A member asked:

Egd showed moderate bile in stomach & irritation.severe ruq pain after eating.if hida scan normal, might it still be a good idea to remove gallbladder?

8 doctors weighed in across 2 answers
Dr. Rebecca Gliksman answered

Specializes in Internal Medicine

RUQ pain: Occasionally there are false negative HIDA scans if HIDA negative would do ERCP to look for stones that may have been missed on ultrasound. before that would check for H pylori a gastritis bacteria as with bile reflux and irritation may have gastritis causing pain . Bile reflux causes pain. f/u w/MD https://www.mayoclinic.org/diseases-conditions/bile-reflux/diagnosis-treatment/drc-20370121

Answered 3/8/2019

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RUQ: If you're experiencing severe RUQ pain, and especially if there is associated tenderness there, I recommend a consultation with an abdominal surgeon. The gall bladder may have sludge not seen on ultrasound or there may simply be severe gall bladder dysfunction, spasm of its sphincter or cholecystitis without gall stones. In any event your attacks impact your lifestyle. Be sure to avoid greasy foo

Answered 3/3/2019

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