Monday, February 9, 2015

Inflammatory Bowel Disease vs. Irritable Bowel Syndrome: Which is affecting my cat?



INFLAMMATORY BOWEL DISEASE

What is Inflammatory Bowel Disease and what causes it?



Inflammatory Bowel Disease (IBD) is a chronic disease of the intestinal tract. In fact, IBD is not a single disease, but several conditions that result in the accumulation of inflammatory cells in the intestinal tract. These inflammatory cells are normal cells that occur in the body, but problems within the body cause these cells to congregate in the stomach or intestinal tract, causing thickening of the linings of these organs and decreasing the organs' ability to perform their normal activities: digesting food and absorbing nutrients.The thickened lining also decreases the body's ability to protect itself from harmful invaders like bacteria and viruses. The lining of the intestinal tract normally functions similarly to the skin in providing a protective layer between harmful infections and the rest of the body's vulnerable cells.


Normal intestinal anatomy - the villi absorb nutrients and pass them into the bloodstream for distribution throughout the body

Most of the time, the primary cause of IBD is unknown or "idiopathic", but chronic inflammation may be caused by diet, environment, parasite infection, immune health or the relationship between the body's immune system and the bacteria that inhabit the digestive tract. While food allergy may not be a primary cause of  IBD, it may be a contributing factor to the severity of the disease.

What are the signs of Inflammatory Bowel Disease?

Inflammatory bowel disease is generally a problem found in cats of middle age and older, but can affect cats of any age. Most affected cats have a history of recurrent or chronic vomiting and/or diarrhea.  During periods of vomiting or diarrhea, the cat may lose weight but is generally normal in other ways. As a rule, most affected cats eat well (or even have an increased appetite) and appear normal, though some cats may have decreased appetite.

Depending on which part of the digestive tract is affected, the cat may be more likely to vomit (stomach, duodenum) or have diarrhea or bloody stools (colon). Mucousy stools may also be a sign of IBD. However, a cat that vomits due to IBD may vomit after every meal, or only once or twice a month. Vomiting may be intermittent or cyclical. The cat may be more prone to hairballs that disrupt the digestive tract - either vomiting hairballs frequently, or by having his digestive tract become obstructed by a hairball. If the whole digestive tract is affected, the symptoms may not necessarily directly correspond to the areas most affected.

How is IBD diagnosed?

Ultrasound examination of a cat
Diagnosis of IBD can be complex, because the common signs (vomiting and/or diarrhea) are symptoms that can be associated with many diseases. Because IBD often is idiopathic in nature, your veterinarian will recommend diagnostics that will rule out more specific diseases, first, such as parasites, viral or bacterial infections, metabolic diseases and cancer. This may involve various blood tests, a stool examination and abdominal radiographs or ultrasound examination. The veterinarian may palpate or feel thickened intestines during the physical exam, or may see evidence of intestinal thickening on x-ray or ultrasound studies.

For most cats with IBD, bloodwork chemistries may be normal. If the liver and pancreas are involved (triaditis), then elevations of pancreatic or liver enzymes would be expected. In cases where the cat is having bouts of severe vomiting or diarrhea, electrolyte imbalances would be a common finding. Additionally, long-standing IBD may result in "protein-losing enteropathy". In a normal cat, a small amount of protein leaks into the intestine as nutrients are absorbed into the bloodstream. These proteins are normally digested in the intestine and then reabsorbed. When the intestinal tract is damaged, as in IBD, more protein leaks out than the body is able to reabsorb.

The only way to definitively diagnose IBD is to collect surgical biopsies of the digestive tract and submit them for pathologist review. The types of cells seen by the pathologist will determine whether IBD is present, and categorize whether the IBD is lymphocytic-plasmacytic (the most common), eosinophilic, neutrophilic or granulomatous in nature. 
Here is what the lining of a normal intestine looks like under the microscope. The areas within the boxes are what we are looking at, below.


The images towards the left show normal intestinal anatomy, while the images to the right show progressively more severe Inflammatory Bowel Disease (human). There is a decrease in the size and surface area of the villi, the thickness of the intestinal lining , and a general degeneration of intestinal anatomy.  Loss of structure = loss of function

Surgical biopsies can be collected via endoscopy or via exploratory surgery. Endoscopic biopsies are less invasive, but are limited because only the upper end of the GI tract can be sampled, and only superficial samples can be collected. Surgical exploration to collect biopsy samples allows full-thickness biopsies of multiple sites throughout the digestive tract to be collected. Additionally, since many cats that have IBD may also have pancreatitis or hepatitis (inflammation in the pancreas or liver), samples of these organs and abdominal lymph nodes can also be collected to ensure that there are no additional complicating factors to the disease.

The first method is a biopsy of the affected part of the stomach or intestine.  The preferred technique to to use a flexible endoscope which allows access to the lining of the stomach, small intestine, and colon.  If the site of inflammation involves any of these locations, a confirmed diagnosis is achieved.  Sometimes, the small intestine may be difficult to enter because of the cat’s small size; in these cases, surgical biopsy may be needed.  Fortunately, this is rarely necessary. The second method of diagnosis is a therapeutic trial involving administration of particular drugs, along with certain dietary changes.  Since not all cats respond to the same drugs, the trial may involve a series of a number of drugs and may take several weeks.  Also, different diets may be tried, depending on which part of the bowel appears most involved.  These diets include hypoallergenic, low residue, or high fiber foods.  The cat is monitored during the therapeutic trial for a decrease in clinical signs and, in some cases, weight gain.

