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When to Seek Immediate Care Contact your provider or go to the emergency room if you experience: Severe abdominal pain or a rigid, board-like abdomen High fever (above 101F / 38.3C) with abdominal pain Significant rectal bleeding or blood in stool Signs of bowel obstruction: severe cramping, vomiting, inability to pass gas or stool Sudden worsening of symptoms in a patient on biologic therapy (may indicate infection) About this Guide This Clinical Documentation Guide is published by CCO Academy and is intended for credentialed coding, CDI, and clinical documentation professionals

According to the National Heart, Lung, and Blood Institute, this absorption failure makes B12 injections the primary and most effective treatment, as they deliver the nutrient directly where your body can use it, bypassing the digestive system entirely

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