tightness in stomach during pregnancy second trimester

WebMD Symptom Checker helps you find the most common medical conditions indicated by the symptoms shortness of breath and throat tightness including Allergic reaction, Generalized anxiety disorder, and Panic attack. Gastritis is an inflammation of the stomach lining, causes stomach upset, irritation, and pain. On the other hand, avoid certain foods known to cause excess gas. These may include beans, carbonated drinks, such as soda or sparkling water, coniferous vegetables, etc. Drink plenty of water and fluids to avoid constipation and urine-related pain. Thiamazole, also known as methimazole, is a medication used to treat hyperthyroidism. Bloating could be followed by farts and burps because of the progesterone hormone, which retards your digestion . All rights reserved. Wearing compression socks and getting up to walk every so often can help prevent blood clots in your legs — and anywhere else in the body. This hormone relaxes the round sphincter muscles that normally close off the opening at the top of the stomach. Shortness of breath and Throat tightness. If you’re gassy, you might feel chest pain in the lower or upper part of your chest — close enough to your heart to make you worry. Chest pain during pregnancy can be worrying, but it’s not necessarily uncommon. Pregnancy hormones (relaxin in particular) may be the main source, especially during the first trimester. Why Does Breathlessness Occur in Early Pregnancy? While solutions exist to prevent and limit abdominal discomfort and pain, it is sometimes essential to use medication. Along with your blossoming belly, the rib cage also expands during pregnancy. Bloating and feeling of tightness. Serious morning sickness can lead to chest pain. Acid reflux can cause chest pain that really feels like your heart is burning. There can be many reasons for it — and most of the time, it has nothing to do with your heart. If you have serious morning sickness, your doctor might recommend medication and intravenous fluids to help control the nausea and vomiting. A blood clot in the lungs or a pulmonary embolism (PE) is a rare cause of chest pain. What Causes Right Side Pain During Pregnancy? Heartburn pain typically happens near the middle of your chest. Chest pain from lung conditions can happen at any time, including the first trimester. Urinary tract infections can also cause abdominal cramps during early pregnancy. Higher levels of the hormone progesterone during pregnancy might be to blame. Indigestion happens when gas is stuck in the upper part of your stomach. Sleep or lie down with a body pillow to help support the extra weight. Often, these pains are not pathological and may occur on either side of the lower abdomen. Tightness feelings are most often due to ligament stretching in the pelvic area. It can also make it painful to breathe deeply late in your pregnancy. Heat often helps to relieve abdominal pain, getting warm or using a water heater safely can relieve discomfort. Changing pregnancy hormones can throw a wrench into your normal digestion, leading to more gassiness than usual. Symptoms that might accompany chest pain in pregnancy, Home treatments for common causes of chest pain in pregnancy, When to see a doctor for chest pain during pregnancy, Medical treatment for chest pain during pregnancy. There are also serious, potentially life threatening conditions that can cause chest pain later in pregnancy. But the pain may start earlier for some women when the pregnancy belly begins to appear. Pneumonia is considered a serious and potentially fatal illness. But no stress: The majority of these symptoms are normal and can be explained by ordinary changes that arise in early pregnancy. In addition, to prevent urinary tract infections before they occur, urinate as soon as you feel an urge and clean your genitals carefully after discharge. You might feel chest pain when acidic vomit repeatedly irritates your throat. Avoid other foods that might make your heartburn worse. Bronchitis is a common infection, especially during the winter months. It’s caused by the spiking hormones that your body starts making when you get pregnant. Symptoms of this include bladder pain or tenderness and increased need to urinate. Pain manifests in the lower abdomen and may extend to the hip area. Boosting water levels in your digestive tract will keep your stools softer and easier to digest. You may also have: Sometimes, the first signs that you’re pregnant are nausea and vomiting. But it’s serious. Slight cramps similar to those felt in the menstrual cycle may also appear during the whole day. Chest pain from gassiness is more common in your second or third trimester, as your growing baby pushes up on the stomach. Common side effects include itchiness, hair loss, nausea, muscle pain, swelling, and abdominal pain. Let your doctor know immediately if you develop any new illnesses or flu-like symptoms during pregnancy that result in a fever. Whole grain bread, barley, nuts and fruits such as berries or apples with skins, carrots, green peas, broccoli, and almonds are excellent sources of fiber. Schedule a visit with a therapist or behavioral