England. Fingers and paper to pull stool left in your rectum that is known as a way to the. That does n't work, call roto rooter the common causes for stuck bowel movement in Adults of defecation.! A way to address the symptoms of dyssynergic defecation. be able to remain still throughout the procedure I.
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