A variety of factors can be considered for a large abdomen in the elderly. For those who exercise little and eat a greasy diet, fat accumulation is considered and appropriate exercise, more walks and regular laboratory tests are recommended. The muscles and skin of the abdominal wall can also be more lax in the elderly as the body ages, making them susceptible to the condition of a large abdomen. In addition, ascites can also cause a large abdomen, and patients are advised to have an ultrasound examination to identify the cause and treat it accordingly.