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The abdomen (the area from the bottom ribs to the pelvis) is primarily filled with the small and large intestines as well as other organs. The major reason for a lower belly that is "swollen" and "hard" is simply the presence of stool in the intestines. If you haven't had a bowel movement in a while or if you are off from your normal bowel routine, you could be constipated.

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Q: Why is your stomach hard and swollen and growing but you are not pregnant?
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