Brief Answer: Please, are you taking any thyroid supplements? Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about these symptoms. The majority of symptoms that you have described are ore suggestive of an acid reflux disease than H. pylori infection. I will suggest that you get evaluated for this reflux and managed accordingly. This is because, though you tested negative for h' pylori, it does not mean you do not have acid problems. and this condition is clearly not caused by H. pylori and I will like to see you taking something for it. Omeprazole alongside lifestyle modifications would be very helpful. Your low sex drive and fatigue symptoms are suggestive of a low functioning thyroid. Hashimoto thyroiditis is a major risk factor for hypothyroidism. If you are not receiving any treatment for this or you are on treatment, I will like your TSH levels to be evaluated. Tis will give us an immediate idea on whether you have this problem or not. I will suggest you pay a visit to your primary care doctor. Bring to his attention my suspicion of hypothyroidism and acid reflux disease for him to investigate and confirm or rule out. Depending on the findings, specific treatment options would be proposed to help you get over these troubling symptoms and improve your quality of life. I hope this addresses your query fully. Thank you so much for patronizing our services and please do feel free to ask for follow up clarifications and information if need be. I wish you the best of health. Dr. Ditah, MD.

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Brief Answer: Thank you! Detailed Answer: Hi and thank you so much for this follow up precision. I understand that you have been treated for possible acid reflux using omeprazole and the results have not been great. This is the first line of management and if this should fail, then other measures like surgical correction are strongly considered. H. pylori would cause pain in the abdomen. However you have been treated for this and your symptoms have not improved. More so, these symptoms are more suggestive of reflux. If you have not been seen by a gastroenterologist, I will strongly recommend that you see one. Also, if you have not had a tube inserted through the mouth into the stomach to look, it should also been done. It is logical for symptoms of low sex drive to intensify with worsening symptoms.Of course, we need good health before we can dare to think and indulge in sexual activities. With a worsening health, this would most likely get worse. I am sure it would very much improve when your health is restored. Your numbers for TSH are good and I don't think you need any further aggressive measures in this direction. In all: 1. I maintain reflux but think you should be investigated and considered for surgical correction if need be. Also, get an upper endoscopy done to look directly int the stomach and esophagus. 2. A gastroenterologist would be the best person to talk with. 3. Be open about it, put forward my reasoning and suggestions so that he must address them before saying NO and not completely ignoring them. 4. Keep me updated! I wish you well. Dr. Ditah, MD.

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