8 doctors weighed in:

I have a pain in my upper abdomen from about 5 months. My doctor sent me a lot of studies and the hida scan revealed a 38%. Can it be the reason for the pain?

8 doctors weighed in
Dr. Raymond Taillefer
Nuclear Medicine
3 doctors agree

In brief: Yes and no

There are several potential causes for abdominal pain or discomforts.
A 99mtc-hida scan is performed to detect intra or extrahepatic billiary obstruction and to evaluate the ejection fraction of the gallbladder which , usually, should be more then 40%. In your case it is very borderline. If endoscopy and ultrasound study are normal, it would be relevant to perform another hida to control the ef.

In brief: Yes and no

There are several potential causes for abdominal pain or discomforts.
A 99mtc-hida scan is performed to detect intra or extrahepatic billiary obstruction and to evaluate the ejection fraction of the gallbladder which , usually, should be more then 40%. In your case it is very borderline. If endoscopy and ultrasound study are normal, it would be relevant to perform another hida to control the ef.
Dr. Raymond Taillefer
Dr. Raymond Taillefer
Thank
Dr. Eric Chen
Radiology
2 doctors agree

In brief: Yes

If a hida shows ejection fraction of 38%, this is borderline for biliary dyskinesia, or gallbladder dysfunction (35% is abnormal).
Biliary dyskinesia can often cause right upper quadrant abdominal pain.

In brief: Yes

If a hida shows ejection fraction of 38%, this is borderline for biliary dyskinesia, or gallbladder dysfunction (35% is abnormal).
Biliary dyskinesia can often cause right upper quadrant abdominal pain.
Dr. Eric Chen
Dr. Eric Chen
Thank
Dr. Gerald Mandell
Nuclear Medicine

In brief: Many causes of pain

In adults above 35% gb ejection fraction is considered normal.
Sometimes this test is inconclusive if typical symptoms and clinical findings point to gall bladder disease. Every other cause of symptoms pancreatitis, gastritis, esophagitis should be excluded before surgical therapy contemplated. Sometimes avoidance of fatty foods can alleviate symptoms of gall bladder disease.

In brief: Many causes of pain

In adults above 35% gb ejection fraction is considered normal.
Sometimes this test is inconclusive if typical symptoms and clinical findings point to gall bladder disease. Every other cause of symptoms pancreatitis, gastritis, esophagitis should be excluded before surgical therapy contemplated. Sometimes avoidance of fatty foods can alleviate symptoms of gall bladder disease.
Dr. Gerald Mandell
Dr. Gerald Mandell
Thank
Get help from a real doctor now
Dr. Arnon Rubin
Board Certified,
21 years in practice
163K people helped
Continue
111,000 doctors available
Read more answers from doctors