Umbilical hernia in newborns - causes, treatment
Caring parents are always worried, if the health of their baby is not all right. In the first month at the scheduled examination, the doctor may inform them that the child has an umbilical hernia. You shouldn't panic right away, you need to find out the reason for its formation, and then the treatment methods. It is unlikely that the diagnosis will remain with your crumbs for life.
What is this disease?
The umbilical hernia in newborns is the so-called not fully closed umbilical ring. It remains in the place where earlier, when the baby was in the womb, there was a umbilical cord. At birth, it is cut and clamped. Thus, usually within 10-14 days, the dried area of the skin falls off, and the scar remains, which is later called the navel. An umbilical hernia appears in a child if the ring does not close completely, and the intestines and other parts of the abdominal organs can protrude through the hole under the skin. The size of a hernia is different: from 1 cm in diameter to 5 cm and more. It all depends on the degree of neglect of this disease.Hernia in newborns, at first glance, may be invisible. Only if you touch it with your finger, you can feel a certain emptiness in this place. It looks like a ball, which disappears by itself when pressed.
Congenital or Acquired
Whatever may be said by more experienced parents or illiterate doctors, and the umbilical hernia in newborns is of two main types. The first one is congenital, i.e. a child with her is already being born. This is preceded by several reasons:
- Disorders during pregnancy, i.e. long-term illness caused by any infection or poor ecology. As a result, the baby has a slower development in the womb, and by the time the baby is born, the umbilical ring is not narrowed to the end.
- Weak abdominal muscles in a child. The skin in this place is inelastic, and, as they say, underdeveloped. In this regard, the first hectic months of life crumbs only lead to the aggravation of the situation.
Also, a umbilical hernia in a baby may appear during the first year of life. At this time, just as there is a complete closure of the umbilical ring. But as a result of prolonged constipation, frequent anxiety, or increased gas formation, this process will go much slower.Pediatricians warn the parents of those children who have rickets at an early stage of life, of the high probability of the occurrence of this disease, as the muscle tone is significantly weakened. This is done for timely preventive action aimed at the reduction of the hernia.
Previously it was clearly explained that there is an acquired and congenital umbilical hernia in a newborn. The reasons for its occurrence are also indicated. One has only to add that the most important thing is to find it in time. To do this, parents during bathing or after it, you must carefully consider the navel of the crumbs. Usually, in the case of revealed pathology of the umbilical ring closure, some compaction is observed in its area. The sizes can be different: from a pea to several centimeters in diameter. When pressed, the child usually does not experience unpleasant sensations, and all fragments of the abdominal organs easily assume the same position. When the umbilical hernia in newborns is small (the protrusion of the navel over the abdomen is no more than one and a half centimeters), the process of its disappearance lasts about a few weeks, otherwise the recovery takes 2-3 months.
Hernia symptoms, is she worried about the baby?
In fact, it is worth reassuring the caring parents right away with the information that no umbilical hernia delivers any pain or anxiety to your baby. Symptoms in newborns in this case are manifested only by protrusion of the navel. If the hernia is small in size, then all the fragments of the abdominal organs become in place without problems when the baby is lying on its back. Of course, there are complicated forms of this diagnosis. In this case, a large hernia, the closing of the umbilical ring during the first five years of the child’s life does not occur, during physical exertion or coughing, he experiences abdominal pain and even nausea. Often, such signs lead to the infringement of the contents of the hernial sac, then surgical intervention is urgently required.
Which doctor will be able to make an accurate diagnosis?
Often, the first signs of an umbilical hernia at a planned admission should be revealed by an experienced pediatrician. But a more reliable conclusion and further recommendations for its treatment will give you a pediatric surgeon. For this purpose, polyclinics are carried out preventive examinations of children aged 1, 3, 6, 9 and 12 months, and then according to indications.Usually, the surgeon, having examined the baby, concludes about the size of the umbilical ring and assumes that it will close by 2-3 years. If this happens, then the umbilical hernia in newborns does not require further treatment. In the opposite case, a more detailed examination of the child and careful monitoring of his condition until the age of 5 years. It is believed that by this time the abdominal muscles become the most developed.
Methods for diagnosing umbilical hernia
Of course, there are several ways to make the appropriate diagnosis:
- palpation method, i.e. This is an external examination of the baby and the doctor's feeling for the size of his umbilical ring;
- Ultrasound of the abdominal organs, which has recently been preventively carried out in children at the age of the first month.
Of course, if an umbilical hernia occurred at a later age for a number of reasons, there are many other methods to determine it.
How often should visit the surgeon?
The doctor performs preventive techniques at the age of 1, 3, 6 and 12 months. For more detailed observation of the umbilical hernia in a baby, the surgeon may schedule a more frequent visit.Do not neglect the recommendations of the doctor, because the health of your baby depends on it. Also, be sure to conduct a survey before the first visit to kindergarten and school. Here, the surgeon will determine whether the diagnosis will affect the more adult and physically active life of the child.
