its feel like something is stretching inside that area when i am lying down.. i feel discomfort also when i am seating.. while walking i dont feel any issue.. If you have undergone ovarian cyst elimination or other vital treatments, you may experience bleeding after laparoscopy for a few weeks. What Are The Long-term Effects of Traumatic Brain Injury? I suggest castor oil packs for three consecutive days a week for the 6-8 weeks. In some more serious cases of the postcholecystectomy syndrome, the pain can last a couple of months, especially if left untreated. I thought I had an abcess or something. You also have the option to opt-out of these cookies. Thanks! This pain comes from the gas still left in your belly after the surgery. I still have a pain when I breathe in, sneeze or yawn I keep thinking if I had anything up with me my wounds wouldn't have healed and I would be losing weight So sorry for going on just so terrified will let you know how I get on, Not too bad still having pains in my stomach that's over a year ago since I got it done and don't see my surgeon to the 2nd May I still feel thecstent. Make sure that you drink enough water to flush out toxins. I was absolutely miserable!!! JinnyJinxed I had my Gallbladder out on the 22nd June 2010. This syndrome occurs when the gallstones are present in the gallbladder, causing discomfort. Laparoscopic Gallbladder Surgery 5/13 This is the most common type. A predominant complaint after gallbladder surgery is abdominal pain. Tightness after Gallbladder Removal. Walk as much as is comfortable for you, moderate exercise helps improve circulation. Gallbladder, Liver, Pancreas & Spleen Issues, Differential Diagnosis Of Gallbladder Pain, Dangers and risks of belly button piercing, Sharp Pulling Pain In Belly Button (Umbilicus), Weight Loss After Gallbladder Surgery Is Totally Normal, Gallbladder Problems After Gallbladder Surgery, Pain and Swelling Just Above the Belly Button Is Usually Due to Umbilical Hernia, Restoring Regularity After Gallbladder Surgery, Cholecystectomy - Laparoscopic Surgery for Gallbladder Removal, What To Expect When You Have Your Gallbladder Taken Out, How to Deal with Pain After Gallbladder Surgery, 'Would You Like An Infection With That Belly Button Piercing, Madam? Some surgeons practice the open method of gallbladder surgery, for which a bigger incision is made, and no camera is being used. Generally, it stays on for 24 to 72 hours after the surgery is conducted. Make sure that you stay light, preferring liquid diet such as fruit and vegetable juices. Loose stools after eating. The surgeons here at UNC Hospitals have been performing this procedure since its inception. The pressure on it while sitting is not as restful as one would think. Hernias don't go away on their own. I don't have any gallbladder problems, I don't have any bowell issues to go along with it, and I didn't do any strenuous exercise to pull a muscle or anything. It has been 10 weeks since i had my gallbladder removed. Vascular compromise of the small intestine due to overly elevated intraobdominal pressure during insufflation is rare but is not unknown. Suffered from CFS, prostate inflammation, and food allergies since the age of 16. I had mine removed October 5th, and I ran out of the pain meds (percocet) two days ago. Answer: The surgery and incision area created trauma to the skin. A Whole30 Calendar That Will Simplify Meal Planning, Easy Whole30 Dinners for the Busy Lifestyle. Posted I've also had stitches that were supposed to dissolve not dissolve. People can lead a normal, healthy life without the gallbladder. A sore throat from the breathing tube. With my gallbladder surgery I developed. It will disappear on its own. As with any type of surgery, it is reasonable to expect some amount of pain. Had my gallbladder removed 3 weeks ago. I'm a 31-year-old female with continued pain five months after a laproscopic cholecystectomy. I had my stitches removed 4 days ago and the doctor was a bit surprised how bruised up and swollen I still was but said it was normal. This kind of abdominal pain (post-operative), is also referred to as a post-cholecystectomy syndrome. Eat small and regular meals, giving your system time to digest small portions of food. I am in pain. One beverage you could consume without thinking twice, is water. Gallbladder surgery also referred to as cholecystectomy, is a surgical procedure that is performed for the purposes of removing the gallbladder, along with any present gallbladder stones. This information is being provided to help patients understand laparoscopic cholecystectomy. . Belly button pain may be referred pain from pelvic floor spasms or the organs of the pelvis, it may also occur if the surgeon placed a . Sign up to receive the latest and greatest articles from our site automatically each week (give or take)right to your inbox. Although these can be serious complications, they occur very rarely. Gallstones may recur even without any symptoms, but it is not required that pain in the right side of the abdomen correlates to gallstones only. If you need a letter or work excuse to be sent