Sunday 17 April 2016

Diphallia


Also called Diphallasparatus, penile duplication (PD) or diphallic terata is a rare developmental disorder where a male infant is born with two or more penises. The first reported case was in Bologna; Italy (1609), by Johannes Jacob Wecker, a Swiss female physician and philosopher.

It occurs in 1 out of every 5.5 million males worldwide, and so far only about 100 cases of diphallia have been recorded.

 
Diphallia, Picture credit mamamia.

Diphallia is usually accompanied by other congenital abnormalities like Vertebral (spinal bifida), renal (exstrophy of the bladder, bladder/urethra duplication), hindgut (exstrophy of the cloaca), anorectal (colon and rectosigmoid duplication), skeletal (pubic symphysis diastasis) skeletal muscle abnormalities (ventral hernia) heart muscles abnormalities, etc.

Risk factors/Causes

It is thought diphallia occurs in the fetus between the 23rd to 35th day  (3rd to 6th week) of gestation(pregnancy) when an injury; chemical stress, or malfunctioning “homeobox genes” hamper proper function of the caudal cell mass of the foetal mesoderm as the urogenital sinus separates from the genital tubercle and rectum to form the penis.
The embryologic explanation of diphallia is quite obscure, because at no time during normal development is the genital tubercle a paired structure. Reptiles such as snakes and lizards possess a double penis. Moreover, diphallia could represent a teratoid structure or a form of incomplete twinning. Still, none of these explanations is adequate and the wide spectrum of the anomalies cannot be explained by a single hypothesis.

Signs and symptoms

It is believed that no cases are identical as signs and symptoms vary for each patient. It varies from a small accessory penis or duplication of the glans to complete penile duplication.
Generally, it is characterized with two or more penis, both are situated side by side and has equal size, urine passes through both penis, some patient in one penis only, other patient neither of the penis. Some patient is sterile or incapable to produce semen, but the penis will erect if stimulated.
The duplication may be orthotopic or ectopic. Division of the penis may be sagittal or frontal and symmetric or asymmetric, in shape and size.
The urethra shows a range of variations, from functioning double urethras to complete absence of the urethra in each penis. The majority have a single corpus cavernosum in each organ. The meatus may be normal, hypospadias, or epispadia, and the scrotum may be normal or bifid. The testes are normal, athropic, or undescended.

Types

Various classifications for diphallia exist. One classifies it into four types while a recent classification is into two
Classifying Diphallia into four types:
  • ·         Diphallia of the glans alone,
  • ·         bifid diphallia,
  • ·         Complete diphallia.
  • ·         Pseudodiphallia.

Classifying diphallia into two types (widely accepted):
  • ·         True diphallia; partial duplication or complete duplication.
  • ·         Bifid phallus; partial duplication or complete duplication.

True complete diphallia refers to complete penile duplication, each with two corpora cavernosa (body of the penis) and a corpus spongiosum (spongy tissue surrounding the male urethra within the penis). Here both penises are capable of simultaneous erection and ejaculation.

True Partial diphallia; here the duplicate penis is smaller or rudimentary, it corresponds to the term “pseudodiphallia,”. Here the rudimentary or smaller penis may not be capable of erection and ejaculation)

Bifid phallus; when only one corpus cavernosum (body of the penis) is present in each penis. Normal erection in both penises occurs here).
         Complete bifid phallus; when the degree of separation is complete to the base of the shaft
         Partial bifid phallus; when the separation is just to the glans (Tip/cap of the penis).

Diagnosis

Ultrasound is used to help confirm the diagnosis. It detects the number of corpora cavernosum or corpora spongiosum and their accompanying abnormalities. Improved interpretation of anatomical structures has been made possible with the advent of magnetic resonance. Imaging also help in decision making during treatment.

Treatment

Several factors are considered during the treatment of diphallia, these are; medical, ethical and aesthetic factors.
Treatment of diphallia depends on the type of diphallia and the associated anomalies. During treatment of diphallia, it is necessary to individualise each case and also aim at preserving or achieving erectile function, urinary continence, urinary stream and cosmesis.
Surgical Excision of the duplicated noncommunicating penis is reported in many bodies of literature. Penis reconstruction by joining the corporal bodies in each penis in a patient with true complete diphallia has also been reported in some literatures.

