Tuesday, July 8, 2008

Adventures in Hida Scan Land



I am now home from the MD, and this is an actual photograph of my face right now. ;-)

As you know, I have been experiencing gallbladder-pain- like symptoms as of late. Twice when I ate foods that were fatty (cheesy once, I forget the first time), I had severe pain in my upper right abdomen, where the gallbladder is located. The second time landed me in the ER, where they ran an abdominal ultrasound and noticed thickening of the gallbladder wall, which may or may not mean gallbladder disease, but no stones.

Today I had a nuclear medicine test called a hida scan. A hida scan tests the function of the gallbladder and the bile ducts. First, the nuc. med. tech injected me with isotopes, tracing through my small intestine to my gallbladder. For the first hour, I was under a scanner while we watched the fluid move about. It was quite similar to watching paint dry. Unfortunately, my gallbladder didn't show up, so I had to walk around for 15 minutes to move the dye around.

Even though it meant I was going to be stuck there longer, I was glad to be able to walk around because the table I was lying on was killing my back. I went to the waiting room to visit the Darce, who came with me knowing the test may make me sick (they wouldn't let her in the room, though), and we did a 15 minute power walk. I returned to the room, and voila, it worked. My gallbladder was lighting up on the screen, but it needed to get a bit brighter, so we did another 10 minute power walk. I'm totally counting that towards my workout today. ;0)

When I returned to the room, I heard the good news: I should be finished up in about 30 more minutes, as well as the bad news: and now was the time when they are going to inject the CCK into my blood stream, which makes the gallbladder contract. They say this may cause some discomfort for some people, but that is rare, however I knew better. I did a lot of research online, and I read many patient accounts. Some people feel nothing at all, and others feel exactly like they are having a gallbladder attack.

The CCK injection stimulates the same reaction you would have if you had gallbladder problems and ate a fatty meal, according to one of the techs I spoke to today. For some reason, however, some people with gallbladder issues have no reaction to the CCK, and other people who have a normal gallbladder have a really bad reaction. Strange. That's not the norm, though.

My tech was very nice, and he explained that he was going to go very very slow, injecting in a small amount of CCK at a time, so that it wouldn't be quite as painful, if I happened to have a reaction. Well, as you can surmise from my green face above, I had a reaction. My stomach cramped up like I had food poisoning, and a wave of nausea came over me. The tech was talking the entire time, and most of the time it was entertaining, but when I felt that sick, I was dying for him to stop. I almost vomited right on him - it was all I could do to keep it in, and then suddenly, as fast as it came on, the feeling passed and a few minutes later we were done.

I didn't let the tech know I was feeling sick, because I'm just not like that, but he may have been able to tell. He checked the results, and he said he's not an MD, but he predicts I'm going to get a normal reading on my gallbladder test, which means I probably don't have gallbladder disease, but now I'll have to go for a bunch of other tests to see what the real problem is. Who knows - he could be wrong, but if he's not, it's very strange that I had such a reaction to the CCK, as well as the two other attacks, whatever they were from.

The hida scan is not flawless, also, and the surgeon warned me about that as well. She said we still may determine that I need my gallbladder out even if this test doesn't indicate so, so I will know more when I meet with her again on Friday.

The entire process took almost 2.5 hrs. I felt really weak after the test, and I wasn't sure if it was because I was hungry (nothing to eat or drink before the test) or if the test just took a lot out of me. D and I stopped at Rita Mae's for a bite to eat, and I got a turkey sandwich. I felt really sick at the restaurant, and I almost bolted out of there a few times, but the feelings passed. As soon as I got home, I was sick.

So it is now 2 hrs after my test ended, and I'm just feeling a bit queasy, tired, and I'm having some flu like symptoms. I have an absurdly sensitive stomach, however, so I don't think most people would go through the same thing as I have, but I know that some have.

On one final positive note, I'm down a lb today, for a total of 141. That came as a surprise because I've been on the week on/week off losing pattern for so long. Now I'm just 9 lbs away from my one year goal of losing 150 (one year will be this fall), and 14 lbs away from losing Marcel/lo!

46 comments:

Anonymous said...

Sorry your hidascan sounds hideous! But yay on the pound. Didn't you tell me only one previous female patient had ever lost 150 pounds in one year? Didn't I predict you would surpass that? Well in 9 more pounds you will.
U-N-B-E-L-I-E-V-A-B-L-E!!!

Alison... said...

Oh my HEAD, what a torturous morning you had - yikes... sorry. Hopefully you won't have to have your gallbladder out.

Congrats on another lb down

I am positive the tech didn't know you were sick. Heaven forbid you actually told him.

One day you will die [everyone does, obv] and I'm sure it will be to no inconvenience to anyone. You will quietly slip away into a coma, die and auto bury yourself without anyone noticing or being inconvenienced in any way.

stoop.

lanie said...

So sorry you had to go through this! I do hope you'll tell your MD how sick it made you- obv. somethings very wrong. Hope your feeling better very soon!!!

Kristen said...

Well, I don't know everyone who has ever had the lap band, but I did read on one of my boards that has thousands of members that only one female ever lost 150 lbs in a year, so that may just be out of thousands that are on the board, but that would be consistent with other things I have read as well. Thank you so much! You know how competitive I am. LOL

Lainne said...

How random is this? I'm googling HIDA scan reactions (had one this morning and feel dizzy) and found this blog. YOu sound like you have the same wacked stomach problem I do. I just dropped 30 pounds in two months because of this crap (I'm overweight, so not distraught about this.) anyway, just wanted to say I stumbled on here and HIDA scans are awful and the techs LIE because it really hurt. :)

Lainne said...

Popping back in with my results- I guess I failed, though I wasn't given a percent number. I AM being sent to a surgeon and THAT is all they told me- Abnormal- seeing a surgeon. :(

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is off topic but I simply needed to ask. Cheers!

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maggie.danhakl@healthline.com said...

Hi Kristen,

Healthline.com recently launched a free interactive "Human Body Maps" tool. I thought your readers would be interested in our body map of the Gallbladder: http://www.healthline.com/human-body-maps/gallbladder

It would be much appreciated if you could include this tool on http://phatband.blogspot.com/2008/07/adventures-in-hida-scan-land.html and / or share with friends and followers. Please let me know if you have any questions.


Thank you in advance.
Warm Regards,

Maggie Danhakl- Assistant Marketing Manager
p: 415-281-3124 f: 415-281-3199

Healthline Networks, Inc. * Connect to Better Health
660 Third Street, San Francisco, CA 94107 www.healthline.com

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