I have pain in my right flank under the rib cage, for 3 weeks. i have nausea and bloating. i got a negative ultrasound andmy hida scan is 36%. should i go for surgery or not? any alternate treatments?

See your doctor: This problem can only be solved by seeing your doctor and being evaluated face-to-face. After a thorough examination, your doctor should be able to tell you what's wrong and what to do about it.

Repeat hida scan: The ultrasound study is negative and the hida scan seems to be negative as well. However, the ejection of the gallbladder ( 36%) is in the lower limit of normal ( that was probably done with cck or cholecystokinine). It would be helpful to repeat the test few months later to see if this number improved or decreased overtime . If it decreased, then a gallbladder dysfunction can be surgically treate.

SOD?: Sphincter of oddi dysfunction or sod although not very common, should be considered in a patient with your symptoms and negative imaging studies. It is a stricture of the duct that connects the liver and gallbladder to the small bowel and pancreas. See a gastroenterologist for evaluation and possible endoscopy or ercp.