An umbilical hernia is a bulge at your child’s belly button. This arises when the opening for the umbilical cord doesn’t close completely after birth. This hole allows intestines (bowel) to move in and out causing a small bulge. The hernia may be larger in size if the baby cries, coughs, or strains and may disappear completely if they are lying down.
Most children will not require an operation and often the hernia will resolve itself in the first couple of years of life. However, if the hernia is particularly large or if the hernia is still present when the child reaches age 3 or 4 they may require an operation to repair it.
If your child is under 3 and you notice an umbilical hernia, no action may be required. If they are feeding well, opening their bowels and have no pain over the lump, you can just monitor it at home.
If your child is over 3 and you notice an umbilical hernia, but they are well, feeding well, with no pain over the hernia, arrange an appointment to see your GP. They will refer you to see the Paediatric Surgical team in clinic.
If there are any changes to the colour of the skin over the hernia, or it becomes painful, your child is vomiting and not feeding well, seek urgent medical attention in a child of any age. In this case the bowel may have been stuck in the hernia which may require an urgent operation. This is extremely rare. Take a look at the red, amber and green sections below.
If your baby / child has a swelling at the belly button which can't be pushed back in and any of the following:
your child has a swelling at the belly button and any of the following:
If your baby / child has a lump at the belly button that comes and goes but none of these features are present:
hernia is a small bulge in the groin area. They are very common in children,
particularly in premature babies. In children this occurs when there is a small
opening in the muscle wall in the groin which allows intestine (bowel) to bulge
out causing a lump in the groin. The hernia may increase in size as your baby
strains or cries. A hernia can occur on either side of the body or sometimes on
both sides and your child will require an operation to fix it. In a girl
sometimes the ovary can bulge out instead of the bowel.
Often the bowel
can move in and out quite easily through this opening but sometimes the bowel
can get stuck. If the bowel becomes trapped it may not receive an adequate
blood supply and your child will become unwell. We therefore like to operate to
prevent this complication from occurring.
If you notice a new lump in your child’s groin, you will need to seek medical assistance. If your child is happy, feeding well, pooing normally and the lump doesn’t appear to be painful you can make an appointment with your GP. They will refer you to see a paediatric surgeon.
However, if the lump is painful, discoloured, your child’s abdomen is big and swollen, they are vomiting or unwell, you should attend the Emergency Department urgently. For more information about things to look out for, take a look at the red, amber and green sections below.
The lump in the groin is present all the time (won't go away with some gentle pressure) and your baby has any of the following:
Your baby has any of the following but the lump is not sore to touch and still comes and goes freely:
You notice a new swelling or lump in the groin but: