Listed Below Are Treatment Options For Belly Button Pain Or Umbilical Pain Caused Due To 12 Different Medical Conditions:
How Is Umbilical Skin Infection Causing Pain Around Belly Button Treated?
Conservative Treatment-
- Frequently wash with soap
- Keep skin and wound clean
- Topical application of antibiotic cream containing clindamycin or erythromycin.
Medications-
Anti-inflammatory Medications-Inflammation is treated with following NSAIDs
- Tylenol
- Motrin
- Naproxen
Types of Umbilical Skin Infection-
- Bacterial Infection- Skin infection including skin over umbilicus is caused by staphylococcus bacteria.1 Antibiotics as suggested by blood culture and antibiotic sensitivity test.
- Fungal Infection- Anti fungal Medications
- Viral Infection- Antiviral infection
Surgery
- Excision of furuncle
- Incision and drain abscess or pus
How is Injury to the Umbilical Area Causing Belly Button Pain or Umbilical Pain Treated?
Treatment For Blunt Trauma Around Belly Button Region
Conservative Treatment-
Skin Laceration-
- Frequent cleaning
- Antibiotic cream application twice a day
- Cold compression over umbilicus for pain
Medications-
- Analgesics-
- Pain medications for pain
- NSAIDs- Tylenol or Motrin
Antibiotics-
- If wound is infected
Treatment for Penetrating Injury Around Belly Button or Umbilical Region
Conservative Treatment-
- Frequent cleaning
- Antibiotic cream application twice a day
- Cold compression over umbilicus for pain
Medications-
Analgesics-
- Pain medications for pain
- NSAIDs- Tylenol or Motrin
- Opioids- severe pain is treated with hydrocodone or oxycodone
Antibiotics-
- If wound is infected
- Surgery
- Closure of wound- Superficial wound is closed with sutures
Exploration of Abdomen- Deeper penetrating wound can cause laceration of small bowel, kidney, liver, pancreas and other soft tissue as a result of retroperitoneal organ damage.2 Deeper and bleeding wound is treated with exploratory abdominal surgery.
Treatment of Umbilical Pain or Pain Around Belly Button3 Caused Due to Appendicitis
Conservative Treatment-
Fever- Fever above 102 F treated with tapping forehead with ice-cold water or wet cloth.
Medications-
- Antibiotics
- Clindamycin, Vancomycin
- Analgesics
- Opioids
Surgery
- Treatment of Ruptured Appendix
- Endoscopy (laparoscopy)-Helps remove the pus through laparoscope and irrigates the appendix.
- Surgical removal of appendix after 4 to 6 weeks.
Treatment of Appendix That Is Not Ruptured-
- Surgical removal of appendix
How is Umbilical Hernia Causing Belly Button Pain or Umbilical Pain Treated?
Treatment For Strangulated (Obstructed)Umbilical Hernia Causing Belly Button Pain-
Medications-
Antibiotics-
- For infection before or after surgery
Analgesics-
- NSAIDs- Tylenol or Motrin
- Opioids- Hydrocodone
Surgery
- Open exploratory surgery
- Excision of hernia and mesh placement.4
Treatment For Non-obstructed Belly Button Hernia Causing Umbilical Pain-
Conservative Treatment-
- Manual reduction of swelling
- Ice pack local application for pain
Medications-
- NSAIDs- Tylenol or Motrin
- Opioids- Hydrocodone
Surgery
- Laparoscopic surgery
- Open exploratory surgery
How is Duodenal Ulcer Causing Belly Button Pain or Umbilical Pain Treated?
Conservative Treatment-
Medications-
Analgesics-
- NSAIDs- contraindicated
- Opioids- Hydrocodone or oxycodone
- H. Pylori Infection
Antacids-
- Histamine-2 receptor antagonists (H2RAs)- example ranitidine, cimetidine, famotidine, and nizatidine.
- Proton pump inhibitors (PPIs)- example omeprazole, pantoprazole, lansoprazole, and rabeprazole.
Surgery
Vascular Surgery-
- Embolization of artery bleeding through duodenal ulcer.5
Endoscopic Surgery For Bleeding Ulcer
- Injection Therapy- Norepinephrine injected around the mucus membrane of duodenum or stomach through endoscope.
- Coagulation Therapy- Usedto stop bleeding.
- Homeostatic Clips- Clips are applied to bleeding ulcer
- Thermal Endoscopy- Heat is applied to bleeding ulcer to stop bleeding.
