Umbilical Herniasenparentshttps://kidshealth.org/EN/images/headers/KH_generic_header_10_2.jpgAn umbilical hernia shows up as a bump under the belly button. If a hernia doesn't go away by age 4 or 5 or causes problems, doctors may recommend surgery.umbilical hernia, hernia, hernias, belly button, could that lump be a hernia?, hernias, hernia repair, surgeries, surgical conditions, inguinal, umbilical, intestine, abdominal membrane, muscle wall, protrusion, bulges, lumps, tissues, openings, crying, coughing, moving bowels, bowel movements, reducible, dangerous, incarcerated, strangulated, gangrene, obstruction, scrotum, labia, enlargement, swelling, undescended testicles, femoral, recuperation, extra weight, constipation, sneezing, coughing, diet, elective, preemies, premature infants, neonatal intensive care unit, general surgery, CD1General Surgery, CD1Urologic Surgery10/08/201910/17/201910/17/2019Loren Berman, MD10/01/20194fb8a9df-a2d2-4c29-bf97-180772df0233https://kidshealth.org/ws/RadyChildrens/en/parents/umbilical-hernias.html/<h3>What Is an Umbilical Hernia?</h3> <p>An umbilical hernia happens when part of a child's intestines bulges through the abdominal wall inside the belly button. It shows up as a bump under the belly button. The hernia isn't painful and most don't cause any problems.</p> <p>Most umbilical (um-BILL-ih-kul) hernias close on their own by the time the child turns 4 or 5. If a hernia doesn't go away by then or causes problems, doctors may recommend surgery.</p> <h3>What Causes Umbilical Hernias?</h3> <p>A hernia is when part of the <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/digestive.html/">intestine</a> bulges through the muscle wall that's supposed to hold it in place. With an umbilical hernia, the opening is in the middle of the belly button, at a part of the abdominal wall called the umbilical ring.</p> <p>The umbilical ring is a muscle that surrounds the belly button. During <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/center/pregnancy-center.html/">pregnancy</a>, the umbilical cord flows through the umbilical ring to bring blood and nutrients to the developing baby. The umbilical ring should close shortly after birth. If it doesn't close correctly, the intestines can poke through. This can cause a bulge near the belly button, especially when the baby cries, coughs, or strains.</p> <p><img class="center_this" title="Diagram shows a baby with an umbilical hernia and an inside view of the hernia." src="https://kidshealth.org/EN/images/illustrations/herniaUmbilical_a_enIL.jpg" alt="Diagram shows a baby with an umbilical hernia and an inside view of the hernia." /></p> <h3>Who Gets Umbilical Hernias?</h3> <p>Umbilical hernias are most common in newborns and infants younger than 6 months old. About 20% of babies have one. But older kids and adults can get them too.</p> <h3>What Are the Signs &amp; Symptoms of an Umbilical Hernia?</h3> <p>The main sign of an umbilical hernia is a visible bump under the skin by the belly button.</p> <p>The hernia can get bigger and smaller:</p> <ul class="kh_longline_list"> <li>It can get bigger when a child does something that creates pressure in the belly, like standing up, crying, coughing, or straining to poop.</li> <li>It can get smaller again when the child lies down and is calm.</li> </ul> <h3>How Are Umbilical Hernias Diagnosed?</h3> <p>Doctors diagnose an umbilical hernia by looking and feeling for a bump or swelling in the belly button area. The bump usually will get bigger when the baby cries and get smaller or go away when the baby relaxes or rests on the back.</p> <p>The doctor may gently try to massage the hernia back into its proper place in the abdomen. A hernia that can be massaged back into place is called a "reducible" hernia. This shows that the intestine isn't stuck ("incarcerated") in the muscle wall opening.</p> <h3>How Are Umbilical Hernias Treated?