I have been through a ton of scans and tests and nothing definitive. I have crushing fatigue, pretty bad nausea and itching of the limbs especially, a creeping alk phos (still normal but going higher from 45 last year to 84 now), dialated intrahepatic bile ducts and a dialated common bile duct that does not narrow normally (according to CT), and abdominal and back pain, along with dark urine with bilirubin in it. Also I have developed discolored areas of skin on my chest and face. This has happened over the past 6 months. No gallstones have been visualized in MRCP or CT or EUS, and I still have my gallbladder with no attacks or pain there, ever. Thanks for any advice. I just want to sleep and I am so tired but I can’t sleep with the pain and itching. I have a family and I feel like I am failing at life right now because I can’t keep up.