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This can be due to weakening of the stomach lining (also known as atrophic gastritis), or to medications that reduce stomach acid
It can occur due to general anorectal muscular weakness as a result of chronic constipation, laxative use, severe hemorrhoids, rectal prolapse, or fecal impaction (UMMC 2014)
Nutr Metab Cardiovasc Dis 31(3):774775
Glide once onto lips 3