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Doctor insights on: Hida Scan Showed

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Can I get gangrene if my gallbladder fails completely? My hida scan shows its only working 15

Can I get gangrene if my gallbladder fails completely? My hida scan shows its only working 15

"Apples and Oranges": The cck-hida scan measures gallbladder emptying; it is used for people who do not have gallstones yet have gallbladder symptoms (biliary dykenisia). While there is a place for gallbladder surgery in this setting, this disease does not cause inflammation in the gallbladder--in fact, under the microscope, the gb looks entirely normal. Therefore, you need not worry about gangrene. ...Read more

Dr. Joseph Accurso
315 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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Can I get gangrene if my gallbladder fails completely? My hida scan shows its only working 15%!

Can I get gangrene if my gallbladder fails completely? My hida scan shows its only working 15%!

"Apples and Oranges": The cck-hida scan measures gallbladder emptying; it is used for people who do not have gallstones yet have gallbladder symptoms (biliary dykenisia). While there is a place for gallbladder surgery in this setting, this disease does not cause inflammation in the gallbladder--in fact, under the microscope, the gb looks entirely normal. Therefore, you need not worry about gangrene. ...Read more

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Gallbladder hida scan shows 78% hyperactive, do I need it removed?

Gallbladder hida scan shows 78% hyperactive, do I need it removed?

Maybe: Do you have stones in the gallbladder or bile ducts as well? They gave you an injection during the HIDA scan, did that set off the pain? If so that's a pretty good indication that the gallbladder is the cause of any pain, and it should be removed. If your pain did not increase further testing should be done, EGD, CT scan, bloodworm, possibly a laparoscopy. ...Read more

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Hida scan shows 0%, is there any chance gall bladder can start functioning again? I, m 32 male. What are my options if I don't want to take my gb out?

Hida scan shows 0%, is there any chance gall bladder can start functioning again? I, m 32 male. What are my options if I don't want to take my gb out?

Gall bladder out: Gall bladder ejection fraction of 0% is the lowest you can have. Normal ef is above 35%. The gall bladder is usually best removed for relief of symptoms. Avoiding fatty foods may help symptoms for limited amount of time. If remains chronic gb disease suffer chronic pain. Acute chiolecystiitis iusually associataed with gall stones often is surgiical emergency. ...Read more

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Does a HIDA scan show if I have liver or digestive problems?

Does a HIDA scan show if I have liver or digestive problems?

Sometimes liver: HIDA test shows mainly gall bladder functioning and status of biliary ducts. Gross evaluation of hepatocellular function is also seen on test by the way liver extracts radiopharmaceutical from bloodstream. ...Read more

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Hida scan shows 17% function @ 20 min. No pain during exam 4.3 m of technetium 99m of choletec. 1.5mcg of cck. Bilirubin is 1.5 enzymes good.

Not sure of results: Most laboratories determine ejection fraction, percentage of emptying at 30 or 60 minutes after injection of cck. I am not sure meaning of ejection fraction at 20 minutes. ...Read more

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Pain in right upper quadrant. Went for HIDA SCAN shows gb ejection fraction of 32 percent being 35% is norm should I have surgery vs natural care?

Pain in right upper quadrant. Went for HIDA SCAN shows gb ejection fraction of 32 percent being 35% is norm should I have surgery vs natural care?

You are 39 yrs old: Please try dietary restrictions, as well as lower fat and healthier lifestyle. If despite these efforts your pain continues, there are medications that might help. Surgery should be your last recourse, unless it gets infected, in which case you might need surgery sooner rather than later. Good health to you ...Read more

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Will a hida scan show if gallbladder is acute vs chronic. My ejection fraction 7%. Pain even when not eating. Some nausea. Vomited x1?

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

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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?

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

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HIDA scan showed no gb. US shows large stones and 3x normal size. I have chronic diarrhea and weight loss. Should I be concerned?

HIDA scan showed no gb. US shows large stones and 3x normal size. I have chronic diarrhea and weight loss. Should I be concerned?

Yes: There should be some concern. The chances are you would be best served by a surgical opinion!!

Hope this is helpful
My Opinion Only

BE WELL!
Dr Z ...Read more

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Will a nuclear hida scan show pancreatic stones or bile duct stones?

