Doctor insights on:
Pain After Hida Scan
Referred pain: It is very common to have pain in the shoulder after injuries and problems in the abdomen. Injuries to the liver and gallbladder often causes right shoulder pain while injuries to the spleen often causes left shoulder pain. It occurs because the same nerves that go to that part of the abdomen also go to the shoulder. Our brain cannot distinguish between the two. ...Read more
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
I have recently developed urq pain. Normal ultrasound, lab work and hida scan. Ejection fraction 98%. Pain worse after meals. Tender to touch. Nausea.
See a surgeon : Cholescintigraphy for acute cholecystitis has sensitivity of 97%, specificity of 94%. several investigators have found the sensitivity being consistently higher than 90% though specificity has varied from 73%- 99%, yet compared to ultrasonography, cholescintigraphy has proven to be superior. As you can see, at least 3% of the time the hida scan is wrong. You may need to find a surgeon who is willing to go in and take a look on the basis of an abnormal physical examination without undue reliance on testing. I woulddefinitely recommend a second opinion.Best wishes. The information above is from wikipedia. ...Read moreSee 1 more doctor answer
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 [email protected] Dr Z ...Read more
Epigastric pain, back and upper right quad pain for 6 weeks. Pancreas ct scan with contrast normal. worried about pancreatic cancer. Ct reassuring ?
Upper abdominal pain left/ middle/right and kidneys. Hida scan normal, ultrasound normal for gallbladder. Still in pain and now colon pain fever 101 ?
ABD PAIN & FEVER: It is very important to separate the location of the pain from its cause. Abd pain & fever may arise from many, many different diseases, not just limited to the gallbladder, kidney, or colon. Rx hinges upon finding the cause, which requires a thorough medical history and exam +/- labs +/- ct scan +/- colonoscopy. Please see a primary care doctor or gastroenterologist. ...Read moreSee 1 more doctor answer
Had ct. scan w/oral cntrst of abdomin, all normal. Is CT scan w/ oral contrast reliable of abdomin? Was having bloat and gas. Had ultrasound prior.
Good: Good to the degree that there is not an abscess, mass, disruption or other critical problem. Many post surgical discomforts wear off! keep your followup appointments and keep track of your symptoms and analgesic usage to share. If there are other changes in the wound see the ob- gyn soon. ...Read more
Having pain after gall bladder surgery, sharp pain in upper abdomen when i take a deep breath, had ct, hida scan & chest xray done, can't find anything?
Be patient : If it is early post surgery, that kind of pain can be due to some fluid or a small amount of blood in the surgical area. If so this will clear up. The tests you had should eliminate the more serious post operative problems, such as pulmonary embolism , bile leak or bike duct injury. As always, if the pain persists, go see your surgeon again. ...Read moreSee 1 more doctor answer
Having mid-back pain to right of spine for hours after eating. Hida scan and gb ultrasound=normal. Ejection fraction=91%. Any ideas about the cause?
Possibly not gb: Most symptoms related to gall bladder occur in right upper quadrant of the abdomen. Your symptoms sound like other portions of the gastrointestinal tract may be involved, endoscopy, blood tests, and other imaging testing will examine large bowel and small bowel for possible contribution to your symptoms. ...Read moreSee 1 more doctor answer
Hida scan 53%/great deal pain nausea and gall bladder symptoms but tests normal? Gallbladder removal help?
Possibly: The symptoms you have are characteristic of problems with the biliary tree, but the area is more complex that just the gallbladder. However, the tests required to try to figure it out come with a certain amount of risk; often a higher risk profile than removing the gb first and eliminating this as a contributing factor. If the us was also normal, i would recommend an endoscopy before gb removal. ...Read moreSee 3 more doctor answers
Hida EF 83% with sludge, pain is on left. yellow D, gas, bloating, CT scans are neg for pancreas. Is hyperkenetic gallbladder an option?
Excruciating upper right abdominal pain, radiates to back. Worse after meals & exercising. 2 weeks. All GB tests normal (u/s and HIDA w/ cck). Ideas?
Other causes: Other organs in abdomen can cause right upper quadrant pain. Endoscopy would be next step to evaluate esophagus, stomach, and proximal duodenum for inflammatory conditions or ulcerations. Pancreas shoud be eliminated with blood tests as possible cause. Hepatitis can also cause right upper quadrant pain.See gastroenterologist. ...Read more
Ultrasound showed sludge in gallbladder. Hida scan was 78% ejaction with positive cck. RUQ pain for 5 years. Do you think surgery is required?
Abd pain 6 mo. With nausea hida 98% us showed thickening neg colonoscopy, ges, sb follow through and ct's%0a%0agallbladder trouble?%0aworse after eatin
Hyperkinetic gb: Most physicians in nuclear medicine and gastroenterology believe that increased ejection fraction of gall bladder is probably normal (above 35%). A well known nuclear physician reported small group of patients with hyperkinetic gall bladder (above 80% ejection fraction) getting relief with removal of gb. More studies needed to convince most surgeons. ...Read moreSee 2 more doctor answers
Persistant abdominal pain 9-10 month,ct scan abdomen and pelvis normal but hadn't had bowel movement(toilet) before scan, could this effected results?
Not: Lack of,bowl movement woul not alter a normal scan. ...Read more
Could my lymphocytic colitis be causing my issues? Nausea, vomiting, upper right quadrant pain after fatty meals. Hida scan showed ef of 95%
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 moreSee 3 more doctor answers
See below: A radioactive tracer is injected into your veins. This is taken up by the liver and excreted in bile. It can then be followed using a camera to see that it empties into your intestine. If you have a gallbladder one can see if it functions properly too. ...Read moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
Not usually: Most people dont feel any better..Or worse after a hida scan. It is rare to have an adverse (or bad) reaction. It usually does not make one feel better, however if they used morphine during the study..It would be possible to feel the effects of that. ...Read moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Hepatobiliary study: 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% emptying of gall bladder. ...Read moreSee 2 more doctor answers
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