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But there are times when bloating happens in response to a more serious underlying cause, such as: Cancer, including ovarian, uterine, colon, pancreatic or stomach cancer Digestive diseases, such as IBS, pelvic inflammatory disease (PID), small intestinal bacterial overgrowth (SIBO) or GERD Mental health issues such as anxiety or depression Medical procedures or surgeries that involve pumping gas into the stomach Medication containing acarbose, lactulose or sorbitol Call your PCP if your bloating doesnt improve in a few days or if you have any of the following symptoms: Bloody stool Diarrhea Fever following surgery Nausea or vomiting Vaginal bleeding Unexplained weight loss Worsening heartburn

This Matthew-Malachi order, shared between Paine and Smith, is perhaps the strongest suggestion, such as it is, that Smith may have had a copy of Paine at hand

But heres the crucial part: the same studies found no solid evidence of a rise in serious events, like heart attacks, from using NRT on its own

I felt a bit embarrassed, he said

He smelt quite nice, actually