Biliary dyskinesia

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No stones, no inflammation or abnormal blood tests, HIDA Scan ejection fraction at 7%. normal range is 35%. Also been diagnosed with Reactive Hypoglycemia. Do I need to be checked for Sphincter Of Oddi dysfunction before considering a Cholecystectomy?

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  • Posted

    I personally wouldn't be checked for SOD but if you can afford it and it will give you piece of mine, then I'm not a doctor to tell you no! smile Does your doctor think you should be tested for SOD?

    The HIDA scan shows that your gallbladder just isn't working as well as it should. The percentage of people who actually have SOD is like 1% of all people with gallbladder problems. Chances are it's just your gallbladder. Are your symptoms different than normal gallbladder symptoms?

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    • Posted

      I appreciate your feedback, the more I look into it the more It seems like that is th case, I've been struggling with this for going on 4 years and finally got a diagnosis. Symptoms I am having are more of a dull throbbing pain in the upper right quadrant, comes and goes, usually gets worse and more frequent when I eat fatty foods. My digestion had been pretty terrible, I've really had to make it a point to increase my soluble fiber and limiting fats in my diet. Poor digestion and low blood sugars after meals have been my worst symptoms. The biliary pain is more annoying than debilitating.

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    • Posted

      Mine was the same - I didn't have what I would call "pain". More of an annoyance and it wasn't after particularly fatty foods. It was gone in the morning and slowly progressed throughout the day every day.

      If I may ask - what made them diagnose you with reactive hypoglycemia? The low blood sugar? I was wondering if I have that too as I can get REALLY tired after certain meals.

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    • Posted

      Yea that sounds similar to my "pain". As far as the blood sugar goes, like I said my concern was my digestion and I went to countless GI docs that couldn't tell me what was wrong. I did also notice my energy levels were terrible, I was getting dizzy spells, numbness and tingling in my hands and feet, even fell asleep behind the wheel on the highway. I decided to see an endocrinologist, he ordered an oral glucose tolerance test. My fasting blood sugar was normal like 93 or something than after they make you drink that is basically pure glucose (which was disgusting I might add) and took my sugar 30 mins and every hour on the hour for 4 hrs. At 30 min my sugar was at 117, still fairly normal, but at 1 hour it had dropped to 48 then went back up to like the low 70s and into the 80s by the end of the test. They diagnosed me with Reactive Hypoglycemia and couldn't exactly tell me what was causing, my A1C was normal so it wasn't pre-diabetes. This all started around the same time, so my biggest question is can a malfunctioning gallbladder cause blood to drop after meals? I have yet to find a definitive answer. If you are feeling really crappy after you eat I would suggest buying a basic glucose meter and test your sugars before and after meals, a good way to check is in the morning before breakfast and about an he after, or seeing an endocrinologist and getting an oral glucose tolerance test to see if your sugars are dropping, if they are I suggest you make sure you try and get more complex carbs in your diet, that's really the only thing that helped me, if you can tolerate healthy fats is make sure to add those in as well, unfortunately with my gallbladder I cannot tolerate much fat.

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    • Posted

      That's good to know. I do tend to get really groggy and tired after certain meals (haven't tried hard enough to pin which ones yet) but not to the point of falling asleep. Thanks for the advice and good luck to yourself!

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    • Posted

      Thanks, if you go to cvs or Walgreens and buy their generic glucose meter you can check real easily. This way you can have some hard data to go back to the doc with.
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