Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
Read Now: TheBodyPRO.com Covers AIDS 2014
   
Ask the Experts About

Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
           
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


weakening/ stretching of stomach and abdominal walls
Feb 22, 2000

Although I appear to have all the classic lipodystrophy symptoms, my increase in belly size does not appear to be caused by a semi-firm layer of visceral fat under the muscle layer; but rather by an increased stomach size. When turning over from a lying position, it flops like a "canvas water bag", including the annoying gurgling sounds. I'm sure I've recently read a story (which I cannot confirm, and even my doctor has not heard of it) indicating that in some people, the "belly" is not caused by visceral fat but rather by a greatly increased stomach size caused by the weakening and stretching of the stomach wall. Is there such a study?

Perhaps related to this, my doctor diagnosed a ventral hernia and umbilical hernia. My belly button, a life long "inny" has recently become an "outy"; and my intestines protrude through the abdomen wall, especially noticeable when rising from a prone position. However, the surgeon found no hernia, but reported that the abdominal wall, for whatever reason, has weakened and stretched about 2" and the abdominal muscles separated the same distance, also allowing the belly button to push out. I have a close friend, also positive, with EXACTLY the same story, and yet neither of us have ever read anything about it. There surely must be others?

Response from Dr. Henry

You don't mention what type of HIV treatment you are on nor how you are doing from the HIV perspective. I have occasionally encountered situations like yours both in HIV + and negative persons. I am unaware of any increase in the rate of hiatal hernias or ventral hernias among HIV+ persons other than perhaps in persons with increased visceral fat which can cause some increase in intra-abdominal pressure leading to greater chance for a hernia. A CT scan of the abdomen is pretty good at looking at fat. Your problem can be a tough one and you might seek help from a GI specialist and a physical therapy expert (about the role of exercise/diet to help manage). Hernias like that can come and go at times so having the surgeon see it at its worse would be a good idea. I am not aware of any study saying that HIV or its treatment is leading to a weakening of the stomach muscles but I will keep my eyes open for any data on that subject. KH



Previous
one swollen node in the neck, is this bad???
Next
Swollen Lymph Nodes

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement