Perimenopause Bloating: Causes, Remedies, and Prevention

Top ways to fight bloat in perimenopause and menopause

By Womaness Editors     3-Minute Read

 

Perimenopause bloating refers to the bloating and weight gain that many women experience during this transitional phase in life.

It's important to note that while bloating is a common symptom of perimenopause, it's not the only factor contributing to changes in your body shape during this time. Hormonal fluctuations can also lead to an increase in fat storage, particularly around the abdomen, resulting in what's often referred to as "perimenopause belly". While bloating is usually temporary, weight gain during perimenopause can be more permanent and doesn't fluctuate throughout the day like bloating does. 

How do I get rid of perimenopause belly?

Here are some key strategies to help manage and potentially reduce perimenopause belly:

1. Dietary Changes

Adopt a healthy, balanced diet rich in fiber and low in processed foods. Limit intake of foods that can increase bloating such as beans, lentils, broccoli, dairy, refined sugars, and carbonated drinks. Hydrate regularly and moderate your consumption of alcohol and caffeine.

2. Regular Exercise

Engage in regular physical activity, including a mix of aerobic exercises and strength training. Exercise can improve digestion, reduce water retention, and help manage weight gain associated with perimenopause.

3. Stress Management

Stress can exacerbate bloating and weight gain. Incorporate stress management techniques such as yoga, meditation, or deep-breathing exercises into your daily routine.

4. Adequate Sleep

Ensure you are getting enough sleep. Lack of sleep can disrupt hormone levels and lead to weight gain.

5. Medical Consultation

If bloating and weight gain persist despite lifestyle modifications, consult with a healthcare provider. They can provide guidance and may suggest medications or other treatments to help manage your symptoms.

What causes bloating during perimenopause?

Bloating during perimenopause is primarily caused by hormonal fluctuations, particularly an increase in estrogen levels. This hormonal change can lead to water retention and gas retention, both of which contribute to a feeling of fullness or tightness in the abdomen. Other factors such as diet, stress, and certain health conditions can also contribute to bloating during this period.

Additionally, shifts in ovarian hormones can also cause bloating. The rapid changes in hormones during perimenopause can disrupt the normal functioning of the gastrointestinal system, leading to increased gas production and bloating.

  • Hormonal fluctuations: Rapid changes in hormones during perimenopause can lead to bloating.
  • Increased estrogen levels: Higher levels of estrogen can cause water and gas retention, resulting in bloating.
  • Diet: Certain foods can increase gas production, leading to bloating. These include beans, lentils, broccoli, dairy, refined sugars, and fizzy or carbonated drinks.
  • Stress: Stress can disrupt the normal functioning of the gastrointestinal system, leading to bloating.
  • Health conditions: Certain health conditions can also cause bloating during perimenopause.

What remedies can help alleviate bloating during perimenopause?

There are several remedies that can help alleviate bloating during perimenopause. One of the most effective ways is to make dietary changes. This includes drinking lots of water, limiting alcohol and caffeine, eating lots of fiber and a probiotic-rich diet, and cutting back on processed foods. These changes can help reduce water and gas retention, thereby alleviating bloating.

Another effective remedy is to take a probiotic supplement. Probiotics can help improve gut health and reduce gas production, which can in turn help alleviate bloating. Regular exercise can also help reduce bloating by improving digestion and reducing water retention.

  • Hydration: Drinking lots of water can help reduce water retention and alleviate bloating.
  • Dietary changes: Limiting alcohol and caffeine, eating lots of fiber and a probiotic-rich diet, and cutting back on processed foods can help reduce bloating.
  • Probiotic supplements: These can improve gut health and reduce gas production, thereby helping to alleviate bloating.
  • Exercise: Regular physical activity can improve digestion and reduce water retention, helping to alleviate bloating.
  • Medication: Over-the-counter anti-bloating medication and prescription water-reduction pills (diuretics) can also help prevent water retention and reduce bloating.

"When you have excess fat at this stage of life, menopause is shifting the storage of it to your midsection." Kim Schlag, Fitness Expert

How can bloating during perimenopause be prevented?

Preventing bloating during perimenopause largely involves lifestyle modifications. Staying hydrated by drinking plenty of water, eating a diet rich in fiber and probiotics, and limiting intake of alcohol, caffeine, and processed foods can all help prevent bloating. Regular exercise can also aid in digestion and reduce water retention, further preventing bloating.

Additionally, avoiding foods that increase gas production, such as beans, lentils, broccoli, dairy, refined sugars, and fizzy or carbonated drinks, can also help prevent bloating. Other measures include not chewing gum, avoiding smoking, and considering the use of hormonal birth control pills or menopausal hormone therapy to stabilize hormone levels.

Some good food and diet suggestions can be found here. What to eat and avoid to improve your menopause symptoms

What is the difference between bloating and weight gain during perimenopause?

While both bloating and weight gain can occur during perimenopause, they are different. Bloating is a temporary condition that can occur around the menstrual cycle or after certain food intake. It is characterized by a feeling of fullness or tightness in the abdomen and is primarily caused by water and gas retention due to hormonal fluctuations.

On the other hand, weight gain during perimenopause is more permanent and does not fluctuate throughout the day like bloating does. It is primarily caused by hormonal changes that lead to an increase in fat storage, especially in the stomach area. Adopting a balanced diet, getting adequate sleep, and regular exercise can help manage both weight gain and bloating during perimenopause.

When should I see a doctor for bloating during perimenopause?

While occasional bloating during the menstrual cycle or menopause is normal, prolonged or painful bloating should be immediately addressed with a doctor. Extended periods of bloating can indicate severe conditions like ovarian cancer. Therefore, it's important to monitor your symptoms and seek medical advice if bloating persists or is accompanied by other concerning symptoms such as severe abdominal pain, unexplained weight loss, or changes in bowel habits.

It's also recommended to consult a healthcare provider if bloating is affecting your quality of life or causing significant distress. Your doctor can provide guidance on what is best for your situation and may suggest lifestyle changes, medications, or other treatments to help manage your symptoms.

Are there special diets to follow to prevent bloating during perimenopause?

Yes, certain dietary changes can help prevent bloating during perimenopause. A diet rich in fiber can help improve digestion and reduce bloating. Foods high in fiber include fruits, vegetables, whole grains, and legumes. Probiotic-rich foods, such as yogurt, kefir, sauerkraut, and other fermented foods, can also help improve gut health and reduce gas production, thereby helping to alleviate bloating.

It's also recommended to limit intake of foods that can increase gas production, such as beans, lentils, broccoli, dairy, refined sugars, and fizzy or carbonated drinks. Additionally, staying hydrated by drinking plenty of water and limiting intake of alcohol and caffeine can help reduce water retention and alleviate bloating.

Can exercise help with bloating during perimenopause?

Yes, regular exercise can help reduce bloating during perimenopause. Physical activity can improve digestion and reduce water retention, both of which can help alleviate bloating. A mix of moderate and vigorous exercise, including aerobic exercises like swimming, walking, bicycling, and running, as well as resistance or strength training, can be beneficial.

Exercise can also help manage other symptoms of perimenopause, such as mood swings and weight gain. However, it's important to choose an exercise routine that you enjoy and can stick with. Always consult with a healthcare provider before starting a new exercise program.

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