SlideShare a Scribd company logo
1 of 136
Download to read offline
Promising Herbs
for
Haemorrhoids
(PILES)
Presented by
Dr. Sudhakar Kokate
Director PPRC, India
Haemorrhoids
PPRC/INDIA 01
Dilation & protuberances of blood
vessels in the anal region
No bar for gender, age or culture
Known to humanities from time
immortal
World > 40% suffer
PPRC/INDIA 02
India 80% of age group 21 – 50 years
affected
One of the commonest disease
Patients keep mysterious secrecy
Physiological abnormality
Term derived from Greek word
PPRC/INDIA 03
Haemorrhoidal tissue associated with
constipation, pre-rectal bleeding
Mention in Vedas, Arabia, Ayurveda
and Bible
Development starts through several
stages
PPRC/INDIA 04
Hypertrophy of the normal cushion
lying in the upper part of the anal canal
which causes symptoms
Known to mankind since 4000 years
Theories like vascular, chronic straining
explain development of haemorrhoids
PPRC/INDIA 05
Causative factors
PPRC/INDIA 06
 Heredity
 Anatomical features
 Rectal congestion
 Constipation
 Occupation
PPRC/INDIA 07
 Lack of exterior sphincter muscle
 Exercises or straining
 Pregnancy
 Parturition
 Anal infection
PPRC/INDIA 08
Symptoms
PPRC/INDIA 09
 Bright red blood in toilet
 Itching, pain in anus
 Variable degree of pain
 Discharge – bleeding yellow white
watery
PPRC/INDIA 10
 Bleed in the anal canal
 Change in bowel habits
 Change from normal stool – black
stony, narrowing
 Uncontrollable leakage of faeces
PPRC/INDIA 11
Severe haemorrhage
PPRC/INDIA 12
 Profuse haemorrhage
 Strangulation
 Thrombosis
 Ulceration
PPRC/INDIA 13
 Fibrosis
 Suppuration
 Pyle phlebitis
 Gangrene
PPRC/INDIA 14
Types
PPRC/INDIA 15
BASED ON LOCATION
 Internal
 External
 Mixed
PPRC/INDIA 16
BASED ON STAGES
 1st degree
 2nd degree
 3rd degree
 4th degree
PPRC/INDIA 17
BASED ON APPEARANCE
 Dry
 Bleeding
PPRC/INDIA 18
Treatment
PPRC/INDIA 19
 Surgical – last resort
 Sclero therapy
 Rubber band ligation
 Cryo – therapy
 Infrared coagulation / photo
coagulation
PPRC/INDIA 20
 Laser therapy
 Procto therapy
 Zeroid
 Reduction process of anal sphincters
 Use of medicines
PPRC/INDIA 21
Herbal remedy
PPRC/INDIA 22
 168 B.C. herb – Qing hao in China
 Herbs –
direct action
absorption assimilation better way
improve bowel function
PPRC/INDIA 23
 Reduce constipation
 Check bleeding
 Inflammation
 Fasten up bleeding process
PPRC/INDIA 24
Mode of action
PPRC/INDIA 25
 Haemostasis
 Anti-inflammatory
 Hastening wound healing
 Anti-microbial
PPRC/INDIA 26
 Regularizing bowel movement
 Hepato-protection
 Stress mitigation
 Anti-oxidant
PPRC/INDIA 27
Promising Herbs
Abelmoschus moschatus
Medikus
PPRC/INDIA 29
 Family: Malvaceae
 Parts: Seed
 Therapeutic values: Emollient,
diuretic, aphrodisiac
PPRC/INDIA 30
Abuliton indicum L. Sweet
PPRC/INDIA 32
 Family: Malvaceae
 Parts: Seeds, Leaves
 Therapeutic values: Emollient,
laxative, aphrodisiac, diuretic, sedative
PPRC/INDIA 33
Acacia catechu L. f. Willd.
PPRC/INDIA 35
 Family: Momosaceae
 Parts: Wood extract, leaf / bark
 Therapeutic values: Astringent
PPRC/INDIA 36
Achillea millefoliun L.
PPRC/INDIA 38
 Family: Asteraceae
 Parts: Entire plant, leaves & flower
 Therapeutic values: Anti-bacterial
PPRC/INDIA 39
Achyranthes aspera L.
PPRC/INDIA 41
 Family: Amaranthaceae
 Parts: Root, seed, whole plant, leaves
 Therapeutic values: Astringent,
diuretic, purgative, anti-febrile /
diaphoretic
PPRC/INDIA 42
Acorus calamus L.
PPRC/INDIA 44
 Family: Araceae
 Parts: Whole plant
 Therapeutic values: Stimulant, emetic,
sedative, anti-spasmodic
PPRC/INDIA 45
Aegle marmelos L. Correa
PPRC/INDIA 47
 Family: Rutaceae
 Parts: Fruit pulp
 Therapeutic values: Laxative,
astringent, digestive, anti-febrile /
diaphoretic
PPRC/INDIA 48
Ageratum conyzoides L.
PPRC/INDIA 50
 Family: Asteraceae
 Parts: Leaves
 Therapeutic values: Wound healing,
anti-microbial, anti-anthelmintic
PPRC/INDIA 51
Alangium salvifolium L. f.
Wang.
PPRC/INDIA 53
 Family: Alangiaceae
 Parts: Leaf
 Therapeutic values: Astringent, emetic
PPRC/INDIA 54