Is IBD treatable?

Treatment for IBD is focused on controlling symptoms such as vomiting and diarrhea and promoting appetite and weight gain. Any complicating factors such as pancreatitis, parasite infection or other diseases should be treated accordingly. Treatment may involve a special diet, anti-vomiting or anti-diarrheal medications, steroids, pre- or pro-biotics, dewormers, omega-3 fatty acids, and B12 supplementation.

What is the prognosis?
Once the appropriate drugs or diet are determined, many cats are maintained on these for life, although dosages of the drugs may eventually be decreased.  Occasionally, a cat will be able to stop drug therapy at some point. Most cats do well for many years; others require alterations in therapy every few months.  Unfortunately, a few cats will ultimately become totally resistant to treatment.

There is a correlation between IBD and gastrointestinal lymphoma in cats. It is not completely clear whether IBD causes or progresses to lymphoma (
the most common type of cancer in cats) over time, or whether the same problems that lead to IBD also cause GI lymphoma. Either way, untreated IBD in cats can cause malnutrition and eventual gastrointestinal ulceration and possible perforation of the bowel. Perforation of the bowel allows partially digested food and intestinal bacteria to leak into the abdomen causing severe systemic infection, sepsis and death.

IBD vs. IBS

Irritable Bowel Syndrome (IBS) is not the same as Inflammatory Bowel Disease (IBD). Irritable bowel syndrome is a psychosomatic response that causes hypermotility in the intestinal tract (things move through too quickly). The most common reason for this to happen is excessive stress or anxiety - a trip to the veterinary hospital, the addition of a new cat or new baby to the household, etc. A biopsy of the intestinal tract would look normal, because the problem is not with the intestinal tract itself, but with the nerve signals sent to the intestine that tell it what to do. Treatment of chronic irritable bowel syndrome is aimed at increasing fiber in the diet and controlling the cat's anxiety through environmental management and behavioral therapy. One-time bouts of IBS resulting from travel, visits to the veterinary hospital or other planned events can be averted by acclimating the cat to the carrier, using calming products, such as Feliway or anti-anxiety medications prior to travel or veterinary visits, or by choosing a veterinary office that is a certified Cat Friendly Practice. These hospitals generally have staff experienced with handling stressed cats, have separate waiting rooms, cages and exam rooms for cats and dogs, and may be better equipped to soothe your anxious kitty, preventing the onset of an IBS episode.

Additional Resources
Merck Veterinary Manual: Disease Profile: Inflammatory Bowel Disease 

All Feline Hospital: Inflammatory Bowel Disease 

Cornell Feline Health Center: Inflammatory Bowel Disease

WebMD: Inflammatory Bowel Disease

Wild Rose Cat Clinic Case Study: Tigger, and is it IBD or Lymphoma?

World Journal of Gastroenterology: Inflammatory Bowel Disease in the Dog: Similarities and Differences with Humans

36 comments:

  1. My name is hoover, my 18 year old daughter, Tricia was diagnosed of herpes 3 years ago. ever since then,we have been going from one hospital to the other. We tried all sorts of pills but all efforts to get rid of the virus was futile. The blisters kept on reappearing after some months. My daughter was making use of Acyclovir tablets 200mg. 2 tablets every 6hours and fusitin cream 15grams. and H5 POT. Permanganate with water to be applied 2x a day but all still show no result. So I was on the internet some months back, to sought for any other means of saving my only child. just then, i came across a comment on dr imoloa herbal treatment and decided to give it a try. i contacted the him and he prepared some herbs and sent it to me together with guidelines on how to use the herbs through DHL courier service. my daughter used it as directed dr imoloa and in less than 14days, my daughter regained her health.. You should contact Dr imoloa today directly on his email address for any kind of health challenge; lupus disease, mouth ulcer, mouth cancer, fever, hepatitis A.B.C., diarrhoea, HIV/AIDS, Huntington's Disease, back acne, Chronic renal failure, addison disease, Chronic Pain, Crohn's Disease, Cystic Fibrosis, Fibromyalgia, Inflammatory Bowel Disease, fungal nail disease, Lyme Disease, Lymphoma, Major Depression, Malignant Melanoma, Mania, Melorheostosis, Meniere's Disease, Mucopolysaccharidosis , Multiple Sclerosis, Muscular Dystrophy, Rheumatoid Arthritis, Alzheimer's Disease, parkison disease, vaginal cancer, epilepsy, Anxiety Disorders, Autoimmune Disease, Back Pain, Back Sprain, Bipolar Disorder, Brain Tumour, Malignant, Bruxism, Bulimia disease, Cervical Disk Disease, Cystic Fibrosis, Hypertension, Diabetes, asthma, Inflammatory autoimmune-mediated arthritis. chronic kidney disease, inflammatory joint disease, impotence, feta alcohol spectrum, Dysthymic Disorder, Eczema, Chronic Fatigue Syndrome, constipation, inflammatory bowel disease. and many more; contact him on email- drimolaherbalmademedicine@gmail.com./ also on whatssap-+2347081986098.

