How long does it take for an infant umbilical hernia to heal?

Written by Zhang Xian Hua
Pediatrics
Updated on December 15, 2024
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Infant umbilical hernia is caused by congenital weakness of the umbilical and abdominal regions, resulting in protrusion of the navel. Generally, it does not require special treatment. This is because up to 80% of infant umbilical hernias will gradually decrease in size as the child ages and physically develops, and the hernial ring may even close, thereby healing naturally. Surgery is usually chosen only if the diameter of the hernia ring is too large, especially if it is more than 2 cm, or if the child is over two years old and still has a noticeable umbilical hernia. Before this, it is usually advisable to avoid situations that could increase abdominal pressure in the child, such as preventing prolonged and intense crying. If the child has gastrointestinal symptoms, they should be treated promptly and actively to prevent repeated protrusion of the umbilical hernia.

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Written by Zhang Peng
General Surgery
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Can you run with an umbilical hernia?

Patients with umbilical hernias are generally advised against engaging in vigorous activities such as running and jumping. This is because an umbilical hernia is a type of hernia that can lead to incarceration or even rupture due to sudden increases in abdominal pressure, which would require emergency surgery. For umbilical hernias, conservative treatment is mostly adopted. Typically, affected children can self-heal within six months through conservative treatment. However, if the condition persists beyond the age of two and the diameter of the umbilical ring is still greater than 1.5 cm, surgical treatment is recommended. If the patient is over the age of five, it is advised to undergo surgery as soon as possible, regardless of the circumstances. Both before and after the surgery for an umbilical hernia, vigorous activities are not recommended. Intense activities increase abdominal pressure, which on one hand can lead to complications like incarceration, and on the other hand, can affect the outcome of the surgical treatment.

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Written by Dong Xian Yan
Pediatrics
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The umbilical hernia in the baby healed, but occurred again after two months. What should I do?

The baby's umbilical hernia had healed for two months but reappeared, indicating that the umbilical ring has not closed and the hernia has not completely healed. Therefore, in daily life, it is important to minimize the child's crying, tantrums, and vigorous exercise, and avoid getting cold or sick as much as possible to prevent severe coughing. Attention should be paid to the intake of foods rich in vitamins and cellulose, such as fresh vegetables and fruits. Drink plenty of water, maintain smooth bowel movements, and follow a light diet. Avoid eating cold and spicy foods.

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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.

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Written by Zhang Peng
General Surgery
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Does an umbilical hernia affect a baby's gastrointestinal system?

Umbilical hernia generally does not affect a baby's gastrointestinal tract, but we need to avoid the hernia becoming trapped or even rupturing. Once an umbilical hernia has formed, the hernial sac may contain abdominal omentum or possibly intestines. If the intestines become trapped, this can lead to necrosis of the intestines. Generally, patients may experience nausea, vomiting, or even bloody stools. Therefore, umbilical hernias can usually be treated conservatively within the first six months. If the diameter of the umbilical ring is still greater than 1.5 cm after the age of two, we recommend early surgical intervention, as only surgical treatment can cure it. In the treatment process of an umbilical hernia, the conservative treatment methods adopted mainly involve using a coin or a flat board larger than the umbilical ring, wrapping it to press against the umbilical ring, and then securing it with wide tape to prevent movement.

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Written by Zhang Peng
General Surgery
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Is an enlarging umbilical hernia dangerous?

Umbilical hernia is not more dangerous as it gets larger; rather, the larger the umbilical hernia, the less likely it is to heal on its own. During the observation of an umbilical hernia, we need to be vigilant about the possibility of incarceration or rupture. This condition arises because the umbilical ring does not heal and close properly, typically presenting as a raised lump at the navel, which can recede on its own or disappear. Generally, umbilical hernias can heal on their own within the first six months with proper treatment. However, if the diameter of the umbilical ring exceeds 1.5 cm after the age of two, surgical treatment is required. In any case, if the patient is over the age of five and the hernia is still present, surgery is the chosen treatment. In treating umbilical hernias, our conservative approach involves using a coin or a flat board larger than the umbilical ring, wrapping it, and securing it at the umbilical area with adhesive tape to prevent movement, which generally produces good results.