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April 29, 2001

Other Illnesses

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Question from McEwen, Tennessee, USA:

My 10 year old son, who has diabetes, has been having severe upper abdominal pain and vomiting for a week. He vomits yellow bile and this temporarily relieves pain, but It always returns. This happens periodically, and the pediatrician always calls it a stomach virus and says to give him Coca-Cola. He’s been back to the doctor twice this week with no tests or prescriptions. Could this be something more than a stomach virus? Is it time to move on to an endocrinologist?

Answer:

From: DTeam Staff

Yes. Possibilities include (These are the most common ones, but there are many more.):

gastroparesis diabeticorum
celiac disease
ulcers
hiatal hernia
adrenal insufficiency
thyroid problems

A good pediatric endocrinologist who has experience with type�1 diabetes will know about these and others to consider, or you can consider going back to your son’s own pediatrician to help you investigate differential diagnoses.

SB