Doctor insights on:
Nuclear Gallbladder Test
I have a gallbladder sludge and tomorrow have to have a nuclear med test for gallbladder. Will sludge show up on test? Will results show normal?
No.: "sludge" is seen on ultrasound. The test you are having, a hida scan, watches the gall bladder empty. It's not as accurate as ultrasound for seeing fine details like sludge, but it sees if you have pain during the test, and the "ejection fraction" is low, it is abnormal, and usually surgery is recommended. ...Read more
The gallbladder is a sac-like structure located under the right lobe of the liver. It is attached to the common bile duct via the cystic duct. The gallbladder can store bile when the bile is not needed, and can squeeze bile into the bile duct and intestine for digestion when a person eats larger ...Read more
Had a nuclear heart stress test. Right after, dr. Did my hida scan on the gallbladder. Did not give more nuclear stuff. Will this affect hida results?
Unusual but okay: Nuclear cardiac stress test is a nuclear imaging method that shows how well blood flows into the heart muscle, both at rest and during activity. This uses a radiopharmaceutical, such as thallium or sestamibi. However, tc-99m sestamibi, has relatively high liver uptake and studies have utilized this for assessment of gallbladder contraction also. (j gastrointestin liver dis, 2007; 16:157). ...Read more
HIDA Scan...: Hida scan involves IV injection of a tc tracer. The tracer doesn't cause any side effects. Physicians look to be sure that the gallbladder and bowel fill with tracer to rule out cystic duct (cholecystitis) or common bile duct obstruction. Hida is performed with or without cck. Cck is helpful for chronic conditions to determine a gallbladder ejection fraction. Cck may cause cramping or pain. ...Read more
Hida can be abnormal: Hida test requires patient fasting for about 6 hrs before test and o pain medications, affecting gb emptying. Injected IV with isotopetc99m hida. Patient supine with camera above abdomen imaging for at least 30 min. Usually additional imaging in different projections up to 45 min - 60 min. If gall bladder well seen, injected with slow infusion of cck. Gb emptying evaluated. Sometimes nausea/pain. ...Read more
HIDA scan with EF: After initial feeling with a radiotracer, your gallbladder contraction was stimulated and the percentage of radiolabeled bile ejected from the gallbladder was measured as "ejection fraction" or ef. This is a measure of gallbladder contractility and thus funcnution. Generally efs are greater than 50%, and < than 35% is considered abnormal. Yours is on the limit and clinical correlation is important. ...Read more
Elevated liver enzymes, fatigue, nausea are my symptoms. Doc suggests gall bladder but nuclear gall bladder test negative. What next?
Hepatitis: Get tested for hep b and c. Are you taking any medications? ...Read more
See below: The most common and best tests are ultrasound for the diagnosis of gallstones, and to examine the surrounding bile ducts and pancreas, and HIDA scan, which is a nuclear medicine study to diagnose gallbladder dysfunction without stones (biliary dyskinesia) or gallbladder duct blockage. ...Read more
Signs and Symptoms: Generally signs and symptoms are the initial determinants. Nausea, vomiting, oily stools, pain in the upper right quadrant that may radiate to the right shoulder blade, and in serious blockages jaundice. The pain can be brought on after a fatty meal. Ultrasound and other imaging can identify stones and other anomalies. If confirmed, generally the gallbladder is removed laparoscopically. ...Read more
I have the symptoms of a gallbladder issue, but all my tests say I'm fine. What could be causing my symptoms then?
I have been told I have a callapsed gallbladder and have symptoms of gallbladder problems should have more tests done?
Yes for acute: The accuracy of cholescintigraphy (nuclear scan) for diagnosis of acute calculous cholecystitis has been greater than 95%, and the accuracy for acute acalculous cholecystitis is only slightly less. A normal scan with gallbladder visualization almost always excludes a diagnosis of acute cholecystitis. ...Read more
Depends: Depends entirely on the test results. If all normal, maybe nothing to do. If gallstones and symptoms from then may need a surgical referral. ...Read more
Been waiting couple days for gallbladder/ kidney test results Have a excuiating pain in lower left back Is this a symthom?
