Prednisone stomach bloating?: Hi there Just... - Vasculitis UK

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Prednisone stomach bloating?

MsAscerbic profile image
31 Replies

Hi there

Just looking for a bit of advice.

I have Takayasu Arteritis, diagnosed last october. I started on 60mg of prednisone and am now on 25mg.

Does anyone ekse suffer from severe stomach bloating? It litteralky feels as thouhh someone has blown up my stonach like a balloon and feels so tight it might burst. The feeling is concentrated at the top of my tummy.

I'm asking you guys because I'm worried that it might be a new symptom. I've left a message with my consultant but it can take a few days for her to get back to me.

Anyone with any relevant advice/experiences?

Thank you!

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MsAscerbic
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31 Replies
Ayla profile image
AylaVolunteer

Yes, I have experienced this, especially on high dose steroids (didn't know at the time whether it was the prednisolone or the cyclophosphamide as I was on both). It was really uncomfortable, my bloated abdomen pressing onto my stomach and making me breathless, especially when sitting in the car. I was on 60mg of pred. then but once it eventually reduced to 20mg the bloating mostly went away. I still get a milder version of it occasionally but I don't know if that is the pred. It might just be a particular food (for instance, bread seems to upset my system). Perhaps your consultant can explain what is likely to be happening? Sounds like there s definitely some sort of reaction going on. Good luck, anyway!

Ayla

MsAscerbic profile image
MsAscerbic in reply toAyla

These are yhe exact symptoms I've been suffering from, especially the driving! It feels like I'm 9 months gone and I look like it to! I've been in touch with my consultant and I have to go for a blood test tomorrow so she can she whats going on.

John_Mills profile image
John_MillsVolunteer

Yes prednisolone can cause this... TAK can also cause gastro intestinal problems because of the descending Aorta...so hopefully your consultant will be able to tell you... don't let it be a few days before they get back to you... give them another call tomorrow...

take care

Susan

MsAscerbic profile image
MsAscerbic in reply toJohn_Mills

She got back to me today. I have to have a blood test tomorrow so she can see whats going on. The anseers here are reasurring tho. Thanks for getting back to me.

BronteM profile image
BronteM

The stomach bloating has been horrible.. And when I said something to one of our GP's he just shrugged and said ' that's what you get; steroids redistribute your body fat.' In fact I think a lot is water retention?

Mine got worse as the day went on, and by evening I could only lie back on the sofa. Just like being pregnant, but no end in sight!

Things are now better as I am down to 15/12.5 pred a day, and hoping to get to 10, but I still rely on my two 'new best friends'. The first is a pair of roll top maternity trousers which I wear in the evening(!!) and the second is an elastic 'scout' belt. Even though I've got typical Cushings face etc, I've lost weight below my waist, and during the day my trousers kept falling down! The elastic belt has been much more comfortable than a normal one, and spared a lot of blushes.

Hope this helps, and that your consultant has some even better ideas. Good luck

MsAscerbic profile image
MsAscerbic in reply toBronteM

Thanks for your answer - again, its reassuring.

Can I just ask you a couple of questions? When I say 'bloating', I mean that my stomach physically grows - I actually look pregnant. Also, it feels like a balloon that someone has blown up to bursting point. Is this what it felt like for you?

It also feels like its pressing right up under my lungs, causing pressure. I'm not breathless and have have no trouble breathing, its just uncomfortable.

Sorry for being nosy - Just looking to feel a bit better until I can get to the hospital!

BronteM profile image
BronteM in reply toMsAscerbic

Yes - it grows during the day, and by evening feels as if someone has inserted something under my diaphragm. As you say, just uncomfortable, though it is getting better as the dose reduces. And some days are worse than others. I also lie on the floor with some support under my head and my knees bent up and rub my tummy! I have Takayasu's or giant Cell, depending which consultant I see. At the last clinic I was told that they are beginning to see the two as different ends of the same thing.

Have you had pain in your back, about bra strap level, which can also feed into your front? I was told that that's from the inflammation in my aorta, and that could also be making the bloating feel worse?

MsAscerbic profile image
MsAscerbic in reply toBronteM

Yes yes and yes! The back pain sympton only started last week. Its so reasurring to hear you say all this. It's calmed me down until I can see my consultant. I was convinced I was about to drop dead from a heart attack!

Thank you

BronteM profile image
BronteM in reply toMsAscerbic

So was I! But ECG's have been pretty normal, except for one that I had in the surgery, which scared my GP. In fact the back pain is reducing well with the anti-inflammatories, so I've convinced myself that it is the inflammation in my aorta, and is going down as that reduces.

SallyOK profile image
SallyOK in reply toBronteM

I know this was two years ago, but maybe you will still get a notification??? I have two chronic mysteries going on...upper, right abdominal pressure and back pain at bra strap level, just like you described! I always thought they were unrelated. Dr's have done gallbladder tests bc of the abdominal pain/pressure (which started 5 years ago, whIle I was on a long dose of pred). He has just done steroids in the past for my back, but he said if it comes back, he wants to do an MRI. Sooo...I haven't gone back. Ha. Did yours end up being side effects of the pred? Or something else?

MsAscerbic profile image
MsAscerbic in reply toSallyOK

Hiya!

Gosh that was a long time ago! I still suffer, it's all medication related. I take some stomach protection meds these days but I still spend at least 3 days every week feeling slightly uncomfortable. It was diagnosed as medication induced IBS in the end and I just have to put up with it. The joys of chronic illness eh!

