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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. Jack Hinkle
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Dr. Michael Gabor
2,018 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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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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Dr. Jack Hinkle
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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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Dr. Jack Hinkle
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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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Nausea 9% functioning of gallbladder after hida scan otherwise no pain or gallstones. Endoscopy, MRI, Colonoscopy (l 1/2 yrs. ago ) Ultrasound all OK. Diagnosis is to remove GB...unsure?

Nausea 9% functioning of gallbladder after hida scan otherwise no pain or gallstones.  Endoscopy, MRI, Colonoscopy (l 1/2 yrs. ago )  Ultrasound all OK.  Diagnosis is to remove GB...unsure?

Sick GB: Nausea and only 9% function on a hida scan? Sounds like a sick gallbladder is a distinct possibility. Now whether you want surgery or not is up to you. Depends on how miserable you are. You may be able to keep symptoms under control with dietary changes. The risk of not treating it, is that you might find that you need it removed emergently later. Not optimal. ...Read more

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Person diagnosed with gallstones by an ultrasound, what other tests should be done to rule out other diseases to ensure it truly is gallstones?

Unclear: An ultrasound is one of the best tests i medicine when it is used to diagnose gallstones. However, that does not mean you need your gallbladder removed. A gallbladder should be removed for symptoms - stones are not an indication for surgery. ...Read more

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Person diagnosed with gallstones by ultrasound was told to remove gallbladder without any other tests.How can we be sure this is a right choice?

Person diagnosed with gallstones by ultrasound was told to remove gallbladder without any other tests.How can we be sure this is a right choice?

Second opinion: If you are concerned about what to do, see a gastroenterologist, which is is a doctor that specailizes in non surgical treatment of gallstones. If they tell you to have your gallbladder out then go to a surgeon for gallbladder removal. The risk factors for symptomatic gallstones are female , age forty, previous childbirth or birth control pills, and obesity. ...Read more

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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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Dr. Barry Rosen
884 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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Dr. Jack Hinkle
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