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Umbilical hernia
The umbilical hernia in the baby healed, but occurred again after two months. What should I do?
The baby's umbilical hernia had healed for two months but reappeared, indicating that the umbilical ring has not closed and the hernia has not completely healed. Therefore, in daily life, it is important to minimize the child's crying, tantrums, and vigorous exercise, and avoid getting cold or sick as much as possible to prevent severe coughing. Attention should be paid to the intake of foods rich in vitamins and cellulose, such as fresh vegetables and fruits. Drink plenty of water, maintain smooth bowel movements, and follow a light diet. Avoid eating cold and spicy foods.
Can an umbilical hernia heal itself?
Umbilical hernia has the potential to heal on its own, but it requires conservative treatment methods to be adopted. Generally, children under the age of two can undergo conservative observational treatment, such as using adhesive tape, as the umbilical ring in most cases can close by itself between the ages of 1 and 2. However, if the child is over two years old and the diameter of the umbilical ring still exceeds 1.5 cm, choosing surgical treatment is a wise decision. For patients over the age of five, it is recommended to undergo surgery as early as possible regardless of the situation, as the chances of incarceration or strangulation can increase after the age of five. Generally, surgical intervention is required for a cure. Options include traditional tissue suture repair methods or open umbilical hernia tension-free repair.
Can an umbilical hernia be treated with a belly button patch?
Umbilical hernia refers to the protrusion of abdominal contents through the umbilical ring, commonly seen in infants and young children. Most of these hernias are reducible and incarceration is rare. The majority of umbilical hernias can heal on their own within the first year through gradual contraction of the umbilical fascial ring. Therefore, unless incarceration occurs, non-surgical treatment aimed at promoting healing, such as the use of umbilical patches and hernia belts, can be adopted before the age of two. However, since infants and young children have delicate skin, it is important to monitor for any skin allergies. If the child is older than two years and the diameter of the umbilical hernia exceeds 1.5 cm, surgical treatment should be considered.
Can an umbilical hernia often be pressed with hands?
Umbilical hernias can often be pressed with the hand, but it is important to be careful with the technique and strength used to avoid damaging the contents of the hernia or the local skin, which could lead to a secondary bacterial infection. Umbilical hernia is one of the common diseases during the newborn and infant periods. After the umbilical cord falls off, if the closure of the umbilical ring is incomplete or the tissues around the navel are not sturdy, factors such as frequent crying or constipation can increase intra-abdominal pressure. This can lead to the protrusion of abdominal contents, particularly the small intestine along with the peritoneum and abdominal wall skin, gradually pushing outward at the umbilicus, forming an umbilical hernia.
Can you swim with an umbilical hernia?
Umbilical hernia is a common navel disease in infants and young children, primarily due to developmental defects at the navel where the region is relatively weak. When abdominal pressure increases, the contents of the abdomen may protrude, but this condition is generally not serious and does not cause severe harm to the child, with most cases resolving on their own. Therefore, for babies with an umbilical hernia, it is okay to allow them to swim. Swimming will not exacerbate the hernia nor cause any adverse effects. Only a very few severe cases of umbilical hernia, which have not healed naturally by the age of two, would require surgical treatment. It is also fine for children with an umbilical hernia to swim two to three times a week; parents can be reassured about this.
Treatment methods for infant umbilical hernia
Infant umbilical hernia is caused by a congenital weak abdominal wall around the navel, leading to protrusion. It generally does not require special treatment methods. As long as care is taken to avoid the child's intense or prolonged crying, actively treat gastrointestinal diseases to prevent increased abdominal pressure that could lead to protrusion, no special treatment is usually necessary. This is because 80% of children with umbilical hernias will see their hernia rings gradually shrink or even close as they grow older, typically by the age of two. Surgical treatment might only be needed if the hernia ring is very large, such as more than two centimeters in diameter, or if the obvious umbilical hernia persists after the age of two.
What should I do if my baby's umbilical hernia doesn't go away?
Umbilical hernia in children is mainly caused by an unsealed navel ring. Its treatment should be based on specific clinical symptoms and age. If the hernia does not retract, it can be treated conservatively or surgically. Conservative treatment involves returning the hernia contents to the abdominal cavity and using an object the size of a coin, wrapped externally with gauze, to hold it in place and prevent movement. Generally, umbilical hernias in infants under six months can be cured with conventional treatment methods, and the treatment effect is very good. However, if the diameter of the navel ring exceeds 1.5 cm after the age of two, surgical treatment should be considered. For children over five years of age who still have symptoms of an umbilical hernia, conservative treatment is ineffective, and surgery should be performed as soon as possible. Umbilical hernias are a common condition, but not serious, requiring only dynamic observation and timely medical treatment if severe.
How does an umbilical hernia gradually improve?
Umbilical hernia refers to a protrusion formed by abdominal contents through the weak area of the umbilicus. After the umbilical cord falls off in the neonatal period, the umbilical scar area, due to the phase when the umbilical cord passes through the abdominal wall during fetal life, creates a congenital separation in the abdominal wall. In infancy, the abdominal muscles on either side do not completely close at the midline, leaving a defect and forming the umbilical ring. When crying, coughing, or struggling increases intra-abdominal pressure, the abdominal contents gradually push outwards through the umbilicus, forming an umbilical hernia. Most umbilical hernias can heal on their own within one year through the contraction of the umbilical fascial ring. Therefore, unless incarceration occurs, observation and waiting with non-surgical treatment can be adopted to promote healing before the age of two.
Symptoms of infant umbilical hernia
Infant umbilical hernia refers to a large protrusion at the navel of an infant, generally composed of the remaining umbilical cord and a part of the intestine. Typically, if the protrusion is not very large, such as less than one centimeter, it usually does not include the intestines. However, if it is particularly noticeable and large, there might be protrusion of the intestines, hence the area may feel bloated when touched. An infant umbilical hernia may cause localized accumulation of the intestines, and some children might cry and show signs of pain while feeding. However, generally speaking, most umbilical hernias do not have obvious symptoms, and there is no need for excessive worry. As the child ages, there is a possibility of improvement, and the hernia might heal on its own.
Can an umbilical hernia heal itself?
Umbilical hernias can heal on their own, but we need to choose the appropriate method during the treatment process. Generally, if the umbilical hernia occurs before the age of two, we can choose a coin larger than the umbilical ring or a flat board, wrap it in gauze to press against the umbilical ring, and then use tape to secure it to prevent it from moving. In such cases, the hernia may heal on its own. During the observational treatment of an umbilical hernia, it is also important to prevent the child from engaging in vigorous activities or crying. If the diameter of the umbilical ring exceeds 1.5cm after the age two, we recommend choosing surgical treatment. Generally, if the umbilical hernia has not healed by the age of five, we actively recommend opting for surgical treatment. If the child's improper lifestyle can cause aggravation or even rupture of the umbilical hernia, emergency surgery is required in such cases.