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Wednesday, October 1, 2008

Breath sounds made easy.

respiratory-system

To understand breath sounds ,we should first stress on the Anatomy & Physiology of lungs.This is important as we have to know where & how & why these sounds are produced.Don't forget to check the Audio links at the end of the post.

Lobes of Lung & their surface markings:

The right & left lung are divided by deep fissures into lobes.

Right lung Left lung
  • 3 lobes
  • 2 lobes
  • 2 fissures: oblique& horizontal
  • only oblique fissure
  • oblique fissure separates the lower lobe from upper& middle lobe.
  • horizontal fissure between upper& middle lobe.
  • oblique fissure separates the upper& lower lobe.

 lung 3d

 

Surface markings:

This is very important for us to localize the lesion in lung.

Anterior lung markingsposterior lung markingsright lung markingsleft lung marking

 Areas of Auscultation:

areas of auscultation in frontareas of auscultation back

 

Breath Sounds:

Normal

Abnormal Adventitious
Tracheal Absent/decreased normal breath sounds Crackles (rales)
Bronchial

Bronchial sounds in abnormal areas.

Wheeze
Bronchovesicular Rhonchi
Vesicular

Normal Breath Sounds

            To be able to distinguish between types of abnormal breath sounds and know their location, it is important to understand normal respiration and its effect on airway noises that make up breath sounds.

  • Normal respiratory cycle

respiraory cycle

  • The inspiratory phase is shorter with faster airflow.
  • The majority of breath sounds, both normal and adventitious, are in the range of 16 to 200 Hz. This is at the lower end of the spectrum of normal hearing (16 to 16,000 Hz).
  • The sensitivity of the human ear in detecting low-frequency sound is relatively poor; thus, breath sounds are difficult to appreciate even with the stethoscope.

 

Normal Breath Sounds Normal Location of Sound Sound Quality Distinguishing Characteristic Diagram
Tracheal Only heard over the trachea. loud, harsh like air is being blown through a pipe. Expiration slightly longer than inspiration with similar loudness & a pause between. tracheal sound
Bronchial present over the large airways & thus heard over the body of the sternum these sounds are more tubular and  high pitched than vesicular sounds, but not as harsh as tracheal breath sounds.

Expiratory sounds are louder & last longer than inspiratory sounds & have a short pause between inspiration and expiration sounds

bronchial sound
Bronchovesicular heard in the posterior chest between the scapulae and in the first & second intercostal spaces anteriorly. medium pitched Inspiration & expiration sounds equal in length& loudness.these sounds are different from vesicular since they have a pause between inspiration & expiration. bronchovesicular sound
Vesicular heard throughout most of the lung fields( Periphery of lungs) soft, low pitched, or rustling sounds normally Inspiration sound is longer & louder than expiration sound without a pause between them. vesicular sound


You can have a peek into the various sounds for better understanding by pressing the image below.

 breath sounds

 

Important :Now you may get the doubt that "why the Vesicular sounds have increased inspiratory time& loudness than expiration sounds which is contradictory to what we have learnt in the beginning of the post about Respiratory cycle?"

The reason is in the below image-

Vesicular sound mechanism

Abnormal Breath sounds:

Abnormal breath sounds

The above so called Normal Breath sounds are considered normal only when they are heard in their respective places ,if they are heard in a different place ,they are abnormal.

Bronchial sounds:

  • When auscultated in other areas, bronchial breath sounds are an abnormal finding.
  • They are heard over areas of consolidation, as solid lung conducts the sound of turbulence in main airways to peripheral areas without filtering.
  • Occasionally breath sounds over a large cavity have an exaggerated bronchial quality. This very hollow or amphoric sound has been likened to that heard when air passes over the top of a hollow jar (Greek amphoreus).  
Causes of bronchial breath sounds( ie, in areas other than over body of sternum)

Common

Lung consolidation (lobar pneumonia)

Uncommon

Localised pulmonary fibrosis

Pleural effusion (above the fluid)

Collapsed lung (eg: adjacent to a pleural effusion)

 

ADVENTITIOUS SOUNDS:

  • Added lung sounds are divided into two general groups: discontinuous sounds, which are 250 milliseconds or less in duration, and continuous sounds, which last longer than 250 milliseconds .
  • Discontinuous sounds are further classified as either coarse or fine crackles; continuous sounds, as either wheezes & rhonchi.

Crackles

  • explosive, sharp, discrete bursts of interrupted sound.
  • Their pattern is remarkably constant and cannot be destroyed by coughing.
  • Crackles are divided into two types depending on their acoustic properties.
Fine Crackles Coarse Crackles
sounds like the crackling noise made when salt is heated on a frying pan. sound of water being poured from a bottle.
On auscultation fine crackles are in general higher pitched, less intense and of shorter duration than coarse crackles. coarse crackles are in general lower pitched, less intense and of longer duration than fine crackles.
The probable mechanism for the production of fine crackles is as follows. During inspiration, the air pressure on the "upstream" (mouth) side increases until it is able to overcome the forces that are closing the bronchiole. When this occurs, the airway snaps open as the pressure between the bronchiole and the alveolus is equalized . The resulting vibration in the airway causes a discrete, sharp sound of very short duration. The bubbling sound of coarse crackles is produced when air passes over secretions in the larger airways (trachea and bronchi).
Fine crackles are usually appreciated only during inspiration. Since air flows through the airways during inspiration and expiration, coarse crackles are more likely to be detected during both phases of the respiratory cycle.
  The most common conditions associated with coarse crackles are congestive heart failure and pneumonia,Bronchiectasis.
   

  • Consistent with its mechanism ,crackles are typically predominant in lung bases ,where the transpulmonary pressure is lowest & parenchyma less distended.
  • As hundreds of airways open sequentially, the characteristic crackling sound is produced. The sound of fine crackles can be simulated by rubbing a lock of hair between your fingers.

Some clinicians maintain that the timing of onset of crackles aids in the differential diagnosis of parenchymal and airways-disease.

  • Crackles auscultated during early inspiration are thought to be more indicative of airways disease, such as chronic bronchitis, emphysema, and asthma.
  • Crackles auscultated during late inspiration are more suggestive of parenchymal disorders, such as pulmonary fibrosis, interstitial pneumonitis, and pneumonia.
Early inspiratory crackles Mid to Late inspiratory crackles
Dependent atelectasis Bronchiectasis
Bronchitis

Restrictive lung diseases

  • asbestosis
  • idiopathic pulmonary fibrosis
  • sarcoidosis
  • scleroderma lung disease
Asthma pulmonary edema
Emphysema

 

Continuous:

  1. wheeze
  2. rhonchi

Wheezes

Wheezes are divided according to timing in respiratory cycle & actual sound produced ( monophonic or polyphonic)

Polyphonic wheeze:

  • the most common type
  • typical of COPD & asthma
  • multiple simultaneous different pitched sounds occur during expiration & signify diffuse  airway disease

Fixed monophonic wheeze:

  • note of single pitch resulting from narrowing of a single airway
  • sound does not change with coughing
  • seen in tumor or foreign body case

Sequential inspiratory wheeze:SQUAWKS

  • caused by vibration after opening of previously closed airway
  • typical of extrinsic allergic alveolitis

Stridor:

  • Stridor is a continuous, high-pitched monophonic sound heard throughout respiration; this sound is accentuated during inspiration.
  • implies local obstruction to extra-thoracic airways (which tend to collapse on inspiration)
  • often implies carcinoma or foreign body in major airways

Rhonchi:

books

 

Pleural rub:

  • The visceral and parietal pleurae normally move silently against each other during respiration. However, when the pleurae are inflamed, the two thickened surfaces produce vibrations as they move irregularly over each other.
  • A pleural rub is the sound produced by the motion of inflamed pleurae. It tends to be a loud, grating sound confined to a relatively small area of the chest wall. A pleural rub is usually heard during inspiration and expiration.
  • A pleural rub has also been described as a leathery sound. Usually, the inspiratory and expiratory components of the rub can be readily heard.
  • When effusion separates the two pleural surfaces, the rub may disappear. However, the disappearance of a pleural rub does not necessarily mean that the pleural inflammation itself has resolved.

A pericardial rub usually has three components (atrial systole, ventricular systole, and ventricular diastole); it can usually be distinguished from a pleural rub by having the patient hold his breath. During breath-holding, a pleural rub disappears but a pericardial rub persists.

Mediastinal crunch (Hamman's sign)

  • grating, crunching sound heard in the center of the anterior chest. The sound coincides with the heartbeat and signifies the presence of free air in the mediastinum. The pathogenesis of mediastinal crunch is not clear, however, it may involve compression of the air by the beating heart and the mediastinal structures.
  • heard over the precordium in spontaneous mediastinal emphysema.
  • This sound is heard best over the left lateral position. It has been described as a series of precordial crackles that correlate with the heart beat and not the respirations. Hamman's crunch is caused by pneumomediastinum or pneumopericardium, and is associated with tracheobronchial injury due to trauma, medical procedures (e.g., bronchoscopy) or proximal pulmonary bleb rupture. It is commonly seen in Boerhaave syndrome.

Transmitted voice sounds:

Egophony, bronchophony, and pectoriloquy all refer to auscultatory signs that can be heard over areas of pulmonary consolidation. The pathogenesis of these signs relates to the increased sound transmission through the consolidated lung. This results in transmission of sound-from the larger bronchi through the consolidated lung to the periphery without significant loss in sound quality.

Transmitted voice sounds Location of sound Method of elicitation Reason( since sound travels faster & better in solids, liquids compared to in air)
Egophony over consolidated lung tissue elicited by having the patient say the letter "E' while you listen with the stethoscope. When egophony is present the "E" sounds like "A." Mass/exudate in the lungs enables greater transmission of sound of patient repeating letter "E"
Bronchophony over consolidated lung tissue demonstrated by having the patient say a phrase as you auscultate; "ninety-nine" is the conventional phrase. The sound will be indistinct and muffled over the normal lung. However, the "ninety-nine" will be heard distinctly over the consolidated lung, without loss of clarity. Mass/exudate in the lungs enables greater transmission of sound of patient repeating number "99"
Whispering Pectoriloquy over consolidated lung tissue similar to bronchophony, except it is usually elicited by having the patient say the phrase "one, two, three." The phrase will be muffled and indistinct when you auscultate over the normal lung and clearly audible when you auscultate over an area of consolidation. Mass/exudate in the lungs enables greater transmission of sound of patient whispering

 

 

CLINICAL CORRELATIONS

  • The common obstructive diseases of the lung - chronic bronchitis, emphysema, and asthma - can frequently be distinguished solely on the basis of the physical examination.
  • Patients with chronic bronchitis commonly have noisy chests because of crackles and wheezes. The breath sounds are vesicular in nature, however, there is a prolonged expiratory phase, which generally correlates with the degree of obstruction. Breath sounds at the mouth will be heard at normal intensity.
  • Patients with emphysema, on the other hand, present with a relatively quiet chest. Breath sounds are vesicular but significantly reduced in intensity Adventitious sounds are unusual unless bronchitis or asthma is present.
  • The expiratory phase of vesicular breath sounds is similarly prolonged, however, breath sounds heard at the mouth are usually reduced, in contrast to what is normally heard with chronic bronchitis or asthma.
  • Polyphonic Wheezing is the hallmark of clinical asthma & COPD. In patients with mild or early asthma, wheezing is usually heard over the central airways only during expiration. As bronchospasm worsens, the wheezes are heard over the entire chest and in both phases of respiration. The breath sounds are vesicular, and there is a prolonged expiratory phase that tends to correlate with the degree of bronchial obstruction. Breath sounds heard at the mouth are of normal intensity. Interstitial pneumonitis and fibrosis are characterized by the presence of fine inspiratory crackles. With early or mild disease, the crackles are heard at end-inspiration; however, as the disease progresses, they may occupy more of the inspiratory cycle - it is often difficult to hear the underlying breath sounds because of the intensity of the crackles in interstitial fibrosis, but the sounds are vesicular with no prolongation of expiration.
  • Pulmonary consolidation, as in lobar pneumonia, yields bronchial breath sounds over the affected area. Also, coarse or fine crackles may be heard. Expiration is not prolonged unless obstructive disease exists.
  • Left-sided heart failure. Pulmonary congestion associated with left sided heart failure is characterized by transudative fluid in the interstitium and alveoli. The bronchial mucosa may also be swollen.
  • Breath sounds in left-sided heart failure are vesicular, although they sometimes have a prolonged expiratory phase secondary to bronchial mucosal edema. Fine crackles are heard in mild to moderate pulmonary edema, while coarse crackles and polyphonic wheezes occur in severe pulmonary edema.
  • Pleural effusion. Pleural fluid or pleural thickening muffles the transmission of all lung sounds to the periphery. Vesicular sounds are decreased or absent Because the adjacent lung is compressed, bronchial breath sounds are sometimes heard at the area just above the pleural effusion. The reason for this is,the compressed edematous lung, which is immediately above the effusion, acts as a consolidation and causes increased sound transmission.
  • Pneumothorax. With a small or mild pneumothorax, decreased vesicular breath sounds may be heard on the side that is affected. Breath sounds are absent if a more extensive pneumothorax is present.

links to breath sounds audio:

  • Auscultation assistant:The Auscultation Assistant provides heart sounds, heart murmurs, and breath sounds in order to help medical students and others improve their physical diagnosis skills.

auscultation assistant

 basic lung sounds

web3

 rale repository

477 comments:

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I am not sure of the cause of COPD emphysema in my case. I smoked pack a day for 12 or 13 years, but quit 40 years ago. I have been an outdoor person all my adult life. Coughing started last summer producing thick mucus, greenish tint to clear. I tried prednisone and antibiotics, but no change. X-rays are negative, heart lungs and blood and serum chemistries all are normal. I have lung calcification from childhood bout with histoplasmosis. I am 75 years old and retired.My current doctor directed me to totalcureherbsfoundation .c om which I purchase the COPD herbal remedies from them ,they are located in Johannesburg, the herbal treatment has effectively reduce all my symptoms totally, am waiting to complete the 15 weeks usage because they guaranteed me total cure.

Anonymous said...

My name is Amelia, I want to use this medium to thank Dr. Iyabiye, for saving me from CHRONIC HEPATITIS B. I suffered this ailment for 3 years, then this fateful day browsing through the internet to see if I could get help, I saw his contact and testimonies of others he has cured. I contacted him for help, and afterwards he administered his medication on me, I was confirmed cured and hepatitis free at the hospital after the treatment. You too can be cured like me if interested, reach him through his contacts: (+2348072229413 or +2348158577300) email: (iyabiyehealinghome@gmail.com)

Austin Mike said...

Hello everyone. I was heartbroken because i had very small penis, not nice to satisfy a woman, i had so many relationship called off because of my situation, i have used so many product which i found online but none could offer me the help i searched for. i saw some few comments about this specialist called Dr OLU and decided to email him on drolusolutionhome@gmail.com
so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis t, Enlargement Within 5 day of it, i began to feel the enlargement of my penis, ” and now it just 2 weeks of using his products my penis is about 10 inches longer and am so happy..feel free to contact DR OLU on(drolusolutionhome@gmail.com)or whatsapp him on this number +2348140654426





























Hello everyone. I was heartbroken because i had very small penis, not nice to satisfy a woman, i had so many relationship called off because of my situation, i have used so many product which i found online but none could offer me the help i searched for. i saw some few comments about this specialist called Dr OLU and decided to email him on drolusolutionhome@gmail.com
so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for Penis t, Enlargement Within 5 day of it, i began to feel the enlargement of my penis, ” and now it just 2 weeks of using his products my penis is about 10 inches longer and am so happy..feel free to contact DR OLU on(drolusolutionhome@gmail.com)or whatsapp him on this number +2348140654426

Anneke Sergio said...

HOW I GOT CURED OF HERPES VIRUS.

