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I,m Sucking at this Disease

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Ulcerative Colitis
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Sassysback
Regular Member
Joined : Dec 2018
Posts : 52
Posted 11/6/2019 12:46 PM (GMT -7)
Okay I have been unable to get into remission for the last few months. Maybe even a year. The thing is...my flares have never really progressed to repeated diarrhea with blood. So what qualifies trying new treatments?
I become constipated, bloated, and then start passing bloody mucus. I never used to have pain, now I do. Now I am tired too. So after trying enemas for 5 days, and cutting out all the bad food, I felt better. Then I started back on salads and raw vegetables. Today, i woke up with these symptoms again, after a week with out using them.
Do I start enemas again? Maybe they don't reach the active disease which was up to 40 cm.
58 yr Female = UC 20+ yrs in remission until Oct 2018.
Left sided Colitis currently active.
3200 mg Asacol daily & Pentasa rentension enemas on and off
Anxiety/Depression : currently Celexa 40 mg

"Living and still learning in this ever challenging journey through life and illness with love and support from those who share"
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canucks101
New Member
Joined : Jun 2019
Posts : 2
Posted 11/6/2019 1:17 PM (GMT -7)
Have you tried the IBD Aid diet? it's really good for colitis - https://www.umassmed.edu/nutrition/ibd/ibdaid/
You eat a mix of prebiotic and probiotic foods.

Maybe a short course of pred might help? 40mg and reduce by 5mg every 7 days stops my flares if i can't control them.

Other supplements to try - turmeric, and full spectrum cbd pills.
Good luck!
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DavidEA
Regular Member
Joined : Aug 2017
Posts : 44
Posted 11/6/2019 3:41 PM (GMT -7)
Hey there,

I'm sorry you feel you're sucking so much. But it's not your fault. The best you can do is continue to advocate for your health which, even by reaching out and writing a blog post, is a lot! I don't know all the specifics of where you're at w/UC but I was in pretty bad shape this year (failed Humira, not super responsive to Inflectra) and then my GI said because my colitis is left-sided and in rectum and sigmoid only, to try the enemas religiously. And she used that word, as in, be committed. And lo and behold, it worked. I got into remission about two weeks of using the Rowasa the best I could.

I see you wrote enemas "on and off". I really committed to them for two weeks, making sure I was doing them right and 90% of the liquid was being held in (I'm on Rowasa), and they really worked. I think one potential issue with patients and enemas is that they are hard to use, hard to administer, hard to hold in, and overall can be super frustrating. So people give up! They think, no way I'm not doing this every night and it's barely working so I'm done. And I think, while every case is different, they might really work for so many people who just became frustrated with them. I might be babbling now but it's a worth a shot to try them again. Rowasa is a liquid in a bottle that reaches a bit further I think. Anyways, good luck. You don't suck. The disease sucks. Keep on healthy living! smile

D
36 yr old man
Diagnosed UC 2006
Currently: Lialda / Imuran / Inflectra
Failed: Humira
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CCinPA
Veteran Member
Joined : Dec 2014
Posts : 1305
Posted 11/6/2019 4:19 PM (GMT -7)
Enemas should be part of your maintenance meds. Use them every day until you are in a sustained remission for several months and then you can slowly ease off. You may have to always use them a few times a week to stay in remission. They are completely safe for long term use and if that's all you need to get and stay in remission you don't stop.

Good luck!
60 yo female diagnosed w/UC to mid transverse 1/1/13, now UC or Crohn's colitis. Remission on Entyvio 10/2016-12/2017 before losing response. Had response to Humira with loading doses in Nov 2018, but then lost response. Current meds: Remicade 3/15/19, Asacol HD 2 Tabs 3x/day, Capozide 1/day (hypertension). Dexilant.
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Sassysback
Regular Member
Joined : Dec 2018
Posts : 52
Posted 11/6/2019 4:53 PM (GMT -7)
David,
DId you stop the enemas completely after two weeks? I have only really had a few short flares in the past 15 years or so. Last year I tried to go off 5 ASA because I thought I didn't need them.
Basically I've been in and out of a mild to moderate flare ever since. Only now, I have more severe pain in the colon and rectum etc. I never really had to adjust my diet either. But now I will make more of an effort on that front.
Thanks for listening...
58 yr Female = UC 20+ yrs in remission until Oct 2018.
Left sided Colitis currently active.
3200 mg Asacol daily & Pentasa rentension enemas on and off
Anxiety/Depression : currently Celexa 40 mg

"Living and still learning in this ever challenging journey through life and illness with love and support from those who share"
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Happier!
Regular Member
Joined : Feb 2014
Posts : 283
Posted 11/6/2019 5:23 PM (GMT -7)
Salad and raw veg is good, but so not worth it.
I’ve learned to like it cooked.
Born in ‘62. Symptoms since October 2012.
Diagnosed January 2014 IBD, Ulcerative Colitis, Pancolitis
Currently: Apriso, Entivio, Valtrex... it varies.

Have tried: Almost every healthfood thing in the world (NO help)
If this could be cured with herbs, vitamins or diet…
Good days, bad days and a lot of sleep.
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TroubledTurds
Veteran Member
Joined : Jan 2004
Posts : 8511
Posted 11/6/2019 5:26 PM (GMT -7)
maybe try both = eating salads and using enemas daily -
dx'd with pancolitis 12/21/03
current supplements:vit D, vit K2, cal/mag - grain free/paleoish diet that includes 100% grass fed beef, raw goat milk, & local organic free range eggs, lots of all natural well water, exercise, sleep as much as possible & enjoy this great life that God has blessed me with !
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DavidEA
Regular Member
Joined : Aug 2017
Posts : 44
Posted 11/6/2019 6:08 PM (GMT -7)
Sassysback,

No I didn't stop after two weeks. I started Rowasa August 1 and have dedicated myself to them every night up to today and will continue to take them. I'm hoping maybe early next year I can ween off but honestly, if that's what keeps me from flaring, I'll do it every night for as long as I need. It's a trade off. I'd rather be uncomfortable for 30 minutes every night than 24/7 every day.

When my doc prescribes, she gives me a month supply at a time and I do them. Depending on what your doc thinks, where your UC is, and if you're currently flaring, I'd try for longer than two weeks for sure.
36 yr old man
Diagnosed UC 2006
Currently: Lialda / Imuran / Inflectra
Failed: Humira
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Uniform Charlie
Veteran Member
Joined : Jul 2015
Posts : 993
Posted 11/6/2019 7:13 PM (GMT -7)
I second what CC said. A week or two is not going to cut it with the enemas. Stay on them a couple of months.
Diagnosed Proctosigmoiditis (UC) 2015
Hiatial Hernia w/ GERD
Current Meds: Lialda 1.2gm 2x daily, duloxetine, rowasa as needed, VSL3 occasionally, One a Day Multi-Vitamin, Curcumin occasionally
Did SCD for about 2 years but lost willpower
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Sara14
Veteran Member
Joined : Mar 2007
Posts : 5581
Posted 11/6/2019 8:38 PM (GMT -7)
Yep, stay on the enemas for months and then slowly taper to every other night for a while. You can also up your Asacol to 4800 mg a day. I was able to manage my UC with only Asacol and Rowasa for years...the good old days... Lol.
35 years old; diagnosed UC March 2007 (couldn't get scope all the way thru).
9-29-16: chronic and active proctosigmoiditis (infectious cause). Battled reoccuring campylobacter & c diff. Oct-Dec 2016. Remission since Dec. 25, 2016 until I started smoking again in 2018 after 9 yrs quit. Maintenance: Delzicol, 6, 2xday; Rowasa nightly. Started Remicade 7/25/19.
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quincy
Elite Member
Joined : May 2003
Posts : 31942
Posted 11/6/2019 10:45 PM (GMT -7)
Ditto....and the extent of how high doesn't matter...
q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Oxeze/Airomir (asthma); Effexor XR 75mg (depression); Rosuvastatin 10mg (cholesterol); Telemesartin 80mg (BP)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care + Genuine Health Advanced Gut Health 50 billion @ bedtime)
~Metamucil capsules 6 @ 2x daily with meals; Vitamin D 4500 IU
~URSO 500mg @ 2x daily for Primary Biliary Cholangitis
~Sjogren's (secondary)...symtomatic treatment
"TREAT (FROM)BOTH ENDS" worth it !!
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AndyRoark
Regular Member
Joined : Aug 2019
Posts : 35
Posted 11/7/2019 5:34 AM (GMT -7)
It's not you. It's the disease.

