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Failure to relax the pelvic floor muscles during defecation
Anismus or dyssynergic defecation is the failure of normal relaxation of pelvic floor muscles during attempted defecation. It can occur in both children
Anismus
Inability to fully empty the rectum during bowel movements
Occasionally some sources inappropriately treat ODS as a synonym of anismus. Although anismus is a major cause of ODS, there are other possible causes. Other
Obstructed_defecation
Infrequent or difficult bowel movements
external compression. Constipation also has neurological causes, including anismus, descending perineum syndrome, desmosis and Hirschsprung's disease. In
Constipation
Protrusion of the walls of the rectum outside the body
sphincter relaxation: Grade I: nonrelaxation of the sphincter mechanism (anismus) Grade II: mild intussusception Grade III: moderate intussusception Grade
Rectal_prolapse
Visualisation of the mechanics of a patient's defecation
and false positive diagnosis of anismus. It has also been reported that there is a high false positive rate of anismus diagnosis with anorectal manometry
Defecography
Mechanical or functional obstruction of the intestines
sphincter myopathy Inefficient relaxation of the striated pelvic floor muscles Anismus (pelvic floor dyssynergia) Multiple sclerosis Spinal cord lesions Mechanical
Bowel_obstruction
Gaining awareness of biological processes
aid motivation and adherence to therapy. Biofeedback is a treatment for anismus (paradoxical contraction of puborectalis during defecation). This therapy
Biofeedback
Medical condition
constipation, straining during defecation, and dyssynergic defecation (anismus). Treatment is by normalization of bowel habits, biofeedback, and other
Solitary rectal ulcer syndrome
Solitary_rectal_ulcer_syndrome
Anatomical structure
rectocele, perineal hernia, and several functional disorders, including anismus. Constipation due to any of these disorders is called "functional constipation"
Pelvic_floor
Surgical Procedure
STARR and PPH are contraindicated in persons with either enterocele or anismus. This procedure is for internal hemorrhoids only and not for external hemorrhoids
Stapled_hemorrhoidopexy
Loose or liquid bowel movements
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Diarrhea
Medical condition
dyssynergia (dyssynergic defecation / anismus). No demonstrable anatomic defect. Dyssynergic defecation / anismus which is resistant to standard treatment
Internal_rectal_prolapse
Autoimmune disorder
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Coeliac_disease
Inflammation of abdominal organ lining
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Peritonitis
Medical condition
requires symptoms to be present at least a fourth of the time. Causes include anismus, descending perineum syndrome, inability to control the external anal sphincter
Functional_constipation
Inflammation of the small intestine
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Enteritis
Fecal incontinence in children
the holding response that the rectal anal inhibitory response (RAIR) or anismus results. The RAIR has been shown to occur even under anesthesia and when
Encopresis
Inflammation of the liver
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Hepatitis
Allergic inflammatory condition of the esophagus
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Eosinophilic_esophagitis
Intestinal inflammation causing bloody diarrhea
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Dysentery
Inflammation of the pancreas
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Pancreatitis
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Small intestinal bacterial overgrowth
Small_intestinal_bacterial_overgrowth
Hole in the wall of the gastrointestinal tract
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Gastrointestinal_perforation
Chronic disease of the liver, characterized by fibrosis
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Cirrhosis
Type of inflammatory bowel disease
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Crohn's_disease
Bowel movement consisting of fresh blood
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Hematochezia
Inflammation of the colon (large intestine)
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Colitis
Entrance of abdominal organs into the middle chest through the diaphragm
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Hiatal_hernia
Excessive fat buildup in the liver with other metabolic disease
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Metabolic dysfunction–associated steatotic liver disease
Metabolic_dysfunction–associated_steatotic_liver_disease
Ulceration of the gastrointestinal tract
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Peptic_ulcer_disease
Condition of impaired digestion
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Indigestion
Specialty of physical therapy
pelvic floor physical tone is thought to be a component of constipation, anismus, and irritable bowel syndrome (IBS). On the other hand, women who are postmenopausal
Pelvic_floor_physical_therapy
Functional gastrointestinal disorder
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Irritable_bowel_syndrome
Type of fluid replacement used to prevent and treat dehydration
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Oral_rehydration_therapy
Medical symptom with no known physical cause
psychiatric causes. However, one type of apparently functional constipation, anismus, may have a neurological (physical) basis. This is also an issue when the
Functional_symptom
Inflammation of the gallbladder
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Cholecystitis
Inability to refrain from defecation
Obstructed defecation is often due to anismus (paradoxical contraction or relaxation failure of the puborectalis). Whilst anismus is largely a functional disorder
Fecal_incontinence
Bleeding in the gastrointestinal tract
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Gastrointestinal_bleeding
Medical specialty
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Hepatology
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Gastric_outlet_obstruction
Inability of the liver to perform its normal functions
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Liver_failure
Presence of excess fat in feces
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Steatorrhea
Cancer of the colon or rectum
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Colorectal_cancer
Break or tear in anal canal skin
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Anal_fissure
Folding of part of the intestine into itself
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Intussusception (medical disorder)
Intussusception_(medical_disorder)
Digestive disease of the large intestine
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Diverticulitis
Inflammation of the stomach and small intestine
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Gastroenteritis
