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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Gall Bladder Not Working Due To A Polyp. Ultrasound Does Not Show Any Polyps. Had Back Pain. Need A HIDA Scan?

my hi-da scan on Jun2012 shows a 4mm polyp inside my gallbladder and it's not functioning well (1.6% compared to 30% normal) . My abdomen ultrasound shows no polyps in the gallbladder. THe abdominal ultrasound was done again on May2013 and it does not show any polyps. So which one is true? Should I rely on the hida scan or the abdominal ultrasound? A month ago, I also have intense back pain on the right above the waist. They've done a ct scan and my kidney was fine and no kidney stones. Now they are blaming my gallbladder and wanted to remove it. But other surgeon that I asked for second opinion said she doesn't think the back pain is due to gallbladder so she's sending me to get MRI. It's fine if they remove my gallbladder but what about if it's not my gallbladder causing the back pain? I can't picture having back pain after the surgery. Do I request another hida scan to see if polyps inside gallbladder is growing? Please advise. Thanks.
Thu, 9 May 2013
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Gastroenterologist 's  Response
Hello, thanks for contacting HCM with your quiery.
HIDA scan is more for function of the gallbladder like
it's efficiency in contracting and emptying the bile into
the intestine. If you are having symptoms similar to a
gallstone attack with severe right upper quadrant abdominal
pain, nausea, vomiting etc , the scan would be abnormal.
For polyps or stones , ultrasound examination is more sensitive.
But if the size of the polyp or stone is less than one centimeter
in size , it may not show up well on ultrasound.
Typical gallbladder pain may radiate to the right shoulder or the
right upper back and usually this is not constant, more like
spasms. From the numbers thhat you have given , you seem to
have abnormal gallbladder function. This may be associated with
abnormal sphincter called the sphincter of Oddi dysfunction.
If that is the case , gallbladder removal will help. Remember , your
liver continues to make bile and it comes to the intestine
directly since the gallbladder which acts as a storage organ is no
longer there.
If your back problem id due to disc problems of the spine you may
have to that evaluated by an orthopedic doctor or a neurology
specialist.
I wish you the very best.
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Gall Bladder Not Working Due To A Polyp. Ultrasound Does Not Show Any Polyps. Had Back Pain. Need A HIDA Scan?

Hello, thanks for contacting HCM with your quiery. HIDA scan is more for function of the gallbladder like it s efficiency in contracting and emptying the bile into the intestine. If you are having symptoms similar to a gallstone attack with severe right upper quadrant abdominal pain, nausea, vomiting etc , the scan would be abnormal. For polyps or stones , ultrasound examination is more sensitive. But if the size of the polyp or stone is less than one centimeter in size , it may not show up well on ultrasound. Typical gallbladder pain may radiate to the right shoulder or the right upper back and usually this is not constant, more like spasms. From the numbers thhat you have given , you seem to have abnormal gallbladder function. This may be associated with abnormal sphincter called the sphincter of Oddi dysfunction. If that is the case , gallbladder removal will help. Remember , your liver continues to make bile and it comes to the intestine directly since the gallbladder which acts as a storage organ is no longer there. If your back problem id due to disc problems of the spine you may have to that evaluated by an orthopedic doctor or a neurology specialist. I wish you the very best.