VIMAX Pills can enlarge your penis size up to 3-4 Inches in length and up to 25% in girth !

best penis enlagement surgery best enlagement exercise penis

VIMAX Pills is a powerful natural herbal male enhancement formula that increases penis length and girth, sexual desire, sexual health and helps to achieve stronger erections. Combining the formulations of the type of herbs found in many parts of the world that have been proven to work for many years, you can now enjoy the full benefits of our product. Some of the same type of herbs found in Polynesia where the men of the Mangaian tribe have sex on the average of 3 times a night, every night. While this is not what you may wish, it is nice to know your sexual performance can improve substantially.

After many years of medical Research and Development, our company is pleased to offer you a 100% Natural and Safe Product that can safely and permanently enlarge your penis size up to 3-4 Inches in length and up to 25% in girth. Discover what our "proven to work" formula can do for you by ordering today. Many men were skeptical at first but after they gave our pills a try their sex life and self esteem changed for the better.Our pills will improve your overall sexual health, make you feel younger and you will have more pleasurable orgasms. You can take one pill 2 times per day to keep the effects of VIMAX PILLS in your system and to promote virility enhancement.

100% Safe and Natural Herbal Ingredients

Epunedum Sagitum or Horny Goat Weed - Known in China as Yin Yang Huo. Chinese top medical doctors report that horny goat weed boosts libido and improves erectile function. Used to restore sexual fire and allay fatigue.

Saw Palmetto - Known to stimulate a low libido in males and to increase sexual energy. A compound in saw palmetto has aphrodisiac effects.

Ginkgo - Medicinal use of ginkgo can be traced back 5,000 years in Chinese herbal medicine.The herb also increases blood flow to the genitals which improves sexual function. In one study 78% of a group of men with impotence reported significant improvement without side effects.

Other Ingredients: Muira Puama (balsam), Velvet, Damiana (leaf), Cayenne (fruit), Oats (entire plant), Avena sativa, Ginseng (root), Panax Ginseng, Caltrop (fruit) Tribulus terrestris.

home penis enargement penis enlargement without pills

VIMAX Pills helps you gain:

  • Stronger and more intense orgasms
  • Substantially increase your sexual desire and stamina
  • The appearance of your penis will arouse your sex partners.
  • You will have bigger erections. Because of increased blood flow your erections grow harder.
  • Erections when you want them. Rock hard erections every time. No more problems because you can't get it up and keep it up. VIMAX PILLS will keep the blood flowing to your penis so you will always get hard and stay hard.

Do VIMAX Pills really work?

We get many emails from our customers that say our pills helped them regain their sexual ego. It's up to you when to stop taking our pills since they are 100% safe and made from natural products. We had one customer write to us that he decided to stop the pills after he no longer felt embarrassed when making love. His penis used to be below average, 5 inches to be exact, now he is 7 inches and is fully satisfied. He wrote us saying that now his woman receives an orgasm 95% of the time they make love, before she could barely get excited.

"I'm very grateful to Pillsexpert for bringing such miraculous changes to my life. Having gained 2.5 inches from the 4 months supply and became more passionate and sexually attractive I was even able to fix the relationship with my wife (we were on the verge of the divorce) by simply having great sex with her. I feel more confident now and …I'm just happy!!! You know how they say it: ”Miracles don't just happen, they are firstly very well prepared.” No doubt that your company put a lot of time and effort to start helping people. Thank you so much and good luck to you." Mark Andrew, FL

penis enlargement stretcher penis enlargement surgery

Why are we #1 on the market?

Consider the difference between a 7, 8 or 9 inch penis that is thicker and a penis that is 4 to 6 inches and narrower. With a larger penis you penetrate more sensitive areas of the woman. Your longer penis probes deeper searching those special nerve endings. The added width to your penis fills and presses her from side to side to give your partner the most exhilarating sensations. The results are permanent. You control the growth because once you reach your optimum size you could stop taking VIMAX PILLS. We say you could stop taking VIMAX PILLS because it is not necessary to be larger then 9 inches. Most women can only comfortably accommodate a 9 inch penis. Anything larger than that may be too large for most women. Nine inches or more then 9 inches, the choice is yours.

