Endo Belly: Why Endometriosis Can Cause Severe Bloating
Many people living with endometriosis experience sudden and severe abdominal bloating often referred to as “endo belly.” This term describes the painful abdominal swelling that can occur before or during menstruation and can make the abdomen appear noticeably distended.
Endo belly is different from typical bloating. For some people, it can appear quickly, may be associated with specific times of the menstrual cycle, and be accompanied by pelvic pain, digestive discomfort, fatigue, or changes in bowel movements.
Why Endometriosis Can Cause Bloating
Several factors may contribute to endo belly.
Inflammation
Endometriosis is associated with chronic inflammation in the pelvic cavity, which can lead to swelling and irritation of surrounding tissues. The buildup of endometriosis lesions can cause further inflammation and water retention.
Digestive system involvement
Endometriosis can affect structures near the bowel, which may lead to bloating, constipation, gas, or painful bowel movements. It is also associated with alterations to the gut microbiome which can further the bloating.
Hormonal fluctuations
Changes in estrogen and progesterone throughout the menstrual cycle can also influence digestion and fluid retention. Both of these hormones play a role in endometriosis symptoms and progression.
When Bloating Might Be a Sign of Endometriosis
Bloating can be common, but it may be worth investigating further if it:
worsens around your menstrual cycle
occurs with painful periods, pelvic pain, or other symptoms of endo
is accompanied by pelvic pain or pain during sex
occurs alongside bowel symptoms during menstruation
Digestive symptoms are sometimes mistaken for gastrointestinal conditions before endometriosis is even considered.
Holistic Treatment for “Endo Belly”
If you are experiencing severe bloating, painful periods, or pelvic pain, it may be worth exploring whether an underlying condition such as endometriosis could be contributing to your symptoms.
Dr. Jessica Nazareth, ND offers integrative care focused on hormones and pelvic health at The Den Wellness Collective in Vancouver, with virtual appointments available across British Columbia.
Book your complementary call here!
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