A protruding belly button in infants is a common occurrence. In most cases, it is normal during the first months after birth and does not cause problems. However, sometimes the protrusion may be due to a condition called umbilical hernia, which causes swelling or bulging in the belly button area. In other cases, the belly button may appear more prominent because the baby cries frequently during the first days of life.
Pediatric specialist Dr. Ibrahim Shukri explains the symptoms, causes, treatment, and prevention methods related to umbilical hernia in infants.
Causes and Symptoms of Umbilical Hernia
Umbilical hernia usually occurs due to weakness in the muscles surrounding the belly button, which is common among infants. In some cases, the condition may begin while the baby is still in the womb.
Common Symptoms
A noticeable bulge or swelling in the belly button area
The bulge may be visible or felt when touched
In some cases, the area may become painful when touched or when the baby strains, cries, or coughs
The Relationship Between Umbilical Hernia and Excessive Crying
A bulging belly button when a baby cries or strains during bowel movements is a classic sign of umbilical hernia. Crying increases pressure on weak abdominal tissues, making the bulge more noticeable.
Although some people believe that excessive crying causes the hernia, the main cause is usually a congenital weakness in the abdominal muscles. Crying simply makes the bulge appear more obvious.
However, if the hernia becomes painful, firm, or increases in size along with persistent unexplained crying, it may indicate a strangulated hernia, which requires immediate medical attention.
Doctors strongly warn against using belts, coins, or other objects tied around the belly button. These methods do not treat the hernia and may lead to skin irritation or infection. In most cases, umbilical hernias close naturally before the child reaches two years of age as the abdominal muscles strengthen.
Generally, an umbilical hernia does not cause pain or colic, and it is usually not the reason for a baby’s crying. However, if the hernia becomes trapped (unable to be pushed back in) and the baby cries intensely while vomiting or the belly button changes color, immediate medical care is necessary.
Ways to Care for the Belly Button and Reduce Risks
Although there is no guaranteed way to prevent umbilical hernia, proper belly button care can help avoid related skin problems.
Parents should:
Keep the umbilical area clean and dry
Follow proper hygiene practices during diaper changes
Consult a pediatrician if any unusual symptoms appear
A doctor can evaluate the condition and guide parents on the appropriate care or treatment if needed.
When Should You See a Doctor?
Parents should consult a pediatrician immediately if they notice:
Severe pain or redness around the belly button
An increase in the size of the bulge or pain when touching it
Swelling or changes in the skin color over the hernia
Signs that part of the intestine may be trapped in the hernia, causing vomiting or bowel obstruction
In such cases, medical evaluation and treatment are necessary. Otherwise, a protruding belly button in early infancy is often a temporary condition that gradually disappears as the baby grows.
Risk Factors for Umbilical Hernia
Some factors may increase the likelihood of developing an umbilical hernia, including:
Age: It is most common in infants during the first months of life, although it can occur at any age.
Family history: A history of umbilical hernia in the family may increase the risk.
Genetic conditions: Some developmental disorders or congenital abnormalities may raise the risk.
Increased abdominal pressure: Heavy lifting or intense strain can increase the risk in older children or adults.
Obesity: Excess body weight can place additional pressure on the abdomen.
Treatment of Umbilical Hernia
In infants, umbilical hernias usually do not require treatment, as they tend to close naturally within the first months or years of life.
However, if the hernia persists, grows larger, or causes symptoms, the doctor may recommend a simple surgical procedure to repair the hernia and strengthen the abdominal muscles.
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