GB Issue

I recently had ear surgery then developed calf pain which seemed to resolve itself. 2 days later I was in the ER with the worst pain in my life initially thought to be PE but turned out to be GB. My ABD US showed too much bowel gas to be determinate so I had the HIDA Scan which showed no obstruction or Stones but the EF was 8%. CCK injection produced mild diaphoresis and slight slight nausea but no pain ( had several doses of 4 mg Dilaudid for RUQ pain prior to the scan) Could that account for the low EF? I have high cholesterol and long hx of GI issues including HP that resolved after 1 course of the Prevpak about 3 years ago my father has multiple GI issues which includes gall bladder removal. My surgeon does not seem to eager to remove. I feel 100% better after a couple of doses of IV Flagyl and Levaquin and low fat diet although I still get diaphoretic after I eat anything. This has all transpired over the last few days so i am still "Acute" so to speak. I would just like an opinion rendered so I can ask the MD's the right questions. Thanks.

[CalGal]

You may want to re-evaluate the HIDA results based upon the use of the Dilaudid. The med can raise the pressure in the common bile duct and sphincter of Oddi, and that can cause problems with the ejection.

I'm wondeing if the Dilaudid actually cut the pain? In those with 'touchy' ducts, the use of narcotic meds is typically contraindicated since it doesn't do a whole lot of 'good' and may actually make the situation worse.

Although it may actually not seem like it to you, your surgeon is really worrying about your best interests. There can be problems in some who have GB surgery without the presence of stones or true underlying GB disease. Far too many people have subsequent problems with a condition called sphincter of Oddi dysfunction (SOD). It's a situation in which the sphincter and/or common bile duct begin to spasm and it's a situation that can cause symptoms very similar to GB attacks. At this point in time it's very difficult to know what causes it, and it seems to be even harder to try to treat.

Since no stones were seen, but you do have high cholesterol, are you following a low fat diet?