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@amm97 - A 30 lbs weight loss is significant, no appetite change- do you eat the same amount of food and type of food?
Do you know if the Duplex ultrasound showed a significant narrowing of a couple of arteries? Do you know which arteries are involved?
Even though the CTA and MRI didn’t show any abnormalities I’m still not convinced that all is well.
Did they explain MALS to you? It’s Median Arcuate Ligament Syndrome. It’s rare, but we are quite a few here on Connect that have been treated for it.
There is a ligament that originates in the diaphragm- median arcuate ligament- that can compress the celiac artery in the intestinal blood supply. This means that the intestines don’t get enough blood flow for digestion- also causing severe pain when this happens.
Maybe you can ask for a review of that testing or even repeat the CTA. A vascular surgeon would know.
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I might be eating a smaller amount at meal times but still the same food. The duplex ultrasound sound narrowing of the celiac and sma. I’ve actually researched MALS quite a bit and I think this is still a possibility even though the CTA doesn’t show it. A vascular surgeon told me that the CTA doesn’t show it and that he doesn’t think it’s MALS. The surgeon said that the ultrasound isn’t reliable because it’s “operator dependent”. But the research I’ve done said that the duplex ultrasound may replace the CTA someday.