Any have a HIDA scan & later diagnosed with Sphincter of Oddi disorder?

[ivaluekids]

Had the HIDA scan last week, which ruled out biliary diskinsea (my injection fraction was 73%!!).  However, I'll be seeing a gastroenterologist soon for an endoscopy since my GP and I (my opinion is based on Internet research) think perhaps we're dealing with a Sphincter of Oddi disorder.  My GP even gave me a prescription for Anaspaz to see if that gives me some relief prior to seeing the GI doc so I can tell him/her the results of that.  

My question is, what is the "normal" amount of time for the radioactive isotopes to enter my small intestines?  The material was rapidly seen in my common bile duct and gallbladder (15-20 min. post injection).  However, the material was not seen in my small bowel/intestines until 75 minutes post injection. In fact, the technologist had me get up, use the restroom, and walk around for 15 minutes, then return to the table for another try.  I should also mention that there was no trapping of material in the biliary tree.  So does the length of time (75 min.) indicate that perhaps it is a SOD disorder?

[Jax555]

Yes exactly the first injection took 2 hours to drop down...they do say my gallbladder is functioning but extremely slow which causes me my pain, (pressure) nausea vomitting which has alos lead to 35 lbs of weightloss... did you have all your symptoms reoccur when you had your HIDA scan?   What symptoms do you have? The first GI i saw told me he sees this all the time with normal EF but extremely slow functioning gallbladders, he wanted me to see a second GI who specializes in ducts, gallbladders, pancreas she doesnt believe its SOD and also said she has seen this many times and 90% of the time removal of gallbladder is the cure... I saw the surgeon 2 weeks ago and am scheduled in January for removal who also said gallbladder is very tricky to diagnose but that I have all typical signs and symptoms to go along with the biliary dyskinesia ... I also have a family history of gallbladder problems...I did find a few sites online about biliary dyskinesia with a normal EF and also says removal is the best treatment from different studies I have read online.  I think I could do a lecture on gallbladders after all the readings i have done over last few months LOL yes i agree.  Both GI's wording to me, surgeon and GP all told me they have seen this many times with success after removal... I just hope to God they are right... as this has been a problem for me since May and I would just like to feel "normal" again.  Good luck with your appt... trust me I know how frustrating it can be!!

[ivaluekids]

Jax555 - When you say, "Mine took over 2 hours to drop into intestines," you're referring to the radioactive isotope injection, right?  The one that causes your liver, gall bladder, and small intestines to "light up", so to speak?  I only ask because in the same sentence you refer to your EF of 52%, which is a different injection (CCK), and CalGal thought I was referring to that injection.

Wow! EF was 52% and they still believe it's your gall bladder?  I was under the impression that if one's EF is well over 40%, then the gall bladder is functioning properly and it is likely NOT biliary dyskinesia.  Sounds like my info. (from my gen. practioner & my Internet readings) and your info. are totally contradictory....rather typical for medical info., eh?  So what do your two GI docs want to do about your gall bladder then?  Remove it?  My consultation appt. with my GI doc isn't for 2 more weeks, so my endoscopy likely won't be until the end of Dec.  I'll let you know what I find out and if my new info. "jives" with your info.

[ivaluekids]

The 75 minutes I'm referring to was not for the CCK injection.  I am referring to the first injection, which was the radioactive isotopes; they are absorbed by the cells of the liver, gall bladder, and finally the small intestines.  I was told that this injection/test allows for "viewing" of the "inside" of these organs (in layman's terms).

I don't think it's celiac disease because I do not have a family history of that.  Plus, wouldn't I have symptoms/reactions after eating gluten products such as saltine crackers and bread?  I don't seem to have nausea, cramping, pain, etc. after I eat these foods, not even hours later.  I will keep this in mind though and talk with the GI doc about the possibility.  Thanks!

[Jax555]

Mine took over 2 hours to drop into intestines i had an EF of 52% and they diagnosed me with biliary dyskinesia.  I have seen 2 GI's and both believe its my gallbladder and not the duct hmmm sounds very similar.  

[CalGal]

Problems with celiac disease (gluten issues) can result in hyperactivity of the gallbladder, so check your family history and you might want to consider having yourself tested.

It's not so much a number of 'minutes' as it is a co-ordinated response of hormones and nerves that allows for the release of bile from gallbladder to CBD and then into the duodenum. Bile should be released as aliquoits of food are released from the stomach into the first part of the duodenum to allow for mixing as the food is propelled forward. But 75 min is way too long - if I'm assuming you mean it's post CCK injection. It suggests the sphincter of Oddi shut or spasmed and bile wasn't releasing properly.