Hello everyone out there, i am here to give my testimony about a herbalist called dr imoloa. i was infected with herpes simplex virus 2 in 2013, i went to many hospitals for cure but there was no solution, so i was thinking on how i can get a solution out so that my body can be okay. one day i was in the pool side browsing and thinking of where i can get a solution. i go through many website were i saw so many testimonies about dr imoloa on how he cured them. i did not believe but i decided to give him a try, i contacted him and he prepared the herpes for me which i received through DHL courier service. i took it for two weeks after then he instructed me to go for check up, after the test i was confirmed herpes negative. am so free and happy. so, if you have problem or you are infected with any disease kindly contact him on email drimolaherbalmademedicine@gmail.com. or / whatssapp --+2347081986098.
This testimony serve as an expression of my gratitude. he also have
herbal cure for, FEVER, DIARRHOEA, MOUTH ULCER, MOUTH CANCER FATIGUE, MUSCLE ACHES, LUPUS, SKIN CANCER, PENILE CANCER, BREAST CANCER, PANCREATIC CANCER, CHRONIC KIDNEY DISEASE, VAGINAL CANCER, CERVICAL CANCER, DISEASE, JOINT PAIN, POLIO DISEASE, PARKINSON'S DISEASE, ALZHEIMER'S DISEASE, CYSTIC FIBROSIS, SCHIZOPHRENIA, CORNEAL ULCER, EPILEPSY, FETAL ALCOHOL SPECTRUM, LICHEN PLANUS, COLD SORE, SHINGLES, CANCER, HEPATITIS A, B. DIABETES 1/2, HIV/AIDS, CHRONIC PANCERATIC, CHLAMYDIA, ZIKA VIRUS, EMPHYSEMA, LOW SPERM COUNT, ENZYMA, DRY COUGH, ARTHRITIS, LEUKAEMIA, LYME DISEASE, ASTHMA, IMPOTENCE, BARENESS/INFERTILITY, WEAK ERECTION, PENIS ENLARGEMENT. AND SO ON.

Anneke Sergio said...

HOW I GOT CURED OF HERPES VIRUS.

Hello everyone out there, i am here to give my testimony about a herbalist called dr imoloa. i was infected with herpes simplex virus 2 in 2013, i went to many hospitals for cure but there was no solution, so i was thinking on how i can get a solution out so that my body can be okay. one day i was in the pool side browsing and thinking of where i can get a solution. i go through many website were i saw so many testimonies about dr imoloa on how he cured them. i did not believe but i decided to give him a try, i contacted him and he prepared the herpes for me which i received through DHL courier service. i took it for two weeks after then he instructed me to go for check up, after the test i was confirmed herpes negative. am so free and happy. so, if you have problem or you are infected with any disease kindly contact him on email drimolaherbalmademedicine@gmail.com. or / whatssapp --+2347081986098.
This testimony serve as an expression of my gratitude. he also have
herbal cure for, FEVER, DIARRHOEA, MOUTH ULCER, MOUTH CANCER FATIGUE, MUSCLE ACHES, LUPUS, SKIN CANCER, PENILE CANCER, BREAST CANCER, PANCREATIC CANCER, CHRONIC KIDNEY DISEASE, VAGINAL CANCER, CERVICAL CANCER, DISEASE, JOINT PAIN, POLIO DISEASE, PARKINSON'S DISEASE, ALZHEIMER'S DISEASE, CYSTIC FIBROSIS, SCHIZOPHRENIA, CORNEAL ULCER, EPILEPSY, FETAL ALCOHOL SPECTRUM, LICHEN PLANUS, COLD SORE, SHINGLES, CANCER, HEPATITIS A, B. DIABETES 1/2, HIV/AIDS, CHRONIC PANCERATIC, CHLAMYDIA, ZIKA VIRUS, EMPHYSEMA, LOW SPERM COUNT, ENZYMA, DRY COUGH, ARTHRITIS, LEUKAEMIA, LYME DISEASE, ASTHMA, IMPOTENCE, BARENESS/INFERTILITY, WEAK ERECTION, PENIS ENLARGEMENT. AND SO ON.

Lisa Nayna Tumelo said...

The Great Dr.OLIHA herbal medicine is a good or perfect cure remedy for HIV Virus, I was diagnose of HIV for almost 5 years, everyday i am always on research looking for a perfect way to get rid of this terrible disease as i always knew that what we need for our health is right here on earth though the scientist say there is know cure for this disease,on my search I saw some different testimony on how Dr. OLIHA has been able to cure HIV with is herbal medicine. I decided to contact this man, I contacted him and he guided me on how to purchase for the medicine. I asked him for solutions and he started the remedies for my health. Thank God, now everything is fine, I’m cured by Dr. OLIHA herbal med icine, I’m very grateful to Dr. OLIHA, reach him now on (oliha.miraclemedicine@gmail.com ) or you can also call him on +2349038382931.

Dr. OLIHA 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)
9. Asthma
10.Acute angle-closure Glaucoma
11. Diabetes
12.CHRONIC PANCREATIC
13.CHLAMYDIA
14.ZIKA VIRUS

Varsha said...

Hey,
I noticed your Article. I just loved it.
I have one that just got published, you can go through the topic and we provide treatments for more than 300. You can check it out here: homeopathic remedies for asthma .
If you like it feel free and share it.
Cheers,
Varshi

Leonardo Greg Hugo said...

Colorectal cancer, cancer of the large intestine, is the fourth most common cancer in North America. Many cases of colorectal cancer are associated with low levels of physical activity and with diets that are low in fruits and vegetables. Individuals with a family history of the disease have a higher risk. I crumble with this disease for 5 years also with a lot of scaring thought in my head because i was just waiting for death every day of my life until My Son came to me in the hospital explaining to me that he has find a herbal healer from Nigeria to cure my Colo-Rectal Cancer,I was so shocked with the ideal also i was excited inside of me.My son asked me to let us give him a try because we have really heard a lot of scammer pretending to cure all sort of diseases with herbal medicine and some of them never get a positive result at the end of it all but we was very confident on this herbal doctor,like i said we give him a try and he sent me a herbal medicine to drink for three weeks, Sincerely I'm telling you today I' alive and healthy no more laying on sick bed,No more Colo-Rectal Cancer.I'm sharing this testimony on here for people who are sick to contact this Wonderful man,His name is Dr Itua.And His contact Whatsapp_+2348149277967____Email... drituaherbalcenter@gmail.com.He can cure those diseases like:Bladder cancerBreast cancerColorectal cancerKidney cancerLeukemiaLung cancerNon-Hodgkin lymphomaProstate cancerSkin cancerUterine cancerParkinson's,Alzheimer’s disease,Bechet’s disease,Crohn’s disease
,Cushing’s disease,Heart failure,Multiple Sclerosis,Hypertension,Colo_Rectal Cancer,Lyme Disease,Blood Cancer,Brain Cancer,Breast Cancer,Lung Cancer,Kidney Cancer, Spell,Stroke,Lottery Spell,disease,Schizophrenia,Cancer,Scoliosis,Fibromyalgia,Fluoroquinolone Toxicity Syndrome Fibrodysplasia Ossificans Progressiva.Infertility,Tach Disease ,Epilepsy ,Diabetes ,Coeliac disease,,Arthritis,Amyotrophic Lateral Sclerosis,Alzheimer's disease,Adrenocortical carcinoma.Asthma, (measles, tetanus, whooping cough, tuberculosis, polio and diphtheria)Allergic diseases.Parkinson's disease,Schizophrenia,Lung Cancer,Breast Cancer,Colo-Rectal Cancer,Blood Cancer,Prostate Cancer,siva.Fatal Familial Insomnia Factor V Leiden Mutation ,Epilepsy Dupuytren's disease,Desmoplastic small-round-cell tumor Diabetes ,Coeliac disease,Creutzfeldt–Jakob disease,Cerebral Amyloid Angiopathy, Ataxia,Arthritis,Amyotrophic Lateral Scoliosis,Fibromyalgia,Fluoroquinolone Toxicity
Syndrome Fibrodysplasia Ossificans ProgresSclerosis,Seizures,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases.Hiv_ Aids,Herpe ,Copd,Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Lung disease.Enlarged prostate,Osteoporosis.
Dementia.,Hiv_ Aids,Herpes,Inflammatory bowel disease ,Copd,Diabetes,Hepatitis
Love Spell,Diabetes.

Anonymous said...

