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Why does my stomach always look pregnant?

Many people who experience endo belly say they “look pregnant,” even though they're not. Endo belly is just one symptom of endometriosis. Those who experience endo belly often have other gastrointestinal symptoms, such as: gas pain.

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Share on Pinterest Endo belly is a term used to describe the uncomfortable, often painful, swelling and bloating associated with endometriosis. Endometriosis is a condition in which tissue similar to the lining inside the uterus, called the endometrium, is found outside the uterus where it doesn’t belong. Research estimates endometriosis affects more than 11 percent of women between ages 15 and 44. Along with pain, infertility, and heavy menstrual bleeding, endometriosis can also cause gastrointestinal symptoms, such as: diarrhea

nausea

constipation

bloating Endo belly is rarely discussed, but it’s often a distressing symptom. This article will take a closer look at the symptoms of this condition as well as remedies and treatment options that may help. What causes endo belly? With endometriosis, the endometrial-like tissue that’s located in places outside the uterus acts in the same way the endometrium does: It builds up then breaks down and bleeds each month, just like the lining of your uterus. But because this tissue doesn’t have a way to leave your body, it gets trapped. The surrounding tissue can become inflamed and irritated, which can cause scar tissue to form. It can also cause the tissues inside the pelvis to stick together. Bloating and fluid retention are common endometriosis symptoms. One older study, for example, found that 96 percent of women with endometriosis experienced belly bloating compared with 64 percent of women who didn’t have the condition. There are several reasons why endometriosis may cause abdominal bloating: A buildup of endometrial-like tissue can cause inflammation in the abdomen, resulting in swelling, water retention, and bloating. The endometrial-like tissue can cover or grow into the ovaries. Trapped blood can form cysts when this happens, which may cause bloating. Those with endometriosis are more prone to small intestinal bacterial overgrowth (SIBO) and fibroids, which may also lead to bloating.

Endometriosis often causes issues with digestion, such as constipation and gas.

What are the typical symptoms? The main symptom of endo belly is severe bloating, especially during or right before your period. Bloating is when the abdomen fills with air or gas, making it look larger. It may also feel tight or hard to the touch. Endo belly can cause discomfort, pain, and pressure in your abdomen and back. The lower abdomen can swell for days, weeks, or just a few hours. Many people who experience endo belly say they “look pregnant,” even though they’re not. Endo belly is just one symptom of endometriosis. Those who experience endo belly often have other gastrointestinal symptoms, such as: gas pain

nausea

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constipation

diarrhea

Do any home remedies help? Most self-care measures for endo belly involve making changes to your diet. Some options include: avoiding inflammatory foods, such as processed foods, red meat, gluten, dairy, alcohol, and caffeine following a low FODMAP diet and avoiding high FODMAP foods, such as wheat, dairy, legumes, and certain fruits and vegetables, to ease bloating and gas

drinking peppermint tea or ginger tea to relieve digestive issues and pain

increasing fiber intake to prevent constipation

When should you see a doctor? Getting the right diagnosis when you have a bloated abdomen is important, especially if the bloating: happens frequently

lasts longer than a couple of days

is accompanied by pain To diagnose the cause of the bloating, your doctor will conduct a pelvic exam to feel your abdomen for cysts or scars behind the uterus. A transvaginal ultrasound or an abdominal ultrasound can help your doctor see images of the inside of your pelvic area. This can help your doctor determine whether scar tissue, cysts, or other issues are causing your bloated belly. What are the treatment options? You can relieve endo belly by managing endometriosis, the underlying condition that can cause your abdomen to swell. Treatment options for endometriosis include the following: Supplemental hormones or birth control pills may help regulate monthly hormonal changes that promote tissue growth outside the uterus. may help regulate monthly hormonal changes that promote tissue growth outside the uterus. Gonadotropin-releasing hormones (GnRH) may help block the production of estrogen, which stimulates the ovaries. may help block the production of estrogen, which stimulates the ovaries. Danazol (Danocrine) is a synthetic androgen that may help inhibit certain types of hormones. is a synthetic androgen that may help inhibit certain types of hormones. Laparoscopy is a minimally invasive surgery to remove the tissue growing outside the uterus. is a minimally invasive surgery to remove the tissue growing outside the uterus. Hysterectomy and oophorectomy (removing the uterus or the ovaries, respectively) are typically only done for those with severe, untreatable pain who don’t want to get pregnant in the future.

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