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Old 07-25-2003, 06:20 AM   #1
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Linda1000 HB User
Post High Ejection Fraction

Has anyone had a HIDA scan with CCK with a resultant high ejection fraction? What was your dr's recommendation? My result was 85%. My gastro says I have a hyperkinetic GB which can cause as much trouble as a hypokinetic GB (GBEF > 35%).

I am frustrated because I have been to two surgeons and both say that I don't have GB problems. One wants me to come back in three months, maybe repeat the HIDA Scan. I guess he has more of a wait and see attitude.

My symptoms are as follows: Around Thanksgiving 2002, I started to get fluttering/slight pressure sensations right underneath my sternum (slightly to the right) at the bottom of my ribcage. Over several months, my symptoms have worsened to include: uncomfortable pressure and fullness sensations in the epigastric area, mostly on my right side right underneath my ribcage (Now I have this feeling most all of the time, but it gets worse after I eat -- I stay away from fatty foods); back pain on my right side; occasional pain right between my shoulder blades; right side tenderness (feels like there is something in there. Sometimes I feel like I have pinched something in there and I have to quickly straighten my side); and nausea after eating sometimes. Most of the time I just feel yucky. Wierdly, I have this ringing in my ears, mostly in my right ear. Don't know if that is related at all!

Cardiologist and endocrinologist have ruled out heart and hormonal problems. Abdominal ultrasound, CT scan, colonoscopy, endoscopy have all been normal. The HIDA scan is the only finding, but both surgeons think that indicates that my GB is working really well. By the way, the CCK only elicited major contracting feelings on my right side, as though someone was doing some major yanking in there. But no pain. It was completed last April and my symptoms have worsened quite a bit since then.

Does anyone know how other physicians view a high GBEF? It seems as though my physicians disagree.

Thanks,

Linda
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Old 08-09-2003, 07:33 PM   #2
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Linda 1000 do you have gerd?The reason im asking is your symptoms sound exactly what ive been experiencing.The only difference is i have heartburn too.

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Old 08-10-2003, 11:07 AM   #3
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Yes this can definitely give you pain in that area. I had the same feeling plus very bad trouble breathing for the past few months. I started taking Prevacid and I am actually able to breathe again and I dont have the weird chest pains anymore. Maybe try taking a prescription for a while and see if it makes the difference.

 
Old 08-12-2003, 06:33 AM   #4
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GERD was ruled out through endoscopy. I also took Protonix and Nexxum with no resultant change in symptoms. Thanks for your thoughts!

Linda
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Old 08-12-2003, 11:06 AM   #5
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Harry HB UserHarry HB UserHarry HB UserHarry HB UserHarry HB UserHarry HB UserHarry HB UserHarry HB UserHarry HB User
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Linda,
Your symptoms sound like GB but if it's ok that's fine. I'll bet it's some form of spasms that can happen anytime. Also, hiatal hernia can cause much of the sypmtoms you describe.

A simply thing to try is a Homeopathic remedy that is outstanding for cramps and muscle spasms is--- Magnesia Phos--- . You can get it at a health food store. Just take it when you have problems like is says on the container. You may be pleasantly surprised !!!

The bottle that I'm looking at says "Menstrual Cramps". But, it really works for all sorts of spasms/cramps that are relieved by warmth. Potencies of 6X and 30X are common

I wish you well---Harry

[This message has been edited by Harry (edited 08-12-2003).]

 
Old 08-13-2003, 08:46 AM   #6
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Thanks, Harry. I will give your suggestion a try. I have found that hot tea has a soothing effect, but truthfully, I hadn't put heat and comfort together yet.

Also, I am assuming that the endoscopy would find a hiatal hernia if I had one. Am I correct? If not, I may want to check into that.

I appreciate your kind words.

Linda
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Old 08-13-2003, 09:44 AM   #7
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Linda,
Hiatal hernia is sometime rather difficult to diagnose except when it acts up.
As you may know it happens at a place where your esophagus, diaphragm, and stomach all come together. A doctor told me years ago that everyone over 38 or so has problems in that area. I think lack of magnesium as well as calcium can cause problems that are just not detected by testing.

