Ive been having quite a classic case of gallbladder symptoms but have a clear (stone-free) ultrasound, so my doctor sent me for a HIDA scan to rule out biliary dyskinesia. The results came back with an ejection fraction of 23.8%. I know that this is abnormal, but the doctor says its only mildly so and shes not sure what the surgeon will want to do. In the meantime, Im battling rather unpredictable pain, nausea, and occasional belching problems. Im wondering how likely it is that the surgeon will decide to operate?
Also, is it possible to have gallbladder attacks from not eating?
The surgeon usually needs to be sure about the diagnosis before any action is taken. First, all diseases and conditions that might have the same symptoms as biliary dyskinesia should probably be excluded : hepatitis, cholecystitis, choledocolithiasis, cholelithiasis, gastritis, peptic ulcer of the stomach or duodenum, pancreatitis, tumors, etc. This process normally requires several diagnostic tests and procedures (liver profile, standard blood analyses, âHelicobacter piloriâ-serolgy, ultrasound, HIDA-scanning, CD-scanning, and endoscopy). If all these tests are negative and the HIDA-scan shows gallbladder ejection fraction less then 35%, then laparoscopic cholecystectomy may be indicated. The surgeon will decide on that. Finally, fatty and spicy foods usually provoke gallbladder attacks.
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