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Gagging, coughing, or choking more than usual, especially while eating or drinking Problems with food sticking as it goes down Cant swallow your medicines Severe sore throat Red, shiny mouth or sores in your mouth or on your tongue Chest congestion Not able to keep any food or fluids down for more than 24 hours Go to the emergency room or call 911 if you Are having trouble breathing Have a new or worsening fever Are feeling weak or dizzy American Society of Clinical Oncology

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In turn, psychiatric comorbidity in IBD has been independently associated with increased disease activity, poorer disease outcomes (e.g., increased healthcare utilization) thus poorer quality of life [76-78]

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