SallyOK profile image
SallyOK in reply toMsAscerbic

Thank you for answering! Haha. I'm not on medication anymore, so that shouldn't be it. I was just on it for a few months. BUT...I am still glad I read this! Mt hard headed self wasn't putting it together that they could be related! I can talk to my dr about it! Thank you, again!

BronteM profile image
BronteM in reply toSallyOK

No problem...it may have been two years ago, but this complaint is in absolutely no hurry, even if I am. Some improvement on both counts, but not entirely gone. I'm now on 4/5 mg of prednisone a day, and six monthly infusions of rituximab and the last clinic said that I was 'relatively' stable. Like you I've had a scan for my gall bladder which was clear, but I still have some discomfort in the upper right abdomen. I think I've convinced myself that it's a combination of mild infections and too tight trouser waists, especially in the evening when I'm definitely quite a lot larger! I won't live in elastic waists, but find it hard to find trousers with the right cut.

As for the back pain, it is still there and usually a sign that I'm overdoing things. I'm also trying to learn to walk better, as a Physio has told me that I'm walking badly and putting a lot of unnecessary strain on my back.

I've also learnt that a lot of the damage in my arteries is permanent...scarring not inflammation. Partly the result of the disease taking a long time to convince anyone that there was anything wrong and partly the long time it took to get a diagnosis once I realised that something definitely was wrong!

Hope that helps, and great that you are off the steroids.

Sspaz7 profile image
Sspaz7 in reply toBronteM

I know you guys all wrote about this several years ago but I'm having all these exact symptoms and it's crazy that I'm reading my existence through your words. It's awful. I feel like anytime I drink water eat a little snack I'm going to explode. I'm awake all night with mid back spasms that are taking my breath away. I hope this goes away once I'm done in a few days with prednisone.

Gaby15gabs profile image
Gaby15gabs in reply toSspaz7

I’ve been off 4 months and I’m still bloated some times

Sspaz7 profile image
Sspaz7 in reply toGaby15gabs

Yuk. And you've tried pro biotics?

Gaby15gabs profile image
Gaby15gabs in reply toSspaz7

I have :( do u have an email

So we can share more tips

xmastree profile image
xmastree

Can someone explain to me what TAK stands for ? I assume part of it is Takayasu arteritis which I have got ??

And what is the comment re the descending aorta which John and Susan mention ? I unddertsan dthe aorta inflammation...........

Sorry if these are basic questions

MsAscerbic profile image
MsAscerbic in reply toxmastree

Someone has to ask them for the rest of us too!

BronteM profile image
BronteM in reply toxmastree

Yes, Takayasu's. It seems to overlap with Giant Cell Arteritis and Ive also been told that polymyalgia rheumatica can be part of GCA? I've understood that age is a factor; under fifty and you probably have Takayasu's; but they are both large cell, and my diagnosis seems to change depending on who I see. It hasn't changed the treatment though.

debramaddox profile image
debramaddox

yep! i feel 9 months pregnant by 4.00pm and can not tolerate it, heating pad works, must rest ,or just lay down. its the prednisone ....unfortunately

sharimia profile image
sharimia in reply todebramaddox

12/24/19 Thanks for the heating pad tip, going to try that, as the bloating and pain at night is getting unbearable

Gaby15gabs profile image
Gaby15gabs in reply tosharimia

What if you have been off prednisone 4 months and still randomly get super bloated

Christophene47 profile image
Christophene47

Years later-

Hi. MsAscerbic,

I noticed bloating of the upper belly, and from certain angles looked pregnant before I was started on prednisone. My weight had not changed. Recently, had scans of abdoman and chest in connection with vasculitis work up.

Results: Large paraesophageal hiatal hernia compressing left lower lobe of left lung. Except for occasional shortness of breath on major exertion, the hernia itself causes no other symptoms even though part of my stomach is in my chest. Bad cosmetic issue. On 8 mg. Prednisone and can't wait to be off it.

Gaby15gabs profile image
Gaby15gabs

Hello I know this was along time ago but I just got diagnosed with nephrotic syndrome and I’m on prednisone I just dropped to 5mg but omg my stomach is swollen

in reply toGaby15gabs

I have mcd and nephrotic syndrome and am on 60mg of ores and my stomach is so bloated I can’t breathe I am lookin like 9 months pregnant and so so uncomfortable can’t wear my clothes ... this bloating is on top of the 15 kilos I’ve gained in water - did u sort yours as I’m

Not seeing consultant until next week

Gaby15gabs profile image
Gaby15gabs in reply to

Hello I loook so bloated to I finally bumped down to 5 mg I’m starting to look more normal.

Gaby15gabs profile image
Gaby15gabs in reply to

I’ve been of prednisone 4 months and I still get bloated sometimes

guineapignot profile image
guineapignot

Hi ... am reading all these comments and empathising..... and do frustrates. I am stable in weight.... having gained around 12 lbs since I started on mycophenolate and preds two years ago .i am so bloated ... I look pregnant ( about) full term !! Lol) HOW... do I lose this .... I excercise as much as I can .. my diet is good , alcohol virtually zero ... but bloating SEVERE and UNbELIEVABLE wind ...... feel I will burst .... any advice / solution / help greatly appreciated... gp /,cons .... just say it’s meds !!!!!thank you . Regards A

Carolinepro profile image
Carolinepro in reply toguineapignot

Same case with me

guineapignot profile image
guineapignot in reply toCarolinepro

Hi .... is there anything that helps you ?? What about advice from go/ consultants?? I am so so bloated agsin tonight and it is not overeating as I struggle to eat and drink . Anyone had any success in reducing this PLEASE let me know !! I am Dow n to 5mgs of prednisolene !! Thank you Alan

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