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Symptoms That Should Raise Concern Post-endoscopy symptoms that should raise concern include: Fever Chills Severe or persistent stomach/abdominal pain Chest tightness Difficulty breathing Bloody, black, or dark stools Vomiting Vomit that contains blood or is like coffee grounds Nausea Fatigue Confusion Shaking or trembling These symptoms may be a sign that an infection is developing, a sign of internal bleeding, or indicative of another post-endoscopy complication