Complications

Congenital defects, sterility, erectile dysfunctions, prostatitis, etc.

Prognosis

Infants born with diphallia and its related conditions have a higher death rate from various infections associated with their more complex renal or colorectal systems.

References

R. Mukunda, P. S. Bendre, R. G. Redkar, and S. Hambarde, “Diphallus with anorectal malformation-case report,” Journal of Pediatric Surgery, vol. 45, no. 3, pp. 632–634, 2010

V. C. Varghese and T. U. Sukumaran, “Penile duplication,” Indian Pediatrics, vol. 41, no. 11, p. 1166, 2004

H. S. Bhat, S. Sukumar, T. B. Nair, and C. S. M. Saheed, “Successful surgical correction of true diphallia, scrotal duplication, and associated hypospadias,” Journal of Pediatric Surgery, vol. 41, no. 10, pp. e13–e14, 2006.

M. M. Aboodi and H. A. Al-Jadeed, “Accessory pseudophallus with accessory pseudoscrotum detected during antenatal sonographic scanning,” Journal of Ultrasound in Medicine, vol. 24, no. 8, pp. 1163–1166, 2005.

A. Mirshemirani, F. Roshanzamir, S. Shayeghi, and L. Mohajerzadeh, “Diphallus with imperforate anus and complete duplication of recto-sigmoid colon and lower urinary tract,” Iran Journal of Pediatric, vol. 20, no. 2, pp. 229–232, 2010

S. Priyadarshi, “Diphallus with ectopic bowel segment: a case report,” Pediatric Surgery International, vol. 21, no. 8, pp. 681–683, 2005.

K. Gyftopoulos, K. P. Wolffenbuttel, and R. J. M. Nijman, “Clinical and embryologic aspects of penile duplication and associated anomalies,” Urology, vol. 60, no. 4, pp. 675–679, 2002.

S. Acimi, “Complete diphallia,” Scandinavian Journal of Urology and Nephrology, vol. 38, no. 5, pp. 446–447, 2004.

M. E. Torres, P. J. C. Sanchez, T. A. Aragon, T. V. Camacho, and G. A. Colorado, “Diphalia,” Revista Mexicana de Urologรญa, vol. 69, no. 1, pp. 32–35, 2009.

Wikipedia “Diphallia” Wikipedia 2016.

M. C. de Oliveira, R. Ramires, J. Soares, A. P. Carvalho, and F. Marcelo, “Surgical treatment of penile duplication,” Journal of Pediatric Urology, vol. 6, no. 3, pp. 257-e1–257-e3, 2010


P. Tirtayasa, R. Prasetyo, and A. Rodjani “Diphallia with Associated Anomalies: A Case Report and Literature Review,” Case Reports in Urology Vol. 2013, Article ID 192960, 2013.

16 comments:

  1. Hello everyone, I want to thank Dr. Ogbeifun on how he saved my daughter’s life from XP. This story might seem strange to many of you but it’s real. My daughter was born with XP disease a rare genetic sickness, which means she had to wear PPE or risk skin cancer extremely easily. The only way she could avoid risking cancer is when the sun goes completely down---so basically at night and her night had to become day. Also when you open up the windows on a sunny day when you are inside, because the sun's rays even from the outside to the inside can still be very dangerous without protection. But despite all those she was still infected by the ultraviolent rays and doctors said she had few months to live. I couldn’t risk losing my daughter so I searched everywhere for a possible cure and browsed the internet till i came across a blog and read about a comment about a doctor from Africa Dr. Azeke and how he helped someone who had XP through his herbal medicine. I doubted at first but I had to give it a try so I contacted him, and told him about my daughter condition and what the doctors said about her, so he said he could help me and his herbal medicine would heal her and told me all I needed to do and sent me his medicine through DHL service. Upon 4 weeks of usage of his drugs, I took her for another test and the doctors was marveled and said she was clean and they found no trace of XP in her DNA. Am really grateful for what Dr. Ogbeifun, did for my daughter. You can also contact him yourself for whatever sickness you may have. email: ogbefunhearlingtemple@gmail.com website https://ogbefunhearlingtem.wixsite.com/spell call or add him on whatsapp +2348102574680

