Feeling bloated 40 days after laparoscopic hysterectomy may be caused by abdominal hematoma formation or intestinal adhesion. 1. Abdominal hematoma formation: after laparoscopic hysterectomy, if the threads ligating the blood vessels are detached or become loose, an intra-abdominal hematoma may be produced, and the patient may have the feeling of a distended stomach. If the amount of bleeding is small and the hematoma gradually forms, the patient’s feeling of bloating may gradually worsen, but if the amount of bleeding is large, in addition to abdominal bloating, the patient may also experience shock. 2. Intestinal adhesion: 40 days after laparoscopic hysterectomy, the patient has the symptom of abdominal distension, which may be caused by intestinal adhesion in the abdominal cavity. This is because during surgery, there is a possibility that the intestinal tract may be involved in pulling, and the intestinal tract may become adherent due to the inflammatory response. The symptoms of feeling bloated 40 days after laparoscopic hysterectomy alone cannot accurately determine the cause, and it is necessary to combine the characteristics of the medical history and other test results to make an accurate judgment, and it is recommended to clarify the cause of the disease under the guidance of the doctor.