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Doctor insights on: Abnormal Hida Scan Results

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How can you specifically alter hida scan results?

How can you specifically alter hida scan results?

False positives: Variability in results depends on method of test, interpretative skills, patient symptoms. It is not perfect. If gb ejection fraction is low in patient with biliary colic, chronic gall bladder disease /biliary dyskinesia probable. With acute symptoms non visualization of gb means acute cholecystitis, surgical emergency. False positives prolonged fasting, tpn, alcoholism, recent narcotic, pancreatitis ...Read more

Dr. Joseph Accurso
313 Doctors shared insights

Hida Scan (Definition)

Patient is injected intravenously with isotope tagged to chemical hida that is extracted preferentially by liver cells mimicking bile. Some of this is stored in gall bladder and some enters small bowel from common bile duct. Cholecystokinin is a natural hormone slowly injected intravenously to stimulate gall bladder contraction. Normal function has at least 50% ...Read more


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What does normal low results mean on a hida scan?

What does normal low results mean on a hida scan?

Still normal range: Low normal means the results are still in the normal range, but tend to fall near the lower end of a normal curve. ...Read more

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I just got a hida scan done but what are the possible results?

Normal: Or cholecystitis or decreased gallbladder contractility. See radiologyinfo. Org. ...Read more

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What about a result of 95%? for hida scan is this still normal?

HIDA scan: If you are describing the fraction of gallbladder emptying, 95% is fine. There may be other causes for pain in the upper right abdomen. ...Read more

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In 2010 had hida scan results were 23%. In 2012 results were 50%. No pain during test but shortly after. Does gb get better or change from day to day.?

Can get better: The gallbladder can get better on its own, I've seen people with low gallbladder ejection fractions consistent with chronic cholecystitis get better without surgery. There also is a day-to-day variation in that it responds to recent meals, recent medications. Also, it is possible that the technique in 2010 was different than the technique in 2012. Timing of cck admin can greatly affect results. ...Read more

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Will being hungover change results of hida scan?

Will being hungover change results of hida scan?

Why be hungover: Alcoholism may increase bile viscosity and result in abnormal hepatobiliary function. Should have HIDA test performed under optimal conditions. ...Read more

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Before hida scan I fasted for 20 hrs could this throw the results off?

Not likely: Usually we say don't fast more than 24 hrs. So in general 20 hrs would probably be ok...We would not want someone to fast much longer then that. However, if someone has fasted longer than 24 hrs, a medicine can be given before the study...So that we don't have problems caused by this. ...Read more

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Norman HIDA scan results but pain during CCK injection made my already pain ten times worse what does this mean?

Norman HIDA scan results but pain during CCK injection made my already pain ten times worse what does this mean?

Biliary colic: Recreation of symptoms following CCK provocation is superior to EF for the identification of underlying chronic cholecystitis. Indeed, a normal gallbladder ejection fraction does not necessarily rule out a biliary etiology of symptoms. ...Read more

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Results were normal from an ultrasound and hida scan, what else can I do to figure out what's wrong?

Results were normal from an ultrasound and hida scan, what else can I do to figure out what's wrong?

other G.I problems: If the ultrasound and hida scan are completely normal, it is very likely that you do not have any biliary tree problems. However, many other diseases may mimic some hepatobiliary diseases such as ulcers or inflammation of the oesophagus, stomach or duodenum. Blood tests may also be useful to rule out the presence of h.Pilori which may cause similar symptoms. ...Read more

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Is it possible to have abnormal hida scan, but watch diet and live a normal healthy life without having gallbladder removed?

Is it possible to have abnormal hida scan, but watch diet and live a normal healthy life without having gallbladder removed?

Yes: A radionuclide scan (hida, pipida) is a study of the function and emptying of the gallbladder. We typically think of abnormal results as less than 35 or 40%; however, I have seen many patients with bilary pain with "normal" results as well as patients with abnormal results but essentially no symptoms. The best place for hida is in concert with other tests (blood, u/s, physical exam. ...Read more

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I just had my HIDA scan results come back. The percentage is 76%, is this normal or is that considered an over active gallbladder?

I just had my HIDA scan results come back. The percentage is 76%, is this normal or is that considered an over active gallbladder?

Normal: Usually greater than 35% gb ejection fraction is considered normal. In some labs hyperkinetic gall bladder is contemplated when ejection fraction greater than 80%. ...Read more

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I got results from a Hida scan and my gallbladder function is 18%. I've also been having low grade fevers. Would this cause the fevers?

