DDX for abdominal swelling

1. Ascites: This is the accumulation of fluid in the abdominal cavity. It can be caused by various conditions, including liver disease, heart failure, kidney disease, malignancies, and certain infections.

2. Ovarian cyst: It is a fluid-filled sac that develops on the ovary. Most ovarian cysts are harmless and resolve on their own. However, larger cysts may cause abdominal discomfort and swelling.

3. Hepatomegaly: Enlargement of the liver due to various causes, such as liver cirrhosis, hepatitis, fatty liver disease, or liver cancer, can result in abdominal swelling.

4. Gastrointestinal obstruction: A partial or complete blockage of the intestines can lead to abdominal swelling and distention. Common causes include intestinal adhesions, tumors, and hernias.

5. Peritonitis: It is the inflammation of the lining of the abdominal cavity, usually resulting from infection due to a ruptured appendix, diverticulitis, or a perforated stomach or intestine.

6. Pancreatitis: Inflammation of the pancreas can cause abdominal swelling and tenderness. Common causes include gallstones, alcohol abuse, certain medications, and high triglyceride levels.

7. Kidney dysfunction: Chronic kidney disease leading to fluid retention in the body can result in generalized swelling, including the abdomen.

8. Gastrointestinal tumors: Certain tumors, such as gastrointestinal stromal tumors (GISTs) or colorectal cancer, can cause abdominal swelling as they grow and obstruct the normal flow of contents in the digestive tract.

9. Inflammatory bowel disease (IBD): Conditions like Crohn's disease and ulcerative colitis can cause chronic inflammation in the digestive tract, leading to abdominal swelling, pain, and other symptoms.

10. Pregnancy: The growing uterus during pregnancy can cause abdominal swelling, although this is usually expected and normal in pregnant women. However, sudden or excessive swelling should be evaluated by a healthcare provider.