Symptoms are distended abdomen, excessive salivating, depression and lethargy. Patient stops passing flatus and motion, abdomen is distended. Due to liver failure, the abdomen will be distended with fluid. In later stages of constipation, the abdomen may become distended, hard and diffusely tender. She had two nearly full sets of teeth in her mouth and a distended abdomen. Females also present a whiter, distended abdomen. The abdomen may be distended or tender, signs which indicate an urgent need for surgery. In addition, Barker had been violated with foreign objects which had extensively distended his rectum. This is because the cecum, distended with gas, protects the inflamed appendix from pressure. In severe hypovolemia, the neck veins may not be distended. The intestine becomes distended due to the trapped fluid and gas production from bacteria. What glances from untamed eyes, what distended nostrils, what iron muscles! Additional sections of intestines may be distended if there is fluid backup. Cholecystitis causes the gallbladder to become distended and firm. The surrounding tissue secretes mucus normally but builds up and becomes distended.