Patient's question:
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Doctor's answer:
Hello. After a baby is born, the umbilical cord is cut. Within a few hours, the stump of the umbilical cord turns brown, gradually dries out, darkens, and falls off naturally from the umbilical base between 3 to 7 days.After the umbilical cord falls off, the base often remains moist, which is a normal phenomenon. You can clean the umbilical base with a sterile cotton swab dipped in 75% alcohol and let it dry quickly.
Before the umbilical cord falls off, we should pay daily attention to whether there is any bleeding or discharge from the umbilical area. Each day, you can use a sterile cotton swab dipped in 75% alcohol to wipe the base of the umbilical cord and gently remove any discharge. Do this 1 to 2 times a day. Do not wrap it with gauze, nor cover it with thick plastic wrap and secure it with adhesive tape, as this can easily lead to bacterial growth, resulting in umbilical inflammation or granulation.
If there is purulent discharge, an odor, redness of the umbilical area, or even fever, it may indicate umbilical inflammation, and you should seek medical attention promptly.
After the umbilical cord falls off, if the umbilical area remains moist and shows a pink, pea-sized growth resembling a grape cluster, with surface discharge or even purulent fluid, this is called granulation tissue, also known as granulation. This occurs due to prolonged moisture at the umbilical stump and bacterial infection, leading to chronic inflammation. If you encounter this condition, you should consult a doctor as soon as possible. Generally, the granulation tissue needs to be removed, and the wound should be cauterized with a 1% silver nitrate solution. When using silver nitrate, be careful not to burn the surrounding skin.