The appearance of a "big navel" in babies is often due to an umbilical hernia, and it frequently resolves on its own. Here's how it's typically managed:
-
Observation: Most umbilical hernias are small and cause no problems. Doctors usually recommend watchful waiting, as they tend to close spontaneously by the time the child is 1 to 2 years old, and almost always by age 5.
-
Gentle Reduction (if possible): A doctor can gently try to massage the hernia back into its proper place in the abdomen. This is called a "reduction." A hernia that can be massaged back into place is considered "reducible." It is crucial to have a doctor perform this, and you should not attempt this at home.
-
Understanding the Bump: The bulge may become more noticeable when the baby cries, strains, or coughs, and smaller or even disappear when the baby is relaxed or lying on their back. This is normal and expected.
-
When to Seek Medical Attention: Consult your pediatrician if:
- The hernia becomes very large.
- The hernia is painful to the touch.
- The baby is in pain.
- The hernia becomes swollen or discolored.
- The baby starts vomiting.
- The hernia doesn't reduce (can't be pushed back in).
- The hernia is still present after the child is 5 years old.
-
Surgery (Rare): Surgery is rarely needed. It might be considered if the hernia is very large, causes discomfort, becomes incarcerated (trapped outside the abdominal wall), or if it hasn't closed by the time the child is 4-5 years old.
Important Note: Avoid using belly bands, coins, or any other home remedies to try to reduce the hernia, as these are ineffective and potentially harmful. Always consult with your pediatrician for proper diagnosis and management.
