
‘Endo belly’ is a term commonly used within the endometriosis community to describe the uncomfortable, and often painful, abdominal bloating that many individuals with endometriosis experience.
What is ‘Endo Belly’?
‘Endo belly’ refers to notable abdominal bloating that varies during menstrual cycles or even within a day. This prominent symptom is associated with endometriosis, caused by inflammation and internal irritation from tissue similar to the endometrial lining, leading to the experienced bloating and swelling.
What Causes Endo Belly?
Several factors lead to belly swelling or bloating in people with endometriosis:
- Endometrial-like tissues building up can cause inflammation in the belly area, making it feel swollen, filled with water, and bloated.
- These tissues can wrap around or grow into the ovaries, trapping blood and forming cysts that make bloating worse.
- People with endometriosis are more likely to have other issues like small intestine bacteria overgrowth (SIBO) and fibroids, which can also cause bloating.
- Endometriosis can make digestion harder, leading to problems like constipation and gas, which also add to the bloating.
Managing ‘Endo Belly’
Dietary Adjustments:
Improving what you eat can help control ‘endo belly’ by reducing foods that cause bloating and stomach discomfort.
- Try to avoid foods that cause inflammation, like processed foods, red meat, gluten, dairy, alcohol, and caffeine.
- Consider a low FODMAP diet, avoiding certain foods like wheat, dairy, and some fruits and vegetables, to help reduce bloating and gas.
- Drinking teas like peppermint or ginger can help soothe digestion issues and discomfort.
- Eat more fiber to help avoid constipation.
Hydration:
Staying well-hydrated can support digestive health and may help to alleviate some symptoms associated with an ‘endo belly’.
Gentle Exercise:
Engaging in light and restorative physical activities such as yoga or walking can assist in managing the symptoms, improving circulation, and supporting digestive functions. Specific yoga postures and breathing exercises can aid in improving digestion and reducing bloating, offering a sense of relief.

Stress Management:
Given that stress can exacerbate gastrointestinal discomfort, employing strategies to manage stress, such as mindfulness or breathing exercises, can be beneficial.
‘Endo belly’ is an unsettling manifestation of endometriosis, but through personalized strategies and supportive approaches, its impact can be mitigated, enhancing the quality of life for those dealing with this condition.
How long does Endo Belly last?
The length of time ‘Endo Belly’ lasts can change, being anywhere from a few days to several weeks. It depends on how severe the endometriosis is and how much it affects the intestines.
Consulting with a healthcare professional is crucial for navigating through this symptom effectively. They can assist in determining a tailored approach, incorporating a suitable blend of dietary adjustments, medical interventions, and additional complementary strategies, facilitating a path toward sustained relief.