</h3> <p>Most umbilical hernias are nothing to worry about, and go away without medical treatment by the time a child is 4&ndash;5 years old. Surgery is done only if:</p> <ul> <li>the hernia doesn't close by age 4 or 5</li> <li>the hernia becomes incarcerated (can't be easily reduced)</li> </ul> <p>To operate, doctors will:</p> <ul class="kh_longline_list"> <li>Give <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/anesthesia-basics.html/">anesthesia</a> so the child sleeps through the procedure and won't feel any pain.</li> <li>Make a small incision (cut) in the skin.</li> <li>Move the intestine back into place.</li> <li>Close the hole or weak spot in the muscle with stitches.</li> <li>Close the incision with absorbable sutures under the skin and tape strips. These will fall off on their own in 7&ndash;10 days.</li> </ul> <p>Kids sometimes need emergency surgery if the intestine is not reducible. This means it is stuck in the muscle wall, which can damage the intestines.</p> <p>At home, you can push the hernia back in, but don't put tape or anything else on the hernia to hold it in. This won't make it go away, and may cause problems like infection.</p> <h3>When Should I Call the Doctor?</h3> <p>Umbilical hernias usually close on their own without surgery. Keep an eye on the hernia to see if it changes.</p> <p>Call the doctor if your child still has the hernia after turning 5 years old. Call right away if:</p> <ul class="kh_longline_list"> <li>The hernia gets larger, seems swollen, or is hard.</li> <li>The hernia sticks out when your child is sleeping, calm, or lying down and you can't push it back in.</li> <li>Your child is very cranky or seems to be in pain.</li> <li>Your child has pain when you touch the hernia.</li> <li>The skin over the hernia is red or looks darker than usual.</li> </ul>Hernias umbilicalesUna hernia umbilical ocurre cuando una parte de los intestinos del niño se proyecta a través de la pared abdominal en la zona del ombligo.https://kidshealth.org/ws/RadyChildrens/es/parents/umbilical-hernias-esp.html/2be4b566-e5c8-4e8f-8553-7e9a211fa0e7
Epigastric HerniasAn epigastric hernia is when part of the intestines pushes through the abdominal muscles between the belly button and the chest. Many are small, cause no symptoms, and don't need treatment.https://kidshealth.org/ws/RadyChildrens/en/parents/epigastric-hernias.html/5524b9f7-4a38-49ba-b48e-248e768e47e6
HerniasHernias are fairly common in kids, and hernia repair is one of the most common pediatric surgeries.https://kidshealth.org/ws/RadyChildrens/en/parents/hernia.html/7d8de0d8-ef61-4907-9ed4-527ad3612366
HydroceleA hydrocele is a pouch of fluid around the testicle inside the scrotum. Hydroceles are common in newborns, especially preemies.https://kidshealth.org/ws/RadyChildrens/en/parents/hydrocele.html/e3072cb0-aa83-418b-8536-e1f3c66fa592
Inguinal HerniasAn inguinal hernia happens when part of the intestines pushes through an opening in the lower part of the abdomen. Doctors fix these hernias with surgery.https://kidshealth.org/ws/RadyChildrens/en/parents/inguinal-hernias.html/c91103d8-97cc-4013-a9fd-63efb67fe53a
Looking at Your Newborn: What's NormalWhen you first meet your newborn, you may be surprised by what you see. Here's what to expect.https://kidshealth.org/ws/RadyChildrens/en/parents/newborn-variations.html/b4629b06-91b5-41c6-8dfd-f8d494164574
kh:age-allAgesOrAgeAgnostickh:age-babyZeroToOnekh:clinicalDesignation-generalSurgerykh:clinicalDesignation-neonatologykh:genre-articlekh:primaryClinicalDesignation-urologyDigestive Systemhttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/digestive/226681c6-87ab-4259-ac66-0886c67d75a6Newborn Health Conditionshttps://kidshealth.org/ws/RadyChildrens/en/parents/pregnancy-center/newborn-health-conditions/85832563-037d-4bcf-b68e-8877d94e4fd5Surgical Conditionshttps://kidshealth.org/ws/RadyChildrens/en/parents/system/surgical/e79494d5-d5b9-41cd-99a0-13b82606c9adhttps://kidshealth.org/EN/images/illustrations/herniaUmbilical_a_enIL.jpg