An umbilical hernia in an infant is a problem that occurs quite often, and therefore often becomes the subject of misconceptions and controversy. In addition to traditional measures recommended by a pediatric surgeon, such as massage or gymnastics, parents often resort to conspiracies.
Symptoms of an umbilical hernia
An umbilical hernia is a hole in the muscle ring in the center of the abdomen, in the area of the navel, which is caused by weakness of the umbilical muscles. It usually occurs in newborns, usually in the first days of a child’s life.
Symptoms of an umbilical hernia in infants are easy to notice even for inexperienced parents. After the baby's umbilical cord falls off, parents may notice a slight protrusion of the belly button that appears when the baby cries or strains. This protrusion can be easily reduced; this procedure does not cause concern to the child. Over time, the hernia may become larger. If the muscles of the umbilical ring have big size(the hernia also has a significant size), you can notice that the baby’s tummy in the navel area becomes slightly swollen when the baby cries.
Most often, an umbilical hernia is diagnosed by a pediatric surgeon or pediatrician during an examination, which is carried out when the child is one month old. When pressing on the navel area, the finger enters the abdominal cavity (with normally developed abdominal muscles this is impossible).
Causes of umbilical hernia formation
The main reason for its occurrence is heredity. In other words, if the baby’s parents had a umbilical hernia, there is a high chance that their son or daughter will also encounter it. Sometimes you can come across the opinion that the cause of a hernia is improper cutting of the umbilical cord in the maternity hospital, which, of course, is not true, since the method of cutting the umbilical cord has nothing to do with the development of the abdominal muscles.
Note to moms!
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Treatment of umbilical hernia
Before each feeding, you need to place the baby on the stomach on a short time. The child should lie on a flat and hard surface, on a table or on a changing table on which the diaper was placed. You need to start laying out the baby after complete healing, and, of course, under no circumstances should you leave the baby unattended, even if the parents are absolutely sure that the baby will not roll over, because he does not know how to do this, which means he will not go anywhere.
Massage of the tummy gives a good effect in the prevention and treatment of umbilical hernia in infants. To do this you need to contact professional massage therapist(of course after consultation with a pediatrician). In addition, it is very useful to massage yourself.
Video: Massage for umbilical hernia
Massage begins from the second week of the baby’s life, provided that the umbilical wound has healed and does not bother the baby. It is recommended to carry out stroking movements (strictly clockwise, since this is how the large intestine passes through the body), so-called counter stroking and stroking the oblique abdominal muscles. In order to perform counter strokes, you need to move your left hand along right side tummy up, and right - along the left side of the tummy - down (movements are performed synchronously). Stroking the oblique muscles of the abdomen is performed as follows: one hand should be placed on the navel area, the other one should perform light stroking movements. All movements should be easy and bring pleasure to the baby. The baby should not cry during the massage. ()
I'm so tired of answers about grandmas' conspiracies! As if we haven’t stepped into the 21st century yet! Regarding the hernia: I’ll quote from Komarovsky’s answer:
To begin with, we quote Komarovsky himself (a phrase from the book “Child’s Health...”). So, the quote: “Many children in the first year of life have an umbilical hernia (a protrusion in the navel area that appears most often when screaming). In the vast majority of cases, it does not pose any danger, does not require any treatment and goes away on its own.” Obviously, the above text may seem insufficient, especially taking into account the intimidating arguments of domestic, as you put it, “pediatrists.” I will clarify and clarify. There is such an anatomical concept as " white line abdomen" is a strip along the middle of the abdomen, consisting not of muscles, but of ligaments - it is easy to see, especially in men (of course, in the absence of an abdomen). In the center of this very white line there is a hole - the same umbilical ring - through which the umbilical cord passes through the fetus (in fact, the umbilical cord is a medical synonym for the word “umbilical cord”) The umbilical cord contains vessels (various) and some other “little things” after birth, all these little things and vessels fall off, become overgrown with connective tissue and overlap. umbilical ring However, a tight and complete overlap is often not possible because the abdominal muscles are not sufficiently formed, which, in turn, strengthen the ring, making it denser. Thus, to eliminate problems with navel weakness, two things are needed: 1. . The time during which the idle umbilical vessels are filled with connective tissue and 2. The time during which the abdominal muscles become stronger. Obviously: immediately after birth, the umbilical ring is weak and when