YOUR CHILD’S HEALTH/BOWEL DISORDERS: UMBILICAL HERNIA AND WIND (FLATULENCE, EXCESSIVE GAS)
UMBILICAL HERNIA
If you notice that your baby has a little lump which protrudes from his umbilicus when he cries or coughs, it is likely that he has an umbilical hernia. This is very common and is caused by the ring which normally surrounds the umbilical cord failing to close completely after birth. An umbilical hernia generally does not cause problems, and usually does not persist beyond 5 years of age. In rare cases, a small loop of bowel can be trapped in the opening and may require surgical removal. Umbilical hernias which do not disappear or are larger than 2-3 cm can be repaired surgically — this is usually for cosmetic rather than medical reasons. Do not tape the hernia — it does not help and may damage the baby’s tender skin.
WIND (FLATULENCE, EXCESSIVE GAS)
Passing bowel gas is a normal and necessary function in humans. Bowel gas is released by gas-producing foods and by the swallowing of air. Children swallow large amounts of air when sucking on empty bottles, and when crying. Carbonated drinks cause excess wind, as do foods which are difficult to digest, such as beans. Occasionally excess wind is a sign of milk intolerance, and gas is increased during bouts of diarrhoea or with marked constipation. No treatment is necessary for excess wind, except perhaps teaching your child, when he is old enough, to pass wind in a socially acceptable manner!
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