I've gotten back with my ex boyfriend with the help of Dr AJAYI the best spell caster online and i highly recommend Dr AJAYI to anyone in need of help. I want to testify of how i got back my boyfriend after he breakup with me, we have been together for 4 years, recently i found out my boyfriend was having an affair with another Girl, when i confronted him, it led to quarrels and he finally broke up with me, i tried all i could to get him back but all to no avail until i saw a post in a relationship forum about a spell caster who helps people get back their lost love through Love spell, at first i doubted it but decided to give it a try, when i contacted this spell caster via his email, and he told me what to do and i did it, Then he did a Love spell for me. 48 hours later, my boyfriend really called me and told me that he miss me so much, So Amazing!! So that was how he came back that same day, with lots of love and joy, and he apologized for his mistake, and for the pain he caused me. Then from that day, our relationship was now stronger than how it were before, All thanks to Dr AJAYI. He is so powerful and i decided to share my story on the Internet that Dr AJAYI real and powerful spell caster who i will always pray to live long to help his children in the time of trouble, if you are here and you need your Ex back or your husband moved to another woman, do not cry anymore, contact this powerful spell caster now. Here’s his contact: Email him at: Drajayi1990@gmail.com You can also Whatsapp him on +2347084887094,THANKS TO Dr AJAYI.

Carol Kyn said...

I'm super excited! I finally got rid of my HSV-1. I got diagnosed of herpes  from my husband who never told me he had the virus. I got tested at first when i first had the virus and i My doctors prescribed Antiviral medicine for me which really helped me a lot in suppressing the virus. I finally got cured using herbal protocol ordered from Dr Onokun an African herbalist. I used his Products and it completely fought the virus and was tested negative. You can DM the herbalist for help if needed. via email  Dronokunherbalcure@gmail.com His medicine is 100% strong and active in eliminated herpes permanently. I can 't explain my feelings right now. I'm supper excited.

joy nelson said...

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 for it, I have read about DR OKOSUN the great herbalist doctor who cure me from herpes with his powerful herbal medicine. i contacted him to know how he can help me and he told me never to worry
that he will help me with the natural herbs from God!
after 2 days of contacting him, he told me that the cure has been ready and
he sent it to me via UPS SPEED POST and it got to me after 3 days!
i used the medicine as he instructed me (MORNING and EVENING) and i was
cured!
its really like a dream but i am so happy! for the people suffering from the following diseases, Cancer, hypothyroidism, Herpes, COPD, HIV, Arthritis, Hpv, Infections,Liver Disease, Autoimmune Diseases, Parkinson's disease,Lupus and more should contact him for his herbal medicine because i am a living testimony and i was cured of herpes and his medicine is legit. i sent him what he requested and he sent me his medicine which i took for 3 good weeks and today am out here with negative result. when i went for test i was so happy after going through his medication. you can reach him through his email drokosun55@gmail.com or  whatsapp number:+2348124363791  

joy nelson said...

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 for it, I have read about DR OKOSUN the great herbalist doctor who cure me from herpes with his powerful herbal medicine. i contacted him to know how he can help me and he told me never to worry
that he will help me with the natural herbs from God!
after 2 days of contacting him, he told me that the cure has been ready and
he sent it to me via UPS SPEED POST and it got to me after 3 days!
i used the medicine as he instructed me (MORNING and EVENING) and i was
cured!
its really like a dream but i am so happy! for the people suffering from the following diseases, Cancer, hypothyroidism, Herpes, COPD, HIV, Arthritis, Hpv, Infections,Liver Disease, Autoimmune Diseases, Parkinson's disease,Lupus and more should contact him for his herbal medicine because i am a living testimony and i was cured of herpes and his medicine is legit. i sent him what he requested and he sent me his medicine which i took for 3 good weeks and today am out here with negative result. when i went for test i was so happy after going through his medication. you can reach him through his email drokosun55@gmail.com or  whatsapp number:+2348124363791  

Angelina Keffi said...

There is a safe & effective Natural Herbal Medicine. For Total Cure Call    +2349010754824,  or email him   drrealakhigbe@gmail.com       For an Appointment with (Dr.) AKHIGBE contact him. Treatment with Natural Herbal Cure. For: Painful or Irregular Menstruation. HIV/Aids. Diabetics. Vaginal Infections. Vaginal Discharge. Itching Of the Private Part. Breast Infection. Discharge from Breast. Breast Pain & Itching. Lower Abdominal Pain. No Periods or Periods Suddenly Stop. Women Sexual Problems. High Blood Pressure Chronic Disease. Pain during Sex inside the Pelvis. Pain during Urination. Pelvic Inflammatory Disease, (PID). Dripping Of Sperm from the Vagina As Well As for Low sperm count. Parkinson disease. Lupus.  Cancer.  Tuberculosis.  Zero sperm count.  Asthma.  Quick Ejaculation. Gallstone,  Premature Ejaculation. Herpes. Joint Pain. Stroke. Weak Erection.  Erysipelas, Thyroid, Discharge from Penis. HPV.  Hepatitis A and B. STD. Staphylococcus + Gonorrhea + Syphilis. Heart Disease.  Pile-Hemorrhoid.rheumatism, thyroid, Autism, Penis enlargement,  Waist & Back Pain.  Male Infertility and Female Infertility. Etc. Take Action Now. contact him & Order for your Natural Herbal Medicine:  +2349010754824  and email him    drrealakhigbe@gmail.com    Note For an Appointment with (Dr.) AKHIGBE.I suffered in Cancer for a year and three months dieing in pain and full of heart break. One day I was searching through the internet and I came across a testimony herpes cure by doctor Akhigbe. So I contact him to try my luck, we talk and he send me the medicine through courier service and with instructions on how to be drinking it.To my greatest surprise drinking the herbal medicine within three weeks I got the changes and I was cure totally. I don't really know how it happen but there is power in Dr Akhigbe herbal medicine. He is a good herbalist doctor.

Felix Lina said...

My husband was diagnosed with early onset Parkinson's disease at 68. His symptoms were shuffling of feet, slurred speech, low volume speech, degradation of hand writing, horrible driving skills, right arm held at 45 degree angle. Things were tough for me, I too was diagnosed of COPD but now we both finally free from these diseases with the help of total cure herbal foundation, He now walks properly and all symptoms has reversed. He had trouble with balance especially at night, getting into the shower and exiting it is difficult. Getting into bed is also another thing he finds impossible. We had to find a better solution for his condition which has really helped him a lot,The biggest helped we had was totalcureherbsfoundation. com They walked us through the proper steps, im highly recommending this herbal formula to anyone who needs help.

Amanda Richard said...

Thanks to Dr. Iyabiye who cured me of Hepatitis B with his herbal medicine, I fell sick September 2019 with symptoms like: ribs pain, dark urine, headache and lost of appetite. I when to hospital and discovered that it was chronic hepatitis. I was given some antiviral drugs to slow it down the viral load so that my liver will not be damaged, but the drugs wasn’t working after sometime and my stomach stated swollen. I came arose his recommendation online while I was searching for help hence the hospital couldn’t help anymore, he administer his medication on me and I was cured after taken the medication. If interested reach him through: iyabiyehealinghome@gmail.com phone +234-815-857-7300

Unknown said...


I was cured of herpes simplex virus 1 & 2 and Hepatitis-b by a great herbal doctor called Dr Lucky with the use of different combination of Africa herbs. it is still like a dream to me. There is no word suitable enough to qualify your significant in my life dear doctor. You can contact him via drluckyherbalclinic2@gmail.com, My little way to appreciate you doctor is to advertise your great work and that is exactly what i am doing now ...Whatsapp phone number +22378760009

Unknown said...


I was cured of herpes simplex virus 1 & 2 and Hepatitis-b by a great herbal doctor called Dr Lucky with the use of different combination of Africa herbs. it is still like a dream to me. There is no word suitable enough to qualify your significant in my life dear doctor. You can contact him via drluckyherbalclinic2@gmail.com, My little way to appreciate you doctor is to advertise your great work and that is exactly what i am doing now ...Whatsapp phone number +22378760009

Ivanna Santino said...

