Why can't you cry with an umbilical hernia?

Written by Dong Xian Yan
Pediatrics
Updated on December 06, 2024
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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 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 Dong Xian Yan
Pediatrics
45sec home-news-image

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 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 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 Ai Min
Pediatrics
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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.