A suture is a special word for a stitch. When you have a big cut, a doctor uses a suture to close it. It is like sewing clothes, but the doctor sews your skin. This helps the cut heal. You might hear this word at a hospital. Most people say 'stitch,' but doctors say 'suture.' It is a noun. You can have one suture or many sutures. It is a very important word for health. If you see a doctor, they might say, 'I will give you a suture.' This means they will help your cut stay closed so it can get better. It is a simple idea: joining two sides of a cut with a thread.
A suture is a medical term for a stitch used to hold a wound together. When a person is injured and has a deep cut, the skin cannot close by itself quickly. The doctor uses a needle and a special thread called a suture to join the edges. This process is very important because it prevents germs from getting into the body and helps the skin grow back together properly. You will often hear this word in a doctor's office or a hospital. There are different types of sutures; some stay in the body and disappear, while others must be removed by a nurse after a few days. It is more formal than the word 'stitch'.
In medical English, a suture refers to the material or the act of joining the edges of a wound or surgical incision. While 'stitches' is the common term used by the general public, 'suture' is the preferred technical term in healthcare. Sutures are essential for 'primary intention healing,' where the wound edges are brought together to minimize the size of the scar and speed up recovery. They are made from various materials like silk, nylon, or synthetic polymers. Additionally, 'suture' has an anatomical meaning: it describes the fibrous joints between the bones of the skull. Understanding this word is helpful for anyone interested in biology or medicine, as it appears frequently in textbooks and professional discussions.
A suture is a clinical term for the thread-like material used to approximate the edges of tissues after an injury or surgery. The primary function of a suture is to maintain tissue apposition during the initial phase of healing when the wound is most vulnerable. Surgeons choose specific suture types based on their tensile strength, absorption rate, and the specific tissue being treated. For instance, absorbable sutures are often used for internal layers, while non-absorbable ones might be used for skin closure. Beyond surgery, the term also applies to the immovable joints of the cranium. These anatomical sutures allow for minor flexibility during birth and growth but eventually fuse to protect the brain. Mastering this term is vital for professional communication in the sciences.
The term 'suture' encapsulates both a surgical intervention and an anatomical structure. Surgically, it refers to the filament used to ligate blood vessels or approximate tissues, a practice that has evolved significantly from ancient catgut to modern bio-absorbable polymers. The selection of a suture involves considering the 'memory' of the material, its knot security, and its tissue reactivity. Anatomically, sutures are synarthrodial joints found exclusively in the skull, where they serve as sites of bone growth and provide a degree of shock absorption. In forensic anthropology, the degree of suture closure is a key metric for osteological age estimation. The word represents a confluence of mechanical engineering and biological necessity, reflecting the body's need for structural continuity following disruption.
Suture, as a noun, denotes the sophisticated medical apparatus or the physiological junction essential for structural integrity. In the surgical theater, the deployment of a suture is a precise exercise in tissue mechanics, requiring the clinician to balance the need for edge approximation with the risk of ischemia caused by excessive tension. The evolution of suture technology—from multifilament silks to monofilament synthetics—highlights the ongoing quest to reduce surgical site infections and optimize cosmetic outcomes. From an osteological perspective, the cranial sutures are marvels of evolutionary engineering, facilitating the rapid expansion of the neonatal brain while ensuring the eventual formation of a rigid protective vault. In high-level academic discourse, 'suture' may also be utilized as a metaphor for the precarious joining of disparate ideological or social frameworks, signifying a mending that remains visible.

suture in 30 Seconds

  • A suture is a medical stitch used to join the edges of a wound, ensuring proper healing and preventing infection in clinical settings.
  • In biology, it refers to the jagged, immovable joints that connect the various bones of the human skull as they develop over time.
  • The term is more formal than 'stitch' and is used by healthcare professionals to describe the specific materials and techniques of wound closure.
  • Sutures can be absorbable, dissolving naturally in the body, or non-absorbable, requiring manual removal by a medical professional after the wound heals.

