ORAL CHOLECYSTOGRAM

Oral Cholecystogram is done when your gallbladder undergoes an x-ray examination. It involves intake of an oral medication and an iodine-based contrast solution `which makes your gallbladder visible in an x-ray. The gallbladder is responsible for digestion and absorption of food because of its fluid called bile.

This type of procedure is rare since the typical way of examining the gallbladder is through an abdominal ultrasound or a computer tomography (CT or CAT) scan, which is then followed by an endoscopic retrograde cholangiopancreatography or hepatobiliary scan.

Its sole purpose is to recognize gallbladder-related problems, its damage or inflammation of the gallbladder also known as cholecystitis, or abnormalities like gallstones or polyps. People who are experiencing other medical conditions such as kidney and liver disease, related chronic diseases, and those with severe reactions to iodine should not take the test. People who are pregnant or trying to get pregnant should also consult the doctor before taking the test.

SYMPTOMS

Mild, temporary symptoms include diarrhea, nausea, or throwing up (vomiting) may be experienced after the oral cholecystogram. However, severe risks in this type of procedure are rare.

On the other hand, some may experience mild allergic reactions because of the contrast agent. Allergy reaction symptoms include:

  • The appearance of rashes and itchiness
  • Nausea

If you have allergies, tell your doctor immediately before taking the contrast agent medication.

Anaphylaxis is a severe allergic reaction in which you experience difficulty in breathing, and your face or mouth is swelling. It can be dangerous if not treated immediately. Consult your doctor if you suffer from any of the following symptoms after taking contrast agents:

  • Breathing difficulties with a whistling sound (or wheezing) or shortness of your breath
  • Swelling of your face

If you are taking other medications, please tell your doctor immediately to avoid drug interactions while experiencing Oral Cholecystogram.

TREATMENT

Eat your healthy meals together with your doctor’s prescription two days before your procedure.

Eat fat-free foods such as chicken, fish, vegetables, fruit, bread, and milk the day before your procedure.

Contrast agent medications are pills that should be taken a night before the procedure. Your doctor will instruct you on how to use the pills. You’re obliged to take six pills every hour. Don’t eat solid foods after taking the contrast agent pill and drink plenty of water. These contrast agents help in clearing your bowels which makes your gallbladder much clearer in the imaging test.

Fasting should be done after taking the contrast agent pills, and it means you’re not allowed to drink or eat anything during the day of your procedure, though you can still sip some water.

Procedure

The procedure is done while you’re still conscious or awake, and it is painless. You’re also given a high-fat drink which can trigger your gallbladder in releasing bile, and can help find some problems with regards to your gallbladder.

An X-ray camera, also called a fluoroscope, is used in examining your gallbladder. Your doctor might ask you to stand or lie down on the exam table, which depends on your gallbladder’s required views. A series of X-rays will then be done throughout the procedure.

If you are an outpatient, you can go home after the procedure as long as the process went well. You might also suffer diarrhea, stomach cramps, or nausea because of the contrast agent pill.

 

 

 

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