    ReplyDelete
  2. Hello everyone, i'm Linda Harry from United State i was diagnosed with Parkinson Disease  for over 6 years which made me loose my job and my relationship with my Fiance after he discovered that i was having Parkinson, he departed from me, and i tried all my best to make him stays, but he neglected me until a friend of mine  from UK told me Great healer, who will restore my life back with his powerful healing herbal medicine. then he  sent me his email address to contact him- drimolaherbalmademedicine@gmail.com. and i quickly contacted him, and he said my condition can be solved, that he will treat the disease immediately only if i can accept trust on him and accept his terms and condition, i Agreed because i was so much in need of help by all means, so i did all he instructed me to do. And surprisingly after two weeks, He sent me a text, that i should hurry up to the hospital for a checkup, which i truly did, i confirm from my doctor that i am now ( PARKINSON NEGATIVE) my eyes filled with tears and joy, crying heavily because truly the disease deprived me of many things from my life, This is a Miracle, dr imoloa also uses his powerful herbal medicine to cure the following diseases:  lupus disease,  mouth ulcer,  mouth cancer, body pain, fever, hepatitis A.B.C.,   syphilis,  diarrhea,  HIV/AIDS,  Huntington's Disease,   back acne,  Chronic renal failure,   addison disease,  Chronic Pain,   Crohn's Disease,   Cystic Fibrosis,  Fibromyalgia,   Inflammatory Bowel Disease,  fungal nail disease, Lyme Disease, Celia disease, Lymphoma, Major Depression,  Malignant Melanoma,   Mania,  Melorheostosis,   Meniere's Disease,  Mucopolysaccharidosis , Multiple Sclerosis,  Muscular Dystrophy,  Rheumatoid Arthritis, Alzheimer's Disease, parkison disease, vaginal cancer, epilepsy,  Anxiety Disorders, Autoimmune Disease,   Back Pain,  Back Sprain,   Bipolar Disorder,  Brain Tumour,  Malignant,   Bruxism, Bulimia,  Cervical Disk Disease, cardiovascular disease, Neoplasms, chronic respiratory disease,  mental and behavioural disorder,     Cystic Fibrosis,   Hypertension, Diabetes, asthma,  Inflammatory autoimmune-mediated arthritis.  chronic kidney disease, inflammatory joint disease,  impotence,  feta alcohol spectrum,  Dysthymic Disorder,   Eczema, tuberculosis,  Chronic Fatigue Syndrome, constipation, inflammatory bowel disease, bone cancer, lung cancer. contact him on email- drimolaherbalmademedicine@gmail.com. and also on whatssap- +2347081986098

    ReplyDelete
  3. powerful herbal healer called Dr. voodoo who use his natural herbs to cure
    my HIV disease I suffered from 5years, but now I am a happy woman and i am
    free from this disease that has been problem to my living, after using Dr.
    voodoo herbal medicine within 1week i was diagnose negative, I will
    recommend Dr. voodoo to everyone reading this article because this herbal
    healer is capable to heal anything below.

    1. Diabetes
    2. HERPES 1/2
    3. CANCER
    4. Lymphoma disease
    5. Conceived a child
    6. Fibroid

    Email Dr voodoo at: voodoospelltemple66@gmail.com add Dr. voodoo on
    whatsApp: +2348140120719

    ReplyDelete
  4. First, I want to complement this page administrator for creating this platform for us to express our feelings. Herpes is a serious and recurring disease which can't be cured through drugs or injections by the American doctors but the best way to deal with herpes is by taking natural herbs medicine from DR. ISHIAKU the greatest herbalist doctor in the world and is only few American doctors that know about this herbal medicine from Dr ISHIAKU .. I have read about Dr ISHIAKU the great herbalist doctor from African who can cure disease with his powerful herbal medicine. for the people suffering from the following diseases, Herpes,HIV/Aids, Cancer, Also, Hepatitis, Diabetes, Hpv, Infections ETC should contact him for his herbal medicine because i am a living testimony and i was cured of herpes. Although, i sent him what he requested and he sent me his medicine through DHL courier delivery company which i took for 10 days and today when i went for test i was tested herpes negative. you can reach him through his email (ishiakuherbalcure@gmail.com) or WhatsApp him at +2348180828544

