A member asked:

Can u have hida scan 7% ef with pain nausea. negative ct u and ultrasound and not be gallbladder? surgeon and go unsure. rt rib shoulder neck press

5 doctors weighed in across 3 answers
Dr. Johnny Green answered

Specializes in Colon and Rectal Surgery

Could be ulcers: When the pain pattern is typical of "biliary colic", meaning cramping pain in the RUQ after eating, worse with a fatty meal, and you have a low ef we usually recommend removing the gallbladder and it works most of the time. When the pain pattern is different the results are not as good. If you have not had a scope of you stomach and duodenum this would be a good next step.

Answered 6/10/2014

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Dr. Tracy Berg answered

Specializes in General Surgery

Negative workup: When the diagnosis is not easy to make, your care team will get to a point of additional testing versus a surgical intervention. You have a choice because you are in the elective phase. Bring a friend to hear/discuss the risk benefit analysis of gallbladder removal. A scope/egd before gallbladder removal is smart. Good luck.

Answered 7/3/2017

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Dr. Fidias De Leon answered

Specializes in Nuclear Medicine

May need surgery: If hida is abnormal (7% ef) with associated symptoms of abdominal pain worse after meals, a diagnosis of gallbladder dysfunction is likely. Removing the gallbladder is usually indicated in this case. You can choose not to have the procedure as well. Endoscopy would not be a bad idea, to complete the workup. Good luck!

Answered 6/10/2013

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