Umbilical hernia

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Written by Zhang Peng
General Surgery
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Will an umbilical hernia cause abdominal pain?

Umbilical hernia may cause stomach pain. This is possible because an umbilical hernia occurs when the intestines push through a weak spot in the belly button area due to pressure. In most cases, it is the small intestine that protrudes through the hernia. If a large portion of the small intestine protrudes, it can lead to kinking and potentially cause an obstruction of the small intestine. Once the small intestine is obstructed, it can lead to abdominal pain, and may also be accompanied by bloating, nausea, and vomiting. Thus, in cases where the small intestine is kinked, it is possible for an umbilical hernia to cause stomach pain.

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Written by Zhang Peng
General Surgery
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How long will it take for an umbilical hernia to heal?

Umbilical hernia can heal on its own, generally, if the appropriate treatment method is chosen, most umbilical hernias can heal within six months. For children over two years old, if the umbilical hernia has not healed and the diameter of the umbilical ring exceeds 1.5 cm, active surgical treatment is also chosen. For children over five years old, surgical treatment is recommended regardless of the situation. Umbilical hernia occurs because the umbilical ring does not close in time during the child's development, causing the abdomen to protrude. The common treatment method is to choose a coin or cardboard larger than the umbilical ring, wrap it up, press against the umbilical ring, and fix it with adhesive tape to prevent it from moving. This treatment method generally works well and can avoid surgery. However, during the observation process, it is necessary to avoid the occurrence of incarceration or rupture of the hernia.

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Written by Tang Da Wei
General Surgery
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Can an umbilical hernia cause diarrhea?

Umbilical hernias rarely cause diarrhea in patients. An umbilical hernia mainly occurs because the umbilical ring is not completely closed, allowing parts of the small intestine or omentum to enter under the skin at the belly button, forming a noticeable bulge. The most common symptom caused by umbilical hernias is intestinal obstruction, which presents as abdominal pain. This mainly occurs when the small intestine becomes trapped in the umbilical ring and cannot easily retract, which rarely leads to symptoms of diarrhea. If a patient experiences diarrhea, further medical examination at a hospital is necessary to determine if it is caused by other reasons.

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Written by Zhang Peng
General Surgery
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The difference between umbilical hernia and umbilical protrusion

Umbilical hernia refers to a condition in children where the umbilical ring does not close during development, causing a defect in the abdominal wall. This situation can be treated conservatively. Within half a year, the effects are generally good. You can choose a coin larger than the umbilical ring or cover it with a flat board, press it against the umbilical ring, and then use adhesive tape to fix it to prevent movement. Generally, most patients can heal on their own. If the diameter of the umbilical ring still exceeds 1.5 cm after two years old, it is advisable to actively accept surgical treatment. Moreover, the protrusion may not involve a defect in the abdominal wall but a potential weakness in the abdominal wall at the navel. Under conditions of increased abdominal pressure, there can be a protruding appearance at the navel. The biggest difference from an umbilical hernia might be that the umbilical protrusion might present a lump that does not completely disappear. In the case of an umbilical hernia, if the contents can be returned to the abdominal cavity, the hernia can disappear completely.

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Written by Ren Zheng Xin
Gastroenterology
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What should I do about an umbilical hernia?

Umbilical hernia is a type of hernia, mainly caused by poor development of the navel area and a relatively weak abdominal wall at the navel. It occurs when the intestines protrude through the belly button towards the surface of the body due to increased intra-abdominal pressure. The main treatments are as follows: if the infant or toddler is under two years old and the hernia is relatively small, it can be observed conservatively or it might close on its own. If the child is older than two years and the hernia is larger, surgical repair may be necessary. For adults with an umbilical hernia, surgical repair is generally the best treatment method.

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Written by Tang Da Wei
General Surgery
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What impact does an umbilical hernia have on a baby?

Umbilical hernia mainly manifests in children as a bulge at the belly button, primarily containing small intestine. If an umbilical hernia is not treated in a timely manner, it may gradually enlarge when the child cries or when intra-abdominal pressure increases, leading to more of the small intestine protruding outside of the abdominal cavity. This can potentially cause localized intestinal obstruction, impacting the child's intestinal absorption capabilities and leading to weight loss. If a significant portion of the intestine protrudes and becomes incarcerated, it could cause intestinal obstruction or necrosis, necessitating surgical removal of the necrotic intestine in a hospital.

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Written by Zhang Peng
General Surgery
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Why has the umbilical hernia become hard?

If the umbilical hernia becomes hard, it may indicate that it has become incarcerated. In such cases, vigorous activities should be avoided and one should rest appropriately or try to manually reduce the protruding hernia sac back into the abdominal cavity. In this situation, close observation is needed to check for intestinal necrosis or even rupture of the hernia. Generally, for umbilical hernias, most children can heal naturally within two years, particularly within the first six months if conservative treatment is chosen. One can use a coin or a piece of paper larger than the umbilical ring, wrap it around, press it against the umbilical ring, and then secure it with adhesive tape to prevent movement, which generally leads to healing within six months. If the umbilical ring still has a diameter greater than 1.5 cm after two years, surgical treatment is recommended as early as possible. If the child is over five years old and the umbilical hernia has not healed, timely surgical intervention should be chosen.

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Written by Zhang Peng
General Surgery
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Nursing methods for umbilical hernia

Care methods for umbilical hernia, we need to pay attention to the following points. If during a child's intense crying or activity, the contents of the umbilical hernia protrusion are relatively large, it is important to promptly soothe the patient to avoid incarceration. Because if the incarceration lasts too long, it can lead to necrosis or even rupture of the intestine, potentially endangering the child's life and requiring emergency surgical treatment. The general conservative treatment method for umbilical hernia is to select a coin or flat plate larger than the diameter of the umbilical ring, wrap it around to press against the umbilical ring, and then secure it with adhesive tape to prevent movement. Generally, most children can self-heal within six months. If the umbilical hernia does not heal by itself after two years and the diameter of the umbilical ring is greater than 1.5 cm, surgery is recommended. In any case, if the patient is older than five years and has not healed in a timely manner, it is advisable to proactively opt for surgery as soon as possible.

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Written by Na Hong Wei
Orthopedics
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Can sheath effusion be treated with an umbilical hernia belt?

Can a hernia belt be used for hydrocele? Basically, a hernia belt is of no use for hydrocele. First, you need to understand the difference between hydrocele and hernia. What is a hernia? A hernia occurs when there's a hole in the groin area through which abdominal organs such as the omentum, intestines, and abdominal fluids can leak into the scrotum. By simply covering this hole, the descent of these abdominal contents can be prevented, which is the function of a hernia belt. What about hydrocele? It occurs when the processus vaginalis does not close properly or at all. Usually, it's still small enough that only abdominal fluids can leak into the scrotum, but larger organs like the intestines cannot descend. Therefore, using a hernia belt is ineffective for a hydrocele because there's no hole in the groin area that needs covering or blocking. Hence, a hernia belt is useless for hydrocele.