Negative ultrasound. Could it still be gallbladder?

A couple weeks ago I had an u/s and then went to the ER a day after that because this pain was not going away and I was worried. I have struggled with sharp pains in my side for years that would come and go. For the past 2 years I have had this right side ache that would also come and go. I use to call them flare ups though some people call them attacks. My symptoms are as follows:

Burning in the right side mainly under the rib cage but can cometimes feel just a tad lower and it can radiate into my back and right shoulder. Ive also experinced chest pain and that burning can shoot across the top of my abdomen. I have gas and bloating as well as constipation except for the past few days. Since the u/s was neg. they sent me for a HIDA scan which I should get back the results tomorrow. I cant do much because this right side ache and feeling of fullness in so prominent in my side that it is all I can think about. I still have gas and the gas adds to the pain and burning. I would describe this as more of a dull ache rather than a sharp pain. Just wondering if anyone else has struggled with these symptoms and had a neg. u/s but it still been their GB.?

I wanted to add that I had blood tests that all came back neg. as well as a urin test.

sounds like gallstones to me.

Usually, a CT scan will definitely show stones if you have them. I do not have an answer as to your pain. Did they check your pancreas or liver? maybe the HIDA scan will confirm what your problem is. I hate you are going through this! Please let us know what you find out. Sometimes the stones will move, but like I said they usually show up. I just am perplexed. Keep us posted!

Hi okiemom, maybe you don't have any stones but you gb not functioning well, this will show on your HIDA scan so at least you will know tomorrow. It certainly sounds like gallbladder trouble particularly as it is getting worse as time goes by. Good luck hope all goes well and you can get some treatment.

I'm confused as to what it could be too. The er dr.told me my gb was enlarged with sludge but then after meeting with a surgeon the next day he told me my u/s was negative. I have no idea. I'm wondering if the er dr was talking hypothetical situation or if he was actually referring to my u/s? I guess I will know tomorrow. If it's not gb I'm going to back at step one which is very disheartening. Ty all for your replies.

Hi

I have identical symptoms to you and have had them for years and I have had several ultrasounds, all of which have been clear. Over the last six months my symptoms have escalated and I am now in severe pain day and night. Yet another ultrasound came back clear. I was eventually sent for a Hida scan with the result that my gallbladder is working at only 9 per cent and I am now waiting to have my gallbladder removed.

So yes most definitely it is possible to have a clear ultrasound but your gallbladder may not be working correctly and causing anything from mild discomfort to serious pain.

Debbie,

I really hope my HIDA scan reveals something for me and that it is something 'simple' I say simple because I have read other things that could be wrong and they are not as simple. GB surgery, if it would help me feel better, would be most welcomed. I am scared of surgey but more so the anesthesia than anything. I had all 3 of my kids c section so I have had surgery before. I think I may be getting a uti along with this and that sucks. I did read that can happen with gb problems. 

Thanks for the replies

it sounds like your gb has quit doing the job of getting the bile down to the liver. IN my opinion, it needs to come out! Hopefully, there is nothing more seriously wrong. I know you are worried. I would be too. Tomorrow, talk to him and ask a lot of questions. Please let us know. we care about all of our friends on this forum! 

I'm also curious if any of you experienced a general I'll feeling like you are coming down with something and ran a low grade fever? 99-100? This has been me the past few days. And my back hurts. I thought it was from the narrow table of the hida scan but now I'm not so sure. I've just been dealing with this too long I'm worried ya know?

I can't really help sorry. My symptoms were similar to your but my ultrasound showed I have a gallstone. I am waiting to have my gallbladder out.

Hope this settles down and you get some results from the test.

Keep in touch

Take care

Sarah

Thank you all for your kind words and help. I have not heard anything on my test results yet. If I have not heard anything in the next couple of hours I will be calling them. 

As I sit here with this burning pain under my right rib and it shooting across my stomach I received a phone call that my HIDA scan came back normal. So they want me to get a scope done next. I live in a small town where there are no specialist so I gave to go out of town. I'm so tired. I think I may be going a little crazy. sad

Well, that is good news that your HIDA scan was normal. Now, go for your scan. they will get to the problem by testing you. Try not to be stressed and yes, I know that is easier said than done! I know you are very tired of all this, but when you find out what is causing your problems, it will be worth all your troubles. try to have a positive attitude.Keep me posted.

Glad your result was normal but sorry you didn't get a diagnosis - you must be very disappointed - I was over the moon when my Hida scan came back very low as there was finally a reason for my symptoms and a solution is hopefully now on the distant horizon.

The specialist who ordered my zHida scan said that he would investigate the pancreas if the Hida was normal - it maybe something else to consider in your case. You did mention what the figures were in your result - a low normal could still mean gallbladder problems and even a false positive. An endoscopic ultrasound would be more accurate in showing gallstones than an ordinary ultrasound which can only detect stones larger than 3mm - sand and grit can do as much damage as stones. An endoscopy will be useful to determine whether the source of your pain is related to your stomach/ duodenum - sometimes pain can be felt in a different place to its source.

Hope that you get answers and above all successful treatment for your problem. Keep us posted

Best wishes

Debbie

I would have been over the moon as well Debbie. When they told me the scan was normal I cried out of utter frustration. I have longer to wait and more tests. I've read that ulcer and gb pain are really close. I don't want an ulcer I think I seriously would have preffered to get gb surgery. From what I've read ulcer is a lifetime thing and hard to treat especially if h. Pylori bacteria is found to be the cause. Thank you all. I will keep you informed.

Just a quick update.

I still feel the same. The surgeon that has been treating me told me my HIDA scan came back at 65% which I know is normal. He still believes it's my gb though. He said he's seen it multiple times where tests come up negative yet the gb is still the problem. He wanted me to try 2 nexium at night for 7 days to see if that would help if it's an ulcer he said I should see some kind of relief. I actually thought it was getting better, not because of the nexium because I hadn't started that routine yet but my pain wasn't near as bothersome for 1 day. Unfortunately it's not gone it's still here and it does not seem as though the nexium is working yet. He wants to scope me or said I can get a ct scan if I wanted one. I'm having issues with which one to get done. He told me that if he scopes me and doesn't see anything he could take me straight into surgery to get gb out. That sort of scares me be a use I will be sedated for scope then more anesthesia will be given to me if he chooses to do the surgery. I'm just so tired of being in pain.

I also wanted to ask if anyone has had what feels like spasms in the gb area? Also I've getting g this feeling of what I can only describe as tightness across my stomach almost like a contraction. It's not particularly painful but very uncomfortable.

Thanks.

For me a CT scan would be less invasive and easier. If there are stones they will show up. I had my gb out in 2004. Last year I began having spasms where my gb was and the tightness across my stomach. I was trying to remember before I had gb surgery if i felt those symptoms and I cannot remember. Anyway, my GI says it is probably adhesions. Sometimes the spasms almost knock me to the floor! Good luck to you and keep us posted.

You have suffered for sometime nowvand things not getting any better. It sounds so like gb and yet tests come back clear. I think I would trust your surgeon and go with the scope possibly moving on to surgery. I wouldn't worry about sedation then anesthetic they will adjust things according to what you need and I dont think that would be a complication. It would be good to get it sorted all at once. Many times on here and it happened to me , even when they see stones or inflamation on a scan its worse when they actually go in and see it to take it out. Your surgeon sounds very good and keen to help you. I suppose you could say no and if he thought after scope it needed out you could then arrange another appointment for that but its another ordeal for you. Good luck keeps us posted with how you get on.