What Helps With Digestive Issues During Menopause?

5 minute read

By: Alloy Staff|Last updated: December 9, 2025|Medically reviewed by: Corinne Menn, D.O.
AW871 Bowl of freshly made Salmon poke with edamame, sesame seeds, avocado and vegetables on a bed of rice. (top image)

As if the hot flashes and mood swings weren’t enough, you’re bloated, uncomfortable, and your digestion suddenly feels off. If heartburn and gas are controlling your routines, you’re probably wondering: what helps with digestive problems during menopause?

In this article, we’ll explain how hormonal changes affect your gut, and provide practical tips to help you feel better. You’ll learn how diet and simple daily habits can restore balance to your body and provide the relief you’ve been hoping for. 

At Alloy, women’s health is what we do. Our medical team is led by menopause-expert doctors and we’ve helped thousands of women like you manage their menopause symptoms with personalized treatment plans that actually work.

You don’t have to keep pushing through bloating, constipation, and heartburn during menopause. Fill out an intake with Alloy—let’s get you feeling like yourself again.

How Menopause Affects Digestion: Changes You May Experience

During menopause, declining estrogen and progesterone levels can slow your digestive system and disrupt the balance of bacteria in your gut. 

This shift can lead to bloating, constipation, or heartburn that may come and go as your hormones fluctuate, especially in the perimenopausal transition time.  These changes can make your digestion feel unpredictable, even if your eating habits haven’t changed.

Common Digestive Issues Women Face During Menopause 

While digestive problems are a lesser-known menopause symptom, bloating, constipation, and gas affect many women as hormones shift. Any new gastrointestinal symptoms that last more than 2 weeks should be discussed with your doctor.  

How You Can Support Your Gut Health During Menopause with Alloy

The Alloy probiotic can help bring your digestive system back into balance and ease menopause-related discomfort:

  • Alloy Synbiotic (Probiotic + Prebiotic Blend): Formulated specifically for women in perimenopause and menopause, our daily supplement combines probiotic strains and prebiotic fibers to improve microbial diversity, support regular digestion, and strengthen gut health.

Before starting any new supplement or medication, consult a menopause-trained doctor through Alloy for a personalized plan based on your symptoms and medical history.

Dietary Changes You Can Make To Reduce Digestive Issues

Simple adjustments to your diet can help your body handle digestive changes during menopause. These small, consistent changes can ease bloating, reduce discomfort, and help your gut stay balanced as your hormones shift.

Eat Smaller, More Frequent Meals

Large meals can overwhelm your digestive system and lead to bloating or heartburn. Eating smaller portions throughout the day keeps digestion steady and helps prevent spikes in gas, fullness, or reflux.

Avoid Trigger Foods

Certain foods can make menopause-related digestive issues worse. Try cutting back on caffeine, spicy dishes, fried or fatty foods, and highly processed snacks: these can all irritate the gut and increase bloating or acid reflux.

Eat A Fiber Rich, Anti-Inflammatory Diet

Fiber supports regular bowel movements and promotes a healthy gut microbiome. Focus on fruits, vegetables, whole grains, beans, and omega-3-rich foods like salmon or chia seeds to reduce inflammation and support smoother digestion.

Stay Hydrated

Water helps your body move food through your digestive tract and prevent constipation, which becomes more common during menopause. Be sure to stay hydrated throughout the day, especially if you’re increasing your fiber intake.

Track What Triggers Your Flare Ups

Keeping a food and symptom journal can help you identify patterns between what you eat and how you feel. Once you spot your personal triggers, you can make small adjustments that bring lasting relief.

Lifestyle Changes For Improving Gut Health

In addition to a balanced and healthy diet, your daily habits can keep your gut healthy during menopause. These lifestyle changes can regulate digestion, reduce inflammation, and prevent health concerns as your body moves through menopause:

  • Manage stress: Chronic stress can disrupt the gut-brain connection, leading to bloating and irregular digestion. Try mindfulness practices, gentle yoga, meditation, or deep breathing to calm your system.

  • Get regular exercise: Physical activity stimulates intestinal movement, easing constipation and improving digestion. Even daily walks can make a noticeable difference.

  • Prioritize sleep: Poor sleep affects hormones that regulate digestion and appetite. Aim for 7–9 hours of rest to keep your metabolism and gut in sync.

  • Limit alcohol and quit smoking: Both can irritate the digestive lining and increase inflammation, making menopause symptoms worse.

  • Eat mindfully: Slowing down during meals and chewing thoroughly helps your body digest food more efficiently and prevents overeating.

  • Build a consistent routine: Eating and sleeping at regular times each day helps your digestive system function more predictably and comfortably.

Questions We Get About Menopause & Digestive Issues

Can menopause cause sudden food intolerances or sensitivities?

Yes. Hormonal shifts can change gut motility and microbiome balance, which may make you more reactive to foods you previously tolerated, especially dairy, high-fat foods, and fermentable carbs.

Is it common to experience digestive issues during perimenopause, too?

Yes. Fluctuating estrogen and progesterone in perimenopause can trigger bloating, constipation, diarrhea, and reflux before your periods fully stop.

How long do menopause-related digestive symptoms usually last?

For some women, symptoms improve within months as their routines and treatment plans stabilize. Consistent diet, stress management, and treating your menopausal symptoms, like hot flashes, night sweats, and insomnia, can help you feel better overall 

Do birth control pills or MHT affect digestion during menopause?

Some women notice nausea or reflux when starting or adjusting hormone therapy. A menopause-expert physician can help fine-tune your dose or delivery method.

Are there specific probiotics formulated for menopausal women?

Yes. Look for blends tailored for midlife women that combine multiple probiotic strains and prebiotic fibers to improve microbial diversity and regularity. Products like Alloy’s Synbiotic are formulated with these needs in mind.

Don’t Let Your Menopause Symptoms Control You – Complete An Intake Now

You don’t have to live with constant bloating or discomfort. At Alloy, our menopause-trained doctors create personalized plans to address your symptoms at their source, whether that involves hormone therapy, gut-supporting synbiotics, or lifestyle guidance.

Reclaim your comfort and confidence. Start your Alloy intake form today.

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