How to relieve infant umbilical hernia

Written by Zhang Xian Hua
Pediatrics
Updated on April 07, 2025
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Infant umbilical hernia is caused by incomplete development of the abdominal wall at the navel, resulting in a protrusion at the umbilicus. To alleviate this, it is important to prevent the child from crying excessively and avoid gastrointestinal infections. Digestive issues should be treated promptly, as these conditions can increase abdominal pressure and make the protrusion at the umbilicus more pronounced. Other than these precautions, special treatment is generally not required. Typically, an umbilical hernia will narrow and may even close naturally as the child ages. About 80% of children see improvement by the age of two without needing treatment. However, if the hernia has not closed by two years of age, or if the diameter of the hernia ring is greater than 2 centimeters, surgery may be required to resolve it.

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Written by Tong Peng
Pediatrics
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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.

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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 Zeng Hai Jiang
Pediatrics
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Is there no belly button after umbilical hernia surgery?

Umbilical hernia refers to a protrusion formed by abdominal cavity contents through the umbilical ring, commonly seen in infants and young children. Most umbilical hernias can heal on their own within the first year as the umbilical fascial ring gradually contracts. Therefore, non-surgical treatment is mostly adopted to promote healing. However, if the child is over two years old and the diameter of the umbilical hernia exceeds 1.5 centimeters, surgical treatment is recommended. After umbilical hernia surgery, the belly button is still preserved. The surgery generally involves making a small incision at the lower edge of the navel, freeing the hernial sac, repositioning the hernial contents, and after partially excising the hernial sac at the umbilical ring, suturing is performed.

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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 Zhang Xian Hua
Pediatrics
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Does an infant umbilical hernia require surgery?

Umbilical hernias in infants do not always require surgery; only a small portion necessitates it. Surgery is needed mainly if the child is over two years old and still has a noticeable umbilical hernia, or if the hernia's ring diameter exceeds 2 cm. In these cases, the chances of natural healing are slim, and surgical intervention to remove the hernia sac and repair the abdominal wall defect may be necessary. In other cases, 80% of umbilical hernias can heal by the age of two as the abdominal muscles strengthen and develop with age, often causing the hernia ring to narrow and close on its own, achieving healing without any additional treatment. The previously used method of compressing the hernia with a hernia belt has been proven ineffective and is no longer employed.