Signs of Umbilical hernia (Belly button hernia)

Umbilical Hernia (Belly Button Hernia)

Description

A weakening in the abdominal wall in the area of the belly button (umbilicus) that allows abdominal contents to protrude through the defect. If the intestines poke through the defect they can become blocked. At times the intestine can lose blood supply and die leading to a life threatening infection. Umbilical hernias that are present at birth will typically go away without treatment and will be watched by the doctor.

Symptoms

A soft bulge in the area of the belly button that becomes larger with coughing, crying or straining, and becomes smaller with relaxation. The bulging area can be tender. If the intestines become blocked then vomiting, abdominal pain, and abdominal distension occur.

Tests

A history and physical exam will be performed. The doctor can usually find the hernia during a physical exam. At times a CT scan or MRI will be performed to establish the diagnosis and the extent of the hernia.

Standard Workup

MRI
CT Scan

Treatment

In infants usually no treatment is required since most go away with age. If the disorder persists by age 4 surgical treatment may be recommended. In adults the hernia may be observed if the symptoms are minimal. Surgery is performed for more severe symptoms or if there are signs of blockage.