the pressure in the abdominal cavity increases, the peritoneum and even the peritoneum can protrude through it (the ring). intestinal loops. This is an umbilical hernia. From an anatomical point of view, all babies have it (hernia) to varying degrees of severity. And it heals with time. Of course, if the umbilical ring is weaker than usual, and plus the child screams from morning to night (i.e., tenses up and increases pressure in the abdominal cavity), a hernia can really cause serious problems. The worst thing is this operation, which, by the way, is one of the simplest in all pediatric surgery, without penetration into the abdominal cavity, technically reminiscent of darning a sock. Let us repeat: if a child is screaming, you should not rock him, but with the help of a normal, qualified doctor, find out the cause of the crying and eliminate it. And a hernia is a special case here. Who knows what he's yelling about, you better shake him. Why bother and figure it out? And here is a very advantageous argument - he will give himself a hernia. Every parent should be aware that the doctor’s salary, as well as the standard of living of the vast majority of his patients, is not conducive to consciously communicating with each other, since, trying to understand the reasons for crying, the doctor wastes time and effort without receiving nothing in return. So I would like to find some arguments in favor of abandoning unproductive bustle. An umbilical hernia is a typical argument. The argument is untenable, if only because the pressure in the abdominal cavity increases not only with screaming, but also with the same gas, with difficult stools, and when a child sulks, trying to poop, this is much more dangerous than any screams. A hernia can be combated by optimizing nutrition, avoiding overheating, massage, gymnastics (so that a normal muscle tone and normal muscle strength). At very large sizes Sometimes an operation is performed on the umbilical ring, but more often they use special clamps - many companies (not ours, of course) produce them - this is a plaster into which a plastic or metal circle is factory inserted to prevent protrusion. Our smart people use a combination of a plaster and a five-kopeck coin for the same purpose. former USSR... All the best. Komarovsky
Hernia is a partial or complete protrusion of an internal organ through a normal or pathological opening under the skin. Weakness of the muscles of the newborn baby is a predisposing factor to the occurrence of this anomaly. Many babies are diagnosed with umbilical and inguinal hernia. Let's look at the symptoms and causes of this condition, and also find out how a hernia in an infant is treated.
Causes and symptoms of navel protrusion
A hernia looks like a tubercle in the navel area, which appears (increases) in moments of stress - crying, defecation, when passing gas. The diameter of the protrusion is from 10-15 mm to 40-70 mm.
How to determine that a baby has an umbilical hernia? Its signs:
- when crying, the navel protrudes above the surface of the abdomen;
- with light pressure the bulge is reduced, and the finger “falls” into the abdominal cavity;
- touching the protrusion, you can feel the seething (due to the proximity of the intestines).
Why is it formed? While in the mother's belly, the baby receives nutrients through the umbilical cord. After birth, it is cut off, but the umbilical ring remains and gradually closes. By various reasons this process slows down, and through the hole in the abdominal muscles, intestinal loops and omentum protrude under the skin.
Reasons for the formation of a navel hernia:
- congenital displacement internal organs due to problems in the prenatal period;
- insufficient development of the ligamentous apparatus, inherited;
- decreased muscle tone (hypotrophy);
- rickets;
- frequent forced crying;
- prolonged cough;
- periodic constipation;
- flatulence.
Having discovered a hernia in your baby, you need to consult a doctor so that he can prescribe treatment.
Conservative therapy
How to treat an umbilical hernia? Dr. Komarovsky says that in 70% of children it goes away by the age of 4-5 as the abdominal muscles strengthen. In this case, you do not need to massage, wear a bandage or cover the bulge with a special plaster.
The simplest exercise is to place the baby on his stomach on a flat surface before each meal. This treatment can be practiced only after the umbilical wound has been healed. In addition, the doctor may prescribe a special gymnastic complex.
If the hernia is large (more than 15-20 mm), the doctor may recommend covering it with a plaster. It allows you to fix the protrusion. By-effect– an allergic reaction to synthetic substances, manifested as a rash on the skin. In this case, it is better to use a bandage.
A bandage is an elastic belt with a pad that is applied to the navel area and limits it. Thanks to the pressure, the intestines and omentum protruding from the umbilical ring become in place. The bandage prevents further development of the hernia.
Massage for hernia
Massage improves blood circulation and stimulates the abdominal muscles. It is best to have the course of procedures carried out by a professional. But if necessary, mother can learn all the manipulations herself.
Massage is performed before meals 2-3 times a day after the navel has healed. The child should be placed on a flat surface. All movements according to the clock.
