### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I had a HIDA scan 7 yrs ago and it said I had an ejection fraction of 20 this past monday they did it again because I have been nauseous for along time now and pain/discomfort in my upper right abdomen which goes around to my right to my back. Anyway this time they had me get up in the middle of it before the second shot and use the bathroom and walk around because as the lady said nothing was moving. They didn t have me do this the first time. This latest HIDA scan was 78 ejection fraction. So my gallbladder wasnt working well before and now its fine? Is this even possible? Is getting up during this procedure the right thing to do? Or did they do the test wrong?

### output:

Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Even if your HIDE scan is fine as in your cases, there still may be gallbladder disorder that causes your symptoms. I think that you should do CT scan to evaluate it more accurately. This may be caused by stone in bile duct, common bile duct or liver, and it is very common condition. You need to change your dietary habits first.  Need to avoid fried food, carbonated Chat Doctor.  You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. Other causes include pancreatitis or pleuordinia and should be considered if gallbladder stones are ruled out by CT scan. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.