How to determine if it is an umbilical hernia?

Written by Zhang Peng
General Surgery
Updated on June 05, 2025
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The most typical symptom of an umbilical hernia is a protruding lump at the navel, which generally disappears on its own when the patient is sleeping soundly or lying flat. In most cases in children, the lump can enlarge and may become firmer when crying, standing, or straining the abdomen. It tends to reduce or even disappear during rest. Most adults become aware of the condition in children while doing laundry or bathing. In adults, umbilical hernias mostly occur due to conditions like pregnancy, excessive fat, chronic coughing, severe liver cirrhosis, ascites, etc. Adult umbilical hernias are prone to incarceration and strangulation, therefore, surgery is generally recommended as soon as possible. In children, conservative treatment methods can be adopted before the age of two, as the chances of incarceration are relatively low. Before two years of age, a coin or cardboard larger than the umbilical ring is used, held against the umbilical ring and secured with adhesive tape; this usually leads to spontaneous closure.

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Written by Zhang Peng
General Surgery
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Will an umbilical hernia get bigger as it grows?

Umbilical hernias may increase in size, particularly in middle-aged, obese women who have been pregnant multiple times, have excessive fat in the greater omentum during pregnancy, or have chronic conditions such as persistent coughs, which can cause continuous increased pressure in the abdominal cavity. This may lead to the gradual enlargement of the hernia sac in an umbilical hernia, and it is very prone to becoming incarcerated. The contents of the incarceration might include the greater omentum or the intestines, particularly the small intestine. Once incarceration and strangulation occur, it is generally recommended that adults with umbilical hernias undergo surgery as soon as possible, with emergency surgical treatment needed in cases of incarceration. Traditional surgical methods include tissue suture repair or open umbilical hernia tension-free repair. If a minimally invasive option is available, it is generally less traumatic and particularly suitable for obese patients.

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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.

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Written by Zhang Xian Hua
Pediatrics
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"Measures for handling umbilical hernia in infants"

Infant umbilical hernia occurs due to a weak abdominal wall in the navel area and incomplete prenatal development. It generally poses no significant harm, but measures should be taken to prevent frequent protrusion of the hernia. It is usually advisable to avoid excessive crying and prolonged episodes of crying in children, and to actively prevent and treat digestive system diseases in children to reduce the chance of increased gas in the gastrointestinal tract and increased abdominal pressure, which can lead to protrusion of the navel and discomfort for the child. Therefore, in over 80% of children with umbilical hernias, the hernia ring will gradually narrow and shrink as the child grows and develops physically, achieving healing by the age of two. Only less than 20% of children, particularly those with a hernia ring diameter greater than 2cm, or who clearly have an umbilical hernia at the age of two, will require surgical treatment.

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Written by Zeng Hai Jiang
Pediatrics
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Should the umbilical hernia belt be worn for 24 hours?

Umbilical hernia refers to the protrusion formed by the contents of the abdominal cavity through the umbilical ring, commonly seen in infants and young children. When the affected child cries, coughs, or struggles, the increase in abdominal pressure can easily lead to an umbilical hernia. The purpose of an umbilical hernia belt is to apply a certain amount of pressure around the navel area to prevent the occurrence of an umbilical hernia. In principle, the umbilical hernia belt should be worn 24 hours a day, except during special times such as bathing. When using the umbilical hernia belt, it is also important to adjust the appropriate tightness to avoid being too tight, which affects the child's comfort, or too loose, which fails to compress the hernial ring effectively. Additionally, attention must be paid to avoiding the incarceration of the hernia contents.

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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.