Doctor insights on:
Hida Scan Gallbladder
11yo with hida scan gallbladder ef 0.0% normal initial biliary scan no detectable gallbladder ef reproduced pain with cck what s this mean my child?
Gall bladder disease: Cck is natural hormone that stimulates gall bladder to contract. If ultrasound exam shows no calculi or gall bladder thickening, this uusally means gall bladder dyskinesia. Gall bladder does not contract normally causing pain and the ejection fraction is low. The cck should have been injected in a slow intravenous dose at time of study. Treatment usually involves consulting pediatric surgeion. ...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
During hida scan gallbladder did not release to the small intestine within 1 hour. After cck was given it released. Does it mean liver problems?
Not usually liver: If hida was excreted normally by liver and gall bladder visualized at normal time the liver is normal. Sometimes gall bladder dyskinesia can affect gall bladder emptying. The more important finding is the amount of activity excreted after cck (gb ejection fraction, normal usually above 35%) and symptoms encountered during this phase of study. ...Read more
RUQ pain: Yes you may very well still need a Gall Bladder removal. If your HIDA was done with CCK (Cholestokinin) it could help in that decision if your pain is reproduced. If CCK is negative you may need a CT scan of your Abdomen. I would recommend a consult with liver function test results as well ...Read more
Got hida scan of gallbladder, ejection was 94% which is good. But am bein sent to Genral surgeon and don't know why. Why would this happen?
Symptoms ? : Do you have classic GB symptoms?? That might be the reason. (I assume you had a US done that showed no gallstones?) HIDAs are good for showing obstructions of the gallbladder outlet but not so good at picking up random stone pain. Did you have pain when they gave you the CCK?? If your studies are all normal and you had no pain with the HIDA I would look for another cause of your pain ...Read more
I have 3-7mm gallstones. Hida scan shows gallbladder function normal at 53%. Will I need gallbladder removed?
Not neccesarily: Depends on if you have symptoms?Get a more detailed answer ›
So I got a hida scan my gallbladder isn't functioning recommended surgery my question is would this cause my blood work to show elevated liver emzymes?
HIDA Scan: If your HIDA scan showed poor gallbladder emptying, that doesn't necessarily mean you will have abnormal liver function tests. Your gallbladder isn't contracting very well, causing distention and pain. This doesn't effect bile flow from your liver. If there is associated inflammation (diagnosed by ultrasound), then there may be a slight elevation of some of your liver function tests. ...Read more
Hida scan showed gallbladder ejection fraction 33.4%. No stones but have constant pain x 2weeks and unable to eat. What is the likelihood of surgery?
I've had a CT and us of the abdomen and it was ok and I had a hida scan show gallbladder at 9%. No stones. What eventually happens? Complications?
Your choice...: Your cck-hida indicates gallbladder dysfunction, which often translates to mean a symptomatic one that warrants surgical removal. There are lots of reasons however for biliary-type dyspepsia, and you may want to investigate these before considering surgery. Indeed, your symptoms may persist even if the gallbladder is removed, since it may turn out it wasn't the sole reason for your distress. ...Read more
Was diagnosed with gallstones but Hida scan showed gallbladder functioning properly. But have burning in upper stomach when I eat.?
Two separate areas:
The burning, if it is in the upper middle of the stomach or abdomen area, that is more likely a symptom of GERD (acid reflux) instead of gallbladder disease, which is usually more to the right side. It is also possible to have gallbladder related pain due to gallstones that intermittently block passage of bile into the digestive tract when the gallbladder is contracting. Hope this helps ...Read more
No.: There are typically 2 ways to use the results of a hida scan. If the gallbladder doesn't appear, then that is consistent with disease (called cholecystitis). If the functioning of the gallbladder is poor with an ejection fraction less than 30%, it is called dyskinesia and may be a cause for problems. ...Read more
Borderline: That means that after they stimulated your gallbladder, it ejected 29% of the radioactive tracer. Typically, if it is less than 30-35% (depending on the lab), it indicates some type of gallbladder dysfunction as the etiology of a person's pain that may be helped by surgical intervention. However, since you are on the borderline, your physician will make a decision based on your clinical condition. ...Read more
Not usually. : The hida scan is a nuclear medicine test that measures the uptake of some radiolabeled IV medicine. It is not commonly associated with causing pain. If your pain is worse than perhaps whatever the test was ordered for is getting worse. Do you know what the results of the test were? ...Read more
Have asked many health questions on here this last year dealing with several health issues. I had a hida scan today and gallbladder is 9% means what?
Possibly: I assume you had symptoms that made your doctor think to order that test. I tell my patients that if they have "typical" gallbladder symptoms and the HIDA scan is abnormal, which yours is, that about 95% of people improve after removing the gallbladder. If your symptoms are such that you can't live with them, then discussing it with your surgeon is appropriate. ...Read more
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
HIDA scan showed my gallbladder function was zero percent, causing my chest pain, etc. What would cause it to stop working like this?
