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Oct 17,  · Carcinoid syndrome occurs in about 10% of patients with these tumors. In 75% of patients, episodes of severe flushing are precipitated by exercise, alcohol, stress, and certain foods (spices, chocolate, cheese, avocados, plums, walnuts, red sausage, and red wine). With time the flushing may appear without provocation. These include: Facial flushing (redness and warm feeling) Severe diarrhea Wheezing Fast heartbeat.