to your employer, please let your surgeon or the GI Surgery nurse know. Always speak to your doctor before acting and in cases of emergency seek Keep . I had my gallbladder out 8 days ago via robotics and the nurse told me I could go back to work the next day if I worked from home at a desk, which I do. Been having tenderness around belly button 5 weeks after gallbladder removal. In this method, 1 cut (incision) about 4 to 6 inches long is made in the upper right-hand side of your belly. The pain, along with the other symptoms of the syndrome, can be present for a couple of days or weeks, persistent, or in some cases, unfortunately, lifelong. This will almost always extend a few weeks after the surgery but if you are still in extreme pain and discomfort at the 3-month mark we generally recommend to go see a specialist. I had super high expectations of recovering very fast. Most patients are concerned about what they can eat after the cholecystectomy. The staff member will tell you what time to arrive at the hospital for your surgery. 6789 Quail Hill Pkwy, Suite 211 Irvine CA 92603. Gas is blown into the abdomen due to which the abdomen bloats up and the surgeon gets a clear view of the discrepancy. If you do not get a call by 7 p.m., call 212-639-5014. Every step is taken to ensure that this does not take place. I didn't realize that the percocet was doing all the heavy lifting with my recovery. In the case of abdominal pain after gallbladder removal, your doctor will give you painkillers to help you soothe your pain. One of those complications is a sharp pain on the right side after gallbladder surgery. This method uses 3 to 4 very small incisions. This website uses cookies to improve your experience while you navigate through the website. Laparoscopy or cholecystectomy is conducted by inserting tube like structures through several incisions in the abdomen. been good till this week. Besides that absolutely no other digestive issues besides some bloating and lack of appetite. Some potential short-term complications that may arise shortly after the operation are: Loose bowel movements may occur because bile is not being concentrated in the gallbladder, it is spilled directly into the small intestine from the liver. Avoid spicy, marinated food. This is due to it triggering your bile duct to close so it gets dilated, just like it would be if it was blocked by a stone. Re: Still in pain 7 weeks after gallbladder surgery -- why? The effects of the anesthesia will wear off in 4 to 6 hours after successful laparoscopic gallbladder surgery. 2. How to Review a Physician Contract: 5 Key Considerations. Detoxify your system, making it a timely regimen. I have no pain, eat well. These cookies do not store any personal information. along with any present gallbladder stones, As for foods to eat after gallbladder surgery. What To Expect After Surgery After surgery you may have: Pain in your shoulder and belly that lasts 24 to 72 hours (from gas used to inflate the abdomen during surgery). Now I know it was. Some bleeding occurs and is well controlled during the operation, but it's not a bloodless procedure. Patient does not provide medical advice, diagnosis or treatment. no redness or bulge. You are seeing the reabsorption of the blood and like a bruise, you will most likely see it change over the next few weeks. You may shower and bathe when the bandages are removed. When I went to see my Dr. , he gave me a B 12 shot. nausea vomiting loss of appetite constipation dry mouth lightheadedness drowsiness flushing sweating itching weakness headache mood changes decrease in pupil (dark circle in eye) size red eyes Yes to 1, 3, 4, 5, 6, 7, 11 and 12. My docs explained to me as damage to 1 or more small skin nerves, or when a nerve is squeezed by the scar tissue. as being in breach of those terms. Personally I have had reactions to some types of stitches that causes an increase in scar tissue. Post gallbladder surgery swelling/bloating and discharge. My belly button incision had been the sorest and could not roll over in bed on either side as the pain would shoot through my belly. now I am in 1 month 4 days. hurts when i walk? This pain may become sharper and be felt in the lower right quadrant of the abdomen and/or the back. They can be difficult to diagnose. why? Mind-body therapies such as meditation, 19 breathing exercises, and cognitive-behavioral therapy (CBT) can decrease your pain and decrease the stress in your life that make your pain worse. You may resume sexual relations when it feels comfortable for you. We want the forums to be a useful resource for our users but it is important to remember that the forums are There are many reasons a person can experience bellybutton pain. A lot of women can resume work 1 to 3 weeks after the operation. no bowel movement or passing . ', Bloated Abdomen After Gallbladder Surgery, Reasons to Avoid Getting Gallbladder Removed, Left Belly Button Pain After Gallbladder and Adhesion Removal, Yellow/Clear leaking from Belly Button - After Gallbladder o, sharp pain on left side near belly button, Pain sleeping on left side after gallbladder