Call your GI and stay on him until he/she helps. If he/she doesn't, find another one.

My first GI was a hump. All he wanted to do was drive the colonoscopy machine up senior citizens for Medicare payments. Second guy was a genius. And his staff of nurses were top notch. I had a nurse phone line I could call and within a few hours I would hear back from both them, and whatever input he had for me. And they encouraged me to call with any symptom changes because, as he said, "that means your disease is changing and I need to know that".

All doctors are not made equal.
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Sassysback
Regular Member
Joined : Dec 2018
Posts : 52
Posted 11/7/2019 8:57 AM (GMT -7)
Thank you everyone, I just ordered two more weeks of enemas. Guess I will order more! When I use them, I can feel and hear gas and maybe mucus gurgling all over my abdomen. Is this common?
I also started Probiotics but don't know if they help. I have only seen my GI Dr. Twice as he is new to me, so I'm not sure how accessible he is to call for assistance. However, I have an appointment next month and colonoscopy in January booked. I will do the enemas and full dose 5 ASA. At least until that appointment and go from there.
I guess I have to accept that my disease is changing and I must deal and stop feeling sorry for myself.
58 yr Female = UC 20+ yrs in remission until Oct 2018.
Left sided Colitis currently active.
3200 mg Asacol daily & Pentasa rentension enemas on and off
Anxiety/Depression : currently Celexa 40 mg

"Living and still learning in this ever challenging journey through life and illness with love and support from those who share"
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notsosicklygirl
Forum Moderator
Joined : Dec 2008
Posts : 17528
Posted 11/7/2019 9:47 AM (GMT -7)
What does of oral medication are you taking? I think I'd go up to the maximum of that and use enemas daily. The main thing, in my opinion, is that you stop blaming yourself for your disease progression. It's unpredictable, and really, you can't control it. It's unlikely that the salad is at fault. You are undertreated, and you need to find a doctor that will work with you to get you on the right dose of rx to get you in remission. If you have the opportunity, you could request uceris enemas. They are stronger than mesalamine.
Moderator: UC
Currently: no meds 6/15 Step 1 J-pouch Surgery Complete 9/15 Step 2 Complete 11/15 Step 3 Complete
From Sickly to UC Free

Give a man a fish and he will eat for a day; teach a man to fish and he will eat for a lifetime; give a man religion and he will die praying for a fish
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DavidEA
Regular Member
Joined : Aug 2017
Posts : 44
Posted 11/7/2019 1:13 PM (GMT -7)
The gas and gurgling is likely the Rowasa. It's a liquid so it's coating your colon. There's sometimes an urge to poop it out, which would allow relief, but do your best to keep it in--the whole night if possible. Eventually the gurgles with stop as it absorbs into your system.
36 yr old man
Diagnosed UC 2006
Currently: Lialda / Imuran / Inflectra
Failed: Humira
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Sassysback
Regular Member
Joined : Dec 2018
Posts : 52
Posted 11/7/2019 3:27 PM (GMT -7)
I take 6 tabs 5ASA twice a day, equaling 2,400 mg daily. I will up that to 8 again. But that gurgling can happen any time for me. Lol the enemas are Pentassa 100 ml.

I was initially Dx with left sided colitis and patches on the right ascending colon 20 yrs ago. And last Dec they removed a serrated Sessile Polyp from the right side in an area not active.
It was a cell change, not malignant, but My Dr. Wanted to scope again in a year. Now how can a polyp develope in an area not active? And don't polyps take years to develop? Cause I did have a scope less then 2 years before that.
58 yr Female = UC 20+ yrs in remission until Oct 2018.
Left sided Colitis currently active.
3200 mg Asacol daily & Pentasa rentension enemas on and off
Anxiety/Depression : currently Celexa 40 mg

