Bloated stomach, a very common way of identifying malnourished kids. What makes their stomachs big?
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Kwashiorkor is a condition related to malnutrition, merely feeding a child will not correct all the deficiencies and effects of the condition. If a child has gone without sufficient protein and nutrients for a long time, eating again can be a shock to their system if reintroducing food is not done carefully. Many children with kwashiorkor will also develop lactose intolerance. As a result, they may need to avoid milk products or take enzymes so their bodies can handle milk.
I am not a medical person. The protruding, I think, is the result of the body being starved, the stomach is full of air. Anorexic individuals will look the same way. There are other things which occur, e.g., listlessness and loss of muscle mass. The body is breaking down, but trying to save itself from imminent danger. The belly’s distension is an indication that death is close at hand. People with anorexia have a mental condition where they don’t see themselves in reality. They are confused and delusional.