Do hida scans always show gall bladder issues?

Ultrasound first. A hida scan is a functional test. It should be performed after u/s which is a first line imaging tool for biliary disease. In the setting of a negative u/s and hida, the likelihood of significant biliary diseae is extremely low.
No. Hida scans are good for showing cystic duct obstruction associated with acute cholecystitis. It can also show complete biliary obstruction. It can suggest chronic cholecystitis with delayed gallbladder uptake and can suggest hepatocellular disease with delayed excretion. Gallbladder polyps or tumors are among the gb problems not well defined by hida scan. Ct, MRI or mracp scans may be needed.

Related Questions

I am having a pain where my gall bladder was removed. There is bile in my stomach and my bile duct is swollen. Hida scan shows normal -what is this?

Postchole-x Syndrome. Postcholecystectomy syndrome is the persistence or return of RUQ abd pain following gallbladder removal. This is due to non-biliary causes (irritable bowel, ulcer dz, gerd, etc), organic biliary dz (common duct stones/stricture/cancer), or functional biliary disease (sphincter of oddi dysfunction). I advise GI work up to include labs, ultrasound+/-ercp, depending on above results. Read more...
Duod-gastric reflux. Should have physician check report on hida scan for duodenogastric reflux. Some patients have duodenogastric reflux where bile goes from duodenum into stomach and causes gastritis can be seen sphinter of oddi dyskinesia is spasm of muscle where main bile duct enters duodenum. Can be prolonged spasm causing pain and soetimes associated with dg reflux. Careful interpretation of scan necessary. Read more...
Sphincter of Oddi . Persistant pain in the GB area after removal is usually due to Sphincter of Oddi dysfunction. It occurs in about 6% of patients and requires ERCP with sphincter of Oddi manometry for proper diagnosis. If proven then the treatment would be Sphincterotomy which is opening the sphincter to allow the bile to flow freely into the duodenum. . Read more...

Gall Bladder EF was 15% 3 years ago and I just had a HIDA scan repeat... It was 63%. Does this mean I'm normal now?

Depends. on what you mean being "normal." But yes, your HIDA scan is now normal. These tests tend to be highly variable & the results can change from one day to another. If you have no gallstones on ultrasound, then your gallbladder is functioning normally at this time. Read more...

Is the nuclear injection supposed to still be visable in a hida scan at the end? I don't have a gall bladder either.

Yea. Your gallbladder is an extension of your bile duct.Although your gallbladder is out the bile duct still exists.The die for the hida test still go through your liver and bile duct even without your gallbladder. Read more...

Had a hida scan and it was normal but my gall bladder was inflamed and now I need to go to GI dr. But I don't know why?

Biliary disease. Okay to ask your regular doctor "why". Biliary disease can be complex, so during the time you are having symptoms but not clearly diagnosed try a low fat diet and extra hydration, which helps decrease symptoms. If you develop fever or vomiting then more urgency to get tested. Be well. Read more...
Acute vs. Chronic... How long have your symptoms been going on for? Acute and chronic cholecystitis can have different presentations on hida scan. Was a gallbladder ejection fraction performed? Read more...

What would it mean if I got a fever of 100.0 the day after I got a hida scan for gall bladder but it went away in a few hours?

Probably nothing. Particularly if the fever resolved and you have no further symptoms. You may have had a minor reaction to the dye, or other aspects of the procedure. Suspect you are going to be fine, as long as your gall-bladder is doing well. Hope you don't need surgery. Read more...
Probably unrelated. If hida scan was normal the fever may be unrelated. An elevated temperature suggestive of infection is seen in 1/3 of patients with cholecystitis (inflammation of gallbladder and > 90% with cholangitis, inflammation in bile ducts. These patients usually have abnormal results to the gall bladder study. Read more...

I went into hida scan while in pain. The test seemed to have aggravated my syptoms. The results however were normal. Do I need a gall bladder removal?

Depends . It depends on the technique. If the cck was injected over a short period of time, then your pain may be from the injection, not your gallbladder. There is some, but very limited evidence, that pain with a slow injection of cck indicates that a person will improve with cholecystectomy. Most evidence is that pain during a hida scan does not mean you have a sick gallbladder. Talk with your surgeon. Read more...
No evidence. A normal hepatobiliary scan with gallbladder visualization almost always excludes a diagnosis of acute cholecystitis. You may have had a study with cck to assess the functional status of your gallbladder (chronic cholecystitis). If cck is rapidly administered it can cause gallbladder neck spasm and pain which is similar to the pain obtained with a fatty meal. Read more...
Maybe. The hida scan is not always abnormal with gall bladder disease. The fact that symptoms were mimicked by the test may mean gall bladder is an issue. Sometimes gb ejection fraction can be normal and there is a problem with the biliary duct at its entrance into the duodenum where is a muscle, called sphincter of oddi, sometimes spasm at this area can cause simiilar pain., called dyskinesia. Read more...
CCK. Did they do a gallbladder ejection fraction? Cck is often injected to calculate a gallbladder ejection fraction. The cck causes the gallbladder to contract and can cause cramping or similar symptoms that you get when you eat a fatty meal. Read more...

Hida scan 53%/great deal pain nausea and gall bladder symptoms but tests normal? Gallbladder removal help?

NO will not help. If test shows no evidence of gall bladder disease or stones , no indication for its removal, first need to find the cause of pan . Besides gall bladder determine other diseases will cause pain & symptoms , like pancreatitis, p.Divisam , stenosis of papilla etc then curing the cause will help. Read more...
Pain. Did the us show gall stones ? You need ct scan of abdomen to see beside gall bladder & common bile duct dilatation what else causing your symptoms. Please see your gastroenterologist. Good luck. Read more...
Not necessarily. The hida scan is not always abnormal with gall bladder disease. Fact that symptoms were mimicked by the test may mean biliary system issue. Sometimes normal gb ejection fraction, problem with the biliary duct entrance into duodenum where muscle, called sphincter of oddi, sometimes spasm at this area can cause simiilar pain called dyskinesia.See GI physician rule out pancreas, stomach.Esophagus etc. Read more...
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 more...