Will a nuclear hida scan show pancreatic stones or bile duct stones?

No: Hida scan is a functional exam to reveal if the bile duct is blocked by a stone or tumor. If blockage is suspected by the results, an MRI of the bile ducts (mrcp) is frequently the next step to visualize the blockage. ...Read more

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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?

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

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Hida scan shows clogged bile duct, but doctor says it's not biliary atresia, what could I have?

Hida scan shows clogged bile duct, but doctor says it's not biliary atresia, what could I have?

Several things: Biliary atresia is a congenital abnormality of formation of biliary ductal system seen in neonates and not adults. Common bile duct can be obstructed by biliary stone. Sometimes partial obstructions of duct can be related to stenosis caused by inflammation or dyskinesia of sphincter of oddi, where duct enters duodenum. Congenital problems such as choledochal cyst affects common bile duct in adults. ...Read more

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I am having a pain where my gall bladder was removed. There is bile in my stomach and my bile duct is swollen. Hida scan shows normal -what is this?

I am having a pain where my gall bladder was removed. There is bile in my stomach and my bile duct is swollen. Hida scan shows normal -what is this?

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, depending on above results. ...Read more

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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

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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?

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?

ACALCULOUS CHOLECYST: ACALCULOUS CHOLECYSTITIS or gallbladder inflammation without stones can be tough to treat. I recommends gluten free low fat diet. Gutbliss. Com. Whole approach. Com. If symptoms flare more than 2x a year surgery can be done laparoscopically. ...Read more

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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?

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?

Surgery not: An option, you symptoms are ' not severe', no evidenced sepsis, cholecystitis with out stones will subside with time, no need for surgery, get your relax treated with medications, speak to your doctor. ...Read more

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Hida scan showed slow emptying and now dr wants blood tests why?

Liver functions: Your physician will need to make sure your liver and pancreas are working properly, specially if you are symptomatic. ...Read more

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My HIDA scan showed 26% function and I've been in miserable pain for months. Do you think they will opt for surgery?

HIDA scan: The HIDA scan can help measure the estimated ejection fraction of the gallbladder. Typically a normal ejection fraction is greater than 35%. Since yours is borderline low, and you are having regular symptoms, it is possible that a surgeon will agree that you should undergo cholecystectomy. I would definitely go for an opinion. Good luck. ...Read more

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Does a low functioning gallbladder get better with diet? Hida scan showed only 17% functioning what's the chances of rupturing or gettinh gangreen?

Does a low functioning gallbladder get better with diet? Hida scan showed only 17% functioning what's the chances of rupturing or gettinh gangreen?

unlikely: The good thing with seeing the gallbladder (you can't calculate an ejection fraction unless the gallbladder filled first) is that it is very good with predicting that there is not acute cholecystitis...So gangrene and rupture very unlikely at that time. However an ejection fraction of 17%, is low. This is most commonly related to a chronic disease, and indicates poor function. ...Read more

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HIDA scan showed my gallbladder function was zero percent, causing my chest pain, etc. What would cause it to stop working like this?

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

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Ultrasound showed poorly distended gallbladder & hida scan showed 0%EF. What does this mean? . food causes slight pain. Will I need surgery?

Ultrasound showed poorly distended gallbladder & hida scan showed 0%EF. What does this mean? . food causes slight pain. Will I need surgery?

Gallbladder problem: Your studies and your symptoms show that your gallbladder is not working well. In addition to the risk of having attacks of pain, there is a risk of more serious infection of the gallbladder (acute cholecystitis). Surgery to remove the gallbladder now is optional, but it's much easier and lower risk to remove it now, compared to after it turns into a bigger problem. ...Read more

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HIDA scan showed enterogastric reflux. What's next step? Still have severe pain in right abdo, rib, and chest.

Consult gi physician: Enterogastric reflux (EGR), reflux of bile and other digestive fluids from duodenum into the stomach. EGR can harm gastric mucosa, stimulate H. pylori colonization, and acts synergistically with H. pylori to cause gastritis /intestinal metaplasia. Options for diagnosing EGR include HIDA scans or endoscopy.Treatment can include medications and surgery.EGR frequent incidental finding on HIDA scan. ...Read more

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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?

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

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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?

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

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Having intermittent gallbladder attack symptoms, normal ultrasound (no stones), HIDA scan showed GBEF: 90%. Is this a high number? Problematic?