 I'm 59 years old and female. I was diagnosed a couple of years ago with COPD and I was beyond scared! My lung function test indicated 49% capacity. After having had flu a year ago, the shortness of breath, coughing and chest pains continued even after being treated with antibiotics. I've been smoking two packs a day for 36 years. Being born without a sternum caused my ribs to be curled in just one inch away from my spine, resulting to underdeveloped lungs. At age 34 I had surgery and it was fixed. Unfortunately my smoking just caused more damage to my already under developed lungs. The problem was having is that I enjoy smoking and don't want to give up! Have tried twice before and nearly went crazy and don't want to go through that again. I saw the fear in my husband and children's eyes when I told them about my condition then they start to find solution on their own to help my condition.I am an 59 now who was diagnose COPD emphysema which I know was from my years of smoking. I started smoking in school when smoking was socially acceptable. I remember when smoking was permitted in hospitals. It was not known then how dangerous cigarettes were for us, and it seemed everybody smoked but i was able to get rid of my COPD lung condition through the help of total cure herbal foundation my husband bought, totalcureherbsfoundation .c om has the right herbal formula to help you get rid and repair any lung conditions and cure you totally with their natural organic herbs,it class products at affordable prices because how awful it is with this lung dictions . I wish anybody who starts smoking at a young age would realize what will eventually happen to their bodies if they continue that vile habit throughout their life, certainly total cure herbs is the formula to get over Chronic Obstructive Pulmonary Disease.

Anonymous said...

MY TESTIMONY ABOUT HOW DR IMOLOA HERBAL CREAM ENLARGE MY PENIS FROM 4 INCHES TO 8 INCHES

Hello everyone here i want to share a marvelous testimony oh how Dr Imoloa HERBAL MIXTURE CREAM saved me from shame and disgrace .So Many Women Today Cheat On Their Husband All Because Of The Poor Performance Of Their Husband In Bed,I Have Come To Know That Women Love Men Who Last Long In Bed And Also Has That Big Dick That Can Make Them Scream And Also Make Them Rich Their Climax,Women Truly Love Good Sex. I Have Been Passing True Sexual Problems For The Past Six Years Now All Because Of The Size Of My Penis And My Poor Performance In Bed I Caught My Wife With A Man On Our Matrimonial Bed I Was Heart Broken And Confused When I Asked Her Why She Did All What She Did She Told Me I Was Not Good In Bed That I Can Not Satisfy Her That She Needs A Man Who Can Satisfy Her That Was How She Broke Up With Me At That Moment. I Told My Self I Was Never Going To Have Any Thing To Do With Any Woman Again I Started Going To The Club Sleeping Around With Different Girls at a Point I Got Tired Of Living That Kind Of Life Because That Was Never Part Of Me I Was On Line Last Month When I Came Across so many testimonies On   Dr imoloa, How He Made their Sex Life Come Back To Life And That He Had Giving Them The Real Size Of Penis A Man  Suppose To Have I Got Interested And I Contacted Him At Once Luckily For Me He Was Online After About 30 Minutes He Replied Me And Then He Told Me Every Thing I Needed To Do After Every Thing He Sent Me A herbal cream Package True The DHL courier  Service Which I Received The Next three Days And Then I Started Using Them As Instructed By Him After About 2 Weeks I Started Seeing My Penis Got to 8 inches And i Felt So Many Changes Inside Of Me And Today I Am Happily Married With 2 kids And Last Up more than 1 Hour On Bed and can go up to 10 rounds with my wife All Thanks To Dr imoloa For Making Me Feel Like A Man Once Again.note he also have cure for..PENIS ENLARGEMENT, BREAST ENLARGEMENT, DIABETES 1/2,HIV/AIDS,HERPES,CANCER,PREMATURE EJACULATION,WEAK ERECTION,ERECTILE DYSFUNCTION ,LOW SPERM COUNT PREGNANCY HERBAL MEDICINE HIGH BLOOD PRESSURE LOW SPERM COUNT LYME DISEASE many more..  Contact Via drimolaherbalmademedicine@gmail.com or  whatssapp--+2347081986098

Tamara Barrow said...

My Name is Faith, and am really grateful and thankful for what Dr voodoo
has done for me and my family. I Was having HIV/AIDS for good three years
with no solution, the diseases almost took my life and cause I was unable
to work and I was also loosing lots of money for medication, but one
faithful day when I went online, I met lots of testimonies about this great
man so I decided to give it a try and to God be the glory he did it. he
cured me of my diseases and am so happy and so pleased to Write about him
today. if you need his help of you also want to get cured just the way I
got mine, add Dr voodoo on whatsApp: +2348140120719 or just contact Dr
voodoo via email, voodoospelltemple66@gmail.com



Hello viewers I am glad to have met with the powerful herbal healer called
Dr voodoo who use his herbs to cure my HIV disease I suffered from 15years,
but now I am a happy woman and i am free from this sickness 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, the
scientist said has no cure, Email him : voodoospelltemple66@gmail.com or
add Dr voodoo on whatsApp: +2348140120719

Unknown said...

want to appreciate Dr Ehizele for using his herbal medicine to cure my family herpes virus,since 3years ago my family have been having this herpes disease and it have been giving my family challenges,we were so perplexed cause my family have taken several drugs to be cure but every of our effort was in-vain,a fateful morning i was browsing through the internet then i saw several testimonies about Dr.Ehizele curing people of their herpes disease immediately i contacted Dr Ehizele on his email: ehizeleherbalhome@gmail.com}, told him about my family troubles and he told me that my family must be cure,so he prepare a herbal medicine for my family which we use for 2 weeks and everything was like a dream for my family,my family herpes disease was totally gone. he an also cure the following, High/low blood pressure, HSV, 1,2 and 3, Diabetes, Cancer, Asthma Unable to get pregnant, heart problem, bad breath etc. why don't you contact him today and be free from your diseases on email, ehizeleherbalhome@gmail.com or whatsapp him on +2347089384319

Crystal Joseph said...

God have always been goog to me. I can never appreciate Tokubo enough for helping me because I never thought that i will ever have a normal life again thinking I'll never get out of this hiv virus in my whole life but i was wrong. My story goes thus: I found dr tokubo contact in a post i followed online, I copied the email and contacted him because i read about how he cure a man of hiv and that he have herbal remedy for cancer, yeast infection,HIV, Herpes e.t.c. I told him all he needed to know about my hiv status and he told me to relax and stay calm that he will help me by sending his medicine to me via courier delivery and he did as he promised. I received my healing within 10 days of using his herbal remedy. my lost joy came back alive as there is no more HIV, no symptoms, no fear of transmitting the virus to my love ones. Now I'm in a relationship and my sex life is awesome. All these happened last month ago and I decided to keep silent because I wanted to be sure of the healing. Now I'm saying this because I have undergone series of medical check up and all results came out negative. At first i thought it was just a joke until i tried it out and it worked perfectly well. The doctor never asked me to talk about him but I see it as my little way of showing other people out there need his herbal medicine to be cured. You can reach dr tokubo via his email at: drtokubotemple@gmail.com or you can whatsapp him on: +2349037990322

Jessica Morgan said...

Good news this is to everyone out there with different health challenges, as I know there are still a lot of people suffering from different health issues and are therefore looking for solutions. I bring you Good news. There is a man called Dr ehiaguna a herbal practitioner who helped cure me from HSV (2), i had suffered from this diseases for the past 5 years and i have spent so much money trying to survive from it. I got my healing by taking the herbal medicine Dr ehiaguna sent to me to drink for about 14 days . 3 days after completion of the dosage, I went for a medical checkup and I was tested free from HSV. all thanks to God for leading me to Dr ehiaguna who was able to cure me completely from this deadly diseases, I’m sharing this so that other people can know of this great healer called Dr ehiaguna because I got to know him through elizabeth who he cured from HIV. I was made to understand that he can cure several other deadly diseases and infections. Don’t die in ignorance or silent and don’t let that illness take your life. Contact Dr ehiaguna through his emaildrehiaguna@gmail.com You can also whatsapp/call him on:+2348073908953 .He cure all forms of disease {1}HIV/AIDS {2}DIABETES {3}EPILEPSY {4} BLOOD CANCER {5} HPV {6} BRAIN TUMOR {7} HEPATITIS {8}COPD{9} SICKLE AND ANAEMIA.etc Be kind enough to share as you received.  

