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Still Gallbladder problem w/o CCK reaction?

Hi!  I have "attacks" with symptoms of cramping in the upper middle abdomen, very severe cramping in the right rib that moves around clear to the left and into my back with slight nausea.  When this happens I can't really sit still because it is so uncomfortable and can last anywhere from 5 hours till the latest which was off and on for 15. Plus when the attack has passed it actually feels as though I have been punched in the ribs and bruised for a day or so.  A lot of the time I have the pressure or the feeling of a stitch in my right rib even if there isn't a full blown attack.   I was told it was a gallbladder issues a year and a half ago but when I went and had a HIDA scan done I did not have a reaction to the CCK but my EF was 99%,  The ultrasounds was fine.  At the time the doctor wanted me to get an endoscopy but I didn't have the finances and the guts to get it done.  Since this problem has continued I finally did get an endoscopy done this last monday and it was fine.  I believe it is still a gallbladder issue - no stones found.  For some reason when I talk to the doctors about this being a gallbladder they inform me that having the gallbladder removed can be worse that what I have been dealing with.  I really doubt that since it has made my life pretty miserable over the last year.  Can I possibly have "biliary Colic" or "Choleycistitis" without a reaction to the CCK?  If not, what else in the world can this be?  I have read up A LOT on this.  Need some help!
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6573002 tn?1383657837
All tests were normal for except HIDA scan - 3% and CCK injection caused pain. I don't know about high numbers. Is there a range for what is low or high? I think below 30-35% is low but I'm not sure.
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Avatar universal
Thank you so much for your response!  I was diagnosed with IBS 22 years ago and this feels completely different.  When I had my Endoscopy done I also had a colonoscopy and all was working well except the IBS issue.  My main concern is the high ejection fraction rating.  I have read many different things on that where some doctors don't think it's not a big deal and some think that it is bad and needs to be removed.  It seems that those that have had them removed, only after they were sent to the lab could any of the damage been seen.  I am wondering if that is my case here.  Have you ever dealt with EF ratings and seen differences in people's symptoms based on high ones and low ones?
Thank you very much!
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Avatar universal
MEDICAL PROFESSIONAL
Hi,  if there are no structural or functional abnormalities of the gallbladder, then removing this is unlikely to resolve your pain. Sometimes small renal calculi can pass through and cause severe pain but  may not be detected by imaging studies. Disorders of the liver  and colon could also cause pain. Sometimes anxiety with flatulence can cause this pain.If the other pathologies can be ruled out then there is an entity called Irritable Bowel Syndrome (IBS). Once a diagnosis has been confirmed then an appropriate diet schedule can be planned. Discuss these options with your doctor when you happen to meet him next time. Regards.
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