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The most common side effects of ibuprofen involve the gastrointestinal sys= tem. It can cause ulcerations, abdominal pain, cramping, nausea, gastritis= , and even serious gastrointestinal bleeding. Sometimes, stomach ulceratio= n and bleeding can occur without abdominal pain, and black tarry stools, w= eakness, and dizziness upon standing may be the only signs of internal ble= eding. Rash, kidney impairment, ringing in the ears, and lightheadedness a= lso can occur