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indigestion stomach pain ulcer grimace grab grasp abdomen midsection hunch crouch agonizing severe acute gastrointestinal gastritis cringe simple person balding common folk average guy aged older adult male man late 50s early 60s 5560 rural pinoy indigenous local native filipino indonesian malaysian thai southeast asian asia outside black shirt hands tortuous intense hunger gaunt sickly emaciated haggard cadaverous hungry malnourished pangs suffering ulcers pangs ulcers