Here are some. ..: If your tests for gallbladder and kidneys were done for your acute left backache, the results of tests especially for kidneys should be available in hours, not days, at least in the US. Of course, numerous conditions may cause the reported pain, but the combo of analyzing the onset, degree, duration, interval, evolution, & progress of the pain & its related Sx over time + physicals will help to. . ...Read more
No.: Gallbladder disease is most definitively diagnosed with a combination of history, physical examination, blood work and ultrasound of the abdomen. There are many diseases that can mimic gallbladder disease, and thus ultrasound and occasionally nuclear medicine scanning are also necessary for correct diagnosis. ...Read more
Most common: First evaluation for pain is a complete medical history and physical exam. Blood tests. Ultrasound is common to evaluate the gallbladder. Ct scan can be used for abdominal pain evaluation, but not specific for the gallbladder. Hida scan can evaluate gallbladder function. Seeing a gastroenterologist for endoscopy to look for causes of pain. ...Read more
Not uncommon: I frequently see people with normal lab and X-ray tests who still have GB disease. Many of these people with typical GB symptoms get better after GB removal. ...Read more
Rarely, ultrasound: Will fail to detect small stones. Did you get a test called cck -stimulated hida scan? It measures your gallbladder emptying, and can sometimes help in determination of origin of pain. Sometimes, the symptoms are so classic and so severe that gallbladder removal is advised, even with negative tests. Ask a GI specialist for advice on whether he advises surgery. ...Read more
Blood tests: For gallbladder disease is at best an indirect indication. You need an imaging study such as ultrasound or ct scan, or a functional study such as hida scan. If your gallbladder is causing liver problems, your liver function tests will be abnormal. If it is causing pancreatitis, your amylase or lipase will be abnormal. If it is causing an infection, your WBC count will be high. ...Read more
I had nuclear med scan for gallbladder sludge today, how long before surgery to remove gallbladder?
Can you tell me about gallbladder test are ok. Gb testing for function ok. Us of abdomen ok. What's the cause?
Routine tests: HIDA scan involves fasting for few hours prior to study. Patient injected IV with radiotracer usually Technetium- hida extracted from blood stream by liver. Imaging continusously performed by nuclear camera positioned above the abdomen. Scan visualzies liver, bile ducts, gall bladder, bowel.Once gall bladder filled CCK injected IV for contraction and function of gb. US shows anatomy, stones, sludge ...Read more
Does a gallbladder sludge indicate a dysfunctional gallbladder. I have sludg gallbladder and took nuclear med scan yesterday.
Sometimes: Biliary sludge is a mixture of particulate matter which has precipitated from bile. It generally consists of cholesterol monohydrate crystals, calcium bilirubinate or other calcium salts. Sludge is almost always an ultrasonographic diagnosis. Prevalence of sludge is relatively low. Complete resolution or progression to gallstones are possible. Sludge formation is probably from gb dysmotility. ...Read more
I had nuclear med scan for gallbladder sludge yesterday. Why are they waiting to compare results from findings on first catscan I took 2 weeks ago?
Not sure: Most likely want to compare images and the radiologic impressions to make sure they " match", i.e., nothing is left out of the report ...Read more
Thank you Dr. Widman, went to clinic. RN said gallbladder issue. After painful Murphy test... I used health tap to explain to her why I came. Helpful?
Ultrasound, lab test: An acutely inflamed gall balder has a characteristic finding on ultrasound. The Inflamation can also cause an elevated white count. The diagnosis can be made easily in the ER and appropriate referral for surgical consultation can be made. ...Read more
Usually not: Bilirubin will only turn up on the urine from gall bladder disease if a stone plugs the big bile duct. Gallstones seldom affect bloodwork, and gallbladder cancer is notoriously subtle, announcing itself only very late. As a pathologist focused on the lab, I cannot overemphasize the importance of paying attention to symptoms / signs above lab values. Goodluck. ...Read more
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