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Symptoms may include: Tarry, black, or bloody stools Severe vomiting, which may include blood or a substance with the appearance of coffee grounds (a sign of a serious hemorrhage) or the entire stomach contents (a sign of intestinal obstruction) Severe abdominal pain, with or without vomiting or evidence of blood Anyone who experiences any of these symptoms should go to the emergency room immediately

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[ 20] Arsenic keratosis has been graded as mild, moderate, and severe types [Table 1]