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Umbilical hernia

  Umbilical hernia refers to an abdominal external hernia in which abdominal contents protrude through a weak and defective umbilical ring. It is a general term for abdominal external hernias occurring at the umbilicus. Hernias that protrude through the umbilical ring are called umbilical hernias. The umbilicus is located in the central part of the abdominal wall, and it is the last part of the abdominal wall to close during embryonic development. At the same time, the umbilicus lacks fatty tissue, which allows the outermost skin and fascia of the abdominal wall to be directly connected to the peritoneum, making it the weakest part of the entire abdominal wall. Abdominal contents are prone to protrude at this location, forming an umbilical hernia. During the fetal period of humans, two arteries, one vein, the vitelline duct, and the umbilical urachus connect the fetus to the mother through the umbilical ring to obtain nutrition. Before and after the birth of the fetus, the above structures gradually close, and a umbilical depression is formed when the umbilical ring closes. If the closure is incomplete or delayed, malformations and hernias may occur immediately after the birth of the fetus. Hernias that protrude from the umbilical ring are called umbilical hernias. Clinically, there are two types: infantile umbilical hernia and adult umbilical hernia. The former is much more common than the latter.

  Infantile umbilical hernia is a congenital disease in which abdominal contents protrude outward through the umbilical ring, with an incidence rate second only to congenital inguinal hernia, at approximately 2.6%. Girls are more prone than boys, and the incidence rate is relatively high in premature infants and low-birth-weight infants. It has a familial tendency and is related to race, and chronic constipation and crying in infants can also promote the occurrence of umbilical hernia. Adult umbilical hernia is generally a后天性疾病, accounting for 6% of all adult abdominal wall hernias, with the main cause being increased intra-abdominal pressure, such as multiple pregnancies, chronic cough, ascites, etc. This disease often occurs in middle-aged obese women, with a male-to-female ratio of about 1:3. The hernia contents are mostly omentum, followed by small intestine, colon, and so on. Adult umbilical hernia cannot heal spontaneously and has the risk of incarceration, so it should be treated actively with surgery.

Table of contents

1. What are the causes of umbilical hernia
2. What complications can umbilical hernia easily lead to
3. What are the typical symptoms of umbilical hernia
4. How to prevent umbilical hernia
5. What laboratory tests are needed for umbilical hernia
6. Diet taboos for umbilical hernia patients
7. Conventional methods of Western medicine for the treatment of umbilical hernia

1. What are the causes of umbilical hernia

  Hernias protruding from the umbilical ring are called umbilical hernias, and they are clinically divided into infant umbilical hernia and adult umbilical hernia. The former is much more common than the latter. The causes of umbilical hernia are divided into two types as follows:

  1. Infant umbilical hernia:

  It is congenital, commonly known as 'gas belly button', and is one of the most common diseases in neonates and infants. Due to the umbilical cord being separated, the scar area at the umbilicus, where the umbilical cord passed through the abdominal wall during the fetal stage, is itself a congenital weak point of the abdominal wall. Moreover, because the abdominal muscles on both sides have not completely converged in the median line during the infancy, leaving a defect, which is called 'umbilical ring' in medicine. Therefore, when the abdominal pressure inside the abdomen increases due to excessive crying, coughing, diarrhea, etc., the abdominal viscera, especially the small intestine, along with the peritoneum and skin of the abdominal wall, will gradually protrude outward from the umbilicus, forming an umbilical hernia. The causes of the disease include underdevelopment of the umbilicus, incomplete closure of the umbilical ring, or weak and insufficiently strong scar tissue at the umbilicus. Under conditions of increased intra-abdominal pressure (such as frequent crying, constipation, phimosis, etc.), the viscera can protrude from the umbilicus to form a hernia. The covering is only scar tissue, subcutaneous tissue, and skin.

  2. Adult umbilical hernia:

  It is relatively rare. It may be related to the weakening of scar tissue at the umbilical ring. The triggering factors are pregnancy, chronic cough, ascites, etc. Initially, the contents of the hernia are mostly omentum, followed by small intestine, colon, and so on. Often, due to extensive adhesions with the hernia sac wall, multiple-chambered spaces are formed.