My wife had one for years without being properly diagnosed. She use to get very upset when an Internist would tell her it's all in her mind. He would also be available to talk to her about her problems(mentals) any time.

Regular medicine does not have an anti-spasm or cramping drug on the market that is as Good as Mag. Phos. -- with no side-effects.

A homeopathic Doctor Margaret Tyler,MD in England wrote that in her 30 years of pactice she had treated 6000 patients with Mag. Phos. and had never once had it not to relieve menstral cramps. The symptoms were helped by warmth or heat.

God Bless---Harry


 
Old 08-13-2003, 01:34 PM   #8
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Harry,

I guess I need to keep the possibility of hiatal hernia in mind. I do understand your wife's feelings. I keep wondering when the next referral I get will be to a psychologist!

I am keen to try the magnesia phos. I'll let you know if it works.

Take care,

Linda
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Old 04-14-2007, 08:11 AM   #9
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Re: High Ejection Fraction

Linda,

I hope you were able to resolve your gallbladder problems.

Did you ever find out what a high gallbladder ejection fraction meant? Mine was 94%, the highest GEF that the GI specialist had ever seen. Though it fell outside the normal range (35%-75%) the GI specialist congratulated and dismissed me. My classic gallstone symptoms continued for months and then stopped abruptly after a high-fat business dinner.

My galbladder situation began after a thyroidectomy. I'm pretty sure that it was the lack of thyroid hormones that slowed down my digestive system which resulted in esophagitis, duodenitis, hiatal hernia, pancreatitits, lack of colonic motility, redundant colon, peripheral nerve problems. Nexium treated the hernia problems, but the gallbladder pain continued for months with no relief. Diagnostic surgery was uneventful except that it did not find the redundant colon that revealed itself during a colonoscopy one month earlier.

Now, recent blood tests show that I'm again in a hypothyroid state. My digestive system has once again slowed down and I've been searching the Internet to no avail to try to understand what a high ejection fraction means. If I can better understand the high GEF, then perhaps I can do something to prevent the gallbladder pain from returning. Even with increased thyroid meds, it could be months before my digestive system returns to normal.

Cindy


Quote:
Originally Posted by Linda1000 View Post
Has anyone had a HIDA scan with CCK with a resultant high ejection fraction? What was your dr's recommendation? My result was 85%. My gastro says I have a hyperkinetic GB which can cause as much trouble as a hypokinetic GB (GBEF > 35%).

I am frustrated because I have been to two surgeons and both say that I don't have GB problems. One wants me to come back in three months, maybe repeat the HIDA Scan. I guess he has more of a wait and see attitude.

My symptoms are as follows: Around Thanksgiving 2002, I started to get fluttering/slight pressure sensations right underneath my sternum (slightly to the right) at the bottom of my ribcage. Over several months, my symptoms have worsened to include: uncomfortable pressure and fullness sensations in the epigastric area, mostly on my right side right underneath my ribcage (Now I have this feeling most all of the time, but it gets worse after I eat -- I stay away from fatty foods); back pain on my right side; occasional pain right between my shoulder blades; right side tenderness (feels like there is something in there. Sometimes I feel like I have pinched something in there and I have to quickly straighten my side); and nausea after eating sometimes. Most of the time I just feel yucky. Wierdly, I have this ringing in my ears, mostly in my right ear. Don't know if that is related at all!

Cardiologist and endocrinologist have ruled out heart and hormonal problems. Abdominal ultrasound, CT scan, colonoscopy, endoscopy have all been normal. The HIDA scan is the only finding, but both surgeons think that indicates that my GB is working really well. By the way, the CCK only elicited major contracting feelings on my right side, as though someone was doing some major yanking in there. But no pain. It was completed last April and my symptoms have worsened quite a bit since then.

Does anyone know how other physicians view a high GBEF? It seems as though my physicians disagree.

Thanks,

Linda

 
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