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  2. Hiv disease for the last 3 years and had pain hard to eat and cough are nightmares,especially the first year At this stage, the immune system is severely weakened, and the risk of contracting opportunistic infections is much greater. However, not everyone with HIV will go on to develop AIDS. The earlier you receive treatment, the better your outcome will be.I started taking ARV to avoid early death but I had faith in God that i would be healed someday.As a Hiv patent we are advise to be taking antiretroviral treatments to reduce our chance of transmitting the virus to others , few weeks ago i came on search on the internet if i could get any information on Hiv treatment with herbal medicine, on my search i saw a testimony of someone who has been healed from Hiv her name was Achima Abelard and other Herpes Virus patent Tasha Moore also giving testimony about this same man,Called Dr Itua Herbal Center.I was moved by the testimony and i contacted him by his Email.drituaherbalcenter@gmail.com We chatted and he send me a bottle of herbal medicine I drank it as he instructed me to.After drinking it he ask me to go for a test that how i ended my suffering life of Hiv patent,I'm cured and free of Arv Pills.I'm forever grateful to him Drituaherbalcenter.Here his contact Number +2348149277967...He assure me he can cure the following disease..Hiv,Cancer,Herpes Virus,Epilepsy, fibromyalgia ,ALS,Hepatitis,Copd,Parkinson disease.Diabetes,Fibroid...

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  4. What a great man, a great thanks to Priest Salami the man that bring me out of this sorrow this is the man that can as well help the world, on this diseases I can remember 5 year ago when I was searching for cure, and how I have spent much money and I finally lost hope due to my conduction I have to put my hope on god, lucky to me last week here I was on the internet, check on how many year I can spent on earth then I see a comment about this great man Priest Salami what a lucky day for me and today am giving my testimony about him I have never believe there is cure at all, but this man just want me to give him a try, if he cannot do it I will know his is not Priest Salami that he have been doing this cure for more than many year now I put my hope on him and also my dear god but today am very happy to give this story to you all, it all happen when I was 23 year well because of this disease I can get married and very happy today am now negative I can get married now to my fellow people that is on my shoes this the good way to say bye to this diseases HIV/AIDS contact this man now purenaturalhealer@gmail.com. or whatsapp him +2348105150446 and i pray that he will help you also. All thanks to Priest Salami

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  5. HOW DR AZIBA HELPED ME ENLARGE MY PENIS SIZE FROM 3.5 INCHES TO 11INCHES LONG AND 8.0 GROWTH
    I got married 2 years ago and it just seemed that there was no excitement in my sex life. My dysfunction to perform to the best of my abilities in bed made it harder for my wife and me to have a good time during sex. And i was having the feelings that she may decide to get a divorce one day. I knew something had to be done in order to improve my sex life and to save my marriage because my marriage was already falling apart, so when i was on my Facebook page i came across a story of how Dr Aziba helped him enlarged his penis to 8ins better.so i Immediately copied the Email address of the Dr and explained to him my problem,he gave me some simply instruction which i must follow and i did easily and my friends Today, i am the happiest man on Earth, All Thanks to Dr Aziba for saving my marriage and making me a real man today.i asked him about some popular diseases like HERPES,HIV AIDS,HEPATITIS, DIABETICS, CANCERS, WART, Get Ex back ,etc....... which are affecting most people he said there is no disease without a cure , he has it all...You can as well reach the Dr below for help on your problem, for he has the solution to all...
    Email:[ PRIESTAZIBASOLUTIONCENTER@GMAIL COM ]
    WhatsAPP DR [ +2348100368288 ]





