Superior Mesenteric Artery Syndrome

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The Clinic

In January 2021, I became ill in ways that defied explanation. My body, which had always been a mess and a mystery, turned into a battlefield where everything seemed to go wrong at once. My symptoms were baffling to local doctors, and despite countless tests and evaluations, no one could provide answers. It was then that I made the decision to seek care at the Cleveland Clinic—a place known for its focus on complex medical cases.

Walking through the Clinic’s halls felt like stepping into a different world. There was a level of expertise and attention to detail I hadn't experienced before at local hospitals, where I often felt like a burden—someone too difficult to treat. Cleveland Clinic is a specialty hospital, attracting some of the best minds in the world, especially in rare diseases and complex conditions. Here, I wasn’t dismissed because my case didn’t fit neatly into a box. Here, I was seen.

From 2021-2023, I would spend hundreds of hours in doctors’ offices, undergoing test after test: MRIs, CT scans, bloodwork, autonomic testing, genetic panels, endoscopies, and more. My appointments bled into each other—GI, vascular, neurology, rheumatology, and cardiology—all working together to put the pieces of my medical puzzle into place. It was at Cleveland Clinic where I was finally diagnosed with a cluster of rare conditions: hypermobile Ehlers-Danlos Syndrome (hEDS), Postural Orthostatic Tachycardia Syndrome (POTS), Mast Cell Activation Syndrome (MCAS), Superior Mesenteric Artery Syndrome (SMAS), Nutcracker Syndrome, and gastrointestinal dysmotility. My body, a connective tissue disaster, was now mapped out with labels that explained why it had been betraying me for so long.

It wasn’t just about the diagnoses, though. It was about the process—the wear and tear of being a full-time patient. Each appointment chipped away at my mental and physical strength. I adopted mobility aids slowly, first a cane, then crutches, and eventually a wheelchair. It wasn’t until then that people started seeing my disability. Before the mobility aids, I existed in that liminal space between visible and invisible disability—a place where I looked “fine” to outsiders, but inside I was constantly battling a body that refused to cooperate.

In the fall of 2023, I went out on Disability. It felt like a loss, but also like a surrender to the reality of my situation. My body could no longer keep up with the demands of the world. And while that decision was incredibly difficult, it was necessary. The transition from the workforce to a life dictated by medical appointments was both jarring and isolating. Being a rare disorder patient is profoundly lonely. Local hospitals often hesitate to treat patients like me because my conditions are so specialized, so misunderstood. Cleveland Clinic, on the other hand, embraced the complexity.

I had multiple extended hospital admissions during that year, and each one felt like a lifetime. The mental toll of lying in a hospital bed for weeks on end, facing yet another abdominal surgery, was crushing. I lost count of how many times I’ve had feeding tubes placed, how many surgeries to repair my gut, how my once active body has been systematically taken apart and pieced back together. It was there that I had a total proctocolectomy—a surgery to remove my colon because its nerves had died and a duodenojejunostomy to relieve my SMA. These surgeries left me with an ileostomy, a permanent bag attached to my abdomen that collects waste. Each surgery came with its own set of physical scars and emotional wounds.

Living as a rare disease patient has taught me more than I ever thought possible about advocacy. The medical system is not designed for people like me—people who have conditions that most doctors have never heard of. There were countless times when I was told, “Your labs are fine,” or “It’s just anxiety,” but my body knew better. I learned to trust myself, to demand better care, to not take “no” for an answer. Every day that I wake up and face this uncooperative body feels like a victory. These are small health victories, yes, but they are victories nonetheless.

I’ve learned to take pride in those victories, even when they feel small. Every successful surgery, every day without a flare-up, every inch gained in physical therapy is something to celebrate. Being a patient—full-time, relentless—has taught me resilience in ways I never imagined. It has also taught me that the best care often means seeking out the right doctors, the right specialists, and not settling for less. Cleveland Clinic has become a lifeline, a place where I can be heard and understood, where I’m not reduced to just my symptoms. The toll of being a rare disease patient is profound, both mentally and physically, but it has also given me an unshakable strength.

Still, the isolation remains. It’s difficult to find others who understand this journey. Most people can't fathom what it’s like to live inside a body like mine—a body that feels like it’s 100 years old when I’m only in my 30s. But through it all, I’ve found a community of others with rare disorders, people who understand the loneliness, the grief, the resilience required to keep going. These connections, though few and far between, are everything.

