A large, hard abdomen is considered to be related to abdominal muscle tension, occupying pelvic lesions, inflammatory conditions and other aspects such as uterine fibroids and ectopic pregnancy. If the patient has a large abdomen along with symptoms such as weight loss and general weakness, he/she should be alerted to tumours and other pathologies, and it is recommended that he/she should be seen by a hospital in a timely manner.