    HOW DR AZIBA HELPED ME ENLARGE MY PENIS SIZE FROM 3.5 INCHES TO 11INCHES LONG AND 8.0 GROWTH
    I got married 2 years ago and it just seemed that there was no excitement in my sex life. My dysfunction to perform to the best of my abilities in bed made it harder for my wife and me to have a good time during sex. And i was having the feelings that she may decide to get a divorce one day. I knew something had to be done in order to improve my sex life and to save my marriage because my marriage was already falling apart, so when i was on my Facebook page i came across a story of how Dr Aziba helped him enlarged his penis to 8ins better.so i Immediately copied the Email address of the Dr and explained to him my problem,he gave me some simply instruction which i must follow and i did easily and my friends Today, i am the happiest man on Earth, All Thanks to Dr Aziba for saving my marriage and making me a real man today.i asked him about some popular diseases like HERPES,HIV AIDS,HEPATITIS, DIABETICS, CANCERS, WART, Get Ex back ,etc....... which are affecting most people he said there is no disease without a cure , he has it all...You can as well reach the Dr below for help on your problem, for he has the solution to all...
    Email:[ PRIESTAZIBASOLUTIONCENTER@GMAIL COM ]
    WhatsAPP DR [ +2348100368288 ]

    ReplyDelete
  6. HOW DR AZIBA HELPED ME ENLARGE MY PENIS SIZE FROM 3.5 INCHES TO 11INCHES LONG AND 8.0 GROWTH
    I got married 2 years ago and it just seemed that there was no excitement in my sex life. My dysfunction to perform to the best of my abilities in bed made it harder for my wife and me to have a good time during sex. And i was having the feelings that she may decide to get a divorce one day. I knew something had to be done in order to improve my sex life and to save my marriage because my marriage was already falling apart, so when i was on my Facebook page i came across a story of how Dr Aziba helped him enlarged his penis to 8ins better.so i Immediately copied the Email address of the Dr and explained to him my problem,he gave me some simply instruction which i must follow and i did easily and my friends Today, i am the happiest man on Earth, All Thanks to Dr Aziba for saving my marriage and making me a real man today.i asked him about some popular diseases like HERPES,HIV AIDS,HEPATITIS, DIABETICS, CANCERS, WART, Get Ex back ,etc....... which are affecting most people he said there is no disease without a cure , he has it all...You can as well reach the Dr below for help on your problem, for he has the solution to all...
    Email:[ PRIESTAZIBASOLUTIONCENTER@GMAIL COM ]
    WhatsAPP DR [ +2348100368288 ]





    HOW DR AZIBA HELPED ME ENLARGE MY PENIS SIZE FROM 3.5 INCHES TO 11INCHES LONG AND 8.0 GROWTH
    I got married 2 years ago and it just seemed that there was no excitement in my sex life. My dysfunction to perform to the best of my abilities in bed made it harder for my wife and me to have a good time during sex. And i was having the feelings that she may decide to get a divorce one day. I knew something had to be done in order to improve my sex life and to save my marriage because my marriage was already falling apart, so when i was on my Facebook page i came across a story of how Dr Aziba helped him enlarged his penis to 8ins better.so i Immediately copied the Email address of the Dr and explained to him my problem,he gave me some simply instruction which i must follow and i did easily and my friends Today, i am the happiest man on Earth, All Thanks to Dr Aziba for saving my marriage and making me a real man today.i asked him about some popular diseases like HERPES,HIV AIDS,HEPATITIS, DIABETICS, CANCERS, WART, Get Ex back ,etc....... which are affecting most people he said there is no disease without a cure , he has it all...You can as well reach the Dr below for help on your problem, for he has the solution to all...
    Email:[ PRIESTAZIBASOLUTIONCENTER@GMAIL COM ]
    WhatsAPP DR [ +2348100368288 ]

