biliary dyskinesia

[coba37]

I have biliary dyskinesia with an ejection fraction of 23%. I am on a very low fat diet and I eat very little dairy or wheat.I have become very skinny since this began-- about 2 years ago. My symptoms include stomach pain that moves all over my stomach area after almost every meal, but especially dinner, nausea, bloating, gas, intestinal pain, sore throat, sometimes a feeling of heaviness/pain at my sternum, but I do not have upper right quadrant pain. Isn't that the most common gallbladder problem symptom? The doctors suggest surgery, but I don't understand why it would be helpful to remove an at least partly functioning gallbladder? I understand why removing the gallbladder might help relieve pain in the gallbladder area if the gallbladder is irritated, but how will removal help with my symptoms? And, why will removing the gallbladder help reduce the the overabundance of acid in my stomach? Nobody has been able to answer these questions for me, and thus, I've refused surgery and have been getting acupuncture instead for the past 6 months. I'm flirting with the idea of surgery again because I'm not sure that acupuncture is going to be able to heal the problem. It hasn't so far, but it has helped to relieve some symtoms. I would be very grateful if you can help answer my questions, and I am open to any suggestions you have to offer.

Sincerly, amy

[Draemarsh]

The tracer never entered the small intestines.

[Draemarsh]

The tracer never entered the small intestines.

[Christopher R Watters, MD]

I don't quite understand the HIDA. They don't wait for it to leave the gallbladder before giving the CCK. Did the tracer never enter the small intestine?

[Draemarsh]

I had a Hida scan and was scheduled to have CCK. After a few hours, the nuclear medicine wouldn't release from my gallbladder. The radiologist had me get up and walk for 1 hour. I was placed back under the machine and it still hadn't released from my gallbladder, so no CCK. I have all the same symptoms for gallbladder problems as the many people have posted. In do not have stones. Would this be a good indication that my gallbladder is not functioning properly?
Thank You
DRM

[estoley]

He should avoid high fat foods (fried, cheeses, fatty meats, avocados), cauliflower, and for some, citrus.  
Coffee and other caffeinated foods including chocolate.  Alcohol should be avoided too.
Eat grains and lots of veggies, lean meats/fish.

[Christopher R Watters, MD]

The decision to remove a gallbladder for low ejection fraction is largely dependent on symptoms. The first thing I would suggest would be to repeat the study in a month or two. The fact that you sound like you were in some degree of congestive heart failure would adversely affect your gallbladder function due to some back pressure and edema. It is entirely possible that you don't need surgery.