Long term use of airtal and similar medications ( NSAID's ) may cause gastrointestinal symptoms of nausea vomiting and diarrhea but mainly gastrointestinal bleeding which could show as bloody vomiting, very dark (black) stools, pale skin and severe dizziness.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.