Persistent bloating during midlife often gets overlooked — even by doctors. But the data is strong: gut motility slows by up to 30% in perimenopause, and estrogen decline changes the gut microbiome, increasing gas and sensitivity. Women often describe this as “looking pregnant at night,” cycling between flat in the morning and distended by evening. This symptom affects self-esteem, social interactions, appetite, and even breathing comfort. Helpful interventions include walking after meals, reducing carbonated drinks, increasing soluble fiber, tracking FODMAP triggers, and checking for underlying issues like SIBO, which becomes more common in women over 45. Your bloating is not “小题大做.” It's a real physiological shift — and understanding it is the first step toward relief. #Health #WomensHealth #GutHealth