Can an umbilical hernia cause a baby to cry?

Written by Zhang Peng
General Surgery
Updated on January 14, 2025
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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 Dong Xian Yan
Pediatrics
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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 Li Chang Yue
General Surgery
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The difference between umbilical hernia and umbilical sinus.

The main difference between umbilical hernia and umbilical sinus is that an umbilical hernia is primarily due to the weakness of the tissues around the navel. When the intra-abdominal pressure of a patient increases, it can easily cause intestinal contents to protrude through the weak umbilical ring. On the other hand, an umbilical sinus generally refers to certain secretions that form around the navel after the scab falls off post-birth in newborns, which sometimes can easily lead to infections. This condition is not caused by weakness of the navel but is likely related to localized infections after the umbilical cord is cut. Therefore, the mechanisms of these two conditions are different. Generally, an umbilical hernia requires surgical treatment, while an umbilical sinus can be completely healed by controlling the infection, and it does not pose significant harm.

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Written by Zhang Peng
General Surgery
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Can an umbilical hernia cause abdominal bloating?

Umbilical hernias can potentially cause abdominal distention because they may become incarcerated or even strangulated. The contents entering the umbilical hernia can include the omentum or intestines. If the small intestine or colon becomes incarcerated in the hernia, it can cause partial intestinal obstruction, with symptoms potentially including abdominal pain, distension, and nausea and vomiting. In cases where an umbilical hernia becomes incarcerated or ruptured, timely surgical treatment is necessary. Generally, umbilical hernias in children before the age of two do not require surgical intervention unless incarceration occurs. Most can be treated with adhesive strapping to allow for natural healing. If the umbilical ring still has a diameter greater than 1.5cm after the age of two, surgery should be considered promptly. For children over five with an umbilical hernia, surgery is recommended regardless of the specifics. Adults diagnosed with an umbilical hernia are also advised to undergo surgical treatment as soon as possible.

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Written by Zhang Peng
General Surgery
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Will an umbilical hernia cause abdominal pain?

Umbilical hernia may cause stomach pain. This is possible because an umbilical hernia occurs when the intestines push through a weak spot in the belly button area due to pressure. In most cases, it is the small intestine that protrudes through the hernia. If a large portion of the small intestine protrudes, it can lead to kinking and potentially cause an obstruction of the small intestine. Once the small intestine is obstructed, it can lead to abdominal pain, and may also be accompanied by bloating, nausea, and vomiting. Thus, in cases where the small intestine is kinked, it is possible for an umbilical hernia to cause stomach pain.

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Written by Zhang Xian Hua
Pediatrics
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How many months can an infant umbilical hernia heal?

Umbilical hernia in infants is caused by congenital development of the umbilical area and weak abdominal muscles, leading to protrusion of the umbilicus. This protrusion is more likely to occur when the child cries intensely, has digestive issues, or experiences increased pressure in the gastrointestinal tract. The majority of umbilical hernias heal on their own as the child ages; small hernial rings may heal within a few months, and about 80% of slightly larger hernias heal by the age of two. However, a small number of children with umbilical hernias, especially those with a hernial ring diameter greater than 2 cm, usually cannot heal on their own. Generally, if a noticeable umbilical hernia still exists after the age of two, surgical treatment may be necessary, though no special treatment is typically needed before that.