If stomach does not empty properly, this is called gastroparesis diabeticorum, which can also be associated with unpredictable glucose levels since food and insulin are often mismatched. A bowel motility study may be needed to diagnose this. Other intestinal motility disorders are even more rare, and again, would need x-ray and motility studies. Inflammatory bowel conditions may have an elevated sed rate or anemia . Peptic ulcer disease and associated disorders do not usually present with constipation, but rather nonspecific abdominal pain.
Older kids can distinguish between abdominal pains and heartburn.
Sometimes, therapeutic trial with antacids will provide a clue. Endoscopy can be helpful to make diagnosis as may X-ray studies. Several acid-reducing medications also can be tried. Pancreatitis might also be worth considering, if in fact, the child in fact had type A insulin resistance with high serum triglycerides . 1995-2001 Diabetes123 and Children with Diabetes .