Endometriosis Causes Abdominal Pain, Bloating & Constipation - Dr. Michael Ruscio, DNM, DC

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Endometriosis Causes Abdominal Pain, Bloating & Constipation

Unpacking the warning signs, symptoms, and best treatment options with Dr. Jandra Mueller

As a pelvic floor physical therapist, Dr. Jandra Mueller digs deeper into the root cause of chronic pelvic pain. For some women, it’s explained by endometriosis—an inflammatory condition where endometrial-like tissue lives outside of the uterus. Other symptoms of endometriosis go beyond the pelvic floor, causing painful periods, gut health issues, infertility, and more. While getting a diagnosis for endometriosis is often complex, Dr. Mueller simplifies what women can do to determine if it is driving their symptoms. 

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➕ Dr. Ruscio’s Notes

Endometriosis: What It Is, Who It Affects, and When Symptoms Start

  • What it is: Endometriosis is where endometrial-like tissue lives outside of the uterus, most commonly gravitating to the abdominal pelvic area and thoracic cavity.  
  • Who it affects: 1 out of 10 women is affected by endometriosis. 
  • When symptoms start: It can begin as early as adolescence, beginning with pain. There’s often a 7–10 year delay in symptoms. 


Indicators of Endometriosis 

  • Painful periods 
    • Dr. Mueller explains that this is often pain that causes women to miss out on school, work, and life and rely on consistent use of over-the-counter pain medication throughout their menstrual cycle. 
  • Infertility
    • Some women don’t have symptoms until they are pregnant. 
  • A family history of endometriosis 
    • Women are 7–10 times more likely to have endometriosis if family members have it.  


Symptoms and Conditions Commonly Associated With Endometriosis

  • Symptoms: 
    • Abdominal distention
    • Hypersensitivity to pain
    • Pelvic pain
    • Musculoskeletal pain
  • Conditions: 
    • SIBO
    • IBS
    • Lupus
    • Hashimoto’s
    • Interstitial Cystitis 


When to Consider Endometriosis As The Root Cause 

  • Endometriosis should be considered if a woman: 
    • Is experiencing chronic non-responsive GI symptoms despite following gut health protocols and making necessary dietary and lifestyle changes.
    • Showing improvements in a musculoskeletal issue, but not in other symptoms. 
    • Has a medical history of starting and taking birth control primarily to manage pain, cramping, or heavy bleeding. 

How Endometriosis Is Diagnosed and Treated

  • Endometriosis is typically diagnosed via laparoscopic surgery by OBGYNs trained in the condition. 
  • Treatments include surgical excision and manual therapy. 
    • Dr. Mueller and Dr. Ruscio both make use of antimicrobials and an elemental diet for a reset to provide symptom relief.

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