Evidence map›Paper›PMID 42088808›Full record

ArticleCureus2026

Autonomic Painful Diabetic Gastropathy Presenting As Recurrent Episodic Abdominal Pain in a Young Man With Type 1 Diabetes: A Case Report.

Simha Swaraj Sirivela, Nifson Yusuf, Numan A Mandaty, Kiran G Kulirankal, Merlin Moni

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Simha Swaraj SirivelaCollege of Medicine, Amrita Institute of Medical Sciences, Kochi, IND.
Nifson YusufInternal Medicine, Amrita Institute of Medical Sciences, Kochi, IND.
Numan A MandatyInternal Medicine, Amrita Institute of Medical Sciences, Kochi, IND.
Kiran G KulirankalInternal Medicine, Amrita Institute of Medical Sciences, Kochi, IND.
Merlin MoniInternal Medicine, Amrita Institute of Medical Sciences, Kochi, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autonomic painful diabetic gastropathy is an uncommon and often overlooked cause of recurrent abdominal pain in individuals with diabetes. We describe a young man with type 1 diabetes who developed repeated episodes of severe epigastric pain and vomiting after a traumatic event, with all routine investigations failing to identify a structural, metabolic, or functional cause. His symptoms were resistant to standard therapies but showed rapid and sustained improvement with centrally acting sympatholytic treatment, and autonomic testing later supported underlying dysautonomia. This case highlights the importance of considering autonomic gastrointestinal involvement in unexplained, recurrent abdominal pain in diabetic patients, as early recognition can guide targeted therapy and help avoid unnecessary investigations and hospitalizations.

Indexed as

abdominal painautonomic dysfunctionclonidinediabetic autonomic neuropathydiabetic gastropathyendocrine disorderspainful gastropathytilt table testingtype 1 diabetes mellitus (t1d)

Identifiers

PMID42088808
PMCPMC13136316

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.