Albizzia amara Roxb. Boivin.
PPRC/INDIA 56
 Family: Mimosaceae
 Parts: Seed
 Therapeutic values: Astringent
PPRC/INDIA 57
Albizzia lebbeck L. Benth.
PPRC/INDIA 59
 Family: Mimosaceae
 Parts: Leaf, seed
 Therapeutic values: Astringent, tonic
PPRC/INDIA 60
Alhagi maurorum Medik.
PPRC/INDIA 62
 Family: Papilionaceae
 Parts: Entire plant
 Therapeutic values: Laxative, diuretic
PPRC/INDIA 63
Allium cepa L.
PPRC/INDIA 65
 Family: Alliaceae
 Parts: Bulb
 Therapeutic values: Stimulant,
diuretic, aphrodisiac
PPRC/INDIA 66
Aloe vera
PPRC/INDIA 68
 Family: Liliaceae
 Parts: Leaf, whole plant
 Therapeutic values: Laxative, tonic,
cooling skin problem, stomach pain
PPRC/INDIA 69
Amorphophallus
paeoniifolius
PPRC/INDIA 71
 Family: Araceae
 Parts: Corm
 Therapeutic values: Stomachic,
restorative, carminative
PPRC/INDIA 72
Anthemis nobilis L.
PPRC/INDIA 74
 Family: Asteraceae
 Parts: Root
 Therapeutic values: Anti- microbial
PPRC/INDIA 75
Argemone mexicana L.
PPRC/INDIA 77
 Family: Papaveraceae
 Parts: Latex, roots, seed
 Therapeutic values: Diuretic, emetic,
emollient / demulcent, sedative
PPRC/INDIA 78
Asclepias curassavica L.
PPRC/INDIA 80
 Family: Asclepiadaceae
 Parts: Root bark
 Therapeutic values: Emetic, purgative
PPRC/INDIA 81
Asparagus racemosus Willd.
PPRC/INDIA 83
 Family: Liliaceae
 Parts: Root tuber
 Therapeutic values: Diuretic, anti-
dysenteric, tonic, emollient /
demulcent, anti-spasmodic,
aphrodisiac
PPRC/INDIA 84
Azadirachta indica A. Juss
PPRC/INDIA 86
 Family: Meliaceae
 Parts: Leaves, Oil, Bark
 Therapeutic values: Astringent, anti-
anthelmintic, anti-microbial, anti-
febrile, tonic, hastens wound healing,
purgative, emollient
PPRC/INDIA 87
Barleria prionitis L.
PPRC/INDIA 89
 Family: Acanthaceae
 Parts: Leaves
 Therapeutic values: Diuretic, hastens
wound-healing
PPRC/INDIA 90
Bauhinia variegata L.
PPRC/INDIA 92
 Family: Caesalpiniaceae
 Parts: Buds, bark
 Therapeutic values: Tonic, anti-
spasmodic, laxative
PPRC/INDIA 93
Berberis aristata DC.
PPRC/INDIA 95
 Family: Berberidaceae
 Parts: Whole plant
 Therapeutic values: Tonic, astringent,
anti-febrile, purgative, anti-microbial,
anti-inflammatory
PPRC/INDIA 96
Berberis lycium Royle.
PPRC/INDIA 98
 Family: Berberidaceae
 Parts: Roots, stem
 Therapeutic values: Anti-bacterial,
promotes leukocytosis, choleretic
PPRC/INDIA 99
Beta vulgaris L.
PPRC/INDIA
101
 Family: Chenopodiaceae
 Parts: Root
 Therapeutic values: Laxative, sedative,
anti-inflammatory
PPRC/INDIA
102
Blumea densiflora L.
PPRC/INDIA
104
 Family: Asteraceae
 Parts: Leaves
 Therapeutic values: Astringent,
stimulant, diuretic
PPRC/INDIA
105
Blumea eriantha DC.
PPRC/INDIA
107
 Family: Asteraceae
 Parts: Roots
 Therapeutic values: Carminative,
sudorific
PPRC/INDIA
108
Blumea lacera DC.
PPRC/INDIA
110
 Family: Asteraceae
 Parts: Leaves, whole plant
 Therapeutic values: Astringent,
stimulant, diuretic
PPRC/INDIA
111
Blumea oxyodonta DC.
PPRC/INDIA
113
 Family: Asteraceae
 Parts: Leaves
 Therapeutic values: Astringent
PPRC/INDIA
114
Bombax ceiba L.
PPRC/INDIA
116
 Family: Bombacaceae
 Parts: Flower
 Therapeutic values: Astringent,
diuretic
PPRC/INDIA
117
Bosewellia serrata Roxb.
PPRC/INDIA
119
 Family: Burseraceae
 Parts: Gum resin
 Therapeutic values: Diuretic,
diaphoretic, emmenagogue
PPRC/INDIA
120
Brassica nigra Koch
PPRC/INDIA
122
 Family: Brassicaceae
 Parts: Seed oil
 Therapeutic values: Stimulant, emetic,
laxative
PPRC/INDIA
123
Brunella vulgaris L.
PPRC/INDIA
125
 Family: Lamiaceae
 Parts: Leaves
 Therapeutic values: Expectorant, anti-
microbial
PPRC/INDIA
126
Butea monosperma Lamk.
Taub.
PPRC/INDIA
128
 Family: Papilionaceae
 Parts: Leaves, bark, flower
 Therapeutic values: Astringent, tonic,
aphrodisiac, diuretic, anti-dysenteric,
anti-anthelmintic, anti-microbial
PPRC/INDIA
129
Butea superba Roxb.
PPRC/INDIA
131
 Family: Papilionaceae
 Parts: Stem, leaves
 Therapeutic values: Astringent, tonic,
aphrodisiac, diuretic, anti-dysenteric,
anti-anthelmintic, anti-microbial
PPRC/INDIA
132
Thank you!!
“BE WITH US”

