Women are twice as likely to develop gallstones as men because of the effects of estrogen and progesterone. Gallbladder emptying may be slowed by progesterone, a normal hormone secreted during the second half of the menstrual cycle and during pregnancy. Estrogen and progesterone affect the handling of cholesterol in the body. Because of the slowed emptying of the gallbladder as well as an increase of cholesterol in the gallbladder, there is a greater chance for the development of gallstones.
Irritable Bowel Syndrome occurs 2 to 6 times more often in women than in men. One reason for this observation may be that women normally are more sensitive to irritants of the GI tract. In IBS, the patient is super sensitive to irritants that would not be bothersome to other people, such as increased gas in the gut.
The basis is believed to be a problem with how the nerves send the message to the brain, the interpretation that the brain makes, and it's a response back to the gut. In fact, if a person with IBS puts her hand in ice water, she can keep it in the bucket longer than someone who does not have this syndrome - she doesn't feel the pain/discomfort of the ice water as rapidly as a non-IBS sufferer. The problem lies within the sending of the message by the nerves.
Nausea may occur more often in women. Other symptoms, such as a feeling of fullness or bloating, pain in the belly, feeling full soon after eating, belching or burping that is annoying have also been reported more often in women. If these symptoms persist, women should see their physician to make sure that there is no serious underlying problem.
Many women use aspirin and aspirin-like compounds, known as NSAIDs (non-steroidal anti-inflammatory drugs.) Medications such as ibuprofen make up this class of medication. Some NSAIDs are available in over-the-counter form while others require a prescription. Women, especially older women, use these medications more than men for a variety of reasons. These drugs, used for a long time, are known to cause irritation to the stomach lining and may lead to bleeding from the stomach. Women who use NSAIDs chronically are at higher risk for developing stomach ulcers as well as gastritis. NSAIDs can decrease the level of mucus that the stomach normally makes to protect itself, and this may also increase the possibility that a patient will be likely to develop damage from the medication. In recent years new types of prescription NSAIDs have become available, such as COX-II inhibitors, which reportedly have a less adverse impact on the GI tract. Women should tell their doctors if they are using NSAIDs, whether it is prescribed or purchased in a drugstore. This way they can work with their physician to develop a regimen to help protect their stomach, should continued NSAID use be needed.
Pregnancy is associated with nausea, which occurs early in the pregnancy. This effect may result from a slowing of stomach emptying, beyond what is seen normally in women. One of the pregnancy hormones, progesterone, is associated with delaying muscle contraction, and it is believed that this is a major cause of the nausea seen with pregnancy. Women also experience heartburn during pregnancy. This seems to be caused by the increasing levels of progesterone during pregnancy as well as the increasing size of the baby. It is most prominent during the second half of the pregnancy.
Women are at an increased risk for developing gallstones due to the sluggishness of the gallbladder during pregnancy. Between the slowing effects of progesterone on the gallbladder and the pressure of the increasing baby, the gallbladder does not function normally and stones can form. If there is a family history of gallstone disease, the pregnant woman may want to discuss this with her doctor.
The muscle coordinating moving one's bowels is the same length in men and women. However, perhaps because women are smaller, it makes up more of the anal canal in women. This is important because it can be more easily damaged by a tear during childbirth, leading to possible long-term problems. Therefore, it is important for pregnant women to perform the Kegel exercises, which help to strengthen this area, and to discuss any concerns with their obstetrician.