The word suture is a specialized term primarily used in medical and biological contexts, though it has roots that stretch back to the very beginnings of human civilization and the dawn of medical practice. At its most fundamental level, a suture is a stitch or a series of stitches made to secure the edges of a surgical incision or a traumatic wound. Imagine you have a piece of cloth that has been torn; to fix it, you would use a needle and thread to sew the pieces back together so they can function as one again. In the human body, a suture performs this exact function, but instead of fabric, it joins skin, muscle, or internal organs. The primary goal of a suture is to hold tissues together during the critical healing phase, providing the necessary tension and stability so that the body's natural repair mechanisms—such as fibroblast activity and collagen deposition—can bridge the gap and eventually form a scar that restores structural integrity. While the word might sound intimidating to a beginner, it is simply the professional way to describe the act of sewing up a cut to help someone get better. Doctors, nurses, and surgeons use this word every day in hospitals and clinics around the world.

Medical Context
A suture is the actual material (the thread) and the technique used by a healthcare provider to close a wound. It is essential for preventing infection and ensuring the wound heals with minimal scarring.
Biological Context
In anatomy, a suture refers to the immovable joints between the bones of the skull. These look like jagged lines where the bones have fused together during development.
General Usage
While rare in casual conversation, you might hear it in TV shows like 'Grey's Anatomy' or when a doctor explains how they will treat a deep cut after an accident.

Historically, sutures have been made from various materials. Thousands of years ago, ancient healers used plant fibers, animal hair, or even the mandibles of ants to hold wounds shut. Today, modern medicine uses highly advanced materials. Some sutures are 'absorbable,' meaning the body naturally breaks them down and absorbs them over time, so they don't need to be removed by a doctor. Others are 'non-absorbable' and must be physically taken out once the wound has sufficiently closed. The choice of suture depends on where the wound is, how deep it is, and how much tension the area will face during movement. For example, a suture on a moving joint like a knee needs to be much stronger than one on a quiet area like the forearm. Understanding this word helps you navigate medical situations with more confidence, as it is the standard term used by professionals to describe a very common and life-saving procedure.

The surgeon carefully placed each suture to ensure the patient's scar would be as thin as possible.

After the accident, the boy needed five sutures in his chin to close the deep gash.

The anatomical sutures of the skull become more prominent as a person ages.

She watched the vet apply a suture to the dog's paw after it stepped on broken glass.

The nurse explained that the suture material would dissolve on its own within two weeks.

Using the word suture correctly requires an understanding of its role as a noun in different sentence structures. Because it is a technical term, it usually appears in professional settings, medical reports, or formal descriptions of injury. When you use it as a noun, you are referring to the individual stitch itself or the material used. For example, you might say, 'The suture is made of silk,' or 'The doctor removed the sutures yesterday.' Notice how the word can be singular or plural. In the plural form, 'sutures,' it refers to the entire set of stitches used to close a single wound. It is common to use verbs like 'apply,' 'place,' 'insert,' 'remove,' or 'dissolve' in conjunction with this noun. These verbs describe the lifecycle of the medical intervention from the moment the injury occurs to the completion of the healing process.

As a Subject
'The suture held the wound together despite the patient's movement.' Here, the suture is the thing performing the action of holding.
As an Object
'The medical student practiced placing a suture on a piece of synthetic skin.' In this case, the suture is the thing being placed.
Descriptive Usage
'The nurse noted that the suture line was clean and free of redness.' Here, 'suture line' describes the physical appearance of the closed wound.

In more advanced English, you might encounter 'suture' in a metaphorical sense, though this is less common than its medical use. A writer might describe a 'suture' between two cultures or two ideas, implying a joining or a mending of a previous split. However, for most learners, focusing on the medical and anatomical definitions is the best approach. When writing about a suture, it is helpful to specify the type if possible—such as 'absorbable suture' or 'interrupted suture'—to add precision to your language. This level of detail is particularly useful for those in the healthcare field or those taking exams like the IELTS or TOEFL, where technical vocabulary can boost your score. Always remember that while 'stitch' is the common word, 'suture' is the precise word. If you are in an emergency room and a doctor says, 'We need to put in some sutures,' they are telling you that the cut is deep enough to require professional closing rather than just a simple bandage or adhesive strip.

Please check if the suture is still intact after the patient goes for a walk.

The complexity of the suture pattern determines how well the skin edges align.

A single suture was enough to stop the bleeding from the small incision.