    ReplyDelete
  7. Greeting to everybody , my name is Jane Morgan and I'm from Mary Land. Let me share a little on how my HIV got cured . When I stumbled upon a website, while I was looking for cure for my HIV on a forum that I frequently visited, the first thing that I noticed was that most persons there was testifying and thanking Doctor Omon and i went through the write up and i read about how doctor Omon has cure them and first i went into doubt but i have to see what he can do for me with tears in my eyes because i want to be free from this disease i went to doctor Omon by contacting him through his email, after speaking with him about my problem, he assured me that he will help me get this disease out of me that he is only here to help people and smile on their faces. He told me what i will have to do and after going according to doctor Omon instruction and i went back for a medical check up and according to the words he gave to me, doctor Omon really did it for me, now i believe him and i am telling you, if you have been infected either with HERPES, HIV,AIDS, CANCER. i assure you that doctor Omon can cure you. i have seen a testimonies of people and I'm also one of the living testimony. doctor Omon EMAIL IS: caduduspellcaster@gmail.com WhatsApp number +2349076361969

    his website: dromonherbalhome.blogspot.com

    ReplyDelete
  8. Greeting to everybody , my name is Jane Morgan and I'm from Mary Land. Let me share a little on how my HIV got cured . When I stumbled upon a website, while I was looking for cure for my HIV on a forum that I frequently visited, the first thing that I noticed was that most persons there was testifying and thanking Doctor Omon and i went through the write up and i read about how doctor Omon has cure them and first i went into doubt but i have to see what he can do for me with tears in my eyes because i want to be free from this disease i went to doctor Omon by contacting him through his email, after speaking with him about my problem, he assured me that he will help me get this disease out of me that he is only here to help people and smile on their faces. He told me what i will have to do and after going according to doctor Omon instruction and i went back for a medical check up and according to the words he gave to me, doctor Omon really did it for me, now i believe him and i am telling you, if you have been infected either with HERPES, HIV,AIDS, CANCER. i assure you that doctor Omon can cure you. i have seen a testimonies of people and I'm also one of the living testimony. doctor Omon EMAIL IS: caduduspellcaster@gmail.com WhatsApp number +2349076361969

    his website: dromonherbalhome.blogspot.com

    ReplyDelete
  9. How can i ever stop saying thank you to Dr Movo, After taking his product today my sexual life is health and balance am living up to my wife expectation. For the past 11 years i have been struggling with weak erection and premature ejaculation. I have spend money on it but no cure until i took this product from Dr Movo just within few days i got cured. for his products contact him email drmovo.supernaturalherbalmedic@gmail.com or WhatsApp/Call +2347061865209.

    ReplyDelete
  10. ARE YOU AWARE THAT MODERN NATURAL HERBAL MEDICINES OF THIS GENERATION NOW PERMANENTLY CURE DRUG RESISTANT DISEASES LIKE; HSV/HERPES, CANCERS, HIV/AIDS, ERECTILE DISJUNCTION/ IMPOTENCY, DIABETES FOREVER WITHOUT A POSSIBLE COME BACK OR AFTER EFFECTS?
    It wonderfully worked for me;
    At first I was a bit skeptical about this Natural cure for herpes and other similar medicines. Discovering people with similar symptoms who are treated and cured by Dr Utu both on medias and in social medias on daily basis motivated me, so I contacted him for help!
    At first, I was a bit curious about this possible cure, but! I don't want to be left out without giving it a trial, so I contacted him as well.
    Some hours later he replied me, then he asked me some private questions, of which I honestly answered, I told him how I have lived and suffered with this disease and how much I will do anything to get rid of it. He assured me of total cure after taking his herbal medicines. It was even more easier than I expected. Also I never even imagined to get my parcels within five working days, but to my greatest surprise my parcels was brought to my doorstep by the end of the second day. I collected the parcel which I followed all the instructions as he had directed. Just as I was told "four weeks medication " my medicine finished in four weeks exactly. From week one of my medication I started noticing positive change in health. and in week two I could tell much more differences and I was so eager to even testify of life again in me.
    I patiently continue medication till the last bottle which was then week four. I was the first person the next day in the clinic for lab test. Not even a particle of herpes was found in my system when I collected my result. Knowing I'm now herpes negative at this point I proceeded to inform my doctor, he doubted me, that day he gave me a month appointment to be closely monitored. It's my health so I waited more six Months and again i went for 'lab test' in a different clinical lab.
    This time the result was still the same as the previous one. Also since this year I have been living my normal life and am still herpes free no symptoms and even till now no cold sore or outbreak. As a result of this herbal cure in my life and my family at large, I can boast of doctors today who through me, now uses African Traditional Roots and Herbs to TREAT AND CURE patients that are, CANCERS, HERPES, PARALYSIS, and HIV successfully today. Many are still ignorant of this I know.
    Contact Dr Utu directly today on; "drutuherbalcure@gmail.com" to free yourself from emotional stress and become healthy again