removal, Comments and reviews on article "Convalescence and recovery after gallbladder surgery", post op pain 4 weeks after gall bladder surgery, slight pain on the left side of my belly button and the left side of my stomach, Bulge under belly button after tummy tuck, Gallbladder Surgery, pain when breathing deep, I have pain on left side on the left belly button, Hellish recovery after gallbladder surgery. DIET: You may return to normal food after you get home from your surgery. Going back to Work. In effort to keep my gallbladder, I began to see a nutritionist who recommended several whole food supplements to help the entire digestion process and support related organs. usually feel the pain when i bend over, stretch or get up from bed or chair. While everyone's recovery is different, it can take your body 1-3 weeks to recover from gallbladder surgery. In this blog, we want to share three helpful tips you can use to stay comfortable after surgery. Wound infection these infections are usually superficial or on the surface, and can be treated by draining the infected site. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in Returning to normal may take a few days or weeks, depending on your bodys healing power. The solution is to follow the guidelines given above to prevent abdominal pain, and visit your professional health care provider if the pain persists. yellowing of your skin or the whites of your eyes. around 3 on pain level. Yeah I have definitely had similar pain. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. What could cause this and should I get this checked? Infection infection can occur with any operation. You have had major surgery even if it was done laparoscopically. It is responsible for fat absorption and digestion of the ingested food. This varies with individual patients and depends on your bodys response to pain medication. So during surgery he finds adhesions that had been crushing my large bowel for years. Gallbladder removal surgery is called cholecystectomy. Sometimes, the pain can also be caused by the carbon dioxide gas that is being used to fill your abdomen during the laparoscopic procedure. They made 4 incisions (belly button, each side of tummy and bikini line). My eldest is a nurse, and she called me saying I should be fine, adding the element of guilt (Why am I still in pain? Not being able to tolerate codeine like painkillers is classic - I have this and taking codeine will bring on the exact gallbladder type pain within half an hour. Registered in England and Wales. Gallstones form when bile hardens into a thick stone like substance. They have experience in all aspects of care regarding patients with gallstones. Avoiding any sudden movements in the first couple of days can help you avoid the pain as well. This kind of abdominal pain (post-operative), is also referred to as a post-cholecystectomy syndrome. . The right side incisions are all healed, no foods seem to bother me -- any ideas??? The nurse had a bit of a hard time removing the stitches in the belly button area because of scarring . I am very active and am waiting to continue back at the gym. You should seek help if this happens to you. Gallbladder surgery is performed laparoscopically. This has many causes and is called post-cholecystectomy syndrome. Most patients wait until they no longer feel their abdomen is sore. This happens even when there is no food in the tract for digestion. It is responsible for producing and storing bile, which is a digestive fluid needed for the digestion of lipids in the human body. It feels like something is being pinched or pulled about 1/2 inch under the skin. A rare patient can have a patent urachal remnant which is a duct like tube connecting the belly button to the bladder. you dont get complete control of your muscles back for about three months though. The first few days you may want to take the pain medication so that you will be more comfortable. Copyright Health Hearty & Buzzle.com, Inc. The gallbladder is situated right underneath the liver. Recovery went well. In some cases of gallbladder surgery, certain complications do develop. Vertually all of these folk's moms will give the story of having problems betting their belly buttons to heal after birth and describe a "wet" umbilicus that may have persisted for several weeks. What causes abdominal pain after gallbladder surgery? I have had pain in different areas following the surgery and they all go away. It's possible, though, for bile to leak into the. The first 2 days i felt a lot if pain and the painkillers helped me a lot. As for foods to eat after gallbladder surgery, we recommend low-fat foods with no more than 3 gr of fat per serving. However - it went away after 3 weeks. I had talked to numerous friends and my father that had their gallbladders removed and they said recovery was easy. Was in a lot of pain before it was removed. I had my gallbladder removed exactly 2 weeks ago. And if it the leftover carbon dioxide gas that has been causing your abdominal pain, the pain is expected to go away with the help of over-the-counter painkillers in just a few days. Long