About this symptom
A swelling near a child’s navel may be continuously visible or appear when the child cries. An umbilical hernia is common, but redness, discharge or local inflammation can have other causes.
What matters most
An umbilical hernia involves tissue protruding through a small opening in the abdominal wall near the navel. Unlike an inguinal hernia, many uncomplicated umbilical hernias close spontaneously during early childhood.
Symptoms and reasons to seek help
A soft bulge that varies with straining is typical. Persistent pain, a suddenly hard swelling, skin discoloration, vomiting or a distended abdomen are not reassuring features.
How it differs from similar conditions
Discharge and inflamed skin may suggest a local skin condition rather than a hernia. Location, skin changes, tenderness and the size of the abdominal-wall defect help distinguish causes. Umbilical and inguinal hernias require different management.
Assessment and investigations
A paediatrician or paediatric surgeon examines the area and, if a hernia is present, evaluates the abdominal-wall opening. Imaging is not always needed; ultrasound can help when examination does not clarify the cause.
Care options and limitations
Uncomplicated umbilical hernias are often observed according to the child’s age and defect size. A surgeon decides whether repair is appropriate. Coins, adhesive tape and tight bandages neither close the opening nor prevent complications and can irritate the skin.
When emergency help is needed
A hard painful bulge, vomiting, increasing abdominal bloating, marked redness or sudden deterioration can indicate an incarcerated hernia. Do not press forcefully on it; seek emergency medical help immediately via 103 or 112.
Related information
A groin bulge in a child; Inguinal hernia in children; Umbilical hernia in children; Paediatric surgeon consultation.
Signs and symptoms
A soft bulge that varies with straining is typical. Persistent pain, a suddenly hard swelling, skin discoloration, vomiting or a distended abdomen are not reassuring features.
Diagnosis and tests
A paediatrician or paediatric surgeon examines the area and, if a hernia is present, evaluates the abdominal-wall opening. Imaging is not always needed; ultrasound can help when examination does not clarify the cause.
Care and treatment approaches
Uncomplicated umbilical hernias are often observed according to the child’s age and defect size. A surgeon decides whether repair is appropriate. Coins, adhesive tape and tight bandages neither close the opening nor prevent complications and can irritate the skin.
When to seek urgent care
A hard painful bulge, vomiting, increasing abdominal bloating, marked redness or sudden deterioration can indicate an incarcerated hernia. Do not press forcefully on it; seek emergency medical help immediately via 103 or 112.
Frequently asked questions
Is every lump near the navel an umbilical hernia?
No. Inflammation and other local swellings can look similar; a clinician should establish the diagnosis.
Will a coin or sticking plaster make the hernia close?
No. These methods do not close the defect and may damage or irritate a child’s skin.
When is surgery considered?
The decision depends on symptoms, the child’s age, the size of the opening and how it changes during follow-up.
Important information
A medical consultation is needed for diagnosis and treatment recommendations.
Self-treatment can be harmful to your health.