GBBiliary dyskinesia: Biliary dyskinesia = medical term 4 when the GB has "pooped out" due 2 chronic overstimulation. Common causes include acalculous cholecystitis (GB inflammation/infection w/o gallstones), high fat diet, & obesity. Rarely, serious probs like sclerosing cholangitis, liver disease, & GB cancer r culprit, tho these will b checked when the GB is removed. BD causes bloating & nausea after fatty foods. ...Read more
Hida scan showed my gallbladder is only functioning 15%! Is that why my total bilirubin was always high & I have severe acid reflux? What else?
Possibly: Jaundice can be caused by liver disease interfering with function. Gallstones at the opening of the bile duct, or within the bile duct can cause obstruction to bile flow. Bilirubin is then unable to pass from the liver through the biliary system, backs up into the blood stream. Acid reflux and gb disease not related, both cause pain 15% gb ejection fraction ususally means significant gb diseas. ...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
Hida scan showed my gallbladder is only functioning 15%! Is that why my total bilirubin was always high & I have severe acid reflux? What else could it cause?
Have you had US?: Ultrasound of the upper abdomen can show presence of sludge or gall stones, a dilated bowel duct, pancreatitis, and architecture of liver. Any of these findings could contribute to symptoms. 15% gb ejection fraction is also caused by gall bladder dyskinesia without stones or sludge. Your doctor may also want to do endoscopy. Many things contibute to symptoms in the gastrointestinal tract. ...Read more
Will a hida scan show if gallbladder is acute vs chronic. My ejection fraction 7%. Pain even when not eating. Some nausea. Vomited x1?
It does : In acute chokecystitis, the hida scan will typically show obstruction of the cystic duct (the duct to the gallbladder) this results in a nonviualized gallbladder. In chronic cholecystitis the gallbladder can be seen, meaning the duct is open. A stimulant is then given and the ability of the gallbladder to empty is measured. 50-75% ejection is normal. Less than 25% is considered dysfunctional. ...Read more
Can h pylori cause gallbladder problems? Hida scan showed dysfunctional gallbladder with no stones and no obstructions. Tested positive for h pylori.
Possibly: H. Pylori species, have been implicated as a possible cause of chronic gall bladder disease, inflammation in bile ducts, gall-bladder carcinoma and primary hepatic carcinomas. Dna of h. Pylori have been found in association with gall bladder disease but not the presence of the viable organisms. Further research needs to be performed to see if this organism causes biliary diseases. ...Read more
Had a nuclear heart stress test. Right after, dr. Did my hida scan on the gallbladder. Did not give more nuclear stuff. Will this affect hida results?
Unusual but okay: Nuclear cardiac stress test is a nuclear imaging method that shows how well blood flows into the heart muscle, both at rest and during activity. This uses a radiopharmaceutical, such as thallium or sestamibi. However, tc-99m sestamibi, has relatively high liver uptake and studies have utilized this for assessment of gallbladder contraction as well. (j gastrointestin liver dis, 2007; 16:157). ...Read more
I was diagnosed with chronic cholecystitis. Is this the same as functional gallbladder disease? My hida scan revealed poor gallbladder function.
My HIDA scan showed my gallbladder had a 6%ejection fraction. Should my gallbladder be removed? Also, intermittent pain and pale stools
Could protein pump inhibitors cause gallbladder problem (no stones, but CK Hida Scan 25%)? Might gallbladder condition improve if I stop taking PPI?
PPI: PPI's reduce the acid in your stomach. By reducing the acid in the stomach you reduce some digestive functions of protein breakdown and release of pancreatic enzymes. Changing these digestive functions can affect the gallbladder. However, this may not be the only thing contributing to the gall bladder dysfunction. ...Read more
I got a hida scan of my gallbladder done which reported anef of 12%. The abd ultrasound reported no gallstones. Is the chronic burping and pressure (poking) under my right rib cage caused by the ef?
Probably yes: A normal gallbladder ejection fraction on a hida scan should be more than 40%. At 12%, this means that you have a dyskinesia of your gallbladder which can give the type of symptoms you are reporting. You should consult your doctor and discuss the possibility of surgically removing your gallbladder, even if there are no gallstones, especially if all other tests are normal. Good luck. ...Read more
A has been having chest pain for months. GI says it's not acis reflux, cardiologist said heart is fine & pulmonary doctor says his lungs are good. His Hida scan showed his gallbladder functioning at 24%. Could that cause his pain?
Depends: Depends on if symptoms related to biliary colic. Other alternatives are diet avoiding fatty foods that can cause gall bladder attacks. 15% is low ejection fraction for gall bladder and usually means chronic gall bladder disease or dyskinesia. Should consult your physician for educated decision. ...Read more
Not necessarily: A diagnosis requires assessment of both the images, and the symptoms. It is possible to have no pain and still have a diseased gallbladder. ...Read more
The gallbladder is a sac-like structure located under the right lobe of the liver. It is attached to the common bile duct via the cystic duct. The gallbladder can store bile when the bile is not needed, and can squeeze bile into the bile duct and intestine for digestion when a person eats larger ...Read more