The Compendium of Caraka 6.13.15

6.13.15

atisaṃcitadoṣāṇāṃ pāpaṃ karma ca kurvatām/
udarāṇyupajāyante mandāgnīnāṃ viśeṣataḥ//

In those whose doṣas are excessively accumulated and who perform sinful deeds, / abdominal enlargements arise, especially in those with dull digestive fire.