I have a 2001 3500 6 speed 4x4. It has 23000 miles on it. At about 19,000 miles whenever a grade requires the use of 5th. gear & about 75% power at 24 to 26 hundred rpm's the engine developes a very loud knock and the water temperature rises to 210-215 degrees. There is no loss of power. Took it to Dodge and there was nothing on the computer and they replaced the fan clutch and thermostat, this had no effect on the problem. I have spoke with numerous owners and diesel mechanics at Cummins to no avail. As we use this truck in Baja California a lot this is a major worry with 10% grades down there and no one to help if there is a major failure. I am a new member and this is my first Dodge. Thank you in advance for any help with this problem.