Suite C28b
Life Fourways Hospital
Cedar Ave West &, Cedar Rd, Fourways, Johannesburg,
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Umbilcal Hernia in Children
What is an Umbilical Hernia?
An umbilical hernia is a soft swelling or bulge at your child’s belly button.
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It happens when the small opening in the tummy wall (where the umbilical cord passed through at birth) does not close completely.
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The bulge is usually more obvious when your child cries, coughs, or strains.
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Umbilical hernias are very common, usually painless, and often close on their own.
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Will it Close on its Own?
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Most umbilical hernias close naturally by the age of 2–3 years.
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Some may take a little longer, but by 5 years of age most will have disappeared.
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When Should I Worry? 🚨
Seek urgent medical attention if:
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The swelling becomes hard, red, or painful.
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The bulge cannot be pushed back in.
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Your child is vomiting or very unwell.
These are signs that a piece of intestine may be trapped (rare).
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Does My Child Need Surgery?
Most children do not need surgery.
Surgery may be recommended if:
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The hernia is large.
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It does not close by about 4 years of age.
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It causes problems (rare).
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What Does Surgery Involve?
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Your child will have a short general anaesthetic (fully asleep).
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A small cut is made inside the belly button fold.
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The opening is stitched closed with dissolvable stitches.
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The scar is hidden in the belly button.
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Most children go home the same day.
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Recovery 🌈
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Mild soreness for 1–2 days is normal.
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The belly button may look swollen at first but settles within a few weeks.
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Children usually return to normal play and school within a few days.
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Parent Surgery Checklist ✅
If your child is scheduled for umbilical hernia surgery:
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No food or drink as per the given feeding guidelines
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Pack your child’s favourite toy or blanket for comfort.
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Bring loose, soft clothing for going home.
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Arrange safe transport home after surgery.
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Make sure you have pain medication at home (your doctor will advise which).
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Write down any questions or concerns you want to ask the doctor or anaesthetist.
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Reassurance for Parents 💙
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Umbilical hernias are common and usually close naturally.
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Complications are rare.
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If surgery is needed, it is safe, quick, and with excellent results.
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📞 Need to talk to us?
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Call: (011) 875 1740
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WhatsApp: 068 162 6154
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Email: dr.theron.practice@gmail.com
