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I'm experiencing severe bloating when I lie down and the area below my belly button is rock hard and could pass for a pregnancy bump. When I'm standing, my stomach looks essentially the same. I can feel a strong pulse in the centre of my lower abdomen when I'm lying down. I'm getting quite bad pains in the left side of my lower abdomen and I'm very constipated at the moment; when I push on my stomach, I can hear a lot of noises. The worrying thing is that when I push on my stomach, a lot of air expels out of my vagina. I've taken a lot of home pregnancy tests and they've all come out negative, but if I were to be pregnant, I'd be around 20-22 weeks. I had a period after the last time I had sex and then went on the pill, I've had all withdrawal bleeds as normal.

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replied January 12th, 2018
Womens Conditions Answer A62929
Hi, and thanks for your query on eHealth forum!

It appears that you started birth control pills this month only. This can be the cause of gas and bloating. Sometimes taking an antacid gel and/or changing the pill helps.

Excess wind or gas can be due to swallowing more air, chemical reactions in digestion, more of sulfites in diet producing hydrogen sulfide gas, inflammatory bowel disorder, food with high sugar content, food allergies, food poisoning, and certain food items (cabbage, raddish, peas beans etc ) produce more amount of gas. Since you also have constipation food allergies and an inflammatory bowel disorder like IBS, Crohn’s or celiac should be thought of.

Other than that it could be due to H pylori infection. It can also be food intolerance. Diabetes can cause slowing of gut and can cause bloating and hence get your blood sugar tested. It can also be due to excess consumption of food rich in sulfites like juices, molasses, yellow dye in ready made food stuffs, and red wine. Sulfites are present in lesser amounts in mashed potatoes made from dry powder, pickles, tinned shrimp, cookies, crackers, and readymade pie dough. Constipation can also cause bloating. Very sedentary lifestyle is another cause.

Cancers of the gut (intestines, stomach, colon, rectum) and in female ovarian cancer too could be a cause. Please do not get the word cancer to cause anxiety, but on net, all differential diagnosis is a must as a confirmed diagnosis is not possible.

You could also be having polycystic disease of the ovary. If you are in premenopausal age group, then this is a time of hormonal changes in the body. This can decrease the movement of bowel and cause constipation and gas. This could be the cause of bloatedness. Please consult a gynecologist regarding this. Some women benefit by hormone replacement therapy.

Please consult your healthcare provider for further guidance. This reply to your query is just for education and counseling purposes and cannot be an alternative to actual visit and treatment by a doctor who can examine you. Hope this helped you in making an informed decision about your health. Take care!

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