Download FREE Practo app
Get ₹200 HealthCash
Low Vitamin D 14.90 and calcium is 9.9
I was recently diagnosed with H. pylori infection and erosive antral gastritis. During winter, I began experiencing severe fatigue, anxiety, and troubling thoughts. After a couple of months, I decided to check my Vitamin D and calcium levels. The results showed low Vitamin D (14.9 ng/ml) and calcium at 9.9 mg/dl. My doctor prescribed weekly 60,000 IU Vitamin D chewables along with a PPI. I’ve read online that Vitamin D supplementation is often paired with Vitamin K2 and magnesium glycinate for better absorption and balance. Since starting supplementation, my anxiety and negative thoughts have been gradually improving. After antibiotics treatment but still I feel week and negative thoughts
Answers (16)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
It is common to still feel weak and experience negative thoughts after H. pylori treatment, as the infection, its treatment, and your vitamin D deficiency create a complex recovery process. Your vitamin D level is considered deficient which is why the fatigue, anxiety, and low mood you described.The infection triggers a anxiety due to elevated systemic inflammatory markers that may affect brain function. Antibiotics can significantly alter your gut microbiota, which is directly linked to mood regulation
Next Steps
eat small, bland meals like boiled chicken, rice, and oats while strictly avoiding spice, caffeine, and oil to let your stomach heal. Rebuild your gut health and lift your mood by using probiotics like yogurt or buttermilk to restore the good bacteria stripped by antibiotics. Finally, calm the gut-brain axis through light walking and deep breathing to reduce the systemic inflammation that triggers your anxiety and fatigue.
Health Tips
go to nearest hospital if you experience black, tarry stools or vomit that looks like coffee. Severe, sudden abdominal pain that makes your stomach feel hard or rigid, persistent vomiting, or fainting and extreme dizziness
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+103
Uprise d3 capsule 60k once a week for 12 weeks
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Do consult superspeciality branch
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
All these findings are incidental and can be present in anyone without being symptomatic. all you need is to reassure yourself that everything is fine but if still it impairs your quality of life then better to start with anxiolytic and antidepressants otherwise your symptoms will aggravate in near future somtimes in form of fatigue and sometimes in form of dyspepsia.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Hello, I have reviewed your case. While your treatment is focused on the stomach, it is very common for chronic gastritis and H. pylori to manifest as anxiety and extreme fatigue. Here is why you are feeling this way and how to manage it:"
1. The Gut-Brain Connection:
Neurotransmitter Disruption: About 90% of your body's serotonin (the 'feel-good' hormone) is produced in the gut. Erosive gastritis disrupts this production, which can lead directly to the anxiety and negative thoughts you are experiencing.
Malabsorption: Chronic inflammation from H. pylori hinders the absorption of critical nutrients. Specifically, Vitamin B12, Iron, and Vitamin D deficiencies are very common in gastritis patients. Low B12 and Vitamin D are major drivers of fatigue and "brain fog."
2. Addressing the Vitamin D Deficiency:
Your fatigue and negative thoughts are likely tied to your low Vitamin D levels. Vitamin D acts as a neuro-steroid; when it's low, it can mimic symptoms of clinical depression or anxiety.
The "Dream Team" for Absorption: To fix this quickly, don't just take Vitamin D alone.
Vitamin K2 (MK-7): Ensures the calcium absorbed by Vit D goes to your bones and not your arteries.
Magnesium Glycinate: Magnesium is required to activate Vitamin D in your body. Magnesium Glycinate is specifically recommended here because it is the most "stomach-friendly" form and also helps calm the nervous system (reducing anxiety).
3. Recovery Expectations:
H. pylori Eradication: Ensure you finish your entire antibiotic course. Even after the bacteria are gone, the "erosive" part of the gastritis takes time to heal (often weeks to months).
Dietary Support: Stick to a "Bland Diet." Avoid caffeine, spicy foods, and citrus, as these trigger acid production which can worsen the "fight or flight" feeling in your gut.
4. When to Consult Again:
If your negative thoughts become overwhelming or you experience severe physical weakness/shortness of breath, please seek an in-person evaluation to check your Hemoglobin and B12 levels.
Answered
Flag this answer
2/2 people found this helpful
Was this answer helpful?
YES
NO
Continue the treatment for prescribed duration. Along with PPI, take tab amoxycillin 500mg one morning and one evening for 7 days
Tab Clarithromycin 500mg one morning and one evening for 7 days. This triple therapy will help in clearing H pylori infection.
Take small frequent meals with more of fresh green vegetables and fruits.
Take more of fortified cereals, nuts, berries, mushrooms, eggs,curd, cheese to get vit b12 and d.
Drink more water, avoid excess of tea, coffee.
Spend an hour or so in morning sun with limbs exposed if possible
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Do consult
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Continue your medicine.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
You’re dealing with a combination of Helicobacter pylori Infection + Erosive Gastritis + Vitamin D Deficiency — and all three can contribute to fatigue, low mood, and anxiety.
Next Steps
✔️ Continue:
• Weekly 60,000 IU Vitamin D for 6–8 weeks total, then switch to maintenance
✔️ About combinations:
• Magnesium (like glycinate) → helpful, can be added
• Vitamin K2 → optional, not mandatory unless long-term high-dose Vitamin D
✔️ Add these for recovery:
• Probiotic (after antibiotics course) → restores gut
• High-protein diet + fruits/vegetables
• Continue PPI for gastritis healing as advised
✔️ Recheck after 8–10 weeks:
• Vitamin D
• B12 (very important, often low with gastritis)
Health Tips
• Sunlight exposure (15–20 min daily) boosts recovery
• Avoid spicy, acidic, junk food (gastritis healing phase)
• Small frequent meals → better tolerance
• Sleep hygiene is critical (gut–brain axis plays a role)
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
U can search in amazon n order, but no evidence n documentation available. We documentation believe in WHO.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Yes social media is promoting such stuffs but all of them are not evidence based.
Please consult .
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Saarika
General Physician
4 yrs exp
Chennai
According to your reports ,Vitamin D levels are low (14.9) which can cause of fatigue, anxiety and Calcium 9.9 is normal
Advice:
Continue Vitamin D 60,000 IU weekly for 6-8 weeks
Continue PPI for Helicobacter pylori infection / gastritis
Sunlight + good diet
Answered
Flag this answer
2/2 people found this helpful
Was this answer helpful?
YES
NO
Dr. Davra Kaushalkumar Dilipbhai
General Physician
6 yrs exp
Ahmedabad
It requires nearly 1 month to improve symptoms
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.