GI Disturbances in Perimenopause and Menopause

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As women journey through the different stages of life, they often encounter a myriad of changes in their bodies. While the physical transformations associated with puberty are well documented, there’s another profound shift that occurs as they approach midlife – the transition through perimenopause into menopause. Beyond the widely acknowledged hormone fluctuations, there’s an aspect of this transition that doesn’t often get the attention it deserves: Gastrointestinal (GI) Disturbances.

The hormonal changes in perimenopause and menopause not only impact mood, sleep, and hot flashes but can also disrupt the delicate balance within the digestive system. These imbalances can lead to a range of GI issues. bloating, constipation, diarrhea, and indigestion and become unwelcomed companions for many women during this time.

Ever had one of those days where you wake up and are set on wearing your favorite pair of jeans, only to discover they feel like they’ve shrunk overnight? Yep, I’ve been there too! Bloating has the sneaky way of making an unannounced entrance into our lives. 

In this article, I will dive deep into the why and how of GI disturbances during perimenopause and menopause, shedding light on the science behind these changes. But I won’t stop there. I will also be here to provide you with knowledge, offering practical tips and natural remedies to help you navigate these uncomfortable symptoms no one likes to talk about.

Understanding the Gut-Hormone Connection

Perimenopause and menopause, collectively referred to as the menopausal transition are marked by significant hormone fluctuations, primarily the decline in estrogen and progesterone levels. While these hormonal changes are well known for their roles and hot flashes and mood swings, their influence extends to the digestive system as well. 

Estrogen receptors are not confined solely to the reproductive organs; they are distributed throughout the body, including the gastrointestinal tract. This hormonal interplay can disrupt the gut’s delicate balance, leading to a range of issues like slow digestion, altered gut motility and changes and gut flora. Additionally, lower estrogen levels can contribute to increased visceral fat, which can further exacerbate GI symptoms 

Lifestyle Changes to Alleviate GI Disturbances

1. The Balancing Act with Diet and Nutrition

One of the most effective ways to manage GI disturbances during perimenopause and menopause is by adopting a mindful approach to your diet. Incorporating fiber-rich foods, probiotics, and prebiotics can help regulate bowel movements and maintain gut health. Avoiding trigger foods like caffeine, spicy dishes, and excessive sugar can also reduce discomfort.

Adding Fiber for Better Digestion

Fiber is your gut’s best friend. It comes in two forms: soluble and insoluble. Both play crucial roles in maintaining digestive health.

Soluble Fiber: This type of fiber dissolves in water and forms a gel like substance in your gut. It  helps soften stool, making it easier to pass. Foods rich in soluble fiber include oats, legumes, and citrus fruits.

Insoluble Fiber: Insoluble fiber doesn’t dissolve in water. Instead, it adds bulk to your stool aiding in regular bowel movements. Whole grains, nuts, seeds, and vegetables like broccoli and kale are great sources.

Adequate fiber intake can prevent constipation and promote regularity, reducing the chances of waking up with that uncomfortable bloated feeling. Aim to include a variety of fiber rich-foods in your diet for optimal digestive health.

Avoid FODMAPs for Sensitive Digestion

FODMAPs (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols) are a group of fermentable carbohydrates found in many foods. While they are generally healthy they can  trigger digestive symptoms in individuals with sensitive guts. Common High-FODMAP foods include:

Fructose: Found in certain fruits like apples, pears, and watermelon.

Lactose: Present in dairy products like milk, yogurt, and soft cheeses.

Fructans: Found in wheat, onions, and garlic

Polyols: Found in some sweeteners and fruits like cherries and plums.

You may not need to eliminate these completely, but should identify specific trigger foods and adjust your diet accordingly.

Limiting Carbonation to Reduce Gas Buildup

Carbonated beverages, such as soda, sparkling water, and beer, can introduce excess gas into your digestive system. When you consume these fizzy drinks, you’re essentially swallowing air, which can lead to bloating and discomfort.

To reduce the chances of waking up with a bloated belly, consider cutting back on carbonated beverages. Opt for water or herbal teas instead. If you enjoy that effervescence of sparkling water, try letting it sit for a while to allow some of the bubbles to dissipate before drinking.

2. Stress Reduction

Stress plays a significant role in exacerbating GI issues. Incorporating stress reduction practices such as yoga, meditation, deep breathing exercises can help soothe the nervous system and promote digestive wellness. Prioritizing quality sleep is equally important, as it allows the body to repair and regenerate, supporting overall gut function.

3. Stay Hydrated and Move Regularly

Hydration is essential for healthy digestion. It keeps your digestive system moving along. Ensure you are drinking an adequate amount of water daily to keep things flowing smoothly. 

Regular physical activity also helps maintain healthy gut motility. Aim for at least 30 minutes of moderate exercise most days of the week. Walking is a great way to help keep things moving in the gut.

4. Natural Remedies to Improve GI Health

Ginger and Peppermint: Ginger and peppermint have long been recognized for their digestive benefits. Ginger can alleviate nausea and promote better digestion, white peppermint has muscle relaxing properties that can soothe the digestive tract. Consider sipping on ginger tea or enjoying peppermint infused meals to ease discomfort.

Probiotics: Probiotics are live microorganisms, primarily beneficial bacteria and some yeast, that are similar to the beneficial microorganisms naturally found in your gut. These “good” bacteria are essential for maintaining a balanced and healthy gut microbiome. Certain Probiotics improve nutrient absorption, especially for those with absorption issues. Probiotics strengthen the gut barrier, preventing harmful substances from entering the bloodstream and causing inflammation. They can lower gut inflammation, relieving symptoms of conditions like IBS. Probiotics can support regularity by helping regulate bowel movements, aiding those with constipation or diarrhea. 

Wrapping Up 

GI disturbances during perimenopause and menopause are a natural part of the transition, but they need not disrupt your quality of life. By understanding the science behind these changes and making proactive lifestyle adjustments, you can navigate this phase with greater ease. Incorporating natural remedies can further enhance your gut health, promoting overall well-being. 

I’ve been there. Dealing with digestive issues can be frustrating. From bloating to persistent constipation, gut health can impact your daily life. It’s essential to remember that there’s no one-size-fits-all solution. Everyone’s digestive system is unique, so it’s essential to listen to your body and adjust your diet accordingly to find what works best for you. But by understanding your body and making mindful dietary choices, you can find your path to improved digestive health. Here’s to happier, healthier days and a gut that feels it’s best!

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