Digestive issues

Your hormones and gut are closely interconnected. During menopause, your digestive system may behave differently than usual. You might experience constipation, diarrhoea, or other digestive discomforts. Many women encounter these issues. What exactly happens in your body, and what can you do to address it?

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Summary

  • During menopause, declining hormone levels can trigger digestive issues. These symptoms are often most pronounced in the years surrounding the final menstrual period.
  • A healthy and diverse gut microbiome is essential for digestion. Hormonal changes, stress, and poor dietary habits can disrupt the gut microbiome, exacerbating digestive problems.
  • Allergies, intolerances, medications, or other health conditions may also contribute to these issues.
  • Healthy eating, regular physical activity, and adequate rest can support your gut and digestion. Probiotics and psyllium fibre (as a supplement) can also help promote regular and comfortable bowel movements.
Since menopause, I often suffer from diarrhoea. I’ve avoided various foods, but that doesn’t seem to be the cause. Why is this happening?
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Tea49 years old

What happens in your body?

The gut is a fascinating organ that is influenced by your hormones. During perimenopause, progesterone levels drop more rapidly than oestrogen, which can result in oestrogen dominance. This may cause your body to retain water, leading to harder stools. This often results in constipation, bloating, and flatulence.

Later in menopause, sex hormone levels decline further. This can impact your intestinal muscles and metabolism, causing both constipation and diarrhoea.

Digestive issues are common during menopause. Women often notice this through symptoms such as constipation, diarrhoea, abdominal pain, bloating, or stomach cramps. These symptoms are typically most noticeable in the two years before and after the final menstrual period, as hormonal fluctuations are at their peak during this time. In postmenopause, hormone levels stabilise, and symptoms often diminish.

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Other causes

Digestive and gastrointestinal issues are not always linked to hormonal fluctuations. You may have developed an intolerance or allergy, such as lactose or gluten intolerance. Additionally, elevated cortisol levels (in other words, being constantly stressed or on edge) can slow down or speed up digestion, leading to sluggish bowels, diarrhoea, or gut inflammation.

Furthermore, the use of medications or underlying health conditions can contribute to digestive issues. Other menopause symptoms, such as joint pain, muscle loss, and poor sleep, can also indirectly affect your overall well-being and exacerbate digestive complaints.

The gut microbiome during menopause

The gut flora plays a vital role in digestion and deserves special attention. The gut is home to billions of bacteria, collectively known as the gut microbiome. The more diverse these bacterial strains are, the better. These bacteria break down food and extract essential nutrients for your body.

Hormonal changes during menopause, as well as stress or an unhealthy diet, can alter the gut microbiome. Often, the number of beneficial bacterial strains decreases, while harmful ones increase. The result? Digestive discomfort, a slower metabolism, and a heightened risk of gut inflammation.

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What treatments can help?

There are several effective ways to manage digestive issues. You don’t have to endure them. You can naturally support your body through healthy eating, regular physical activity, and sufficient rest. Supplements may also be beneficial.

Nutrition and lifestyle: getting the basics right

When your hormonal balance shifts during menopause, it can affect your energy levels, sleep, digestion, and metabolism. Healthy eating, regular exercise, and rest can help prevent or alleviate symptoms. Even small adjustments can make a noticeable difference in how you feel.

When taking medications or supplements, maintaining a balanced lifestyle helps your body absorb nutrients and process medications more effectively. This enhances the efficacy of both supplements and medications. Experts recommend the following for digestive issues:

  • Support the beneficial bacteria in your gut. Consume foods such as yoghurt, buttermilk, kefir, or sauerkraut. These products contain probiotic bacteria. You can also take a supplement, such as prebiotics or probiotics. Psyllium fibre can further aid in maintaining regular and comfortable bowel movements.
  • Increase your fibre intake. Whole-grain products, legumes, fruits, and vegetables are excellent for supporting digestion.
  • Limit excessive sugar consumption. Sweets, biscuits, and fizzy drinks can strain your digestion and gut.
  • Stay hydrated, particularly if you’re constipated. Drinking 1.5 to 2 litres of water or herbal tea daily is beneficial. A glass of lukewarm water in the morning can help stimulate your bowels.
  • Exercise daily. Activities such as cycling, walking, or yoga can stimulate the gut. A walk after meals can also help regulate blood sugar levels and improve your mood.
  • Reduce your intake of coffee and alcohol. These beverages can irritate the stomach and gut. They also act as diuretics, potentially leading to dehydration and, consequently, constipation.

Supplements

During menopause, your body’s processes for energy production, muscle building, and skin repair change. You can naturally support these processes with high-quality supplements. Magnesium, vitamin D, and omega-3 are recommended for all women going through menopause. Supplements can also target specific symptoms, such as hot flushes, poor sleep, and digestive issues.

The effectiveness of supplements varies from person to person, depending on factors such as lifestyle and overall health. The quality of the product also plays a significant role in its efficacy. Therefore, choose high-quality supplements without unnecessary additives.

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FAQ

When should I see a doctor for bowel problems?
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