Hello can you help please, iv had severe pain just under my right ribcage for about 4months my hospital consultant has done many tests, i had an ultrasound scan which showed a dilated bile duct and gallbladder sludge but since then iv had an endescope, mrcp, barium follow through xray, ct scan but those show my gallbladder is ok apparantly. I have also been diagnosed with pernicious anaemia and low folic acid levels, iv been put on b12 injections every two days. the pain is so bad some days and goes right round to my right shoulder blade, leaning forward seems to make the shoulder pain worse, its like a burning searing pain right deep inside shoulder blade. My consultant has said he has drawn a blank and does not know what to do for me as only one test has shown the sludge and dilated bile duct.Im confused how one test can show this but yet all the other tests are ok. Ifeel so depressed as I know the pain is very real but how can I convince the doctor to actually believe me. I have also lost nearly 3 stone in weight and I have dropped 3 dress sizes. My collar bones and ribs are starting to protrude and my eyes are looking sunk in. The doctor would not even realise how severe the weight loss is as he did not see my size 5 months ago. I took along a skirt that i was wearing in the summer which was a size 16, I am now a size 8-10. I am also haveing sharp pains going accross my heart area and also numbness in my hands and feet a lot. im so tired and weak and My brain seems weird too, like its always foggy and im forgetting what i want to say half way through a sentence. Im not sure if this is just down to tiredness and feeling so weak. I would be so grateful for any advice, I am only 40 and have young children. I think my doctor has given up on me now and at the last visit he seemed irritated by me, he was looking at me with this unconvinced look on his face and just kept saying he doesnt know what else he can do now. He said he will talk to another doctor to see if he knows 'what to do with me' but it may take some time to get another appointment, Im so stressed and dont know how much more pain i can take. thankyou so much, louise