"Living and still learning in this ever challenging journey through life and illness with love and support from those who share"
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Sara14
Veteran Member
Joined : Mar 2007
Posts : 5581
Posted 11/7/2019 4:38 PM (GMT -7)
6 tabs of Asacol twice a day equals 4800 mg.
35 years old; diagnosed UC March 2007 (couldn't get scope all the way thru).
9-29-16: chronic and active proctosigmoiditis (infectious cause). Battled reoccuring campylobacter & c diff. Oct-Dec 2016. Remission since 12/25/16 until I started smoking again in 2018 after 9 yrs quit. Re-quit smoking. Maintenance: Delzicol, 6, 2xday; Rowasa nightly. Started Remicade 7/25/19. 50 mg pred 10/29/19.
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Da-bomberative Coolitis
New Member
Joined : Nov 2019
Posts : 1
Posted 11/7/2019 7:25 PM (GMT -7)
I am similar to you....left-sided, constipated. Had never really gotten into remission save for a few weeks at a time, even on a restricted diet (though the restricted diet took care of most of my more debilitating symptoms). At one point early on, I was taking Mesalamine enemas, but I stopped after about a month because it really didn't seem to be doing anything and I was getting real tired of that being my nightly ritual, and my GI didn't press the issue. Cut to this last summer and a new GI, and she puts me back on the enemas for a minimum of 3 months. I'm actually still on them, though only every other night (in between I still have to take a Mesalamine suppository) mostly because I'm still trying to heal a fissure I've basically had for a year and a half.

But this has been the longest stretch of normal bowel movements (no blood, no mucous) I've had since I was diagnosed. The trick has obviously been sticking with the enemas for the full initial 3 months. I'd say I started to see a noticeable difference after the first two. And I've even had one or two bouts of explosive movements (due to eating some things I shouldn't have) during that time and I've managed to stay steady. So, as others are saying, I would definitely recommend seeing through an enema course for at least a few months. I also went heavy on the Turmeric at her request (like, 2000mg a night).

Of course, I'm a little terrified of both either eventually tapering off the enemas or having to stay on them forever, but right now I'm just happy to be mostly stable.

You might also want to skip raw salad for that duration. Raw salad ruined me when I was flaring.

p.s. You don't suck. UC sucks. It's such a moving target and the fact that both symptoms and remedies are so idiosynchratic REALLY doesn't help things much. You are not alone in that feeling. Be strong! smile
44m; Left-Sided UC; dx 2015 after live liver donation surgery.
Quit smoking just before surgery; gallbladder removed.
Prone to constipation more than diarrhea.
Constant struggle with non-healing fissures.
1.2g Lialda/Mesalamine DR; 2x in morning & evening.
4/1-6/19 1k mg nightly Mesalamine suppository.
4g nightly Mesalamine enema since 6/19.
Status: Since 8/19 consistent remission for first time.
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kweeks
Veteran Member
Joined : Dec 2009
Posts : 526
Posted 11/8/2019 7:59 AM (GMT -7)
Hi there,

You do not suck. We all hate this disease. I have had long remissions as well like you. about a year ago I started to flare mildly. At the time I was only on oral mesalamine which I had been on since dx 15 years ago (wow!).

Anyways, I had been reading on here for a very long time so I knew I had mild symptoms and immediately called in for enemas. I had been on them briefly after the birth of my first child but not consistently and not for any long period of time. I was lucky to spontaneously gain remission after his birth.

So I started the enemas nightly. I did them every night for 4-5 months! I was too scared to stop bc they helped me. I felt fine. Then I went to every other night with suppository in between. That was for at least 1-2 months. Mostly for mental peace of mind. I don’t really think I needed the suppository. At that point I had a scope and was in endoscopic remission. Since then I have tapered to every third night with a suppository on one of the off nights. I am happy to stay here and possibly remove the suppository forever OR I may try to go twice a week enemas on specific days.

My main point is: do the enemas nightly for 3-4 months. Then taper. It is actually totally easy. I have 3 children and do it after they are in bed and right before I go to bed.

I find the morning after enemas I have a softer bm and sometimes the enema nozzle is irritating but that is totally AOK for me. I much rather do this than have simmering symptoms.

I think these will help you if you play the long game.
DX June 2003
Went into immediate remission with oral salofalk (9 pills/day)
Stayed in remission until I began to mildly flare during my first pregnancy (Feb. 2009)
Eventually regained remission.
Mild flare beginning November 2018
Now have three beautiiful children!

CURRENT MEDS:
9 Salofalk each day (5 ASA)
1 Salofalk enema nightly

Mom x 3, wife, teacher, friend
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Sassysback
Regular Member
Joined : Dec 2018
Posts : 52
Posted 11/9/2019 5:46 AM (GMT -7)
Thanks kweeks...
Your story really helps put mine into perspective.

