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Patient Presentation A 10-year-old male came to the emergency room with a several day history of abdominal distension and generalized abdominal pain. Abdominal distension either gas or fluid accumulation can have many underlying causes. Pin On Medical Mnemonics There are five major causes of bloating and abdominal distension. . Severe bloating and distension making you look pregnant are often caused by excess gas inside your digestive tract. He occasionally felt nauseous but had no emesis. Abdominal distension is a worrisome presentation in both the clinic and emergency room setting. Bloat - frothy bloat or free gas bloat. Commonly this condition can be caused due to overeating or swallowing excess air aerophagia. Kidney stones kidney failure polycystic kidney or even kidney cancer causes severely distended stomach. Any ailment of kidney directly affects the stomach cavity. The patient and family could provide few details ...