Doctor insights on:
Hida Scan Liver Disease
Will liver disease or cirrhosis show up on an ultrasound? My US came back normal, I am having RUQ discomfort. Possible Hida scan next.
Most of the time: Ultrasound can detect many of the morphologic changes of cirrhosis, but is not 100%. In one study, ultrasound detected those findings in about 90% of patients with known cirrhosis. Early liver disease may not show up on imaging, however. If you are getting a HIDA scan, they are probably looking at your gallbladder and biliary system specifically. ...Read more
This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more
How's liver disease found? Pain under right rib. US, CTscan, HIDA, colonoscopy, endoscopy all normal. Tbili 1.5, Dbili 0.2, rest normal. Is it liver?
No: Indirect bilirubin is a bit up but you probably have Gilbert's or mild hemolysis; your meds don't suggest drug cholestasis and I'd consider liver disease ruled out as the cause of your discomfort as long as the imaging folks can rule out biliary sludge. Some physicians believe that gallbladders can have abnormal movements and produce cramps, or you may never find the cause. ...Read more
Had hida scan that showed smoothly marginated large area of photopenia involving the liver dome. Us was ok, but before hida. Should more be done?
Radiologist: In cases like this I believe that your physician should sit down with the radiologist who interpreted your studies and ask what the different possibilities are, what further studies, if any, would be advisable and whether referral to a specialist (hepatologist or surgeon), or repeating the same study in the future are indicated.. ...Read more
Should a HIDA scan be done if liver US showed fluid around gallbladder (no stones) & I've had n/v, abd pain x weeks? Symptoms improved some.
Sure: Your doctor should be consulted regarding your on-going symptoms. If suspicion for biliary disease is high then HIDA scan would help. ...Read more
Liver GB and ducts:
A hepatobiliary (HIDA) scan is an imaging procedure used to diagnose problems in the liver, gallbladder and bile ducts.
In the HIDA scan, a radioactive chemical or tracer is injected into a vein in your arm.
The tracer is like bile and works same as bile secrete from liver and go to gall bladder and then to bile ducts and to intestine.
a gama camera takes the picture and functions are assessed ...Read more
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
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
What does early homogeneous uptake of isotope within liver on a hida scan. Is this ok? Also saod depressed gallbladder ejection fraction 10%
Normal: A hida scan is a gallbladder function test. The first medication is able to be followed as it goes through. The first thing seen is uptake by the liver. The liver takes the isotope out of the blood and dumps it in the bile. Once we see it in the gallbladder and bowel a 2nd med is given to tell the gb to work. The 10% is a decreased function of your gall bladder. Should be 50% +. See surgeon. ...Read more
I've had chronic nausea since 1/13. Hida scan showed ef of 11%, so had a lap chole 8 weeks ago. Still nauseous constantly. Liver/pancreas ok. Normal?
Need G I Workup: Biliary dyskinesia with a low ejection fraction of gall bladder certainly can cause symptoms similar to gall stones. If your symptoms are not better after surgery you should look for problems in stomach itself like gastritis and h pylori infection that may need a course of antibiotic treatment. See your gastro-enterologist for further workup. ...Read more
Can GERD, esophogitis and Gilbert's syndrome cause upper right quadrant pain? Hida scan normal lab for liver and pancreas normal?
Yes: The Gilbert's syndrome is an essentially normal variant for some people and does not cause pain. However, if you have GERD and know esophagitis, you can experience this as right upper quadrant pain. Often those findings are associated with dysbiosis and this abnormal bowel kinesis causes the pain. ...Read more
Hida scan shows low function only had one attack family physician and surgeon says surgery needed liver emzymes were also elevated ultra sound normal?
Surgery may help: The HIDA scan you describe sounds like there was stimulation of the gallbladder to contract. Normal values are usually 35% or more. When that doesn't happen thereay be symptoms. There have been many patients tell me after surgery they feel great. A few have told me otherwise. Both your doctor and surgeon think this will help. Worth listening to them ...Read more
Hida scan shows low activity only had one attack and it was after stomach virus also my liver enzymes where elevated. Is surgery really necessary?
Abdominal US, HIDA scan, colonoscopy were all normal. No gallstones. Liver blood normal except TBILI at 1.5. What could RUQ discomfort under ribs be?
Gross but my stools have been "rubbery like" and sometimes lighter brown than normal I've been on Metamucil for ibs-c could this be why? Negative colonoscopy/egd, normal liver/kidney labs & hida scan
Could a Hida scan and Ct scan miss something wrong with the gallbladder? Upper right quadrant pain. Normal lab values for liver kidneys and pancreas?
While no test is perfect; a normal HIDA essentially shows that the gallbladder is functioning well. There are " quantitative" HIDA scans that are more sensitive than a regular scan.
It is more likely that your pain is not from the gallbladder (often difficult to exactly pin down, but you are unlikely to get improvement having the gallbladder removed. ...Read more
CT/MRCP shows inflammation of gallbladder, liver and spleen. Sev RUQ pain. 18yo. ANA positive, IgG low, no stones. Dr ordered hida scan. Ideas?
See rheumatologist: You appear to have an autoimmune and/or immune deficiency problem. I note that you are already on Plaquenil (hydroxychloroquine) (SLE?). If you are already under the care of a rheumatologist, consider getting an immune evaluation as well because of the low IgG (how low?). If the problem progresses, you need to go to an university center for further workup. ...Read more
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
Having pain in upper abdomen. Negative for gallstones and normal hida scan. What else could it be?
Gallstones seen on u/s & having severe pain in my abdomen however HIDA scan came back normal, is it possible pain is still related 2 gallbladder?
