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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).
Consumption of high-fiber foods can lead to intestinal gas and bloating. Less commonly, ovarian cysts or other types of tumors can cause the appearance of a distended abdomen. The accumulation of fluid in the abdominal cavity, known as ascites, can cause the appearance of distension. Ascites has a number of causes, including cirrhosis of the liver. A distended stomach (abdomen) can be associated with other symptoms, including belching, nausea, vomiting, diarrhea, fever, or abdominal pain.