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[DOI] [PubMed] [Google Scholar] 253.Zhu L, Dattaroy D, Pham J, Wang L, Barella LF, Cui Y, Wilkins KJ, Roth BL, Hochgeschwender U, Matschinsky FM, Kaestner KH, Doliba NM, Wess J

Blood in the vomitus indicates perforation in the stomach wall or liver issues

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FDA news release

Without enough water, these waste products become more concentrated in the urine, which may make the smell even stronger
