I am experiencing bloating, gas and swelling in my upper middle and right side of my stomach. I had the hida scan done which showing the ejection fraction was mildly depressed at 30%. There were no evidence of cystic duct obtruction and depressed gallblader contractile function, mild. My doctor recommends if I am having discomfort I might need to have my gallbladder removed. I know people can live without it however is my situation critical to have my gallbladder removed?
The description of a low functioning gall bladder with 30% function on a HIDA scan, could be indicating the âpossibility of Gall bladder dysfunction. The cause of gall bladder dysfunction is due to poor dietary habits, chronic liver diseases, obesity and a sedentary lifestyle.
Gall bladder function âis determined by a HIDA scan which gives a percentage of bile ejection from the gallbladder. Normal ejection âfractions range between 33 and 40%.â
A low functioning gallbladder can also cause several digestive problems. Some people develop nausea and âvomiting, and the abdomen can also be bloated and tender to the touch. In addition, loss of appetite sometimes âdevelops as a result of gallbladder problems.
Improved diet (Avoidance of high fatty foods and grease), Physical exercise, weight loss provide the best results in individuals with low functioning gall bladder. Medicines to improve digestion and cleanse the gall bladder can also be prescribed to help in improvement of symptoms.
The definitive treatment of such conditions is cholecystectomy for patients who are able to tolerate surgery.â
In many patients, coexistent GERD is also a contributing factor for the symptoms. Hence in many individuals who undergo Gall bladder removal, the symptoms due to GERD will cause persistent symptoms. Hence it is important to work with a gastroenterologist and rule out Gastric Reflux disorder, and treat it properly. Effective treatment of such conditions may negate the need for a gall bladder surgery.
But in case, the symptoms are predominantly due to gall bladder, then treatment of both GERD and gallbladder removal may be needed.
You might consider to consult your health care provider for additional information and seek proper advice.
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