Get,

Free Doctor Tips

to manage your symptom

Get your,

FREE Doctor Tips Now!!

4 Cr+ families

benefitted

Enter your Phone Number

+91

|

Enter a valid mobile number

Send OTP

Verify your mobile number

OTP sent to 9988776655

CONGRATULATIONS!!!

You’ve successfully subscribed to receive

doctor-approved tips on Whatsapp


Get ready to feel your best.

Hi There,

Download the PharmEasy App now!!

AND AVAIL

AD FREE reading experience
Get 25% OFF on medicines
Banner Image

Register to Avail the Offer

Send OTP

By continuing, you agree with our Privacy Policy and Terms and Conditions

Success Banner Image
Verify your mobile number

OTP sent to 9988776655

Comments

Subscribe
Notify of
guest
0 Comments
Inline Feedbacks
View all comments

Leave your comment here

Your email address will not be published. Required fields are marked *

25% OFF on medicines

Collect your coupon before the offer ends!!!

COLLECT

Why Is My Upper Stomach Bigger Than My Lower?

By Dr. Nayana Shetty +2 more

Introduction

Understanding body composition is essential for maintaining good health and effective weight management. Knowing how the body stores fat can help guide informed decisions about diet and exercise. In this article, we will focus on upper abdominal fat, its common causes, associated health risks, and practical strategies to reduce it. We will also address frequently asked questions to provide a well-rounded understanding of the topic.

why is my upper stomach bigger than my lower

Causes of the Upper Stomach Being Bigger Than the Lower Stomach

The key factors that contribute to the accumulation of upper abdominal fat include: 

1. Bloating  

Bloating can make the upper stomach look larger than the lower stomach1. This may result from a range of issues, including digestive disturbances, poor food combinations, and the consumption of foods that contribute to gas or inflammation.  

  • Digestive issues  

Digestive problems can lead to abdominal swelling or discomfort. Conditions such as irritable bowel syndrome (IBS), constipation, and excessive gas are common causes. It is advisable to consult a healthcare professional, who can help identify and manage any underlying gastrointestinal issues2

  • Inflammatory foods  

foods can cause inflammation or swelling in the digestive tract, leading to a bloated abdomen. It is advisable to reduce the intake of items such as alcohol, refined sugar, trans fats, and products made with white flour, as these may contribute to digestive discomfort and bloating. 

  • Poor food combining  

Combining certain types of foods at the same meal may lead to digestive discomfort and bloating. For instance, consuming complex carbohydrates and proteins together in large quantities can sometimes hinder proper digestion, resulting in a bloated abdomen. 

2. Adrenal Stress Fat  

Chronic stress can contribute to fat storage, especially around the abdominal area3. Hormones such as cortisol play a significant role in this process. 

  • The role of cortisol  

Cortisol is a hormone produced by the body in response to stress. Elevated cortisol levels can encourage the storage of visceral fat, particularly in the abdominal region. This may lead to a bloated appearance in the upper stomach area4.  

  • Chronic stress and its effects on belly fat  

Prolonged stress may contribute to increased abdominal fat and heightened cravings for unhealthy foods. As such, effective stress management is essential for maintaining a healthy weight. Incorporating relaxation techniques, regular physical activity, and mindfulness practices into your routine can help reduce the impact of stress-related weight gain. 

3. Post-Pregnancy Belly  

After childbirth, some women may notice a protrusion in the upper abdominal area. This can be attributed to conditions such as diastasis recti (separation of the abdominal muscles) and the presence of loose skin. 

  • Diastasis recti  

Diastasis recti is when the abdominal muscles separate during pregnancy. This can result in the abdomen appearing enlarged even after childbirth. Gentle exercises and guided physical therapy may assist in strengthening the core muscles and reducing the separation over time5.  

  • Loose skin  

Weight fluctuations during pregnancy can lead to excess loose skin around the upper abdomen, sometimes leaving a noticeable bulge. Over time, a balanced diet and regular exercise may help improve skin elasticity. However, in certain cases where the skin does not tighten naturally, surgical options such as a tummy tuck may be considered5

4. Menopausal Hormonal Belly Bulge  

During menopause, hormonal changes can lead to more belly fat and  is often seen in the upper abdomen6

  • Hormonal changes  

As women near menopause, estrogen levels fall and this can affect body fat distribution and may lead to more belly fat6.  

  • Oestrogen dominance  

.During menopause, a hormonal imbalance marked by elevated oestrogen and reduced progesterone levels can contribute to fat accumulation in the upper abdominal area. Supporting hormonal balance through dietary adjustments, regular physical activity, stress management, and overall lifestyle improvements may help reduce this effect. In some cases, hormone replacement therapy (HRT), when prescribed and monitored by a qualified healthcare professional, may be a suitable option to manage symptoms and assist in reducing upper belly fat. 

