Conversation: The conversation between human and AI assistant.
[|Human|] My 2 1/2 yr old as always had a big belly. At her 2 year check up the pediatrician questioned why it so big (like we would know), but she never seemed to concerned. My 2 yr old lately has been complaining of her tummy hurting and last night it felt really hard. Usually simple things help, like giving her a snack or something then she will say it doesn t hurt. Could it be more serious or just growth and changes in eating habits?
[|AI|]  A few things needed to be answered first what is the babies weight ? Does this distention come and go, or it is the same all the time ? Do you notice any itching, discoloration of the skin or skin rash on the legs ? Is she developmentally well ? What is her nutritional status ? A complete physical exam by the doctor will exclude organomegaly (big liver or big spleen) .if the distention comes and goes, flat abdomen in the morning and big one in the evening this means that is some sort of digestion, most commonly from carboy Chat Doctor.