Unlike other clones, Vimax Pills are made from only high end ingredients available to bring you best results possible. We run a serious business and treat as such, unlike other companies that appear out of nowhere and then disappear with your money without ever sending you a product you paid for.

medical penis enlargment real penis enlagement

Prices

penile enlargement creampenis enlarement excercisesvimax penis enlargement surgery pictureherbal penis enlagement pillsmanual penis enhancement exercisepennis enlargement pic

40% Order This Deal

Price: $234.95

Price Per Bottle: $39.15

Saving: $124.75

best enlargement exercise penilepenis elargement reviewpenis enlagement pumpbest elargement exercise penisdo penis enhancement pills really work

21% Order This Deal

Price: $214.95

Price Per Bottle: $42.99

Saving: $84.80

penis enlarement creampenis enargement excersizespenis enlarement surgeryfree penis enlargement exercise

14% Order This Deal

Price: $189.95

Price Per Bottle: $47.48

Saving: $49.85

vimax penis enlargement before and after photosafe penis enargementpenile enlargment surgery photo

12% Order This Deal

Price: $154.95

Price Per Bottle: $51.65

Saving: $24.90

penis enlargement surgeriespenile enlargement fact

8% Order This Deal

Price: $109.95

Price Per Bottle: $54.98

Saving: $9.95

vimax penis enlargement doctor

5% Order This Deal

Price: $59.95

Price Per Bottle: $59.95

Saving: $0.00

Most of the orders placed before 1PM Eastern Standard Time are shipped the same day.
Worldemail or IP-PILLSEXPERT will appear on your credit card statement.
All orders are shipped in discreet packaging.