How to do a massage correctly? Here are some techniques:
- stroke the belly in a circle 10 times;
- lightly press the hernia with your finger so that it “hides” 20 times;
- use the pad of your thumb to “screw in” the navel 10 times;
- post thumbs symmetrically above the navel and move them towards each other 10 times, repeat under the navel.
When performed regularly, massage provides good effect– the umbilical ring quickly tightens and the hernia disappears.
Complications, surgery and prevention
An umbilical hernia does not bother the child - he does not feel it. Sometimes it is infringed. How do you know it happened? Symptoms:
- the bulge has hardened and does not go back, its color has changed;
- the skin around the navel looks inflamed;
- the baby cries in pain;
- vomiting is observed (not always).
The danger of strangulation of an umbilical hernia is necrosis of intestinal areas compressed by muscles. For large protrusions (more than 20-30 mm), a bandage helps prevent complications.
Infringement can only be treated with surgery. Other indications for surgical intervention are a large hernia (more than 50 mm in diameter) and the child reaching age 5 summer age. The essence of the operation is suturing the umbilical ring.
Prevention of umbilical hernia
Prevention of umbilical hernia:
- place the baby on his stomach;
- do a restorative massage correctly;
- Avoid rare bowel movements and flatulence.
Prerequisites and signs of inguinal hernia
An inguinal hernia is an exit and protrusion of abdominal organs through the inguinal canal. The disease is diagnosed in 5% of newborns, more often in boys.
How does an inguinal hernia form? At 12 weeks intrauterine development in the fetus, regardless of gender, a vaginal process is formed - a canal running from the peritoneum to the groin. Its purpose is to lower the testicles into the scrotum in boys and support the round ligament of the uterus in girls. By the time of birth, its obliteration (overgrowth) normally occurs.
At different genetic diseases and pregnancy pathologies that disrupt the natural course of development of the embryo, the vaginal process does not close and serves as a hernial sac, leading to displacement of the internal organs. In a boy, the omentum and intestinal loops enter it, in a girl - appendages (tube and ovary). In future men, a right-sided hernia is most often found, in babies it is bilateral. The size of the protrusion can vary significantly from 20 mm to 50-70 mm.
An inguinal hernia is a congenital anomaly, but sometimes its symptoms appear in the first months. How to determine its presence in a child? Main symptoms:
- a protrusion in the groin that “swells” when tense;
- soft-elastic consistency of the bulge - when pressed, it can be easily pushed back without causing pain to the baby;
- one- or two-sided swelling of the scrotum in a boy and the labia in a girl.
Photos of children with a hernia show that it can be easily seen, especially if the child is tense.
What to do if you find these signs? Contact your doctor. Komarovsky emphasizes to parents that, unlike an umbilical hernia, an inguinal hernia does not go away on its own; it can only be treated surgically. Potential complications include pinching and poor circulation of the testicle in boys, which can cause testicular atrophy.
Symptoms of infringement, features of surgery and preventive measures
You shouldn’t hesitate to go to the doctor. The protrusion itself does not affect the child’s well-being, but if it is not treated, it can become pinched.
Incarceration is compression of organs in the hernial sac, which is accompanied by impaired blood circulation in the tissues. It can provoke necrosis of intestinal loops or ovaries. Signs of infringement:
- swelling and hyperemia in the groin area;
- pain and tension of the hernia, inability to reduce it;
- crying in pain;
- refusal to eat, hyperthermia, vomiting.
The baby needs to be taken to the hospital. Girls are operated on as an emergency, since even a short-term disruption of blood flow in the ovaries can lead to the death of the eggs. Boys are first given antispasmodics to relax the muscles and the hernia is repaired, and then undergo a planned operation.
In the absence of infringement surgical treatment inguinal protrusion is performed after 6 months. The baby requires regular monitoring by a surgeon.
During the operation, the inguinal hernia (sac) is excised and the normal structure of the inguinal canal is restored. Sometimes it is additionally strengthened with its own tissues or artificial materials. The intervention takes 15-30 minutes. It is performed either traditionally or laparoscopically.
Prevention of inguinal hernia involves timely identification of risk factors for its occurrence and regular examination of the child by specialists.
Alternative medicine
In the post-Soviet space, treatment of childhood hernias by healers is very common. For a certain fee, they promise parents to “speak” the disease. Doctors urge moms and dads not to fall for their tricks.
