more tests more tests more tests

gall2

After months of nausea and gagging I finally seen a Gastroenterologist (GI). Tomorrow morning I will have a HIDA test to check gallbladder functioning.

What you can expect

               By Mayo Clinic Staff

You’ll be asked to change into a hospital gown before your HIDA scan begins. Your health care team will position you on a table, usually on your back. The radioactive tracer is then injected into a vein in your arm.

The tracer travels through your bloodstream to your liver, where it’s taken up by the bile-producing cells. The radioactive tracer travels with the bile from your liver into your gallbladder and through your bile ducts to your small intestine.

You may feel some pressure while the radioactive tracer is injected into your vein.

As you lie on the table, a special gamma camera is positioned over your abdomen taking pictures of the tracer as it moves through your body. The gamma camera takes pictures continually for about an hour.

You’ll need to keep still during the HIDA scan. This can become uncomfortable, but you may find that you can lessen the discomfort by taking deep breaths and thinking about other things. Tell your health care team if you’re uncomfortable.

The radiologist will watch on a computer the progress of the radioactive tracer through your body. The HIDA scan may be stopped when the radioactive tracer is seen in the gallbladder and enters your small intestine. This typically takes about an hour. In some cases extra imaging will be performed if original images aren’t satisfactory, if morphine is given to help visualize the gallbladder or if the medication CCK is given to look at the contraction of the gallbladder.

——

gall3The GI wanted to schedule surgery right away, because that is what they do. It is important to get confirmation tests to confirm that it is in fact your gallbladder causing havoc.  I have signs that point in the direction of gallbladder dysfunction, but medicine and the human body are complicated things.

It is important to understand that having your gallbladder removed may not relieve all of your symptoms. If you have gallstones, you may also have stones in your liver or bile ducts which must also be removed.  A relatively simple laparoscopic surgery can get complicated and turn into a major surgery where they open your abdomen. So it is important to get as much information about your condition ahead of surgery.

gallQuestions for your surgeon:

-what are the long term consequences of having the gallbladder removed?

-will having the gallbladder removed solve the problem?

-are there stones stuck in my liver or biliary ducts? will they be removed during surgery?

-are there dietary changes I can try instead of surgery?

-how much experience do you have? how many procedures have you performed? were there complications?

-what about injury to the bile duct as a complication?

-for bile leakage and drainage; will there be a tube after surgery?

-how many callbacks have you had?

-how long will it take to heal?

-how will my diet have to change after the gallbladder is removed?

-what are the risks of the surgery?

-which medications will I need to take after surgery?

gall4After surgery you will have diarrhea. You will no longer be able to eat cheese, ice cream, or fatty foods such as hamburgers.

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