What are good remedies for infant umbilical hernia?

Written by Zhang Xian Hua
Pediatrics
Updated on January 01, 2025
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Umbilical hernia in infants is caused by congenital underdevelopment of the abdominal muscles, forming a bulge beneath the skin due to abdominal distension protruding from the umbilicus. In fact, it usually does not require special treatment. Most umbilical hernias will gradually narrow and shrink within the first year after birth as the infant's nutrition and physique improve and the abdominal muscles develop, typically leading to natural closure with a very good prognosis. In daily care, it is important to prevent the child from crying loudly, especially when the child has gastrointestinal diseases and increased intestinal gas, which should be actively treated to minimize the herniation and to reduce it back when it does protrude. With such care, the chances of natural healing increase. However, if the child is over four years old and the hernia sac is still relatively large, surgical repair might be necessary.

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Written by He Zong Quan
General Surgery
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Can you take a bath with an umbilical hernia?

Umbilical hernia is primarily due to the weak abdominal wall at the navel, allowing abdominal contents to pass through and protrude at the surface, forming a lump. In children under two years old, if the umbilical hernia does not cause incarceration or significant redness and swelling on the skin's surface, bathing is generally not affected. In adults, umbilical hernias usually do not heal on their own and often require surgical treatment, otherwise, the hernia tends to enlarge. As long as the umbilical hernia does not cause significant incarceration requiring emergency surgery, or local inflammatory skin reactions, it does not affect the patient's ability to bathe. Even if surgery is necessary for an umbilical hernia, it is considered an elective procedure.

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

Umbilical hernias can be painful because they may become incarcerated or even rupture. An umbilical hernia occurs when the area has not completely closed, allowing abdominal organs, such as the omentum or intestines, to enter the hernia sac. If incarceration persists for an extended period, it can cause localized pain and even symptoms of nausea and vomiting. For umbilical hernias, we generally advocate conservative treatment within the first six months, as most patients can heal on their own. If the diameter of the umbilical ring is still greater than 1.5 cm after the age of two, we recommend surgical treatment. The conservative treatment for umbilical hernia involves using a coin or a flat board, larger than the umbilical ring, wrapped and pressed against the ring, and then secured with wide adhesive tape. This method can prevent the hernia from protruding and promote healing.

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Written by Zhang Peng
General Surgery
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How is umbilical hernia treated?

In treating umbilical hernias, we need to consider both the age of the patient and the size of the hernia specifically caused. Generally, children under the age of two do not require surgery. Typically, we consider using a coin or cardboard larger than the umbilical ring, wrapping it up, pressing against the umbilical ring, and securing it with adhesive tape to prevent movement. Most can close by themselves and heal. For children over two years old, if the hernia is still larger than 1.5cm, surgical treatment should be considered. In adults, traditional tissue repair methods are generally used, or an open umbilical hernia tension-free repair. The repair can be placed in front of the muscle or can use a hernia ring filling method. For most patients, if there is an opportunity for minimally invasive treatment, laparoscopic umbilical hernia repair can be selected. This method generally involves a smaller incision and can preserve the navel, reducing the chance of incision infection, and is particularly suitable for obese patients.

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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 Li Chang Yue
General Surgery
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Is it normal for there to be moving gas inside an umbilical hernia?

It is abnormal for there to be movement of gas within an umbilical hernia. This could potentially indicate that the contents of the hernia include a part of the intestine. When excessive intestine is present within the hernial sac of an umbilical hernia, it can easily lead to the movement of gas as it moves through the intestine. This condition is relatively common in clinical settings, and it is also used as a symptom to diagnose the possibility of an umbilical hernia. Therefore, when there is movement of gas observed in an umbilical hernia, it is crucial to reposition the hernia back into place using massage and other standard techniques to avoid prolonged entrapment of the intestine, which can lead to ischemic necrosis and the possible formation of an incarcerated hernia. This condition should be actively treated to prevent complications.