Umbilical hernias heal on their own by the age of 3-5 years. Inguinal protrusions can only be cured surgically. Spells and applying herbs to a “sore spot” are a waste of money. In addition, with an inguinal hernia, trips to healers lead to delays in treatment and complications.
Umbilical and inguinal hernias in children occur due to physiological muscle weakness and various pathologies. A protrusion in the navel area rarely provokes complications and in most babies goes away on its own.
To strengthen the muscles, you can do massage and gymnastics, and also put a bandage on the child. An inguinal hernia can only be treated surgically. Dr. Komarovsky draws attention to this. Postponing surgical intervention is dangerous, especially if the pathology is observed in a girl.
Symptoms, causes and methods of treating umbilical hernia in children.
Umbilical hernia is a common ailment in both adults and children. In children, protrusion of the abdominal organs is more common, due to incomplete closure of the umbilical ring and weakness of the abdominal muscles.
Umbilical hernia in children: causes
After circumcision of the navel, the ring is scarred, becoming covered with a durable shell. The lower part of the muscles contracts well and is connected to the ureters. And the upper part does not always contract well. In order for the peritoneal organs to prolapse, it is necessary high blood pressure inside the stomach.
Causes of increased abdominal pressure:
- Rickets
- Pneumonia
- Constant cough
- Disorders of the nervous system
- Constipation
- Whooping cough
That is, for a hernia to appear, the child must “tear” it. This usually happens due to endless crying associated with disorders in the central nervous system, frequent coughing. Often a hernia is caused by “straining” when frequent constipation. This usually happens in children artificial feeding. But doctors believe that 70% of all cases of the disease are inherited. Therefore, if one of the parents had a hernia in childhood, then most likely the baby will also get sick.
Umbilical hernia in children: symptoms
Usually the disease manifests itself immediately after birth or a month later. Parents may note:
- Protrusion of the navel by 1-2 cm when the baby cries
- When palpated, a characteristic swelling is felt
- In a calm state, upon palpation, a depression is felt - a “hernial orifice”. This is the hole through which the internal organs fall out
- A hernia may appear due to early verticalization of the baby; do not rush to put the child on his feet prematurely
- But it is worth paying attention to the child’s stool. With frequent constipation, protrusion of the navel is also possible. This can be noticed when the child strains
- Another symptom is separation of the anterior abdominal muscles.
What does an umbilical hernia look like in children?
Usually it is a ball or oval, which is located above the navel in children. It may increase or decrease when the baby cries or sleeps. More details in the photo.
Umbilical hernia in newborns
Most often found in premature babies and in children with developmental defects. More than half of all hernia cases are diagnosed in seven-month-old newborns. This is due to immaturity of muscles and underdevelopment of internal organs.
- A congenital hernia is usually discovered in the maternity hospital. It is visible to the naked eye
- When the umbilical cord tail dries out at home, the problem becomes worse due to uneven scarring of the tissue. Connective cells do not fully grow around the navel. Top part"remains empty"
- A bulge forms above or below the navel. When pressed, the protrusion disappears
- In children with normal weight body and full-term births, umbilical hernia is uncommon
Umbilical hernia in a child 2-3 years old
By this age, the hernia usually disappears. Surgery is only necessary if the navel continues to protrude in a five-year-old child. But there are times when you absolutely healthy child By the age of three, a hernia appears. This is possible due to the following reasons:
- Frequent child tantrums
- Absence physical activity baby. Parents simply do not hang out on playgrounds with such children. Boys should not be prohibited from climbing stairs and slides. The child must develop physically and not be a “houseplant”
- It happens that a hernia occurs due to constant carrying of weights. Do not allow your child to carry chairs or bags from the store.
Umbilical hernia in a child 6-7 years old
Usually by this age, in most cases, the hernia heals on its own. This is facilitated by strengthening the anterior abdominal wall. Exactly at six years old surgery is prescribed. If the child is 6-7 years old and has a hernia, then accept that it will not be cured using conservative methods. Although, with a huge “hernial orifice”, surgery can be prescribed at the age of three.
At this age, there is only one treatment method - surgery. Indeed, in the future there may be complications and impossibility normal development child.
Umbilical hernia in children: treatment
There are the following treatment methods:
- Conservative. During treatment, the child is prescribed massage, special physiotherapy and exercises. In some cases, the doctor may reduce the hernia, followed by applying a plaster and wearing a bandage.