best penis enlargement pill

For years I have purchased soy milk, stocked it on my shelf, told myself I should open it and include it into my diet. After opening it though, it just sits in the refrigerator for a month or two. Then, of course, it’s too old to drink, so I throw it down the sink and the cycle repeats itself a couple months later. Now I believe that my body was telling me that it didn’t want the soy milk as I’ve been reading up on the soy controversy lately. Here is a summary of that information. . . Isoflavones—the estrogen-like hormones that all work to help you stay young and healthy may not be the magical food that you have been led to believe. Soy is just one example of the many fad foods/ supplements/ cures that I find myself exposed to in trying to decipher the long-term health benefits before sharing them with my clients. Soy has been marketed as a health food when, at one time, it was only a toxic by-product of the vegetable oil industry. Hmm. . . .that doesn’t sound right, does it? Don’t we eat soy in lots of things now? Advances in technology make it possible to produce Soy Protein Isolate (SPI) from what was once considered a waste product—defatted, high-protein soy chips—transforming something that looks and smells terrible into products that can be consumed by human beings. Flavorings, preservatives, sweeteners, emulsifiers and synthetic nutrients have turned SPI, the food processors' nightmare into a very lucrative business. All soybean producers pay a mandatory assessment of one-half to one per cent of the net market price of soybeans. The total—something like $80 million annually—supports United Soybean's program (http://www.ams.usda.gov/lsg/mpb/rp-soy.htm) to "strengthen the position of soybeans in the marketplace and maintain and expand domestic and foreign markets for soybeans and soybean products." Soy milk, made from raw soy, has posted the biggest gains, soaring from $2 million in 1980 to $300 million in the United States last year. Recent advances in processing have transformed the gray, thin, bitter, beany-tasting beverage into a product that Western consumers will accept. The first soy foods were fermented products like tempeh, natto, miso and soy sauce. At a later date, possibly in the 2nd century BC, Chinese scientists discovered that a purée of cooked soybeans could be precipitated with calcium sulfate or magnesium sulfate (Plaster of Paris or Epsom salts) to make a smooth, pale curd they called tofu or bean curd. The Chinese never ate unfermented soybeans as they did other legumes such as lentils, because the soybean contains large quantities of natural toxins or "antinutrients." These antinutrients are not completely deactivated during ordinary cooking. They can produce serious gastric distress, reduced protein digestion and chronic deficiencies in amino acid uptake. In test animals, diets high in these antinutrients called trypsin inhibitors cause enlargement and pathological conditions of the pancreas, including cancer. Other harmful substances in soy products include haemagglutinin, goitrogens, phytic acid, nitrates, and phytoestrogens (in large amounts.) What are these things? Well. . . Haemagglutinin is a clot-promoting substance that causes red blood cells to clump together. Trypsin inhibitors and haemagglutinin are growth inhibitors that are deactivated during the process of fermentation. In precipitated products (like tofu,) enzyme inhibitors concentrate in the soaking liquid rather than in the curd. Thus, in tofu and bean curd, growth depressants are reduced in quantity but not completely eliminated. Soy also contains goitrogens - substances that depress thyroid function. This is a major concern of mine as I see our population having more and more thyroid issues with each passing year. Soybeans are also high in phytic acid, present in the bran or hulls of all seeds. Phytic acid can block the uptake of essential minerals—calcium, magnesium, copper, iron and especially zinc—in the intestinal tract. Scientists are in general agreement that grain and legume-based diets high in phytates contribute to widespread mineral deficiencies in third world countries. The Japanese have traditionally eaten small amounts of tofu or miso as part of a mineral-rich fish broth, followed by a serving of meat or fish. This is not how vegetarians and vegans consume soy. The results of calcium, magnesium and iron deficiency are well known; those of zinc are less so. These are the exact mineral deficiencies I have been seeing in my practice. Many people in my practice now come in with that tell-tale tan chin, indicative of iron deficiency. They are low in