Why do so Many People Suffer from Acid Reflux in

Why do so Many People Suffer from Acid Reflux in the Summer?

Many people suffer from acid reflux in the summer but they tend to be fine at other times of the year. This is something that can ruin summer time fun though if you arent able to get a handle on it. There are several different reasons why the summer months can trigger it. Understanding those causes can help you find what is resulting in it for yourself. Since the heat can change our eating habits you do need to keep a close eye on them.

Many of us like to be outdoors in the summer months to enjoy the nice weather. As a result dinner can get pushed back several hours until the sun goes down and you have to go inside. This could mean you are eating dinner too close to bed time and your food hasnt had enough time to digest. When you lie down it is allowing acid to get into the esophagus.

The types of foods that are consumed in the summer are often different as well. You may enjoy grilling which can mean more fatty foods than what you normally consume. You may grill with tomatoes, garlic, and onions for wonderful aroma and flavor. Yet those are known ingredients that can lead to acid reflux for many individuals.

Many individuals like to eat citrus fruits in the summer months as they are a healthy and tasty snack. Yet that can result in increased levels of acid in the body for them to try to digest. Oranges, lemons, and grapefruits seem to be the most common ones. You should limit your intake of them to see if that helps. Avoid consuming fruits with high levels of acid in the evening time as well.

By consuming them early in the day your body will have time to digest them before you lie down for the night. You also want to consume such fruits in small amounts so that your body can digest them easier. You can have part of a grapefruit for breakfast and then the rest of it for lunch rather than consuming it all at one time.

If you tend to consume more alcoholic beverages in the summer months that could trigger acid reflux as well. Other drinks including wine, juices, and soda can also increase the risk of acid reflux. Make a commitment to drinking plenty of water during the summer months so you dont become dehydrated. You will find this water helps with the digestion process as well.

You dont have to give up your favorites though in order to avoid acid reflux. You do need to make some changes though. For example eating lean meats that you grill instead of fry will help. Consume delicious salads full of greens instead of some other types of side dishes that can trigger acid reflux. If you get tired of drinking plain water than make some fresh brewed ice tea. It contains mainly water and it will be very refreshing in the summer heat.

If you find that summer time acid reflux still gets you when you go to bed at night change your elevation. By using an additional pillow or elevating the head of your bed you can keep the acid away from your esophagus. You need to pay close attention to triggers of the acid reflux as well. That way you can eliminate those foods or activities from your daily routine. Make sure you still get plenty of exercise and keep your weight under control as well.

There are plenty of fun activities to enjoy during the summer months. Dont let acid reflux prevent you from enjoying them. By learning about what triggers it for you during this time of the year you can be ready for the battle. You can make some simple changes to what you eat and drink. You can also be more conscious about the time of day you eat certain foods. As a result you will be able to focus on summer fun rather than being annoyed by acid reflux.

PPPPP

Word Count 684

Why do so Many Men Suffer from Acid Reflex?

While acid reflux affects both men and women, there seems to be some information out there indicating that men suffer from it more. Learning why this is so can help men find a way to get relief from it. The biggest issue is that many of them assume they just have to deal with acid reflux as they get older.

They dont realize they can take action to get relief from it. They also dont realize that they need to take such action so that they dont allow damage to their esophagus to take place. Acid reflux can become very serious if it is left untreated so getting that information into the hands of men is very important.

Men tend to eat more than women in most cases, and that can cause them to also suffer from acid reflux more. Due to consuming more foods there has to be more acid created in the stomach to digest it. This acid backing into the esophagus is what results in acid reflux. Men are also more likely to eat late at night before going to bed which is a prime factor for acid reflux.

Sleeping on your back can trigger acid reflux and many men do so. Lying on the left side is more likely to help you digest while you sleep and reduce acid that could lead to acid reflux. It can be hard to get into the habit of sleeping in a different position though. One way that man men can get relief from night time acid reflux is to elevate their head and shoulders above the rest of their body.

Habits such as smoking and consuming alcohol significantly increase the risk of acid reflux for men. The more they drink and the longer span of time that they have been smoking are factors to consider. Reducing the use of such items or completely eliminating them can help reduce the effects of acid reflux. The esophagus becomes weak when exposed to such activities.