More Related Content

Similar to Haemorrhoids

Anti venom - Part II
Anti venom - Part IIAnti venom - Part II
Anti venom - Part IIPPRC AYUR
 
Medicinal plants in pakistan
Medicinal plants in pakistanMedicinal plants in pakistan
Medicinal plants in pakistanAmara Ejaz
 
Skin diseases
Skin diseasesSkin diseases
Skin diseasesPPRC AYUR
 
Liver diseases - Part I
Liver diseases - Part ILiver diseases - Part I
Liver diseases - Part IPPRC AYUR
 
Drugs from plants extraction, purification & analysis.
Drugs from plants  extraction, purification & analysis.Drugs from plants  extraction, purification & analysis.
Drugs from plants extraction, purification & analysis.Dr. Amsavel A
 
drugs extraction623.pdf
drugs extraction623.pdfdrugs extraction623.pdf
drugs extraction623.pdfPartha852528
 
Drugs from Plants : Extraction, Purification & Analysis.
Drugs from Plants : Extraction, Purification & Analysis.Drugs from Plants : Extraction, Purification & Analysis.
Drugs from Plants : Extraction, Purification & Analysis.Dr. Amsavel A
 
Malaria: life threatening disease
Malaria: life threatening diseaseMalaria: life threatening disease
Malaria: life threatening diseasePPRC AYUR
 
Ihc herbal broucher
Ihc   herbal broucherIhc   herbal broucher
Ihc herbal broucherPvs Ihc
 
Sweetener - II
Sweetener - IISweetener - II
Sweetener - IIPPRC AYUR
 
Medicinal plants introduction
Medicinal plants introductionMedicinal plants introduction
Medicinal plants introductionNishaChaudhari9
 

Similar to Haemorrhoids (20)