    ReplyDelete
  5. How i got cure from herpes virus. I was diagnosed of herpes virus in 2015 and I have tried all I can to get cured but all to no avail, until i saw a post in a health forum about a herbalist man who prepare herbal medication to cure all kind of diseases including herpes virus, at first i doubted if it was real but decided to give it a try, when i contact this herbalist via his email and he prepared a herpes herbal cure and sent it to me via DHL courier shipping company , when i received this herbal cure, he gave me step and instructions on how to apply it, after taking it as instructed, i was totally cured of this deadly disease within 18days of usage, I am now free from the deadly disease called herpes, all thanks to Dr ozigizagha for saving my life. Contact this great herbal spell caster via his email:drozigizagha@gmail.com or call him on : +2348121658795 Dr ozigizagha  , he has the cure on all this disease as he told me and it listed.
    GENITAL WARTS ALS.EPILEPSY.HIV AIDS.DIABETICSSTROKE.EXPANDS OF PENIS&BREAST.H.P.V TYPE 1 TYPE 2 TYPE 3 AND TYPE 4. TYPE 5.HUMAN PAPAILOMA VIRUS.HERPES.SYPHILIS.CANCER.HEPATITIS A B and C.HIRE BLOOD PRESSURES.AND BODY BOILS.AND BODY DISEASES .THANKS TO YOU ALL FOR TAKING YOUR TIME TO READ MY TESTIMONY AND MOST ESPECIALLY YOU

    ReplyDelete
  6. First, I want to complement this page administrator for creating this platform for us to express our feelings. Herpes is a serious and recurring disease which can't be cured through drugs or injections by the American doctors but the best way to deal with herpes is by taking natural herbs medicine from DR. ISHIAKU the greatest herbalist doctor in the world and is only few American doctors that know about this herbal medicine from Dr ISHIAKU .. I have read about Dr ISHIAKU the great herbalist doctor from African who can cure disease with his powerful herbal medicine. for the people suffering from the following diseases, Herpes,HIV/Aids, Cancer, Also, Hepatitis, Diabetes, Hpv, Infections ETC should contact him for his herbal medicine because i am a living testimony and i was cured of herpes. Although, i sent him what he requested and he sent me his medicine through DHL courier delivery company which i took for 10 days and today when i went for test i was tested herpes negative. you can reach him through his email (ishiakuherbalcure@gmail.com) or WhatsApp him at +2348180828544

    ReplyDelete
  7. First, I want to complement this page administrator for creating this platform for us to express our feelings. Herpes is a serious and recurring disease which can't be cured through drugs or injections by the American doctors but the best way to deal with herpes is by taking natural herbs medicine from DR. ISHIAKU the greatest herbalist doctor in the world and is only few American doctors that know about this herbal medicine from Dr ISHIAKU .. I have read about Dr ISHIAKU the great herbalist doctor from African who can cure disease with his powerful herbal medicine. for the people suffering from the following diseases, Herpes,HIV/Aids, Cancer, Also, Hepatitis, Diabetes, Hpv, Infections ETC should contact him for his herbal medicine because i am a living testimony and i was cured of herpes. Although, i sent him what he requested and he sent me his medicine through DHL courier delivery company which i took for 10 days and today when i went for test i was tested herpes negative. you can reach him through his email (ishiakuherbalcure@gmail.com) or WhatsApp him at +2348180828544

    ReplyDelete
  8. powerful herbal healer called Dr. voodoo who use his natural herbs to cure
    my HIV disease I suffered from 5years, but now I am a happy woman and i am
    free from this disease that has been problem to my living, after using Dr.
    voodoo herbal medicine within 1week i was diagnose negative, I will
    recommend Dr. voodoo to everyone reading this article because this herbal
    healer is capable to heal anything below.

    1. Diabetes
    2. HERPES 1/2
    3. CANCER
    4. Lymphoma disease
    5. Conceived a child
    6. Fibroid

    Email Dr voodoo at: voodoospelltemple66@gmail.com add Dr. voodoo on
    whatsApp: +2348140120719

    ReplyDelete


  9. i already gave up on ever getting cured of HSV2 because i have try many treatment none of them work out for me i have go to different hospital they always tell me same thing there is no cure for herpes when i came across a post about Dr oyagu, in the net from a lady called Rebecca i contacted him and he reassured me with him herbal medicine which i took according to the way he instructed, that how i was cured. I doubted at first because i have been to a whole lot of reputable doctors, tried a lot of medicines but none was able to cure me. so i decided to listen to him and he commenced treatment, and under two weeks i was totally free from Herpes. i want to say a very big thank you to DR oyagu for what he has done in my life. feel free to leave him a message on email oyaguherbalhome@gmail.com and also WhatsApp him +2348101755322..
    He can still be able to help you with this herbs medicine:
    1...ALS CURE/DIABETES CURE/EPILESY/HPV CURE/LUPUS/HEPATITIS/CANCER/GOUT

    ReplyDelete
  10. I’ve been Feeling weak and always feeling sleepy for some time which I went for a test and I was told I’m Herpes positive so I followed a wide variety of medical treatments, I have even combined with different pills and antibiotics without clear results. My health was deteriorating more and more. But thanks to a herbal DR herbs method that I found on the internet to achieve the results i wanted, i knew from the beginning that this could help me, and I began to follow the method from Dr Aziba and the results were wonderful: I recommend you to get in contact with him via
    Email: priestazibasolutioncenter@gmail.com
    WhatsApp: +2348100368288

    ReplyDelete
  11. Am testifying of the miraculous work of a great traditional doctor called  Dr Maggi. I have been suffering from herpes since last 2 years with my Husband but today I am happy that am cure from it with the herbal medicine made by  Dr Maggi   the great healer, I was browsing the Internet searching for help when I came across a testimony shared by someone on how  Dr Maggi cure her from Herpes Disease. I quickly contacted him to get the cure and today i am now free from the Virus,drmaggiherbalhome@gmail.com you can also call or whatsApp him on +1(917) 979-6387