Anonymous said...

Now a day men have many problems during intercourse. Male Infertility Doctor in Dubai gives you the best tips in different articles.

Sushanth said...

Hey,
I noticed your Article. I just loved it.
Dr. Ankireddy’s clinic treats Chronic, deep-seated health problems from cold to cancer, an autoimmune disorder with his own approach. Here we provide the homeopathy doctors in hyderabad that works with your body to restore overall balance – relieving symptoms and promoting long-term good health.
Cheers,
Sushanth

Tamara Barrow said...

MY DAUGHTER CANCER HEALING TESTIMONEY

Hi everyone, this is good news, a perfect and greats one. My daughter of
17years who has suffered of Colon Cancer Stage for 2 and half years has been
cure by a Herbal doctor called Dr voodoo, who uses herbal and traditional
medicine to cure people. I have spent so much on my daughter's health for
years but no improvement. A friend told me about this herbal man who cure
people with herbal medicine. he cures all sickness, diseases, viruses, and
infections with his different herbal curing medicine.The result that
declares my daughter janet healed was from a hospital here in USA, And the
results of the test says my daughter was okay. Dr voodoo directed that
janet would be heal in 7days if she uses the medicine as directed. And
7days later, we went to confirm from the central hospital and several test
that was done says my daughter is not sick or anything. So she was cured by
this herbal doctor in 7days. This amaze me though. I would advice everyone
to meet this Dr voodoo his email is voodoospelltemple66@gmail.com
for his herbal medicine to cure your illness because am happy to see my
daughter healthy again.Meet Dr voodoo and set yourself and your love ones
will free you can also add Dr voodoo on whatsApp +2348140120719

clifford john said...

My name is Clifford John from USA taxes, I want to share a testimony of how Dr_Ogodo1 herbal mixture cream saves me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing,and i was also having weak erection problem. I can't make love to my wife and my penis was just too small a full grown man like me having 4 inches penis and to worsen it i don't last in sex i can't even last two minutes it was really a thing of shame to me. My wife was really tired of me because my sex life was very poor,she never enjoyed sex,i was always thinking and searching for solutions everywhere until when i saw a testimony of how Dr_Ogodo1 herbal mixture cream have been helping people regarding their sex life, so i decided to give him a try and to my greatest surprise in less than one week of taking the herbs my penis grow to 8 inches i couldn't believe my eyes and as i speak now my penis is now 8 inches and i do not have week erection again. I can make love to my wife longer in bed. And my marriage is now stable,my wife now enjoy me very well in bed.
* He can also bring back your Ex
*Love spell
* Herpes virus diseases
*Diabetes
*Aid virus
*STD/HSV
*Cancer/typhoid E.t.c you contact him through the mail. Ogodoherbalhomesolution@gmail.com
You can also WhatsApp him on +2349044680467

Brad Crawford said...

After years of working in construction and smoking cigarettes,I was diagnosed with COPD and pulmonary fibrosis. As my illness progressed, I found myself  relying on supplemental oxygen around the clock. Even getting out of bed became a challenge.My doctors and specialists recommended a lung transplant, but after researching the pros and cons of such a drastic procedure, I decided to try something less invasive. I contacted multivitamin herbal cure cape town for organic natural treatment you can search for them on google. Following the COPD and pulmonary fibrosis herbal treatment procedure , my lung function has improved dramatically after my first four weeks of the herbal formula .My quality of life has gotten a lot better. I was amazed that I could breathe without any dead air. I no longer need oxygen and look forward to continued improvement because a specialist told me already I have a 97% chance of getting my condition totally due to the herbal treatment effectiveness . If you or someone you love has COPD, pulmonary fibrosis or another chronic lung disease, and would like to see improvements like mine they even guarantee me totally cure once the treatment is done , their website multivitamincare org Call (or SMS) them : +1 (786) 544-5148 they will put you through on the herbal process .

Brad Crawford said...

After years of working in construction and smoking cigarettes,I was diagnosed with COPD and pulmonary fibrosis, i started on COPD/IPF Herbal formula treatment from multivitamin herbal cure, the treatment worked incredibly for my lungs condition. I used the herbal treatment for over 7 weeks, it reversed my chronic obstructive pulmonary disease. My severe shortness of breath, dry cough, low energy, fatigue, chest tightness and others gradually disappeared. Visit multivitamin herbal cure official web page multivitamincare . org This COPD and pulmonary fibrosis treatment has improved the quality of my life greatly, i breath much better and It feels comfortable!

Tamara Barrow said...

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

Tamara Barrow said...

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

Tamara Barrow said...

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

Anonymous said...

I had my TL a little more than a year ago when my third child was born via c-section. I was not told ANYTHING about the possible side effects of having this procedure. Since then I have experienced heavy bleeding lasting sometimes 3 weeks out of the month, weight gain, severe mood swings. Severe cramping, changes to my libido, severe depression accompanied by suicidal thoughts, headaches, migraines, many new symptoms & older issues are now exacerbated. The father of two of my children doesn't want me anymore. I've become too much of a pain in the ass I guess. We don't talk. We don't sleep in the same bed. I think he might really think I am crazy... & maybe I am. I feel crazy a lot of the time.
I'm unpredictable. I feel so angry about the whole thing & now what was once a mild fear of doctors has exploded into full on white coat syndrome that causes me to have a panic attack/hypertensive emergency (severe increase in blood pressure) whenever I have to deal with them. I'm not sure what to do... I fear the next time I have to see a doctor I'll have a stroke or a heart attack from the stress & anxiety of it... what do I do? I take my time and keep searching on internet looking for natural healing that how I came across Dr Itua herbal center website and I was so excited when Dr Itua told me to calm down that he will help me with his natural remedy I put my hope on him so I purchase his herbal medicines which was shipped to my address I used it as prescribed guess what? I'm totally healed my cramp pain is gone completely I also used his Anti Bacteria herbal medicines it's works for me very well I want anyone with health problem to contact Dr Itua herbal center for any kind diseases remedies such as Parkinson, Herpes, ALS, MS, Diabetes, Hepatitis, Hiv/Aids,Cancers, Men & Women Infertility, I got his email address  drituaherbalcenter@gmail.com he has any kind of herbal remedies for women & men also for our babes. I really miss my Hunni...he's a fantastic father & a good man. He doesn't deserve this. I feel like an empty shell of who I used to be.

Anonymous said...

I had my TL a little more than a year ago when my third child was born via c-section. I was not told ANYTHING about the possible side effects of having this procedure. Since then I have experienced heavy bleeding lasting sometimes 3 weeks out of the month, weight gain, severe mood swings. Severe cramping, changes to my libido, severe depression accompanied by suicidal thoughts, headaches, migraines, many new symptoms & older issues are now exacerbated. The father of two of my children doesn't want me anymore. I've become too much of a pain in the ass I guess. We don't talk. We don't sleep in the same bed. I think he might really think I am crazy... & maybe I am. I feel crazy a lot of the time.
I'm unpredictable. I feel so angry about the whole thing & now what was once a mild fear of doctors has exploded into full on white coat syndrome that causes me to have a panic attack/hypertensive emergency (severe increase in blood pressure) whenever I have to deal with them. I'm not sure what to do... I fear the next time I have to see a doctor I'll have a stroke or a heart attack from the stress & anxiety of it... what do I do? I take my time and keep searching on internet looking for natural healing that how I came across Dr Itua herbal center website and I was so excited when Dr Itua told me to calm down that he will help me with his natural remedy I put my hope on him so I purchase his herbal medicines which was shipped to my address I used it as prescribed guess what? I'm totally healed my cramp pain is gone completely I also used his Anti Bacteria herbal medicines it's works for me very well I want anyone with health problem to contact Dr Itua herbal center for any kind diseases remedies such as Parkinson, Herpes, ALS, MS, Diabetes, Hepatitis, Hiv/Aids,Cancers, Men & Women Infertility, I got his email address  drituaherbalcenter@gmail.com he has any kind of herbal remedies for women & men also for our babes. I really miss my Hunni...he's a fantastic father & a good man. He doesn't deserve this. I feel like an empty shell of who I used to be.