5. Beer Belly  

While it’s not certain if beer leads to belly fat, bingeing on drinks adds to your calorie count. This can make you put on weight7.  

  • Alcohol consumption  

Excessive alcohol intake contributes additional calories to the diet, which can lead to weight gain and increased abdominal fat. To avoid developing a so-called “beer belly”, it is advisable to consume alcohol in moderation. 

  • Empty calories and poor nutrition  

Alcohol is high in empty calories and lacks essential nutrients. Excessive consumption can lead to a significant increase in daily calorie intake, which often contributes to weight gain, particularly in the upper abdominal area. 

6. Food Intolerances  

Intolerance to certain foods can cause bloating and a larger upper stomach. This may be due to gluten, dairy, or other food substances.  

  • Gluten  

Individuals who are intolerant to gluten may experience symptoms such as bloating and gas after consuming gluten-containing grains like wheat, barley, and rye. Adopting a gluten-free diet can often help alleviate these digestive symptoms8.  

  • Dairy  

Many individuals are unable to properly digest lactose, the sugar found in milk and dairy products. Eliminating or reducing dairy intake may help decrease bloating and other digestive discomforts associated with lactose intolerance9.  

  • Other common food intolerances  

Certain food intolerances can cause bloating and swelling in the upper abdominal area. Identifying and avoiding these trigger foods may help maintain digestive health. It is important to undertake this process under the guidance of a qualified healthcare professional. 

7. Genetics  

Your genetic makeup plays a significant role in determining where your body stores fat as explained below. 

  • Inherited body shapes  

Each individual inherits a unique set of genes that influence body shape and fat distribution. As a result, some people may naturally store more fat in their upper abdominal area due to their genetic predisposition10.   

  • Predisposition to carrying fat in the upper stomach  

If there is a family history of excess upper abdominal fat, you may be more likely to experience the same. While you cannot change your genetic makeup, maintaining a healthy lifestyle can help mitigate the effects of this predisposition. 

8. Poor Diet and Lack of Exercise  

Consuming more calories than are expended through physical activity can lead to weight gain, including the accumulation of fat in the abdominal area. 

  • Excess calorie consumption  

If you consume more calories than your daily activities require, you may gain weight, including an increase in upper abdominal fat. 

9. Sedentary Lifestyle  

A sedentary lifestyle reduces the body’s ability to burn excess calories, which can lead to weight gain, including an increase in upper abdominal fat. Regular exercise can help reduce overall body fat, as well as fat stored in the upper stomach area11.  

Consuming a diet high in fibre may help in the reduction of abdominal fat and weight. Fibre may promote a prolonged feeling of fullness, which can help decrease daily calorie intake and thus support weight loss. 

Dr. Siddharth Gupta, B.A.M.S, M.D

The Dangers of Upper Stomach Fat

Upper abdominal fat, particularly visceral fat, poses a greater health risk than subcutaneous fat. However, an excess of either type can have negative health consequences. 

Visceral fat  

Visceral fat, located deep within the abdominal cavity, is associated with an increased risk of various chronic health conditions.   

  • Visceral fat may increase the risk of heart disease by contributing to elevated blood pressure and unhealthy blood lipid levels12.  
  • Excess visceral fat can impair insulin sensitivity, potentially leading to type 2 diabetes12.  
  • Studies have linked high levels of visceral fat to an increased risk of certain cancers, including breast and colorectal cancer13.  

How to Reduce Upper Stomach Fat?

To reduce abdominal fat, it is important to address its underlying causes. Additionally, adopting appropriate lifestyle changes, including a balanced diet and regular exercise, is essential. 

1. Diet and Exercise  

Image Source: freepik.com

To reduce fat, it is necessary to modify your diet and engage in regular physical exercise. 

  • Creating a caloric deficit: Consuming nutrient-dense foods in smaller portions creates a calorie deficit, which can aid in fat loss14.   
  • Consuming nutrient-dense foods: Fill your meals with whole, unprocessed foods, which nourish the body, support physical activity, and promote overall health. 
  • Incorporating cardio and strength training: A balanced exercise programme that includes both cardiovascular and strength training can help build muscle while simultaneously promoting fat loss15.  

2. Medications  

Image Source: freepik.com

In certain cases, weight loss medications or supplements may assist in reducing upper abdominal fat. 

  • Prescription weight loss medications: If you are unable to reduce upper abdominal fat through diet and exercise alone, your healthcare provider may recommend medical treatments. These should only be used under the supervision of a qualified doctor16.  
  • Over-the-counter weight loss supplements: Although results may vary, over-the-counter supplements containing natural ingredients are available to support healthy digestion and weight loss. It is advisable to use them only after consulting your doctor.  

3. Reducing Stress  

Image Source: freepik.com

Meditation and other relaxation practices may help reduce stress levels and reduce weight gain triggered by cortisol17.  

