Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
158 Doctors are Online

Hepatobilary iminodiacitic acid test suggested for gall bladder disorder - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
Doctor :   Hi
User :   hello
User :   17 yo female with upper adom pain, chronic diarrehea, vomiting, avoided certain foods for years, now cant drink milk hyaline casts, bilirubin in urine
Doctor :   Ok
Doctor :   Did you check with a doctor and took his opinion for all these years?
User :   yes
User :   they have brushed off
User :   daughter ended up in ER thursday
User :   now wants to test for chron's though we def think is gallbladder
User :   ER dr said was flu
User :   potassium bottomed out bc of diarrehea, has lost 10 pounts in one week
Doctor :   Ok
Doctor :   Was not the CT scan of the abdomen or Ultrasound scan done to rule out Gall bladder problem
Doctor :   Insist on HIDA scan with your doctor if you suspect Gall bladder.
User :   gallbladder sonogram done 1.5 years ago, no stones, so no follow up which I know now that is not indicative and can not detected blocked biliary duct
User :   chron's is more often lower abdomenial pain correct? She is positive for teh murphy test
Doctor :   Right now the doctor should be able to revive the potassium and then investigate further
Doctor :   Yes
Doctor :   Murphy's is only a clinical sign for cholecystitis
Doctor :   but better investi\gations are available to detect that
User :   thank you. we go to an gastroentrologist tomorrow, the PCP has suggested both hida and barium xray but we will do teh HIDA first
User :   they just have been dragging feet bc she is not "right age group" for GB.
Doctor :   Barium Xray for intestinal cause
Doctor :   Yes I agree with them
Doctor :   but if there is a clinical sign they have to investigate for GB too
Doctor :   Hormonal causes should also be evaluated
Doctor :   Endocrine masses in the abdomen can cause such symptoms with similar pain
User :   yes, one can't eliminate just bc age group. IN addition since the increasing of these "attacks" she is terribly itchy to the point of unbearable
Doctor :   Yes
User :   will the barium or HIDA reveal endocrine masses? or is there additional tests that could eb done?
Doctor :   No they do not reveal endocrine masses
Doctor :   CT scan of the abdomen shall
User :   okay. Thank you Dr. Mazumdar
User :   have a wonderful day
Doctor :   Thank you
Doctor :   Bye for now
User :   goodbye
Question is related to
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor