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Discomfort under ribs, nausea after eating. HIDA scan, x-ray and sonogram normal. Any ideas?

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Gastroenterologist, Surgical
Practicing since : 1984
Answered : 913 Questions
had a HIDA scan last year. It took 90 minutes fro my gallbladder to fill with radioactive injection. cck eventually showed up after sips of water and walking around lab. Ejection fraction was 33 % and scan was reported as normal. Have constant right side discomfort under ribs in front and back, lots of nausea after eating. Had another hida scan today without cck, gallbaldder showed up after 60 minutes. Any ideas ??
xray, and sonogram last year were normal. had normal endoscopy, colonoscopy, and capsule endoscopy.
Posted Tue, 22 May 2012 in Abdominal Pain
Answered by Dr. Ajit Naniksingh Kukreja 9 hours later

Thanks for posting your query

Here are few facts you should know about GallBladder disease :

You can have gallbladder disease without gallstones and it may not even show up on a HIDA scan.

It's called acalculous gallbladder disease.

Sometimes microlithiasis (which won't show up on any scan) and sludge are the problem.

symptoms may be similar to gallbladder disease.

Your HIDA Scan on both instances is normal

Considering the fact that xray, and sonogram last year were normal. And you had normal endoscopy, Colonoscopy, and capsule endoscopy - It seems more likely that you are suffering from Irritable Bowel Syndrome

Hope this helps

If you have any doubts, get back to me

Get well soon
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