Does your little one have a bulging belly button that becomes more noticeable when they cry, cough, or strain? This might make you concerned, leaving you with questions why is it so.
What you are seeing is most likely a pediatric umbilical hernia. This is a condition that many babies are born with. It might look unusual or even alarming at first, especially if you have never heard of it before.
However, the truth is that, in most cases, it’s completely harmless and often goes away on its own without any need for treatment.
Still, as a parent, it’s natural to want clarity and reassurance. What exactly is a pediatric umbilical hernia? How do you take care of it?
In this blog, you will find all the answers you need, backed by expert advice from Dr. Ranajoy Dutta, a leading surgeon with years of experience in treating pediatric umbilical hernia.
What is a pediatric umbilical hernia?
A pediatric umbilical hernia happens when part of the intestine or fatty tissue pushes through a weak spot in the abdominal muscles around the belly button (umbilicus).
This causes a bulging belly button, especially visible when the baby cries, coughs, or strains.
It can range from a small pea-sized bulge to a larger lump. Umbilical hernias are usually painless and don’t bother the baby at all. In fact, they are very common, particularly in:
1. Premature babies
2. Babies with low birth weight
3. African-origin infants (genetic tendency)
Most of these hernias resolve on their own by the time the child turns 1–2 years old. However, in some cases, medical intervention is necessary.
When should I be concerned about my baby’s umbilical hernia?
Dr. Ranajoy Dutta, the most trusted doctor for hernia treatment in Kolkata, explains that most pediatric umbilical hernias are harmless and resolve naturally.
However, you should consult the doctor immediately if you notice any of the following symptoms:
1. The bulge becomes hard, swollen, discoloured, or painful
2. The baby seems to be in pain, especially when the area is touched
3. The baby vomits persistently or refuses to feed
4. The bulge cannot be pushed back into the belly
5. The hernia hasn’t closed by the age of 3 years
These symptoms could indicate a complication like incarceration or strangulation of the intestine, which needs emergency care.
What are the precautions for pediatric umbilical hernia?
Although most pediatric umbilical hernias don’t need any special treatment, here are some precautions you can follow as a parent:
1. Gentle handling: Avoid putting pressure on the bulge. Do not bind the belly or tie a cloth over it.
2. Monitor for changes: Keep an eye on the size, colour, and tenderness of the hernia.
3. Avoid constipation: A baby who strains too much while pooping may increase pressure on the hernia. Ensure your baby is well-hydrated and gets appropriate nutrition.
4. No tapings or bandages: Avoid trying home remedies or tapes to push the hernia in. This can harm the baby and delays proper treatment.
How do I fix my baby’s umbilical hernia?
In the majority of cases, no treatment is necessary. Most pediatric umbilical hernias close on their own by the age of 2–3 years.
However, surgery is recommended in the following scenarios:
1. If the hernia hasn’t closed naturally by the age of 3
2. The hernia is large (more than 1.5 cm in diameter)
3. The baby experiences pain or signs of complications
4. There is a cosmetic concern as the child grows
Is it safe for babies with umbilical hernia to move around?
If your baby is diagnosed with an umbilical hernia, it’s crucial to follow the doctor’s advice. Keep an eye on your baby during this time so that they do not hurt themselves accidentally.
Movements such as rolling over or sitting up is generally considered to be safe. However, it’s important to handle your baby gently and avoid putting any pressure on the hernia area.
As long as the hernia is monitored and the doctor’s instructions are followed, everyday movements will not cause any harm.
How to know if your baby’s umbilical hernia is healing?
If your baby has recently undergone umbilical hernia surgery, check for these signs to understand the healing process. These include-
1. Reduced swelling
2. Less tenderness
3. Ability to move without pain
You will also notice the incision area closing and drying. In case, there are signs of redness or infection, follow up with the doctor for proper evaluation.
What are the disadvantages of pediatric umbilical hernia?
While often harmless, untreated pediatric umbilical hernias can pose some issues in certain cases:
1. Part of the intestine may get trapped, cutting off the blood supply.
2. Pain or discomfort if it becomes large or infected
3. Cosmetic concerns as the child grows older
4. Parental anxiety and constant worry
5. Recurring infections in rare neglected cases
Fortunately, with regular checkups and early intervention, these complications can be easily prevented.
What size of your baby’s umbilical hernia needs surgery?
Size plays an important role in deciding whether your baby needs surgery or not. Here’s a general guideline:
1. <1 cm in diameter: Usually resolves on its own
2. 1–1.5 cm: Monitor closely till the child turns 3
3. >1.5 cm: May require surgery if it does not reduce by age 2–3
Each baby is different. The pediatrician or pediatric surgeon will guide you based on regular follow-ups and physical examination.
What is the recovery time for pediatric umbilical hernia surgery?
Recovery from pediatric umbilical hernia surgery in babies is generally quick and smooth as our professional shares the typical post-surgery timeline:
1. Hospital Stay: Usually a few hours; most babies go home the same day.
2. Stitches: Absorbable, no need for removal.
3. Pain Management: Mild discomfort which can be managed with pain relievers.
4. Healing Time: The surgical site heals within 7–10 days.
5. Return to Normal: Your baby can resume normal activities within a few days.
6. Scar: Minimal and fades over time.
Parents are advised to avoid putting pressure or strain on the baby’s tummy during the healing phase and keep the area clean and dry.
Dr. Ranajoy Dutta’s expertise in treating pediatric umbilical hernia
Dr. (Maj) Ranajoy Dutta brings over 14 years of surgical experience to the table. He has a distinguished tenure as a surgeon in the Indian Army, dealing with diverse and complex surgical cases.
Dr. Dutta’s surgical proficiency spans general surgery, laparoscopic (minimally invasive) procedures to various urological and uro-oncologic surgery etc.
He is committed to delivering personalised, patient-focused care through the latest surgical techniques. His technique ensures shorter recovery times and the best outcomes.
Conclusion
If you have discovered that your baby has an umbilical hernia, it can feel worrying, but remember with proper guidance your baby will get healthy soon. Most cases are harmless, painless, and resolve on their own.
With the right information and medical support, you can confidently monitor your baby’s condition and take action when needed.
Schedule your appointment today
Schedule your baby’s hernia check-up today with Dr. Ranajoy Dutta, the best hernia treatment in Kolkata.