Tamara Barrow said...

The doctors said Herpes virus do not have medical cure because the virus is capable of hiding within the human cells, it remains protected from your immune system. Herpes isn’t a special virus – your immune system has the tools to fight it back. But because it is able to lay dormant in protected cells, your immune system is unable to remove it from your body,But with strong reactive herbal medication is capable of getting rid of the virus gradually and totally from your body without damaging any of your cells,natural herbs kills the virus totally not just reducing the out break. Get natural herbs cure Email DR. VOODOO at voodoospelltemple66@gmail.com Add Dr voodoo on whatsApp +2348140120719

DR KABAKA SPIRITUAL TEMPLE OF ALL PROBLEMS said...




I saw a marvelous testimony of this powerful and great spell caster called DR.KABAKA on the forum..I never believed it, because I never heard nor learnt anything about magic before.. Not a soul would have been able to influence me about magical spells, not until DR.KABAKA S did it for me and restored my marriage of 8 years back to me and brought my spouse back to me in the same 48hours just as I have read on the internet..I was truly astonished and shocked when my husband knelt down begging for forgiveness and for me to accept him back.. I am really short of expressions, and I don't know how much to convey my appreciation to you DR.KABAKA, you are a God sent to me and my entire family.. Here is his website: His Email:drkabakaspiritualtemple@gmail.com call or
whatsapp him +2349015857861. https://drkabakaspiritualtemple.blogspot.com/

Florence said...


I started on COPD Herbal treatment from Ultimate Health Home, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Health Home via their website www.ultimatelifeclinic.com . I can breath much better and It feels comfortable!

Florence said...


I started on COPD Herbal treatment from Ultimate Health Home, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Health Home via their website www.ultimatelifeclinic.com . I can breath much better and It feels comfortable!

MATINA said...


I started on COPD Herbal treatment from Ultimate Life Clinic, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Life Clinic via their website www.ultimatelifeclinic.com . I can breath much better and It feels comfortable!

OLIVIA BOLTON said...



This testimony is worth sharing to the world. I am here to tell the world of the good works of Dr BALBOSA. My name is Olivia Bolton am from the UK.. My man left me and my kids for another older woman. It was not so easy for me.. I love my husband so much and I did not lose hope and I kept praying and God finally answered my prayers...i searched online for a spell caster to help me unite me and my lover back forever and i saw so many testimonies of how DR BALBOSA has helped so many people online and i decided to give him a trial … I contacted him and explained to him. He told me not to worry that he will bring back my man within 24 hours. He consulted his powers and assured me not to worry . He did his work and cast the spell and to my greatest surprise, my husband came back the same day begging and crying just as Dr BALBOSA said. He begged me for forgiveness and he promised never to leave me for any reason. We are happy and we live together as one. Contact Dr BALBOSA now and be happy forever. dont lose hope and good luck..

WHATSAPP AND CALL: +1(206) 485-3691
WEBSITE: https://balbosasolutionhome.com
EMAIL: balbosasolutionhome@gmail.com

Florence said...

I started on COPD Herbal treatment from Ultimate Life Clinic, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Life Clinic via their website at www.ultimatelifeclinic.com I can breath much better and It feels comfortable!

mary johnson said...

I Was Diagnosed With type 1&2 Herpes Virus Last year, And I Was Looking For Solution To Be Cured Luckily I Saw Testimonies On How Dr Oso Cure Herpes Virus I Decided To Contact Dr Oso I Contacted Him He Prepared A Herbal Medicine Portion And Sent It To Me, I Started using the medication For My Health. He Gave Me Step By Step Instructions On How To Apply It, When I Applied It As Instructed, I Was Cured Of These Deadly Herpes Within 2 weeks, I Am Now Herpes Negative. My Brother And Sister I Know There Are So Many People That Have The Same Herpes Virus Please contact Dr Oso To Help You Too, And Help Me To Thank Dr Oso For Cure Me, I’m Cured By Dr. Oso Herbal Medicine, His Contact Email: drosohaberhome@gmail.com

Florence said...

I started on COPD Herbal treatment from Ultimate Life Clinic, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Life Clinic via their website at www.ultimatelifeclinic.com . I can breath much better and It feels comfortable!



Tamara Barrow said...

The doctors said Herpes virus do not have medical cure because the virus is capable of hiding within the human cells, it remains protected from your immune system. Herpes isn’t a special virus – your immune system has the tools to fight it back. But because it is able to lay dormant in protected cells, your immune system is unable to remove it from your body,But with strong reactive herbal medication is capable of getting rid of the virus gradually and totally from your body without damaging any of your cells,natural herbs kills the virus totally not just reducing the out break. Get natural herbs cure Email DR. VOODOO at voodoospelltemple66@gmail.com Add Dr voodoo on whatsApp +2348140120719

Gehard said...

Experience report on herpes treatment
I have been diagnosed with genital herpes for 2 years and am looking for a cure. I read a testimony on this platform from a woman who was cured of diabetes with Doctor Ahmed Usman Herbal Medicine, including the doctor's official email address. I contacted the doctor through his email, after much discussion and some questions he prepared herbal medicine and asked for my address. 3 days later, I received the herbal medicine and with his prescription, I drank the herbal medicine for 21 days. After I finished herbal medicine, I went for a test and my IgG result was confirmed negative with no virus found in my blood. Contact Doctor Ahmed and let yourself be cured. email him at; drahmedusman5104 @ gmail. com or send him a WhatsApp SMS +14436204203. He has herbal remedies for diabetes, hepatitis

john said...

Having herpes is not the end of life there many treatment to cure herpes infection with the help of Dr Iyoha herbal product. I was positive to the deadly virus called HERPES and i lost hope because i was out casted and rejected even by my closet friends. i searched on-line to know and enquirer about cure for HERPES and i read someone testimony on how he was cured from HSV-2 so i decided to contact the same herbalist Call Dr Iyoha because i know that nature has the power to heal everything. i contacted him to know how he can help me and he told me never to worry that he will help me with the natural herbs from God! after 3 days of contacting him, he told me that the cure has been ready and he sent it to me via UPS SPEED POST and it got to me after 3 working days! i used the medicine as he instructed me (MORNING and EVENING) and i was cured! its really like a dream but i am so happy! thats the reason i decided to also add more comment of Him so that more can be saved just like me! and if you need his help, you can email him on dr.iyohasolutiontemple@yahoo.com or WhatsApp him now +1(857) 228-8347 or call +1 407 337 9869

Gomez Lila said...

I grew up with asthma; I suffered sinus and respiratory infections my entire life. I started smoking at 16. When I was in my early 40s, my asthma was becoming increasingly worse. I was diagnosed with COPD at age 47. I am now 55. I quit smoking four years ago. The disease does not improve. My good days were far, i was scared that i wont survive it but i was so lucky to receive a herbal products from my step father who bought it while coming from South Africa for Rugby league, this herbal remedies saved me from this disease, at first it helps fight the symptoms of diseases and i was seeing good outcome, i had to use it for 13 weeks just as they Dr was prescribed and i was totally cure of asthma and COPD, (multivitamincare org ) do not hesitate to purchase from them they deliver across worldwide.

Tamara Barrow said...

Getting rib of Herpes virus wasn't easy, I came across Dr voodoo on how he
has cured so many people from herpes and other illness so I decided to give
him a try, now am permanently cured using the natural herbs medication and
cleansing supplement sent by Dr voodoo no more herpes, contact Dr voodoo
WhatsApp number +2348140120719 also e-mail him at:
voodoospelltemple66@gmail.com

Jame Monalisa said...

Good day everyone. Am testifying of the miraculous work of a great traditional doctor called Dr Kpudu. I have been suffering from HPV since last 2 years but today I am happy that am cured from it with the herbal medicine made by Dr kpudu the great herbal doctor, I was browsing the Internet searching for help when I came across a testimony shared by someone on how Dr kpudu cured her from HPV Disease. I quickly contacted him to get the cure and today I am now free from the Virus, you can contact him too and he's going to help you as well Email: drkpudu.herbalhome@gmail.com or What's app: +2348050406865. Dr kpudu also has remedies for other illnesses such as COLD ARRIVALS, PEMPHIGUS, HIV / AIDS, DIABETES, CANCER, HIGH BLOOD PRESSURE AND MANY MORE.

