Pipida Scan
in [Heart Medication]
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From: Laura on 25 Apr 2006 10:26 I've been having upper abdominal pain for the past 5 or 6 days in the middle and right side(basically where my gallbladder is located) that comes and goes, and last night, I could feel something spasming in there. The spasms lasted a few hours. (I still seem to have the chest pain/reflux under good control--unless this is just a new manifestation of the same problem). The doctor has me scheduled for a Pipida Scan today at 1pm. I had a full abdominal sonogram last Friday that was negative for gallstones but according to my doctor, that does not exclude a gallbladder problem. Anyone have experience with the Pipida or otherwise? I also have a repeat EGD scheduled with a different doctor (Dr. Stella Quiason in Olathe, KS--Howard, any chance you're familiar with her?) on Monday to see if it's an ulcer or gastritis or something else entirely. Hopefully, we'll find something (easy to correct :)). Thanks for any and all input! Laura
From: Howard McCollister on 25 Apr 2006 16:39 "Laura" <shopwithlaura(a)gmail.com> wrote in message news:1145975215.887012.134730(a)i39g2000cwa.googlegroups.com... > I've been having upper abdominal pain for the past 5 or 6 days in the > middle and right side(basically where my gallbladder is located) that > comes and goes, and last night, I could feel something spasming in > there. The spasms lasted a few hours. (I still seem to have the chest > pain/reflux under good control--unless this is just a new manifestation > of the same problem). The doctor has me scheduled for a Pipida Scan > today at 1pm. I had a full abdominal sonogram last Friday that was > negative for gallstones but according to my doctor, that does not > exclude a gallbladder problem. > > Anyone have experience with the Pipida or otherwise? > > I also have a repeat EGD scheduled with a different doctor (Dr. Stella > Quiason in Olathe, KS--Howard, any chance you're familiar with her?) on > Monday to see if it's an ulcer or gastritis or something else entirely. > > Hopefully, we'll find something (easy to correct :)). > No, I don't know her. Pipida or Hida scans will test function of the gallbladder, whereas ultrasound only looks at the anatomy (presence or absence of stones). Even without stones, the gallbladder might still function poorly and cause symptoms. This is called Biliary Dyskinesia. The Hida scan is a radionuclide injected into the blood and is concentrated in the bile. You lay there for awhile while they scan you with a passive Gamma camera and track how well the radionuclide is concentrated in the gallbladder. If it doesn't concentrate, the gallbladder is defective. Then, they will inject a chemical called cholecystokinin (CCK) which will force the gallbladder to contract. If that duplicates your symptoms, then that's significant. They will want to know how much of the radionuclide-tagged bile is then ejected from the gallbladder when the CCK is injected. If that ejection fraction is less than 30%, that's considered a positive test for biliary dyskinesion and the usual result would be a recommendation for gallbladder removal. HMc
From: Laura on 25 Apr 2006 18:45 Thank you for the quick response! The test took 90 minutes and they injected the CCK at the sixty minute mark through an IV that ran for 30 minutes. It did accentuate my abdominal discomfort (I wouldn't call what has been happening severe pain; painful--yes, but not ever severe or worrisome like the chest pains I was having in Jan/Feb). He told me typically it took 2-3 days to get the results from the doctor but mine in particular was very good about following up with them (rather than waiting to hear) and I would likely know tomorrow. He also said, at the end of the test, by looking at the screen that he would guess my EF was high--in the eighties, maybe even nineties. Can he really tell that by looking? Is it still possible that the radionuclide didn't concentrate as it should (or would they have stopped the test at that point?) Thanks, Laura
From: Howard McCollister on 25 Apr 2006 19:53 "Laura" <shopwithlaura(a)gmail.com> wrote in message news:1146005151.704355.165860(a)i40g2000cwc.googlegroups.com... > Thank you for the quick response! The test took 90 minutes and they > injected the CCK at the sixty minute mark through an IV that ran for 30 > minutes. It did accentuate my abdominal discomfort (I wouldn't call > what has been happening severe pain; painful--yes, but not ever severe > or worrisome like the chest pains I was having in Jan/Feb). He told me > typically it took 2-3 days to get the results from the doctor but mine > in particular was very good about following up with them (rather than > waiting to hear) and I would likely know tomorrow. He also said, at the > end of the test, by looking at the screen that he would guess my EF was > high--in the eighties, maybe even nineties. > > Can he really tell that by looking? Is it still possible that the > radionuclide didn't concentrate as it should (or would they have > stopped the test at that point?) > Negative ultrasound, no severe pain with CCK, ejection fraction greater than 30%.....sounds like your gallbladder checks out OK. HMc
From: Laura on 25 Apr 2006 20:20
Is it possible to develop gastritis or ulcers while on PPI therapy? That is the other option I they're exploring but it doesn't make sense to me. Is there something else I should be asking them to look at? I am not crazy about the idea of 24 hour monitoring with the tube down the nose/throat. What do you think of the Bravo test, if the GI doc wants to go that direction? Thank you so much, Laura |