Open Exploratory Surgery-
- Vagotomy(excision of vagus nerve) and pyloroplasty,
- Vagotomy and antrectomy with gastroduodenal reconstruction
- Gastrojejunal reconstruction
- Selective vagotomy.
How is Mesenteric Artery Ischemia Causing Belly Button Pain or Umbilical Pain Treated?
Medications-
Analgesics
- Opioids- Severe belly button pain sue to mesenteric artery ischemia is treated with opioids such as hydrocodone or oxycodone.
Surgery
- Exploratory surgery6
- Removal of gangrenous intestine and colon
Vascular Procedure-
- Embolectomy
How Is Irritable Bowel Syndrome7 Causing Belly Button Pain Or Umbilical Pain Treated?
Conservative Treatment for Belly Button Pain or Umbilical Pain Caused Due to IBS-
- Diet
- Low carbohydrate
- Avoid fructose and lactose
- High Fiber- Fiber diet forms a bulky stool, which helps to regularize bowel function.
- Acupuncture– Helps to regularize bowel function
- Cognitive Behavioral Therapy
- Yoga– Helps to control bowel movements and stress relief.
Medications-
- Antiemetic
Antidiarrheal-
- Opiates- opioid and codeine
Laxative-
- Treat Constipation
- High fiber laxatives
- Glycol
Antispasmodics-
- Donnatal
- Phenobarbital
- Mebeverine
Tricyclic Antidepressants
Magnesium Aluminium Silcate
Probiotics-
- Helps to maintain bacterial flora of bowel.
How is Diverticulitis Transverse Colon8 Causing Belly Button Pain Treated?
Conservative Treatment For Belly Button Pain Due to Diverticulitis Transverse Colon-
Diet-
- Clear liquid diet
Medications-
- Analgesics
- Opioids- Hydrocodone, morphine and oxycodone
NSAIDs-
- Tylenol
- Avoid all other NSAIDs that may cause bowel perforation.
Intravenous Fluid-
- Treat dehydration
- Access for intravenous antibiotics
Antibiotics-
- Ciprofloxacin
- Metronidazole
- Amoxicillin
- Levofloxacin
Surgery
Indication for Surgery-
- Perforation
- Peritonitis- peritoneal infection
- Uncontrolled bacterial infection
- Fistula formation
- Intestinal obstruction
- Profuse bleeding
Surgical Options-
- Resection of disease segment of intestine or colon.
- Several other surgical techniques are used to reduce complications.
How is Celiac Disease Causing Belly Button Pain or Umbilical Pain Treated?
Conservative Treatment For Belly Button Pain or Umbilical Pin Caused Due to Celiac Disease-
Gluten Containing Food9–
- Avoid Gluten containing food like- wheat, rye, barley and oats
- Avoid pasta and cereals
List of other food that may contain gluten check label-
- Canned food- soup, vegetables and pastas
- Salad dressings
- Ice creams
- Chocolate bars
- Coffee
- Yogurt
- Alcohol- Avoid beer and other alcohol beverages made from barley.
- Avoid Lactose- Milk or dairy product.
- Fresh vegetables and fruits are good
Medications-
Vitamin Supplement-
- Malabsorption causes vitamin deficiency- take oral vitamin pills.
- Essential Vitamin- B12, D, E and K
How is Colon Cancer Causing Pain Around Belly Button or Umbilical Region Treated?
Conservative Treatment For Belly Button Pain or Umbilical Pain Due to Colon Cancer –
Diet-
- Fiber diet
- Fruits and vegetables
Medications-
- Analgesics
- Laxatives
Chemotherapy-
- Fluorouracil
- Capecitabine
- Radiation Treatment
Solitary Tumor-Radiation treatment is often curable therapy.
Non-Operable Tumor- Used as palliative therapy either before after chemotherapy
Surgery
- Laparoscopic Excision- Segment of intestine and colon excise using laparoscope
- Open Explorative Laparotomy Excision- Cancer segment, lymph node and surrounding tissue infiltrated by cancer cells are removed under direct vision following open abdominal surgery.
How Is Crohn’s Disease10 Causing Belly Button Pain Or Umbilical Pain Treated?
Conservative Treatment For Belly Button Pain or Umbilical Pain Due to Crohn’s Disease-
- Perianal Abscess- Keep wound clean.
- Fistula- Keep wound clean.
- Tobacco Use- Avoid and discontinue tobacco smoking and chewing.
Medications-
- Anti-diarrhea Meds
Medications-
- Loperamide
- Diphenoxylate with atropine
- Tincture of opium.