- Operational. It is carried out if the size of the umbilical ring is large and the protrusion of the hernia often coincides with intestinal pinching. In this case, vomiting, fecal stagnation, and constipation are possible. If these symptoms occur, you should call ambulance, perhaps the child will be taken for emergency surgery. The indication for surgery is age 5-6 years. Usually by this age the hernia disappears. If the peritoneal organs still protrude, surgery cannot be avoided
Umbilical hernia in newborns: treatment at home
- If the hernia does not cause discomfort and there is no strangulation, then specific treatment is not required. Children infancy should be placed often on the stomach. This helps relieve gas and relieve tension in the abdominal cavity.
- Starting from two months of age, exercise on a fitball is recommended. Place your baby on the ball, belly down. At the same time, the head and legs hang down. Swing the ball back and forth and then from side to side
- Rub your baby's belly frequently. As the child gets older, movements should be intense.
- Under no circumstances force your child to pump his abs, this can lead to a pinched hernia.
Umbilical hernia bandage for newborns
- This is a belt made from elastic fabric. It is made from natural materials, therefore does not cause allergies
- Usually a bandage is prescribed after healing umbilical wound. The belt is put on in the morning
- After the protrusion is reduced, the tissue is tightened tightly, and the pad in the navel area fixes the hernia and prevents it from falling out
- The bandage is necessary to prevent strangulation of the hernia, strengthen the abdominal muscles and for further healing of the umbilical ring
Massage for umbilical hernia in babies
Massage is allowed from three weeks of age. It is at this age that the wound has healed, and there is no risk of infection.
- It is advisable to call a massage therapist at home. Some clinics employ massage therapists. You can get a referral to them from your pediatrician. Parents should master the technique of performing massage and do it twice a day
- The duration of the massage is determined by a specialist
VIDEO: Massage for umbilical hernia in babies
Surgery for umbilical hernia in children
The operation is quite simple and proven. The technique of the intervention depends on the equipment of the hospital and the experience of the surgeons. Children under three years of age are operated on under general anesthesia.
The essence of the operation:
- After the anesthesia has taken effect, the surgeon cuts the skin below the navel
- After this, the peritoneal organs are adjusted
- Next, the hernial sac is incised and sutured
- A gauze bandage is applied to the navel area, which is secured with a plaster
- A few hours after anesthesia, the child can already get up
Hernia patch for newborns
Please note that you only need to purchase special patches intended for the treatment and prevention of hernia. Now there are several varieties of such patches in pharmacies. The most effective are Hartmann, Porofix, Cosmopore E and Chicco. They usually don't look like regular patches, but come in two parts. When one part is inserted into another, a contraction is made and a fold is formed, which presses the navel inward.
Please note that such patches are allowed to be used only after the umbilical wound has completely healed.
How to talk about a hernia in a baby yourself?
Our grandmothers believed that it was no coincidence that the baby had a hernia. It's all because of evil spirits. Therefore, conspiracies were used to treat the disease.
Conspiracies for a hernia in a baby:
The mother needs to bite the baby’s hernia in the morning and say:
“Hernia, hernia, I’m gnawing on you, you have one tooth, I have seven, and I’ll eat you.”
And so three times. After each pronunciation, you must spit over your left shoulder
Another conspiracy:
“Go, hernia, to a clean field, gnaw the bitter aspen (say three times), gnaw it off, but don’t gnaw the baby, hernia, the baby of God (baby’s name) and don’t gnaw it off.”
Umbilical hernia in children Komarovsky
Dr. Komarovsky is not a supporter surgical intervention for the treatment of umbilical hernia. He believes that a weak umbilical ring is an anatomical feature of infants. To avoid troubles in the future, the mother needs to strengthen the baby, massage and exercise, and monitor his nutrition. It is very important to feed your baby foods that promote regular bowel movements. For this purpose, a lot of fiber and grains are introduced.
It is not difficult to cure a hernia. It is enough to prevent intestinal pinching and wear a patch. Be sure to massage and strengthen your baby's abdominal muscles.
VIDEO: Hernia in children Komarovsky
At the same time, Komarovsky reassures - there is no need to panic; with proper therapy, the protruding umbilical ring returns to normal in as soon as possible. In a newborn, the navel skin heals quickly, but the small intestine, due to internal tension caused by the baby’s crying, can fall out through the umbilical ring under the skin. It is a very soft, painless pouch to the touch. The intestine, when pressed, goes back into the abdominal cavity.
