Treatment For Belly Button Pain Caused By 12 Different Medical Conditions

Treatment For Belly Button Pain Caused By 12 Different Medical Conditions

Listed Below Are Treatment Options For Belly Button Pain Or Umbilical Pain Caused Due To 12 Different Medical Conditions:

Treatment For Belly Button Pain Caused By 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.

Also Read:

References:

1. Recurrent furunculosis – challenges and management: a review.

Ibler KS, Kromann CB.

ClinCosmetInvestigDermatol. 2014 Feb 18;7:59-64.

2. 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.

3. 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.

4. 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.

5. 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.

6. Mesenteric ischemia.

Bobadilla JL.,

SurgClin North Am. 2013 Aug;93(4):925-40, ix.

7. Treatment of abdominal pain in irritable bowel syndrome.

Vanuytsel T1, Tack JF, Boeckxstaens GE.

J Gastroenterol. 2014 May 21.

8. Diagnosis and management of acute diverticulitis.

Wilkins T1, Embry K, George R.

Am Fam Physician. 2013 May 1;87(9):612-20.

9. Celiac disease: the search for adjunctive or alternative therapies.

Hassan K1, A-Kader H.,

Expert Rev GastroenterolHepatol. 2014 Mar;8(3):313-21.

10. Crohn’s disease in women.

Plavšić I1, Stimac T, Hauser G.

Int J Womens Health. 2013 Oct 18;5:681-688.

11. Advances in the treatment of ulcerative colitis.

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