Swelling or distention
generalized or caused by a localized mass
Localized swelling= mass: a massive enlargement of liver or
spleen, gastric cancer, pancreatic cancer, colorectal cancer, aortic
aneurysm, diverticular mass
Generalized: obesity, ascites, pregnancy, bowel obstruction
(flatus), severe constipation (faeces)
Visible peristalsis
Bowel obstruction or pyloric stenosis
Smell from patient
fetor hepaticus,
uremia
melena
ketones in fasting or ketoacidosis.