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A commenter expressed support for the exclusions of observation stays from numerator components (3) and (4) but ( sought clarity regarding cases where observation stays lead to inpatient admission

[DOI] [PubMed] [Google Scholar] Konig SA, Siemes H, Blaker F, Boenigk E, Gross-Selbeck G, Hanefeld F, Haas N, Kohler B, Koelfen W, Korinthenberg R

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In rare cases, more pronounced effects can occur

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Chronic constipation can also lead to hemorrhoids or anal fissures, which may cause pain and discomfort, further increasing stress and sweating during defecation