gallbladder dysmotility

Hi, I've just been diagnosed with gallbladder dysmotility after having performed a HIDA test with an ejection fraction of 12%. I am a 28 year old male and I've been having many symptoms for the last 15 years. It all started at the age of 13 when after a 3 weeks hospitalization due to hepatitis A. I started to have major gallbladder colics. The episodes of excruciating pain lasted for about a month after which they went away for good. However, since then my whole digestive health took a turn for the worst. Indigestion, jaundice, bloating and a feeling of continuous dull pain in the upper right side of the abdomen were my regular day to day symptoms. I also noticed that after a long period of very little physical activity my symptoms were ten times worse. My doctor told me that surgery is the standard in my situation. I'm considering having the surgery done, however, I have a very important question. Here goes: Can the gallbladder partially or fully block the flow of bile through the main bile duct which comes from the liver? I have this dilemma because on all the forums I've been, nobody seemed to know how the bile is actually sucked in by the gallbladder and if the remainder of bile which doesn't fit in the gallbladder can freely flow from the liver to the main bile duct and into the small intestine without being stopped in any way by a dysfunctional gallbladder. I ask this because all the time when I have major symptoms I feel like I'm actually being food poisoned even though I eat super healthy. Sometimes I can not even walk without shaking, not to mention that I'm all pale( jaundice) and the bilirubin levels are usually above 3. Could you also explain to me how is the gallbladder responsible for these symptoms? My assumption is that something is blocking the bile duct and the liver gets flooded in its own bile. I'm not a doctor, but from all of my symptoms this is the conclusion that I've reached. Please help me better understand my gallbladder. Thank you.

[fane]

I'm looking at the film of my HIDA test and I see that all the radioactive substance stops completly just below the gallbladder( at 20min). Then at 25 min the gallbladder starts to fill up with half of the fluid. At the same time the substance doesn't seam to flow past that point. At 45 minutes all of the substance is sucked in by the gallbladder. At this point the gallbladder is fully filled with the radioactive substance. However at 60 min I can see a small path of the fluid being drained through the main bile duct and into the small intestine. After careful analisys of the HIDA test my common sense is telling me that the gallbladder acts like a vacum and that it actually blocks the flow of bile from the liver by continuously sucking the bile. Only a small percentage of the bile excapes and flows down into the duodenum. I would like to send you the film of my HIDA, but it is difficult to scan it. You would see it for yourself. The other thing. I don't understand why doctors are not that knowledgeble when it comes to these issue. For instance, my gastroenterologist told me that he doesn't really know what a small ejection fraction means. I understand that this technology developed during recent years, but still. A doctor should be well informed about everything. I guess people are people and that incompetence is well spred even among high society.

[Sickboy61]

So, your doc did a HIDA scan, but doesn't really know what the results mean?  

Well that is just great.  And he is a gastroenterologist? Tell him to look it up on the internet, and find another doc.

I will say this, and I am not a doctor.  The way I understand it is the GB is a resivoir that hold and concentrates bile until you need it.  When you eat a fatty meal, CCK is released and is supposed to make the GB contract and give you the extra bile your digestive tract needs.  It not so much sucks it up, but is supposed to store and relase when needed.  With a low ejection fraction, you GB is not contracting enough to push out the bile that you need.  My understanding is that anything below 30% is considered non-functioning.