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Is It Necessary To Have HIDA Scan For Right Upper Quadrant Pain And Diarrhea?
Question: Hello - I am 41 yo female. I have had ruq pain in the past - about 10 years ago it started with children. US and HIDA then all normal. I figured out by watching my food I could keep my gb (ruq pain) from not flaring up. 3 weeks ago I ate a veggie sandwich and about 2 hours later I was in severe pain on the right side and I thought to myself - gb. Well it has been constant since then with increased pain. Other symptoms that have developed; inability to take a deep breath once any food or drink is consumed (this has been the most bothersome I feel SOB all the time. When I eat I instantly feel full and it sits in my throat. Vomiting shortly after food intake if breathing becomes difficult. R shoulder blade pain, RUQ pain, diarrhea. I just don't feel good. The hardest thing is the breathing! I am a runner and I can't even run a half mile with feeling like I am going to die due to the inability of not being able to take a deep breath. Negative CT scan, negative US, clean blood work. I think a HIDA scan should be next but they want to send me for cardio consult?!?!?!?
Brief Answer:
agree with cardio eval and pulmonary
Detailed Answer:
Hello and thanks for your question,
I agree that a HIDA scan should be done at some point due to the RUQ pain but gallbladder issues just do not explain the shortness of breath. The reason for the cardio eval is that in women we often do not have typical symptoms of angina so in anyone with this much significant shortness of breath, I agree that an evaluation to rule out coronary disease is indicated.
Also if you have not had it done I would suggest pulmonary function testing to rule out any form of obstructive pulmonary disease like asthma.
Let me know if you have further questions
Dr. Robinson
agree with cardio eval and pulmonary
Detailed Answer:
Hello and thanks for your question,
I agree that a HIDA scan should be done at some point due to the RUQ pain but gallbladder issues just do not explain the shortness of breath. The reason for the cardio eval is that in women we often do not have typical symptoms of angina so in anyone with this much significant shortness of breath, I agree that an evaluation to rule out coronary disease is indicated.
Also if you have not had it done I would suggest pulmonary function testing to rule out any form of obstructive pulmonary disease like asthma.
Let me know if you have further questions
Dr. Robinson
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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