Karlee has always had GI issues. beginning in kindergarten when Karlee would ask the teacher to use the restroom, case the teacher would give the typical response and tell her “no, cialis wait until recess”. Karlee would end up vomiting on herself. Being very shy, physician embarrassed, and not wanting to get in trouble from the teacher, Karlee learned to keep the vomit in her mouth and swallow it. My heart broke when I found out she was doing this since the age of five years old.