Many men work in dangerous environments where they may be exposed to a variety of chemicals. These chemicals that they breathe in can also weaken the esophagus so more acid is allowed to enter it from the stomach. Make sure proper safety equipment is used at work as well as when working with various chemicals at home.

Men that are overweight are more likely to suffer from acid reflux than those that arent. This is due to the pressure on the stomach from the additional weight. Engaging in a successful plan for weight loss by eating right and getting more exercise can help to lessen this pressure.

Some men do know they have a serious problem with acid reflux. Yet they have heard that certain medications for it can result in impotency. Therefore they arent willing to take such medications. If that is a concern talk to your doctor about it. They can help you find a medication that works well without such a side effect.

There is no reason for men to simply deal with acid reflux. Instead they need to take an inventory of their own lifestyle and habits. Doing so will help them see where they can make changes on their own. If this doesnt offer relief than using over the counter products may be necessary. It is a good idea to see a doctor to rule out serious medical concerns as well. Prescription medications for acid reflux may be just what many males out there need.

PPPPP

Word Count 592

When is Surgery a Good Option to Eliminate Acid Reflux?

When is Surgery a Good Option to Eliminate Acid Reflux?

Most people view acid reflux as a nuisance and something that can be annoying. Yet they dont really see it as something that can affect their overall health. Yet if you are suffering from acid reflux often you arent getting enough sleep like you should. You may not be eating enough either to help offset triggers from foods.

There is plenty of information out there about remedies to alleviate the pain from acid reflux. That information includes eating right, staying fit and trim, and even the use of various over the counter medicines to reduce the development of acid. Sometimes a person needs prescription medications for treatment. Even so, that may not be enough to take care of it. That is when they doctor may bring up the idea of surgery into the conversation.

Keep in mind that surgery for acid reflux is only going to be introduced when certain factors are present. The esophagus can be very severely affected due to the acid. It can end up weakening it and allowing more and more acid to enter it. Over a period of time this can cause inflammation. As a result it can end up being difficult to swallow or to breathe as you normally do.

The esophagus can become narrow too due to the extra acid. This means you wont be able to use it properly. Surgery may be necessary in order to allow the esophagus to expand like it should. Sometimes acid reflux can be a symptom of a medical concern such as a hernia. Surgery then has to be done to take care of the hernia. Upon doing so the acid reflux will likely got away on its own.

Some individuals have problems with their lungs. They are more susceptible to pneumonia than others. They can end up with liquids filling up the lungs which make it hard to breathe normally. Surgery can help to prevent such fluids from getting into the lungs and into the esophagus to cause acid reflux.

A doctor may decide that surgery for acid reflux is necessary so that this condition doesnt interfere with other types of medications you have to take. You certainly dont want your overall health to suffer because of your acid reflux problem. You may be getting results from various prescription medications for it but not without a cost. That is that they are expensive for you to purchase on a regular basis. There is also the fact that they can create some side effects that are very disruptive to your daily life.

Surgery can be a very effective way to end your problems with acid reflux. Since there are risks involved with it, this will be a last resort. You will need to discuss the benefits as well as the risks with your doctor. Most of the time such surgery is very effective and a person can get back to enjoying their life.

An assessment of your acid reflux problems will be conducted. Your lifestyle choices including if you smoke or drink will be taken into consideration. Your overall health will also be evaluated as not everyone is healthy enough to undergo such surgery. With the many advances in medical technology today though this can be a success for you. Most people recovery from acid reflux surgery within a couple of weeks a well.

PPPPP

Word Count 567

What is Acid Reflux?

Acid reflux is commonly referred to as heart burn and it can be quite painful. Most people suffer from it after meals or before they go to bed at night. It can prevent them from being able to focus on other aspects of their life. When acid reflux is present at night it can prevent a person from getting the rest they really need.

This ailment occurs when the acid in the stomach ends up going back into the esophagus. There are rings at the bottom of the esophagus that allow food to move into the stomach. Those rings later open up during digestion so that gas can be released. When acid is also allowed to go back into that area though it can make a person extremely uncomfortable.

There are many different causes of acid reflux so it is a good idea to find out what the underlying reasons are. It may be due to a type of disease or disorder that isnt going to go away on its own. For example a person with an ulcer or a hernia may suddenly develop acid reflux. That is why you should see a doctor to get a complete diagnosis if you find it is becoming something you have to deal with on a regular basis.

