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Infections
Constipation
Dehydration – this happens when you don’t get enough water and other fluids
Bleeding inside your intestines, stomach or esophagus (the tube that connects your mouth to your stomach)
Medications that affect your nervous system such as sleeping pills, antidepressants or tranquilizers
Kidney problems
Alcohol use
Surgery
Having a portosystemic shunt. This surgical procedure is called TIPS (trans intrahepatic portal-systemic shunt),
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