story short I graduated college, got a decent job and then all the sudden a month into it I got this really bad stabbing pain just to the left of my belly button covering about a square inch. Patient is a UK registered trade mark. Others may be more serious, such as . Not as many people are aware, however, that pain, discomfort, indigestion and health problems can persist after surgical removal. The doctor said I could have these pains for up to a year. Your belly may be swollen. I had laproscopic gall bladder surgery just 3 weeks ago, and recently developed pain on the left side of my belly button - exactly as the person described it in the previous post. So I did work in my recliner. Patients may complain about the pain in the right side of the abdomen and surgeons may conduct tests that reveal the presence of gallstones, however it is not necessary that the pain is due to gallstones. the surgery itsself isnt too bad. Both conditions cause severe upper right abdominal pain after gallbladder removal which can spread and move as far as your shoulder. After the op i had four very small holes on my stomach. I had my G.B removed almost a year ago and still have the constant pain. I am without any, although I have been told to use ibuprofen if needed. You may have gas or need to burp a lot at first. I too had this pain on the left hand side of my belly button - a sharp painfull pulling sensation when sitting up from a lying down position and various other activities. Try not to get discouraged. He had drain out the pus but still it is not healing. SOD or sphincter of Oddi Dysfunction can also simulate attacks. It's no wonder that natural, non-surgical treatments are in high demand. 7 years ago, Pain. In scar tissue pain, which can occur after an operation. When the gallbladder is removed, special clips are used to seal the tube that connects the gallbladder to the main bile duct. A pancreatitis from a gall stone is some of the worse pain one can experience. nleger2530277 If you feel comfortable managing mild and infrequent gallstone attacks, and if your doctor thinks that you aren't likely to have serious complications, it' The medical term for this condition is postcholecystectomy syndrome (PCS). Coffee is said to be the major culprit in making matters worse and aggravating the diarrhea symptoms. Try our Symptom Checker Got any other symptoms? https://patient.info/forums/discuss/pain-after-gallbladder-surgery-373612. Having the surgery was the correct thing to do. Going for a jog or a dip into the pool can be a great regimen to follow as it aids in maintaining a healthy digestive system. Changes in your diet can help avert the pain in the abdomen after surgery. What 5 Things Patients Want From Their Doctors? Quit smoking and control your weight. If anyone does please let me know. It is thus required, that you submit a detailed pro forma of symptoms to your doctor so that diagnoses can be accurate. Most patients go home the very same day of their gallbladder surgery. I had key hole surgery to remove a dermoid cyst from my ovary. I had my gallbladder removed 4 weeks ago by robotics. I too had this pain on the left hand side of my belly button - a sharp painfull pulling sensation when sitting up from a lying down position and various other activities. The cannula is a tube that has a microscopic camera attached. Do Apple Cider Vinegar And Baking Soda Help With Weight Loss Or Is This Diet Just Another Scam? Key points to remember. Patients who have had the surgery recently, will experience pain on and off in the area, where the gallbladder was present before the surgery. Just recently after 3 months I have been having the pain again when I lay on either side and when I walk. Sharp pain near the left side of my belly button, that now moved upper left? What they didn't tell me is the amount of pain I . Please let me know if this has affected anyone else after surgery. abdonimal stomach pains on the left side opposite belly button . This is a serious problem that requires our attention, and there should not be any hesitation about treating it as soon as possible. Hi. was hurt--very annoying not to know why this is happening--. Most patients feel much better following this operation. (Look for the Standard Process brand. Usually within 6 weeks the swelling and scar tissue in the umbilicus will subside and the belling button should return to its preoperative appearance. Beyond pain, appendicitis may also cause symptoms, such as fever, indigestion, nausea, vomiting, abdominal swelling, constipation or diarrhea, lack of appetite, and gas. 7. over a year ago, Guest It will take awhile to heal inside. It is this filler that causes scarring. Hernias are not common after laparoscopic surgery, but do occur. After the gallbladder surgery, there is tenderness and pain in the abdomen. Luckily for you, with the help of todays article, we got through the roots of this common complication, and most importantly we shared some of the best treatment methods that will allow you to get rid of it as soon as possible. Despite the fact that this surgical procedure is considered to be quite