You will most likely encounter the word suture in environments where health, biology, or science are the main topics of discussion. The most common location is a hospital, specifically in the Emergency Room (ER) or an Operating Theater (OR). In these settings, the word is used as a standard part of the medical lexicon. A surgeon might ask a scrub nurse for a '3-0 silk suture,' which is a very specific request for a certain size and material. If you are a patient, you might hear a doctor say, 'I'm going to apply a few sutures now to help this heal,' which is their way of informing you that they are about to start the stitching process. Beyond the hospital, you will hear this word in educational settings. In a high school or university biology class, students learn about the human skeleton and will hear about the 'cranial sutures.' These are the fibrous joints that connect the bones of the skull. In this context, the word describes a natural anatomical feature rather than a medical intervention.

Medical Dramas
Shows like 'House', 'Grey's Anatomy', and 'The Good Doctor' use this word frequently to add authenticity to their dialogue. Characters often shout for 'suture kits' during high-stakes scenes.
Veterinary Clinics
Vets use sutures to close wounds on animals. If your pet has surgery, the vet will talk to you about the sutures and when they need to be checked.
Forensic Science
In crime shows or real forensic reports, the state of the sutures in a skull can help experts determine the age of a person at the time of their death.

Another place you might find this word is in technical manuals for medical equipment or in textbooks for nursing and medical students. It is also found in pharmaceutical literature, particularly when discussing wound care products. Occasionally, you might see the word in a news report about a major medical breakthrough, such as a new type of 'smart suture' that can detect infection and alert doctors via a smartphone app. While you won't hear your neighbor use it while talking about their day at the grocery store, it is a word that appears whenever the conversation turns to the physical mechanics of the body or the technical details of healing. For an English learner, recognizing this word provides a bridge into the world of professional communication, allowing you to understand more complex information in news, media, and real-life medical encounters.

The forensic pathologist examined the suture lines on the skull to estimate the victim's age.

One of the most common mistakes learners make with the word suture is using it in a casual context where the word 'stitch' would be much more natural. For example, if you trip and cut your knee and tell your friend, 'I need a suture,' it might sound a bit strange or overly dramatic. In casual English, 'stitch' is the go-to word. Another frequent error is confusing the noun and the verb. While 'suture' can be a verb (meaning 'to sew up'), this usage is almost exclusively reserved for medical professionals. A layperson should stick to using it as a noun. There is also a common spelling mistake: some people try to spell it as 'sutcher' or 'suturee' because of the way it is pronounced. The '-ture' ending is pronounced like the end of 'nature' or 'future', which can be tricky for non-native speakers. It is important to memorize the spelling 's-u-t-u-r-e' to avoid looking unprofessional in writing.

Over-formalization
Mistake: 'I have a suture in my shirt.' Correction: 'I have a stitch in my shirt.' Sutures are for bodies, not clothes.
Pluralization Errors
Mistake: 'The doctor gave me many suture.' Correction: 'The doctor gave me many sutures.' It is a countable noun.
Confusing with 'Staple'
In modern medicine, doctors also use metal staples to close wounds. A suture is always thread-like; a staple is metal. Don't use the words interchangeably.

Finally, be careful with the anatomical meaning. If you are talking about the skull, you are referring to the joint itself, not a medical procedure. Saying 'The doctor put a suture in the skull suture' would be technically correct but very confusing! Always ensure your context is clear. Another mistake involves the pronunciation of the plural. 'Sutures' should sound like 'SOO-cherz'. Some learners accidentally put the stress on the second syllable, which makes the word unrecognizable. By paying attention to these small details, you can use 'suture' with the same precision as a trained medical professional, avoiding the pitfalls that often trap new English speakers when they encounter technical vocabulary.

Incorrect: 'The tailor put a suture in my pants.' (Correct: stitch)

When exploring words similar to suture, the most obvious synonym is 'stitch'. However, the two words are not always interchangeable. 'Stitch' is a broad term that covers everything from sewing a button on a jacket to a medical procedure. 'Suture' is the medical subset of 'stitch'. Another related term is 'closure'. In a medical report, a doctor might write about 'wound closure', which could involve sutures, staples, or even medical glue (often called 'liquid stitches'). Understanding these nuances helps you choose the right word for the right situation. In anatomy, synonyms for suture include 'joint' or 'articulation', specifically referring to the fibrous joints of the skull. While 'joint' is a very common word, 'suture' is the specific scientific term for that exact type of connection between bones.