Becky D said...

I was diagnosed with severe COPD and emphysema at 48. I had LVRS (lung volume reduction surgery) a year later, which I am forever grateful for because it actually led me to www .multivitamincare .org . I have read some of their stories online before using their natural herbal formula. I had a very hard time breathing then, and even more so at night, it was so bad I couldn't sleep. I get up with a tight chest that feels blocked and can’t breathe well at all,I was excused from normal life responsibilities but natural herbs from multivitamincare org really helped a but sometimes I think is God prodigy that I was able to treat my Chronic obstructive pulmonary disease but multivitamin care herbal formula has a big impact on my recovery because my heart condition has been fully reversed . They do things for me, and were too happy to comply with their service. This is an equitable way to get off your COPD emphysema .

brent said...

I had Herpes for 9 months they all tell me there was no cure for me I have go to different hospital I always have same news, I was confused because I feel like ending my life that time thank God I was able to locate Doctor Iyoha who help me I found his email on site how people was writing Good about him I never believe he can really cured me until when I get my test done. I am so happy to tell you this Doctor Iyoha have a herbal cure to Herpes and you can take the medicine according to his instruction you will found out that you will give testimony like me I take his herbal medicine for just 2 week. I am so happy today that I am really free from this sickness here is email him on dr.iyohasolutiontemple@yahoo.com or call : +1 407 337 9869 . you can reach him out now

bella mark said...

I have been suffering from a deadly disease (Hsv) for the past 2 years now, I had spent a lot of money going from one places to another, from churches to churches, hospitals have been my home every day residence. Constant checks up have been my hobby not until this faithful day, I was searching through the internet, I saw a testimony on how Dr Ehimare helped someone in curing his (Hsv) herpes disease, quickly I copied his email which is drehimare3@gmail.com just to give him a test I spoke to him, he asked me to do some certain things which I did, he told me that he is going to provide the herbal cure to me, which he did, then he asked me to go for medical checkup after some days after using the herbal cure, behold I was free from the deadly disease, he only asked me to post the testimony through the whole world, faithfully am doing it now, please brothers and sisters, he is great, I owe him in return. if you are having a similar problem just email him on Drehimare3@gmail.com Or whatsapp him via +1 (267) 691-1087

Unknown said...

Do you need a solution for male infertility like: AZOOSPERMIA, LOW SPERM COUNT, WEAK ERECTION, and PREMATURE EJACULATION? Look no further! Dr. Uduehi has the cure/remedy to any type of male infertility. It’s been 4 months since he cured me of azoospermia and my spouse is currently pregnant for me. I was diagnosed of Non-obstructive azoospermia (NOA), which people believes it’s impossible to be cured or treated. But with Dr Uduehi’s medication, I got cured. I am expecting a baby anytime soon and I was introduced to the doctor by someone whom he treated of low sperm count. So, I deemed it fit to share my experience with the doctor to the general public and to give hope to those who don’t know who to meet for their problems. The doctor’s contact: (uduehiherbalcare@gmail.com) (+2347084878384)

Mark Olivia said...

Hello everyone. Dr Kpudu Herbs is a good remedy for herpes Virus ,I was a carrier of herpes virus and I saw a testimony on how Dr Kpudu cure Herpes virus, I decided to contact him, I contacted him and he guided me. I asked him for solutions and he started the remedies for my health. After he finish he sent me the herbs which i took for 3 weeks before asking me to go for a check up and getting there i could not believe that i was confirm HSV 2 Negative after the test, Today i am so happy because i' m free from herpes disease with the help of Dr Kpudu, Thank God now everything is fine, I'm cured by Dr Kpudu herbal medicine, I'm very thankful to God for making it possible. You can reach him by email, I strongly recommend him to any one out here looking for a cure. Contact Dr Kpudu via email: drkpudu.herbalhome@gmail.com call or whatsApp him on+2348050406865.

DEBORAH HARDWICK said...

I am so grateful to Dr Amber for his miraculous work in my life. I requested for a spell to win the lottery and Dr Amber casted a spell for me and gave me the numbers to play the lottery of which I played and I was declared the winner of Ten Million Dollars. If you need to win the lottery, you can get in touch with him for he's a GOD sent to us all that seeks for solutions to our problems. You can visit his website: amberlottotemple.com

JNECIA MCCLENTON said...

I was diagnosed of herpes 3 years, and ever since then i have been taking treatment to prevent outbreaks, burning and blisters, but there was no improvement until i came across testimonies of Dr. VOODOO on how he has been curing different people from different diseases all over the world, then i contacted him. After our conversation he sent me the medicine which i took according to his instructions for up to 2 weeks. After completing the medication i went back to my doctor for another test and the virus was all gone and i was completely cured, since then i have not had any signs of outbreak. I'm so filled with joy. With herbal medication Herpes Virus is 100% curable. I refer Dr VOODOO to everyone out there with the virus Email: voodoospelltemple66@gmail.com Add Dr voodoo on whatsApp +2348140120719

Danielle Sander said...


I am so delighted to be completely cured of Herpes Simplex Virus 1/2. After having it since March 4th of 2022. I did some online research when I came Across Herbalist Irene Herbal Exploits. I was amazed😊 when I Came across some of his Works And those he has helped, I decided to Contact him For help, Which He Kindly did Wholeheartedly❤❤, I am glad 🥰To be finally healed Of HSV 1/2 through Herbalist Irene Traditional Herbal Mixture☘☘. Email him on : drireneherbalcure@gmail.com
WhatsApp : +2348078793935.

Anonymous said...

Hello everyone out there, I'm here to give my testimony about a herbalist doctor who helped me. I was infected with HERPES SIMPLEX VIRUS in 2011, I went to many hospitals to heal myself but there was no solution, so I was thinking how I can get a solution so that my body can be well. One day I was in the river thinking about where I can go to get a solution. so a lady walked towards me telling me why I'm so sad and I open everything by telling her my problem, she told me she could help me, she introduced me to a doctor who uses herbal medicines to cure the SIMPLEX HERPES VIRUS and gave me your email, so I sent you an email. He told me everything I had to do and also gave me instructions to take, which I followed correctly. Before I knew what was happening after two weeks, the SIMPLEX HERPES VIRUS that was in my body disappeared. therefore, if you also have a broken heart and need help, you can also send an email to {dr.joshuaherbalhome6@gmail.com} or whatsapp him on +2347048515927 Contact him today and he will have a testimony ... Good luck!

Dr. JOSHUA 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)

psychichealersharma said...

I hope you continue to do well. If you're looking for astrology consulting services for book appointments, click here.Astrologer in Toronto

Gary Newman said...



ICC RECOVERY IS YOUR BEST BET:
When it comes to giving credit where credit is due, ICC Recovery is a lifesaver. I mistakenly believed that I was investing my money with a legitimate trading organization, not knowing that I was actually dealing with crafty swindlers who got away with a whopping sum of $650,000 and $1.6 million in BTC and USDT respectively. When I realized this, although frustrated and dejected, I immediately searched for help on social sites and came across ICC Recovery on Google. I read customer reviews and testimonials to understand how it works before contacting them and they turned out to be spot on. The consultation was informative. The ICC team reviewed my case and developed a recovery plan and the stolen assets were recovered within a week. Their work and responses were technically satisfactory. Their efficiency is unmatched. I am grateful and highly recommend ICC to anyone who has lost their wallet passwords or passphrases or been involved in systematic fraud. Please contact ICC Recovery service for timely recovery. Email: ironcladcyber@techie.com, WhatsApp: +16236888815

Timothy said...

Get rid of all kinds of Herpes and virus infections, Diabetes, Hepatitis A B C, Menopause and HIV with Natural Roots and Herbs, i was once infected with HERPES and after using Dr Tunde Herbal Medicine for couple of weeks i couldn’t trace it anymore, i even went for checkup and my test came out Negative. Get your cure today from this wonderful herbalist, Dr Tunde. You can also reach doctor Tunde on Email Address: dr.tundemedicine@outlook.com and skype: dr.tundemedicine@outlook.com

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