I am a 46 yr old female with right upper quadrant pain for the past 7 months. Prior to that, I experienced the pain on a rare occasion beginning about a year and a half ago. They have checked my liver enzymes 3-4 times and each time it came back normal. Once, two years ago, when they ran blood work for something else, my liver enzymes were elevated but when rechecked a week later, they were fine. I have lost about 40 pounds in the past 7 months, am extremely fatigued, have constant pain in my side (under my ribs; and have no gall bladder). I have been having a lot of diarrhea, nause, hair loss and most recently, some confusion. I had a colonoscopy as well as an endoscopy in May of this year, all tests were normal. I take vicodin for the pain, but that doesn't work. I was told by a doctor that "something is brewing in the liver" yet they can't seem to figure this out. What tests would you recommend and could it be possible that it isn't my liver at all?