What does fluid in the abdomen feel like?
The fluid causes swelling that can make the tummy feel tight and very uncomfortable. It often develops over a few weeks but might happen over a few days. The fluid causes pressure on other organs in the abdominal area and may lead to: clothes feeling tighter or needing a bigger belt size.
Ascites is the medical term for a buildup of fluid in the abdomen. It can happen when the blood pressure of the portal vein — which runs from the digestive organs to the liver — gets too high. This increased pressure reduces kidney and liver function, causing fluid to accumulate.
You may need other treatments, including: Paracentesis: Your provider inserts a needle into your abdomen to remove the fluid. This procedure can remove a large amount of excess fluid. Transjugular intrahepatic portosystemic shunt (TIPS): This procedure is performed to treat fluid build-up in the abdomen.
A distended abdomen is abnormally swollen outward. You can see and measure the difference, and sometimes you can feel it. A distended abdomen can be due to bloating from gas, or it can be due to accumulated fluid, tissue, or digestive contents. It can be chronic or acute.
Both ascites and beer belly result in a large, protruding hard belly that can resemble that of a pregnant woman's belly. Ascites often results in a rapid weight gain in contrast to a more gradual gain with beer belly development.
Bloating Is Tight While Belly Fat Is Spongy
Tightness in the stomach is a sign of bloating. Stomach fat will feel spongy and malleable and can be grasped physically in your hand—something you can't do with bloating.
The list of organic disorders that can cause bloating and distension also includes celiac disease, pancreatic insufficiency, prior gastroesophageal surgery (such as fundoplication or bariatric procedures), gastric outlet obstruction, gastroparesis, ascites, gastrointestinal or gynecologic malignancy, hypothyroidism, ...
Causes of bloating
The most common reason for bloating is having a lot of gas in your gut. This can be caused by some food and drinks, such as some vegetables and fizzy drinks, or by swallowing air when you eat. It can also be caused by a problem with your digestion, such as: constipation.
Look at the patient, both with them lying down and standing up. The shape of the abdomen often suggests ascites fluid. On lying down, the flanks are full but on standing the ascites fluid accumulates in the lower abdomen.
Those with mild ascites may have an abdomen that appears normal, whereas those with more severe ascites may have a very large distended abdomen. As the fluid accumulates in the abdominal cavity. The belly button can also protrude from the body with severe ascites.
Can you feel ascites fluid?
Symptoms may develop slowly or suddenly depending on the cause of ascites. You may have no symptoms if there is only a small amount of fluid in the belly. As more fluid collects, you may have abdominal pain and bloating.
Abdominal bloating occurs when the abdomen fills with air or gas. This may cause the area to appear larger or swollen. The abdomen may also feel hard or tight to the touch. It can cause discomfort and abdominal pain.

Bloating refers to the sensation of abdominal (tummy) swelling, sometimes described as the feeling of an inflated balloon in the belly. By contrast, abdominal distention refers to an actual increase in measured abdominal size.