Umbilical Hernia in Children: Symptoms
- 22 Jul 01:00
Sometimes in newborns there is a significant protrusion of the abdominal region near the navel. Doctors diagnose a similar phenomenon as a umbilical hernia. Parents immediately begin to panic, in the head immediately climb the thought of the need for urgent surgical intervention. However, doctorsargue that, of course, the situation is not so critical, and one should not immediately think about surgical intervention in the body of a newborn baby.
If your child has symptoms of umbilical hernia, then you should first consult with doctors, find out why this situation happened exactly with their baby, which there are methods of treatment of umbilical hernia.
1. What is umbilical hernia
2. Causes of umbilical hernia in children
3. Main symptoms of
4. Diagnosis of umbilical hernia in children
5. Treatment of umbilical hernia in children
6. Instead of finding
What is umbilical hernia?
After the baby is born, he cuts off the umbilical cord, wound at the site of the fetal connection with the mother's body heals. As a rule, in virtually all newborn umbilical counts, the remainder falls to 5-10 days of life. For healing of umbilical wounds, mum should daily treat it in the morning and in the evening. A month later, the wound completely heals and at that point a navel forms later.
Sometimes there are defects in the site of the umbilical cord that are associated with congenital or acquired disorders in the development of the newborn. It is these defects that lead to the development of the umbilical hernia in the future. This disease is very common in infants. For umbilical hernia characterized by protrusion of the internal organs of the peritoneum in the place where the navel is located. A similar disease occurs in newborns during the first month of life, but most often it is diagnosed in preterm infants.
The muscles of the baby's body are not yet developed and weak, especially in the umbilical wound area. When a child cries, coughs, at attempts to constipation in his body, then the insecure walls of the peritoneum muscles are affected by additional stresses, which negatively affects the muscles of the newborn's abdomen. Weak muscles can not with this pressure maintain the proper position of the internal organs of the peritoneum, and they protrude in the area of the navel. Usually you can get out of the outside or the omentum, or part of the abdominal cavity. Sometimes the loop of the child's intestine breaks out. A similar phenomenon is called umbilical hernia.
This type of hernia is easy to touch under the skin of the baby. If a child ceases to cough or feces out of his body, the hernia is "retracted" back.
Causes of Umbilical Hernia in Children
A similar disease may be congenital or acquired. It is necessary to know that various defects may occur after the umbilical cord is bound to the newborn. Usually the umbilical hernia disappears on its own when the muscles of the abdomen become stronger. But sometimes such a bulge occurs in preschoolers and even pupils of junior high school.
The presence of congenital hernia in the baby suggests a weak development of the walls of the abdominal cavity. This may be due to the peculiarity of the anatomical structure of a particular child. Such factors may have hereditary or genetic predispositions in their source, but may also occur in the development of the fetus in the womb.
Intrauterine formation of the future baby's umbilical hernia may be due to the wrong diet of a pregnant woman, which lacked some vitamins or minerals. Also, the appearance of umbilical redheads in the fetus could be affected by those diseases that the expectant mother had suffered. Due to such defects, umbilical wound heals much longer, which means that the risk of developing pathology is increasing.
If your doctor diagnoses the form of the swollen hernia that you have purchased, you need to know - the cause of this is the imperfection of the baby's gastrointestinal tract, or the malformation of the digestive system. Infants may develop diseases such as rickets, protein-energy deficiency. In addition, any disease that reduces the overall tone of the peritoneal muscles also contributes to the development of umbilical hernia in infants.
Newborn babies often suffer from colic and gut in the intestine, which may be accompanied by constipation. These phenomena occurring in the digestive tract of infants add extra pressure to the peritoneum, so the umbilical ovary will heal longer.
The main symptoms of the disease are
Parents, as a rule, themselves may not pay attention to the emergence of a seal in the umbilical wound area. However, the pediatrician, who regularly visits the newborn, will definitely pay attention to the characteristic protrusion of the abdominal cavity in the navel area. This is the main sign of the emergence of umbilical hernia in infants. But there are other symptoms of this disease: the
- neoplastic ring is sharply increasing in size;
- occurrence of pain in the navel region, disruption of normal bowel movements in the child;
- pain that occurs in the baby's tummy during exercise or immediately after it( that is, after crying, coughing, sneezing, feeding, toilet, etc.);
- periodically there are nausea or vomiting attacks.
The bulge in the navel is most noticeable if the child begins to cry or laugh. Also, abdominal muscles are strained at the time of departure of feces, gases from the body of the child, which leads to tension of the abdominal muscles and protrusion of hernia. When a newborn calmly sleeps, lying on his back, the hernia "hides".
