Hi. I know that we are supposed to take our patient's word for what there pain level is, but has anyone ever experienced questionable pain in a patient that even the doctor can find no known cause. We have this 38 year old man who keeps coming to the hosptial time and again with epigastic pain. He does have bad kidney function as he is diabetic and only has one kidney and that kidney is about shot- probably will need dialysis soon. He also just had surgery on his right eye for diabetic retinopathy. I happened to ask him the other day if they had found any known reason for his pain and he stated there was nerve damage in his stomach from his diabetes. I have never heard of this! Does it exist? Somebody with a little more experience please tell me! I must also question him because his pain is always a 9 out of 10 on the pain scale even after receiving Dilaudid 3 mg every 3 hours with Phenergan 25 mg every 3 hours. I diluted the Phenergan in a 50cc NS bag the other day which the nurse before me did not do and he about went off and said it was not going to be as effective the way I did it. Some of the things that he says worry me and make me think he is seeking, but I feel guilty for saying this. PLEASE HELP!