[vc_row][vc_column][vc_row_inner][vc_column_inner width=”1\/3″][vc_single_image image=”13671″ img_size=”full” style=”vc_box_rounded” css_animation=”fadeIn”][\/vc_column_inner][vc_column_inner width=”2\/3″][vc_column_text css_animation=”fadeIn”]Are you sometimes so bloated that you feel like you are pregnant? Or even had people ask you if you are pregnant? Do you have an extra set of clothes set aside for those times when you are so bloated that it\u2019s time for a wardrobe switch? Maybe you are like Samantha, a woman just trying to deal with this painfully inconvenient, embarrassing physical disruption, along with all of the other frustrating and painful effects of Endometriosis.<\/p>\n
We met Samantha in a forum recently, and she agreed to share her story and photo. She says: \u201cI now only go out to doctors\/hospitals or dentist as I cannot cope with people thinking and staring at me thinking I am pregnant. Every doctor blames the bloating on something else, but no one has investigated or tried to do anything about it. I would be so grateful for any help, as I feel totally alone.\u201d[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator color=”custom” accent_color=”#532f64″][vc_column_text css_animation=”fadeIn” css=”.vc_custom_1556310883279{padding-bottom: 30px !important;}”]<\/p>\n
The severe bloating that goes hand-in-hand with endometriosis is too often dismissed by doctors as a minor symptom. For the patient, however, this symptom can be emotionally and physically devastating.<\/strong><\/p>\n [\/vc_column_text][vc_separator color=”custom” accent_color=”#532f64″][vc_column_text css_animation=”fadeIn”]Endo Belly is also an example of the wide array of symptoms endometriosis patients experience and one of the very common misunderstandings about this disease. Physicians, patients, and even endometriosis specialists often misunderstand the root cause of many \u201cendo symptoms\u201d.\u00a0Are they always a result of endo, or could there be other causes?<\/p>\n Good progress has been made on increasing awareness of endometriosis and optimal treatment. Proper surgical treatment of endometriosis requires wide excision of the endometriotic implants rather than just burning or cautery. Surgery that simply burns the surface of the implants leaving underlying disease behind is often associated with either continued symptoms or recurrence of symptoms soon after surgery.<\/p>\n This is not the full story, however, and to truly understand this condition, we need to raise awareness of the missing pieces in the puzzle. In my 25 years of practice specializing in endometriosis, I have come to appreciate the complexity of the pattern of symptoms many of my patients deal with. While approximately half of my patients are primarily affected by endometriosis, which is effectively resolved by excision surgery, the other half have other conditions or health problems that co-exist with their endometriosis. In this latter group of patients, while excision surgery provides the foundation of their treatment, complete resolution of their symptoms requires that we address additional health problems, including multi-systemic dysfunction. In these patients, it is a mistake to automatically assume that continued symptoms after surgery are due to persistent or recurrent endometriosis. The real problem may well extend beyond this diagnosis and often encapsulates other often-related health conditions that may masquerade or be overshadowed by the initial diagnosis of endometriosis.[\/vc_column_text][vc_separator color=”custom” accent_color=”#532f64″][vc_column_text css_animation=”fadeIn” css=”.vc_custom_1556310937626{padding-bottom: 30px !important;}”]<\/p>\n \u201cEndo Belly\u201d can be the result of endometriosis implants and may get better after surgical removal of the disease. Endometriosis implants, however, are not the only cause of \u201cEndo Belly\u201d.<\/strong><\/p>\n [\/vc_column_text][vc_separator color=”custom” accent_color=”#532f64″][vc_column_text css_animation=”fadeIn”]One such example is the infamous \u201cEndo Belly\u201d. While \u201cEndo Belly\u201d can be the result of endometriotic implants, and may resolve after complete excision of all endometriosis, this is certainly not always the case and other health problems can also cause or contribute to those all-too-familiar flares of extreme bloating and distention. At our center, we therefore approach endometriosis and its associated health problems from a multi-disciplinary paradigm including traditional medicine (e.g., excision surgery), as well as a variety of integrative and holistic modalities.<\/p>\n Our approach is based upon the most recent scientific information. We treat the whole patient, not simply surgical removal of the endometriosis implants. One example of this is the role of the bowel, including the human microbiome (the bacteria that live in our bowel), in causing pelvic pain and other health problems. We will discuss below the importance of gut bacteria as a contributing causal factor in bloating and \u201cEndo Belly\u201d. This is a very brief overview and covers just a few of the important facts about the critical impact of our intestinal health on our overall health.<\/p>\n Best wishes, What does your gut bacteria have to do with that annoying bloating and gastrointestinal discomfort? A lot!<\/p>\n We have more bacteria living in our guts than we do human cells in our body. We have a balance of beneficial (commensal) bacteria and potentially pathogenic bacteria (disease-causing unfriendly bacteria). This is actually one of the most complex ecosystems in nature. It is important to maintain a healthy balance of bacteria in the gut.<\/p>\n These beneficial bacteria are not simply along for the ride, but rather, they play a critical role in our health. For example, they are involved in digesting food that we eat, producing vitamins such as vitamin K2 and biotin, converting thyroid hormone into its active form, detoxification, reducing inflammation, reducing pathogenic forms of bacteria, and energy production. These are only a few of their important jobs! We also have yeasts and viruses in our guts. It\u2019s important to keep a healthy balance of these microorganisms in our guts too.<\/p>\n Gastrointestinal problems can be a result of bacterial problems in the small and\/or large bowel. Most of the bacteria are in the large bowel. A little is in the small bowel, but not nearly as much as in the large bowel. Dysbiosis is a condition where an imbalance in beneficial and potentially disease producing pathogenic bacteria occur in the bowel. SIBO (Small Bowel Intestinal Overgrowth) is a condition where the bacteria from the large bowel migrate up into the small bowel. With SIBO, the disease-producing of bacteria in the wrong location is exposed to undigested food, which it eats and turns into a large amount of gas (bloating, pain, indigestion).<\/p>\n Factors that may negatively alter the sensitive bacterial balance lead to dysbiosis or SIBO and include:<\/p>\n There are several common symptoms of dysbiosis and SIBO. You may be experiencing several of them. They include :<\/p>\n Dysbiosis is not uncommon in women with endo. Endometriosis-associated intestinal inflammation may alter the balance of gut microflora.[i] Balley and Coe investigated the intestinal microflora in female rhesu monkeys and found an increased amount of intestinal inflammation and fewer aerobic lactobacilli and gram negative bacteria in monkeys with endometriosis compared to those without the disease. A disruption in the gut microflora (dysbiosis) can have negative health consequences including poor digestion, malabsorption of nutrients, increased inflammation, and increased gastrointestinal infections.[ii] Intestinal microflora act as a barrier to gut pathogens by blocking attachment to the gut-binding site and produce antibacterial substances.<\/p>\n Problems with an overgrowth of bacteria in the small bowel can also result in the common gastrointestinal complaints among women with endometriosis. Recent studies have demonstrated the presence of Small Intestinal Bacterial Overgrowth (SIBO) in women with endometriosis.[\/vc_column_text][vc_separator color=”custom” accent_color=”#532f64″][vc_column_text css_animation=”fadeIn” css=”.vc_custom_1556311106924{padding-bottom: 30px !important;}”]<\/p>\n In one study, 40 out of 50 women with laparoscopic confirmed endometriosis were found to have SIBO. [iii] SIBO needs to be considered as a contributing factor anytime a woman has severe bloating.<\/strong><\/p>\n [\/vc_column_text][vc_separator color=”custom” accent_color=”#532f64″][vc_column_text css_animation=”fadeIn”]The gut also plays an important role in estrogen elimination. Phase II detoxification in the liver (medical term for the process of eliminating many hormones including estrogen) utilizes conjugation of estrogen to other compounds so they can be excreted in bile.[iv] If the gut flora is unbalanced, certain bacteria secrete an enzyme called beta-glucuronidase, which cleaves the glucuronide molecule from estrogen, allowing estrogen to be reabsorbed into circulation vs excreted in the stool. Lactobacillus, a healthy bacteria, decreases the activity of B-glucoronidase.[v] If the activity of B-glucoronidase is increased, more estrogen will be reabsorbed and potentially worsen the endometriosis.<\/p>\n Do you have any of these symptoms? If you do, they may be caused by more than your endo inflammation. If you have these symptoms after good quality endometriosis excisional surgery, your endometriosis is gone, but your symptoms may be a result of other conditions such as the ones discussed above. Some tests that may be performed include a hydrogen\/methane breath test, a comprehensive stool study through a lab such as Genova Diagnostics, organic acid testing, and food sensitivity testing. There may also be therapeutic diets that can be helpful for symptom management such as the Specific Carbohydrate diet, the FODMAP diet, the Microbiome Diet, and the Autoimmune Paleo Diet. There is no one size fits all treatment for dysbiosis. Some diets that help with dysbiosis can make SIBO worse. A qualified practitioner can help to determine what studies and treatment may be helpful. \u00a0Some of the lab tests which may be relevant are included in our\u00a0Specialized Lab Testing<\/a>\u00a0at Vital Health Endometriosis Center.[\/vc_column_text][vc_column_text css_animation=”fadeIn”]You may be interested in this video : Enterome: the gut microbiome and it\u2019s impact on our health:[\/vc_column_text][vc_video link=”https:\/\/youtu.be\/0XrLUAzFtjA” align=”center” css_animation=”fadeIn”][vc_column_text css_animation=”fadeIn”]Wishing you a happy and healthy day, [\/vc_column_text]
\nDr. Andrew Cook[\/vc_column_text][vc_column_text css_animation=”fadeIn”]<\/p>\nGut Bacteria & Endo Belly \u2013 Why You Look & Feel So Bloated<\/h4>\n
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\nThe Vital Health Team[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\nVital Health Endometriosis Center continues to provide the most comprehensive approach to the diagnosis and treatment of endometriosis.<\/h4>\n