Komarovsky believes that the hernia does not pose a danger to the baby; on the contrary, his parents’ inept attempts to get rid of the hernia can harm him traditional methods. For example, some parents try to put the intestines back on their own and tie the child’s tummy with an elastic bandage; such actions lead to surgical treatment.
Another way to harm a child is to place a coin on the navel; this usually causes inflammation of the skin around the navel. There is no need to self-medicate; take your child to the pediatrician.
1 Symptoms of the disease
Any normal parent will immediately notice an unusual growth near their baby’s navel in the form of a small tubercle. It may appear as a result of a long crying a lot or pushing. If, when you lightly press on this tubercle, it disappears, then the disease is not serious, and conventional treatment will help get rid of it, but if the pathology does not go away, this may mean that the loop of the small intestine is stuck in this position, and in this situation Only a surgeon can help.
Sometimes when you press on the tubercle you may feel a gurgling sound; this is normal and does not pose any danger. In a calm state, when the baby lies on his back, the hernia is not visible. But you should start to worry if any stress of the child ends in the appearance of a hernia. In this case, you should show it to a pediatrician or surgeon.
2 Causes of pathology
The navel connects the baby and his mother for all 9 months of his intrauterine life. Through it he eats and breathes. But after birth, this connection is cut off, and the child’s body begins to function independently. After the umbilical cord is cut, the blood vessels supplying it close, and within a month the umbilical ring shrinks completely.
But under some conditions this does not happen, and a gap remains between the navel and the abdominal muscles, into which the small intestine falls out when intra-abdominal pressure increases. This can happen for a number of reasons:
- The muscles around the navel are not strong enough to support the intestines.
- The baby's connective tissues are not yet fully mature. This effect is most often observed in premature babies.
- An umbilical hernia accompanies rickets in children.
- The anterior abdominal wall has some congenital pathologies.
- There is some pathology in the gastrointestinal tract that causes bloating, flatulence, intestinal colic or constipation.
- A strong and prolonged cough can cause so much tension in the peritoneum and increase the pressure in the abdominal cavity so much that an umbilical hernia pops out.
Only the doctor chooses the treatment. It is based on the severity of the disease, on general condition small patient and his age. Self-treatment in this case is impossible.
Since surgery is only used if the small intestine is pinched between the muscles, conservative treatment is generally used. Its correct use will allow you to quickly eliminate the causes of its occurrence and prevent relapse.
The complex of such treatment must include:
- Turning the baby onto his stomach. This exercise not only strengthens the abdominal muscles, but also has a positive effect on the child’s intestinal function. This needs to be done every day.
- Physiotherapy. A set of exercises for such gymnastics is chosen by a doctor, and it is carried out only under his supervision and with his participation. These exercises are designed to strengthen the abdominal muscles and connective tissue around the umbilical ring.
- Sealing with adhesive tape. In some cases, the hernia is fixed with a special plaster. It holds the gap between the umbilical ring and the abdominal muscles and prevents the intestines from falling into it. The duration of wearing such a patch is determined by the speed with which this gap heals. A doctor should monitor this process and decide when to remove the patch.
- For a mild hernia, you can wear a special bandage. It is much more convenient than a patch, as it does not cause irritation and is easy to take off and put on.
A special massotherapy. With due diligence and diligence, the child’s mother can, after attending several sessions, master this technique herself. In the future, she can massage her child 2-3 times a day, no more than half an hour per session. This will save time and effort on trips to a specialist.
The set of exercises includes the following manipulations:
- Stroking the baby's tummy with the palm of your hand in a clockwise direction, but do not touch the navel. There must be at least 10 repetitions.
- The same movements only in the opposite direction, at least 10 times.
- Gently pressing on the hernia, ensure that it goes into the abdominal cavity.
- After the hernia has disappeared into the abdominal cavity, you should massage it with your fingertips in a circular motion umbilical ring, 10 times clockwise and counterclockwise.
- By placing the index finger and thumb on opposite sides of the navel, the umbilical ring is compressed at least 10 times in one approach.
If you follow all the doctor’s instructions, the umbilical hernia will go away and will never appear again, since not only will the hernial gap heal, but also the muscles on the child’s abdomen will become significantly stronger. But you need to understand that the exercises should be done at least 3 times a day, every day, otherwise the results of gymnastics and massage will be almost unnoticeable.