Tame your perimenopause belly bloat by learning simple tips from Versalie

Bloating & Hormone Changes: A Guide to Tame the Belly Bloat

By Naomi Braun, MPH, MSW • Published 04/28/2025

Medically Reviewed by Dr. Jill Liss, MD

Have you ever finished a meal and felt like you could burst? Or maybe you’ve looked down and noticed your stomach or belly feels bigger? If so, you’re not alone! Bloating can be a frustrating and uncomfortable experience, and it turns out that hormone changes can play a role in how your digestive system functions. Let’s dive into what bloating feels like and how hormone changes might be contributing to it.  

What does bloating feel like? 

Bloating is a condition where the abdomen feels full, tight, or swollen because of gas buildup or digestive issues. It can be caused by overeating, food intolerances, or underlying medical conditions like irritable bowel syndrome (IBS). The experience of bloating can vary from person to person, but common sensations include: 

  • Full or tight sensation. Even if you haven’t eaten much, you might feel like your stomach is completely full. The sensation can make your clothes feel tighter around your waist, even though this is often not the case. 
  • Gassy and distended abdomen. You might notice a lot of gas or that your belly feels bigger, which can make you self-conscious or uncomfortable. 
  • Discomfort after eating. Certain foods can aggravate bloating, making you feel worse after eating. 

While bloating isn’t usually a sign of something serious, it can certainly interfere with daily life. It’s frustrating to feel like your body is betraying you, especially if you’re already juggling other issues. 

The foods you eat can make a difference when it comes to bloating and gut health during menopause

How hormone changes can affect bloating 

Hormone changes can have a significant impact on your digestive system. When hormone levels fluctuate or decline, along with normal aging processes, it can affect how your body processes food and how your gut functions.  

Slower digestion 

Hormones like estrogen and progesterone help the digestive system work efficiently. When these hormone levels change, it can affect how the digestive system functions.  

Changes in gut microbiome 

Hormonal changes can also affect the balance of bacteria in your gut. This means that as hormone levels change, your gut may have less diversity of gut bacteria. This can lead to digestive issues and increased sensitivity to certain foods. Gassy foods like beans, cruciferous vegetables, and dairy products may cause more noticeable bloating as your gut bacteria adjust. 

What to do to get bloating relief 

While bloating may not be entirely avoidable, there are steps you can take to reduce or manage it. The key is to listen to your body and find what works for you. 

Supplements or medications 

If your bloating is persistent and severely impacts your quality of life, it’s worth talking to your doctor. Some people may benefit from supplements like probiotics, which can help with gut health. Over-the-counter medications simethicone (which helps reduce gas) may also be helpful. In some cases, prescription options may be necessary. Always talk to your doctor to determine the best course of action. 

Keeping a food diary of triggers for bloating can help you figure out what bothers you

Dietary changes 

What you eat plays a crucial role in how your body feels. Some foods can worsen bloating, while others can help reduce it. 

  • Focus on food triggers. Keep a food diary and pay attention to foods that make bloating worse. Once you know your triggers, try to avoid or limit them to keep you comfortable. 
  • Eat smaller, more frequent meals. Eating large meals can overload your digestive system, leading to bloating. Smaller, more frequent meals are easier to digest and can reduce the chances of bloating. 
  • Stay hydrated. Drinking water can help reduce bloating. When you’re dehydrated, your body tends to hold on to water, which can make you feel more bloated.  
  • Limit gas-producing foods. Foods like beans, cabbage, onions, and dairy products can create excess gas and contribute to bloating. You don’t have to eliminate them entirely, but being mindful of how much you consume can help. 
  • Incorporate fiber. Fiber helps keep your digestive system regular. Gradually add fiber to your diet and drink plenty of water to help prevent constipation and bloating. Examples of high-fiber foods include fruits, vegetables, whole grains, beans, nuts, and seeds. 

Exercise 

Regular physical activity can improve digestion, reduce bloating, and help your body manage the physical changes that come with hormone fluctuations. 

  • Walking. A short walk after eating can help stimulate digestion and reduce bloating. 
  • Yoga. Some yoga poses, such as twists and stretches, might help relieve gas and promote smoother digestion. 
Yoga is a great form of exercise that can help you manage stress and may help relieve bloating

Stress management

Stress can cause digestive issues and increase bloating. Managing stress is essential, especially since emotional changes can feel like a constant companion during this time of life. 

  • Mindfulness and meditation. Techniques like deep breathing, meditation, or mindfulness can help calm your nervous system, reduce stress, and potentially improve digestion. 
  • Sleep. Quality sleep is another important aspect of managing stress. Hormone changes can affect how you sleep, so creating a bedtime routine that helps you rest can support your body in coping with changes. 

When to seek medical advice 

Bloating can be a common issue, but if you experience any of the following symptoms, it’s important to talk to your doctor: 

  • Sudden, severe bloating that doesn’t go away 
  • Unusual pain or discomfort 
  • Unexplained weight loss or appetite changes 
  • Blood in your stool or unusual bowel movements 

These symptoms could be signs of something more serious. It's always better to check with a healthcare professional. 

FAQs 

Do hormone changes cause bloating? 

Hormone changes can lead to changes in the pace of digestion and the gut microbiome. While bloating is a common issue, it’s not yet fully understood whether it’s a direct result of hormone changes. Lifestyle adjustments and dietary changes may help manage bloating. 

Can stress cause bloating? 

Yes, stress can give you a bloated feeling. It affects digestion and slows down the movement of foods in the gut. Stress can also lead to increased swallowing of air (aerophagia) and trigger the release of stress hormones that affect gut bacteria. This imbalance may result in gas buildup, discomfort, and bloating. This can occur in anyone and is not specific to or typical of menopause. 

Last Updated 04/28/2025

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