Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

139 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What does my HIDA test report indicate?

Answered by
Dr. Ramesh Kumar


Practicing since :1986

Answered : 1945 Questions

Posted on Tue, 17 Apr 2018 in Digestion and Bowels
Question: I have constant pain and heaviness in my right side and was asked by the Gastroentologist to do HIDA scan. The ejection fraction is 46% so was told that
is normal rate. Can you please advise if there is any chance this fraction can improve.

Also the heaviness which I feel will that go away of I follow good diet. By good diet what kinds of food I need to eat and what to avoid can anyone please
advise in details that will be very helpful. I have good convection oven can I try baked food.

Earlier, I was told by a Dr. XXXXXXX Kiri, that I might be having postprandial distress syndrome which is causing this pain but unfortunately I could not
ask follow up question to him. I just want to go back to my normal life with no gall bladder issues and my gall bladder to be healthy. So will I be able to
go back to my normal life.

Can you please explain what is this Postprandial distress syndrome. What can cause this to syndrome to me? How can I remove this from my life and get back my
normal life. Is that possible that this heaviness and pain go away permanently? Is this pain due to gall bladder ejection fraction at 46%. I visited a
Gastroentologist and he has mentioned that is due to the ejection fraction and advised surgery on the gall bladder which I do not want to do.

I have also tested for H Pylori ealier and the result was negative.

Nilendu Raha
Answered by Dr. Ramesh Kumar 7 hours later
Brief Answer:
Acitiamide wiyh proper food modification would help you a lot.

Detailed Answer:
Hello my dear patient,
Thank you so much for query.

Theoretically Rome criteria have divided functional dyspepsia into postprandial distress syndrome characterized by postprandial fullness and early satiation, and epigastric pain syndrome characterized by epigastric pain or burning.Its a umbrella term which covers patients presenting with a bunch of above mentioned symptoms.
So in lay mans term its just a type of dyspepsia.Dyspepsia in easy laungage means a sort of indigestion.
When despite of all available investigations we could not rule out any particular systemic condition we regards patient as having functional Dyspepia on basis of symptoms.

Test suggested-
Gastric emptying test.

Use medication along with changed food patern for 6 weeks-

Acotiamide 100 mg thrice daily should be taken for 3 months.Acotiamide is very effective in treatment of post prandial dyspepsia.You would need a prescription.

Take a probiotic like VSL#3 twice daily for 21 days.

Take Nexium 40 mg twice daily for 21 days.

Diet plans are-
Fruits and vegetables should be a significant part of any diet to help in recovering from symptoms. They are full of essential nutrients and are easy to digest follow a high carbohydrate diet,Fat contents of diet should be very low.However Olive oil, canola oil and flaxseed oil are all healthy fats that are recommended as part of a diet.

-Healthy proteins in the form of low-fat milk and dairy products along with lean meats, beans, eggs and soy products can also be a part of a healthy diet.
Consume high fiber foods as a part of high fiber diet. This will inprove overall digestion.Grain products: (6-11 servings of grain product in your diet is required daily) whole grain breads, whole wheat, whole grain mixed grain, cracked wheat, buns, muffins.dark green leafy vegetables contain heigest amounts of fiber like Spinach, broccoli, green peas, green beans, turnip greens.
Take a probiotic twice daily for few weeks.Probiotic consists of good bacteria in gut and would replete the level of depleted intestinal flora which would again help in improvement of overalldigestion.

Take lots of probiotic and prebiotic rich food like kimchi,Pickle,Curd,Low fat yoghurt.

No the symptoms are not at all related to gallbladders ejection fraction.Infact more then 35% EF is absoltely normal.
Why would you increase your EF its already normal dear.
You have not attached reports of HIDA or Ultrasound.So as per the details provided by you neither medications nor surgery is required for gallbladder.Infact you gallbladder is normal.

wish you a fast recovery.

Above answer was peer-reviewed by : Dr. Yogesh D
Follow up: Dr. Ramesh Kumar 44 hours later

I am in US right now, how can I get this Acotiamide 100 mg as this requires prescription. You have also mentioned VSL#3 and Nexium 40 mg will I get these medicines in here.

The discomfort which I face on the right side due to pain and constant heaviness will both go away with this medicine. SO are you saying this is not due to my gallbladder as I was told repeatedly here that my gallbladder is the issue.

I am currently taking few medicines like (Pantophrazole, Metformin 750 mg, Polyethyl glycol, gabapentin, vitamin D). So is it allowed to take new medicines mentioned by you while I am on these already, reason I am asking if there will be any side effects or not.

Please advise, Doctor.

Answered by Dr. Ramesh Kumar 9 hours later
Brief Answer:
follow up.

