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Umbilical hernia is a condition in which some tissues, such as the intestine or abdominal muscles, protrude through a weak area near the belly button. Umbilical hernia may present itself as a soft swelling near or inside the navel. It may be noticed prominently during actions like coughing, crying, straining, or standing.
Though umbilical hernia is very common in infants and kids, it can also occur in adults. The majority of small umbilical hernias in infants can heal themselves with the development of abdominal muscles, but the same thing cannot happen to adults. Slowly, an umbilical hernia in adults may increase in size. So, treatment may be required in case of pain and discomfort.
If you or your child has a bulge around the belly button, persistent pain, or increasing discomfort, consult a general surgeon near you at Miracles Healthcare, Gurgaon for an accurate diagnosis and timely treatment. Early evaluation can help determine whether the umbilical hernia can be monitored or requires surgical intervention.
The signs and symptoms of an umbilical hernia may differ from one individual to another based on the age of the patient and the size of the hernia. In a baby, the condition is painless and will be visible especially when the baby cries or strains. In an adult, an umbilical hernia may result in pain or discomfort.
Umbilical hernia in babies and toddlers usually shows up as a soft lump surrounding the belly button. It might appear to be more noticeable if the baby cries, coughs, laughs, or strains.
Symptoms of an umbilical hernia include:
Soft lump or swelling surrounding the belly button
A swelling that becomes more noticeable when crying, coughing, or straining
Swelling that disappears when the baby is calm or lying down
Occasional mild tenderness in the navel area
Increased size of the swelling over time
Umbilical hernia in toddlers usually doesn’t cause any pain and might heal on its own as the muscles of the tummy strengthen. However, a firm lump, discoloration of the skin, or a lump that is difficult to push back requires immediate evaluation.
An umbilical hernia in adults will slowly worsen and may cause symptoms, especially when an adult remains on his/her feet for a long time, coughs, lifts something or does any kind of physical activity.
The most common symptoms are the following:
The appearance or touchable lump around the belly button
Swelling that increases while coughing and straining
Pain, ache, or discomfort in the area of the navel
Feeling of pressure or heaviness in the stomach
Tenderness at the place of the hernia
Slow increase in size of the lump
Discomfort during lifting of weighty objects or doing physical exercises
Some adults suffer from an umbilical hernia but do not have any symptoms. Nevertheless, even a painless umbilical hernia shoul
A hernia requires urgent medical attention if the bulge:
Becomes suddenly painful
Becomes firm, swollen, or very tender
Cannot be pushed back into the abdomen
Turns red, purple, or dark in colour
Severe abdominal pain, persistent nausea or vomiting, fever, abdominal swelling, or difficulty passing stools or gas can be signs of a trapped or strangulated hernia and require immediate medical evaluation.
If you notice a new or changing bulge around your child’s or your own belly button, consult a General Surgery Specialist in Gurgaon for an accurate diagnosis and appropriate treatment guidance.
An umbilical hernia develops when there is weakness in the abdominal wall around the navel.
Potential causes of this condition may be
Naturally occurring hole around the umbilical cord which fails to close completely after birth
Age-related weakening of the abdominal muscles
Increased abdominal pressure
Pregnancy
Obesity
Coughing
Straining due to chronic constipation
Abdominal fluid retention
Previous abdominal surgery
Diagnosis of an umbilical hernia can normally be made with a simple physical exam. The doctor will conduct an abdominal and umbilical examination and may ask you to stand up, cough, and strain to make the hernia more visible.
The surgeon will measure the size and site of the protrusion, tenderness, and ability to push the bulge back into the abdomen during the examination.
For the most part, further diagnostic studies are unnecessary. However, there are situations when imaging studies like an ultrasound or a CT scan can help with more precise evaluation of the condition.
There are multiple factors influencing the course of treatment of umbilical hernia, such as the age of the patient, the size of the hernia, signs and symptoms, general condition, and possible risks of complications. Some hernias do not require any treatment, while others have to undergo surgery.
Small umbilical hernias in children that are painless and not causing complications may often be monitored because many close naturally as the abdominal wall develops. Regular follow-up with a paediatrician or surgeon can help track the hernia and determine whether further treatment is needed.
