I was responding to the parts of your post that I quoted...something along the lines nobody else on earth is affected except Dominicans... "I expect the reason Dominican's are effected is merely suggestion"...which is why I referred you (and still do) to the OP where I provide the definitions from the Royal Academy dictionary...These definitions make clear that the concept extends at least through the Spanish-speaking world...they have no indication that the words/concepts are "regionalisms", and they also give some MEDical definitions, all consistent with the usage in the DR.