Why am i bloated so much?
Answers:
Hormonal Bloating
For premenopausal women, bloating is habitually related to the menstruation. During the last two weeks of the menstrual cycle, specified as the luteal phase, women can retain water, which cause swelling in not only the belly, but also sometimes in the hand, feet and breasts.
The rising level of hormones also have a direct effect on the gastointenstinal tract. "This hormonal effect cause the GI tract not to empty as with alacrity and to produce gas," explains Dr. Grace Janik, director of Reproductive Endocrinology at St. Mary's Hospital in Milwaukee.
Because stool and gas are moving more slowly through the intestines, women often enjoy constipation and bloating in the two weeks before their period. When women get their period, their hormone levels drop and they sometimes gain diarrhea.
Although it's less adjectives, women can also have hormone-related bloating from varying, starting or stopping birth control pills, or from the contraceptive Depo-Provera. Bloating due to these contraceptives, however, usually subsides after about three months.
Abdominal swelling may be a sign of hasty pregnancy, particularly within women who aren't using birth control. Older women who are taking hormone therapy for menopausal symptoms such as hot flashes may also own discomfort from bloating.
Dr. Linda Bradley, a gynecologist and director of hysteroscopic services at the Cleveland Clinic Foundation, says that after taking a younger woman's medical history, she recurrently suggests the patient maintain a diary of her symptoms to help determine the cause(s). If it appears to be related to the menstrual cycle, she may prescribe a mild diuretic or birth control pills. Exercising, avoiding gas-producing foods and count bulk fiber to the diet may also ease premenstrual bloating.
Sometimes, Bradley say, women are not necessarily seeking treatment; many lately want to know that the cause is zilch serious.
Gynecological Obstruction
If abdominal bloating is persistent a bit then cyclical, it might be due to a mass such as an ovarian cyst or uterine fibroid. Women elder than 50 need to be especially mistrustful and consult a doctor about any chronic bloating, because it could be a sign of an ovarian tumor. "Age make a difference," Janik says. "An increase in abdominal size is much more concerning in women in the postmenopausal continuum."
To determine whether a mass is present, gynecologists will usually perform a transvaginal ultrasound. This will allow them to see if nearby is a mass on the ovaries that is putting pressure on the bladder or bowel and cause abdominal swelling and tightness. Women with ovarian cancer may also own ascites, an accumulation of fluid around the tummy that can cause bloating.
Gastrointestinal Bloating
Bloating that is to say not hormonal in spirit is often due to a gastrointestinal problem. Dr. Lin Chang, an associate professor of prescription at the University of California, Los Angeles, says that the first step contained by figuring out the mete out of abdominal bloating is taking a detailed history to determine whether it's associated with drinking or drinking.
Bloating can be caused by diet, in particular if someone who has a dignified salt intake or eat a lot of gas-producing foods, such as dimness leafy vegetables or beans. Calcium supplements can also cause gas contained by some people. Doctors may recommend that society avoid these foods or products to see if they're the culprit.
But the most common gastrointestinal explanation of abdominal bloating, Chang says, is irritable bowel syndrome (IBS). IBS is a adjectives condition characterized by abdominal discomfort and bloating, along with diarrhea and/or constipation.
Women next to IBS do not usually have more gas and bloating than other general public, but instead are more sensitive to it. While IBS is difficult to treat, it may be helped by medication or even psychotherapy.
Persistent bloating can also sometimes be a sign of a partial or complete intestinal blockage. There are many possible cause of these blockages, including scar tissue from prior surgeries, guaranteed medications, abdominal infections and hernias. Additional symptoms of a partial or complete blockage are colicky abdominal dull pain, swelling, rumbling bowel sounds (borborygmi) and vomiting.
When bloating is accompanied by gas and diarrhea, a food intolerance could be the culprit. For example, individuals might be sensitive to lactose, the sugar in milk, or fructose, the sugar surrounded by fruit. This can be handled by simply avoiding lactose or fructose. Women beside lactose intolerance may also choose to treat milk products with the enzyme lactase.
Bloating is exceptionally common contained by women, but if the problem is making you uncomfortable, especially if it's insistent, experts say that getting it checked out is worthwhile.
The drug and health information post by website user , womenanswers.org not guarantee correctness , is for informational purposes with the sole purpose and is not a substitute for medical advice or treatment for any medical conditions.
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