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Cahill D

Tolerance of nonsteroidal antiinflammatory drugs in patients with inflammatory bowel disease

However, certain symptoms require prompt evaluation: Trouble breathing, noisy breathing, or choking sensations Inability to swallow liquids or solids Rapidly enlarging neck mass, visible swelling, or redness Unexplained weight loss, persistent pain, or bleeding Hoarseness lasting more than two weeks Evaluation begins with a careful history and physical exam

Although the medial expansion was also present ipsilaterally (see above), both the frequency and magnitude of this expansion were greater on the contralateral side