  • Practicing mindfulness: Try yoga, meditation, and deep-breathing exercises to de-stress and relax your mind. This can have a beneficial impact on your weight loss efforts. 
  • Implementing relaxation techniques: Pursue hobbies that bring you joy, such as reading, listening to music, or spending time in nature. These activities may help alleviate stress and support healthy weight management. 

4. Improving Sleep

Image Source: freepik.com

Ensuring good sleep quality may help prevent weight gain in the upper abdominal area18.  

  • Establishing a sleep routine: For restful sleep, maintain a consistent bedtime, allow time to unwind before going to bed, and create a comfortable sleeping environment. 
  • Addressing sleep disorders: If you experience sleep difficulties such as sleep apnoea or insomnia, seek assistance from a healthcare professional. They can recommend appropriate treatments to help improve your sleep quality. 

5. Surgery  

Image Source: freepik.com

When all other methods prove ineffective, surgical options may be considered to remove stubborn upper abdominal fat19.  

  • Liposuction: This procedure involves the removal of fat deposits from various parts of the body, including the upper abdominal area20.  
  • Tummy tuck: Also known as abdominoplasty, a tummy tuck tightens the abdominal muscles and removes excess skin, thereby reducing the bulge in the upper abdomen. 
  • Panniculectomy: A panniculectomy involves the removal of excess skin and fat hanging from the lower abdomen. This procedure results in a smoother and flatter stomach19

Conclusion

Addressing upper stomach fat is vital for your overall health and well-being. Understanding the underlying causes, making healthier lifestyle choices, and exploring effective management strategies can support your weight loss efforts. 
Remember, losing fat healthily requires time and patience. Collaborate with your healthcare provider, establish a balanced diet and exercise routine, and maintain a positive outlook throughout the process. With consistent effort, you can improve your health and boost your confidence. 

Frequently Asked Questions (FAQs)

Why does bloating cause a bigger upper stomach?  

Bloating causes the upper stomach to appear enlarged due to excess gas, digestive issues, or inflammation within the gut. Managing bloating through dietary and lifestyle adjustments may help reduce upper stomach fat. 

Can upper stomach fat be eliminated without surgery?  

Yes, it is possible to reduce upper stomach fat without surgery. Simply create a calorie deficit through your diet, exercise regularly, and adopt strategies to manage stress. 

How long does it take to see results when reducing upper stomach fat?  

The rate of weight loss depends on your diet, exercise routine, and metabolic rate. However, gradual progress, approximately 1 to 2 pounds per week is recommended for sustainable and lasting results. 

Are there any specific exercises to target upper stomach fat?  

There are no exercises that target upper stomach fat exclusively. However, a balanced fitness programme combining cardio and strength training can help build muscle, burn fat, and reduce overall belly fat, including in the upper abdominal area. 

Does menopause always cause an increase in belly fat?  

Not all women experience increased belly fat during menopause. However, hormonal changes at this stage can cause weight gain for some. Options such as hormone replacement therapy or lifestyle modifications may help manage this weight gain and reduce upper stomach fat. 

Does posture affect the appearance of the upper stomach? 

Poor posture, such as slouching, can cause the upper abdomen to protrude more prominently than the lower abdomen. Improving posture through exercises and ergonomic adjustments may help in achieving a more balanced appearance. 

Can diet contribute to having a larger upper stomach? 

Yes, a diet high in refined carbohydrates and sugars can lead to bloating and gas accumulation in the upper stomach area. Additionally, consuming more calories than you burn may lead to fat accumulation in this region. 

Are there exercises to reduce the size of the upper stomach? 

Core-strengthening exercises such as planks, crunches, and leg raises can help tone the abdominal muscles, including the upper stomach area. However, spot reduction is not possible, and overall body fat reduction through a combination of exercise and diet is key. 

Does genetics play role in the distribution of abdominal fat? 

Genetics influence where your body stores fat, including whether more fat accumulates in the upper or lower abdomen. Understanding your genetic predispositions can help tailor your diet and exercise routines to achieve a more balanced body composition. 