Solid buildup of feces in the rectum due to chronic constipation
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Fecal_impaction
Effect of alcohol consumption on the human body
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Alcohol_flush_reaction
Medical intervention
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Carbonated soda treatment of phytobezoars
Carbonated_soda_treatment_of_phytobezoars
Disruption to the propulsive ability of the intestine
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Ileus
Pinching of the intestine between the abdominal aorta and superior mesenteric artery
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Superior mesenteric artery syndrome
Superior_mesenteric_artery_syndrome
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Pyloric_stenosis
Medical intervention
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Management of ulcerative colitis
Management_of_ulcerative_colitis
Medical symptom or condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Nausea
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Umbilical_hernia
Inflammatory bowel disease that causes ulcers in the colon
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Ulcerative_colitis
Abnormal dilation of the large intestine
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Megacolon
Disease of the anus
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Anal_fistula
Precancerous tissue formation in the esophagus
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Barrett's_esophagus
Human viral infection
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Hepatitis_C
Protrusion of abdominal contents through the inguinal canal in the pelvis
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Inguinal_hernia
Digestive system in humans
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Human_digestive_system
Disease where stones form in the gallbladder
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Gallstone
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Acute_pancreatitis
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Alcoholic_liver_disease
Inflammation of the stomach lining
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Gastritis
Human disease
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Cyclic_vomiting_syndrome
Bodily stone made of feces
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Fecalith
Flow of stomach contents into the esophagus
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Gastroesophageal reflux disease
Gastroesophageal_reflux_disease
Medical condition in which gallstones cause acute pain
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Biliary_colic
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Intrahepatic cholestasis of pregnancy
Intrahepatic_cholestasis_of_pregnancy
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Inflammatory_bowel_disease
Injury to the intestine resulting from insufficient blood flow
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Bowel_infarction
Twisting of part of the intestine, causing a bowel obstruction
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Volvulus
Condition in which tumours stimulate excessive gastric acid production
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Zollinger–Ellison_syndrome
Abnormal presence of gases in the peritoneal cavity of the abdomen
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Pneumoperitoneum
Narrowing of the lower esophagus due to mucosal or muscular tissue
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Schatzki_ring
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Fructose_malabsorption
Inflammation of the appendix
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Appendicitis
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Neutropenic_enterocolitis
Protrusion of tissue through a hole in the abdominal wall near the navel
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Paraumbilical_hernia
Disease of the small intestine
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Jejunitis
Medical diagnostic method
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Simple clinical colitis activity index
Simple_clinical_colitis_activity_index
Abnormal exit of tissues or organs from the cavity they usually reside in
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Hernia
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Dumping_syndrome
Inflammation of the esophagus
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Esophagitis
Branch of medicine focused on the digestive system and its disorders
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Gastroenterology
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Whipple's_disease
Abnormal growth of tissue projecting from a mucous membrane
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Polyp_(medicine)
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Steatohepatitis
Human infectious disease
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Hepatitis_D
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Proctalgia_fugax
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Short_bowel_syndrome
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Lymphocytic_colitis
Brain disease resulting from liver failure
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Hepatic_encephalopathy
Medical intervention
and assessment from a gynecologist or urologist. Dyssynergic defecation (anismus). Enterocele, especially if detectable at rest. Fecal incontinence. Symptoms
Stapled trans-anal rectal resection
Stapled_trans-anal_rectal_resection
Medical condition
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Gastroparesis
Condition of the wall of the intestine
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Diverticulosis
Autoimmune disease of the liver
proctitis Proctalgia fugax Rectal prolapse (Internal rectal prolapse) Anismus Solitary rectal ulcer syndrome Rectal stricture Anal canal Anal fissure/Anal
Primary_biliary_cholangitis
ANISMUS
ANISMUS
ANISMUS
ANISMUS
Girl/Female
Tamil
Aliveni | அலீவேநீ
Golden doll
Female
Native American
Native American Sioux name ANPAYTOO means "radiant."
Boy/Male
Tamil
Jasvindar | ஜஸவிஂதர
Lord of glory
Girl/Female
Hindu
Youthful
Boy/Male
Tamil
Respectable Man, Intelligent
Girl/Female
Muslim
Prayer
Girl/Female
Afghan, African, Arabic, French, German, Gujarati, Hindu, Indian, Japanese, Kannada, Malayalam, Marathi, Muslim, Pashtun, Swahili, Telugu, Turkish
Famous; Godly; Spring; The Fourth Female; Popular; Divine; Greenery
Female
English
English unisex form of Hebrew Terach, TERAH means "delay" and "station." In the bible, this is the name of a place in the wilderness where the Israelites stopped on their Exodus. It is also the name of the father of Abraham.
Surname or Lastname
English (Lancashire)
English (Lancashire) : unexplained.
Boy/Male
Afghan, Arabic, German, Gujarati, Hindu, Indian, Kannada, Malaysian, Muslim, Pashtun, Sindhi
Gain; Knight; Grace; Favour; Victorious; Blessings
ANISMUS
ANISMUS
ANISMUS
ANISMUS
ANISMUS