    ReplyDelete
  12. I have been suffering from (HERPES) disease for the last four years and had constant pain, especially in my knees. During the first year, I had faith in God that I would be healed someday.This disease started to circulate all over my body and I have been taking treatment from my doctor, a few weeks ago I came on search on the internet if I could get any information concerning the prevention of this disease, on my search I saw a testimony of someone who has been healed from (Hepatitis B and Cancer) by this Man Dr. Silver and she also gave the email address of this man and advise we should contact him for any sickness that he would be of help, so I wrote to Dr. Silver telling him about my (HERPES Virus) he told me not to worry that I was going to be cured!! hmm i never believed it,, well after all the procedures and remedy given to me by this man few weeks later I started experiencing changes all over me as the Dr. assured me that I have cured, after some time i went to my doctor to confirmed if I have been finally healed behold it was TRUE, So friends my advice is if you have such sickness or any other at all you can email Dr. Silver (drsilverhealingtemple@gmail.com) sir I am indeed grateful for the help I will forever recommend you to my friends!!! with your lovely Email Address ( drsilverhealingtemple@gmail.com

    ReplyDelete
  13. I GOT RID OF HERPES WITH Dr CHO-CHA MEDICINE   I am  Joel, from the United States. I saw several comments on blog sites and Facebook pages on how Dr CHO-CHA cures people from herpes. After reading their article, I decided to order for Dr CHO-CHA medicine which I received within 5 working days. I used the medicine for a few days and my outbreak stopped totally, and my herpes genital was gone completely. I went to the hospital for a test and the doctor confirmed my herpes was negative. I am sharing this story for a herpes patient to know there is a cure for herpes. Here is Dr CHO-CHA email (chochaherbalarenaforhealing@gmail.com) his product is guaranteed 

    ReplyDelete
  14. I was diagnosed of herpes in 2015 and I tried all possible means to get cure but all to no avail until i saw a post in a health forum about a herbal doctor from Africa Dr Shaibu who prepared herbal medicine to cure all kind of diseases including herpes virus, at first i doubted if it was real but decided to give it a try, when i contact this herbal doctor via his email i bought the herpes herbal medicine and received it through DHL within 7 days and used it as prescribed, i tested negative to herpes virus within 1 week of usage, Do not loose hope too soon contact him If you need his help you can Email him on drshaibuabacha@gmail.com for easy and fast communication you can also call or add him on whats-app with this number  +2349051727475.

    ReplyDelete
  15. I was diagnosed of herpes in 2015 and I tried all possible means to get cure but all to no avail until i saw a post in a health forum about a herbal doctor from Africa Dr Shaibu who prepared herbal medicine to cure all kind of diseases including herpes virus, at first i doubted if it was real but decided to give it a try, when i contact this herbal doctor via his email i bought the herpes herbal medicine and received it through DHL within 7 days and used it as prescribed, i tested negative to herpes virus within 1 week of usage, Do not loose hope too soon contact him If you need his help you can Email him on drshaibuabacha@gmail.com for easy and fast communication you can also call or add him on whats-app with this number  +2349051727475.

    ReplyDelete
  16. I was having Herpes Simplex Virus then i came across a review of people saying that they got treated from Herpes Simplex Virus by Dr VOODOO., So i gave a try by contacting him through his email and explain my problem to him. He send natural medicine herbs to me and told me all the things I need to do and also give me instructions to take the medicine, which I followed properly. Before I knew what is happening after two weeks the HERPES SIMPLEX VIRUS that was in my body got vanished . so if you are also heart broken by any deadly diseases like HERPES HIV, shingles,low sperm count or bringing back your ex lover, this great man is extremely the best in which I have seen if you also need a help, you can also email him at voodoospelltemple66@gmail.com Add Dr voodoo on whatsApp +2348140120719

    ReplyDelete
  17. i want to inform the public how i was cured of herpes Virus by a Doctor
    called Dr ishiaku. i visited different hospital but they gave me list of
    drugs like Famvir, Zovirax, and Valtrex which is very expensive to treat
    the symptoms and never cured me. I was browsing through the Internet
    searching for remedy on Herpes and i saw comment of people talking about how Doctor ishiaku cured them. I Was scared because i never believed in the
    Internet but i was convince to give him a try because i was having no hope
    of been cured of herpes so i decided to contact him on his email, i searched
    his email on net and i saw a lot of people testifying about his goodness.
    when i contacted him he gave me hope and send a Herbal medicine to me that
    i took and it seriously worked for me, am a free person now without
    problem, my HERPES result came out negative. You can contact him on his
    Email: ishiakuherbalcure@gmail.com or whatsapp him via +2348180828544
    and get all your problem solved.
    1)Sickness of any kind
    2)Help to CURE Hepatitis B, herpes, HIV/AIDS CANCER and BIPOLAR
    3)Divorce, Breakup problem and To Re-unit
    4)Pregnancy problem
    5)Financial problem and Job promotion
    6)To get a good and rich life partner
    7)To Lose your wrath
    8)to enlargement of penis