I am 58 and had a complete hysterectomy two years ago. I constantly get hot flashes and memory loss is becoming an issue. I use vaginal suppositories for dryness and pain. But my mind is wondering are these hot flashes or fevers? I started developing more UC symptoms as well since then. Anyone else in my situation?
58 yr Female = UC 20+ yrs in remission until Oct 2018.
Left sided Colitis currently active.
3200 mg Asacol daily & Pentasa rentension enemas on and off
Anxiety/Depression : currently Celexa 40 mg

"Living and still learning in this ever challenging journey through life and illness with love and support from those who share"
profile picture
quincy
Elite Member
Joined : May 2003
Posts : 31942
Posted 11/9/2019 11:51 AM (GMT -7)
Sassy....are you not on an hrt? I had a hysterectomy in 1993 and use Estradot patch....derived from soy.

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Oxeze/Airomir (asthma); Effexor XR 75mg (depression); Rosuvastatin 10mg (cholesterol); Telemesartin 80mg (BP)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care + Genuine Health Advanced Gut Health 50 billion @ bedtime)
~Metamucil capsules 6 @ 2x daily with meals; Vitamin D 4500 IU
~URSO 500mg @ 2x daily for Primary Biliary Cholangitis
~Sjogren's (secondary)...symtomatic treatment
"TREAT (FROM)BOTH ENDS" worth it !!
profile picture
Sassysback
Regular Member
Joined : Dec 2018
Posts : 52
Posted 11/9/2019 4:30 PM (GMT -7)
Q,
I had the ovaries out too. I was close to menopause, and the Hrt I get from the vagifem. It targets only that area. It did work ok for pain and dryness for a while, but when I'm not feeling great and doing enemas etc, I don't have the desire if you know what I mean.
58 yr Female = UC 20+ yrs in remission until Oct 2018.
Left sided Colitis currently active.
3200 mg Asacol daily & Pentasa rentension enemas on and off
Anxiety/Depression : currently Celexa 40 mg

"Living and still learning in this ever challenging journey through life and illness with love and support from those who share"
profile picture
quincy
Elite Member
Joined : May 2003
Posts : 31942
Posted 11/9/2019 9:14 PM (GMT -7)
I understand...have you talked with your gyne?
q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Oxeze/Airomir (asthma); Effexor XR 75mg (depression); Rosuvastatin 10mg (cholesterol); Telemesartin 80mg (BP)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care + Genuine Health Advanced Gut Health 50 billion @ bedtime)
~Metamucil capsules 6 @ 2x daily with meals; Vitamin D 4500 IU
~URSO 500mg @ 2x daily for Primary Biliary Cholangitis
~Sjogren's (secondary)...symtomatic treatment
"TREAT (FROM)BOTH ENDS" worth it !!
profile picture
Sassysback
Regular Member
Joined : Dec 2018
Posts : 52
Posted 11/10/2019 7:13 AM (GMT -7)
Q,
No, I have not talked to the surgeon who removed my womanhood lol. I usually deal only with my GP on my health issues. Breast cancer runs in my family, so after years of rapid blood loss, I decided to rid myself of the problem. At that time my colitis was inactive.
58 yr Female = UC 20+ yrs in remission until Oct 2018.
Left sided Colitis currently active.
3200 mg Asacol daily & Pentasa rentension enemas on and off
Anxiety/Depression : currently Celexa 40 mg

"Living and still learning in this ever challenging journey through life and illness with love and support from those who share"
profile picture
quincy
Elite Member
Joined : May 2003
Posts : 31942
Posted 11/10/2019 8:52 AM (GMT -7)
Hopefully your GP will offer other suggestions.

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Oxeze/Airomir (asthma); Effexor XR 75mg (depression); Rosuvastatin 10mg (cholesterol); Telemesartin 80mg (BP)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care + Genuine Health Advanced Gut Health 50 billion @ bedtime)
~Metamucil capsules 6 @ 2x daily with meals; Vitamin D 4500 IU
~URSO 500mg @ 2x daily for Primary Biliary Cholangitis
~Sjogren's (secondary)...symtomatic treatment
"TREAT (FROM)BOTH ENDS" worth it !!
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