Doctor insights on:
Hida Scan Pancreas
I don't have gb attacks that come and go. Have constant pain everyday. Still gb even after ultrasound says normal? What next? HIDA scan? Pancreas?
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
I have no gallbladder now for 15 yrs. Pain on andoffunder rt rib through to back around side. Will nuclear hida scan show pancreas stone or bkockage?
Postchole-x Syndrome: Postcholecystectomy syndrome is the persistence or return of RUQ abd pain following gallbladder removal. This is due to non-biliary causes (irritable bowel, ulcer dz, gerd, etc), organic biliary dz (common duct stones/stricture/cancer), or functional biliary disease (sphincter of oddi dysfunction). I advise GI work up to include labs, ultrasound +/- ercp. These tests are far-better than a hida. ...Read more
My CT scan of my Gb came back normal. Still having pain everyday. Could this be pancreas? Dr wants HIDA scan next but I'm scared. What else can I do?
Do HIDA: CT would also rule out issues with your pancreas; I agree that a HIDA is the next step to check for GB dysfunction; ...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
Inflamed gallbladder. Hida scan shows 29%. No gallstones. Symptoms are not severe, minor back pain, nausea, elevated pancreas levels (301), acid reflux. Any other option besides surgery? If so, what?
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
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'm 34 w urq disc.&occ floating stool. Normal stool tests, CT scan, colonoscopy, u.S, hida scan, endoscopy=gerd/gast. Can I relax about pancreatic cancer?
Should I worry about pancreatic cancer? Urq disc.&occ floating stool. Normal stool tests, CT scan, colonoscopy, u.S., hida scan, endoscopy=gerd/gast. I'm 34
Probably not: It appears that all test are normal except for the egd or endoscopy showing gastritis. Assuming normal blood workup as well, I would say that it is not likely that you have pancreatic cancer. My suggestion is that you sit down with your doctor and discuss all tests results and treatment plan. Good luck! ...Read more
Having pain in upper abdomen. Negative for gallstones and normal hida scan. What else could it be?
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
Worried about pancreatic cancer. Ct & hida scan, blood, stool, normal. Symptoms started 1 1/2 yrs ago. If it was cancer, would I be worse by now?
Likely yes: Pancreas cancer progresses, and over 1 1/2 years an untreated pancreatic cancer would likely be advanced. Your age is also quite young to get or be concerned with pancreas cancer. ...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
HIDA scan: You'll change into a gown and will lay on the nuclear medicine scanner bed. A medication (radioactive tracer) is then injected into a vein in your arm (you may feel some pressure). The gamma camera passes back and forth over your belly and takes pictures for about an hour. Sometimes, more pictures may be needed. In most cases you can go about your day after your hida scan. ...Read more
ER abnormal: On a HIDA scan an ejection ratio of 40% or greater is normal. ER of 1.25% is very low. This usually indicates gallbladder disease. Thanks for trusting HealthTap! ...Read more
Depends: Depends 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
Non visualized GB: If you have not eaten for awhile, you can see non-visualization of the gallbladder during a HIDA scan. It basically means that this is an inconclusive test. ...Read more
That is not: Typically an abnormality, can you re-submit with more details from the report? ...Read more
Yes: The hida scan is not affected by donating blood. ...Read more
Liver functions: Your physician will need to make sure your liver and pancreas are working properly, specially if you are symptomatic. ...Read more
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
Abdominal organ. It is digestive organ: it secretes enzymes into the small bowel which break down food and help its absorption. It is also an endocrine organ: it produces hormones involved in sugar control and control of digestion. Insulin is one of these hormones. Diabetics either lack Insulin (type 1 diabetes) or have inadequate ...Read more