I am a 31 year old female with recurring back pain that is also associated wtih pain beneath the breast bone. Occasionally, I still have a globus sensation in my throat. I was diagnosed with GERD about 7 months ago and was put on Nexium x 2 daily. All of this came about as I noticed that I was always feeling something in my throat, and I had really bad pains under my right shoulder blade. I have had quite a bit of testing done: EGD, Chest X-ray, esophageal motility testing, TSH, ESR, Lipids, Abdominal ultrasound. The EGD showed a slight narrowing, so dilatation was done. The abdominal ultrasound was negative for stones/sludge, so the theory of gallbladder was dropped. Now, several months later, I continue to have the back pain, but it has spread and now mostly occurs on the right lower to mid area of my back. There is constant "cracking" in my back, paresthesia in my right arm, neck pain, headaches, and intense tightness/chest pain, especially in the morning and at night. I have a family history of GERD, heart disease, including mitral valve prolapse and CAD. The last time I visited the doctor, he suggested a HIDA scan to further evaluate the gallbladder, but I just couldn't afford the testing at the time. I want to believe that it is my gallbladder, but worry because my back "cracks" and because of the pain in my chest/rib area. Any suggestions?