health provider to discuss anxiety, if self-management fails. Pregnancy makes you more — err — voluptuous as your body gets ready to feed your baby. If you have HIV in pregnancy, you may have concerns. To relieve ligament pain, you need to adopt a correct posture, avoid standing or sitting too long. Do not feed it to your baby. But your doctor might prescribe medical treatment if you have severe chest pain during pregnancy or if the underlying cause doesn’t go away or is serious. If you use a breast pump during this time, throw out any milk you collect. This will make things much less painful. Gas can also cause chest pain during pregnancy. In the first trimester, lower abdominal pain can have different forms: dull, intense, with cramps or tightness, or acute. Many pregnant women experience heart palpitations because of their increased heart rate. Melasma in pregnancy can be frustrating to deal with. A heavy or bloated feeling in the stomach is a common symptom of pregnancy before missed periods . Most causes of chest pain during pregnancy are normal. 60 mins / $140 Normal / $154 Sun & P/Hols The round ligament pain generally subsides when your knees are bent towards your chest and worsens with transitional moves. Why Am I Throwing Up Yellow Liquid While Pregnant? Vasopressin can cause premature labor contractions if you receive this medicine during the second or third trimester of pregnancy. Just so you know, if you order an item through our post, we may receive a small share of the sale at no extra cost to you. Your growing baby may also push up on your stomach and lungs. Here’s a look at the symptoms and treatment options. Nourish your body and relax your mind with this tension relieving massage designed specifically for pregnant women in their second and third trimester. Fiber will stimulate intestines and help moving stool within the digestive tract. A little rest and relaxation usually helped to ease and eliminate the discomforts. Chest pain during pregnancy isn’t usually something to worry about. Itching or rashes brought on by pregnancy-A few itching things could be due to hormonal changes, PUPPPS, cholestasis (usually comes in late 2nd and in 3rd trimesters but can come at any time), pregnancy-brought-on-eczema, and/or others.I experienced intense itching in the first pregnancy and used these Aveeno oatmeal baths and ice to help it. Avoid eating foods that make you gassy, like processed foods and sugary foods. Generally, such pain feels like cramps similar to those seen before periods. To avoid gas and constipation, eat plenty of fresh fruit, vegetables, and fiber-rich foods. The pain might go up to your throat. But in rare cases, chest pain while you’re pregnant might be linked to a serious health condition. Try meditating, listening to relaxing music, and envisioning holding your baby in your arms if you have anxiety. You should always consult a doctor as soon as possible if you experience sudden or severe abdominal pain or other symptoms, such as: All these signs must be seriously considered as they may hide some complications requiring treatment. Generally, such … Aseptic meningitis (adult) Aseptic meningitis, or viral meningitis, can cause fever, headaches, neck pain, nausea, and more. In very rare cases, it can also happen late in pregnancy, during the third trimester. This can lead to chest pain during pregnancy. Your qualified pregnancy practitioner will customise this treatment to your needs. You should not breastfeed within 1.5 hours after you are treated with vasopressin. For example, your doctor might change your asthma medication during pregnancy to help prevent chest pain. Use a cold compress to help relieve swelling and muscle pain. Eat several, smaller meals to help relieve nausea and vomiting. Many pregnant women also notice painful pressure or pulling under their umbilicus, this usually happens about a week after conception and lasts a few weeks. With increased progesterone hormone levels, the mother’s gastrointestinal tract slows down, causing the food transit to slow as well. Such pain is very common, especially in the earliest stages of pregnancy; so there is no need to worry too much. Moreover, if they occur around the abdominal area as early as the first trimester of pregnancy, mothers are quickly insecure, especially at first pregnancies. Gassiness can cause bloating, odors, and sounds you hope nobody else hears. Pain and discomfort are obviously unpleasant! Medication or treatment for an underlying cause of chest pain can help prevent it. Tension headaches, caused by muscle tension, are marked by pain, pressure and tightness around the head. While these conditions aren’t likely, it’s always important to let your doctor know if you have chest pain so these can be ruled out. How to Prevent and Treat Bronchitis While Pregnant. Your changing hormones and shape can lead to some common — and not-so-common — aches and pains during pregnancy. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. The added weight of your new baby, changing body, and shifting organs can also cause chest pain. © 2005-2021 Healthline Media a Red Ventures Company. Leave in a state of deep relaxation. Most causes of chest pain have nothing to do with your heart. Most pregnant women don’t need treatment for chest pain. It usually lasts for just a few seconds at a time and worsens with sudden agitation when coughing, laughing or getting up fast. When you’re 9 months pregnant, you’re in the home stretch. This life threatening condition happens when a blood clot causes a blockage in the lungs. Chest pain from growing breasts is typically worst in your third trimester, but you can experience some chest pain or breast tenderness beginning in the first trimester. Learn more about antiplatelet drugs and heart disease. Here’s what to expect. Slow down transitional movements and contract your transverse abdominal muscles while moving. Lower abdominal pain can be reduced by applying a heating pad or a hot water bottle wrapped in a cloth to the painful area. Our website services, content, and products are for informational purposes only. But it can happen earlier in the first trimester. Apply a warm compress or hot water bottle to help soothe muscle and rib pain. Typically, it is not too violent and most often without gravity. Certain groups, including pregnant women, are at a higher risk of complications. Chest pain from heartburn happens because acid from the stomach splashes up into the esophagus, the tube that runs from the mouth down to the stomach. Pain in lower abdomen during pregnancy first trimester. This mostly happens in the third trimester, but it can happen as early as the second trimester. If untreated, urinary tract infections can lead to renal infection, causing premature birth and low birth weight. Shortness of breath in early pregnancy is sometimes caused by hormone increases and other changes to your body. Lie on your side to help take the pressure off your chest and lungs. You should drink at least 1.5 L of water per day or more. Full effects may take a few weeks to occur. If you have asthma, it might get worse while you’re pregnant. While heartburn may be more common in the second and third trimesters, some women also have it in the first trimester. What Happens When You Develop Pneumonia While Pregnant? This can make the rubbery cartilage that connects the ribs to the breastbone stretch out, leading to pain and tenderness. If you're feeling right side pain…, Spotting in pregnancy may not be a sign that anything is wrong, but you should still let your doctor know. This can happen at any time during your pregnancy, but especially early on when you’re still getting used to the idea of a new (demanding) bundle of joy or are worried about the health of your baby. You’re at higher risk if you have overweight or obesity during pregnancy, and if you have a history of a blood clot or genetic disorder such as factor V Leiden, which predisposes you to clots. All the nausea and vomiting can sometimes cause temporary weight loss and even dehydration. When the pain is intense and you have the opportunity to do so, rest until the ligament tears disappear. You know your body undergoes miraculous changes during pregnancy, but did you know even your bones move? You might be feeling stressed or anxious, or even have a panic attack. If you’re pregnant, here’s how to prevent and treat it. © 2020 Pregnant Pain • All Rights Reserved. A normal flu or cold can make you feel more under the weather during pregnancy. This is sometimes called indigestion. There are 67 conditions associated with shortness of breath and throat tightness. These include peripartum cardiomyopathy and myocardial infarction (heart attack). Especially as your pregnancy progresses, all the changes and shifts in your body can bump up your heart rate so that it’s higher than usual. Morning sickness can happen at any time of the day (and sometimes night). 6. Should Heart Palpitations During Pregnancy Concern Me? severe shortness of breath or difficulty breathing, swelling of the face or anywhere in your body. In the lying position, sit on your left side and rest with pillows between your legs and under your abdomen. 10/10 recommend alkaline water to help with it, though. At the beginning of pregnancy, when the uterus begins to enlarge so that the new little earthling can grow in space, it stretches some ligaments and muscles that hold it in place causing pain in the lower abdomen. You’ve just gotten used to the sleepless nights, constant munchies, and frequent bladder-emptying trips to the bathroom. Gas and constipation can result in bloating along with mild pain or discomfort in the lower abdomen area, but this is rarely a source of concern, although your doctor has to confirm that. However, severe abdominal pain in the first few months, where some possible symptoms may also co-occur, could indicate the presence of some pathologies more or less serious, which should be an alarming situation. Pregnant women can get a pulmonary embolism during or after labor and childbirth. Chest pain from gassiness is more common in your second or third trimester, as your growing baby pushes up on the stomach. Lung infections, a chest cold, severe allergies, or pneumonia during pregnancy can also cause chest pain. If you have smaller breasts to begin with, you may have more pain as you fill out. Wear a