energy and worried about osteoporosis, but they look like thyroid cases. Their thumbs point toward their hips as they stand and walk instead of pointing forward, and they carry more weight evenly dispersed on their body. Most of my clients are also low in zinc. Zinc is needed for optimal development and functioning of the brain and nervous system, it is used in protein synthesis, collagen formation, in the blood-sugar control mechanism thus protecting against diabetes, and is needed for a healthy reproductive system. Zinc is a key component in numerous vital enzymes and plays a role in healthy immune system function These uses are among hundreds of other ways zinc is used by the body. Soy processors have worked hard to get these antinutrients out of the finished product, particularly soy protein isolate (SPI), the key ingredient in most soy foods that imitate meat and dairy products, including baby formulas and some brands of soy milk. (For more information on that, read my other article on soy, The Hazards of Feeding Soy to Children. Nitrites, which are potent carcinogens, are formed during the spray-drying process of making Soy Protein Isolate (SPI). Test animals fed SPI develop enlarged organs, particularly the pancreas and thyroid gland, and increased deposition of fatty acids in the liver. If this is so, then why are SPI and textured vegetable protein used extensively in school lunch programs, commercial baked goods, diet beverages and fast food products? (Yikes!) Soy is also heavily promoted in third world countries and forms the basis of many food giveaway programs. Researchers studying soy-based foods in one school research project noted several alarming symptoms after children ate soy-based meals including: "occasional" vomiting, periods of moderate diarrhea, upper respiratory infections, rashes and fever. Many ask then, why do the Japanese have less cancer than Americans? Do they? I’ve heard over the years that the Japanese, who allegedly eat 30 times as much soy as North Americans, have a lower incidence of cancers of the breast, uterus and prostate. BUT the Japanese, and Asians in general, have much higher rates of other types of cancer; particularly cancer of the esophagus, stomach, pancreas, thyroid and liver. Just how much soy do Asians really eat? A Cornell study conducted by Colin T. Campbell in 1998 found that the average daily amount of soy protein consumed in Japan was about eight grams for men, and seven for women. This is only less than two teaspoons. Do Japanese really eat more soy than Americans? At this point, I don’t think so. Except in times of famine, Asians consume soy products only in small amounts, as condiments—not as a replacement for animal foods—with one exception. Celibate monks living in monasteries and leading a vegetarian lifestyle find soy foods quite helpful—because they dampen libido. So what are the side-effects of too much soy? (These are only in alphabetical order and not by the proportion of incidence.) •Bloating •Breast cancer (Soy isoflavones mimic estrogen) •Calcium deficiencies (soy blocks calcium absorption) •Cognitive decline (esp. in post menopausal women that have increased levels of estrogen in their blood) •Constipation •Depression •Endocrine disruption •Fatigue •Goiter Hair loss •Hot flashes •Hypothyroidism •Infertility •Irregular periods •Lethargy •Loss of muscle tone •Painful periods •Premature aging •Thyroid cancer •Thyroid disease •Thyroid Stimulating Hormone increase •Uterine cysts •Vitamin D deficiencies •Weight gain despite workouts and dieting How much is too much soy? In 1991, Japanese researchers reported that consumption of as little as 30 grams or two tablespoons of soybeans per day for only one month resulted in a significant increase in thyroid-stimulating hormone, and 100 grams of soy protein, (promoted for its bone-building isoflavones and cholesterol-lowering effects) contains the estrogenic equivalent of the Pill. In vitro studies suggest that isoflavones inhibit synthesis of estradiol and other steroid hormones. I wonder if it’s really safe to take this kind of supplement if you have a family history of estrogen-influenced breast cancer. I don’t think I’d chance it. We get enough xenoestrogens in our environment as it is. Some Helpful References: http://www.biotech-info.net/soya.html (Soy in the news) http://www.haelan.co.uk/Wholefood-Soya.shtml (Soy as a health food) natural penis enlarement technique enlargement manhattan pennis penis enargement testimonials penis enlargement surgeon compare penile enlargement pills natural penis enhancement natural pennis enlargement technique vimax penis enlargement pills

