Why Is Your Stomach Swelling? Common Causes & Questions

A swollen abdomen is most commonly caused by gastrointestinal issues that induce bloating. Some of these conditions include IBS, heartburn, bacteria in the intestines, or constipation. More serious and rare causes for stomach swelling are blockage in the intestines, a tumor located in the abdomen, or fluid in the abdomen which can be caused by liver disease, heart failure or cancer. Read below for more causes and treatment options.

This symptom can also be referred to as: belly button feels swollen

  1. Abdominal Swelling Symptoms
  2. Abdominal Swelling Causes
  3. 10 Possible Abdominal Swelling Conditions
  4. Abdominal Swelling Treatments & Prevention
  5. Real-Life Stories
  6. Questions Your Doctor May Ask
  7. Statistics
  8. Related Articles
  9. References

Swollen Stomach Symptoms Explained

Abdominal swelling is a bothersome, uncomfortable symptom that can leave feeling more full than you are and that your pants are suddenly two sizes too small. It can be due to common gastrointestinal disorders like heartburn, constipation, or irritable bowel syndrome or disease, and these conditions typically bring discomfort and pain [8]. More serious causes of abdominal swelling include intestinal blockage, fluid in the abdomen, or cancer. Obesity, pregnancy, and local skin infections may also cause abdominal swelling symptoms. In many cases, abdominal swelling can be treated at home with lifestyle changes and over-the-counter remedies. However, the more serious causes of abdominal swelling require evaluation and treatment by a physician.

Common accompanying symptoms of abdominal swelling

If you're experiencing abdominal swelling, you may also experience:

What Causes Abdominal Swelling?

Common gastrointestinal causes

Common causes of abdominal swelling include the following.

  • Heartburn: Heartburn, or dyspepsia, is abdominal pain or burning along with bloating or feeling full after meals. It is very common and typically has no known underlying cause. Heartburn may be the cause of mild abdominal bloating or swelling.
  • Irritable bowel: Irritable bowel syndrome (IBS) is a very common cause of abdominal pain, bloating, and diarrhea or constipation. Typically, patients either have either diarrhea or constipation, but can also have alternating diarrhea and constipation. IBS is known as a functional gastrointestinal disorder [1], which means there is no underlying structural problem to account for the symptoms.
  • Bacterial overgrowth: There are millions of bacteria in a normal, healthy gastrointestinal system. However, some people experience an overgrowth of abnormal bacteria in place of good bacteria which can cause abdominal bloating or swelling. Typically, bacterial overgrowth presents with abdominal pain or discomfort, bloating, gas, and diarrhea, and is usually located in the small intestines [2].
  • Constipation: Constipation is very common in the adult population and can be associated with a variety of medications [3], medical conditions, or lifestyle factors. Constipation can present with abdominal pain or discomfort and abdominal swelling symptoms.

Serious underlying illnesses

Abdominal swelling may be due to a serious underlying illness, such as the following.

  • Blockage in the intestine: There are a variety of medical conditions that can lead to blockage in the intestines, also known as bowel obstruction [4]. Some common causes include scar tissue from prior surgery, hernias, tumors, or gallstone. Typically, blockages present with abrupt pain, nausea, vomiting and abdominal distension [5]. You will also be unable to pass stool or gas.
  • Fluid in the abdomen: There are a variety of medical conditions that can lead to fluid building up in the abdomen, also called ascites, which leads to abdominal distention or swelling. Some of the most common causes include end-stage liver disease (cirrhosis) [6], heart failure, or cancer. In many cases, abdominal distension from fluid in the abdomen is painless.
  • Cancer: Any large tumor in the abdomen can lead to abdominal distension or swelling, either as a direct result of the growing tumor or from inflammation or fluid surrounding it. This swelling is typically painless, but you may have other symptoms like weight loss, fevers, or night sweats.

Other causes of abdominal swelling

Other causes of abdominal swelling include the following.

  • Skin infection: If the swelling is limited to one section of the abdomen, it may be due to an infection in the skin. Typically, skin infections cause localized redness, swelling, and tenderness. Skin infections are typically caused by bacteria and treated with antibiotics.
  • Obesity: Increased abdominal girth [7] over time can be due to weight gain or obesity.
  • Pregnancy: Increasing abdominal girth can be due to pregnancy.

