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anyone here have SMAS and/or May Thurner? i was just diagnosed today and don’t really know where to start. they want to do a stent for the May Thurner, but they can’t do anything for the SMAS.
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Anonymous 3w

hi! yes smas, ncs, and mts. had smas and ncs surgery in nov

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Anonymous 4w

Hey I was also just diagnosed with May Thurner and despite my extreme pain I was told they wouldn’t do anything for me because it was not life threatening and I’m having trouble getting a second opinion. Do you know why they suggested stent?

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Anonymous 4w

Yes! MALS, SMAS, NCS and MTS. Why can't they do anything for the SMAS? Do you mean the doctor you're seeing can't?

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Anonymous replying to -> #2 4w

I've already had surgery for MALS and SMAS

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Anonymous replying to -> #1 3w

i have pots and severe stomach pain from the MTS. i’m being seen by dr spencer at MIPS in colorado. they specialize in treating vein compression disorders

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Anonymous replying to -> #2 3w

sorry yes i should’ve clarified. the dr who diagnosed me only specializes in vein compression disorders. she saw the SMAS, but she said a special gi dr will need to fix it. but they want me to wait and see if the stent for the MTS will help my gi symptoms. if not, then pursue the gi surgeon. how was your surgery?

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Anonymous replying to -> #2 3w

and what kind of dr do you see for that? they weren’t totally for sure

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Anonymous replying to -> OP 3w

Im going to tell you something very important, you cannot just go to any doctor for these kinds of conditions. Your everyday GI specialist likely is not educated on SMAS. I was turned away from 15+ doctors and 3 hospitals until I actually went to someone who specialized in SMAS

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Anonymous replying to -> OP 3w

and definitely do your research on the different types of SMAS procedures. there are different procedures that different surgeons do and you need to know which one is best for you before deciding to get surgery

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Anonymous replying to -> OP 3w

I have pots too. Did they believe stenting would help with pots?

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Anonymous replying to -> #1 3w

Yes, its common for POTS to be secondary to another condition and they believe its either the NCS or MTS

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Anonymous replying to -> #2 3w

My cardiologist seemed to think it would not help my pots to get the procedure. Is that not true? Have you seen improvement with your symptoms (if you’ve gotten stenting done)

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Anonymous replying to -> #1 3w

it really depends if your POTS is primary or secondary to another condition and you cant really tell unless you fix the other issues first. i haven't been stented yet but in december i should be

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Anonymous replying to -> #2 3w

i’ve been looking into the laparoscopic type of SMAS surgery. can i ask, who did you see? i’m so lost on all of this and feel kinda blindsided. i suspected the MTS for sure but didn’t have SMAS on my radar. explains a LOT tho. i’ve had such unexplained GI issues. my GI dr swore i had crohn’s, but all testing came back negative. he’s referred me to mayo, but i haven’t made an appt yet.

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Anonymous replying to -> #1 3w

i’ve heard sooo many stories of people’s pots going into remission from it. praying mine does! if not, at least it should help my severe pelvic pain.

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Anonymous replying to -> #3 3w

can i dm you? i had MALS and SMAS surgery, currently deciding if i want to do MTS or NCS next

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Anonymous replying to -> #2 3w

yes of course!!

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Anonymous replying to -> OP 3w

What type of pelvic pain are you experiencing?

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Anonymous replying to -> #1 3w

sometimes feels like i’m giving birth. happens when i wear too tight of pants, sit too long, or eat something bad. it’s like all of the blood in my body drains to my pelvis and cramps super intensely and gives me presyncope (i have pots). sometimes it feels like my organs are going to fall out and contractions. hurts in my pelvis and tops of my thighs. i’ve had a whole gyn workup and all normal.

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Anonymous replying to -> #3 3w

how are you doing now?

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Anonymous replying to -> OP 3w

so much better. i can eat again (no more feeding tube!!) and most of my NCS symptoms are completely resolved. my MTS has started causing more issues, so im working on getting that handled. but im able to be back at school again and actually have real quality of life again

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Anonymous replying to -> #3 3w

im so happy you're doing better! i'm no longer on a feeding tube or TPN! i'm back after school again too :)

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Anonymous replying to -> #2 3w

yipppeee! i’m so glad you’re doing well too 🥹 my surgeon saved my life. i owe everything to him

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Anonymous replying to -> #3 3w

omg that’s amazing and gives me hope!! what kind of surgery did you have done?

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Anonymous replying to -> #2 3w

that’s so awesome!!

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Anonymous replying to -> OP 3w

i had a duodenal derotation with anastomosis by dr ivan zendejas. that surgery or the alvear procedure are most successful because they actually remove the small intestine from the compression instead of just making a new opening. with the procedures like the DJ or DDJ, there’s no guarantee food actually passes through the new opening, so symptoms can remain if food goes through the original path and still gets stuck behind the compression.

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Anonymous replying to -> #3 3w

i had the alvear procedure too! im considering dr zendejas for my autotransplant

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Anonymous replying to -> #2 3w

he did my autotransplant! he did both of my surgeries at the same time. he’s fantastic i 1000% recommend him. his office kinda sucks with communication so you kinda have to bug them a lot to get things done, but him and his PA Kate are fantastic as are the hospitals he does the surgery at

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Anonymous replying to -> #3 3w

i feel like most doctors in the vascular compression area suck at communicating😅thank you for sharing your experience!

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Anonymous replying to -> #2 3w

haha he’s great at communication! his office is just bad at returning calls/emails or getting orders sent over.

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Anonymous replying to -> #3 3w

thank you!!

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