Doctor insights on:
Low Hida Scan
Gallbladder function is low by hida scan. No gallstones but have frequent heartburn and chest discomfort pale stool and bad gas is surgery needed?
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
Gallbladder surgery in two days no stones of inflamation just Gerd and low function discover by hida scan. What are the complications and mortality %?
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
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
Your hida scan is abnormal, with a low ejection fraction and reproduction of symptoms with the cck injection. What does this mean in layman's terms?
Gallbladder not work:
That mean your gallbladder is not working as good as it suppose to be
if you have symptoms of gallbladder colic consider medical treatment first if it did not work based on your symptoms make sure you do not have other upper digestive problems like ulcer or reflux or irritable bowel syndrome
your last solution should be surgery do not jump to surgery too fast your doctor will advise you. ...Read more
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
Can biliary dyskinesia GB recover to normal after stopping meds that cause low ejection fraction? How long would it take to recover b4 new HIDA scan?
You almost certainly have mechanical obstruction of the GB, even though this may be only due to thickened bile, sludge, or gravel, and may be intermittent. Medications or supplements have virtually no influence on this process. Low fat diet can lessen the severity of symptoms by lessening GB contractions.
See your doctor. ...Read more
Hida scan 7% ef. Pain low grade fevers. Surgeon questions gallbladder as cause. How can that be. To have ultra soy d. Neg and CT opinions wanted?
GB stiff: Even though no stones, the gallbladder muscle can become sluggish and not eject bile like it should. The hidda scan discovers this dysfunction in way gb works to eject bile into the intestine. The other studies (including ultrasound and ct) look at architecture and not function. That is why the hidda scan is more useful to determine that gb is cause of your right upper abdominal pain. ...Read more
I had a hida scan that came back at 74%. Is that too low for a hyperactive gallbladder? I'm experiencing pain under right rib, nausea, and vomiting
74% is normal: Hida scan with cck augmentation normal range is typically greater than 50%, with 35% to 50% being "borderline" and less than 35% being abnormal. The gallbladder should contract with cck (an analog of a hormone that causes gallbladder emptying) if it is responding/working normally. The hida portion examines the liver cells that make bile and the bile ducts to make sure they are not blocked. ...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?
Weekly Diarrhea vomit low fever. Upper/lower scope Hida scan and WBC ok. RBC HGB HCT all 1 point low, MCV high. BUN 1 point low. What causes low BUN?
Lab results: It is difficult to interpret lab results without all of the background information and without seeing the labs themselves. Having said that, if it is only one point from the normal range, it is unlikely to be clinically significant. If you have the lab results available, you might consider a Healthtap Prime consult, for a more detailed answer. ...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
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
One/ two phase exam: Hida scan is usually two part examination. First phase intravenous injection of isotope with technetium accumulating in liver, excreted like bile into bile ducts, accumulating in gall bladder, and excreted into bowel.Second phase slow intravenous injection of cck, hormone, causing gb contraction determing gb ejection fraction. Sometimes discomfort mimicing abdominal symptoms. Looking for gb disease, ...Read more
HIDA scan is easy: Hida scan is a common test by nuclear medicine. Hida is injected into blood, then is taken up by your liver & excreted into the bile ducts. If your gallbladder functions (is not sick), it will "light up" when it concentrates the hida material. Giving cck then allows measurement of gallbladder emptying time, patency of the bile ducts, & how effectively the hida material enters your small bowel. ...Read more
Ejection fraction: The ejection fraction is the portion of the gallbladder contents that are expressed from the gallbladder with contraction. Normally the gallbladder has an ejection fraction greater than 35%. An EF of 8% may indicate abnormal gallbladder function, and it needs to be considered along with the clinical situation to determine if a cholecystectomy should be performed. Good luck. ...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
Up or down:
It is really depend if the numbers are going down mean your gallbladder function getting worst
if is up and down the test is not reliable
and depend on your symptoms
if the fluctuation up and down but still below 30% your gallbladder could be the problem. ...Read more
False positives: Variability in results depends on method of test, interpretative skills, patient symptoms. It is not perfect. If gb ejection fraction is low in patient with biliary colic, chronic gall bladder disease /biliary dyskinesia probable. With acute symptoms non visualization of gb means acute cholecystitis, surgical emergency. False positives prolonged fasting, tpn, alcoholism, recent narcotic, pancreatitis ...Read more