Normal Hida Scan But Surgery Recommended Posted: 05-02-06 19:52pm
I am a 48 year old female with no previous
serious gastric problems. I had a hida
scan done 2 weeks ago with an ejection
fraction of 85%. That seemed pretty
efficient to me! But my ultrasound
showed sediment in the gallbladder as well
as an "artifact" which I assume is a
gallstone. I've had annoying symptoms,
primarily at night of colicky pain under
my right rib cage, a deep gnawing pain in
my sternum going through to my back, and
sporadic pain in my right shoulder blade
in back. I am usually nauseous the next
morning. When I had the hida scan done,
I became very nauseous when the medicine
was injected but it was put in very
quickly in about 3 minutes. The surgeon
I just met with said that was a definite
indicator that my gallbladder should be
removed. Now I understand that the
medicine should have been much more slowly
injected over about a 20-40 minute time
frame. I had an endoscopy done also, and
except for a mild sliding hiatal hernia,
everything else was fine. Being that my
symptoms are only about once a week and
usually just annoying, I don't know
whether to go through with the surgery
(scheduled on june 2nd) both the
gastroenterologist and the surgeon (who
only performs gastric surgeries) both say
surgery is recommended. They don't know
each other.
On a side note, I also have 2 lower ribs
on my right side which are not fully
attached to the sternum but floating
around in a sea of broken cartilege.
They are not painful, but they are in the
same area, my gallbladder would be right
under them.
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Mikey1970
New User, Becoming EHEALTHy
Joined: 31 Mar 2006 Posts: 10 Location: Louisiana
Surgery Reccomended Dispite Normal E/f Posted: 05-05-06 22:16pm
I wouldn't do it yet. You were nauseated
and had pain because the cck was injected
too fast. I inject it over about 10 to
15 minutes, no longer than 20.
85% e/f is perfectly normal. But
people in a lot of pain often move,
sometimes without even realizing it.
That can cause a false reading. I would
have it repeated, done correctly. Make
sure you fast at least 4 hours, no more
than 12. No narcotic pain medicines or
nausea remedies with in 8 hours or longer.
Make sure you stay absolutely still
during the ejection fraction phase. Even
the most innocent shift can ruin the test.
Breathe normally, no deep breaths.
Treat your cough before doing the test.
A non-narcotic cough drop is ok.
Good luck.