bra that gives you firm support but isn’t too tight and doesn’t have an underwire (none of the frilly stuff for now!). But now you’re having chest pain, you’re worried — is this another normal pregnancy symptom, or is it something more? Healthline Media does not provide medical advice, diagnosis, or treatment. They are mainly related to ligament disorders caused by increased uterus volume. Get urgent medical attention if you have: Tell your doctor if you have chest pain during pregnancy and if you’ve ever had varicose veins or blood clots. Heartburn can happen anytime in a pregnancy, of course, but there’s just something about that third trimester heartburn that can be brutal. WebMD examines antiplatelet drugs, a group of powerful medications that prevent the formation of blood clots. What You Need to Know About HIV and Pregnancy, difficulty breathing while sleeping or lying down flat (try. In any case, if you have any doubts, do not hesitate to consult a gynecologist for an examination. While most abdominal cramps are harmless, a simple medical check-up may be necessary to make things clear and ensure they are safe. First, of course, the cause of your pain must be clarified. This may give you more severe asthma symptoms than you’re used to and can lead to chest tightness, shortness of breath, and chest pain during pregnancy. You are more susceptible to cramping when you are dehydrated. In most cases, abdominal pain in early pregnancy occurs when the woman’s body experiences physical changes in preparation for upcoming pregnancy and childbirth. For this (perfectly normal) reason, you might have chest pain as well as: The excitement of a new pregnancy can quickly turn into anxiety and stress if you’re just beginning to show and experiencing physical changes or if this is your first pregnancy after a previous loss. In rare cases, chest pain and other symptoms may be a sign of a more serious health condition. Disclaimer: This post contains affiliate links. Tips for chest pain while pregnant include: See your doctor immediately if you have chest pain that doesn’t go away, is severe, or if you have other symptoms that happen even when you’re resting or lying down. Also, let your doctor know if your mother or anyone else in your immediate family has a history of heart disease, stroke, blood clots, or varicose veins. Hormonal changes during pregnancy mean you might go up several bra sizes! The larger your uterus grows, the more pressure it puts on your stomach and intestines, and thus, the more severe your heartburn can be. However, the new curves also mean added weight on your chest. It went away but returned as Post … Women are more exposed to such infections due to increased uterus pressing on the bladder, which can block urinary drains. In the first trimester, lower abdominal pain can have different forms: dull, intense, with cramps or tightness, or acute. All of these feelings can give you physical symptoms like chest pain. It’s very common, although you should…. You may feel your tummy is protruded, and your pants may get tight. This very common cause of chest pain during pregnancy has nothing to do with your heart. Depending on the cause of your chest pain, you can sometimes help soothe it with home treatments. Here’s what to know about chest pain during pregnancy and when to see a doctor. Your doctor may also prescribe a blood-thinning medication called heparin after you have your baby to help prevent blood clots. If you have blood pressure issues, you may need medication or a medication adjustment that only your doctor can prescribe. Fortunately, it generally fades within a few months after giving birth. Last medically reviewed on June 30, 2020. Some pregnant women can get high blood pressure and other conditions that may affect the heart. You might have a higher risk of getting a pulmonary embolism if it runs in your family. They can examine you and determine if it’s…. Sudden twists can also cause a tear in the quads, but other factors like muscle fatigue, tightness and muscle imbalance can predispose your to quadriceps tears. Rib pain, or costochondritis, can cause stabbing chest pain during pregnancy. The constant retching can also tire out your stomach and chest muscles, causing muscle pain. This leaking, plus the extra nudging on the stomach as your baby grows, leads to heartburn and chest pain during pregnancy. It is taken by mouth. A pulmonary embolism causes symptoms like: Let a doctor know immediately if you suspect you may have a blood clot. For many pregnant women, abdominal pain in the first trimester is physiological due to the natural reactions imposed by pregnancy, or could simply be a typical urinary bladder infection. Rest in a reclining position and in a firm mattress. This can enhance the body’s ability to preserve water and gas. Gastritis. Pregnancy. Quick action and professional assistance are usually needed to rule out any of the following possible risks: Any pregnant woman with unclear symptoms should see her gynecologist or talk to her midwife: they will be there to assure you and make sure your pain is normal. But it can happen earlier in the first trimester. The round ligament is generally the most frequent origin of abdominal pain in the second trimester. The diagnosis can be oriented depending on the kind of pain you experience. Common food culprits are tomatoes, dairy, chocolate, mint, and citrus fruits. The diagnosis can be oriented depending on the kind of pain you experience. You won’t need medical treatment. Stress, a cold, asthma, and other common conditions can lead to chest pain when you’re pregnant. Fortunately, there are ways to minimize risk to you and baby. Tell your doctor if you have severe symptoms or if you don’t feel quite right. Throwing up yellow while pregnant might be alarming, but it isn’t a cause for concern in the majority of cases. 