2. What complications can umbilical hernia easily lead to

    Infant umbilical hernia is relatively common, mostly belonging to reducible hernia, with incarceration being rare, and there is a tendency to heal spontaneously. Generally, no surgical treatment is needed. Adult umbilical hernia is often related to increased abdominal pressure, such as pregnancy, liver cirrhosis, etc. If there is no incarceration, surgery should be done with caution.

3. What are the typical symptoms of umbilical hernia

  An umbilical hernia refers to an abdominal hernia in which abdominal contents protrude through a weak area of the umbilicus. The umbilicus is located in the middle of the abdominal wall, and during the process of embryonic development, it is the last part of the abdominal wall to close. So, what are the symptoms of umbilical hernia? Let's take a look together below.

  1. Infant umbilical hernia:

  It is relatively common, mostly belonging to reducible hernia, with incarceration being rare. When crying, standing, or exerting force, a lump will swell out from the umbilicus, generally with a diameter of 1 to 2 centimeters, without other symptoms. It is often found accidentally during bathing or changing clothes.

  2. Adult umbilical hernia:

  Commonly seen in middle-aged, obese, multiparous women. The main symptoms are a hemispherical hernia at the umbilicus, which can be reduced, often accompanied by indigestion, abdominal discomfort, and dull pain. Due to the generally small hernia ring and the tough scar tissue surrounding it, it is more prone to incarceration and strangulation. The large umbilical hernia is hanging.

40. 4. 39. How to prevent umbilical hernia

  38. Umbilical hernia can be divided into infantile umbilical hernia and adult umbilical hernia. Adult umbilical hernia can occur at any age, especially among middle-aged, obese, postpartum women. Today, the editor will introduce the following aspects of dietary taboos to pay attention to for adult umbilical hernia:

  37. Eating fresh fruits such as apples and grapes and fresh vegetables such as eggplant and tomatoes can help treat umbilical hernia. In addition, eating staple foods such as杂粮 also helps treat umbilical hernia.

  36. Patients can eat more fresh fruits such as kiwi, orange, apple, grape, and nuts such as walnuts and longan, which can supplement vitamins and trace elements and also effectively improve the patient's digestion and defecation, thus helping to treat umbilical hernia.

  35. Patients can also eat more fresh vegetables such as mushrooms, eggplant, carrots, dolichos, tomatoes, etc., which can provide the patient's body immunity and reduce the possibility of umbilical hernia exacerbation caused by cough due to cold, thus helping to treat umbilical hernia. Among them, eggplant has high utilization value regardless of how it is cooked and eaten.

34. 5. 33. What laboratory tests are needed for umbilical hernia

  A hernia that protrudes from the umbilical ring is called an umbilical hernia. Clinically, it is divided into two types: infantile umbilical hernia and adult umbilical hernia. The former is much more common than the latter. What examinations are needed for umbilical hernia? Generally, an abdominal X-ray film, ultrasonic examination of gastrointestinal diseases, and ultrasonic examination of abdominal blood vessels are needed for umbilical hernia.

31. 6. Dietary taboos for umbilical hernia patients

29. 7. 28. Conventional methods of Western medicine for treating umbilical hernia

  27. A hernia that protrudes from the umbilicus is called an umbilical hernia. Clinically, there are two types: infantile umbilical hernia and adult umbilical hernia. How does traditional Chinese medicine treat umbilical hernia? The following editor will introduce the methods of traditional Chinese medicine treatment for umbilical hernia.

  26. Roast fennel seeds and wrap them in gauze for use in applying heat to the affected area. You can prepare two packages at the same time for replacement use.

  25. Grind Baizhu (Atractylodes macrocephala) into powder, mix it with water, and apply it to the umbilical area. Then use moxibustion to assist. Note: This method is easy to cause burns to the patient if not properly handled.

  24. Take two liang of hawthorn fruit and fennel seeds (fried) each, grind them into powder and make them into pills. Take one pill each time on an empty stomach with plain water.

  23. Mash scallion whites and salt together into a paste and apply it to the affected area.

  22. Grind Eucommia ulmoides and salt to 60 grams each, fry them together and wrap them in gauze to apply heat to the umbilical area. When it gets cold, you can warm it with a hot water bag for 1-2 hours.

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