It is never a good idea to just deal with acid reflux on your own though without taking action. If you just decide to let it take place you will do damage to your esophagus that cant be repaired. You may find it hard to swallow and suffer from sore throats often. In severe cases you can also increase your risk of developing cancer in the esophagus.

For some individuals it can be an occasional flare up due to certain types of foods that they ate. Some individuals find spicy foods will trigger acid reflux so they have to limit how much of it they consume. Changes in the body such as when a woman is pregnant can also result in acid reflux that will go away after the baby is born and the hormones in the body are regulated again.

Those individuals that have never suffered from acid reflux may be wondering how they will know if they do have it. Trust me; you will be able to know when it does occur due to the painful symptoms. The severity of them will vary for each individual but you will still know something is going on. The most common symptom of acid reflux is a burning sensation in the chest.

The severity of your pain with acid reflux as well as how often you suffer from it will likely indicate the action you take. If you only suffer from it once or twice a month you wont deem it as large of an issue as someone that suffers from it several times a week. If you get mild discomfort from acid reflux you wont worry about it as much as someone that cant stand the pain that comes with it.

There are quite a few over the counter remedies for acid reflux as well as prescription mediations for more severe cases. You can also change your lifestyle including your diet and getting into better shape. Acid reflux doesnt have to be something you continue to live with. Instead you need to get to the root of the problem so you can get on with more important aspects of your life.
PPPPP

Word Count 580

What can I Eat to Avoid Acid Reflux?

Acid reflux is a common problem for people but one you can get under control. Some individuals assume that they cant eat much of anything if they want to keep it from occurring. However, you definitely need to eat in order to provide nutrients for your body. Plenty is said about foods to avoid when you suffer form acid reflux but now it is time to focus on what you can eat.

Lets take a look at the various food groups to show you some of the foods you can enjoy. Of course you will have to test them out for yourself. You may discover you can only consume certain foods on the list in moderation. Others you can have your fill of without any problems. Fresh fruits are essential for your overall health. Avoid those that contain high amounts of acid. Apples and bananas are very good for you and dont seem to trigger acid reflux.

You also want to consume plenty of fresh vegetables. Stick with the green ones for the best results. That includes salads but make sure you go easy on tomatoes, broccoli, cabbage, green beans, and peas. Carrots and baked potatoes are also great tasting foods that dont trigger acid reflux in most individuals.

Meat is a very common element found at most meals unless you are a vegetarian. You can still enjoy your meat but you may need to change the way it is prepared. Instead of frying it try to grill or broil the foods. You also want to go easy on the seasonings as they can lead to acid reflux. Remove the skin from chicken as that will help as well. If you like seafood consume large amounts of fish and salmon.

Sometimes too much dairy can trigger acid reflux. That may seem ironic as many people tell you to drink a glass of milk to prevent it. There is plenty of acid though from various types of dairy so consume it in moderation. If you are worried about getting enough calcium then take daily supplements.

Most people dont have too much trouble with grains when it comes to acid reflux. Therefore you should be able to consume a reasonable amount of breads, cereal, pretzels, and even rice cakes. Of course you should keep a good eye on how much of these types of products you consume due to the carbs. You dont want them to be stored in your body as sugar that will be turned into fat.

Most people have a sweet tooth and so they need to indulge now and then. Chocolate is a prime type of sweet though that can trigger acid reflux. While you may want it from time to time limit the amount. You also want to consume it early in the day so it doesnt cause night time acid reflux. To satisfy your sweet tooth eat sugar free jello with whipped cream on it. You can also consume a few cookies, licorice, or suck on hard candies that are sugar free.

You may not pay too close attention to what you drink but you should. If your day is spent consuming drinks full of sugar and caffeine you definitely need to make some changes. Replace those drinks with mineral water, green tea, and other sugar free varieties. Limit the consumption of alcohol as well. If you often drink red wine with meals that could be a main cause of your acid reflux concerns.

Even if you once suffered from chronic acid reflux you can eat some delicious tasting foods. It is a myth out there that you have to eat bland tasting foods in order to get past your problems with acid reflux. It can take some time to adjust to new eating habits but look online for some great recipes. Doing so will make you feel less deprived and you will feel better than you have in a long time.

