How to determine if it is an umbilical hernia?
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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