Here are the causes, symptoms, and potential prevention methods and pain management options for endo belly.
What causes endo belly?
Endometriosis is a chronic condition in which tissue that's similar to the tissue that normally grows in your uterus grows outside of it.
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Each month, this tissue breaks down and bleeds - just like the lining of the uterus does. Because this tissue doesn't have a way to escape or leave the body, it gets trapped resulting in inflammation and the formation of scar tissue.
According to Heather Jeffcoat, DPT, and owner of Femina Physical Therapy, endo belly most likely occurs from endometriosis-related inflammation, causing a "belly that can be flat in the morning and look a few months pregnant by the evening."
Endometriosis is an individualized condition, so each person's experience is going to be different, both symptom-wise and in severity.
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"For some women, endo belly looks like a pregnancy in the third trimester," says Ross. "Others may look like they are in the second trimester of pregnancy. Every woman has a different presentation and belly protrusion."
Endo belly before and after:
"Endo belly typically ignites my body dysmorphia to a staggering degree," says Danielle Payton, a woman with endometriosis and the co-founder of kuddose, an online digital fitness and wellness platform. "While I know the endo belly will eventually subside and the pain will subside ... I'm mentally triggered. It's a constant battle with my body and my mental wellbeing."
How to treat and prevent endo belly
Endometriosis should be examined on a case-by-case basis when it comes to pain management and treatment.
That said, you can reduce your endo belly symptoms by successfully managing your endometriosis (via excision surgery, dietary changes, and/or hormonal treatment) and treating any underlying gastrointestinal conditions, such as SIBO or irritable bowel syndrome (IBS).
"Endo belly generally waxes and wanes with flare-ups of endometriosis, so conditions such as SIBO etc. must also be treated in order to eliminate these symptoms," says Laurence Orbuch, MD, endometriosis specialist, and director of GYN Laparoscopic/Robotic Associates LA.
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Other things that may help to prevent or reduce the symptoms of an endo belly flare-up include:
"Many women find relief from hot water bottles or heating pads to the abdominal area, but I find the most relief from a small ice pack in several layers of towels," says endometriosis advocate Brittany Ferri, an occupational therapist and founder of Simplicity of Health. "It gives a gentle cooling feeling to the pressure there."
Insider's takeaway
In addition to severe bloating, endo belly may also cause mental or emotional stress - this is especially true for individuals who are struggling with endometriosis-related infertility. "Looking pregnant" while you're desperately trying to conceive is yet another one of endometriosis' cruel jokes.
Finding a way to successfully manage your endometriosis and any other underlying conditions you may have is the best way to prevent or reduce the symptoms of endo belly. If you're suffering from unusually long-lasting abdominal bloating, be sure to contact your doctor as endometriosis isn't the only condition that can cause a swollen belly.
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