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Inflammation causes your intestines to become a teeny tiny pathway. Along comes some roughage and you've got a plumbing problem. It's too far along the digestive path to throw up. So your system keeps on trying to push it past tissue that is already inflamed and painful. The roughage will eventually pass once it has rotted.
The chest burster scene in Alien was inspired by the author's Crohn's disease.
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Talk nerdy to me.
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