Endo belly is a term that’s been adopted to describe the stomach bloating
that in some cases accompanies women with endometriosis.  In clinical
language we would characterize endo belly as abdominal distention,
meaning due to internal pressure, the stomach region is enlarged or
swollen. This distention or internal pressure can range from mild discomfort
to intense pressure.

The chronic inflammation in the pelvis region caused by endometriosis can
lead to tissue swelling and fluid build-up within the abdomen.   Additionally,
endometriosis affecting the intestines can result in constipation,  bloating,
irregular bowel habits – all contributing to the belly bulging.  The bloating
often worsens around the time of menstruation due to the endometriosis-
driven hormonal shifts, and can be further exacerbated by how
endometriosis can wear down pelvic floor muscles.  

Helpful strategies in managing endo belly include adopting an anti-
inflammatory diet focusing on whole foods, and discussing with your GI
doctor ways to reduce inflammation.  

Regular exercise promotes improved blood flow and lymphatic drainage
which can help decrease fluid retention and the feeling of heaviness in the
belly.  Exercise encourages regular bowel movements and for those with
endometriosis affecting the bowels, this can reduce bloating and

constipation. Additionally, exercise lowers stress levels and improves
mood, both of which can worsen endo belly is left unmanaged. 

Diagnosing the cause of abdomen bloating generally involves a thorough
history, possibly referrals to see a bowel specialist, and referral to an
endometriosis specialist to rule out ovarian cysts or other uterine issues
that may be causing your bloated belly.