Do I have Biliary Dyskinesia??? Please help.

I need some advice about my health, but I want to explain my medical history first. If anyone could please read this and give me some advice/info, I would so greatly appreciate it, as this is sort of consuming my mind with worry, stress, and anxiety.

Last year, August 2010, I woke up in the middle of the night with bad heartburn. I took a Zantac and went back to bed. Prior to falling asleep that night I had a large meal several hours earlier and a big bowl of ice cream. The following day I felt lousy. Bloated with extreme heartburn, and absolutely no appetite. A few days went by and it was more of the same. I went to an urgent care clinic and they gave me a month of 40mg Prilosec (1x per day). They also tested me for H. pylori, via a blood test, which came back negative. The doctor said, you either have Acid Reflux or if the Prilosec doesn't work, you could have an issue with your gall bladder. Luckily, in about 4 or 5 days the Prilosec had gotten rid of the bloating/heartburn, and I was back to eating my normal diet. I finished the month's worth of PPIs.

2 months later, similar heartburn returned. I bought some OTC omperazole and that helped clear it up. Come Decemeber 2010, more bad heartburn and stomach pain. I went back to the urgent care and was given 3 months worth of Prilosec 40mg. After about one month I had some improvement. I got a referral to have an Upper GI done with a barium swallow to see if it was gastritis/GERD/etc. It came back normal. No ulcers, no inflammation, no reflux. I continued to take the Prilosec for another month and returned to my doc complaining of "breakthrough nausea". He switched me to Protonix 40mg. Same results, and I ended up back on Prilosec. During that time period, I started to develop right sided back pain. And that is where I am at now. I have right shoulder pain (in the middle of the blade and on top of the shoulder), that extends down my right upper arm and down my right flank and around the front of the right ribcage. It isn't a very intense pain, but more dull and chronic. My doctor was concerned that maybe this breakthrough nausea and right-sided pain was my gallbladder. So he ordered a HIDA scan. I do not really have RUQ pain when I press on the area. It is not tender. Firstly though, my doc wanted to see if maybe the right-sided pain was muscular in nature, so he gave me Mobic (a NSAID) 15mg once daily to take for 7-10days to see if it helped. I took it for about 2 weeks and felt like the shoulder/right-sided pain disappeared. I also stopped the Prilosec prior to this time and was feeling much better without heartburn or nausea. After about a week off the NSAID, the pain returned. I started up on the Mobic again and have been on it for about 3 weeks now. It seems to help, but I kind of feel like it is just masking the pain. I cannot really tell. I had the HIDA scan done, and my ejection fraction was 38%. Which they said is the bottom end of normal. Although, I have read that <40% is considered abnormal. So, right now, I am on the cusp of have a normal or abnormal gall bladder function, depending on who you talk to. So, I am a bit confused. Ice and heat compresses on my shoulder seem to remove the pain. Also, I don't always feel sick like I want to vomit after I eat fatty meals. Last week I ate a cheeseburger and fries with a cookie afterwards and felt completely fine. You would think that that meal would set my gallbladder off. Although, the last three days I have been feeling really nauseous and have had almost no appetite. Although, I did have a bad head cold for the week, so I don't know if that had anything to do with it.

Anyways, I don't know what to do. My doc says he isn't convinced it is my gallbladder because I explained to him that not all fatty meals make me sick, nor do I have severe RUQ pain. Plus he says, if the Mobic is working even slightly, then it probably isn't my gallbladder because the drug is for reducing inflammation.

Here is where my questions lie:

1. Would NSAIDs relieve referred shoulder pain?
2. Would ice/heat compresses relieve referred shoulder pain?
3. If I took another HIDA scan, is it possible to have my ejection fraction go up? (Sidenote: I had no violent reaction to the CCK injection. No pain or nausea)

4. Would an ultrasound of my abdomen be helpful?
5. What other tests could be done to rule out my gall bladder?

I need help and advice...

[preggerbuns]

ask for a Ultrasound... sounds like biliary dyskinesia!