best penis enlargement pill

It can be surprising to realize that an organ as high-powered and sophisticated as the brain also has a plumbing system. And, as the case with a house's plumbing, the drainage side of the system can get gummed up. But the symptoms are different. When a home's drainage backs up, well...I won't go there. When the brain's drainage system backs up, the brain's owner can become confused, incontinent of urine and unsteady on his or her feet. The plumbing system in question is that which produces and drains the cerebrospinal fluid (CSF). Normal CSF looks the same as water from a faucet, but is created from the bloodstream in the choroid plexus tissue within three of the brain's four inner chambers -- the right and left "lateral" ventricles and the midline "fourth" ventricle, but not the interposed, midline "third" ventricle. The CSF percolates through passageways from one ventricle to another, finally emerging through openings at the base of the brain to bathe the outer surfaces of the brain and spinal cord before getting reabsorbed into the bloodstream again. This re-absorption occurs in special collection-nodes in the membranes surrounding the brain. The entire CSF volume of about 150 milliliters or five ounces (about as much as a glass of wine) is produced and reabsorbed four times a day, so the fluid is constantly turning over. But blockages along the way can interfere with the normal flow of the CSF. For example, when the passageway between the third and fourth ventricles becomes narrowed or choked with sludge, the CSF backs into the lateral and third ventricles. Those ventricles react to the increased pressure by becoming physically dilated or enlarged. In this case, a CT or MRI scan could reveal the location of the blockage by showing expansion of the two lateral and the single third ventricles, but a normal-sized fourth ventricle. Another example of a blockage and its consequences is when the collection-nodes responsible for CSF re-absorption in the brain's overlying membranes (meninges) become clogged. In this case, all four ventricles are upstream from the blockage, and all four of them expand. This, too, is visible on brain scans. Both cases are examples of hydrocephalus, or water on the brain. The first case is one of "internal" or high-pressure hydrocephalus. The second is called "external" or normal-pressure hydrocephalus (NPH). In NPH the pressure is inexplicably normal much of the time, but the term is somewhat misleading because prolonged recordings with pressure-monitors do show intermittent periods of increased pressure. Hydrocephalus of one kind or another is especially prevalent at the two extremes of the life cycle -- in the very young and the very old -- but can occur at any age. In infancy, hydrocephalus can be caused by malformed brain-tissue. In contrast, adults with hydrocephalus were usually born with normal brain anatomy, but acquired a blockage due to a tumor, injury, bleed or infection. However, many cases of hydrocephalus in adults occur without a history of these preceding illnesses. CT and MRI scans are sensitive tools in detecting hydrocephalus, particularly when it's striking enough not be confused with ventricular enlargement due to gradual loss of surrounding brain tissue from aging. The main treatment of hydrocephalus is for a surgeon to insert a tube (shunt) into one of the swollen lateral ventricles and provide an alternative pathway for the backed-up CSF to drain. Once the shunt equipment is in place, a piece of hardware about the size of a large button sits outside the hole made in the skull (but inside the skin of the scalp) and redirects the excess CSF through another tube into either a jugular vein in the neck or into the abdominal cavity (peritoneum). Thus, the patient can receive either a "VJ" shunt or a "VP" shunt, with the letters designating the locations of the two ends of the shunt. The success or failure of shunting depends not just on the skill of the surgeon, but also on the selection of appropriate patients. Sometimes hydrocephalus turns up unexpectedly on scans when doctors are looking for something else entirely. Although an unexpected finding like this should always cause the doctors to re-think the case, the point is that hydrocephalus doesn't always cause problems. Sometimes the hydrocephalus has been there for years and the brain has adjusted to it in a way that produces no symptoms. This is an example of a case that should not be shunted, though it would still be appropriate to monitor the patient and his or her scans over subsequent months and years. Who, then, should receive a shunt? The answer, in short, is people for whom the benefits of the operation exceed its risks. Identifying them, however, is the tough part. And the task is made even more difficult by the lack of randomized, controlled trials in which a group of patients receiving treatment is compared to an equivalent group of patients not receiving treatment. Although similar reasoning applies to adults thought to have internal (high-pressure) hydrocephalus, I'll lay out the decision-tree as it applies to external (normal-pressure) hydrocephalus. Published observations imply that shunts are most likely to help NPH patients who have the following features:substantial enlargement of all four ventricles a full "triad" of symptoms, including confusion, urinary incontinence and altered walking poor walking as the first of the three symptoms temporary improvement of symptoms after drainage of 50-60 milliliters (2 ounces) of CSF by lumbar puncture (spinal tap) The elderly patients most at risk for NPH are also at increased risk for other diseases, and the shunting operation doesn't help symptoms produced by other causes. For example, confusion can be caused by Alzheimer's disease and strokes. Urinary incontinence can be due to prostate disease in men and sagging pelvic tissue in women. Walking can be disrupted by arthritis, fractured bones, low vision, inner-ear disease, Parkinson's disease and many other unrelated processes. So it's important for the doctor to determine if other diseases might be to blame for the very symptoms that seem, at first glance, to be from NPH. Assuming that NPH still seems likely, the next round of decision-making concerns the possibility that an operation will cause harm. Even a patient whose brain scan and symptoms are classic for NPH can develop serious complications from the operation. A particularly feared complication is bleeding into the space outside the brain, called a subdural hematoma. Older patients are also more likely to have other medical conditions that could compromise the safety of an operation, like coronary artery disease or emphysema. Cases in which expected benefits of the operation are much greater than risks, or in which the risks are much greater than the expected benefits, are easy to make decisions about. But many other cases are in the gray zone in which potential benefits and risks are more evenly matched and the chances of doing harm with an operation come close to canceling out the chances of doing good. (C) 2006 by Gary Cordingley vimax com enlargement penis penis pump penis enlargement result best pennis enlargement surgery where to buy vig rx penis elargement patch penis elargement operation penis enlargment operation penis enlargment secret best penis enlargement pill

