Can you run with an umbilical hernia?

Written by Zhang Peng
General Surgery
Updated on September 15, 2024
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Patients with umbilical hernias are generally advised against engaging in vigorous activities such as running and jumping. This is because an umbilical hernia is a type of hernia that can lead to incarceration or even rupture due to sudden increases in abdominal pressure, which would require emergency surgery. For umbilical hernias, conservative treatment is mostly adopted. Typically, affected children can self-heal within six months through conservative treatment. However, if the condition persists beyond the age of two and the diameter of the umbilical ring is still greater than 1.5 cm, surgical treatment is recommended. If the patient is over the age of five, it is advised to undergo surgery as soon as possible, regardless of the circumstances. Both before and after the surgery for an umbilical hernia, vigorous activities are not recommended. Intense activities increase abdominal pressure, which on one hand can lead to complications like incarceration, and on the other hand, can affect the outcome of the surgical treatment.

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Written by Zhang Xian Hua
Pediatrics
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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.

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Written by Zhang Peng
General Surgery
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Can an umbilical hernia cause a baby to cry?

Umbilical hernia can cause babies to cry because it might lead to incarceration, although the chance of this occurring is generally low. It is more likely to happen when there's a sudden increase in abdominal pressure in children. In cases of incarceration, if it involves the small intestine, it can cause the child to experience abdominal pain, bloating, constipation, etc. Therefore, the baby may cry. Crying might also aggravate the incidence of incarceration. So, for umbilical hernias with noticeable protrusion, it is important to soothe the patient promptly and avoid vigorous activities. One can use a coin or cardboard larger than the umbilical ring, cover it, hold it against the ring and secure it with adhesive tape to prevent it from moving and the hernia from protruding. This method can generally be used until the child is two years old, because umbilical hernias in children can heal by themselves before this age. If the umbilical ring is still relatively large after two years, timely surgical treatment should be considered.

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Written by Zhang Peng
General Surgery
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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.

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Written by He Zong Quan
General Surgery
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Can you take a bath with an umbilical hernia?

Umbilical hernia is primarily due to the weak abdominal wall at the navel, allowing abdominal contents to pass through and protrude at the surface, forming a lump. In children under two years old, if the umbilical hernia does not cause incarceration or significant redness and swelling on the skin's surface, bathing is generally not affected. In adults, umbilical hernias usually do not heal on their own and often require surgical treatment, otherwise, the hernia tends to enlarge. As long as the umbilical hernia does not cause significant incarceration requiring emergency surgery, or local inflammatory skin reactions, it does not affect the patient's ability to bathe. Even if surgery is necessary for an umbilical hernia, it is considered an elective procedure.

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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.