Detailed Answer:
Hello again desr,
You could get a prescription of acotiamide from any physcian.You need not to consult specially a gastroenterologist for it.

Take Omeprazole 40 mg twice daily(its over the counter)
VSL#3 is over the counter.

Most likely symptoms should settle down with proper medication and life style changes.

What doses of pantoprazole are you on?

These medicines are very safe and you need not to worry about side effects for short term treatments.

Please reply doses of pantoprazole you are on.
Above answer was peer-reviewed by : Dr. Kampana
Follow up: Dr. Ramesh Kumar 2 days later

Pantophrazole is 40 mg. Do I need to take Omephrazole 40 mg along with it. I live in US, will I be able to get VSL#3 over the counter. I have my primary care physician so what shall I say, I need this prescription Acotiamide 100 mg ? I think that can little problem as every Doctor treats different ways.

Answered by Dr. Ramesh Kumar 14 hours later
Brief Answer:
follow up.

Detailed Answer:
Hi again,
Stop pantoprazole and start omeprazole.
VSL#3 is over the counter.
For acotiamide you can take a print out of my answers and can consult your primary with them so that he can prescribe you acotiamide.

Above answer was peer-reviewed by : Dr. Kampana

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,  
Lab Tests
Medical Topics ,   ,  

Recent questions on  Omeprazole

doctor1 MD

Hi, i have a problem with acid reflux, it has recently ruined my holiday and i had to take a week off work once i had come back because of the reacurenses that happened, i have also just had to take today and yesterday of work because of it. I start to burp but it smells very eggy but alot more discusting and i cant do anything but lie down once i have it. It will not go untill i have been to sleep for a proper nights sleep and sometimes it carrys onto the next day. The most recent occurance i has it yesterday and i have been ok today, but i suffer with very bad cramps in my stomach until i lie down sometimes before the burping or after, but not together. It really is getting me down and i have been prescribed medication called omeprazole but i am very worried it will come back soon and possibly over christmas, as there is no guarentee this will work. I was taking laparazole and that hasnt worked. I have stopped having fizzy drinks as at first this was thought of what was making it occur but i havent had any fizzy drinks and it has still came back. Is there anything more i can do, like have a test or a scan to make sure this isnt anything more serious which my doctors are missing?

doctor1 MD

I ve had symptoms of heart burn for over a month. I have been taking Omeprazole hoping the heart burn would go away. Now I have a pain in my stomach and it hurts when I eat, even just bland foods. I took one Buscapina Compositum last night, and felt somewhat better in the morning, but the pain came back when I ate again. I m being encouraged to take WWW.WWWW.WW . I m considering trying Buscapina Compositum again.

doctor1 MD

Yes I am a 35 yr old woman usually reasonably healthy. I had a merina coil fitted a yr ago and I will say it has dramatically helped with heavy bleeding I was experiencing and now have only light spotting once a month which is great. Although over this last year I have been experiencing sore knees and swollen knees and ever increasing stomach problems. The last few months I have been backwards and forwards to different GP s all seem to think it s something different from inflammation of the stomach lining, dyspepsia and this last week now IBS. I am taking now two different tablets 1 in the morning before eating omeprazole then 3 times a day before food mebeverine. And although initially seemed to help combined with removing wheat from my diet for a few days. But I m just nit feeling right and my stomach becomes distended and rock hard at times but then not others after eating I wake in the night with upper abdominal/stomach pain. I get headaches and am tired all the time and I feel very much like the GP isn t listening or doesn t care as no other tests apart from a breath test for h pylori which came back negative. I find myself trying to find out myself here online what might be wrong coz it s really getting me down and effecting my whole life as we can t eat out we can t have friends round as I m eating hardly anything incase it upsets me, my life is on hold! Could this be anything to do with my merina coil?? Any help or advice would be great I m at my wits end and want to get on with my life I am getting married in May and if I Just don t want to feel like this anymore. Pjlong

doctor1 MD

Yes, I have a 13 yr old that has been vomiting and has had constipated/diarrhea for a month now. She has been seen by her physician and was prescribed Prilosec and miralax. She appears to be full of stool ( according to her x-ray). She is still having dull stabbing pain in her stomach and is still vomiting daily. She expresses vomiting is not always with nausea. I hope she will not need an endoscopy. I am wondering if it s GERD or IBS. Thanks for your response.

doctor1 MD

Can I take viagra whilst on prescriptions for ramipril 2.5mg, atorvastatin 20mg and omeprazole 20mg I have had haemochromatosis for 6 years Apart from that I’m healthy and run 60km on average per week including competitive races I have been...

doctor1 MD

I have fluttering in My upper stomach while sitting. Don't notice while standing. It appears worse when I breath out. Does not hurt just flutters

doctor1 MD