I have had irritable bowel for as long as I can remember and now at 49 I am going through the change. I have been feeling so unwell. My tummy is constantly swollen like I am pregnant, I have lots of wind and discomfort (like cramps) and pain. I feel like someone has punched me in the stomach, it's that kind of ache. I have been to my doctor who sent me for endoscopy, transvaginal and lower abdominal scan and blood tests. I have regular smear tests yearly due to abnormal cells I had in 2005, hardly a day goes by that I don't feel unwell. Please help

Digestive problems are very common in the menopause and can be caused by several factors.

Falling levels of oestrogen can affect the digestion itself, causing bloating.

Falling oestrogen levels can also have an effect on carb metabolism, making it more difficult to digest carbohydrates, and this can often lead to bloating and the symptoms you describe.

I would suggest Molkosan Vitality, as this is traditionally used for bloating. Try to avoid white bread, pasta, cakes, biscuits and also white rice - you may notice a difference very quickly doing this!

I’m glad your doctor has been so thorough, as this means many possible factors have been ruled out and you can focus on dietary alterations, etc.

If you are getting other menopausal symptoms too, you may find that using a plant oestrogen such as Menopause Support will help with both your digestion and the other symptoms.

Ali Cullen
Nutritional therapist