PPPPP

Word Count 664

Ways to Alleviate Night Time Acid Reflux

The average person has a very busy do so when they can finally go to bed at night they are ready some peaceful slumber. That isnt always the case though as many people suffer from night time acid reflux. This can prevent them from getting a good night of rest. As a result they get up the next morning irritable and have a hard time focusing on the day ahead. If the acid reflux is happening several times per week at night it can make a person miserable.

There are some ways in which you can alleviate night time acid reflux issues though. First, you need to consider your diet. There are certain types of foods that can trigger it. Those that are spicy are very common as well as too much sugar. Making changes to a healthier diet can help you to get a good night of sleep without problems from acid reflux.

Take the time to chew your food slowly and to drink plenty with your meal. Drink tea or water instead of sugary drinks. Keep the consumption of alcohol to a minimum as well. Dont overeat either as this will likely trigger acid reflux as well. Before you go to bed at night have something to drink that will help to reduce the amount of acid.

If you like milk you can drink it and get additional calcium as well. Some people prefer their mild warm at night but you will get results with a cold glass as well. Drinking a glass of hot tea before bed can help reduce stomach acid as well. Drinking green tea with a meal or after it will also help to encourage proper digestion so that there is less acid available to create such problems.

Such drinks can also curb your hunger later in the evening. Too many people reach for those late night snacks. Not only do they increase the risk of acid reflux but they can result in additional pounds which further exaggerate the issue.

The reason why you can experience acid reflux at night has to do with the body lying down. This can result in more acid flowing back to the esophagus than it would when you are sitting or standing up. By making your bed higher at the head of it you will sleep at an angle that naturally encourages that acid to go back towards the stomach.

You can easily add a couple of boards or some bricks under the front part of the bed. You can also use a thicker pillow or one that is designed just for acid reflux reduction. Research has shown lying on your left side while sleeping will also help to reduce the amount of acid that can cause acid reflux.

If you find you suffer from night time acid reflux on a regular basis then do something to prevent it. Too many people wait until they end up with the symptoms before they do anything. For example taking antacids after meals will help to alleviate the additional acid right away. By neutralizing it you can avoid suffering from acid reflux. Even if you do experience it there will be less acid so the pain wont be as severe.

Everyone needs a good night of sleep in order to function like they should. Dont let night time acid reflux take that away from you. It will affect more areas of your life than you may be aware of. If you arent able to get results from such measures then you definitely want to seek medical attention.

That is because your acid reflux could be the result of something more such as an ulcer or a hernia. It could also be triggered by various types of medications you are taking for other illnesses. Identifying the source of night time acid reflux will help you to find a cure for it. That way you can get back to enjoying those hours of slumber without painful interruptions.

PPPPP

Word Count 671

Types of Surgery for Acid Reflux

No matter how careful a person is with their lifestyle, they may still be suffering from acid reflux. It may be so severe that they arent able to get a good night of sleep. It can also come on during the day preventing a person from being able to complete ordinary tasks. As a result they may eat as little as possible to get through their day. That can result in malnourishment and even more health concerns.

Sometimes surgery is the only choice left to explore in order to combat acid reflux once and for all. Medical professionals wont recommend it unless they have tried everything else without success. That is because there are risks involved with any type of surgery. They dont want to place a patient under the knife unless it is the only alternative left for them to explore.

The two main types of surgery for acid reflux are fundoplication and radiofrequency. Fundoplication surgery for acid reflux has been around for a very long time. This procedure involves taking the upper part of the stomach and then sewing it to the bottom portion of the esophagus. A tunnel is made so that a portion of the esophagus can pass through to the stomach muscle.

As a result of the Fundoplication surgery a person will stop suffering from acid reflux. At the same time the valve from the esophagus to the stomach will get stronger. As a result the body is able to take care of the acid it produces naturally without it moving from the stomach to the esophagus.

Depending on how severe the acid reflux is, the way in which the incision is made will vary. Generally an incision is made in the abdomen and a tube is placed into it. This process takes a couple of hours to complete. The patient will be able to make a full recovery within a week.

For the more severe cases an incision has to be made in the chest area. Due to the risk of an infection most patients have to remain in the hospital for a week or two after it is done for observation. This procedure has to be done when the esophagus is inflamed due to the swelling.

Radiofrequency surgery is newer but many medical professionals are offering it. That is because this form of surgery for acid reflux is less invasive. In fact, patients can be released to go home the same day they have it rather than spending several days in the hospital. This process involves creating thermal lesions at the bottom of the esophagus and the top of the stomach.