Everyone wants to live a long healthy life, but few of us know how to go about doing so. Most people think that as they age, getting some type of health problem or disease is inevitable. This is simply not true! All of the major causes of death--cancer, heart disease, stroke, lung disease and injury--can be prevented by the things you do. The major change that you need to make is in your eating habits. The problem is that no matter how health conscience of an eater you are, your body will still lack most of the daily nutrients you need to live a long healthy life. Everywhere you look you will find evidence supporting the fact that it is impractical and virtually impossible to obtain the amounts of nutrients needed for optimal health from food alone. People that take dietary supplements know and understand this. They know that the most needed dietary supplement to take is a multivitamin so that their body can receive a variety of much needed vitamins and minerals. What they don't know is the differences between multivitamins and which ones have the highest potency, balances of nutrients, and the best absorption. Many cheap, low quality grocery-store brands (and many brands available through supplement stores) fail at obtaining high quality ingredients for absorption and potency. With most of these brands, there is a high probability that the vitamin simply passes through your system undigested, or with a low percentage of the nutrients absorbed. First let's get one thing straight: If you are taking vitamins in pill form, then you definitely have not found the most beneficial supplement on the market. Don't get me wrong, I'm not against pill form supplements, it's just that I know that your body will not get all of the nutrients contained in that supplement. Even If you were to buy the highest quality vitamin on the market, the fact remains that your body has to break down that pill to liquid form before it can be digested properly. When your body breaks the pill down, the pill loses its potency and if the pill is of low quality, your body might not break it down at all (in other words the pill goes right through your system without being digested). Even If your body is able to break down the pill you are still only going to receive 10%-20% of the nutrients. That means for every $100 you are spending on nutrients, you are literally flushing about 90% of it down the toilet. Why take your system through the extra step of breaking down a pill when you can purchase a vitamin that is already in liquid form that will bypass the digestive process and go directly into the bloodstream and into the cells within a matter of minutes? I have tried several dietary supplements in liquid form and the Himalayan Goji Juice endorsed by Dr. Earl Mendell is the only all natural liquid vitamin that I can drink without having to chew some gum to get the nasty taste out of my mouth. This Goji Juice has a delicious taste and comes from goji berries with the highest nutrient density. Himalayan Goji Juice is the only liquid on earth that contains all the nutrients you need to increase your energy and strength naturally while treating high blood pressure, cancer, diabetes, heart disease kidney disease, and a long list of other health problems. This juice contains four active polysaccharides (phytonutrient compounds) unique to the goji berry that come together to control many of of the body's most important biochemical defense systems, and are of great importance to the smooth functioning of every cell in your entire body. The juice also contains 19 amino acids (including all of the essential ones); More protein than whole wheat; 21 trace minerals including germanium (an anti-cancer trace mineral rarely found in foods); Vitamin C at higher levels than even those found oranges; Vitamin E (rarely found in fruits, only in grains and seeds); B-complex vitamins, necessary for converting food into energy; Essential fatty acids (EFA's), which are required for the body's production of hormones and for the smooth functioning of the brain and nervous system; Beta-Sitosterol, an anti-inflammatory agent (Beta-Sitosterol also lowers cholesterol and has been used to treat sexual impotence and prostate enlargement); and a complete spectrum of antioxidant carotenoids, including beta-carotene (a better source then even carrots) and zeaxanthin (protects the eyes). Goji berries are the richest source of carotenoids of all known foods. If you care about your health and well being, then you want to consume food and nutritional supplements with the highest level of nutrients. Himalayan Goji Juice will give you the nutrients you need to stay healthy and disease free. vig rx hoax vigrx ingredient homemade penis enlarement penile enlargment pic before and after penile enlargment tool enlarement manhattan penis surgeon health pro solution penis girth enlargment best penis enlargement pill

It is interesting to note that the aging dog (like his master) is also prone to prostatic enlargement, but (unlike his master) does not often develop retention of urine. However, due to the bulging upwards of the enlarged prostate the dog’s rectum is compressed. This engenders a feeling of continuous fullness in the rectum and induces straining. The prostates of eunuchs are small and underdeveloped, and enlargement of the prostate is unknown. Benign prostatic hyperplasia (BPH) is one of the most common diseases to affect men beyond the middle age. The prevalence goes up with age, and thus the total number of patients is increasing as a result of aging population. A majority of these people suffer gradual progression of symptoms and the concomitant discomfort, and require either medical or surgical treatment. The growth and development of the prostate is under the influence of male hormone “testosterone”. Rather surprisingly, there is no close correlation between the size of the prostate and the extent of outflow obstruction. However, the larger the prostate, the greater is the risk of BPH complications such as acute urinary retention and the need for surgery. BPH is usually a slowly progressive condition. An average increase in the prostate is 1-2 cm per year. BPH is the most common condition affecting the prostate accounting for over 80 per cent of prostate disease. The defined risk factor for BPH is age. Clinical BPH seems to run in families. In the early stages of the disease, the patient complains of hesitancy, a reduced stream and incomplete bladder emptying and then frequency, urgency and nocturia. Later on, prolonged micturition, acute urinary retention, urge incontinence, etc, can have a negative effect on the quality of life and may be associated with sexual dysfunction like erectile dysfunction and disorders of ejaculation. The treatment of BPH can be with the help of drugs or by going in for surgery. Some of the drugs used are Finasteride, Duatasteride, Terazosin, Alfuzosin and Tamsulosin. Adverse side- effects of these drugs can be erectile dysfunction, decreased libido, reduced ejaculation, drowsiness, headache, dizziness, postural hypotention, etc. penis enargement surgery photo vigrx pic penis enlargement pic penis enlargment system best penis enlargement natural pennis enlargement exercise herbal penis enlagement vigrx oil best penis enlargement pill