Having intermittent gallbladder attack symptoms, normal ultrasound (no stones), HIDA scan showed GBEF: 90%. Is this a high number? Problematic?

Gall bladder: The ultrasound and gbef are reassuring. Yes normal. Do your best to eliminate fatty foods. No chocolate either. You may have crystals forming. Achieve ideal wt. Eat smaller meals. ...Read more

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Can h pylori cause gallbladder problems? Hida scan showed dysfunctional gallbladder with no stones and no obstructions. Tested positive for h pylori.

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

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I have a low functioning gallbladder can it cause weight loss? Also what are the risks of gallbladder surgery? Hida scan showed low activity

I have a low functioning gallbladder can it cause weight loss? Also what are the risks of gallbladder surgery? Hida scan showed low activity

Possible: If GB function is low <20%, then it could be the cause of pain when you eat fatty foods, and some people change diet enough to loose some weight, but not too common. GB surgery done by a surgeon with a laparoscope is an outpatient procedure, most should take under an hour, go home same day. There are some serious and rare risks, please talk to your surgeon about it. ...Read more

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Symptoms: gas, diarrhea for 9 months. No pain whatsoever. HIDA scan showed ef of 25%, should I have my gallbladder removed even if it's not painful?

Symptoms: gas, diarrhea for 9 months. No pain whatsoever. HIDA scan showed ef of 25%, should I have my gallbladder removed even if it's not painful?

Try symptomatic: With HIDA scan findings that are borderline, not knowing
whether you had ultrasound of gallbladder, I do not recommend removing GB now. Your symptoms
could be from irritable bowel syndrome, for which
medicines are available. You are better of seeing
Gastro-enterology MD for evaluation ...Read more

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Gallbladder ultra sound was normal w/NO stones... HIDA scan showed ejection fraction at 10%. I have frequent attacks, what are my chances of Gangrene?

Gallbladder ultra sound was normal w/NO stones... HIDA scan showed ejection fraction at 10%. I have frequent attacks, what are my chances of Gangrene?

Not common: Unless you have severe pain and fever, gangrene is unlikely. Avoid fatty and greasy foods. Gallbladder contracts when stimulated by fatty foods and this is when pain occurs (after fatty or greasy meals). ejection fraction is normally over 30 %. ...Read more

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Ultrasound and Blood work fine. HIDA scan showed 6ej rate. Pain and nausea comes and goes. Some ppl disagree with gallbladder removal. Can 6% improve?

No good data: It's not clear whether or not the gallbladder ejection fraction will improve over time as there have been very limited studies in this area. A study performed in 2006 looked at children who had either surgery or no surgery after being diagnosed with a low ejection fraction. When children followed out to two years 74% of those who had surgery improved and 75% improved without surgery ...Read more

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I have high liver counts, indergestion, pain in area right below my sternum and hida scan showed numbers of 91. And severe diarrhea. Are these all gal?

Several possibilities: Not sure what you mean by hida is 91, unless you mean contraction (which is normal). But with elevated liver function tests, this could also represent a stone in the gallbladder or bile duct, hepatitis, or liver mass. You should see a gastroenterologist for additional testing. ...Read more

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I been having nausea and spasm like pains in upper abdomen. Ultrasound normal, scope normal only inflammation, hida scan showed 89%. what's this?

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

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Been havin episodes of severe pain under breastbone, HIDA scan showed gallstones & 48% function but no acute cholecystitis, could still begallbladder?

Yes: Especially if it the lower part of the breast bone, and radiates to the back. May want to see a general surgeon for a consultation regarding removing the gallbladder. ...Read more

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Is it possible to have a gangrene gall bladder with no pain only fever and nausea? HIDA scan showed 15% EF. Ultrasound normal.

Is it possible to have a gangrene gall bladder with no pain only fever and nausea? HIDA scan showed 15% EF. Ultrasound normal.

Highly unlikely: This life-threatening condition is an acute medical emergency. If the doctor believes a patient has gallbladder gangrene, the recommendation is immediate surgery. If the patient is not stable for surgery or if severe infection has set in, the doctor will treat the patient with antibiotics with the goal of quelling the infection so a surgeon can operate. Anything is possible but this is not likely. ...Read more

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