References

  1. Lacy BE, Gabbard SL, Crowell MD. Pathophysiology, evaluation, and treatment of bloating: hope, hype, or hot air? Gastroenterol Hepatol (N Y). 2011 Nov;7(11):729-39. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3264926/  
  1. Cuomo R, Andreozzi P, Zito FP, Passananti V, De Carlo G, Sarnelli G. Irritable bowel syndrome and food interaction. World J Gastroenterol. 2014 Jul 21;20(27):8837-45. doi: 10.3748/wjg.v20.i27.8837. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4112903/  
  1. Aschbacher K, Kornfeld S, Picard M, Puterman E, Havel PJ, Stanhope K, et al. Chronic stress increases vulnerability to diet-related abdominal fat, oxidative stress, and metabolic risk. Psychoneuroendocrinology. 2014 Aug;46:14-22. doi: 10.1016/j.psyneuen.2014.04.003. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3264926/  
  1. Thau L, Gandhi J, Sharma S. Physiology, Cortisol [Internet]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025 Jan– [updated 2023 Aug 28; cited 2025 Jun 09]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538239/ 
  1. Gluppe S, Ellström Engh M, Bø K. Primiparous women’s knowledge of diastasis recti abdominis, concerns about abdominal appearance, treatments, and perceived abdominal muscle strength 6-8 months postpartum. A cross sectional comparison study. BMC Womens Health. 2022 Nov 2;22(1):428. doi: 10.1186/s12905-022-02009-0. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9632123/ 
  1. Kodoth V, Scaccia S, Aggarwal B. Adverse Changes in Body Composition During the Menopausal Transition and Relation to Cardiovascular Risk: A Contemporary Review. Womens Health Rep (New Rochelle). 2022 Jun 13;3(1):573-581. doi: 10.1089/whr.2021.0119. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9258798/  
  1. Traversy G, Chaput JP. Alcohol Consumption and Obesity: An Update. Curr Obes Rep. 2015 Mar;4(1):122-30. doi: 10.1007/s13679-014-0129-4. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4338356/  
  1. Akhondi H, Ross AB. Gluten-Associated Medical Problems. [Updated 2022 Oct 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538505/  
  1. Malik TF, Panuganti KK. Lactose Intolerance. [Updated 2023 Apr 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532285/  
  1. Schleinitz D, Böttcher Y, Blüher M, Kovacs P. The genetics of fat distribution. Diabetologia. 2014 Jul;57(7):1276-86. doi: 10.1007/s00125-014-3214-z. Available from: https://pubmed.ncbi.nlm.nih.gov/24632736/  
  1. Liao J, Hu M, Imm K, Holmes CJ, Zhu J, Cao C, Yang L. Association of daily sitting time and leisure-time physical activity with body fat among U.S. adults. J Sport Health Sci. 2024 Mar;13(2):195-203. doi: 10.1016/j.jshs.2022.10.001. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10980870/  
  1. Shah RV, Murthy VL, Abbasi SA, Blankstein R, Kwong RY, Goldfine AB, et al. Visceral adiposity and the risk of metabolic syndrome across body mass index: the MESA Study. JACC Cardiovasc Imaging. 2014 Dec;7(12):1221-35. doi: 10.1016/j.jcmg.2014.07.017. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4268163/  
  1. Crudele L, Piccinin E, Moschetta A. Visceral Adiposity and Cancer: Role in Pathogenesis and Prognosis. Nutrients. 2021 Jun 19;13(6):2101. doi: 10.3390/nu13062101. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8234141/  
  1. Institute of Medicine (US) Subcommittee on Military Weight Management. Weight Management: State of the Science and Opportunities for Military Programs. Washington (DC): National Academies Press (US); 2004. 4, Weight-Loss and Maintenance Strategies. Available from: https://www.ncbi.nlm.nih.gov/books/NBK221839/  
  1. Ho SS, Dhaliwal SS, Hills AP, Pal S. The effect of 12 weeks of aerobic, resistance or combination exercise training on cardiovascular risk factors in the overweight and obese in a randomized trial. BMC Public Health. 2012 Aug 28;12:704. doi: 10.1186/1471-2458-12-704. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3487794/  
  1. Tchang BG, Aras M, Kumar RB, et al. Pharmacologic Treatment of Overweight and Obesity in Adults. [Updated 2024 Aug 20]. In: Feingold KR, Ahmed SF, Anawalt B, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279038/  
  1. Xenaki N, Bacopoulou F, Kokkinos A, Nicolaides NC, Chrousos GP, Darviri C. Impact of a stress management program on weight loss, mental health and lifestyle in adults with obesity: a randomized controlled trial. J Mol Biochem. 2018;7(2):78-84. Epub 2018 Oct 3. Available from: https://pubmed.ncbi.nlm.nih.gov/30568922/   
  1. ScienceDirect. Shorter sleep duration is associated with greater visceral fat mass in US adults: Findings from NHANES, 2011–2014 [Internet]. [cited 2025 Jun 09]. Available from: https://www.sciencedirect.com/science/article/pii/S1389945723000990 
  1. Sachs D, Sequeira Campos MB, Hattingh G, et al. Panniculectomy [Internet]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025 Jan– [updated 2023 Jul 18; cited 2025 Jun 09]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499822/ 
  1. Bartow MJ, Raggio BS. Liposuction [Internet]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025 Jan– [updated 2023 Feb 14; cited 2025 Jun 209]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK563135/ 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof. 

Likes 3
Dislikes 1

Comments

Leave your comment...