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Doctor insights on: Nuclear Gallbladder Test

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Dr. Scott Welker Dr. Welker
Surgery
23 years in practice
1

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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?

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.

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Dr. James Dukelow
1 Doctor shared a insight

Gallbladder (Definition)

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


Dr. John Fung Dr. Fung
Surgery
35 years in practice
Johns Hopkins University School of Medicine
2

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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?

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).

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Dr. Brian Wosnitzer Dr. Wosnitzer
Nuclear Medicine
14 years in practice
University of British Columbia Faculty of Medicine
3

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Can you tell me what is a nuclear medicine test that studies your gall bladder?

Can you tell me what is a nuclear medicine test that studies your gall bladder?

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.

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Dr. Gerald Mandell Dr. Mandell
Nuclear Medicine
48 years in practice
Jefferson Medical College of Thomas Jefferson University
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Nuclear test for gall bladder, can you tell me more info on this test?

Nuclear test for gall bladder, can you tell me more info on this test?

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.

Dr. Guido Davidzon Dr. Davidzon
Nuclear Medicine
14 years in practice
Maimonides University Faculty of Medicine
5

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Had a nuclear test for gall bladder and the reading was 33. What does that mean?

Had a nuclear test for gall bladder and the reading was 33. What does that mean?

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.

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Dr. Rashid Khan Dr. Khan
Internal Medicine
29 years in practice
University of Karachi, Dow Medical College
6
Dr. Michael Sawyer Dr. Sawyer
Surgery
32 years in practice
University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School
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What tests are there for examining the gallbladder?

What tests are there for examining the gallbladder?

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.

Dr. John Munshower Dr. Munshower
Family Medicine
26 years in practice
Philadelphia College of Osteopathic Medicine - Georgia Campus
8
Michael Erickson Dr. Erickson
General Practice
5 years in practice
Touro College of Osteopathic Medicine
9

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What kind of test is done to determine gallbladder problems?

What kind of test is done to determine gallbladder problems?

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.

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Dr. Gerald Mandell Dr. Mandell
Nuclear Medicine
48 years in practice
Jefferson Medical College of Thomas Jefferson University
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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 the symptoms of a gallbladder issue, but all my tests say I'm fine. What could be causing my symptoms then?

Pain: Other causes of right upper quadrant pain include hepatic disease, such as hepatitis, stomach gastritis or ulcer, gastroesophageal refllux right lower lung infection, etc. Some patients require endoscopy to rule out gi issues.

Dr. Tracy Berg Dr. Berg
Surgery
28 years in practice
University of Maryland School of Medicine
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I have been told I have a callapsed gallbladder and have symptoms of gallbladder problems should have more tests done?

I have been told I have a callapsed gallbladder and have symptoms of gallbladder problems should have more tests done?

Biliary colic: Your gallbladder could be the cause of your abdominal pain aka biliary colic. A surgery consult is indicated. Where risk/benefit analysis of organ retention vs surgical removal/laprascopic cholecystectomy can be discussed. Take a friend with you. Your surgeon may order more tests.

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Dr. Guido Davidzon Dr. Davidzon
Nuclear Medicine
14 years in practice
Maimonides University Faculty of Medicine
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Are nuclear scans accurate for diagnosing gallbladder troubles?

Are nuclear scans accurate for diagnosing gallbladder troubles?

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.

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Dr. Mark Hoepfner Dr. Hoepfner
Surgery
35 years in practice
University of Washington School of Medicine
13

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What does my second opinion say after I've had all the tests run on my gallbladder?

What does my second opinion say after I've had all the tests run on my gallbladder?

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.

Dr. James Lin Dr. Lin
Urology
47 years in practice
Kaohsiung Medical University
14

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Been waiting couple days for gallbladder/ kidney test results Have a excuiating pain in lower left back Is this a symthom?

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. .

Dr. Daniel Para Dr. Para
Surgery
26 years in practice
University of Illinois College of Medicine
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Can dr tell if you need gallbladder out just by blood tests?

Can dr tell if you need gallbladder out just by blood tests?

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.

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Dr. Ahmad Ibrahim Dr. Ibrahim
Urgent Care
15 years in practice
McGill University Faculty of Medicine
16

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What tests can be done to check your gallbladder and pancreas?

Plenty: Blood work, Ultrasound, CT scan, sometimes MRI. Good luck

Dr. Mark Hoepfner Dr. Hoepfner
Surgery
35 years in practice
University of Washington School of Medicine
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Which steps or tests should I look into next for gallbladder pain?

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.

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Dr. Herman Hammerstead Dr. Hammerstead
Surgery - Trauma
46 years in practice
University of Louisville School of Medicine
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Dr. Gabriel Goren Dr. Goren
Surgery
54 years in practice
The Hebrew University, Hadassah Medical School
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What steps or tests should I look into next when having gallbladder pain?

What steps or tests should I look into next when having gallbladder pain?

Go: To an emergency room, have them check u out and if u have gall stones plan the surgery. Why suffer? Why submit yourself to complications that can be quite severe if you neglect your condition.! that is so simple...

Dr. Mark Dickson Dr. Dickson
Surgery
19 years in practice
Texas Tech University School of Medicine
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How frequently does a bad gallbladder come back with tests saying it is fine?

How frequently does a bad gallbladder come back with tests saying it is fine?

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.

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Dr. Chad Levitt
5 Doctors shared insights

Gall Bladder (Definition)

Sac like organ that serves to store bile, a digestive detergent which is made in the liver. Typically contracts after eating and sends the stored bile down ducts to ...Read more