Abdominal distension caused by liver disease and gastrointestinal disease are basically the same, the main difference between the two is the different signs of the liver and stomach and the different complications. It is difficult to differentiate between liver and gastrointestinal diseases, as they are accompanied by nausea, vomiting, and loss of appetite. But due to liver disease, patients will have liver symptoms and signs, depending on the disease, there will be different degrees of jaundice, pain in the liver area, pressure pain, abdominal fluid and other manifestations, and in severe cases, the right upper abdomen will be touched with the diseased liver under the ribs. Abdominal distension due to gastrointestinal diseases, the patient will have a history of gastric disease, stomach will have pressure pain and other manifestations. In general, gastrointestinal and liver belong to the same digestive system, it is not easy to distinguish by symptoms alone, should consult the doctor in a timely manner, and follow the medical advice with the help of medical history and relevant examination can distinguish the cause of the disease, and active treatment.