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1 Heart failure can also cause swelling in your abdomen. Sometimes it can cause fluid to accumulate in your lungs (pulmonary edema), which can lead to shortness of breath.  Cirrhosis. Fluid may accumulate in your abdominal cavity (ascites) and in your legs as a result of liver damage (cirrhosis).
Sometimes, the stomach gas is held on to by the body. This can lead to cramping, abdominal pain and a distended abdomen. Abdominal gas is typically caused by diet, where gas producing foods are consumed in abundance. In fact, a buildup of abdominal gas whether, a byproduct of chewing gum and bloating or a meal comprised of beans is one of the most common causes of stomach pain.