Suture vs. Stitch
'Suture' is formal and medical. 'Stitch' is common and can refer to clothing or medicine. You 'get stitches' at the hospital, but the doctor 'places sutures'.
Suture vs. Staple
Both close wounds. Sutures are thread; staples are metal. Staples are often faster for long, straight incisions, while sutures are better for delicate or curved areas.
Suture vs. Ligature
A ligature is a type of suture used specifically to tie off a blood vessel to stop bleeding. All ligatures are sutures, but not all sutures are ligatures.

Other alternatives include 'seam', which is usually used for clothing or engineering, and 'bond', which suggests a chemical or emotional connection. If you are describing the act of joining things, you might use 'weld' for metal or 'glue' for paper. In the world of surgery, you might also hear about 'steri-strips', which are small adhesive bandages that act like sutures for very shallow cuts. By learning these alternatives, you can expand your vocabulary and understand the specific tools and techniques used in different professional fields. Whether you are reading a medical textbook or watching a documentary about human evolution, knowing the difference between a suture and its alternatives will give you a much deeper understanding of the material.

The doctor decided to use a suture instead of a staple to minimize scarring on the patient's face.

How Formal Is It?

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Neutral

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Fun Fact

Ancient Egyptians were among the first to use sutures, often using linen thread. In some cultures, large ants were used: the ant would bite the wound shut, and then its body would be removed, leaving the jaws as a suture.

Pronunciation Guide

UK /ˈsuː.tʃə/
US /ˈsuː.tʃɚ/
The stress is on the first syllable: SOO-ture.
Rhymes With
future nature feature creature stature capture rupture nurture
Common Errors
  • Pronouncing it as 'soo-tyoor' (too formal/incorrect).
  • Saying 'sut-cher' with a short 'u'.
  • Confusing the 't' sound with a hard 't' instead of a 'ch' sound.
  • Omitting the 'r' sound entirely in American English.
  • Adding an extra 'e' sound at the end.

Difficulty Rating

Reading 3/5

Easy to recognize in context but technical.

Writing 4/5

Spelling '-ture' can be difficult for beginners.

Examples by Level

1

The doctor put a suture in my hand.

Le docteur a mis une suture dans ma main.

Simple noun usage.

2

Does the suture hurt?

Est-ce que la suture fait mal ?

Question form.

3

I have one suture.

J'ai une suture.

Singular noun.

4

The suture is blue.

La suture est bleue.

Adjective description.

5

Look at my suture.

Regarde ma suture.

Imperative.

6

The suture is small.

La suture est petite.

Basic description.

7

A suture helps me.

Une suture m'aide.

Subject-verb-object.

8

Thank you for the suture.

Merci pour la suture.

Prepositional phrase.

1

The nurse will remove the suture tomorrow.

L'infirmière enlèvera la suture demain.

Future tense.

2

You need a suture for that cut.

Tu as besoin d'une suture pour cette coupure.

Need for something.

3

The suture is made of thread.

La suture est faite de fil.

Passive description.

4

Is the suture very long?

Est-ce que la suture est très longue ?

Inverted question.

5

I can see the suture clearly.

Je peux voir la suture clairement.

Modal verb 'can'.

6

The doctor used a clean suture.

Le docteur a utilisé une suture propre.

Past tense.

7

Keep the suture dry and clean.

Garde la suture sèche et propre.

Instruction.

8

She has three sutures on her knee.

Elle a trois sutures sur son genou.

Plural noun.

1

The absorbable suture will dissolve on its own.

La suture résorbable se dissoudra d'elle-même.

Compound noun phrase.

2

A suture is necessary when the wound is deep.

Une suture est nécessaire quand la blessure est profonde.

Conditional context.

3

The surgeon chose a silk suture for the procedure.

Le chirurgien a choisi une suture en soie pour la procédure.

Specific noun.

4

How many sutures did you receive?

Combien de sutures as-tu reçues ?

Quantifier with plural.

5

The suture line looks very healthy.

La ligne de suture a l'air très saine.

Noun used as an adjective.

6

He felt a slight tug when the suture was pulled.

Il a senti une légère traction quand la suture a été tirée.

Passive voice.

7

Sutures are common in the operating room.

Les sutures sont courantes dans la salle d'opération.

General statement.

8

The cat required a suture after its fight.

Le chat a eu besoin d'une suture après sa bagarre.

Veterinary context.

