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Good morning, I am Dr Ruff. Thank you for contacting us today.
I am sorry to hear you are severely ill. Please do share your tests?
In what way are you unwell?
No problem. Did this all start a few days ago as well?
Gastritis is a clinical presentation, you do not need an endoscopy for that.
However if you have had symptoms for more than a few months, then yes an endoscopy would be wise.
You should be on a high dose PPI (Omeprazole/Lansoprazole), and also due a repeat blood test following this report as your kidney function had deteriorated slightly. This can be from something as simple as dehdyration.
If this has been for more than 6 weeks, ask your GP to urgently refer you as you would be able to go on an urgent pathway meaning the Gastroenterologist would see you within 2 weeks.
Okay, well that is reassuring then, which makes gastritis more likely.
This therefore will require medical management and unlikely to need any intervention.
As mentioned, a high dose PPI will help, would be worth speaking to your doctor about excluding H.Pylori if it has flared up. However according to the report, you need to make some lifestyle changes, certainly reduce your weight to a healthier level and also consider dietary causes that could be aggravating it.
Okay. Reinfection isn't uncommon.
Best of luck with this, I hope your GP can get you investigated again
Please feel free to ask any further questions if you have any.
ED would not be caused by gastritis, however if you have upper GI symptoms, it would be normal not to have a sexual drive. Any pain and discomfort would greatly stop you maintaining an erection
If you can get an erection, then no it is unlikely to be a neurological problem.
You could try a low dose Sildenafil to see if this helps get you back to normal.
Would you like to speak if I can reduce the price of the call?
I am not sure what price is offered to you without that?
Thanks - could you provide your contact details
Got them, sorry, allow me a few minutes please
Good luck, hope you find the answers you need soon.