Anti ulcer
Anti ulcerAnti ulcer
Anti ulcer
 
Joint pain
Joint painJoint pain
Joint pain
 
HBD
HBDHBD
HBD
 
Guava
GuavaGuava
Guava
 
Anti venom - Part II
Anti venom - Part IIAnti venom - Part II
Anti venom - Part II
 
Medicinal plants in pakistan
Medicinal plants in pakistanMedicinal plants in pakistan
Medicinal plants in pakistan
 
Skin diseases
Skin diseasesSkin diseases
Skin diseases
 
Traditional drugs
Traditional drugsTraditional drugs
Traditional drugs
 
Herbal medicine
Herbal medicineHerbal medicine
Herbal medicine
 
Liver diseases - Part I
Liver diseases - Part ILiver diseases - Part I
Liver diseases - Part I
 
Drugs from plants extraction, purification & analysis.
Drugs from plants  extraction, purification & analysis.Drugs from plants  extraction, purification & analysis.
Drugs from plants extraction, purification & analysis.
 
drugs extraction623.pdf
drugs extraction623.pdfdrugs extraction623.pdf
drugs extraction623.pdf
 
Drugs from Plants : Extraction, Purification & Analysis.
Drugs from Plants : Extraction, Purification & Analysis.Drugs from Plants : Extraction, Purification & Analysis.
Drugs from Plants : Extraction, Purification & Analysis.
 
MEDICINAL plants .ppt
MEDICINAL plants .pptMEDICINAL plants .ppt
MEDICINAL plants .ppt
 
Vet
VetVet
Vet
 
UTI - II
UTI - IIUTI - II
UTI - II
 
Malaria: life threatening disease
Malaria: life threatening diseaseMalaria: life threatening disease
Malaria: life threatening disease
 
Ihc herbal broucher
Ihc   herbal broucherIhc   herbal broucher
Ihc herbal broucher
 
Sweetener - II
Sweetener - IISweetener - II
Sweetener - II
 
Medicinal plants introduction
Medicinal plants introductionMedicinal plants introduction
Medicinal plants introduction
 

More from PPRC AYUR

More from PPRC AYUR (20)

Amaranth
AmaranthAmaranth
Amaranth
 
Personal care
Personal carePersonal care
Personal care
 
Parkinsons
ParkinsonsParkinsons
Parkinsons
 
Jaundice
JaundiceJaundice
Jaundice
 
Glycyrrhiza
GlycyrrhizaGlycyrrhiza
Glycyrrhiza
 
Eugenol
EugenolEugenol
Eugenol
 
Essential oils
Essential oilsEssential oils
Essential oils
 
Croton
CrotonCroton
Croton
 
Anti aids
Anti aidsAnti aids
Anti aids
 
Spirulina
SpirulinaSpirulina
Spirulina
 
Semecarpus
SemecarpusSemecarpus
Semecarpus
 
Mushroom
MushroomMushroom
Mushroom
 
White foods
White foodsWhite foods
White foods
 
Violet foods
Violet foodsViolet foods
Violet foods
 
Orange foods
Orange foodsOrange foods
Orange foods
 
Cissampelos
CissampelosCissampelos
Cissampelos
 
Yellow foods
Yellow foodsYellow foods
Yellow foods
 
Green foods
Green foodsGreen foods
Green foods
 
Red foods
Red foodsRed foods
Red foods
 
Blue foods
Blue foodsBlue foods
Blue foods
 

Recently uploaded

High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipurparulsinha
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingNehru place Escorts
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceNehru place Escorts
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...narwatsonia7
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Miss joya
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girlsnehamumbai
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Serviceparulsinha
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableNehru place Escorts
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowRiya Pathan
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...narwatsonia7
 
Call Girls Budhwar Peth 7001305949 All Area Service COD available Any Time
Call Girls Budhwar Peth 7001305949 All Area Service COD available Any TimeCall Girls Budhwar Peth 7001305949 All Area Service COD available Any Time
Call Girls Budhwar Peth 7001305949 All Area Service COD available Any Timevijaych2041
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiNehru place Escorts
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfMedicoseAcademics
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 

Recently uploaded (20)

High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
 
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCREscort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
 
Call Girls Budhwar Peth 7001305949 All Area Service COD available Any Time
Call Girls Budhwar Peth 7001305949 All Area Service COD available Any TimeCall Girls Budhwar Peth 7001305949 All Area Service COD available Any Time
Call Girls Budhwar Peth 7001305949 All Area Service COD available Any Time
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 

Haemorrhoids