Hi welcome to HCM... I have gone through your query... Here you are having abdominal enlargement .... Here two possibilities present in your case. ... First it could be by chronic constipation... Second it could be ascites secondary to cirrhosis .... You need to do USG for further work up. It will also decide whether it is ascites like fluid collection or not .... If ascites like edema present by fluid accumulation it is treated by low salt diet and diuretic..... For constipation high fiber food taken like whole grain , wheat bran , carrot etc... Exercise done .... If needed psyllium like bulk forming agent can be given.... But here first get examined and do USG then according to cause detail advise can be given... You can post your follow up case with USG report. Take care