Conversation: The conversation between human and AI assistant.
[|Human|] Hello. I have a 9 year old boy who is a heart patient. He had an asd that was fixed when he was 18 months old and he has a cleft mitral vavle. He belly seems to be bigger than normal. He weighs 70 lbs and is 48 inches tall. He was also born with a mild ompaphaliciel and had bilateral hynerias.
[|AI|]  Hi... I understand your concern. The congenital omphalocele which he had might have decreased the tone of the abdominal wall musculature and this might be the reason for protuberant abdomen. Unless there are symptoms of intestinal obstruction or constipation or green colored bilious vomiting, you need not worry. But if you are still in doubt I suggest you consult your pediatrician regarding this. Regards -