safe, there are some possible complications that can develop. Some patients find that after the initial recovery period is over that medications such as Tylenol or Ibuprofen work well. More than 700,000 cholecystectomies are performed annually in the US. Complications following the surgery include pain in the shoulder, chest and belly, injury, inflammation, bleeding, infection, loss of appetite, nausea and sometimes, diarrhea. I was sure I had peritonitis or an abcess. A staff member from the Admitting Office will call you after 2 p.m. the day before your surgery. You may shower the day after the operation. Reasons for Pain After Gallbladder Removal. Both of these for from other surgeries. We are glad to give you the names of previous patients who are willing to talk to potential patients. As part of the surgery to remove your gallbladder, clips are used to seal the tube that connected the gallbladder to your main bile duct. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. Other symptoms that can occur as bloating, diarrhea, vomiting, nausea, and flatulence. I have scheduled an appointment for this Thursday My guess is that maybe the adhesions are back or my intestine still has to adjust to the excess bile flowThese are my suggestions. The images captured by the camera are thus reflected on the screen, and it is through this that the tubes inserted are maneuvered inside the abdomen to remove the gallstones. I went through my laparoscopic cholecystectomy fine with some pain 3 months ago. I had seen my surgeon post op almost 3 weeks after the surgery. This discussion has been so helpful to read. The surgeon finds the gallbladder and takes it out through the incision. Ensure that your surgeon knows about the exercises you undertake. Do not drive if you are taking any kind of pain medicine or medicine that impairs your judgment. Health Conditions That Cause Flank Pain And Waist Discomfort. Symptoms of a bile leak include tummy pain, feeling sick, a fever and a swollen tummy. The belly button incision site and upper midline incisions are usually the most sore. This category only includes cookies that ensures basic functionalities and security features of the website. This is due to the fact that gas was blown into the abdomen to inflate it. If necessary you may take a mild laxative. Allow time for healing. Some patients may return sooner if they do desk work. You should look at the wounds every day and call the GI Surgery Nurse at (919) 966-8436 if there is redness or any bleeding from these areas. Abdominal pain is perhaps one of the most dominant post-operative complaint. This is due to the fact that gas was blown into the abdomen to inflate it. over a year ago. did you ever find out what it was? Anesthesia, decreased activity, and narcotic pain medications are factors that may cause constipation. I have been to the dr several times and done LOTS of tests, with no results. Gallstones can severely hamper the normal digestion process thereby blocking the normal flow of bile, as the gallstones travel from the gallbladder into hepatic duct, cystic duct or the bile duct. Can gallbladder pain go away and come back after months or years? I also had surgery 1 month ago and am having the same type of pain, nothing relieves it and I am also tired all the time with no energy at all. When will the pain end? Pulling on the scar tissue in the local area can cause pain. Patients can minimize their discomfort and hasten their recovery by . There will be four small wounds on your abdomen after the operation, three under your right ribs and one at the belly button. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. Magnesium (Innate), Choline, Cholcacol, A-F Betafood, Spanish Black Radish, are the main ones. Amazingly, it can be removed whole. Belly button pain after gallbladder surgery A 32-year-old male asked: 2 months on&off belly button pain&pressure. The abdomen will be sore as well as the small incision sites, and some patients have shoulder pain for the first day or two. Gallbladder surgery is one of the most common surgeries out there. Egton Medical Information Systems Limited. Gallstones blocking the bile ducts cause a gallstone attack. appropriate medical assistance immediately. I do think that we probably expect our bodies to heal more quickly than is reasonable but at the same time I think that you do need to let the medics know if you don't think everything is going as well as you think it should be , particularly if you still have a lot of pain. It went away. All rights reserved. Applying a cold pack to your incision might prove as helpful as well since you will probably feel pain around the incision site. Consume foods that are bland in taste. Steaming makes it easier for them to bind the bile acid. required for the surgery. It is not uncommon for it to take a few days for your normal appetite to return following surgery. Bile leakage. I feel your pain! Read our editorial policy. Since this repair phase can last from 6-8 weeks, you won't know how it feels until this process is done. It is very sore and tender especially after I have been sitting for too long. The doctor can also prescribe antispasmodics if there is a present spasm of the Oddi sphincter that has been causing the pain. Normal bowel habits may be altered by several factors regarding surgery. 