Can an umbilical hernia heal itself?

Written by Zhang Peng
General Surgery
Updated on November 29, 2024
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Umbilical hernia has the potential to heal on its own, but it requires conservative treatment methods to be adopted. Generally, children under the age of two can undergo conservative observational treatment, such as using adhesive tape, as the umbilical ring in most cases can close by itself between the ages of 1 and 2. However, if the child is over two years old and the diameter of the umbilical ring still exceeds 1.5 cm, choosing surgical treatment is a wise decision. For patients over the age of five, it is recommended to undergo surgery as early as possible regardless of the situation, as the chances of incarceration or strangulation can increase after the age of five. Generally, surgical intervention is required for a cure. Options include traditional tissue suture repair methods or open umbilical hernia tension-free repair.

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Written by Liu Li
Pediatrics
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Can an umbilical hernia cause colic in babies?

In general normal circumstances, children with umbilical hernias are unlikely to experience symptoms of intestinal colic. This is because the protrusion from the umbilical hernia is not very large, so the likelihood of causing intestinal colic is very low. Parents should not be overly worried about umbilical hernias causing intestinal colic. However, in some cases where the symptoms of umbilical hernia in babies are more noticeable, it is still necessary to seek active and timely treatment. A color Doppler ultrasound or a routine blood test can be conducted. Conservative treatment can also be considered; if conservative treatment is not very effective, then surgical treatment may be considered.

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Written by Zhang Peng
General Surgery
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Is hot compress useful for umbilical hernia?

In cases of umbilical hernia, applying heat generally has no effect. For infants, it is often acceptable to observe conservatively until the child is about two years old. Adhesive tape therapy can be used in this period. By the age of two, the umbilical ring in most children will close on its own. For those over two years old with an umbilical ring diameter still greater than 1.5 cm, surgery should be considered. For patients over five years old, it is generally recommended to undergo surgery sooner rather than later. In adults, the causes of umbilical hernias are mainly due to factors such as pregnancy, excessive fat in the greater omentum, chronic coughing, cirrhosis with ascites, etc., which increase abdominal pressure. Incarceration can occur, involving either the greater omentum or the small intestine, and surgery is usually the chosen treatment method, either through traditional tissue repair techniques or open tension-free hernia repair. In some cases, laparoscopic umbilical hernia repair may be chosen when necessary.

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Written by Zhang Peng
General Surgery
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Will an umbilical hernia hurt?

Umbilical hernia can cause pain, especially during incarceration and strangulation. Generally, umbilical hernias are caused by factors such as pregnancy, excessive omental fat, chronic coughing, and severe constipation. A sudden increase in abdominal pressure may lead to the incarceration of the omentum or intestines, causing significant pain and hardening of the hernial mass. In such cases, emergency surgery may be necessary. For adults, traditional tissue repair or open tension-free hernia repair is generally chosen, while minimally invasive treatment options may be selected for specific groups. In children, umbilical hernias are typically observed conservatively, and if the umbilical ring remains larger than 1.5cm after the age of two, surgery should be considered.

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Written by Zhang Peng
General Surgery
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Can an umbilical hernia heal itself?

Umbilical hernias can heal on their own, but we need to choose the appropriate method during the treatment process. Generally, if the umbilical hernia occurs before the age of two, we can choose a coin larger than the umbilical ring or a flat board, wrap it in gauze to press against the umbilical ring, and then use tape to secure it to prevent it from moving. In such cases, the hernia may heal on its own. During the observational treatment of an umbilical hernia, it is also important to prevent the child from engaging in vigorous activities or crying. If the diameter of the umbilical ring exceeds 1.5cm after the age two, we recommend choosing surgical treatment. Generally, if the umbilical hernia has not healed by the age of five, we actively recommend opting for surgical treatment. If the child's improper lifestyle can cause aggravation or even rupture of the umbilical hernia, emergency surgery is required in such cases.

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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.