1

The integrity of the suture is vital for recovery.

L'intégrité de la suture est vitale pour la récupération.

Abstract noun usage.

2

Cranial sutures allow the skull to expand during growth.

Les sutures crâniennes permettent au crâne de se dilater pendant la croissance.

Anatomical context.

3

The patient complained of irritation near the suture site.

Le patient s'est plaint d'une irritation près du site de la suture.

Prepositional phrase.

4

Synthetic sutures have replaced many natural materials.

Les sutures synthétiques ont remplacé de nombreux matériaux naturels.

Present perfect.

5

The doctor performed a continuous suture to close the gap.

Le docteur a réalisé une suture continue pour combler l'écart.

Technical descriptor.

6

Check the suture for signs of infection every morning.

Vérifiez la suture pour des signes d'infection chaque matin.

Imperative with time phrase.

7

A suture kit contains needles and sterile thread.

Un kit de suture contient des aiguilles et du fil stérile.

Noun as part of a compound.

8

The suture tension must be carefully adjusted.

La tension de la suture doit être soigneusement ajustée.

Modal passive.

1

The forensic expert analyzed the cranial suture closure.

L'expert légiste a analysé la fermeture de la suture crânienne.

Specialized terminology.

2

Delayed suture removal can lead to scarring.

Le retrait tardif des sutures peut entraîner des cicatrices.

Gerund phrase as subject.

3

The suture material's reactivity influenced the healing process.

La réactivité du matériau de suture a influencé le processus de guérison.

Possessive with complex noun.

4

Interrupted sutures provide better security if one knot fails.

Les sutures interrompues offrent une meilleure sécurité si un nœud lâche.

Comparative structure.

5

The suture's tensile strength is critical in high-pressure areas.

La résistance à la traction de la suture est critique dans les zones à haute pression.

Technical property.

6

A meticulous suture technique minimizes the risk of dehiscence.

Une technique de suture méticuleuse minimise le risque de déhiscence.

Advanced medical vocabulary.

7

The evolution of the suture has revolutionized modern surgery.

L'évolution de la suture a révolutionné la chirurgie moderne.

Historical perspective.

8

She studied the placement of the internal suture.

Elle a étudié le placement de la suture interne.

Specific anatomical location.

1

The surgeon meticulously executed a subcuticular suture.

Le chirurgien a méticuleusement exécuté une suture sous-cuticulaire.

Highly technical adjective.

2

Osteological analysis of the suture provides clues to age.

L'analyse ostéologique de la suture fournit des indices sur l'âge.

Academic register.

3

The suture's bio-absorbability is a feat of engineering.

La bio-absorbabilité de la suture est un exploit d'ingénierie.

Complex abstract noun.

4

Iatrogenic complications arose from improper suture choice.

Des complications iatrogènes sont survenues à la suite d'un mauvais choix de suture.

Formal cause-effect.

5

The suture serves as a physical bridge for cellular migration.

La suture sert de pont physique pour la migration cellulaire.

Biological metaphor.

6

Her research focused on the biomechanics of suture failure.

Ses recherches portaient sur la biomécanique de l'échec des sutures.

Scientific focus.

7

The suture line remains a vestige of the traumatic event.

La ligne de suture reste un vestige de l'événement traumatique.

Literary tone.

8

Precision in suture knotting is paramount for hemostasis.

La précision du nouage des sutures est primordiale pour l'hémostase.

Technical necessity.

Synonyms

stitch seam closure bond ligation

Common Collocations

apply a suture
absorbable suture
suture kit
remove sutures
cranial suture
suture material
place a suture
suture line
continuous suture
silk suture

Common Phrases

get sutures

— To receive medical stitches for a wound.

He had to go to the ER to get sutures.

suture removal

— The procedure where a doctor takes out non-dissolvable stitches.

Suture removal is usually painless.

internal suture

— Stitches placed inside the body during surgery.

The internal suture will dissolve in a few months.

suture pattern

— The specific way a doctor weaves the thread.

The surgeon used a complex suture pattern.

broken suture

— A stitch that has snapped or come loose.

A broken suture can cause the wound to reopen.

suture needle

— The curved needle used to guide the thread through skin.

The suture needle is very sharp.

practice suture

— A stitch made for learning purposes on a model.

