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Hi, I have been having some problems with my stomach and digestion and my locum GP has said that since I have had these problems for quite a few number of years (by my count 4-5 years but possibly longer) it might be worth me being referred to a gastroenterologist. She has put me on Omaprazole for now as she suspects acid reflux.
I told my last GP practice about these issues and even though I sent them a letter regarding this they did not like the fact that I was referring to articles for testing that were over 20 years old. This letter is now in my files and I'm wondering if action can be taken against the GP surgery since I now most likely have a malabsorption issue that they did not look into despite me hinting at one in my letter.
Ferritin: 28 (30-400) I cannot find an iron supplement that suits me but my GP has informed me that this result is now normal and no action is needed.
Vitamin D3: 73 (50-75 suboptimal) I have been supplementing with a D3 3000IU spray.
Pale skin, almost anaemic
Constipation but this has now become looser, sometimes watery
Fizziness in throat
Lumps/swelling in throat over thyroid and in the upper parts of my neck (there are two well-defined lumps either side of my neck. One is near my hyoid bone and has been there since March. The other is lower down)
Extreme weight loss despite eating more protein and carbohydrate-rich food and eating 3 meals a day. Anything to get the weight on and make it stay. My weight was 7 stone 6, it is now just 7 stone. My BMI was 17.9 and is now 17.3. (healthy range 18.5-25)
Abdominal pain (I had one severe bout of abdominal pain last week and I thought it was gas pains so I attempted to pass gas by tensing my lower abdominal muscles but it made the pain worse). I rarely get any pain but when I do it's very acute and sharp
Reactions when eating certain foods
Milk - Constipation and gas within 5-20 minutes of consumption
Wheat/gluten - Constipation and gas within 15-40 minutes of consumption
My previous GP has said I do not have gluten or lactose intolerance because my symptoms do not correlate with either of them.
I was told I have Hashimoto's Thyroiditis (autoimmune hypothyroidism) and I am under the care of an endocrinologist. She has said she didn't want me to undergo an upper endoscopy because she didn't want to put me through an unpleasant procedure but I am wondering if, by perhaps allowing me to undergo the procedure, something may have been found?
So, the locum GP has put a note on my records for my usual GP (I didn't even know she was away at the time) to follow-up in 2 weeks to see if the omaprazole is working but because of the extreme weight loss they are looking to refer me on to a gastroenterologist.
I saw a nutritionist back in March who advised me that to make my antibodies specific to my illness (Anti-Thyroid Peroxidase) reduce I needed to go gluten, wheat and dairy free, which I did and did so consistently, yet my antibodies quadrupled within 6 months. I don't know what it is I did wrong.
I am now very worried because I feel I'll be seen as someone who is intentionally starving herself but whatever I eat and however much I eat it makes no difference.
Could I possibly have malabsorption?
Can anyone advise me on my situation? What does a gastroenterologist do? Will they be able to do more tests on me and what ones do they do?
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