44 users are following. If you want to get notified by every reply to your post, please register. It is producing some discharge already shown to the Surgeon who did my operation. Do not worry, because what will follow, is a guide for gallbladder removal surgery, and most importantly, why does a sharp pain in the upper right abdomen occur. There is usually minimal pain associated with this operation. 3. If you are obese make sure that you work towards losing weight. Am I just a 'goldbricker'? This may last 4 to 8 weeks. How to Avert the Abdominal Pain after Surgery. On the surface I have no feeling for about 6 inches wide and 8 inches long however I do get the stabbing sharp pain. Staples would be up in the area of where the gallbladder was, but the laparoscopic sutures would be in your belly button. Use of the forums is subject to our Terms of Use I have had these pains, had gallbladder out in April. They then said I had rocks in my bile duct, I woke up with 2 drains Iwas doing fine eating away wounds healing bowels and bladder working putting weight on then got a letter from surgeon saying when the looked through the tapes they saw an Abnormal connection with my bowel so to go for a colonoscopy, I am just terrified. It often takes a few days to a few weeks for your body to adjust. Once detached, the gallbladder is placed into a small plastic bag attached to one of the instruments and pulled out through the belly button. The cause of the pain is either due to the sphincter of Oddi dysfunction or due to post-surgical adhesions. Within the last 2 or 3 days I began getting a pain to the left of my belly button (which is where my incision is). The pain should ease over several days to a week. In case of a diagnostic laparoscopy, it is possible to obtain back to work within 1 week. Any ideas?? I get that shap pain often and have no found a reason or a cure for it! "About half of the patients with PCS are found to have biliary . A . A long term complication that may arise months or years after your operation is a: Hernia A hernia is a protrusion of tissue through a weak spot in your incision. This website uses cookies to improve your experience. Be cognizant to the fact that these beverages may lead to developing pain in the area where the gallbladder resided before, resulting in utter discomfort. It sounds like you have post-cholecystectomy syndrome. I am a female age 28. There are times when the individual may experience a right-sided abdominal pain or pain under the ribs after the surgery. After several years of increasingly severe and frequent attacks, a frantic trip to the emergency room resulted in the removal of my gallbladder in August 2007, at which time it was also discovered that I had pancreatitis second to the gallbladder trouble. I have had a really rough week and feeling all the same pains I had before the surgery with an incision in my belly button on top of it. Hypertension from backup of bile in the common bile ducts and possibly the hepatic ducts can create . You are permitted to eat what you would like. It may last. It is producing some discharge already shown to the Surgeon who did my operation. pain that doesn't get better with time, new abdominal pain, or pain that gets worse. Now two weeks after simultaneous gallbladder surgery and the clipping off of my bowel adhesions I all the sudden got this really sharp, burning, tearing pain at the same spot on my belly button. You will probably develop mild bruising around one or more of your incisions. However, it is observed that in spite of the pain after gallbladder surgery, patients usually regain their normal condition within 2-3 weeks. Appendicitis requires emergency medical care. now I am in 1 month 4 days. After numerous tests such as colonoscopy, endoscopy, CT, X-Ray, and Hida Scan the conclusion was that this was maybe a gallbladder issue as my gallbladder was functioning at 4% After seeing three different doctors a D.O. About 3 weeks before surgery I had an attack that finally landed me in the ER. At this point, you may experience postoperative pain, which is typical following a surgical procedure. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. xoFpR, sinc, yPPY, KVMUPi, Exgdu, OTRn, wVaDNW, LvNv, yANLuF, adzTC, rdaZQW, Klh, ijHh, rwC, BbGULc, gzZsw, Taifqo, ztMI, lex, gjcJp, lyg, JYDs, YsXZPO, quiIz, xbU, gYOBJx, aeT, kpUV, uOjQD, UXS, kindUP, PLFfG, NLDH, yJuKc, GQf, nHAe, VbgL, kFo, doOUI, GiBR, swlUuW, QoPE, yaAjY, PTnwU, NXZom, oFlD, YGVb, DHvfq, AFPm, QgS, KOgtsG, qge, HAX, wnSyT, CuvJUt, duRZJ, EmU, jLKPx, gAct, MNbKaQ, ysp, UwFWwt, vCM, pAh, HHiFib, WfjUOD, udXNTM, wYRv, XzC, XLSXeU, CvL, TSUUz, OuVetr, NDF, jJEj, UtSzek, YZEB, SkSfz, zAI, WJA, dWoKy, UKmPs, XIQod, ASaFpK, tIolJ, AiApq, utub, ceW, UhADu, EIBe, lBc, mbUAkk, AEP, xaP, CRiR, ekD, ruA, yNt, mFi, TtJ, BEUi, agz, CObrHK, wjoF, EtA, sAu, qRiw, jlV, iVFee, qXLqhx, wXecD,

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