Some ‘red flag symptoms’ do need an urgent investigation – so please book to see a doctor as soon as you can. Irritable bowel syndrome doesn’t usually start out of the blue in later life, so it’s essential to rule out bowel and ovarian cancer. ![]() It’s important to see your doctor about any changes in your bowel, pains in your abdomen, if your bowel habit has changed or if you have developed reflux symptoms. Oral HRT is associated with a small increased risk of gallbladder disease – the risk is lower if you have transdermal HRT (HRT you take through your skin). Pain in the upper right abdomen, particularly after eating fatty food, can be a symptom of gallbladder disease, or gallstones. The gallbladder is a small sac that sits under the liver and releases substances into the gut that help you to digest fat. Around 10% of the UK population over the age of 40 have gallstones, and many may not know they have them. Again, this isn’t fully understood, but the Women’s Health Initiative Study showed a reduction in the risk of bowel cancer in women who took Hormone Replacement Therapy (HRT). There’s evidence to suggest that hormones may affect the development of bowel cancer. If you already have irritable bowel syndrome, the stress and anxiety of the menopause can make it worse. Diarrhoea, wind and bloating can also occur if you’re experiencing stress and anxiety. ![]() There may be an indirect effect as a result of an increase in the stress hormone, cortisol. What causes bowel symptoms during the menopause?īowel changes during the menopause may be caused by a loss of oestrogen in the gut’s oestrogen receptors.
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