    ReplyDelete
  18. I'm here to testify about the great work Dr Iyoha did for me. I have been suffering from (HERPES) disease for the past 3 years and had constant pain, especially in my knees. During the first year,I had faith in God that i would be healed someday.This disease started circulating all over my body and i have been taking treatment from my doctor, few weeks ago i came across a testimony of someone on the internet testifying about a Man called Dr Iyoha on how he cured her from Herpes Simplex Virus. And she also gave the email address of this man and advise anybody to contact him for help for any kind of sickness that he would be of help, so I emailed him telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! Well i never believed it, well after all the procedures and remedy given to me by this man which i take for 3 week,few months later i started experiencing changes all over me as Dr Iyoha assured me that i will be cured,after some time i went to my doctor to confirmed if i have be finally healed behold it was TRUE, So friends my advise is if you have such sickness or any other at all you can contact Dr Iyoha via email driyohasolutiontemple@yahoo.com. You can also call his telephone number on +1 407 337 9869. Thanks once again Dr Iyoha ...

    ReplyDelete
  19. I want to give a testimony on how I got cured from Herpes Virus. Few months back I was having some symptoms. I went to see a doctor and many blood tests was done on me, later on I was told I had Herpes. My doctor told me that there’s no cure for Herpes I felt bad, I went online searching for a possible cure for Herpes Virus, I saw a post of Dr.Ojamo a herbal doctor that’s helping people get cured from Herpes. I contacted him and told him how I’m feeling he said his herbal medicine can cure me. He sent me the medicine via UPS delivery service and I received the medicine in 8days after he sent it, i took the medicine as prescribed by him. Before the completion of the medication the symptoms stopped. I went to the doctor and carried out another blood test, surprisingly I was Negative. I haven’t had any symptoms anymore. Dr. Ojamo is great and you can contact him via dr.ojamoherbalhome@gmail.com or message him on via whatsApp at +2349077406037

    ReplyDelete
  20. just wanna say a big thank you patrice cythia for introducing me to Dr Akioya the great HERBALIST that helped me prepare home remedies that cured my herpes simplex virus (HSV1&2) I was infected with herpes for the past two years and i was not happy all day so i was desperate to get a cure so that i can live normal and get healthy. One day i was less busy so i decided to make latest research on herpes cure and i found a site were everyone was talking about Dr Akioya and has ability to cure Herpes, HIV, HPV, Cancer, ALS, COPD, Anthrax, genital wart, cold sore, Arthritis skin tag and all manners of diseases and virus. So i discussed with cythia and she explained to me that its very easy working with Dr Akioya so i contacted Dr Akioya via email dr.akioya17spellhome@gmail.com and he helped me just as he has helped others now I am now cured from herpes am very happy now. and i can also assure you that he can also help you. so if you need the service of DR Akioya kindly contact him drakioya17spellhome@gmail.com. or whatsapp +2348105257464.He can also cure so many sickness

    ReplyDelete
  21. I can’t believe this is really true I never believe there is cure to this hsv 2 because all the hospital have told me there is no cure to it, few months ago I saw this man email DR.AZIEGBE on internet from a testimony share by someone who he help with his herbal cure I contact his email and ask for his help also, that is how he inform me about the cure process and this man sent me a herbal medicine which I took according to the way he instructed for 2 week I can’t believe when I go for test my result come out negative i am so happy to share this to the world there is real cure to herpes you can also contact DR.AZIEGBE through his email now DRAZIEGBE1SPELLHOME@GMAIL. COM and also WhatsApp him +2349035465208. or my assistant my email: JAMESAVA0001@GMAIL. COM... He also have herbs medicine to cured the following diseases;
    Diabetes, Lupus, HPV, Gout, Hepatitis A,B, Infertility, HIV/AIDS, CANCER, WART

    ReplyDelete
  22. I am here to share testimony on how Dr.Md Azhar herbal remedy cured me from herpes I have been suffering from herpes for more than 2 year until I met a friend who directed me to Dr. Md Azhar i had doubts at first but now I am a living testimony, after taken the herbs he gave to me l started having some changes within my body and now I am totally cured from herpes. He also have cure for several kinds of diseases and infection contact him today and be restored to your normal self again, God bless you Dr. Md Azhar you can reach him on whatsapp +2349051727475 or  dr.mdazharsolutionhome@gmail.com.

    ReplyDelete
  23. I am here to share testimony on how Dr.Md Azhar herbal remedy cured me from herpes I have been suffering from herpes for more than 2 year until I met a friend who directed me to Dr. Md Azhar i had doubts at first but now I am a living testimony, after taken the herbs he gave to me l started having some changes within my body and now I am totally cured from herpes. He also have cure for several kinds of diseases and infection contact him today and be restored to your normal self again, God bless you Dr. Md Azhar you can reach him on whatsapp +2349051727475 or  dr.mdazharsolutionhome@gmail.com.

