Umbilical hernia

Umbilical Hernia

What is an umbilical hernia?

An umbilical hernia happens when intestine, fat, or fluid pushes through a weak spot or hole in your baby's stomach muscles. This causes a bulge near or in the belly button, or navel. It may look like your child's belly button is swollen.

Many children have an umbilical hernia at birth. The hernia usually isn't painful or dangerous, and it often closes on its own without treatment.

What are the symptoms of an umbilical hernia?

An umbilical hernia can usually be seen after the umbilical cord stump falls off, within a few weeks after birth. But some children don't get a hernia until they're a little older.

When a child has an umbilical hernia:

  • You may notice a soft bulge under the skin of the belly button.
  • The doctor can push part of the bulge back in.
  • The bulge may be easier to see when your child sits or stands upright or strains stomach muscles during normal activities such as crying, coughing, or having a bowel movement.

Umbilical hernias can vary in size. They are rarely bigger than about 1 in. (2.5 cm) across. Most children don't feel pain from the hernia.

Talk to your doctor if your child is vomiting, has pain, or has a swollen belly.

How is an umbilical hernia diagnosed?

Doctors usually can tell that a child has an umbilical hernia by how the belly looks. If your child has a hernia, your doctor will check its size and shape and see whether the hernia can be pushed back in.

The doctor will want to check your child regularly to see if the hernia has begun to close. Be sure to bring your child in for these checkups.

How is an umbilical hernia treated?

Umbilical hernias usually close on their own before a baby is 1 year old. If a hernia has not closed by the time your child is 4 years old, your child probably will need surgery to close it.

If your child has pain, a swollen belly, or other signs that a part of the intestine is trapped in the hernia (incarcerated hernia), surgery will be needed right away. This problem is very rare.

Surgery to repair the hernia usually is an outpatient procedure, which means that your child can go home the same day the surgery is done. Sometimes more surgery may be done to improve how the belly button looks (for instance, if the hernia was very large or there was a lot of extra skin).

Problems from umbilical hernia repair are rare. Your child's doctor can tell you what to expect and what to watch for. Be sure to go to all follow-up exams so the doctor can make sure your child is healing well.

How can you care for your child's umbilical hernia?

  • Watch for any signs that the hernia may be causing problems. Your baby's belly may get bigger, and the skin over the hernia may look red. Your baby may cry a lot and throw up. Call your doctor right away if you see these signs.

Umbilical hernia: When to call

Call your doctor now or seek immediate medical care if:

  • You have new or worse belly pain.
  • You vomit.
  • You cannot pass stool or gas.
  • You can't push the hernia back into place with gentle pressure when you are lying down.
  • The area over the hernia turns red or becomes tender.

Watch closely for changes in your health, and be sure to contact your doctor if you have any problems.

©2011-2025 Healthwise, Incorporated

The content above contains general health information provided by Healthwise, Incorporated, and reviewed by its medical experts. This content should not replace the advice of your healthcare provider. Not all treatments or services described are offered as services by us. For recommended treatments, please consult your healthcare provider.

Emergency surgery

Find an emergency room

Diagnosing digestive diseases

Schedule an evaluation

Orthopedic surgery

More about Orthopedic Surgery

Minimally invasive surgery

Find a surgery center