UMBILICAL HERNIA IN CHILDREN

SYMPTOMS

Umbilical hernias can typically be observed whenever the neonate is laughing, crying, or is having the urge to urinate or defecate. The hallmark feature of umbilical hernias is protrusion near the navel or umbilical area. This hallmark feature, however, is not evident when the neonate is in a relaxed position.

Umbilical hernias can sometimes be present in adults as well. Its symptomatology is the same. However, it can cause pain and discomfort in adults. In those cases, surgical intervention is usually warranted.

Medical attention is needed if the individual exhibits the following symptoms if:

• the baby suddenly starts vomiting
• the baby is in obvious pain
• the bulge is very tender, shows signs of discoloration, and is swollen

DIAGNOSIS

A physical examination of the infant or adult will be performed by the doctor to check whether the individual has an umbilical hernia. If the hernia can be pushed back into the abdominal cavity, then this is a less serious condition. However, if it is trapped in its place or incarcerated, then it can result in blood supply deprivation and could lead to permanent tissue damage.

Your doctor will probably order an abdominal X-ray and ultrasound to rule out complications. He or she may also order blood tests to check whether there is an infection or ischemia.

TREATMENT

Young children affected with this condition usually don’t need any treatment. In adults, however, surgery is typically recommended to prevent any complications. Doctors usually wait for the following before beginning surgery:

• the hernia is bigger than one-half inch in diameter
• becomes painful
• doesn’t go away by the time a child is 3 or 4 years old
• doesn’t shrink within one or two years
• becomes trapped or blocks the intestines

You will be prescribed with antibiotics before and after surgery. You will also need to clean the site properly. You will need to have a follow-up appointment with your surgeon for him or her to monitor your operation.