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Lindsey Bush, BA, MA, CPC, Production Editor, AAPC

Persistent vomiting may result in a Mallory-Weiss tear in the oesophagus, causing the patient's first presenting symptom to be haematemesis

Proteasome levels have been measured by enzyme-linked immunosorbent assay (ELISA) techniques in cell lysates, serum or plasma samples

When to Contact a Medical Professional Contact your provider right away if you have: Unexplained fever with back pain Back pain after a severe blow or fall Redness or swelling on the back or spine Pain traveling down your legs below the knee Weakness or numbness in your buttocks, thigh, leg, or pelvis Burning with urination or blood in your urine Pain that is worse when you lie down, or awakens you at night Severe pain and you cannot get comfortable Loss of control of urine or stool (incontinence) Also contact your provider if: You have been losing weight unintentionally (not on purpose) You use steroids or intravenous drugs You have had back pain before, but this episode is different and feels worse This episode of back pain has lasted longer than 4 weeks Prevention Prevention varies, depending on the cause of the nerve damage