Why is my lower abdomen bulging as if I'm pregnant?

Swelling below the navel resembling pregnancy may be caused by abdominal fat accumulation, intestinal gas, pelvic inflammatory disease, uterine fibroids, ovarian cysts, etc. This can be improved through dietary adjustments, exercise, and medical interventions. If the swelling persists or is accompanied by pain or abnormal bleeding, prompt medical attention is necessary.

1. Abdominal Fat Accumulation: Prolonged sitting and a high-fat diet can lead to fat buildup in the abdomen, causing the area below the navel to bulge, usually without significant pain. It is recommended to control high-calorie food intake and increase physical activities such as jogging and sit-ups to reduce abdominal fat.

2. Intestinal Gas: Eating too quickly or consuming excessive gas-producing foods can cause intestinal bloating, leading to swelling below the navel along with abdominal distension and increased flatulence. It is advised to eat slowly, reduce intake of legumes and sweet potatoes, and gently massage the abdomen to promote gas release.

3. Pelvic Inflammatory Disease: Infection by pathogens causes inflammation in the pelvic region, resulting in pelvic congestion and edema. This leads to swelling below the navel, often accompanied by lower abdominal pain and increased vaginal discharge. It is recommended to use medications such as ceftriaxone sodium injection, metronidazole injection, and Gynecological Qianjin tablets under medical supervision to alleviate symptoms.

4. Uterine Fibroids: Abnormal proliferation of uterine smooth muscle cells forms fibroids, which may enlarge and push against the abdominal wall, causing swelling below the navel. Symptoms may include heavy menstrual bleeding and prolonged periods. Treatment options under medical guidance include mifepristone tablets, levonorgestrel-releasing intrauterine systems, and Guizhi Fuling capsules.

5. Ovarian Cysts: Fluid-filled cysts develop within the ovaries; as they grow, they can cause abdominal protrusion and swelling below the navel, often accompanied by a sensation of heaviness in the lower abdomen and backache. Under medical supervision, medications such as drospirenone-ethinyl estradiol tablets, desogestrel-ethinyl estradiol tablets, and Hongjin Xiaojie capsules may be used to manage symptoms.

It is recommended to maintain regular eating habits and avoid overeating, engage in moderate physical activity to promote intestinal motility, keep the abdomen warm to prevent cold exposure, and maintain good genital hygiene to prevent infections.