Many congenital brain defects cause minor neurological impairment. People with these types of congenital brain defects can grow to function independently. Other defects are so severe that they are fatal before or shortly after birth. Some cause significant disabilities.
I am looking into this for a friend as well. The pancreas deals with digestive juices and insulin. Have a look at your medications to see if they may have gastrointestinal effects. I can tell you that Tramadol does affect the production of enzymes in the intestine.
The pancreas reacts by producing extra insulin, but in time, it cannot produce enough insulin. The body can no longer control blood glucose levels. Other problems that can occur include: Exocrine pancreatic insufficiency (EPI): The pancreas does not produce enough enzymes; Pancreatic cysts: These can be removed by surgery if there is a risk of cancer