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Doctor insights on: Hida Scan With Cck Results

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Norman HIDA scan results but pain during CCK injection made my already pain ten times worse what does this mean?

Norman HIDA scan results but pain during CCK injection made my already pain ten times worse what does this mean?

Biliary colic: Recreation of symptoms following CCK provocation is superior to EF for the identification of underlying chronic cholecystitis. Indeed, a normal gallbladder ejection fraction does not necessarily rule out a biliary etiology of symptoms. ...Read more

Dr. Joseph Accurso
313 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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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?

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

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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)

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

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Doc ordered a HIDA scan. Just talked to radiology and they said I will drink Ensure instead of CCK. Is this normal and will this give accurate result?

Doc ordered a HIDA scan. Just talked to radiology and they said I will drink Ensure instead of CCK. Is this normal and will this give accurate result?

Ensure vs CCK: A HIDA scan is used to assess biliary function, including uptake of a radiopharmaceutical by the liver, excretion into the bile ducts and gallbladder, and finally gallbladder "ejection fraction," or how well the gallbladder contracts. To cause gallbladder contraction, CCK can be injected intravenously, or the patient can be given 8 oz of Ensure to drink over a short period of time. Each works well ...Read more

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I had 0%EF on hida scan. when I got the CCK I only felt tightness in my stomach & slight nausea w/ sweating. Could my results be False/Positive?

I had 0%EF on hida scan. when I got the CCK  I only felt tightness in my stomach  & slight nausea w/ sweating.  Could my results be False/Positive?

There are various: potential causes of a false positive abnormal EF, including diabetes, illnesses such as acute viral syndromes, metabolic disturbances, certain drugs, and others. Impossible to say in your case without additional clinical details. Talk to your doc about the results. ...Read more

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I have to have a HIDA scan with CCK and can't take my meds. Would weed affect the test? I don't smoke but I am afraid of the pain and nausea w/o meds.

Probably not, but…: The whole point of the test is to measure how well your gallbladder works when you are not on any medications or other substances. Because you don't know the effects of marihuana on your gallbladder, I would try to avoid this before the test so that you don't mess up the results of the HIDA scan. If you don't smoke marijuana now, this would not be a good time to start. Good luck. ...Read more

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I had a hida scan with cck on the 27th. How long should I pump and dump my breast milk before returning to exclusive breastfeeding?

2 days is plenty: Switching you baby to formula for 2 days after the hida is plenty. Your body excretes the tracer faster than its actual half-life. After 2 days, you can resume exclusive breastfeeding safely. ...Read more

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I had a hida scan done today, didn't feel any pain with the cck injection. Does that mean my gallbladder is probably fine?

No: You need to find out what the complete report says. There is more involved in a hida scan than cck injection. Need ejection fraction, uptake time, presence or absence of bowel uptake etc. ...Read more

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My hida scan had a 1st ejection rate of 12% with 1.2mcg of cck, then they ran it again at 2.4mcg and the 2nd was 46%. Which is the correct reading?

Depends on weight: Underdosed on first exam 1.2 mcg of CCK administered for 60 kg patient ( about 132 lbs), second dose for 120 kg (264 lb patient. Normal dose is .02 mcg/kg. Should be admnistered very slowly intravenously. ...Read more

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My hida scan had a first ejection rate of 12% then they doubled the cck dose and ran it again and the second was 46%. Which is the "correct" reading?

What is the Correct?: Odd exam. There is a shortage of cck, did they use a lower then normal dose the first time. The gb ef is not normally dose dependent if used appropriately. I believe that the 45% gbef is probably the correct measure. ...Read more

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Had CCK HIDA scan today, diarreah and hour after test was done. Pain is worse since test. Any connection ?

Had CCK HIDA scan today, diarreah and hour after test was done. Pain is worse since test. Any connection ?

Maybe: The stimulation of your gallbladder at the time of the sacn should be over but it is possible you are still experiencing the effects of the test one hour after and IF YOU "PASSED" a STONE at the time of the exam pain may be worse now!! Soud like you should check in with the person who ordered the scan and convey these symptoms to them
Hope this helps!@
Dr Z ...Read more

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Is there any study that shows using Half & Half in a HIDA scan is as accurate as CCK? My ejection fraction was 31%

Is there any study that shows using Half & Half in a HIDA scan is as accurate as CCK?   My ejection fraction was 31%

Yes.: Here is the link for that study:

http://jnm.snmjournals.org/content/43/12/1603.full

It shows that there is wide variability in the ejection fraction measured when half and half, instead of CCK, is used in a HIDA scan. However, the study concludes that both methods are acceptable. Hope that helps! ...Read more

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Why did they stop the HIDA scan (without CCK) before testing the ejection fraction? Can't that be a problem of its own?

Yes: Did they have CCk? It is not generally available. Have to substitute standardized fatty meal. Otherwise results are equivocal. Sometimes clinicians will not use CCK if suspect acute obstruction of biliary system or if no activity is in gall bladder. Should ask institiution performing the test for explanation. CCK or fatty meal substitute gives indication of gall bladder function. ...Read more

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Can the injection off CCK during a HIDA scan be fatal or have any adverse effects on the body? Thanks!

Almost certainly not: Since CCK is a substance your own body makes it is pretty benign, especially given in a one-time dose. It may give you a feeling of bloating for a few hours as it delays stomach emptying, but there are very few other effects from it that you will feel. I have never heard of any fatalities ...Read more

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I had a HIDA scan without CCK and it came back normal, but I am having severe gallbladder pain. Would the CCK have detected something else?

I had a HIDA scan without CCK and it came back normal, but I am having severe gallbladder pain. Would the CCK have detected something else?

Maybe: HIDA without CCK looks for bile duct or for gallbladder blockage. Do you have gallstones on ultrasound? If you do have gallstones, then CCK testing may not be needed. Testing with CCK is used to identify how well the gallbladder is emptying. The CCK injection can be replaced by the radiologist having you drink fatty high calorie drink instead (like Ensure). ...Read more

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I had a normal ultrasound for my gallbladder and a HIDA scan that shows a 93 percent. But the pain is getting worse and the CCK caused symptoms.

I had a normal ultrasound for my gallbladder and a HIDA scan that shows a 93 percent. But the pain is getting worse and the CCK caused symptoms.

Uncertain: Pain without gallstones and a normal gallbladder ejection fraction is not a great idea to be thinking about getting your gallbladder out. Would see your doctor and make sure you are not having issues related to your stomach (like gastritis/reflux), your liver (like hepatitis), or your pancreas. ...Read more