I began to feel what I thought was heart burn about 15 days ago. A little splurge of diet, I over three days ate some pizza. I usually do not eat any fried foods or drink any caffeine or absolutely carbonated drinks (ever), however I do daily have a hemp protein shake as a meal replacement with either soy or nonfat milk. I suffered through the pain for 5 days, no relief from tums, Maalox, or zantac. One of my docs did a bedside ultrasound and thought I had a dilated common bile duct ans suspected a stone. he told me to take some ibuprofen and Maalox. I took them, walked out of a patients room and began to vomit. I then checked in and was noted to have three inflammed lymphnodes around my liver/gallballer. My K+ was 3.2 at the time and all other labs unremarkable. US normal and CT normal. No stones were seen. I was scoped the next day and was found that I have an ulcer and esophigitis. I tried my Omeprazole and it was not working.
Well Starting Friday I continued to have the heart burn and a new dull pain under my right rib cage, I felt burpy, and pain began to radiate into my back and right shoulder. It comes in waves I can't find a position comfortable enough and I then can't sit still.
Monday, I just kept getting these symptoms. Went and saw my GI doc. My HR was 144 bpm, and (normally hypo or normo tensive) was hypertensive. I was sent back to the ED. They did another ultrasound and said my common bile duct is mildly enlarged (this was just another bedside US), my K+ was now 3 and my LFT and WC were mildly elevated. I went home and have a HIDA today. I have been reading a lot of horror stories on the internet about people being misdiagnosed for years and having to live through the pain. I don't want that.
My scan is today.
Q1-What happens if you are sick and can't eat much for days before the HIDA?
Q2-What happens if you eat before a HIDA (too close to the exam), I am getting different instructions, one said to not eat 6 hours before scan, and another told me 2-4 hours before scan; what is correct?.
Q3-Also they told me not to drink any coffee, which I don't anyway, but what would that do?
Q4-I don't want a false positive (can lead to surgery unnecessarily). What gives you a false positive?