I got results from a Hida scan and my gallbladder function is 18%. I've also been having low grade fevers. Would this cause the fevers?

Doubtful: Low gallbladder ejection fraction is thought inve a disease called biliary dyskinesia, a functional problem with the gallbladder. This should not cause the fever. It may however prompt you to get your gallbladder removed surgically, which may help symptoms of pain, particularly if the medicine they gave you for the test reproduced the pain. This is done by a general surgeon. Hope this helps! ...Read more

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My HIDA scan results show 30% functioning and I was told it was not within the normal range yesterday after the scan. My doc. Np says this is normal?

My HIDA scan results show 30% functioning and I was told it was not within the normal range yesterday after the scan. My doc. Np says this is normal?

Borderline result?: Surgeons may consider cholecystectomy appropriate to your symptom presentation and database (lab results, other x-rays, exam). Certainly if your liver tests are abnormal further liver/biliary testing will likely be recommended. See your doctor who can direct you to the next appropriate test. ...Read more

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Hida scan results ejection fraction rates 30% at 30minutes 46% at 45 minutes and 50% at 60 minutes. I am very symptomatic with eating, recorecommendat?

Depends on how the: Gallbladder ejection fraction was performed. If the gallbladder contraction drug (cck or sincalide) was administered at a dose of 0.02 micrograms/kilogram over 1 hour, then a normal gallbladder ejection fraction would be greater than or equal to 38% at one hour.

Unfortunately, there is variability in the % depending on exactly how it is performed. Check with your doctor for what normal is. ...Read more

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When given cck during hida scan got very sick with some cramps. Results were 30percent function of gb. My gb us was normal. Should I have gb taken out?

When given cck during hida scan got very sick with some cramps. Results were 30percent function of gb. My gb us was normal. Should I have gb taken out?

Probably: Gallbladder with tc99m hida demonstrates extraction from blood stream of radiopharmaeujtical, then excretion into bowel with some storage in gb. Cck, cholecystokinin, stimulates gb to contract. Normal ejection fraction is usually above 35%.Getting symptoms from injection of cck and low ef of 30% suggests gall bladder needs to be removed. Us of gb can be normal without stones when gb has dyskinesia. ...Read more

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Ultrasound & hida scan results are normal but classic gallbladder issue signs persist. Could there still be a problem w/ gb....Any tests left to try?

Ultrasound & hida scan results are normal but classic gallbladder issue signs persist. Could there still be a problem w/ gb....Any tests left to try?

Yes: HIDA scan does not detect all gall bladder disease. If symptoms are characteristic and typical of biliary colic, usually surgery is beneficial. No additional tests. GB diet to relieve symptoms may be beneficial. Should consult your physician. ...Read more

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U/s negative for gallstones waiting on results from HIDA scan. Having intermittent pain on right side front and back near ribs. If not gb what?

U/s negative for gallstones waiting on results from HIDA scan. Having intermittent pain on right side front and back near ribs. If not gb what?

Right sided pain...: If ultrasound is negative for gallstones, there still could be a problem with the gallbladder. Sometimes CCK is administered during HIDA scan to calculate gallbladder ejection fraction and determine if there is a functional problem with the gallbladder. Is the pain associated with eating? Other organs in the right abdomen include the kidney and liver. Kidney stones can cause right flank pain. ...Read more

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Is hyperkinetic gallbladder a recognized diagnosis? Hida scan result 97% w/ ruq pain and nausea for 2.5 months. U/s, egd, colonoscopy, and labs neg.

Is hyperkinetic gallbladder a recognized diagnosis? Hida scan result 97% w/ ruq pain and nausea for 2.5 months. U/s, egd, colonoscopy, and labs neg.

Not by most: Most physicians in nuclear medicine and gastroenterology believe that increased ejection fraction of gall bladder is probably normal (above 35%). A well known nuclear physician reported small group of patients with hyperkinetic gall bladder getting relief with removal of gb. More studies needed to convince most surgeons. ...Read more

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I have all he symptoms of gallbladder but im having pain in my left rib cage. My hida scan results were 60 %. Does this mean? Will my gldr be removed

I have all he symptoms of gallbladder but im having pain in my left rib cage. My hida scan results were 60 %. Does this mean? Will my gldr be removed

Normal hida scan: A normal gallbladder ejection fraction is more than 50%. It is normal in your case. Unless you have a situs invertus (in this case the liver on the left side instead of the right side) your symptom is probably not related to hepatobiliary disease, as demonstrated by your normal hida scan. It might be related to stomach, spleen or other thoracic problems. ...Read more