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ejecting at 12% in constant pain 24 hours a day

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My dad has been in constant pain in his chest area, back, shoulders, etc. for 2 years now. At first, we thought it was GERD, and oesophageal spasms. His scope was clear. He got prescribed channel blockers which seemed to help. He started being in pain again recently, so they did every test possible (blood test, heart, mdi, scope, etc.), and everything was clear. A doctor then requested a HIDA scan. When we got the results, it was ejecting at 12% (with no stones). We were thrilled because we thought this would mean he'd get his gallbladder out and his problems would be fixed. Today, he saw the surgeon, and she decided that he shouldn't get his gallbladder out because his symptoms aren't gallbladder related (no yellowing of skin or vomiting). She thinks it's arthritis and told him he has to learn to live with the pain. I'm wondering what you think of the 12% ejection rate. He is in constant pain 24 hours a day (a livable pain, but it hurts).



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replied December 1st, 2015
Gallbladder Disease Answer A55048
Welcome to the ehealthforum and I am glad to help you out.

You have not mentioned whether your father was having chest pain on the right or left side.

During a HIDA scan, gallbladder is filled with HIDA (a radioactive substance), then hormone cholecystokinin is injected into a vein. The cholecystokinin stimulates the gallbladder into emptying out the HIDA. Ejection of 12 % means that only 12% of the HIDA left the gallbladder.

But since there are no stones in the gall bladder, the pain may be due to acalculous (without sones) gall bladder. Pain in biliary colic is ust below the right rib cage. It comes shortly after eating and may spread to the right shoulder and back.

Acalculous gall bladder may not benefit from the surgery as the second doctor has advised. However whether surgery should be done or not depends on the symptoms, overall health and mainly the physical examination. So only your father's doctor can decide after physical examination and weighing all the pros and cons of the surgery whether you should go ahead with the surgery.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care.

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