Median Arcuate Ligament Syndrome (MALS)

I do have dysautonomia. Did you get mals surgery ? I don’t remember if you told me.

Yes that’s typical for Mals. However you can have pain in chest as well. Have you been diagnosed with dysautonomia? My surgeon said the majority of her Mals patients have this as well. It affects your bp heart rate etc.

I had an esophagus test that shows the motility is ineffective but I don’t have chest pain or pain with swallowing. Sometimes I cough on food though. It’s easier for me swallow solid than liquids.
The pain is upper mid abdomen which I think is mals but not sure. All other gi tests normal.

Have you gotten testing done from a gi doctor? I’ve had many. The very last one was a monometry test. They found that the muscles in my esophagus are ineffective. Not working properly. Lots of pain and on soft diet. Have had several trials of meds to relax the muscles. None successful yet. I also have dysautonomia with the Mals. Gotta take life one hour at a time. Advocate for myself and be grateful for the good days. I would try my gi doctor. Good luck!hope you feel better real soon and get some answers.

Yes it helped for a day and then didn’t. My lower pains I used to get from ibs. Now after I eat I get gnawing and bad pain in my upper mid abdomen. The only positive test is mals.

I have lower abdominal pain after eating. Feels like I’m going to burst. Also burning in chest! Hate it. Have you had celiac plexus block yet?

Can someone tell me what their mals pain was like? Mine is an intense gnawing in my upper mid abdomen sometimes squeezing too. After eating. My velocities are over 400 and I have the hook on Ct scan.

I suspect that my 15 year old daughter may have MALS. She has had constant abdominal pain for 2 years that has just gotten worse. She spent a week in the hospital for severe abdominal pain and vomiting and had CT Abdomen, gastric emptying study, HIDA scan, endoscopy, abdominal ultrasound, and upper GI series that were all normal. They dx her with abdominal migraine, but the medicine they have her on has not made a difference. Her pain pattern also does not fit with abdominal migraine but seems to fit MALS perfectly. Her GI doctor does not seem to know how to help her. My question is how were you all diagnosed (what specific imaging did you have that showed MALS) and what type of specialist diagnosed you? Any insight is greatly appreciated.