Abdominal distension with hard feeling in the abdomen may be caused by constipation, gastric diseases, intestinal obstruction, etc. It can be treated by life management, medication and surgery. 1. Constipation: Constipation may lead to a large amount of food gathering in the intestinal tract, resulting in abdominal distension with a hard feeling in the abdomen. You can take lactulose and other drugs to increase the volume of stool, promote gastrointestinal peristalsis and laxative. Also take more celery, bananas, spinach, dragon fruit and other fruits and vegetables to promote gastrointestinal peristalsis, promote defecation. 2. Stomach diseases: gastritis, gastric ulcer and other stomach diseases may lead to gastrointestinal peristalsis slows down, the stomach produces gas to increase the symptoms of abdominal distension with abdominal hardness. You can take omeprazole, rabeprazole and other drugs to inhibit the secretion of gastric acid; you can also take domperidone, mosapride and other drugs to promote gastrointestinal peristalsis and relieve the symptoms. 3. Intestinal obstruction: Intestinal obstruction can be induced by tumors and polyps in the intestinal tract, and abdominal distension with abdominal hardness and other symptoms may also occur. Generally, gastrointestinal decompression or laparoscopic surgery is needed. Abdominal distension with hard feeling in the abdomen may also be caused by other reasons, it is recommended to consult a doctor in time, under the guidance of the doctor to carry out targeted treatment. Please do not take medication on your own to avoid delaying your condition.