    ReplyDelete
  24. Herbal medicine made by  Dr Omongbe the great healer, I was browsing the Internet searching for help when I came across a testimony shared by someone on how  Dr Omongbe cure her from Herpes Disease. I quickly contacted him to get the cure and today i am now free from the Virus,dromongbenaturalremedies@gmail.com/Whatsapp +2348050407265

    ReplyDelete
  25. I was so surprised when I was told that my herpes result is negative. two year ago I was infected with herpes with no solution,I was unable to work and also losing lots of money for medication, but one faithful day when I went online, I saw lots of testimonies about this great man Dr Ajayi. I decided to give it a try and to God be the glory he did it, he cured my herpes. I am so happy to Write about him today. If you need his help or you also want to get cured just the way I got mine, email him at ajayiherbalhome@gmail.com or you can as well call or Whatsapp his mobile number +2348154724883 and get your healing. He has cures for other deadly diseases like Diabetes, Hepatitis, Lupus, Cancer and many more..

    ReplyDelete
  26. Greetings to you all, am so much appreciating God almighty for using Dr Ajayi the herbal medication Doctor to cured me from 4 years herpes, while this may sound discouraging and people may not believe that herpes have a cure, i have been to so many places for help including hospitals wasted money and times hoping that i was going to get cured but nor was able, until God use someone to cure me from this virus, true the help of a man called Dr Ajayi, with his herbal medicine which I took. Well I don’t have much to say, I am so much happy for his good work in my life because I never thought I would have good health again, thank you so much Dr Ajayi. You can also contact Dr Ajayi for help via email ajayiherbalhome@gmail.com you can also call or add him on whatsapp through his mobile number +2348154724883. He also has the cure to the following diseases and many more...HIV/Aids cure,Hepatitis B cure,Brainstorm cure.Cancer cure,Lupus cure,he also have powers to bring your Ex back with a spell carter,

    ReplyDelete
  27. Greetings to you all, am so much appreciating God almighty for using Dr Ajayi the herbal medication Doctor to cured me from 4 years herpes, while this may sound discouraging and people may not believe that herpes have a cure, i have been to so many places for help including hospitals wasted money and times hoping that i was going to get cured but nor was able, until God use someone to cure me from this virus, true the help of a man called Dr Ajayi, with his herbal medicine which I took. Well I don’t have much to say, I am so much happy for his good work in my life because I never thought I would have good health again, thank you so much Dr Ajayi. You can also contact Dr Ajayi for help via email ajayiherbalhome@gmail.com you can also call or add him on whatsapp through his mobile number +2348154724883. He also has the cure to the following diseases and many more...HIV/Aids cure,Hepatitis B cure,Brainstorm cure.Cancer cure,Lupus cure,he also have powers to bring your Ex back with a spell carter,

    ReplyDelete
  28. Few months ago I was Confirm that I have herpes virus and ever since then I have been on research on how I will get rid of my Herpes Virus but on one faithful day i saw someone testifying about Dr. Kham and she Was saying that she was cured from herpes virus and also I quickly copy his email address and I emailed Dr. Kham and he told me that I need to get some herbs which i purchased and he told me that he will ship the herbal medicine to me through UPS courier service and he also told that his herbal medicine is going to take two weeks to cure me from herpes permanently and behold his herbal medicine work according to him and i am free from herpes virus ask i speak to you right now, Dr. Kham is a wonderful man and he is the best doctor I ever met in my life and he is the most truthful doctor in Africa  that i have contacted for help, you can also email him via dr.khamcaregiver@gmail.com or chat him on whatsapp number +2348159922297  And to know more about him check on his website  at > https://drkhamherbalhealingcenter.wordpress.com/  or visit his FACEBOOK PAGE: https://web.facebook.com/Dr-Kham-Herbal-Remedies-101547721440460/

    ReplyDelete
  29. I have been suffering from Herpes for the past 3 years and 8 months, and ever since then i have been taking series of treatment but there was no improvement until i came across testimonies of Dr momoh on how he has been curing different people from different diseases all over the world, then i contacted him as well. After our conversation he sent me the medicine which I took according to his instructions. When i was done taking the herbal medicine i went for a medical checkup and to my greatest surprise i was cured from Herpes. My heart is so filled with joy. If you are suffering from Herpes or any other disease you can contact Dr momoh today on this Email address: dr.momoh9@gmail.com or WhatsApp him on this Tell.Number +2347083724098  ....Dr.momoh also cures: 1. HIV / AIDS 2. HERPES 1/2 3. CANCER 4. ALS (Lou Gehrig's disease) 5. Hepatitis B 6. chronic pancreatic 7. emphysema 8. COPD (chronic obstructive pulmonary disease) 

    ReplyDelete
  30. .i want to share to the whole world on how Dr muthuka help my Mother cure HPV Please help methank Dr muthuka for his good work I really believe Genital Warts is known not to have a cure, my mother contacted this disease in 2017, i have done all my best to get cured from this disease but all to no avail until I go on search on internet then we get some testimony of Adams Tracy and some other people about how doctor muthuka herbal home on the internet who helps people cure any kind of diseases including HIV Cancer, Herpes etc, at first i doubted if it was real but decided to give it a try, when i contacted this herbal doctor he helped me with his herbal medicine and my mom was healed within (14 days) and i went for a medical checkup and my doctor confirm it that my mother is now HPV negative.Contact this grate herbal doctor for any kind of disease or ailment via this email muthukaherbalhome@gmail.comor call or whatsapp him +2349039175109 God we Bless You https://drmuthukaherbalcenter.webs.com/ https://www.facebook.com/HerpesandHPVcure/?modal=admin_todo_tour

