The direct difference between ascites and pot belly is the different appearance, different percussion sound, different clinical manifestations. 1. The appearance of different: ascites, sitting position abdomen is bulging skin taut bright, lying position ascites flow to the sides, the abdomen in the middle of the bulge to reduce these manifestations in the belly of the healthy people is not very obvious; cirrhosis caused by ascites can be seen in the spider nevus, etc., and belly because the subcutaneous are adipose tissue, the skin naturally relaxation will not be other skin tautness and other abnormalities. 2. percussion sound different: ascites patients in the percussion was mobile turbid, that is, different positions, percussion out of the sound is also different, and pot-bellied obese healthy people percussion sound is generally not because of changes in position and change. 3. Clinical manifestations: patients with ascites, if the amount of ascites or ascites infection, will be accompanied by abdominal distension, abdominal pain, fever; and potbelly is because of the accumulation of subcutaneous fat, will not affect the intestinal function, will not have abdominal distension, abdominal pain, fever. 4. underlying disease: ascites patients may have underlying disease, such as cirrhosis, some patients can be accompanied by lower limb edema. There is no underlying disease in pot belly. There are many other direct differences between ascites and pot belly, after the occurrence of abdominal changes, timely medical examination in order to clarify the cause of abdominal changes.