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Others consider it a courtesy and a matter of routine

Arizona is one of only a handful of states that doesnt have one. Cronkite News reporter Jake Holter contributed to this report.

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Taylor G, Lindson N, Farley A, et al

You may feel like you have: Repeated, chronic episodes of serious belly pain Pain in your upper middle or left part of your belly Pain that spreads to your back A burning, shooting pain that can come and go Pain that lasts hours or days Pain after you eat a meal or feel sick and vomit Pain that prevents you from eating More frequent episodes of pain as your condition worsens Certain body positions or activities can also affect the pain