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Drug Interactions Other medications: Drugs like antacids, proton pump inhibitors, or certain diuretics can change stomach pH or urine pH, altering absorption and excretion

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Constipation is the determining cause of the fissures, since the hard stools, those with goat scib, cause trauma in the posterior area of ​​the anal raphe and the same applies to the traumatic maneuvers represented by the frequent use of enema cannulas in nursing staff who introduce the blind cannula (!), without taking into account that the anal canal has its own oblique axis or, worse still, maneuvers by the patient himself, aimed at getting rid of hard feces with the fingers or questionable sexual behavior that favors the injury of the anal canal (sexual activity conducted improperly and inadequately, without the slightest precaution)

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