Surgery may be recommended when an umbilical hernia:
Causes persistent pain or discomfort
Becomes larger over time
Does not close naturally when appropriate
Interferes with daily activities
Becomes trapped or strangulated
Causes other complications
1. Open Umbilical Hernia Repair
In open hernia repair, the surgeon makes a small incision near the belly button to access the hernia. The protruding tissue is carefully returned to the abdominal cavity, and the weakened area of the abdominal wall is repaired.
For smaller defects, the opening may be closed using sutures. In selected adults with larger or higher-risk hernias, surgical mesh may be used to reinforce the abdominal wall and reduce the risk of recurrence.
2. Laparoscopic Umbilical Hernia Repair
Laparoscopic repair is a minimally invasive approach in which the surgeon uses a camera and specialised instruments inserted through small incisions in the abdomen. The hernia is repaired from inside the abdominal wall, and mesh may be used when appropriate.
This approach may be considered for certain adults, particularly those with larger, multiple, or recurrent hernias. Suitability depends on the individual patient and the surgeon’s assessment.
3. Robotic-Assisted Hernia Repair
In selected cases, robotic-assisted hernia repair may be considered. It uses specialised robotic instruments controlled by the surgeon through small abdominal incisions. The technique can provide enhanced precision and flexibility when repairing certain complex abdominal wall hernias.
However, robotic surgery is not necessary for every umbilical hernia. The choice of technique depends on factors such as the size and location of the defect, previous surgeries, overall health, and the surgeon’s expertise.
There is no single procedure that will work for every individual. The decision on the type of surgical procedure to adopt will depend on the size of the hernia, symptoms, age of the patient, history of surgeries in the abdomen, general condition of the patient, and the chances of recurrence.
The following are the possible risk factors for having an umbilical hernia
Overweight
Pregnancy, especially multiple pregnancy
Fluid in the abdomen
History of abdominal surgery
Premature birth or low birth weight of babies
Not all umbilical hernias can be prevented, especially those present from birth. However, adults can reduce factors that increase pressure on the abdominal wall by:
Maintaining a healthy body weight
Avoiding unnecessary heavy lifting
Using proper lifting techniques
Managing chronic cough
Preventing constipation and excessive straining
Following a healthy diet and active lifestyle
Seeking medical advice for persistent abdominal swelling or discomfort
If you notice a new or growing bulge around your belly button, an early medical evaluation can help determine the appropriate course of action.
Miracles Healthcare is NABH-accredited and the best Hospital for Hernia Surgery in Gurgaon, providing comprehensive surgical care since 2002 for patients with umbilical hernia. With a team of experienced surgeons, modern diagnostic facilities, and patient-focused care, we offer accurate diagnosis and personalized treatment based on each patient's condition.
Whether your umbilical hernia is causing a bulge around the belly button, pain, swelling, tenderness, or discomfort, our surgical team evaluates the condition and recommends the most appropriate treatment.
From regular monitoring to surgical hernia repair, every treatment plan is based on the size and severity of the hernia, symptoms, age, overall health, and risk of complications. Our focus is on safe treatment, effective recovery, and long-term results.
If you are looking for the best hospital for umbilical hernia treatment in Gurgaon, choose Miracles Healthcare for experienced surgical care, advanced facilities, and compassionate support at every step.
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An umbilical hernia is repaired by returning the protruding tissue to its normal position and strengthening the weakened abdominal wall, usually through surgery when required.
Many umbilical hernias are not serious initially, but a painful, trapped, or rapidly enlarging hernia can lead to complications and requires prompt medical attention.
Umbilical hernia repair is generally a common and well-established procedure, but risks vary depending on the hernia, surgical technique, and overall health.
There is no single best age. In children, surgery may be considered if the hernia is large, painful, complicated, or does not close naturally as the child grows.
It can develop due to a natural weakness around the belly button, increased abdominal pressure, pregnancy, obesity, chronic coughing, constipation, or previous abdominal surgery.
Small umbilical hernias in children may close naturally as they grow. In adults, they generally do not close on their own, although small, symptom-free hernias may sometimes be monitored.
Yes, many people with small, symptom-free hernias can continue their normal activities under medical guidance, but regular monitoring is important.