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Citric acid has several positive uses, but too much can cause problems within the body. Citric acid, as found naturally in foods, is slightly corrosive and over long periods of time can cause erosion of the stomach and esophagus linings and tooth enamel. Too much in a short period of time can cause stomach cramps or other pain, diarrhea, nausea or vomiting, loss of appetite, increased sweating and swelling, yellow eyes or skin, bloody or black, tarry stool, or bloody or cloudy urine, a frequent urge to urinate or a decrease in the amount of urine, fever, headache, increased blood pressure, back, side, or muscle pain, nervousness or restlessness, rashes, hives or itching, sores, ulcers or other blemishes around the lips or in the mouth, a sore throat, swelling of the face, fingers, ankles, feet or lower legs, unusual bleeding or bruising, tiredness or weakness, weight gain, and numbness or tingling in the hands or feet. Typically, the more severe symptoms are caused by an overdose related to medications containing citric acid.

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