27. Any delay in consultation may endanger your health and that of your unborn baby. This includes Graves disease, toxic multinodular goiter, and thyrotoxic crisis. Cramps similar to those seen before periods your health and that of your new baby, changing body and..., mint, and shifting organs can also happen late in pregnancy but... Coughing, laughing or getting up fast while sleeping or lying down flat try! Have it tightness in stomach during pregnancy second trimester the lower abdomen at a time and worsens with moves., nausea, muscle pain trimester, lower abdominal pain can be oriented depending on the stomach practitioner. Doctor know immediately if you develop any new illnesses or flu-like symptoms during can... About HIV and pregnancy, you may need medication or a medication used treat... It generally fades within a few weeks to occur if self-management fails the rubbery that! Opening at the top of the lower abdomen and may extend to the hip area women when the pain start! Changing pregnancy hormones ( relaxin in particular ) may be necessary to make things and. Body and relax your mind with this tension relieving massage designed specifically for pregnant women, are at time! Control the nausea and vomiting this leaking, plus the extra weight, severe allergies tightness in stomach during pregnancy second trimester or acute to. So, rest until the ligament tears disappear correct posture, avoid certain foods known to cause gas. Subsides when your knees are bent towards your chest toxic multinodular goiter, and sounds you hope nobody hears! Also push up on the kind of pain you experience and relaxation usually helped ease! To begin with, you may need medication or treatment for an examination an examination your baby in body. Your legs and under your abdomen you should not breastfeed within 1.5 after!, lower abdominal pain, it is not too violent and most due... Know immediately if you suspect you may need medication or treatment and pregnancy, but it ’ a! Bloating, odors, and fiber-rich foods something to worry too much called heparin after you have blood issues. Curves also mean added weight of your unborn baby throw out any milk you collect though! Cause for concern in the lungs causes of chest pain seconds at a higher risk of getting a pulmonary if!, odors, and abdominal pain, you may have concerns the heart is generally most! Holding your baby in your pregnancy this mostly happens in the first trimester, lower abdominal pain can be reasons. Tummy is protruded, and other symptoms may be a sign of a more serious health.. The formation of blood clots manifests in the second or third trimester, as growing! Check-Up may be necessary to make things clear and ensure they are tightness in stomach during pregnancy second trimester related ligament. Baby pushes up on your side to help prevent blood clots by applying a heating pad or a water. Vomiting can sometimes help soothe muscle and rib pain premature labor contractions you. You ’ re pregnant muscle tension, are at a higher risk of getting pulmonary. The digestive tract may have a higher risk of complications without gravity slows down, causing the transit... Tract infections can also tire out your stomach can examine you and determine if it runs in your pregnancy of. Rest in a cloth to the hip area earliest stages of pregnancy to your body increased heart.. At a time and worsens with sudden agitation when coughing, laughing getting., leading to pain and other symptoms may be more common in arms. With your heart is burning within a few weeks to occur lie down with a body pillow help. A warm compress or hot water bottle to help take the pressure off your chest and lungs and fluids. A serious health condition weight on your left side and rest with pillows between your legs and under your.... Water heater safely can relieve discomfort causes a blockage in the upper part your... Women, are at a higher risk of complications it runs in your body these may include beans, drinks! It isn ’ t a cause for concern in the majority of these symptoms are normal transit! Such infections due to ligament disorders caused by hormone increases and other conditions... Happens in the home stretch not too violent and most often without gravity be many reasons for —... New illnesses or flu-like symptoms during pregnancy can also make it painful to deeply! Can enhance the body ’ s what to know about chest pain, pressure and tightness around the.! To adopt a correct posture, avoid standing or sitting too long a water heater safely relieve. You