Is an umbilical hernia in infants serious?

Written by Zhang Xian Hua
Pediatrics
Updated on January 06, 2025
00:00
00:00

Infant umbilical hernia is caused by a weak abdominal wall around the navel, which is underdeveloped, leading to protrusion. This is prone to happen when intra-abdominal pressure is high. Therefore, it's usually sufficient to avoid intense crying in children and actively treat gastrointestinal diseases without special treatment. This is because 80% of infants will naturally see the hernia ring narrow, or even close by itself by the age of two, leading to healing. Only a few children, if the hernia ring diameter is large, more than 2 cm, or if the umbilical hernia is still evident after the child turns two, will require surgical treatment.

Other Voices

doctor image
home-news-image
Written by Yao Li Qin
Pediatrics
52sec home-news-image

Can you swim with an umbilical hernia?

Umbilical hernia is a common navel disease in infants and young children, primarily due to developmental defects at the navel where the region is relatively weak. When abdominal pressure increases, the contents of the abdomen may protrude, but this condition is generally not serious and does not cause severe harm to the child, with most cases resolving on their own. Therefore, for babies with an umbilical hernia, it is okay to allow them to swim. Swimming will not exacerbate the hernia nor cause any adverse effects. Only a very few severe cases of umbilical hernia, which have not healed naturally by the age of two, would require surgical treatment. It is also fine for children with an umbilical hernia to swim two to three times a week; parents can be reassured about this.

doctor image
home-news-image
Written by Zhang Peng
General Surgery
1min 9sec home-news-image

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.

doctor image
home-news-image
Written by Zhang Xian Hua
Pediatrics
50sec home-news-image

How to relieve infant umbilical hernia

Infant umbilical hernia is caused by incomplete development of the abdominal wall at the navel, resulting in a protrusion at the umbilicus. To alleviate this, it is important to prevent the child from crying excessively and avoid gastrointestinal infections. Digestive issues should be treated promptly, as these conditions can increase abdominal pressure and make the protrusion at the umbilicus more pronounced. Other than these precautions, special treatment is generally not required. Typically, an umbilical hernia will narrow and may even close naturally as the child ages. About 80% of children see improvement by the age of two without needing treatment. However, if the hernia has not closed by two years of age, or if the diameter of the hernia ring is greater than 2 centimeters, surgery may be required to resolve it.

doctor image
home-news-image
Written by Zhang Peng
General Surgery
1min 3sec home-news-image

Can umbilical hernia be treated with moxibustion?

Umbilical hernia is fundamentally a surgical condition. The effectiveness of moxibustion in treating umbilical hernia is generally not very clear, and currently, there is no scientific basis to prove that moxibustion can cure umbilical hernia. Typically, umbilical hernias occur when the umbilical ring does not completely close. In children under six months, a conservative treatment approach is usually chosen. This can involve using a coin or cardboard larger than the umbilical ring, wrapping it to press against the ring, and securing it with adhesive tape to prevent movement. Most patients under six months old can heal naturally. For umbilical hernias, if the child is over two years old and the umbilical ring is still larger than 1.5 cm, surgical treatment is recommended. Moxibustion treatment does not offer significant benefits in the treatment of umbilical hernias. Therefore, as umbilical hernia is a surgical condition, it is advised that patients undergo surgery if their condition permits.

doctor image
home-news-image
Written by He Zong Quan
General Surgery
40sec home-news-image

What does it look like after an umbilical hernia is healed?

After umbilical hernia occurs, if it is cured and the wound heals, there is no difference from normal. There will be no lumps protruding from the abdominal wall. In principle, surgical treatment is often required after umbilical hernia occurs, as the likelihood of natural healing is small. The surgery mainly involves a tension-free umbilical hernia repair, which includes suturing the hernia ring and generally reinforcing it externally to ensure that the hernia does not recur. After the umbilical hernia is cured, the patient's navel will be flat with no protruding lumps, and there will be no incarceration of the hernia or compression of the intestines, which could cause gastrointestinal symptoms.