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 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 must be excluded : hepatitis,
cholecystitis, choledocolithiasis,
cholelithiasis, gastritis, peptic ulcer of
the stomach or duodenum, pancreatitis,
tumors, etc. This process requires several
diagnostic tests and procedures (liver
profile, standard blood analyses,
”Helicobacter pilori”-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.
DISCLAIMER: "Ask a Doctor" Questions are answered by Dr. Nikola Gjuzelov, General Practitioner. Dr. Gjuzelov practices medicine for the general public and is affiliated with the Republic of Macedonia Public Health Institution. For more information about Dr. Gjuzelov or other eHealthForum.com medical experts, please visit our About Us page. You may also visit our Appendix, Appendicitis, Gallbladder Disease Forum, for moderated patient to patient support and information.
The material presented in the eHealth Forum Discussion Forums and Ask A Doctor is in no way intended to replace professional medical care or attention by a qualified licensed medical professional. eHealth Forum and eHealth Forum's Ask A Doctor advises all users with health problems and concerns to consult their personal doctors. Furthermore, if you have any questions or concerns about your condition, you must consult your qualified licenseced medical professional before starting any treatment.
The materials in the eHealth Forum Discussion Forums and Ask A Doctor cannot and should not be used as a basis for diagnosis or choice of treatment. To the fullest extent possible, eHealth Forum and eHealth Forum's Ask A Doctor expressly excludes all liability in respect of the information and opinions contained in the Discussion Forums and Ask A Doctor, this Web site, or any sites linked to this Web site.
The site is not a replacement for professional medical opinion, examination, diagnosis or treatment. Always seek the advice of your medical doctor or other qualified health professional before starting any new treatment or making any changes to existing treatment. Do not delay seeking or disregard medical advice based on information written by any author on this site. No health questions and information on eHealth Forum is regulated or evaluated by the Food and Drug Administration and therefore the information should not be used to diagnose, treat, cure or prevent any disease without the supervision of a medical doctor. Posts made to these forums express the views and opinions of the author, and not the administrators, moderators, or editorial staff and hence eHealth Forum and its principals will accept no liabilities or responsibilities for the statements made.
Schizophreniahealth
This page was last updated on June 11, 2008
