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Acute gastritis.

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My husband has been terribly Ill with gastrointestinal issues. In addition, he was recently diagnosed with hypothyroidism and very low (9) testostErone. The gastro doc has run virtually every test-and has come back with the diagnosis of gastritis. As they cannot seem to figure out what is going on, our GP and gastroenterologist called him and told him he needs to see a neuropsychologist. My husband actually cried- feeling that in no way is this in his head.

I have to believe that these issues are all related and indeed this is not in his head. I have read where thyroid disease can cause gastritis. He is taking everything from injectable testosterone, thyroid meds, kerafate, and the list goes on and on.

In your experience, do you think these all could be related? He is literally bed ridden and we are both at our wits ends. The endocrinologist says it gastro and has not done anything more than treat the thyroid and testosterone

Is there a specialist we should seek out?
Anything you can share would be greatly appreciated
Sincerely
Kate Wimer


Category: Endocrinologist

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Category: Diabetologist
Dr. J Muthukrishnan is online now

Expert:  Dr. J Muthukrishnan replied 4 Days.

Hello,

Thank you for choosing DoctorSpring.

I understand your concern and I will try my best to help you out here.

I would like to know more about your husbands illness. Specifically the symptoms.

1. What are the 'gastro' symptoms he is having?
2. Are there any other symptoms ? (currently)
3. How was the low testosterone and thyroid diagnosed ?

You can reply as a followup
Thank you


Patient replied :

Gastro symptoms are pain right in sternum and chronic nausea. He has also had blood in stool.. He cannot get relief with much of anything including nausea meds (promethezine). All tests show irritation in stomach, duodenum and small intestine.

The low t and thyroid were diagnosed by endocrinologist via blood tests.


Expert:  Dr. J Muthukrishnan replied 3 Days.

Hello Mrs Wimer,

Thank you for the reply. The gastrointestinal symptoms are not suggestive or related to the endocrine disease. I assume that your Gastroenterologist has adequately evaluated your husband. He might need a OGDscopy (Endoscopy) if not done already in consult with your Doctor.

Thyroid disease (or the medications) can result in some amount of gastritis, but it will never manifest with such prominent symptoms. He should continue taking the Testosterone shots and the Thyroid medications along with anti ulcer medications (like Prilosec) for the gastritis. If he was evaluated adequately then I would say you need worry. Just give it some time for the symptoms to settle down. From an Endocrinology standpoint what I have to say is that the symptoms are not related and he should have periodic followups.

I do not recommend any other specialist opinion as of now. But it is better if he is under the care of Internist or Family Physician. I cannot comment about the need for a Neuropsychiatrist opinion as I have not seen the patient. But if your Doctor has suggested so then there is no harm in trying that option.

Hope this helps
Feel free to ask followups / clarifications


Patient replied :

As one last question, after reading up on synthroid, it appears there is a correlation with when he began taking the medicine and when all the stomach symptoms appeared. It sounds as though many people have had terrible side effects from this medicine. Would it make sense to ask the dr to change his prescription to something else? Thank you


Expert:  Dr. J Muthukrishnan replied 2 Days.

Hello,

Synthroid is unlikely to cause this amount of symptoms. We have hundreds of patients taking Synthroid without any complications. There are other brands available, which you can try under the guindance of your Doctor. But I do not think it will have any effect. There are lot of wrong information circulating online about Thyroid supplements and they are baseless. You should continue Thyroid medications.

Thank you


Dr. J Muthukrishnan
Category: Diabetologist
Experience: 
Fellowships/Training: 
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
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