Causes of Diarrhea-
- Infection
- Small bowel syndrome
- Lactase deficiency
- Ileocecal valve not functioning
Anti-spasmodic Medications
- Propantheline
- Dicyclomine
- Hyoscyamine
Anti-tumor Necrotic Factors
- Infliximab
- Adalimumab
- CertolizumabPegol
- Natalizumab
Immunosuppressant-
- Corticosteroids
- Prednisolone
Immunosuppressant
- Mercaptopurine (6-MP)/azathioprine
- Methotrexate
Intravenous Antibiotics-
Indication for Antibiotics-
- Partial small bowel obstruction
- Intra-abdominal abscess
- Total Parenteral Nutrition (TPN)
Analgesics-
- Opioids- also help to control bowel movements.
Surgery
Indications For Surgery-
- Sustained or recurrent hemorrhage
- Bowel perforation
- Peritoneal or bowel abscess
- Toxic mega colon
Surgical Procedure
- Colostomy- Part of the bowel is resected and end of normal bowel brought through skin outside to drained feces until wound is healed.
- Hemicolectomy- Partial removal of disease segment of intestine.
How is Ulcerative Colitis11Causing Belly Button Pain Or Umbilical Pain Treated?
Conservative Treatment For Belly Button Pain or Umbilical Pain Due to Ulcerative Colitis-
- High fiber diet
Medications-
Analgesics
Anti-diarrhea Meds
- Loperamide,
- Diphenoxylate with atropine
- Tincture of opium.
Anti-spasmodic Meds-
- Propantheline,
- Dicyclomine
- Hyoscyamine.
- Aminosalicylates
Mesalazine- used in mild symptoms
Immunosuppressant
- Corticosteroids
- Prednisone
- Used when symptoms are frequent and severe
Immunosuppressant
- Azathioprine and its active metabolite 6-mercaptopurine are indicated if patient cannot take corticosteroid
- Cyclosporine- Rapid onset of action..
- Infliximab:Moderate-to-severe ulcerative colitis, whose disease is refractory to conventional treatment using corticosteroids and/or immunosuppressive agents.
Leukophoresis-
- Blood is collected from patient and white blood cells removed.
- Very few centers offer this treatment
- Effective therapy in few cases
Surgery
Indication For Surgery-
- Symptoms not responding to medical treatment
- Bleeding
- Mega colon not responding to treatment
- Low hemoglobin
- Low protein
Surgical Procedure
- Colostomy- Part of the bowel resected and end of normal bowel brought through skin outside to drain feces until wound is healed.
- Hemicolectomy- Partial removal of disease segment of intestine.
- Recurrent furunculosis – challenges and management: a review. Ibler KS, Kromann CB. ClinCosmetInvestigDermatol. 2014 Feb 18;7:59-64.
- Retroperitoneal organ injury caused by anterior penetrating abdominal injury in children. Oztürk H1, Otcu S, Onen A, Dokucu AI., Eur J Emerg Med. 2003 Sep;10(3):164-8.
- Appendicitis in paraumbilical hernia mimicking strangulation: a case report and review of the literature. Agarwal N1, Goyal S, Kumar A, Garg A, Kaur N, Gupta A., Hernia. 2013 Aug;17(4):531-2.
- Mesh repair of umbilical hernia without a visible abdominal scar. Kurpiewski W, Kiliańczyk M, Szynkarczuk R, Tenderenda M. Pol PrzeglChir. 2014 Feb 1;86(2):68-72.
- Embolization of bleeding duodenal ulcer using Amplatzer vascular plug II and hydrogel coils: case report. Abdel-Aal AK1, Osman S, Hamed MF, Saddekni S, Saad WE. Vasc Endovascular Surg. 2011 Apr;45(3):307-10.
- Mesenteric ischemia. Bobadilla JL., SurgClin North Am. 2013 Aug;93(4):925-40, ix.
- Treatment of abdominal pain in irritable bowel syndrome.
- Diagnosis and management of acute diverticulitis. Wilkins T1, Embry K, George R. Am Fam Physician. 2013 May 1;87(9):612-20.
- Celiac disease: the search for adjunctive or alternative therapies. Hassan K1, A-Kader H., Expert Rev GastroenterolHepatol. 2014 Mar;8(3):313-21.
- Crohn’s disease in women. Plavšić I1, Stimac T, Hauser G. Int J Womens Health. 2013 Oct 18;5:681-688.
- Advances in the treatment of ulcerative colitis. Peyrin-Biroulet L. GastroenterolHepatol (N Y). 2013 Dec;9(12):827-9.
Vanuytsel T1, Tack JF, Boeckxstaens GE. J Gastroenterol. 2014 May 21.
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