set your heart ablaze!

theyre kind of a bad influence on kyojuro LMFAO

IT ONLY TOOK TWO LIFE CHANGING DISASTERS AND THE ENTIRE SUMMER. but i did it!!!!!!!

okay! MALS! what is it? MALS stands for Median Arcuate Ligament Syndrome. The median arcuate ligament is a vascular ligament in the lower part of your chest, and MALS is a kind of chronic vascular compression condition where this ligament sits lower than it should. This puts pressure on the celiac artery, which supplies blood to the stomach, liver, and all the other organs and stuff in the lower abdomen.

The symptoms vary, but from the limited research out there as well as my own experience, the primary symptom of MALS is agonizing chronic stomach pain, which has a risk of flaring up after eating or exercise. In my own experience, it’s both, but it’s mostly food. I’ve had days where I barely eat, or eat much less because i really don’t want to have to deal with a flareup. There’s no foods that trigger it specifically as far as I know, but I’ve noticed that things with high fat or oil contents make the flareups happen faster. For example, sushi- I love tuna nigiri, but the fat in the raw tuna always leaves me in agony 😔 I’ve also had to leave the gym early sometimes, because exercise triggers it. This is less common in my experience, though.

The pain is normally manageable- it feels like a stabbing cramp in my lower abdomen, typically about a 4-5/10 on the pain scale. It sucks, but normally i just have to sit down for about 20 minutes and it passes. But the worst ones have had me completely immobilized, sometimes for hours at a time. The worst one I ever had actually had me hospitalized; I was on the floor curled up, in so much pain I could barely even breathe. It was like someone was twisting knives in my insides- I thought I was dying. I run the risk of pain like this every time I eat. Pain like that is rare for me, and I’ve never met anyone else with my condition, but if they feel pain like that more often than I do, it’s all the more reason to raise awareness for MALS.

As far as I know, there’s nothing to be done for pain management. Ibuprofen and things like that either don’t touch it, or the pain simply passes before it takes effect. Regardless, the only thing I’ve found to do is wait it out, and don’t strain myself. There is a surgical cure, an open vascular surgery to relieve the pressure on the artery. But MALS is very rare, mostly because it is massively, massively underdiagnosed. It took ten years for doctors to stop telling me I was just lactose intolerant/experiencing menstrual cramps and actually run a CT scan on me. I believe the diagnoses rate is two out of every hundred thousand patients. MALS is mistaken for all sorts of things; lactose intolerance, IBS, Crohn’s, pretty much any Tummyache Disorder can get confused for MALS. Additionally, I’ve found mentions of patients saying doctors just straight up don’t believe their pain because there’s no obvious cause. In my experience, finding treatment has been nothing short of a nightmare; because MALS is only debilitating and not technically dangerous, I’ve had countless doctors dismiss my case and tell me to just deal with it. (I could go on a whole rant about sure, yeah, just deal with a coin flip’s chance of agony if I want to sustain myself by literally eating, but whatever thank you fuck you every doctor.) Regardless, MALS is really underdiagnosed, and it’s fairly under-researched as well.

Anyway, onto Genya Shinazugawa. From a surface level, I headcanon him to have MALS because he’s my blorbo and I love projecting onto fictional characters, but if I do a bit of analysis it actually makes a lot of sense. The most obvious symptom is his demon-eating; his ‘stronger’ digestive organs could be some fictional result of MALS. Something or other less blood flow tolerates demon magic something something fantasy. The important thing is, it’s mentioned in the manga that Genya has frequent checkups at the Butterfly Mansion due to his demon eating. I can’t remember exactly where, but im pretty sure it’s mentioned that this ability is harmful to his health/causes him pain. Therefore it’s not unreasonable to assume that eating demons can trigger Genya’s MALS, just as tuna triggers mine. Additionally, it was mentioned in the anime (I believe it was a Taisho Era Secret in the Swordsmith Village arc?) that Genya often refuses food, going long periods without eating. This is a common mental side effect of MALS- a lot of patients, myself included, develop a hesitance or even fear of eating due to the likelihood of it triggering a flareup. It’s likely that Genya is doing the same thing.

zukka week 2020 day 5: mythology

zukka demon slayer au!