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.
Tradjenta and Jentadueto belong to a family of drugs called DPP-4 inhibitors. The drugs are linked to pancreatitis and may also increase the risk of pancreatic cancer. Tradjenta (linagliptin) is an oral prescription medication manufactured by Boehringer Ingelheim and Eli Lilly for the treatment of type 2 diabetes. Tradjenta lowers blood sugar, and doctors can prescribe it alongside other diabetes drugs like Actos, metformin and insulin.