What does MALS pain feel like?

What does MALS pain feel like?

Signs and symptoms of MALS include: Pain in the upper middle stomach area, which may go away when leaning forward. Stomach pain after eating, exercising or shifting body position. Fear of eating food due to pain, leading to significant weight loss — usually greater than 20 pounds (9.1 kilograms)

How do you test for median arcuate ligament syndrome?

There’s no specific test to diagnose MALS . Your doctor will carefully examine you and ask questions about your symptoms and health history. The physical exam is often normal in people with MALS . Bloodwork and imaging tests help your doctor rule out other causes of stomach pain.

What does the median arcuate ligament do?

In a person with MALS, the median arcuate ligament essentially acts like a hammer and the celiac axis acts like an anvil, compressing the take off of major vessels and squeezing nerves in between.

Is median arcuate ligament syndrome life threatening?

While it is a relatively benign condition, median arcuate ligament syndrome (MALS) may mimic life-threatening causes of abdominal pain.

What kind of pain does median arcuate ligament syndrome cause?

Median arcuate ligament syndrome (MALS) is a rare disorder characterized by chronic, recurrent abdominal pain related to compression of the celiac artery (which supplies blood to the upper abdominal organs) by the median arcuate ligament (a muscular fibrous band of the diaphragm).

How is the median arcuate ligament related to celiac disease?

What is median arcuate ligament syndrome? Median arcuate ligament syndrome (MALS) is a condition in which the median arcuate ligament presses too tightly on the celiac artery (a major branch of the aorta that delivers blood to the stomach, liver, and other organs) and the nerves in the area (celiac plexus).

Where does the median arcuate ligament pass in the body?

However, in up to one quarter of normal individuals, the median arcuate ligament passes in front of the celiac artery, compressing the celiac artery and nearby structures such as the celiac ganglia. In some of these individuals, this compression is pathologic and leads to the median arcuate ligament syndrome.

Is it safe to release the median arcuate ligament?

You’ll need an ultrasound about a month after surgery to confirm that blood flow through the celiac artery is fully restored. Several studies have shown that surgery to release the median arcuate ligament is safe, even in children with MALS. It often results in immediate pain relief and improves the person’s quality of life.