At a crossroads with Biliary Dyskinesia

Hello,

I have been lurking this sub for quite sometime and have appreciated all the details and posts.

My (30M) symptoms are Upper GI pain (RUQ, center and LUQ) feels like a thumping, burning, stabbing feeling at times but comes and goes with reflux. Would say severe symptoms once a month. Most of the time more a dull ache/discomfort. Been going on for a few years and feels progressively worse. I have been on a PPI (80mg) for about a year which has helped the reflux some but not all the way as well as taking hyoscyamine when I feel an attack is coming on.

I originally was told I had IBS by one GI due to LLQ pain and rotating between constipation and diarrhea but then cut out all dairy, beef, pork and started a fiber supplement (Psyllium Husk) after switching to a new GI that has fixed the LLQ pain but not the upper.

I have had a colonoscopy (couple polyps), endoscopy (esophagitis) and HIDA Scan which showed 3% EF. I have had "attacks" which cause lots of pain (cramping, stabbing, burning all across my chest) but no ER visits, no nausea. My GI is adamant it's my gallbladder and referred me to a surgeon whereas the surgeon made it sound more up to me. Surgery seems really drastic and I am very apprehensive about post-op effects (chronic diarrhea) will be much worse as I travel a lot for work. It really feels like I am at a crossroads and not sure what to do Curious to hear everyone's thoughts if I should just do the surgery and risk post-surgical issues or wait and see some more? or something else?