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Table 5 Characteristics of opioid withdrawal syndrome (OWS) and narcotic bowel syndrome (NBS)

From: Lead poisoning; a neglected potential diagnosis in abdominal pain

OWS

lacrimation or rhinorrhea, piloerection “goose flesh,” myalgia, diarrhea, nausea/vomiting, pupillary dilation and photophobia, insomnia, autonomic hyperactivity (tachypnea, hyperreflexia, tachycardia, sweating, hypertension, hyperthermia), and yawning.

NBS

constipation, nausea, bloating, ileus and predominantly abdominal pain