    ReplyDelete
  11. I am really happy that i and my husband are cured of (Herpes) with the herbal medicine , we have been suffering from this disease for the past 3 years without solution until i came across the email of this doctors who have cure so many people with his herbal medicine, i also choose to give him a chance to help me and my husband, he told me what to do and i kindly did it, and he gave us his herbal medicine and direct me on how to use it, i also follows his instruction for use and he ask us to go for a check up after 3 weeks and which i did, to my greatest surprise our result came out as negative, we are really happy that there is someone like this Robinson buckler who is ready to help anytime any day. to all the readers and viewers that is doubting this testimony stop doubting it and contact this Robinson buckler and see if he will not actually help you. i am not a stupid woman that i will come out to the public and start saying what someone have not done for me.you can email him through……………. Robinson.buckler @ { yahoo. com }………………………………

    ReplyDelete
  12. I want to share a testimony of how Dr LATIFAH 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 cant 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.latifah 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. can contact maamtifah@gmail.com or call or what-apps him through +27785167256. . .he also specialize on the following things

    BREAST ENLARGEMENT
    BREAST LIFT & REDUCTION
    PENILE/PENIS ENLARGEMENT
    GENERAL BODY SLIMMING
    HIPS & THIGH REDUCTION
    REGAIN VIRGINITY BACK
    Thanks for the Enlarging my penis sir, you indeed save my marriage...I am really grateful sir,

    ReplyDelete
  13. Greetings to every one that is reading this testimony. I had been rejected by my husband after five(5) years of marriage just because another woman had cast a spell on him and he left me with 2 kids to suffer. One day when i was reading through the web, i saw a post on how he help a woman to get back her husband and i gave him a chance he told me that my husband is under spell, he said that he will help me and after 7 days that i will have my husband back. i believed he and today i am glad to let you all know that this spell caster has the power to bring lovers back now my husband is back with after 7 days . he also gave me a financial magic ring to boost my business and removed bad luck. i am now happy with my husband. Thanks you Dr. love please contact him at (lovespelldoctor0@gmail. com)

    ReplyDelete
    Replies
    1. I Want To Appreciate Dr.OYAGU for hs great deeds, I Was Diagnosed With type 2 Herpes Virus Last year,And Was Looking For Solution To Be Cured Luckily I Saw Testimonies On How Dr.OYAGU Cure Herpes Virus I Decided To Contact Dr.OYAGU I Contacted Him He Prepared A Herbal Medicine Portion And Sent It To Me,I Started The Herbal Medicine 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 This Deadly Herpes Within 2 weeks, I Am Now Herpes Negative.My Brother And Sister I No That There Are So Many People That Have There Same Herpes Virus Please contact Dr OYAGU To Help You Too,And Help Me To Thank Dr.OYAGU For Cure Me, I’m Cured By Dr. OYAGU Herbal Medicine,His Contact Email:oyaguherbalhome@gmail.com

      Or Cell Whatsapp Number +2348101755322 thank you

      Delete
  14. My name is hoover, my 18 years 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, 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.  and many more; contact him on email- drimolaherbalmademedicine@gmail.com./ also on  whatssap-+2347081986098.

    ReplyDelete
  15. Very informative, because it compresses most of the information needed and the best solution to Paralysis still remains herbal medicines.
    I became more convinced in herbal medicines because of NZE NJOKU HERBAL HOME.
    I have also contacted Nze Njoku for herbal treatment for my grandfather who had suffered paralysis caused by stroke for eight years.
    My grandfather took herbal medicines from Nze Njoku Herbal Home as he's instructed without any lifestyle change which healed him of paralysis within nine weeks.
    As I write this my grandfather is doing great on his feet and most importantly he has started his business effectively as if nothing happened to him.
    Feel free to contact them on;
    nzenjokuherbalhome@gmail.com

    ReplyDelete