As a result there is less acid able to move from the stomach to the esophagus. This type of surgery also helps to strengthen a weak esophagus. This is accomplished by making the muscles in there thicker than before. As a result there is less pressure against the esophagus to open up.

Since there is less of a risk with this form of acid reflux surgery, it is starting to be used for those that may be getting benefits from prescription medications. There can be side effects of those medications though that the patient doesnt want to deal with on a regular basis. If they have to take medications for other types of medical concerns it can render them less effective as well. Therefore acid reflux surgery may be a good idea to allow them relieve and to ensure they can get the results from medications for their other health concerns.

Individuals that have undergone surgery for acid reflux have to be committed to eating a well balanced diet afterwards. This includes limiting fatty foods, chocolate, and citrus fruits. The results from such surgery will vary as well. Some individuals never suffer from acid reflux again while others do on occasion. However, those that do continue to suffer from it find that they symptoms arent nearly as severe as they once were.

PPPPP

Word Count 666

Tips to Keep Acid Reflux Away

Acid reflux is very common in our society but that doesnt mean you have to live with it. Some individuals experience issues with it once in a while but others have chronic acid reflux. Anyone that has suffered from it can tell you it is a very uncomfortable feeling. There are quite a few methods of treating it out there but why not do your best to keep it from occurring in the first place?

The biggest trigger of acid reflux has to do with the diet a person has. You need to pay attention to certain foods that will trigger it. Eliminate them from your diet or at least consume them only in moderation. Do your best to eat small meals and to take your time to eat slowly.

You need to give your food time to digest as well before you go to bed at night. Dont eat at least two hours before you lay down. If you plan to go relax after a meal dont lie down on the couch either. When you do so there is too much pressure and that is what causes acid from the stomach to enter the esophagus.

If you tend to suffer from acid reflux when you lie down at night change your position. By adding another pillow or one that is thicker you will change the angle of your body enough to keep the acid levels from coming to the esophagus. There are special wedge pillows designed specifically for this as well. Some people find that adding volume to the head of the bed underneath is effective as well. This can be done by placing bricks or boards under the frame of the bed at the top.

You should drink plenty of water during the day as well because it will help assist with the digestion process. What you drink can be triggering the acid reflux as well. Some individuals find juices such as orange juice and pineapple juice contain lots of acid that their body has a hard time digesting. Consuming large amounts of alcohol can also trigger acid reflux.

Studies show those individuals that are overweight are more likely to suffer from acid reflux. As the pounds are added your body will change in many ways both inside and out. One of those ways is that your methods of digestion will be altered and that can result in acid reflux.

Reducing stress in your life can also help keep acid reflux away. That is because so many people turn to food or alcohol when they are experiencing high levels of stress. Find another outlet such as exercising more to get your stress levels down to a manageable level.

Getting enough exercise each day and watching want you eat will help you maintain a healthy weight. Establish a plan to help you lose the weight. If you can drop as little at ten pounds you will notice a significant reduction in the frequency and severity of acid reflux problems. Avoid other negative lifestyle habits including smoking and consuming alcohol as well to keep acid reflux from becoming a problem for you.

Pay attention to the clothing you wear as well. When your pants or shirts are too tight they can prevent the body from being able to successfully digest food properly. As a result of that acid reflux becomes more of an issue. For many individuals that goes hand and hand with the gaining weight issue. Yet some individuals purposely wear tight clothing styles.

By paying close attention to each of these areas you can do your best to keep acid reflux away. You will find your efforts to eliminate it are more effective than those to treat it. The severity of acid reflux can be different for each person but most of the time it isnt enjoyable. Dont allow such episodes to prevent you from enjoying your life and from getting a good night of sleep.

PPPPP

Word Count 664

Tips to Avoid Triggering Acid Reflux

Most of us enjoying eating as it is a necessity and often a social activity as well. However, for those that suffer from acid reflux the fun ends there because they know later on they will be in pain. You can follow some very simple tips though to help you avoid acid reflux problems.

Pay attention to how certain foods do affect you. That is important because you dont want to end up repeating your mistakes over and over again. For example if you often cook with garlic it may be what is causing you to suffer from acid reflux. Changing to another spice or just eliminating it from your cooking can make all the difference.

