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974371 tn?1424653129

Question on ejection fractions

So, I had 2 paragraphs typed, husband used my iPad and deleted them. :-(

Long background but, basically, been having major GI issues for some time, many tests done. Have heard everything from delayed motility, treated for SIBO and IBS.  Tried many meds most of which made me sicker, reacted to or did nothing.  My GI dic has pretty much given up.  Problem is, I am still sick every day.  I pretty much live on daily Alprazolam, Pepto Bismol, Pepcid and Omeprazole and Gas-X on and off.  Take Tigan when needed, which does little.
Wake up every morning between 4:30. - 5:00 sweating on my neck, chest and abdomen, then the upset stomach starts then the nausea which can continue all day.  Been watching what I eat but seems to make little difference. Now, almost afraid to eat and have lost 10-15 lbs last few weeks.
Went to see a different GI doc who said it could be gallbladder. Told him I had a HIDA scan a year or so ago and had a 75% ejection fraction and my previous GI was not going to repeat it.  This doc ordered another HIDA scan, I felt pretty sick with the CCK and showed an ejection fraction of 18%.  Advised me to see a surgeon and get it removed.

Question is, could the ejection fraction change that much in a relatively short amount of time? Could this be causing my symptoms?  Could it cause all the large bowl bloating and discomfort too?  

After I had my ovaries removed about 6 years ago, i got very sick and list about 40 lbs, eventually gained it back, but have never felt right.  These second GI problems seemed to start after I was. Treated for a tooth infection.  Long, confusing story but nobody seems to be able or interested into delving into this when every test done really doesn't show much except now for this HIDA scan.  Now, I almost feel like a third should be done.  These tests are only as good as the people that do them and read them.  Tests were done at two different places.
Anyone?
3 Responses
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974371 tn?1424653129
I am just getting sicker and sicker.  Dr told me to do a Ducolax/Mirakax cleanse, which I did 2 days ago.  Finally ate some food yesterday. Was told to stop the Amatiza. Early this morning  in bed, stomach start rumbling.  Got up and was getting worse, bloating and some nausea. Had a very small, soft BM.  Gave now taken Alprazolam, Gas-X, Gabapentin and Zofran.  I ate a Activia yogurt.  Now, I have some rectal pain and discomfort in my gallbladder area too and my rectum hurts, have no idea why.
Husband refuses to take me to ER again.
Is this motility issues, IBS or gallbladder?
I am so sick of being sick.
Too far away from Stanford to go there.
Helpful - 0
974371 tn?1424653129
Sorry I have not responded sooner.  I have other GI issues, possibly IBS and/or delayed gastric emptying. I really don't have pain in the right upper quadrant, sometimes an aching feeling.  Saw a surgeon who said all my symptoms are probably nit due to the gallbladder and if I have it removed, I could get better,stay the same or get worse so he has left the decision up to me. :-(
Saw a GI specialist at Stanford who does not seem concerned about the gallbladder and has put me on Gabapentin and Amatuza because I am now dealing with chronic constipation.  After a month, the Amatiza is not helping at all and I get very bloated.  However, the constant nausea isn't near as bad so I assume that is due to the Gabapentin.  So, I am really not much better except for decreased nausea.  I hate taking these drugs.  If I knew fir sure having the gallbladder out would help me feel better, I would do it!!  The thought if possibly being worse has kept me from that decision.
Thank you
Helpful - 0
Avatar universal
MEDICAL PROFESSIONAL
Hi, your findings could be relevant and may warrant surgery. You may not need another testing. If gallbladder ejection fraction is below 35% is considered to be gallbladder dyskinesia.

If there is gallbladder dyskinesia, you should be having fatty food intolerance and sometimes pain in the right upper quadrant if there is evidence of gallstones or inflammation of the gallbladder. If due to non-functionality of the gallbladder, there is stasis of bile, it could predispose to gallstone formation.                  

Please discuss this with your doctor am sure he will provide further assistance. Good Luck and Take Care.
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