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Median Arcuate Ligament Syndrome (MALS)

Digestive Health | Last Active: 2 hours ago | Replies (1229)
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@lme

Thank you for your quick reply. I have had bloodwork (CBC, liver and kidney function, etc.), urinalysis, fecal sample, CAT scan w contrast. I am scheduled for colonoscopy and upper endoscopy in two days. Any recommendations? Also, I can't figure out what triggers an attack. They seem random, except that they are becoming more frequent and severe, debilitating. I am hesitant to eat.

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Replies to "Thank you for your quick reply. I have had bloodwork (CBC, liver and kidney function, etc.),..."
lasirvent | @lasirvent | Mar 7, 2021

With MALS, there’s really no rhyme or reason why it triggers attacks. I tried (for many years) to see if it was different food, keeping a journal and it really made no difference. What did help was to eat small servings throughout the day. FYI-most GI doctors don’t deal with MALS. You need to find a vascular doctor that believes it’s possible to have MALS, most think it’s too rare. For MALS, the ct with contrast needs to be done with taking a picture on inspiration and expiration both so they can see the difference. Also, it could be neurogenic MALS, which means it’s not impeding the blood flow, the ligament is pressuring the celiac artery when you eat. I hope you can find answers.

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