Prevention of umbilical hernia
Of course, in matters relating to health, it is always important to consult a doctor in time. So know that if you notice the first signs of an umbilical hernia in newborns, then immediately go to the doctor. Prevention of this problem will not keep you waiting for the results for a long time, usually everything goes by three months. To prevent the occurrence of a hernia, you must:
- Try not to allow strong hysterics of the baby, in which the abdominal muscles tense in an upright position, and the navel bulges out. Try to occupy it with something interesting, just distract.
- Do not allow problems with digestion in the crumbs, as it is frequent constipation and strong gas formation lead to anxiety and excessive crying.
- Pay more attention to strengthening the press, for this, lay out with the pediatrician-allowed crumbs on the stomach.Gradually complicate the task: lay out in his field of view various bright objects, it is necessary that he make efforts to achieve the goal.
- When the baby is already confidently holding its head, lay it on its back and pull it up by the handles. Just a few exercises per day. The muscles of the press are tense and develop well, and this contributes to the closure of the umbilical ring.
What types of exercises are helpful?
Massage of umbilical hernia in newborns is usually not a big deal. There are some simple examples:
1) when the child lies on his back, you perform any circular movements on his stomach, while grabbing the skin;
2) iron the baby’s tummy in a clockwise direction, smoothly and slowly, it is necessary that this process brings joy to the crumbs;
3) in this case it will be good to use the fitball, lay the baby down on his tummy and perform any exercises: swaying, jumping and others.
If suddenly you do not understand and can not clearly imagine how to do an umbilical hernia massage, ask an experienced doctor to show you some simple examples. Thus, at home in a cozy atmosphere you will be able to repeat them much more often, and then the result will definitely be.
Sports to help you
It would seem that when a child is small, is it possible to do complex systematic exercises with it? Of course yes. After all, it is not only the most favorable impact on the treatment of umbilical hernia, but in general will significantly harden the entire body and strengthen health. In this situation, it will be useful to draw the attention of parents to visit special pools for children. There they are taught to get used to the water element, not to be afraid of it. Plus, all the muscles during these sessions get a double load, and therefore the effect will be quicker. Surgeons also advise not to neglect the purchase of those toys that can strengthen the abdominals of the child. For example, it may be a car, for which the baby will need to push off from the surface of the ground or the floor.
Umbilical Hernia Treatment
In this section, drastic measures of treatment will be described, if an appropriate diagnosis is made: an umbilical hernia in a newborn. Treatment will be in the use of special means or surgical intervention. So, I would like to note that medicine does not stand still, and along with the usual patches (which it is customary to glue the navel of a baby), they invented a special look. It is easy to use and does not cause any discomfort to the child.By the way, it is not necessary to resort to the methods of our great-grandmothers, applying to the navel of the crumbs with such a problem a copper penny. Doctors warn that in this way it is easily possible through the unhealed wound to carry the infection. It follows that to get rid of such an unpleasant illness, like an umbilical hernia in newborns, the patch is much more effective than traditional medicine.
They are needed only when it comes to a child who has reached the age of 5 years. It is necessary to be observed every three months at the surgeon in order to react in time to the changed situation. The doctor will refer you to the hospital for a simple operation. Naturally, it is done under general anesthesia, but since the scheme is simple, the child will wake up quickly and will not feel anything. And the wound will heal quickly and will not leave any mark on this place.
Complications of umbilical hernia
At observance of all the above-mentioned preventive measures, it can be said with confidence that nothing terrible will happen to the baby. But for information you need to know the following:
- If the hernia is large, then the feces in the large intestine can stagnate.The child will have pronounced constipation, abdominal pain and even vomiting.
- Sometimes it happens like this: those parts of the abdominal cavity organs that constantly fall out in the area of the umbilical hernia can be pinched by the umbilical ring. Then urgently required surgery.
“The umbilical hernia also becomes inflamed if the fragment of the organ in the ring is also unhealthy.
Parents, note that when a hernia, sudden abdominal pain in a child, vomiting, nausea, blood in the feces, absence of feces and gas for several days is detected, a child must be shown to the doctor to eliminate these complications. Often, already during the initial examination, even without a blood test (which will show the presence of inflammation), an experienced surgeon will find the problem.
Now it became clear what an umbilical hernia is, how to remove it with the help of preventive measures and surgical treatment. It is important to understand that it does not cause strong anxiety in a child, therefore making an adequate diagnosis depends only on your care and experience of the doctor. If it is still unclear how exactly the umbilical hernia looks like in a newborn, photos of babies with this pathology are in the presented article. Suspected something was wrong - do not postpone the visit to the doctor.And most importantly, in this situation, do not make the child sick or disabled, he is completely healthy. Just help with easy exercises, sports and massage to strengthen his abs, and he will not even notice this problem.