A member asked:

Hida w/o ef norm; 7 mo later tracer 2 hr. to gb, ef 20%. could bile in gb have slowed down tracer and if so, effect ef? 17 h fastb4 test start 0 stone

3 doctors weighed in across 3 answers
Dr. Mark Roberto answered

Specializes in Preventive Medicine

Probably Bad GB: Why did you have the HIDA- I assume pain or nausea, bloating, dyspepsia after meals? Normal EF is 33-40% or more. If EF 20%, but not symptomatic and no other obvious cause, your likely problem is 'Biliary Dyskinesia' or that of a dysfunctional GB. Since no stones, no hurry on removal, let your symptoms dictate.

Answered 8/4/2014

3.8k views

Thank
Dr. Steven Warren answered

Specializes in Family Medicine

Yes: bile sludge and a new stone could have developed causing the problem and even inflammation or infection of the GB could occur causing the change in ejection fraction. If you are having symptoms with the change in EF you need to be seen. If no symptoms perhaps wait a few months and repeat the test

Answered 8/6/2014

3.8k views

Thank
Dr. Gerald Mandell answered

Specializes in Nuclear Medicine

False positive resul: Extreme fasting, much greater than 6 hours, can affect contraction of gb and give false positive result of gall bladder disease.

Answered 11/14/2014

3.5k views

Thank

Related Questions