What are the symptoms of a large belly in elderly men

Older men with a large belly may be related to conditions such as abdominal obesity, visceral fat accumulation, gastrointestinal bloating, abdominal fluid accumulation, and abdominal hernia. An increase in abdominal circumference is usually the result of multiple factors working together and needs to be judged comprehensively in conjunction with other symptoms.

1. Abdominal obesity

Long term excess calories lead to fat accumulation in the deep abdomen, manifested as waist circumference exceeding the standard value. This condition is closely related to metabolic syndrome and may be accompanied by elevated blood sugar and abnormal blood lipids. Suggest improving through a low glycemic index diet and resistance exercise, avoiding high sugar and high-fat foods.

2. Accumulation of visceral fat

Excessive deposition of fat around the liver and mesentery can significantly increase abdominal circumference. This type of fat metabolism is active and can easily lead to insulin resistance. Ultrasound examination can clarify the distribution of fat, and it is necessary to focus on controlling the intake of refined carbohydrates and increasing dietary fiber supplementation.

III. Gastrointestinal bloating

Decreased digestive function may lead to increased intestinal gas production, commonly caused by lactose intolerance or intestinal microbiota imbalance. Manifesting as significant postprandial bloating and drumming sounds on percussion. You can try a low-fat diet and supplement probiotics such as bifidobacteria in moderation.

Fourth, ascites

Diseases such as cirrhosis and heart failure can cause fluid accumulation in the abdominal cavity. Characterized by abdominal wave motion accompanied by lower limb edema. We need to improve abdominal ultrasound and liver function tests, limit sodium intake, and monitor weight changes daily.

V. Abdominal Wall Hernia

Organ protrusion occurs at the weak point of the abdominal wall muscle, forming a visible mass. When coughing or standing, it protrudes significantly and may retract when lying flat. Avoid lifting heavy objects and use hernia straps for temporary fixation. In severe cases, surgical repair is required.

It is recommended to regularly measure the waist to hip ratio. Men with a waist circumference exceeding 90 centimeters should be alert to health risks. Moderate aerobic exercise should be maintained in daily life, such as brisk walking, swimming, etc., accumulating more than 150 minutes per week. Pay attention to increasing the proportion of whole grains and high-quality protein in diet, and reduce alcohol intake. If the abdominal circumference significantly increases in the short term or is accompanied by symptoms such as abdominal pain and decreased appetite, timely abdominal CT and tumor marker screening should be performed. For those with basic diseases such as hypertension and diabetes, a personalized weight management program should be developed under the guidance of doctors.