Pay close attention to how much you eat as well. Too many of us continue to eat just because food is in front of us. Portions at restaurants have gotten out of control as well. Stop eating when you are full and you will find that you suffer less from acid reflux. It can help you to lose weight as well which puts pressure on the stomach. When you shed some pounds you will discover that there is less pressure.

In addition to watching your portions, pay attention to how often you are eating. Traditionally three meals and two snacks was recommended. However, for those that suffer from acid reflux eating six small meals can help the body to digest the foods easier. Make sure that you dont eat for the last couple of hours at night before you go to bed either.

Since night time is when acid reflux generally affects a person, you can do things to prevent it. For example you can set your bed up so that your head and shoulders are several inches higher up than the rest of your body. You also want to sleep on your left side as it will promote digestion. Laying on the right side is going to increase your risk of acid reflux so do your best to get out of the habit of doing so.

Taking antacids after each meal can help you to reduce the amount of acid in your body as well. This is a great way to prevent acid reflux from taking place. You should also consume plenty of water and green tea so that you can remove toxins from your body naturally. Such liquids will also help with digestion to take place easier and with less acid produced.

Chewing gum is a very simple and effective way for you to avoid triggering acid reflux. It naturally allows your body to produce more saliva and that counteracts that acid in your stomach. There are many flavors of gum you can chew too so try some new flavors. Try to chew gum for at least 30 minutes after each meal in order to get the best results.

If you follow these acid reflux tips you will feel better. You will suffer from it less and have ways to get relief. If nothing seems to help then you may have a medical condition that is triggering it. Make sure you let your doctor know how acid reflux is affecting your life. You also need to let them know what efforts you have taken on your own to cure it. That way they can proceed with other methods that can offer you relief.

PPPPP

Word Count 567

Symptoms that Indicate you may be Suffering from Acid Reflux

Symptoms that Indicate you may be Suffering from Acid Reflux

Acid reflux can affect a person at any time of the day or the night. The severity of the symptoms may be different and so it can be hard to tell if that is what is really going on. For some individuals though the symptoms of acid reflux are all too familiar. That is because they suffer from them on a regular basic. Discovering the symptoms of acid reflux can help you to diagnose what is going on though. That way you can take action for fast and effective relief.

The most common symptom of acid reflux is a burning sensation. It can be felt in the stomach, the chest, or the throat. For some individuals the pain will be from the bottom of the stomach to the top of the throat at the same time. When it occurs at night a person may think they are suffering from a heart attack as they may get severe pains in their chest region.

There are different forms of acid reflux and one of them is known as Dyspepsia. When this is present there will be some additional symptoms noticed by the individual. They include pain that occurs in the abdomen, the stomach feeling very full even hours after you have completed your meal, and sometimes nausea that occurs after you have eaten something.

There are some less common symptoms of acid reflux that people have reported as well. One of them is pain behind the breastbone. It may feel as if you swallowed a piece of food such as meat that was too large. It can become more severe when you lie down as well. Drinking plenty of fluids can help to flush out this feeling but it can take days for you to feel better. If it returns often then you have a serious problem with acid reflux that needs to be addressed with a doctor.

For some individuals the acid in their esophagus can affect their ability to speak. They may find they have to continually clear their throat in order to talk. They may have a dry cough that wont go away either. The persistence of it can be very annoying and it can prevent them from getting a good night of rest. Some individuals find it is hard to eat because they cant swallow properly. This likely means the opening of the esophagus has narrowed due to the acid.

When a person has a sore throat for a period of time they may blame it on allergies. However, if you suffer from acid reflux that could be to blame for it. Some individuals have daily occurrences of hiccups too that can be quite painful. They can also be a symptom of acid reflux.

Pay attention to such symptoms because if you dont the situation can continue to get worse and worse. You definitely want to get relief from acid reflux as soon as you can. Rather than allowing it to keep cropping up, look for solutions that will prevent it. Acid reflux can be too painful to wait for medications to kick in once you are hurting.

If your acid reflux symptoms continue to get worse or you cant get relief for them on your own seek medical attention. Many cases of it are severe enough that they require either prescription medications or surgery to get rid of them. Dont continue to allow the pain from acid reflux to be something you just try to cope with.

PPPPP

Word Count 590

Next Page »