Can an umbilical hernia be massaged back into the abdominal cavity?

Written by Zhang Peng

General Surgery

Updated on September 25, 2024

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Umbilical hernias can be massaged back into the abdominal cavity, but if the hernia suddenly becomes hard, or increases in size significantly and cannot be reduced promptly, careful observation is needed to determine if incarceration has occurred. If incarceration persists for too long, it might lead to intestinal necrosis or rupture. Generally, umbilical hernias can self-heal within six months through conservative treatment. If the diameter of the umbilical ring still exceeds 1.5 centimeters after the age of two, it is advised to opt for surgical treatment. For patients over five years old, surgery is recommended under any circumstances. In conservative treatment of umbilical hernias, the most common method involves using an object larger than the umbilical ring, such as a coin or cardboard, wrapped and fixed to the umbilical area, then secured with adhesive tape to prevent movement. Generally, this treatment method is quite effective.

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Written by Zhang Xian Hua

Pediatrics

1min 18sec

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The difference between infant umbilical hernia and hernia

Infant umbilical hernia is a type of hernia, which differs from general hernias as the latter encompasses a broader category including umbilical hernia, direct inguinal hernia, indirect inguinal hernia, etc. Infant umbilical hernia is caused by a congenital weakness in the abdominal wall at the navel, leading to a protrusion. Similarly, hernias are often the result of insufficient developmental thickness of the abdominal wall. Thus, when intra-abdominal pressure increases, contents such as the intestine can protrude through the hernia sac, forming a hernia. Regardless of the type, whether umbilical or otherwise, it is essential to visit a pediatric surgical department in a hospital for examination and analysis. Most umbilical hernias close as the child grows and the hernial ring narrows, usually by the age of two, and often do not require special treatment. However, surgical treatment may be necessary for a small portion of cases where the diameter of the hernial ring is larger than two centimeters or has not closed after the age of two. For hernias in other locations, if incarceration occurs, emergency surgery is needed, and surgery may still be required if the condition does not resolve spontaneously.

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Written by Dong Xian Yan

Pediatrics

45sec

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Why can't you cry with an umbilical hernia?

In children with umbilical hernia, crying can easily lead to an increase in intra-abdominal pressure. As the intra-abdominal pressure increases, gas in the intestines and mesentery can easily protrude through the unclosed umbilical ring, thereby exacerbating the symptoms of the umbilical hernia. In severe cases, this could lead to serious complications such as incarceration of the hernia. Therefore, in addition to not crying, children with an umbilical hernia should also avoid constipation, coughing, and vigorous activities that could increase intra-abdominal pressure, in order to prevent worsening of the hernia symptoms. In daily life, their diet should be light and easy to digest.

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Written by Dong Xian Yan

Pediatrics

36sec

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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.

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Written by Tang Da Wei

General Surgery

42sec

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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

1min 14sec

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Can an umbilical hernia be pressed with hands?

Umbilical hernia can be manually reduced by pushing it back into place. For children, most can be reduced by manual manipulation. For adults, it may be relatively more difficult, but generally, if incarceration has not occurred, manual reduction can be successful. In the treatment of umbilical hernia, conservative observation can be considered for children under two years old. The method of using adhesive tape may be employed since the self-healing can occur through their natural development before the age of two with appropriate conservative treatment. If the diameter of the umbilical ring still exceeds 1.5 cm after two years old, surgical intervention should be considered timely. For adults, umbilical hernias are generally treated through surgical means. Adult umbilical hernias are prone to incarceration and strangulation, particularly because the umbilical ring is usually smaller and a sudden increase in abdominal pressure can lead to incarceration. The treatment choices for adult umbilical hernia include tissue repair suturing or tension-free hernia repair, with laparoscopy also being a viable treatment option.