S.W.
I don't really recall the gastro problems but my periods were very bad. I wound up having a hysterectomy in my early 40s. That surgery was a godsend in my book.
I do recall my abdomen being distended a lot and after the surgery it went down to a normal look. My daughter said that I didn't look 5 months pregnant any more.
They only seem to get worse with age. So do what you must for your health.
the other S.