My baby is 27 days old and the umbilical cord has fallen off twice?

Patient's question:

My baby is 27 days old. The umbilical cord stump has fallen off twice, and the umbilical area is protruding. Sometimes the baby strains, and the umbilical area protrudes.

Doctor's answer:

This condition may be caused by a congenital umbilical hernia due to developmental issues. First and foremost, it is important to maintain dryness, hygiene, and cleanliness to avoid purulent infection. When the baby cries, it is advisable to gently press the area or use an abdominal band, but it is crucial to prevent the baby from crying excessively, especially by applying manual pressure when they are crying. As the baby grows, the condition will gradually improve. It is also essential to ensure bowel regularity. If the hernia becomes severe, measuring around 5 cm or more, surgery may be necessary.

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