Why Is My Belly Growing Without Pregnancy? Thyroid and Gastro Issues

Not pregnant but have a large abdomen?

Hello Doctor, my stomach seems to be getting bigger day by day.
I currently have hyperthyroidism and often feel unsatisfied after eating, and I have gained 2 kilograms.
Recently, my abdomen appears to be distended, resembling a balloon shape, and it feels somewhat firm, primarily concentrated below the navel with a pointed protrusion (not the feeling of excess fat).
My abdomen is not uncomfortable, but visually it looks very much like pregnancy.
I have bowel movements about once or twice a day; sometimes I experience constipation, while other times it’s normal.
I can no longer fit into my usual pants.
I would like to know what symptoms this might indicate.
Additionally, my face appears swollen and I have allergies, with small bumps resembling acne with pustules scattered across my temples, cheeks, forehead, and chin (previously, a dermatologist said it was an allergy).
I wonder if there is any connection between these two issues.
Thank you!

Ke Ke, 20~29 year old female. Ask Date: 2021/08/02

Dr. Chen Shidian reply Gastroenterology and Hepatology

Please discuss with the physician specializing in hepatitis.

Reply Date: 2021/08/02

More Info

It sounds like you are experiencing a range of symptoms that could be related to your hyperthyroidism and possibly other gastrointestinal issues. Let's break down your concerns and explore the potential causes and implications of your symptoms.

Abdominal Distension and Changes in Weight
You mentioned that your belly appears to be growing larger and feels firm, particularly below the navel. This could be attributed to several factors:
1. Hyperthyroidism: This condition can lead to increased metabolism, which often results in weight loss; however, it can also cause changes in appetite and digestion. Some individuals with hyperthyroidism may experience bloating or abdominal distension due to increased gas production or altered gut motility.

2. Gastrointestinal Issues: Given that you sometimes experience constipation and other times have normal bowel movements, it’s possible that you are dealing with gastrointestinal dysmotility. This can lead to feelings of fullness and bloating. Conditions such as irritable bowel syndrome (IBS) or even food intolerances could be contributing factors.

3. Fluid Retention: In some cases, hormonal imbalances (including those caused by thyroid issues) can lead to fluid retention, which may cause a distended abdomen.

Skin Issues and Allergies
You also mentioned experiencing skin problems, including acne-like bumps and allergic reactions. These could be related to several factors:
1. Hormonal Fluctuations: Thyroid disorders can affect hormone levels in the body, which may contribute to skin issues. Increased levels of certain hormones can lead to oilier skin and acne.

2. Dietary Factors: If your diet has changed or if you are consuming foods that you may be allergic to, this could also manifest as skin reactions. Common allergens include dairy, gluten, and certain preservatives or additives.

3. Stress and Lifestyle: Stress can exacerbate both gastrointestinal and skin issues. If you are feeling anxious or stressed about your health, this could also contribute to your symptoms.

Recommendations
1. Consult a Healthcare Provider: Given the complexity of your symptoms, it is crucial to consult with a healthcare provider who can perform a thorough evaluation. This may include blood tests to assess thyroid function, as well as tests to evaluate gastrointestinal health.

2. Dietary Adjustments: Consider keeping a food diary to track what you eat and any symptoms that arise. This can help identify potential food intolerances or allergies. A balanced diet rich in fiber can help regulate bowel movements and reduce bloating.

3. Hydration: Ensure you are drinking plenty of water, as dehydration can exacerbate constipation and bloating.

4. Probiotics: Incorporating probiotics into your diet may help improve gut health and alleviate some gastrointestinal symptoms. Foods like yogurt, kefir, and fermented vegetables are good sources.

5. Skin Care: For your skin issues, consider consulting a dermatologist who can provide targeted treatments based on your specific skin type and concerns.

6. Monitor Symptoms: Keep track of your symptoms, including any changes in your abdominal size, bowel habits, and skin condition. This information will be valuable for your healthcare provider.

Conclusion
Your symptoms of abdominal distension, changes in appetite, and skin issues may be interconnected and could be influenced by your hyperthyroidism. It is essential to seek medical advice to explore these symptoms further and receive appropriate treatment. Understanding the underlying causes will help you manage your health more effectively and improve your overall well-being.

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