He did a practice suture on a piece of fruit.

tighten the suture

— To pull the thread to close the gap in the skin.

Don't tighten the suture too much, or it will hurt.

sterile suture

— A suture that is free from any bacteria or germs.

Always use a sterile suture to prevent infection.

suture anchor

— A device used to attach a suture to a bone.

The surgeon used a suture anchor to repair the shoulder.

Idioms & Expressions

"suture the wound"

— To fix a problem or heal a conflict.

The manager tried to suture the wound between the two employees.

metaphorical
"a suture in time"

— A play on 'a stitch in time', meaning fixing a small problem early.

Applying a suture in time saved the patient from a major scar.

informal
"burst the sutures"

— To fail under pressure or to have a problem return.

The project burst its sutures when the budget was cut.

metaphorical
"seamless suture"

— A perfect joining of two things.

The merger of the companies was a seamless suture.

metaphorical
"hold by a suture"

— To be in a very fragile or temporary state.

The peace treaty was holding by a single suture.

metaphorical
"deep suture"

— A connection that goes very deep into someone's history or soul.

The memory of the event was a deep suture in his mind.

literary
"suture the gap"

— To bring two distant things or people together.

The new bridge helped suture the gap between the two towns.

metaphorical
"untied suture"

— A loose end or an unresolved issue.

The mystery left many untied sutures in the plot.

literary
"suture of hope"

— A small thing that keeps someone going.

His letter was a suture of hope in her dark days.

poetic
"tight suture"

— A very strict or controlled situation.

The security at the event was a tight suture.

metaphorical

Word Family

Nouns

Verbs

Adjectives

Related

Memorize It

Mnemonic

Think of 'SU-ture' as 'SEW-ture'. The 'u' sounds like the 'oo' in 'smooth' skin after it is sewn.

Visual Association

Imagine a needle pulling a blue thread through a piece of fabric, but the fabric is your skin.

Word Web

Doctor Hospital Stitch Thread Needle Wound Healing Skull

Challenge

Try to use the word 'suture' three times today when talking about health or biology.

Word Origin

The word 'suture' comes from the Latin word 'sutura', which means 'a sewing' or 'a seam'. It entered Middle English through Old French in the 14th century. The root is the Latin 'suere', meaning 'to sew'.

Original meaning: Originally, it referred to any kind of seam or sewing, but it quickly became specialized in medical and anatomical contexts.

Indo-European (Latin branch).

Cultural Context

Be careful when discussing sutures with people who have a phobia of needles or medical procedures.

In the US and UK, 'stitches' is the standard casual term, while 'sutures' is used in professional medical settings.

Mary Shelley's 'Frankenstein' (implied use of sutures to create the monster). Grey's Anatomy (frequent mentions of suture types). House M.D. (technical discussions of suture techniques).

Related Content

This Word in Other Languages

More medicine words

pharmacist

A1

A pharmacist is a healthcare professional who is trained to prepare and give out medicines to patients. They also provide expert advice on how to use medications safely and manage minor health issues.

prevention

A1

The act of stopping something bad from happening before it occurs. In health, it means taking steps like eating well or washing hands to avoid getting sick.

surgeon

A1

A surgeon is a specially trained doctor who performs operations on patients. They use tools to cut into the body to repair damage, remove diseased parts, or improve health.

emergency room

A1

A special department in a hospital that provides immediate treatment for people with serious injuries or sudden illnesses. It is open 24 hours a day for patients who need urgent medical attention.

kidney

A1

A kidney is one of the two organs in the body that filter waste from the blood to produce urine. They are bean-shaped and located in the middle of the back.

operation

A1

A medical process where a doctor cuts into a person's body to fix or remove a part. It usually happens in a hospital to help a patient get better.

therapist

A1

A therapist is a trained professional who helps people with mental, emotional, or physical problems. They use specific methods like talking or physical exercises to help their patients feel better and improve their lives.

intestine

A1

The intestine is a long tube in the body that carries food away from the stomach. It helps the body digest food and take in nutrients.

remission

A1

A period of time during a serious illness when the symptoms become less severe or disappear completely. It can also refer to the cancellation of a debt or the reduction of a prison sentence.

symptom

A1

A symptom is a physical or mental feature which indicates a condition of disease or a health problem. It is typically something that the person experiences and describes to a doctor, such as pain, tiredness, or a cough.

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