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Physical exam: During a physical exam, your doctor may check for bloating, listen to sounds in your abdomen using a stethoscope, tap on your abdomen to check for tenderness, pain, and lumps, and look for yellowing of your eyes or skin (jaundice), which can sometimes cause symptoms similar to indigestion

A detailed description of the standardized TPackSS methodology can be found in the published protocol by Smith et al

Continuous drug monitoring with tools like the PharmChek Sweat Patch can help identify opioid use that might otherwise go undetected