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Doctor insights on: Ultrasound Scan For Gallstones

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I recently had an ultrasound of the gallbladder which had no gallstones or abnormalities , would it still be necessary to do a hida scan?

I recently had an ultrasound of the gallbladder which had no gallstones or abnormalities , would it still be necessary to do a hida scan?

Possibly: A normal gallbladder ultrasound, while good news, doesn't exclude certain syndromes of gallbladder dysfunction that can cause pain. A hida scan, when combined with cholecystokinin, is useful in that this test shows how well the gallbladder empties itself of bile and whether the giving of cholecystokinin (which causes gallbladder contraction) reproduces your pain. ...Read more

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Dr. Jane van Dis
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Dr. Michael Gabor
1,960 doctors shared insights

Sonogram (Definition)

The sonogram is a test that looks at body organs with no radiation. It uses sound waves and can give us a 2 dimensional view of organs such as the kidney, liver, heart, and lungs. It can define spaces that are either solid or full of fluid. I can also guide large needles into an organ or near the spine, and can help define the area being cut open. Its a ...Read more


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I've been diagnosed with gallstones by ultrasound & been having severe gallbladder attacks but now my dr ordered a HIDA scan is that necessary?

I've been diagnosed with gallstones by ultrasound  & been having severe gallbladder attacks but now my dr ordered a HIDA scan is that necessary?

Sometimes: Sometimes if the symptoms of your attacks do not correspond with gallstone pain, some physicians will order a HIDA scan to see if the GB is emptying properly. Most of the time if a person has gallstones and symptoms of right upper quadrant pain after eating, it would be justified to proceed forward with surgery with out a HIDA scan. You should speak to a General Surgeon. ...Read more

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Dr. Jane van Dis
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Is it recommended to have gallbladder out if hida scan says your function is 30 percent and gb ultrasound says you don't have gallstones?

Is it recommended to have gallbladder out if hida scan says your function is 30 percent and gb ultrasound says you don't have gallstones?

If you have symptoms: Biliary dyskinesia can cause typical gallbladder symptoms. If one has RUQ pain or bloating after meals or nausea or fatty food intolerance or any combination, and their gb function is less than 35%, then laparoscopic gb removal would be appropriate. You could delay intervention, if desired, by eating a low fat diet. About 10% of my patients don't have gallstones. Good luck. ...Read more

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Diagnosed w gallstones thru ultrasound but now ordered for HIDA scan? Is it true that this scan could cause severe gallbladder attack or move stones?

Diagnosed w gallstones thru ultrasound but now ordered for HIDA scan? Is it true that this scan could cause severe gallbladder attack or move stones?

Maybe: A HIDA scan evaluates the function of the GB. During a HIDA scan you are given a medication that will cause your GB to contract and that can sometimes cause discomfort. Also the Ensure that you are asked to drink can also precipitate some RUQ discomfort. As far as a full fledged GB attack, that is unlikely. It definatley does not cause more stones. Talk to the physician who ordered the scan. ...Read more

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My hida scan was 35%. The ultrasound shows possible few very tiny gallstones. The CT scan was normal with some intermittent gb symptoms. Should i get the gbremoved?

My hida scan was 35%. The ultrasound shows possible few very tiny gallstones. The CT scan was normal with some intermittent gb symptoms. Should i get the gbremoved?

Tough Call: This is not an uncommon situation--things are not always "black & white". If i were convinced that my patient was having "gallbladder symptoms", i would lean towards recommending surgery. Other pertinent info includes: any tenderness on exam? Did the cck injection reproduce the pain? Are the liver enzymes normal? Is my patient a good candidate for elective surgery? Hope this helps. ...Read more

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I got a hida scan of my gallbladder done which reported anef of 12%. The abd ultrasound reported no gallstones. Is the chronic burping and pressure (poking) under my right rib cage caused by the ef?

Probably yes: A normal gallbladder ejection fraction on a hida scan should be more than 40%. At 12%, this means that you have a dyskinesia of your gallbladder which can give the type of symptoms you are reporting. You should consult your doctor and discuss the possibility of surgically removing your gallbladder, even if there are no gallstones, especially if all other tests are normal. Good luck. ...Read more

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Dr. Jane van Dis
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12 years in practice
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Ultrasound show a 1cm gallstone & 2small polyps I am waiting for endoscopy to be done Pain is constant What can I do to help the pain?

Ultrasound show a 1cm gallstone & 2small polyps I am waiting for endoscopy to be done Pain is constant What can I do to help the pain?

If you have: no symptoms your both conditions could be observed . GB polyps has malignant potential but usually they are 2 cm or more in size . If over the counter pain medications are not helping you to relive pain , your best option after colonoscopy is removal of BG , which is relatively low risk surgery. ...Read more

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Might have gallstones I'm having an ultrasound done in 10 days time what does my doc think I'm supposed to do till then with pain like this?

Might have gallstones I'm having an ultrasound done in 10 days time what does my doc think I'm supposed to do till then with pain like this?

When to get checked: While waiting for diagnostic imaging and with current symptoms of pain, nausea, bloating you have to be on alert. Go in to ER if you develop fever or vomiting. Stay on a low fat diet and take extra oral hydration, tea, juice, water and broth. The outpatient evaluation is more challenging. Be well. ...Read more

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Had ultrasound of my gallbladder, it showed that I had small gallstones, wall thickening, 5mm, and no pericholecystic fluid, choleystitis? no fluid?

Had ultrasound of my gallbladder, it showed that I had small gallstones, wall thickening, 5mm, and no pericholecystic fluid, choleystitis? no fluid?

Typical report: Gallstones can vary in size from very small to quite large. Normal GB wall is 2 to 3 mm thick, 5mm is not much above normal. Pericholecystic fluid is typically seen on US and suggests acute inflammation. ...Read more

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Dr. Barry Rosen
870 doctors shared insights

Gallstones (Definition)

Stone can occur in the gallbladder by concentration of bile with precipitation of crystals ...Read more


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