My journey at Cleveland Clinic is far from over; there will be more surgeries, more admissions, more moments of despair. I’ve had to learn to advocate for myself, to push for answers, and to find strength in a body that continually tries to defeat me. But at the Clinic, I’ve learned to trust doctors again. I’ve learned that there are medical professionals who care if I live and how well I feel. They’ve never stopped fighting for me. More than just saving my body, my doctors have saved me. I’m determined to live a life worthy of what they’ve done for me.

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Feeling Kinda Frustrated 😩

While I am happy to announce that I am FINALLY scheduled to see a dietician one week from today 🥳🎉🙌🏻🤗 I have to admit that I am also feeling incredibly anxious about the appointment. #SuperiorMesentericArterySyndrome is a rare condition and, as someone well-versed in living with a different rare condition already, my fear is that I am going to be the most educated on the subject when I finally make it into the consult. 🤞🏻🤞🏻

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#Acceptance #Grief #RareDisease #Gratitude

I discovered in April that I've been living with #SuperiorMesentericArterySyndrome , and due to the abhorrent state of "healthcare" where I am, have been watching my health rapidly decline while I scramble solo to access appropriate and adequate treatment. I am expected to return to the remote job I absolutely LOVE on the 12th of next month, but am devastated by the reality that I will not be able to at that time. Today, I'm giving myself permission to both accept this unwelcome reality and grieve. I also grant myself the permission to acknowledge this as an opportunity to explore my passion for advocacy and writing more deeply than I have in the past.

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I’m new here!

Hi, my name is Aleishasmart. I'm here because I have recently been diagnosed with superior mesenteric artery compression. I've lost 12kgs, I can't eat or drink anything during the day while I'm at work, when I get home I try to eat dinner but manage about 3 mouthfuls before I'm in agony and start dry reaching. any help or chats with other people in the same boat as me would be great xxx

#MightyTogether #SuperiorMesentericArterySyndrome

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Hospital

Does anyone else feel like they have to be “the perfect patient” and not bother the nurses too much when you’re in the hospital? Every time I’m here I try so hard to ask for nothing and not bother them bc I’ve heard them complain and complain about patients and then get told im their favorite. Which means they’re nice to me when in my room, but otherwise every other patient comes first because im so “patient” and “understanding”. But the reality is I’m in severe pain and having panic attacks the whole time im here. And when I have to wait 1+ hours after pressing my nurse call button - I spiral. I have the flu on top of my ulcerative colitis and SMA syndrome right now so I’m in an isolated room with the door shut and no windows! Not to mention it’s NYE and I’m stuck here instead of with my husband and children. I am so miserable, alone and scared. 😢
#UlcerativeColitis #SuperiorMesentericArterySyndrome #Flu

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Has anyone here ever heard of Superior mesenteric artery syndrome?

When i was around 13-14 i was diagnosed with a severe case of SMA syndrome. I was hospitalized on and off for the course of three+ years and was administered a NJ tube- in which made me sicker and would get displaced daily. I’d love to share more of my story.

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Being Unique and Rare isn't all its cracked up to be

In 2010, I was diagnosed with my first rare disease. Its called Celiac Artery Compression syndrome and I had to have a surgery called ‘An Articular Patch’ to improve my quality of life. The surgery worked in a way where my quality of life went from 30% to approx 75%. Then in 2015, I began to fall ill again. I was diagnosed with yet another rare disease called ‘Superior Mesenteric Artery Syndrome‘. This also called for a major surgery where I had to get a bypass on my duodenum. This again improved my declining health from 20% to 70%. In early 2018, I again became seriously ill with ‘Gastroparesis‘. Living with these chronic illnesses has ruined my career, debilitated my social life, and rendered me feeling absolutely useless. Im also dealing with a undiagnosed issue where every 10-14 days I have what I call “My Exhaustion Days”. I sleep for 2 1/2 days straight, unable to do anything but get up to use the bathroom. During these 2 1/2 days I am literally rendered useless. I have major brain fog, confusion, the inability to form thoughts and sentences and just simple life functions. If I try to fight it off the “Exhaustion Days” will extend themselves until my body chooses its time to come back to reality. This mysterious chronic illness has been going on for approx 1 1/2yrs now. Defeated doesnt even come close to how I feel. I have been strongly advocating for myself for close to 12yrs and I no longer have the fight in me. I am beaten down beyond belief. I have lost so much I worked so hard to accomplish. I could go on and on with other issues that have arisen because of these chronic illnesses but I feel like those other issues can be addressed at another time. My main goal here was to explain my chronic illnesses to the best of my ability and to not get to technical (just yet).

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