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Published on: 5/21/2025

What Might Cause My Lower Belly to Be Swollen?

A swollen lower belly is usually due to bloating—often caused by gas buildup, fluid retention, or digestive disturbances—but it can sometimes indicate another underlying medical condition.

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Explanation

When your lower belly feels swollen, one common reason is abdominal bloating. This happens when too much gas builds up in your stomach and intestines, which can be influenced by certain foods, eating too quickly, food intolerances, or other digestive issues. Sometimes, constipation or changes in your gut can also lead to a feeling of fullness and swelling. Fluid retention is another cause—as your body holds onto extra water, your belly may appear distended. In more serious cases, a condition called ascites could cause swelling if there is an abnormal buildup of fluid in the abdomen, but this is less common. Hormonal changes, stress, or even certain gastrointestinal disorders such as irritable bowel syndrome (IBS) may contribute to increased abdominal distension as well. In women, a swollen abdomen may also be due to gynecological problems and should be evaluated. Because there are many possible causes, if your lower belly swelling is new, becomes uncomfortable, or is accompanied by other symptoms like pain or changes in your bowel movements, it’s important to consult with a doctor. They can examine you and possibly order tests to determine the exact reason and recommend the best treatment.

(References)

  • Seo AY, Kim N, Oh DH. Abdominal bloating: pathophysiology and treatment. J Neurogastroenterol Motil. 2013 Oct;19(4):433-53. doi: 10.5056/jnm.2013.19.4.433. Epub 2013 Oct 7. PMID: 24199004; PMCID: PMC3816178.

  • Childs AH. Swelling of the abdomen and legs. Proc (Bayl Univ Med Cent). 2000 Jan;13(1):87-8. doi: 10.1080/08998280.2000.11927647. PMID: 16389330; PMCID: PMC1312218.

  • Foley A, Burgell R, Barrett JS, Gibson PR. Management Strategies for Abdominal Bloating and Distension. Gastroenterol Hepatol (N Y). 2014 Sep;10(9):561-71. PMID: 27551250; PMCID: PMC4991532.

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