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Biliary Dyskinesia and 1.4% EF rate &waiting for surgery

I had a HIDA scan done about a month ago, after having severe symptoms the past 5 months. These symptoms include: Severe back pain, pain under right ribs that sometimes radiates outward, feeling of fullness when eating, burping often when eating, nausea, chills, fatigue. (These symptoms were accompanied by GERD, which my DR put me on Nexium for.)
The HIDA scan showed an Ejection Fraction rate of 1.4% which my doctor said was EXTREMELY low. She explained that it works at such a low level that it basically fills with bile, but cannot empty. She very casually said I should have it removed, and referred me to a surgeon that I had to wait 3 weeks to see. In the meantime, I consulted with my other doctor and he suggested that I have it out ASAP. I asked if there were any danger in waiting or leaving it in and he said it was possible that it could become so backed up it could become an emergency (leading me to the emergency room.) Both of the Dr's agreed that I should be on a low to no fat diet while I wait to have surgery. However, though this low to no fat diet is reducing symptoms (though there is a constant 'full' feeling under my right ribs- like something swollen is under there), I am losing weight rather quickly (12 pounds in just under 3 weeks.) I was a normal weight to begin with, and am a little nervous about losing any more weight.) Then, when I spoke to the surgeon, she acknowledged that yes it did function at a surprisingly low rate, but there was no emergency, and that the worst I'd have to deal with while waiting for surgery is the pain and discomfort I have been experiencing thus far. The earliest I can get in for surgery is two weeks from now. My question is, is there any sense of emergency, or any likelihood that something bad could happen while waiting? Each Dr seemed to have a different opinion on the urgency of my gallbladder disease. Is there any risk of becoming septic, or the gallbladder getting so full it leaks or explodes or...?
I am very frustrated and a bit concerned about if this is an emergency or not, or if it's just no big deal, and I just have to tough it out until surgery.
Thanks for any input.

3 Responses
Avatar universal
MEDICAL PROFESSIONAL
Hello and hope you are doing well.

As there is no evidence of gallstones and as the gallbladder is not inflamed, you could opt and wait for an elective surgery. Emergency surgery is for acute cases, like when a gall stones blocks the neck of the gall bladder leading to complications. You definitely need surgery and as you wait, other risk factors for surgery like diabetes can be ruled out.

In the meantime try to eat balanced meals. In general avoid all food high in fat and cholesterol. Also avoid all food high in calories and include plenty of high fiber diet. Avoid all fried food, fatty red meat, whole milk dairy products and highly processed food. Include plenty of fresh fruits, high fiber vegetables, whole grains, lean meat and low fat dairy products. This could reduce your symptoms of pain.

But if your symptoms are worsening or if you develop additional symptoms like fever or jaundice, consult your doctor.

Hope this helped and do keep us posted.
Avatar universal
Thank you very much for the information.
It is very frustrating and a bit scary to  have this pain and discomfort every day, especially coupled with losing more and more weight. I have been restricting my diet to very little (if any) fat and eating a lot of veggies and some fruits. It is relieving to know it is not an "emergency" but rather a "get it done asap" situation.
I am hoping to get scheduled for surgery and return to 'normal' life soon, I want to feel like myself again!
Avatar universal
MEDICAL PROFESSIONAL
Best wishes on your procedure.
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