Doctor insights on:
Abnormal 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
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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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
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
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
Norman HIDA scan results but pain during CCK injection made my already pain ten times worse what does this mean?
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
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
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 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
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
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
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
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?
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
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
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
My hida scan was 93% and it recreated some pain symptoms that I've been having. The doctor said that the results are normal but I've read that its too high. Any thoughts?
Hyperdynamic GB: One small study (28 pts) at a single site found that patients with typical biliary symptoms and a gbef> 90% have a hyperdynamic gall bladder. The study found that after cholecystectomy, 79%of patients experienced resolution of symptoms and 95% of patients experienced some relief. However, I would not recommend surgery based on a single study. More research is needed. Discuss with your doctor. ...Read more
With a hida scan result of 11% would u recommend getting my gallbladder out? I have some right rib discomfort and 5 days of nausea.
If clinically indica: It depends on the clinical total picture. Not everybody with gallbladder is has gallstones. Therefore it may be wise for you to have a gallbladder removed. But we need more information for a final recommendation. ...Read more
I had a hida scan done result ejection fraction of 35% I am diabetic pain is worse since test and blood sugars are high is this normal?
Borderline result: 35% gb ejection fraction in most labs is borderline normal. Your physician has to consider gb ejection fraction along with symptoms of biliary colic for proper therapy. Ingestion of food prior to study does affect result. Being diabetic I do not know how many hours fasting prior to test. Usually 6-8 hours. ...Read more
Daughter (teen) had hida scan and cried during cck section of test with pain. Does pain always mean gallbladder disease? (no results for few days)
HIDA scan: Cck during a hida scan (used to test for gallbladder dysfunction) simulates the eating of a fatty meal. If you have pain or nausea (re-creation of symptoms) during this portion, that is a good indication of dysfunction. The other thing to check is the gbef (gallbladder ejection fraction). Any number under 35% is usually considered abnormal. If pain with cck, too - even better evidence. ...Read more
Your hida scan is abnormal, with a low ejection fraction and reproduction of symptoms with the cck injection. What does this mean in layman's terms?
Gallbladder not work:
That mean your gallbladder is not working as good as it suppose to be
if you have symptoms of gallbladder colic consider medical treatment first if it did not work based on your symptoms make sure you do not have other upper digestive problems like ulcer or reflux or irritable bowel syndrome
your last solution should be surgery do not jump to surgery too fast your doctor will advise you. ...Read more
I went into hida scan while in pain. The test seemed to have aggravated my syptoms. The results however were normal. Do I need a gall bladder removal?
Maybe: The hida scan is not always abnormal with gall bladder disease. The fact that symptoms were mimicked by the test may mean gall bladder is an issue. Sometimes gb ejection fraction can be normal and there is a problem with the biliary duct at its entrance into the duodenum where is a muscle, called sphincter of oddi, sometimes spasm at this area can cause simiilar pain., called dyskinesia. ...Read more
I'm a 31 year old male, had a HIDA scan on my gallbladder, my ejection fraction results were 13.7%. What am I looking at in terms of treatment?
Is it possible to hav normal hida scan & ultrasound for gallbladder, but hav false results? Hav all symptoms of bad gallbladder for 2 yrs but norm tests
Tough situation: Unusual but possible. There are people who have problems with gb or bile ducts that don't show up on the usual tests. A sphincter at end of your main bile duct that could be too tight. If so could give typical gb symptoms. Need special manometry test to be sure. But also need to be sure not something else like ulcer disease. I have had few patients with all neg tests that got better after gb surg. ...Read more
What can cause a feeling of nausea during a bm? Saliva gets watery sometimes I sweat. This occurs maybe 50% of the time. Waiting on hida scan results..
Are consistent with increased activation or tone of the parasympathetic nervous system. This system controls the activities of the body at rest (as opposed to the sympathetic nervous system - flight or fight).
Please discuss this possibility with your doctor. It is unclear why this system would be activated.
See the following:
http://en. Wikipedia. Org/wiki/parasympathetic_nervous_system. ...Read more
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