Been diagnosed w gallstones, been having severe pain in my abdomen & scheduled 4 a HIDA scan, will that determine if the pain is due to gallbladder?
Helps narrow cause: A HIDA scan measures the rate at which bile is released from your gallbladder. Delayed emptying may a sign of the gallstones blocking the exit from the gall bladder, and this can cause pain. There are other causes for abnormal HIDA scans also. If the test is normal, another problem may be causing your pain. ...Read more
Can gallbladder issues cause your upper abdomen on both sides to feel bloated and slightly tender? Dr says no stones going for hida scan soon.
If your doctor: Has ordered a HIDA scan, he/she strongly suspects gallbladder disease. US is highly sensitive for detection of gallstones, but no diagnostic test is always 100%. If CCK injection re-produces your symptoms, it is highly likely that cholecystectomy would be advised. ...Read more
I been having nausea and spasm like pains in upper abdomen. Ultrasound normal, scope normal only inflammation, hida scan showed 89%. what's this?
Measures function: HIDA scan measures how much of your gall bladder empties when stimulated to do so. 85% means it empties very well. However if your symptoms were experienced much worse during the test then this might still be gallbladder pain called biliary dyskinesia. The scope of your stomach was not normal if it showed inflammation. That is called gastritis (has many causes) gives pain like yours. G-d healt ...Read more
I have a pain in my upper abdomen from about 5 months. My doctor sent me a lot of studies and the hida scan revealed a 38%. Can it be the reason for the pain?
Yes and no: There are several potential causes for abdominal pain or discomforts. A 99mtc-hida scan is performed to detect intra or extrahepatic billiary obstruction and to evaluate the ejection fraction of the gallbladder which, usually, should be more then 40%. In your case it is very borderline. If endoscopy and ultrasound study are normal, it would be relevant to perform another hida to control the ef. ...Read more
Gallstones found on U/S, HIDA scan & upper endoscopy came back normal but still having attacks of debilitating pain in upper abdomen breastbone area?
I have had a colonoscopy, egd, hida scan, abdominal ct. No results. Any ideas what abdomen could be?
Is it urgent to have HIDA scan when have gallstones, probable blockage or mass, severe abdominal pain with abdomen fluid, no appetite/vomiting, nausea?
Yes: The wording here leaves to question if the gall bladder is surgically absent, so the answer is the same: Unless this presentation has been worked up, it is urgent to have a HIDA (cholescintigraphy) to rule out acalculous gallbladder disease, high-grade and partial biliary obstruction, or even postcholecystectomy pain syndrome, like sphincter-of-Oddi dysfunction & biliary atresia. Urgent=today. ...Read more
Hida scan normal...Ct scan of abdomen, and, pelvis normal.. Full abdominal ultrasound normal.. I am still having bad pains what could it be if these. Are normal? Most all my blood ttests are normal 2.
Reflux?: Without getting a full history and physical, I'm not sure - but there are many causes of abdominal pain! an ulcer or gastroesophageal reflux disease could be causing burning pain - for either one, try taking a daily antacid (omeprazole for instance) for a month. If that doesn't help, you might need more testing! ...Read more
Having pain after gall bladder surgery, sharp pain in upper abdomen when I take a deep breath, had ct, hida scan & chest xray done, can't find anything?
Be patient: If it is early post surgery, that kind of pain can be due to some fluid or a small amount of blood in the surgical area. If so this will clear up. The tests you had should eliminate the more serious post operative problems, such as pulmonary embolism, bile leak or bike duct injury. As always, if the pain persists, go see your surgeon again. ...Read more
I have been having a lot of pain in my upper right abdomen, nausea vomiting gas heartburn indigestion. This has been going in for almost 2 months consistently... Had an ultra sound which showed bo stones and a hida scan which showed 27% gallbladder injec
Question cut off: Please re-ask & clarify the actual question. Thanks. ...Read more
Many doctors have said that I might have bad gallbladder because of the chronic back pain, pain in the right shoulder and adominal gnawing. I have had a CT of abdomen and pelvis and ultrasound. Everything appeared ok. Should iget a hida scan done?
GB function: An ultrasound will show if you have stones, masses, or other problems of the gallbladder. Ct will demonstrate most other organs. A hida scan can show gb function. A consultation with your doctor or GI specialist should be performed first. ...Read more
HIDA scan said I have gallbladder disease. No stones. I'm not sure what this means. And if surgery is right. Can u advise me?
Acalculous cholecyst: You have a diseased GB and need a cholecystectomy. This usually caused by fine sludge obstructing the outflow tract of the GB and causing infection. ...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
Had blood tests, u/s, hida scan all done but not showing enough disease Drs say 2remove gallbladder now ordering MRI will that show enough to remove?
I was diagnosed with chronic cholecystitis. Is this the same as functional gallbladder disease? My hida scan revealed poor gallbladder function.
I just had an hida scan. During the second half I started to get internediate pain on both sides but mostly the left side. Can gallbladder disease sti?
Gallbladder on right: You need to get the result of your HIDA scan. It will tell you a lot about whether the gallbladder is the problem. Pain from the gallbladder is usually located in the upper right abdomen, under the rib cage. Pain on the left does not usually come from the gallbladder. ...Read more
Sometimes: Hida scans are usually ordered for 2 reasons: to see if the gallbladder is obstructed, or (when combined with cck) to check gallbladder function. Hida is painless but the cck injection may reproduce a gallbladder attack. This information is very useful since, if your pain is reproduced, it suggests that your pain is arising from the gallbladder. ...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