So for the past 3 months I have had awful middle epigastric pain, new onset constipation, no appetite at all, dizziness, headaches, and horrible itching. The pain came on suddenly in the middle of the night that woke me up from a deep sleep. So far I have had an upper GI barium swallow study, EGD and colonoscopy, 2 CTs, 1 MRI, X-RAYS, and an exploratory abdominal surgery where I had a few adhesions and a cyst on my left ovary. All of my lab work has been fine and all of these tests have been normal. Anyone have any suggestions on what it could be? I am seeing my GI tomorrow in hopes of scheduling an ERCP and if that doesn’t show anything I will be headed to the Mayo Clinic. I’m open to any suggestions on what y’all think it might be.