Question: Hello- I am a 31yo female with Hx of crohn's disease who has been having intermittent RUQ abdominal pain over the last year. I first get R shoulder pain for 1-2 days before the belly pain begins. Originally it was thought to be my gallbladder. I had an ultrasound and nuclear testing done which came back normal. I have been to the ED for when the pain begins numerous times as it affects my daily life when I get it. They have done blood work, X-ray and CT-scans which were all normal. I was told it was my crohn's and to see my GI. I made my GI aware when he was performing a routine colonoscopy and he stated everything was normal except for having crohn's which is in my RLQ. Recently I have started to see a new provider and had blood work done. My Alk Phos level was 126 (normal range was to 122). My Triglyerides were slightly elevated (I think they were 155), my iron was slightly low at 52, my vitamin D was low at 14 and my vitamin B12 was low at 138. The low vitamins are being addressed with taking oral vitamins and B12 injections. My concern is with the elevated alk Phos level. Is this a source for my RUQ pain? On palpitation my provider said my liver did not feel enlarged and suggested I get another CT scan done of my liver. The last one I had was around Oct, 2013. Is this necessary again? I'm just becoming frustrated as this pain still keeps coming and going but no one can figure out the cause. Nothing makes it better, nothing makes it worse (including what I'm eating). Now when I get the pain I don't go to the doctor to be seen because I feel as if they're just going to tell me nothing is wrong again and I'm tired of hearing that or made to feel like I am drug seeking. Any thoughts will be greatly appreciated!

The hepatobiliary scan w/ CCK injection, is that a nuclear test? I know I had a test that they injected me with nuclear material and they had to do a scan about every 15min for an hour or so. The scan i had was normal. Thank you for all your help .