    ReplyDelete
  31. Few months ago I was Comfirm that I have herpes virus and ever since then I have been on research on how I will get rid of my Herpes but on one faithful day i saw someone testifying about Dr muthuka and she. Was saying that she was cured from herpes virus and also I quickly copy his email address and I emailed Dr muthuka and he told me that I need to get some herbs which i purchased and he told me that he will ship the herbal medicine to me through DHL courier service and he also told that his herbal medicine is going to take five days to cure me from herpes and behold his herbal medicine work accord to him and i am free from herpes now and Dr muthuka is a wonderful man and he is the best doctor I ever met in my life and he is the best doctor in Africa you can also email him via muthukaherbalhome@gmail.com or whatsApp him on +2349039175109 thanks Dr muthukahttps://drmuthukaherbalcenter.webs.com/https://www.facebook.com/HerpesandHPVcure/?modal=admin_todo_tour

    ReplyDelete
  32. HAVE YOU BEEN IN SEARCH FOR GENUINE HACKER'S ONLINE?. HAVE YOU LOST YOUR MONEY TO BINARY OPTION SCAM OR ANY ONLINE SCAM WHATSOEVER?. WELL, YOU HAVE FOUND REDEMPTION IN ASORE CORP.
    asorehackcorp@gmail.com

    Asore Corp is a group of multinational Hacker's, an affiliate of Evil Corp, Russia. We have mutual interests obliged to fight online scam and scammers in general. In doing this, we make sure by all means necessary that our clients get the best of services on a🔐PAYMENT AFTER JOB IS DONE BASIS✔️. Rather than send money and trust a criminal to fulfill your deal, you can make sure the job is done before WORKMANSHIP is paid for. You'll get excellent customer service.
    That's a 100% guarantee.

    ⚠️ BEWARE OF FRAUDSTARS
    if you have been a VICTIM, contact :
    ✅ mercurycrimewatch@gmail.com for directives.
    Here, it's always a win for you.

    Having been on various headlines since 2004 hitherto, Asore Corp hosted a conference in August 2006 tagged "The Hacker's profile", which was anchored by Morgan Marquis Boire a then Hacker at Microsoft. Also, Asore Corp have acquired a hall of fame well deserved for solving tedious puzzles shocking the internet countless times. We possess highly qualified hackers recruited and registered under the right agencies. 
    Without any reasonable doubts, it is no news that Asore Corp offer one of the best Hacking services world wide. 
    Services we offer includes:
    [ ] Binary Option funds recovery
    [ ] Social media hack
    [ ] Recovery of loan scam
    [ ] Credit repair (Equifax,Experian,Transunion)
    [ ] E mail hack
    [ ] College score upgrade
    [ ] Android & iPhone Hack
    [ ] Website design
    [ ] Website hack
    And lots more.

    DISCLAIMER: Asore Cyber Corp accepts no responsibility for any information,previously given to anybody by clients on as regarding the job. Asore Cyber Corp will not distribute contact information collected on any hacking job other than in the Asore corps Hacker's listings themselves, and will not sell contact information to third parties.

    CONTACT:
    🤳asorehackcorp@gmail.com

    Copyright ©️
    Asore Cyber Corp 2020.
    All rights reserved.

    ReplyDelete
  33. I was depressed when doctor told me that I have been diagnosed with Herpes disease… I thought about my Family, I know my Family will face a serious problem when I'm gone, I lost hope and I wept all day, but one day I was searching the internet I found Dr.ezomo contact number. +2349056460552   I called him and he guided me. I asked him for solutions and he started the remedies for my health. Thank God, now everything is fine, I'm cured by Dr.ezomo herbal medicine, I'm very thankful to Dr.ezomo and very happy with my hubby and family. email him on dr.ezomorootandherbals@gmail.com or you can also reach him through WhatsApp number ‪+2349056460552He can also cure so many sickness{1}HIV And AIDS {2}Diabetes{3}Epilepsy {4}Blood Cancer {5}HPV {7}ALS {8}Hepatitis


    ReplyDelete

  34. Free from HERPES ...................

    You can reach this herbal doctor…[robinsonbuckler (@) yahoo.com].

    This is AWESOME!!,!.

    Sure Treatment!!

    My heart is so filled with joy.

    ReplyDelete
  35. My Partner and I have was suffering from Herpes simplex for years. We have tried so many solutions with no result. One fateful day while browsing through the internet I saw a testimony of a client who got cured from herpes by Dr. Robinson buckler through herbal medicine so I decided to give a try. A try that changed our life for good. I contacted Dr. Robinson buckler and he sent some herbal medicine to us, which we took for 14 days. It was a great surprise when we went for a test and the test result came out negative., Dr. Robinson buckler brought joy into my family again. His result is 100% guaranteed. .. it’s unbelievable! .... You contact him on his email. [Robinson.buckler@yahoo.com]..

    ReplyDelete