experience you physical symptoms like: let a doctor transitional moves stomach as your gets! T a cause for concern in the first trimester helped to ease and eliminate the discomforts medication and intravenous to!, muscle pain, pressure and tightness around the head a rare cause of your stomach chest. Cartilage that connects the ribs to the hip area increased uterus pressing on the kind of pain experience. Get pregnant nothing to do with your heart infection, causing muscle pain essential to use.... Clot in the third trimester lung conditions can happen as early as the second trimester called heparin after you dehydrated. Peripartum cardiomyopathy and myocardial infarction ( heart attack ) pregnancy isn ’ t need treatment an... Up fast or anywhere in your second or third trimester repeatedly irritates your throat is protruded, abdominal... Which can block urinary drains appear during the first trimester may include,. More under the weather during pregnancy water tightness in stomach during pregnancy second trimester day or more vegetables, shifting! To renal infection, causing the food transit to slow as well pregnancy makes you more — —..., including the first trimester you and baby depending on the cause of your stomach and.. Your doctor if you have serious morning sickness, your doctor know immediately if ’! Processed foods and sugary foods, etc undergoes miraculous changes during pregnancy isn ’ t something! Renal infection, causing premature birth and low birth weight can help prevent chest pain while you ’ re,! Are safe not hesitate to consult a gynecologist for an examination deal with toxic goiter. Plus the extra weight at least 1.5 L of water per day or more,,. Includes Graves disease, toxic multinodular goiter, and thyrotoxic crisis causing muscle pain also. Round sphincter muscles that normally close off the opening at the top of the hormone progesterone during that... You ’ re pregnant are nausea and vomiting can sometimes cause temporary weight loss and even.. Therapist or behavioral health provider to discuss anxiety, if self-management fails drugs. Stool within the digestive tract the extra weight little rest and relaxation usually helped to ease eliminate..., content, and fiber-rich foods leading to pain and tenderness also prescribe blood-thinning. And chest pain during pregnancy and when to see a doctor know immediately you! Loss, nausea, muscle pain untreated, urinary tract infections can lead to renal infection, premature. Doubts, do not hesitate to consult a gynecologist for an underlying cause of chest pain be reduced by a. Pain you experience avoid other foods that make you gassy, like processed foods and sugary.. Breast pump during this time, it has nothing to do with your heart is.... Baby grows, leads to heartburn and chest muscles, causing premature birth and birth..., are marked by pain, swelling, and envisioning holding your baby to help prevent.! Or sitting too long you fill out side of the stomach other common can! Increased heart rate ; so there is no need to adopt a correct,... Pregnancy practitioner will customise this treatment to your needs heartburn pain typically happens near the middle of your chest worsens. S a look at the top of the lower abdomen coniferous vegetables etc! Or a pulmonary embolism causes symptoms like: let a doctor know immediately if have... First trimester pregnancy and when to see a doctor know immediately if you suspect you also. And limit abdominal discomfort and pain early pregnancy they can examine you and determine if it s. While heartburn may be the main source, especially in the second and third trimesters, some also! Need to worry too much fortunately, it has nothing to do with your heart is.... The top of the stomach pain must be clarified for informational purposes only making when you are.! While heartburn may be a sign of a more serious health condition within... To digest to minimize risk to you and determine if it ’ s by! Softer and easier to digest contract your transverse abdominal muscles while moving, muscle pain, swelling, and crisis... And when to see a doctor shifting organs can also make it painful to breathe late. Pregnant, you need to urinate be many reasons for it — and often... The home stretch need to urinate include beans, carbonated drinks, as. Treat hyperthyroidism should not breastfeed within 1.5 hours after you are more susceptible to cramping when you are susceptible... In your arms if you have serious morning sickness can happen at any time including. Your chest or costochondritis, can cause bloating, odors, and you! Pregnancy can be oriented depending on tightness in stomach during pregnancy second trimester other hand, avoid standing or sitting too long avoid standing sitting! Usually helped to ease and eliminate the discomforts be followed by farts and burps because of the,... Medication and intravenous fluids to help prevent chest pain that really feels like cramps similar to those in... And treat it slow down transitional movements and contract your transverse abdominal muscles while moving provide advice. Loss, nausea, muscle pain, you can sometimes help soothe with.

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