A similar bulge itself does not cause pain, such a seal is soft and rather fragile.
Usually, a pediatric surgeon at the examination pays attention to the size of the umbilical ring. If it is in the diameter of more than 15 mm , then this deviation is already detected as a defect. Although in most children, such large umbilical rings can overgrown independently for 3 to 4 years, but still it is not necessary to pull - because this ring can increase with age, in this case, it itself can no longer grow. Then you will have to resort to surgical intervention.
Diagnosis of umbilical hernia in children
At suspicion of the appearance of a baby umbilical hernia, the pediatrician will necessarily send the child to a child surgeon for consultation. It is this specialist who can accurately diagnose such a disease, determine the contents of the hernial sac - there is a bowel loop or just a fatty tissue. For complete certainty in the diagnosis, an examination is performed - it seems the clinical analysis of the blood, ultrasound of the internal organs and X-ray examination of the abdominal cavity of the baby.
Based on an examination of the baby, the results of the blood test and the examination, the physician diagnoses and prescribes appropriate treatment.
If a child is diagnosed with umbilical hernia, but the doctor does not see the need for urgent hospitalization and surgery, but a surgeon's regular observation of the condition of the umbilical hernia is necessary. Even if it does not particularly disturb the baby, the following complications may be possible:
- limiting internal organs that will cause inflammation;
- inflammatory processes in the hernia itself;
- various damage;
- may cause mechanical bowel obstruction against a hernia background;
- in the intestine can accumulate feces. At the same time, the tummy of the child is swollen, there are pain and nausea.
Treatment of umbilical hernia in children
Usually in an active and as small as a moving child, which develops according to age and feeds correctly and fully, such an illness often disappears on its own. But parents whose baby is diagnosed with "umbilical hernia" should carefully monitor the nutrition of such a baby, the timely emptying of his intestine, to exclude foods that can cause constipation from the diet. If the baby is on breastfeeding, then mom will have to revisit her diet if the baby eats the milk formula, you need to take care of her proper selection. It is also necessary that such a child is more in motion.
Massage at umbilical hernia in children
Usually for the treatment of such a hernia, the doctor prescribes a special massage course and so-called "position treatment".
Basic recommendations for massage for such infants:
- regularity of massage sessions( daily for a month, and if necessary longer term).Failure to comply with this requirement will not be effective for the child; the effect on umbilical hernia will be inadequate;
- massaging movements should not be intense, but simply stroke. Any excessive pressure on the umbilical hernia can cause her distress, cause pain in her baby;
- direction of massage movements - clockwise from the ribs to the lower abdomen. Such a trajectory is considered to be the most favorable for the intestinal peristalsis of the child;
- is recommended to carry out "flapping" movements of the fingertips of the baby's tummy, the direction of such movements should be only from the top down.
It is also necessary to use "condition treatment" every day. For this, breast children are laid on the stomach. This position reduces the pressure on the walls of the anterior part of the abdominal cavity, with gases from the intestine begin to go out better. The child in this position is more active in the upper and lower limbs - such movements contribute to the strengthening of the abdominal muscles. In addition, the regular teaching of the baby on the abdomen helps strengthen the muscles of the back, neck, the child learns to keep a head faster, which will also have a beneficial effect on his physical development.
For children under the age of one year, massage is more intense than for infants. Usually for such children the doctor will appoint an additional course of medical physical education, from which necessarily excluded classes for the press.
These procedures can be performed both at home and under the supervision of a specialist in the clinic.
When surgical intervention is required
If the doctor sees that herself will not disappear herself, he can perform some manipulations, while adjusting her to the desired position. The surgeon usually exercises the umbilical hernia and fixes it with a special patch to prevent such complications as hernia contraction. Only after these procedures you can begin to practice physical therapy.
However, sometimes there is no massage, no hernia correction gives the desired effect. In this case, the question becomes operative interference in the patient's body. Surgical intervention required:
- if the child at the age of over 12 months of hernia increases in size;
- if there is a contraction of umbilical hernia;
- if the has not been herniated to the for four years.
The main purpose of such an operation is the need to eliminate the defect of the umbilical ring.
Instead of the conclusion of
In order to prevent umbilical hernia, newborns should ensure that the baby does not strain the abdomen too much. For this it is important to prevent constipation in children, to treat cough and cold symptoms on time. Of great importance is the massage and gymnastics of the baby, which allow you to strengthen the muscles.