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Serotonin is acetylated by aralkylamine N -acetyltransferase (AANAT) forming N -acetyl serotonin

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Common causes include: Hemorrhoids Anal fissures Diverticulosis Colorectal polyps or malignancy Inflammatory bowel disease (IBD) Rectal ulcers Correct diagnosis depends on identifying the source and severity of the bleeding, making documentation, and proper code selection critical for both care and compliance

Exp Eye Res (2016) 151:20311

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