Rabies- Attacks the nervous system and causes encephalitis. The virus is transmitted in saliva from the bite of an infected animal. It usually takes two-eight weeks before the signs appear. However, it only takes about ten days before it's passable through saliva. The most common ways for an animal or human to be infected is by a bite from an animal who's infected – usually a skunk, fox, raccoon or bat. Cats are actually more at risk than dogs – because they put themselves more at risk that dogs. There are three stages to Rabies: Prodomal Stage- Lasts two-four days. Signs can include behavioral changes, fever, slow eye reflexes, and chewing at the bite of the site. The Paralytic Stage- Last two-four days. Signs of paralysis develop, usually beginning in the limb that was bitten. Paralysis of the throat or face causes a change in the bark. Drooling with typical foaming at the mouth, and a dropped jaw. Followed by depression, coma, and death from respiratory paralysis. Once clinical signs develop there is no treatment! If a pet has been bitten by a wild animal or known related rabid animal – if they've been vaccinated, re-vaccinate them and quarantine them for 90 days. If the pet has not been vaccinated, euthanize and submit tissue for rabies testing. If the owner is unwilling to euthanize the pet, it should be strictly quarantined for six months with vaccination one month prior to release. Distemper- Greatest single disease threat to the world's dog population. Distemper develops over a course of days. Canine distemper virus is fatal to 80% of the puppies and 50% of the adult dogs that contact it. Symptoms include congested lungs, nasal discharge, vomiting and diarrhea. As it progresses, it attacks the nervous system, often causing partial or complete paralysis and seizures. The disease is highly contagious. Dogs can get the virus through coming into contact with anything another dog infected, including through all secretions of the infected animal and very surprisingly, even through the air. Most distemper appear in dogs less than six months of age and in old dogs that have not been vaccinated. Once infected, there is no cure. Treatment is supportive -- fluids through I.V to prevent dehydration, and symptoms treated. Dogs who recover from distemper may have vision, nervous system problems, hardened foot pads and nose leathers, throughout their lives. In addition, puppies may also have mottled teeth from damage to developing enamel. Dogs should be vaccinated, and given boosters, to prevent this disease. Parvovirus- This disease can overwhelm a dog within hours of first symptoms and result in death within 48-72 hours. It is found through the world, it is highly contagious and attacks the intestinal tract, white blood cells, and sometimes the heart. It is spread with contact through feces of infected dogs. Parvovirus can be carried on shoes, crates, equipment or the hair and feet of infected dogs. Symptoms appear five-seven days after exposure and include depression, loss of appetite, vomiting, severe diarrhea. Feces are generally light gray, or yellow-gray, and may be streaked with blood. Puppies under six months are most susceptible to the disease. If the disease effects the heart, puppies can die within hours, weeks or even months. Doberman Pinschers and Rottweliers appear to be at a higher risk for parvo than other breeds. There is no treatment that cures the virus. Nursing care consists of replacing fluid, keeping the dog warm, controlling vomiting and diarrhea, and dosing with antibiotics to prevent secondary infections. Parvovirus can live for several months in an infected area, thorough cleaning of all surfaces is necessary to eradicate the disease. Household bleach is a very effective agent. Vaccination against parvo has dramatically reduced incidence of the disease. The vaccine protects the dog for several years. Infectious Canine Hepatitis- It is inhaled or ingested by the dog, enters the bloodstream, and targets the liver, kidneys, eyes, and the cells lining the inner surface of the blood vessels. Some cases barely show symptoms – puppies may show a slight fever or be slightly lethargic and recover quickly. Some cases are quick and deadly. They may also have tonsillitis, reddened mouth and eye membranes, colic, then shock and death. Sometimes all within 24 hours! The in-between manifestation of the disease is the one most commonly described. The early symptoms are similar to the other forms – some puppies recover within two weeks, others develop internal bleeding, central nervous system involvement, and liver disease. There is no cure, only supportive treatment. Vaccination lasts several years. Kennel Cough- This is a respiratory disease in dogs that covers the actions of several infectious agents, including Bordatella bronchiseptica, a bacteria, canine adenovirus 2, and canine parainfluenza virus. The parainfluenza virus is related to the canine distemper virus. Symptoms range from hacking cough to inflammation of the larynx, bronchial tubes and trachea. CAV-2 also produces pneumonia in ten-twenty percent of the affected dogs. They're highly contagious, especially in kennels or shelters where the canine immune systems are stressed. Good ventilation is necessary to prevent and spread diseases. A combined kennel cough vaccination contains CAV-2, parainfluenza, and Bordatella in one dose of nose drops. Symptoms are no more than a bad cold, vaccination is recommended if dogs are to be boarded, or will come into contact with a large numbers of dogs. Leptospirosis- This is a bacterial disease spread in the urine of wild and domestic animals and capable of causing illness in humans as well as dogs. Several species of the bacteria produce disease in dogs. Symptoms include lethargy, kidney inflammation, low-grade fever, vomiting, reddening of the mucous membranes, and conjunctiva, and blood clotting abnormalities. A more generalized form of the disease can cause elevated liver enzymes, jaundice, pneumonia, and intestinal inflammation. Chronic kidney problems can result. Antibiotic therapy is effective in fighting the bacterial invasion and supportive nursing (replenishment of fluids, administration of diuretics to flush the kidneys and prevent kidney failure, blood transfusions, if necessary) is required. Vaccinations are not recommended unless there is a disease in the area. The vaccines help to lessen the severity of the disease, but do not prevent it. It also may not be effective for more than six months. Puppies and small dogs can have adverse reactions to the vaccines. If there is a lepto outbreak occurring and veterinarians do recommend vaccination, dogs should be inoculated against all four strains of the disease, unless the particular strain is identified. Lyme Disease- Is a bacterial disease spread by ticks. Symptoms in dogs include lethargy, joint pain, lack of appetite, lymph node enlargement, and fever. Some dogs have antibodies to the disease, indicating they've been exposed, but they show no symptoms. Treatment is with antibiotic, Tetracycline. Vaccine is available, but is not widely recommended because the disease is self-limiting and protection is limited to no more than six months, following inoculation. Lyme disease is more serious for humans than for dogs. Coronavirus- This virus causes diarrhea and vomiting, and can be confused for parvo. The mode of infection is direct contact of an infected animal or its feces. Some dogs have antibodies but no symptoms, others lose their appetite, have smelly diarrhea, and are lethargic and dehydrated. Treatment involves replacing lost fluids and controlling vomiting and diarrhea. Vaccine is available, but not widely recommended. -Information taken from the American Veterinary Medical Association UC Davis Book of Dogs – By, Dr. Race Foster and Dr. Marty Smith (authors of the particular chapters).