10 Possible Abdominal Swelling Conditions

The list below shows results from the use of our quiz by Buoy users who experienced abdominal swelling. This list does not constitute medical advice and may not accurately represent what you have.

Irritable bowel syndrome (ibs)

Irritable bowel syndrome (IBS) is a chronic disorder of the large intestine. It is characterized by recurrent abdominal pain and bowel movement issues that can be difficult to treat. Signs and symptoms of IBS are usually not severe or life-threateni...

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Lactose intolerance

Lactose is a sugar that naturally occurs in milk. Someone is considered "lactose intolerant" when the small intestine cannot produce enough of the enzyme that digests lactose called lactase.

In primary lactose intolerance, the enzyme is produced during childhood but declines sub...

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Possible pregnancy

The earliest sign of pregnancy is typically a missed period, but many women do experience symptoms shortly after conception:

  • Implantation bleeding may occur after six to twelve days, when the fertilized egg implants itself into the lining of the uterus. This can cause mild cramping with light bleeding or spotting.
  • Fatigue and increased desire to sleep may happen within a week.
  • Breast tenderness can start as soon as one to two weeks.
  • Nausea ("morning sickness") can occur after two to eight weeks.

If pregnancy is suspected, testing should be done so that proper prenatal care can begin. It's important to avoid some behaviors during pregnancy, such as drinking alcohol or using certain drugs or medications, so an early diagnosis should be made.

Over-the-counter home pregnancy tests are available at any drugstore. A positive test is almost certainly correct, but a negative test in the face of other symptoms may be a false negative and should be tried again after a week.

Rarity: Common

Top Symptoms: fatigue, nausea or vomiting, stomach bloating, bloody vaginal discharge, vaginal bleeding

Symptoms that always occur with possible pregnancy: missed period

Symptoms that never occur with possible pregnancy: painful urination, severe abdominal pain

Urgency: Self-treatment

Ovarian cyst

During her reproductive years, a woman's ovaries release a single egg cell each month. But sometimes the egg remains on the surface of the ovary, where the follicle that enclosed it continues to grow. It then becomes a fluid-filled ovarian cyst.

Ovarian cysts may be caused by hormonal imbalances; by endometriosis tissue, if it attaches to the ovary; and by severe pelvic infections that spread to the ovaries. Cysts may also form during pregnancy.

Small ovarian cysts often cause no symptoms. Larger cysts may cause pelvic pain, backache, unexplained weight gain, abnormal vaginal bleeding, and/or pain during sex. Ovarian cysts are almost never a form of cancer.

Sudden, severe abdominal pain could indicate a ruptured cyst. This is a medical emergency and the patient should go to an emergency room or call 9-1-1.

Diagnosis is made through ultrasound.

Hormonal birth control, such as the pill, injection, or patch, prevents ovulation and therefore prevents the formation of cysts. Surgery to remove the cyst may be necessary in some cases.

Rarity: Rare

Top Symptoms: stomach bloating, vaginal bleeding, pelvis pain, lower abdominal pain, lower back pain

Urgency: Primary care doctor

Uterine fibroids

Uterine fibroids are benign growths in the wall of the uterus and most often appear during childbearing years. Fibroids are almost never associated with cancer.

Those at higher risk include black women and women who started their periods at a young age. Other risk factors are vitamin D deficiency, poor diet, obesity, drinking alcohol, and family history of fibroids.

Fibroids can cause pelvic pressure and pain, severe menstrual cramping, and heavy menstrual bleeding that leads to anemia. Quality of life is diminished due to the chronic pain and discomfort. Though fibroids don't always make it impossible to become pregnant, infertility and pregnancy loss may occur as well as pre-term delivery.

Fibroids can be diagnosed through a routine pelvic exam or ultrasound in a doctor's office.

A gynecologist can prescribe various medications to ease the symptoms and regulate the menstrual cycle. There are also a number of surgical techniques, some minimally invasive, to shrink or remove the fibroids while leaving the uterus in place. Hysterectomy, or removal of the uterus, is an option in some cases.

Rarity: Common

Top Symptoms: vaginal bleeding, pelvis pain, abdominal cramps (stomach cramps), painful periods, irregular period

Urgency: Primary care doctor

Abdominal Swelling Symptom Checker

Take a quiz to find out what might be causing your abdominal swelling


Cirrhosis is scarring of the liver. Scar tissue forms because of injury or long-term disease. In the United States, alcoholism and Hepatitis C are the most common causes. Scar tissue cannot do what healthy liver tissue does - make protein, help fight infections, clean the blood, help digest food and store energy.

Rarity: Common

Top Symptoms:

Urgency: Primary care doctor

Ovarian cancer

Ovarian cancer is an abnormal growth of cells in the ovaries, the reproductive organ in women responsible for producing eggs. Risk factors for developing ovarian cancer include familial genetic syndromes, increasing age, obesity or weight gain, starting menses at an early age, undergoing menopa...

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Liver failure

The liver is a large and important organ in the right side of your belly, just under your lower ribs. It is responsible for countless functions from clearing toxins to processing nutrients to producing vital blood proteins. As a result, liver failure can cause a wide array of symptoms, but the mos...

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Compartment syndrome

Acute compartment syndrome describes the damage done to certain muscle groups of the arms or legs after a traumatic injury.

All of the long muscles are bundled into sections – "compartments" – by the white sheets of strong, tough connective tissue called fascia. If something interferes with circulation so that blood flow is trapped within the compartment, pressure rises because the fascia cannot stretch. This causes serious damage to the muscles and other tissues within the compartment.

Acute compartment syndrome is caused by a broken bone; a crush injury; burns, due to scarred and tightened skin; and bandages or casts applied before an injury has stopped swelling.

Symptoms can rapidly intensify. They include severe pain and tightness in the muscle; tingling or burning sensation; and sometimes numbness and weakness.

Acute compartment syndrome is a medical emergency which can result in loss of the limb. Take the patient to the emergency room or call 9-1-1.

Diagnosis is made through patient history and physical examination.

Treatment involves hospitalization for emergency surgery and, in some cases, skin graft.

Rarity: Rare

Top Symptoms: arm numbness, hand numbness, foot numbness, pain in one leg, thigh numbness

Urgency: Hospital emergency room

Small bowel obstruction

The small bowel, or small intestine, is a long, coiled, tube-like structure that connects the stomach to the large intestine (the large bowel, or colon.) If the small bowel is blocked for any reason, food and liquid cannot pass through. This is a medical emergency.

There a number of possible causes. Scar tissue called adhesions can form after any abdominal surgery (including Caesarean section.) Inflammation from Crohn's disease or diverticulitis causes the intestinal wall to thicken and narrow. Hernias or tumors can also cause blockage.

Symptoms include inability to have a bowel movement or pass gas; abdominal cramping and swelling; loss of appetite; and vomiting.

If not treated, a small bowel obstruction can cut off the blood supply to the small intestine. This leads to tissue death, which can then tear and cause an infection in the abdominal cavity called peritonitis. Both of these are medical emergencies.

Diagnosis is made through physical examination, x-ray, CT scan, and/or ultrasound.

Once diagnosed, most patients are hospitalized. Surgery may be necessary to clear the obstruction.

Rarity: Uncommon

Top Symptoms: abdominal pain (stomach ache), nausea, stomach bloating, being severely ill, abdominal cramps (stomach cramps)

Symptoms that always occur with small bowel obstruction: being severely ill

Urgency: Hospital emergency room

At-Home, Professional, and Emergency Treatments for Abdominal Swelling

Many causes of abdominal swelling — especially if it's just a little bloating — can be managed effectively at home. For example, there are many over-the-counter and natural remedies for constipation and heartburn. If you are experiencing gastrointestinal symptoms that might be food-related, try to avoid the offending foods and change your diet. However, some causes of abdominal swelling should be evaluated by a physician. Imaging [9], prescription medication, and surgery are all possible treatments your physician may recommend depending on your specific symptoms and the determined cause.

When abdominal swelling is an emergency

Seek emergency abdominal swelling treatment if you experience very severe abdominal pain with nausea or vomiting.

At-home abdominal swelling treatments

You may find relief from abdominal swelling with the following at-home treatments.

  • Lifestyle changes: If you believe your constipation, irritable bowel, or heartburn is due to a specific type of food, try avoiding the food to help relieve symptoms. Some common offenders for heartburn include fatty foods or acidic foods like coffee, tomatoes, or citrus. Some common offenders for constipation include dairy, white rice or bread, and bananas [10].
  • Natural constipation remedies: There are many popular natural remedies for constipation including taking magnesium supplements [11], increasing your fiber intake, or increasing your intake of probiotic foods or supplements.
  • Over-the-counter medications: There are many over-the-counter medications that can treat constipation or heartburn if they are the cause of your abdominal swelling.
  • Enema: An enema is placed into the rectum to relieve constipation. Many are available over-the-counter.

Medical treatments for abdominal swelling

After consulting your physician, he or she may recommend the following measures.

  • Imaging: Your doctor may order X-rays, ultrasound, or CT scans if they suspect an intestinal blockage, fluid in the abdomen, or other possible structural causes of abdominal swelling.
  • Endoscopy (esophagogastroduodenoscopy or EGD) or colonoscopy: If your doctor suspects your abdominal swelling is related to a medical condition, they may recommend a type of imaging that requires using a scope to look at the inside of the gastrointestinal tract, either through the mouth or through the rectum.
  • Medications: Your doctor can prescribe various medications to treat heartburn, bacterial overgrowth, irritable bowel syndrome, constipation, or infections that may be causing your abdominal swelling.
  • Surgery: This is unlikely, however, if a blockage in the intestines is causing abdominal swelling, a doctor may recommend surgery to treat the problem. In this case, your doctor would discuss the risks and benefits of surgery as a treatment for the condition.

Real-life Stories

Once your story is reviewed and approved by our editors, it will live on Buoy as a helpful resource for anyone who may be dealing with something similar. If you want to learn more, try Buoy Assistant.

Questions Your Doctor May Ask About Abdominal Swelling

To diagnose this condition, your doctor would likely ask the following questions:

  • Have you been feeling more tired than usual, lethargic or fatigued despite sleeping a normal amount?
  • Any fever today or during the last week?
  • Have you experienced any nausea?
  • Have you lost your appetite recently?

If you've answered yes to one or more of these questions

Abdominal Swelling Symptom Checker

Take a quiz to find out what might be causing your abdominal swelling

Abdominal Swelling Symptom Checker Statistics

People who have experienced abdominal swelling have also experienced:

  • 11% Stomach Bloating
  • 11% Abdominal Pain (Stomach Ache)
  • 4% Nausea

People who have experienced abdominal swelling were most often matched with:

  • 60% Irritable Bowel Syndrome (Ibs)
  • 20% Lactose Intolerance
  • 20% Possible Pregnancy

People who have experienced abdominal swelling had symptoms persist for:

  • 32% Over a month
  • 26% Less than a week
  • 20% Less than a day

Source: Aggregated and anonymized results from Buoy Assistant (a.k.a. the quiz).

Abdominal Swelling Symptom Checker

Take a quiz to find out what might be causing your abdominal swelling


  1. Functional GI Disorders. International Foundation for Functional Gastrointestinal Disorders. Published November 9, 2016. IFFGD Link.
  2. Small Intestinal Bacterial Overgrowth. Wikipedia. Published September 6, 2018. Wikipedia Link.
  3. What To Do When Medication Makes You Constipated. Harvard Medical School: Harvard Health Publishing. Published August 2017. Harvard Health Link.
  4. Bowel Obstruction. Harvard Medical School: Harvard Health Publishing. Published October 2014. Harvard Health Link.
  5. Understanding Bloating and Distension. International Foundation for Functional Gastrointestinal Disorders. Published August 10, 2018. IFFGD Link.
  6. Cirrhosis. National Institute of Diabetes and Digestive and Kidney Diseases. NIH Link.
  7. Bloating. Wikipedia. Updated August, 2018. Wikipedia Link.
  8. Medical Imaging. U.S. Department of Health and Human Services: U.S. Food & Drug Administration. Published August 28, 2018. FDA Link.
  9. Bae SH. Diets for Constipation. Pediatric Gastroenterology, Hepatology & Nutrition. Published December, 2014.NCBI Link.
  10. Cox L. What Are Magnesium Supplements? Live Science. Published January 30, 2014. Live Science Link.

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